Table 9D - Patient Related Revenue

Wisconsin Data

:
Tables 3A through 9E

17 Grantees


Payor Category Charges Collections
Full Charges
This Period
(a)
% of payer % of Total Amount Collected
This Period
(b)
% of payer % of Total % of Charges
1. Medicaid Non-Managed Care 226,767,616  93.90%  66.11%  156,191,382  95.85%  76.14%  68.88% 
2a. Medicaid Managed Care (Capitated) 2,156,609  0.89%  0.63%  270,985  0.17%  0.13%  12.57% 
2b. Medicaid Managed Care (fee-for-service) 12,568,307  5.20%  3.66%  6,483,357  3.98%  3.16%  51.58% 
3. Total Medicaid (Sum lines 1+2a+2b)  241,492,532  100.00%  70.40%  162,945,724  100.00%  79.43%  67.47% 
4. Medicare Non-Managed Care 9,833,154  66.91%  2.87%  5,418,933  71.64%  2.64%  55.11% 
5a. Medicare Managed Care (Capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 4,862,577  33.09%  1.42%  2,145,108  28.36%  1.05%  44.11% 
6. Total Medicare (Sum lines 4+5a+5b)  14,695,731  100.00%  4.28%  7,564,041  100.00%  3.69%  51.47% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 27,484  100.00%  0.00%  2,309  100.00%  0.00%  8.40% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 0.00%  0.00%  0.00%  0.00%  0.00% 
9. Total Other Public (Sum lines 7+8a+8b)  27,484  100.00%  0.00%  2,309  100.00%  0.00%  8.40% 
10. Private Non-Managed Care 31,852,599  85.99%  9.29%  21,676,799  89.51%  10.57%  68.05% 
11a. Private Managed Care (Capitated) 2,847,639  7.69%  0.83%  1,509,196  6.23%  0.74%  53.00% 
11b. Private Managed Care (fee-for-service) 2,342,656  6.32%  0.68%  1,030,223  4.25%  0.50%  43.98% 
12. Total Private (Sum lines 10+11a+11b)  37,042,894  100.00%  10.80%  24,216,218  100.00%  11.80%  65.37% 
13. Self Pay 49,781,440  100.00%  14.51%  10,412,487  100.00%  5.08%  20.92% 
14. Total (Sum lines 3+6+9+12+13)  343,040,081    100.00%  205,140,779    100.00%  59.80% 

Payer Category Retroactive Settlements, Receipts, and Paybacks (c) Allowances
Collection of
Recon/Wrap
around Current
Year
(c1)
Collection of
Recon/Wrap
around
Previous Years
(c2)
Collection of
Other
Retro
Payments:
P4P, Risk Pools, Withholds, etc. (c3)
Penalty/
Payback
(c4)
Net Retros Net Retros
% of
Charges
Allowances
(d)
Allowances
% of
Charges
1. Medicaid Non-Managed Care 74,353,312  12,494,342  21,700  265,023  86,604,331  38.19%  71,968,599  31.74% 
2a. Medicaid Managed Care (Capitated) 81,585  81,585  3.78%  1,886,124  87.46% 
2b. Medicaid Managed Care (fee-for-service) 3,290,130  315,760  46,885  78,727  3,574,048  28.44%  3,762,646  29.94% 
3. Total Medicaid (Sum lines 1+2a+2b)  77,643,442  12,810,102  150,170  343,750  90,259,964  37.38%  77,617,369  32.14% 
4. Medicare Non-Managed Care 22,071  152,002  153,078  327,151  3.33%  3,955,324  40.22% 
5a. Medicare Managed Care (Capitated) 0 0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 493  8,738  55  9,286  0.19%  2,244,846  46.17% 
6. Total Medicare (Sum lines 4+5a+5b)  22,564  160,740  153,133  0  336,437  2.29%  6,200,170  42.19% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.00%  10,475  38.11% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 0.00%  0.00% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 0.00%  0.00% 
9. Total Other Public (Sum lines 7+8a+8b)  0  0  0  0  0  0.00%  10,475  38.11% 
10. Private Non-Managed Care     0.00%  8,504,107  26.70% 
11a. Private Managed Care (Capitated)     23,942  23,942  0.84%  1,338,443  47.00% 
11b. Private Managed Care (fee-for-service)     129  129  0.00%  828,408  35.36% 
12. Total Private (Sum lines 10+11a+11b)      24,071  0  24,071  0.06%  10,670,958  28.81% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  77,666,006  12,970,842  327,374  343,750  90,620,472  26.42%  94,498,972  27.55% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
33,922,370  4,908,513 

Percents may not equal 100% due to rounding

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