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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for North Dakota for 2007
5 Grantees
| Payor Category |
Full
Charges This Period (a) |
Charges
as Percent of Payor |
Charges
as Percent of Total |
Amount
Collected This Period (b) |
Collections
as Percent of Payor |
Collections
as Percent of Total |
Collections
as Percent of Charges |
Collection
of recon./wrap around Current Year (c1) |
Collection
of recon./wrap around Previous Years
(c2) |
Collection
of other retroactive payments (c3) |
Penalty/Payback
(c4) |
Net
Retros |
Net
Retros as Percent of Charges |
Allowances
(d) |
Allowances
as Percent of Charges |
| 1. Medicaid Non-Managed Care |
3,146,768 |
100.0% |
31.4% |
2,148,302 |
100.0% |
33.1% |
68.3% |
111,210 |
19,300 |
|
0 |
130,510 |
4.1% |
1,101,263 |
35.0% |
| 2a. Medicaid Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 2b. Medicaid Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
3,146,768 |
100.0% |
31.4% |
2,148,302 |
100.0% |
33.1% |
68.3% |
111,210 |
19,300 |
0 |
0 |
130,510 |
4.1% |
1,101,263 |
35.0% |
| 4. Medicare Non-Managed Care |
1,707,239 |
100.0% |
17.0% |
1,274,130 |
100.0% |
19.6% |
74.6% |
380,196 |
47,601 |
|
0 |
427,797 |
25.1% |
371,881 |
21.8% |
| 5a. Medicare Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 5b. Medicare Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
1,707,239 |
100.0% |
17.0% |
1,274,130 |
100.0% |
19.6% |
74.6% |
380,196 |
47,601 |
0 |
0 |
427,797 |
25.1% |
371,881 |
21.8% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
20,275 |
100.0% |
0.2% |
15,065 |
100.0% |
0.2% |
74.3% |
|
|
|
0 |
0 |
0.0% |
7,770 |
38.3% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
20,275 |
100.0% |
0.2% |
15,065 |
100.0% |
0.2% |
74.3% |
|
|
0 |
0 |
0 |
0.0% |
7,770 |
38.3% |
| 10. Private Non-Managed Care |
2,825,188 |
100.0% |
28.1% |
2,112,771 |
100.0% |
32.6% |
74.8% |
|
|
|
0 |
0 |
|
742,355 |
26.3% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 12. Total Private (Lines 10
+ 11a + 11b) |
2,825,188 |
100.0% |
28.1% |
2,112,771 |
100.0% |
32.6% |
74.8% |
|
|
0 |
0 |
0 |
0.0% |
742,355 |
26.3% |
| 13. Self-Pay |
2,337,927 |
100.0% |
23.3% |
934,475 |
100.0% |
14.4% |
40.0% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
10,037,397 |
|
100.0% |
6,484,743 |
|
100.0% |
64.6% |
491,406 |
66,901 |
0 |
0 |
558,307 |
5.6% |
2,223,269 |
22.1% |
|
Sliding Discounts (e) |
Sliding Discounts as a Percent of Self-Pay
Charges |
Bad Debt Write Off(f) |
Bad Debt as Percent of Self-Pay
Charges |
| 13. Self-Pay (line 14 is same) |
1,299,440 |
55.6% |
313,360 |
13.4% |
data as of: 7/22/2008 3:36:47
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