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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for South Dakota for 2007
6 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 |
5,297,347 |
100.0% |
24.8% |
4,763,266 |
100.0% |
36.9% |
89.9% |
40,543 |
149 |
|
0 |
40,692 |
0.8% |
615,092 |
11.6% |
| 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) |
5,297,347 |
100.0% |
24.8% |
4,763,266 |
100.0% |
36.9% |
89.9% |
40,543 |
149 |
0 |
0 |
40,692 |
0.8% |
615,092 |
11.6% |
| 4. Medicare Non-Managed Care |
3,491,261 |
100.0% |
16.4% |
2,343,666 |
100.0% |
18.1% |
67.1% |
29,910 |
53,974 |
|
4,901 |
78,983 |
2.3% |
339,298 |
9.7% |
| 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) |
3,491,261 |
100.0% |
16.4% |
2,343,666 |
100.0% |
18.1% |
67.1% |
29,910 |
53,974 |
0 |
4,901 |
78,983 |
2.3% |
339,298 |
9.7% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
101,513 |
100.0% |
0.5% |
44,845 |
100.0% |
0.3% |
44.2% |
|
|
|
0 |
0 |
0.0% |
53,623 |
52.8% |
| 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) |
101,513 |
100.0% |
0.5% |
44,845 |
100.0% |
0.3% |
44.2% |
|
|
0 |
0 |
0 |
0.0% |
53,623 |
52.8% |
| 10. Private Non-Managed Care |
4,287,948 |
94.8% |
20.1% |
2,960,613 |
94.6% |
22.9% |
69.0% |
|
|
|
0 |
0 |
|
542,992 |
12.7% |
| 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)
|
233,306 |
5.2% |
1.1% |
170,490 |
5.4% |
1.3% |
73.1% |
|
|
0 |
0 |
0 |
0.0% |
57,925 |
24.8% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
4,521,254 |
100.0% |
21.2% |
3,131,103 |
100.0% |
24.2% |
69.3% |
|
|
0 |
0 |
0 |
0.0% |
600,917 |
13.3% |
| 13. Self-Pay |
7,934,620 |
100.0% |
37.2% |
2,641,194 |
100.0% |
20.4% |
33.3% |
|
|
|
|
|
|
|
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| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
21,345,995 |
|
100.0% |
12,924,074 |
|
100.0% |
60.5% |
70,453 |
54,123 |
0 |
4,901 |
119,675 |
0.6% |
1,608,930 |
7.5% |
|
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) |
4,366,188 |
55.0% |
598,015 |
7.5% |
data as of: 7/22/2008 4:13:05
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