Table 9D - Patient Related Revenue

National Data

:
Tables 3A through 9E

1367 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 5,363,673,738  41.94%  21.89%  4,180,470,786  40.63%  27.02%  77.94% 
2a. Medicaid Managed Care (Capitated) 2,621,734,701  20.50%  10.70%  2,494,444,030  24.24%  16.12%  95.14% 
2b. Medicaid Managed Care (fee-for-service) 4,803,265,803  37.56%  19.61%  3,613,877,086  35.12%  23.36%  75.24% 
3. Total Medicaid (Sum lines 1+2a+2b)  12,788,674,242  100.00%  52.20%  10,288,791,902  100.00%  66.51%  80.45% 
4. Medicare Non-Managed Care 2,487,951,162  82.84%  10.16%  1,421,574,536  84.02%  9.19%  57.14% 
5a. Medicare Managed Care (Capitated) 123,330,377  4.11%  0.50%  77,203,595  4.56%  0.50%  62.60% 
5b. Medicare Managed Care (fee-for-service) 392,162,710  13.06%  1.60%  193,269,584  11.42%  1.25%  49.28% 
6. Total Medicare (Sum lines 4+5a+5b)  3,003,444,249  100.00%  12.26%  1,692,047,715  100.00%  10.94%  56.34% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 348,199,460  75.08%  1.42%  189,483,834  73.97%  1.22%  54.42% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 26,898,742  5.80%  0.11%  17,727,264  6.92%  0.11%  65.90% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 88,674,331  19.12%  0.36%  48,943,516  19.11%  0.32%  55.19% 
9. Total Other Public (Sum lines 7+8a+8b)  463,772,533  100.00%  1.89%  256,154,614  100.00%  1.66%  55.23% 
10. Private Non-Managed Care 3,275,404,553  82.59%  13.37%  1,873,284,669  84.08%  12.11%  57.19% 
11a. Private Managed Care (Capitated) 137,710,280  3.47%  0.56%  88,524,482  3.97%  0.57%  64.28% 
11b. Private Managed Care (fee-for-service) 552,744,112  13.94%  2.26%  266,171,262  11.95%  1.72%  48.15% 
12. Total Private (Sum lines 10+11a+11b)  3,965,858,945  100.00%  16.19%  2,227,980,413  100.00%  14.40%  56.18% 
13. Self Pay 4,277,291,435  100.00%  17.46%  1,004,791,680  100.00%  6.50%  23.49% 
14. Total (Sum lines 3+6+9+12+13)  24,499,041,404    100.00%  15,469,766,324    100.00%  63.14% 

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 410,426,889  114,172,841  41,681,567  29,652,900  536,628,397  10.00%  1,224,571,397  22.83% 
2a. Medicaid Managed Care (Capitated) 995,754,359  148,608,599  215,614,312  14,172,719  1,345,804,551  51.33%  130,232,531  4.97% 
2b. Medicaid Managed Care (fee-for-service) 743,959,945  186,457,965  104,508,317  5,858,729  1,029,067,498  21.42%  1,176,925,335  24.50% 
3. Total Medicaid (Sum lines 1+2a+2b)  2,150,141,193  449,239,405  361,804,196  49,684,348  2,911,500,446  22.77%  2,531,729,263  19.80% 
4. Medicare Non-Managed Care 17,064,057  14,011,984  4,625,368  910,948  34,790,461  1.40%  950,095,358  38.19% 
5a. Medicare Managed Care (Capitated) 2,644,800  340,252  1,741,668  24,411 4,702,309  3.81%  45,468,539  36.87% 
5b. Medicare Managed Care (fee-for-service) 5,574,716  2,076,859  3,579,650  77,794  11,153,431  2.84%  175,051,974  44.64% 
6. Total Medicare (Sum lines 4+5a+5b)  25,283,573  16,429,095  9,946,686  1,013,153  50,646,201  1.69%  1,170,615,871  38.98% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 198,141  187,686  175,620  12,339  549,108  0.16%  143,483,054  41.21% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 2,386,687  1,825,433  848,037  284  5,059,873  18.81%  9,148,376  34.01% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 1,522,547  1,588,041  37,791  79,718  3,068,661  3.46%  34,891,178  39.35% 
9. Total Other Public (Sum lines 7+8a+8b)  4,107,375  3,601,160  1,061,448  92,341  8,677,642  1.87%  187,522,608  40.43% 
10. Private Non-Managed Care     7,987,701  359,029  7,628,672  0.23%  1,220,092,445  37.25% 
11a. Private Managed Care (Capitated)     2,828,462  2,828,462  2.05%  48,354,602  35.11% 
11b. Private Managed Care (fee-for-service)     4,475,561  13,349  4,462,212  0.81%  259,891,870  47.02% 
12. Total Private (Sum lines 10+11a+11b)      15,291,724  372,378  14,919,346  0.38%  1,528,338,917  38.54% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  2,179,532,141  469,269,660  388,104,054  51,162,220  2,985,743,635  12.19%  5,418,206,659  22.12% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
2,670,166,301  410,833,632 

Percents may not equal 100% due to rounding

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