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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for West Virginia for 2007
28 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 |
39,154,704 |
75.3% |
21.0% |
25,001,051 |
69.7% |
22.8% |
63.9% |
492,724 |
1,197,732 |
|
123,624 |
1,566,832 |
4.0% |
10,366,208 |
26.5% |
| 2a. Medicaid Managed Care (capitated)
|
107,818 |
0.2% |
0.1% |
123,973 |
0.3% |
0.1% |
115.0% |
54,273 |
13,313 |
0 |
0 |
67,586 |
62.7% |
-16,155 |
- 15.0% |
| 2b. Medicaid Managed Care (fee-for-service)
|
12,761,117 |
24.5% |
6.8% |
10,719,361 |
29.9% |
9.8% |
84.0% |
0 |
255,411 |
0 |
0 |
255,411 |
2.0% |
2,290,404 |
17.9% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
52,023,639 |
100.0% |
27.9% |
35,844,385 |
100.0% |
32.6% |
68.9% |
546,997 |
1,466,456 |
0 |
123,624 |
1,889,829 |
3.6% |
12,640,457 |
24.3% |
| 4. Medicare Non-Managed Care |
25,465,564 |
99.1% |
13.6% |
18,322,050 |
98.9% |
16.7% |
71.9% |
189,649 |
716,651 |
|
12,993 |
893,307 |
3.5% |
5,794,655 |
22.8% |
| 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)
|
241,173 |
0.9% |
0.1% |
206,128 |
1.1% |
0.2% |
85.5% |
0 |
0 |
0 |
0 |
0 |
0.0% |
32,076 |
13.3% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
25,706,737 |
100.0% |
13.8% |
18,528,178 |
100.0% |
16.9% |
72.1% |
189,649 |
716,651 |
0 |
12,993 |
893,307 |
3.5% |
5,826,731 |
22.7% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
3,663,145 |
100.0% |
2.0% |
2,051,136 |
100.0% |
1.9% |
56.0% |
|
|
|
0 |
0 |
0.0% |
1,502,839 |
41.0% |
| 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) |
3,663,145 |
100.0% |
2.0% |
2,051,136 |
100.0% |
1.9% |
56.0% |
|
|
0 |
0 |
0 |
0.0% |
1,502,839 |
41.0% |
| 10. Private Non-Managed Care |
59,650,518 |
98.7% |
31.9% |
35,503,498 |
98.4% |
32.3% |
59.5% |
|
|
|
0 |
0 |
|
19,781,648 |
33.2% |
| 11a. Private Managed Care (capitated)
|
131,104 |
0.2% |
0.1% |
162,363 |
0.5% |
0.1% |
123.8% |
|
|
0 |
0 |
0 |
0.0% |
-31,254 |
- 23.8% |
| 11b. Private Managed Care (fee-for-service)
|
628,679 |
1.0% |
0.3% |
397,707 |
1.1% |
0.4% |
63.3% |
|
|
0 |
0 |
0 |
0.0% |
221,706 |
35.3% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
60,410,301 |
100.0% |
32.4% |
36,063,568 |
100.0% |
32.8% |
59.7% |
|
|
0 |
0 |
0 |
0.0% |
19,972,100 |
33.1% |
| 13. Self-Pay |
44,934,642 |
100.0% |
24.1% |
17,365,103 |
100.0% |
15.8% |
38.6% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
186,738,464 |
|
100.0% |
109,852,370 |
|
100.0% |
58.8% |
736,646 |
2,183,107 |
0 |
136,617 |
2,783,136 |
1.5% |
39,942,127 |
21.4% |
|
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) |
23,822,799 |
53.0% |
4,705,447 |
10.5% |
Data as of: 7/22/2008 4:33:33
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