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  93.9%  66.1%  156,191,382  95.9%  76.1%  68.9% 
2a. Medicaid Managed Care (capitated) 2,156,609  0.9%  0.6%  270,985  0.2%  0.1%  12.6% 
2b. Medicaid Managed Care (fee-for-service) 12,568,307  5.2%  3.7%  6,483,357  4.0%  3.2%  51.6% 
3. Total Medicaid (Sum lines 1+2a+2b)  241,492,532  100.0%  70.4%  162,945,724  100.0%  79.4%  67.5% 
4. Medicare Non-Managed Care 9,833,154  66.9%  2.9%  5,418,933  71.6%  2.6%  55.1% 
5a. Medicare Managed Care (capitated) 0.0%  0.0%  0.0%  0.0% 
5b. Medicare Managed Care (fee-for-service) 4,862,577  33.1%  1.4%  2,145,108  28.4%  1.0%  44.1% 
6. Total Medicare (Sum lines 4+5a+5b)  14,695,731  100.0%  4.3%  7,564,041  100.0%  3.7%  51.5% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 27,484  100.0%  2,309  100.0%  8.4% 
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)  27,484  100.0%  -  2,309  100.0%  -  8.4% 
10. Private Non-Managed Care 31,852,599  86.0%  9.3%  21,676,799  89.5%  10.6%  68.1% 
11a. Private Managed Care (Capitated) 2,847,639  7.7%  0.8%  1,509,196  6.2%  0.7%  53.0% 
11b. Private Managed Care (fee-for-service) 2,342,656  6.3%  0.7%  1,030,223  4.3%  0.5%  44.0% 
12. Total Private (Sum lines 10+11a+11b)  37,042,894  100.0%  10.8%  24,216,218  100.0%  11.8%  65.4% 
13. Self Pay 49,781,440  100.0%  14.5%  10,412,487  100.0%  5.1%  20.9% 
14. Total (Sum lines 3+6+9+12+13)  343,040,081    100.0%  205,140,779    100.0%  59.8% 

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 74,353,312  12,494,342  21,700  265,023  86,604,331  38.2%  71,968,599  31.7% 
2a. Medicaid Managed Care (capitated) 81,585  81,585  3.8%  1,886,124  87.5% 
2b. Medicaid Managed Care (fee-for-service) 3,290,130  315,760  46,885  78,727  3,574,048  28.4%  3,762,646  29.9% 
3. Total Medicaid (Sum lines 1+2a+2b)  77,643,442  12,810,102  150,170  343,750  90,259,964  37.4%  77,617,369  32.1% 
4. Medicare Non-Managed Care 22,071  152,002  153,078  327,151  3.3%  3,955,324  40.2% 
5a. Medicare Managed Care (capitated) 0
5b. Medicare Managed Care (fee-for-service) 493  8,738  55  9,286  0.2%  2,244,846  46.2% 
6. Total Medicare (Sum lines 4+5a+5b)  22,564  160,740  153,133  0  336,437  2.3%  6,200,170  42.2% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.0%  10,475  38.1% 
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%  10,475  38.1% 
10. Private Non-Managed Care     0.0%  8,504,107  26.7% 
11a. Private Managed Care (Capitated)     23,942  23,942  0.8%  1,338,443  47.0% 
11b. Private Managed Care (fee-for-service)     129  129  828,408  35.4% 
12. Total Private (Sum lines 10+11a+11b)      24,071  0  24,071  0.1%  10,670,958  28.8% 
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  26.4%  94,498,972  27.5% 

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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