Table 9D - Patient Related Revenue

Wisconsin Data

:
Tables 3A through 9E

16 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 175,079,234  91.0%  60.6%  118,984,824  89.2%  71.5%  68.0% 
2a. Medicaid Managed Care (capitated) 1,648,356  0.9%  0.6%  1,682,977  1.3%  1.0%  102.1% 
2b. Medicaid Managed Care (fee-for-service) 15,597,892  8.1%  5.4%  12,725,075  9.5%  7.6%  81.6% 
3. Total Medicaid (Sum lines 1+2a+2b)  192,325,482  100.0%  66.6%  133,392,876  100.0%  80.2%  69.4% 
4. Medicare Non-Managed Care 7,550,237  70.5%  2.6%  3,145,577  62.3%  1.9%  41.7% 
5a. Medicare Managed Care (capitated) 0.0%  0.0%  0.0%  0.0% 
5b. Medicare Managed Care (fee-for-service) 3,166,287  29.5%  1.1%  1,900,230  37.7%  1.1%  60.0% 
6. Total Medicare (Sum lines 4+5a+5b)  10,716,524  100.0%  3.7%  5,045,807  100.0%  3.0%  47.1% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 21,554  100.0%  7,848  100.0%  36.4% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 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% 
9. Total Other Public (Sum lines 7+8a+8b)  21,554  100.0%  -  7,848  100.0%  -  36.4% 
10. Private Non-Managed Care 26,121,578  88.4%  9.0%  15,180,315  92.4%  9.1%  58.1% 
11a. Private Managed Care (Capitated) 975,203  3.3%  0.3%  434,335  2.6%  0.3%  44.5% 
11b. Private Managed Care (fee-for-service) 2,452,218  8.3%  0.8%  822,085  5.0%  0.5%  33.5% 
12. Total Private (Sum lines 10+11a+11b)  29,548,999  100.0%  10.2%  16,436,735  100.0%  9.9%  55.6% 
13. Self Pay 56,323,889  100.0%  19.5%  11,511,502  100.0%  6.9%  20.4% 
14. Total (Sum lines 3+6+9+12+13)  288,936,448    100.0%  166,394,768    100.0%  57.6% 

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
retroactive
payments
(c3)
Penalty/
Payback
(c4)
Net Retros Net Retros
% of
Charges
Allowances
(d)
Allowances
% of
Charges
1. Medicaid Non-Managed Care 61,794,857  11,783,420  8,077  73,570,200  42.0%  50,655,095  28.9% 
2a. Medicaid Managed Care (capitated) 1,141,554  116,036  1,257,590  76.3%  -34,621  -2.1% 
2b. Medicaid Managed Care (fee-for-service) 7,580,078  644,390  8,224,468  52.7%  8,636,239  55.4% 
3. Total Medicaid (Sum lines 1+2a+2b)  70,516,489  12,543,846  0  8,077  83,052,258  43.2%  59,256,713  30.8% 
4. Medicare Non-Managed Care 12,950  406  21,508  -8,152  -0.1%  4,023,761  53.3% 
5a. Medicare Managed Care (capitated) 0 14,267 
5b. Medicare Managed Care (fee-for-service) 1,051  1,051  0.0%  1,124,056  35.5% 
6. Total Medicare (Sum lines 4+5a+5b)  0  14,001  406  21,508  -7,101  -0.1%  5,162,084  48.2% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.0%  41,644  193.2% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated)
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)
9. Total Other Public (Sum lines 7+8a+8b)  0  0  0  0  0  0.0%  41,644  193.2% 
10. Private Non-Managed Care     50,237  4,483  45,754  0.2%  9,372,223  35.9% 
11a. Private Managed Care (Capitated)     0.0%  540,868  55.5% 
11b. Private Managed Care (fee-for-service)     1,650  1,650  0.1%  1,042,530  42.5% 
12. Total Private (Sum lines 10+11a+11b)      51,887  4,483  47,404  0.2%  10,955,621  37.1% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  70,516,489  12,557,847  52,293  34,068  83,092,561  28.8%  75,416,062  26.1% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
40,768,950  4,850,366 

Percents may not equal 100% due to rounding

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