Table 9D: Patient Related Revenue

Louisiana Data

:
Tables 3A through 9E

34 Grantees


Line Payer 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 139,040,864  66.31%  36.55%  98,320,812  67.01%  39.42%  70.71% 
2a. Medicaid Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
2b. Medicaid Managed Care (fee-for-service) 70,646,940  33.69%  18.57%  48,399,282  32.99%  19.40%  68.51% 
3. Total Medicaid (Lines 1+2a+2b)  209,687,804  100.00%  55.12%  146,720,094  100.00%  58.82%  69.97% 
4. Medicare Non-Managed Care 45,242,747  97.13%  11.89%  30,340,144  97.74%  12.16%  67.06% 
5a. Medicare Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 1,337,287  2.87%  0.35%  702,967  2.26%  0.28%  52.57% 
6. Total Medicare (Lines 4+5a+5b)  46,580,034  100.00%  12.25%  31,043,111  100.00%  12.45%  66.64% 
7. Other Public including Non-Medicaid CHIP (Non-Managed Care) 505,309  100.00%  0.13%  95,603  100.00%  0.04%  18.92% 
8a. Other Public, including NonMedicaid CHIP (Managed Care Capitated) 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% 
9. Total Other Public (Lines 7+8a+8b)  505,309  100.00%  0.13%  95,603  100.00%  0.04%  18.92% 
10. Private Non-Managed Care 86,101,354  99.41%  22.63%  59,795,909  99.67%  23.97%  69.45% 
11a. Private Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
11b. Private Managed Care (fee-for-service) 514,703  0.59%  0.14%  199,842  0.33%  0.08%  38.83% 
12. Total Private (Lines 10+11a+11b)  86,616,057  100.00%  22.77%  59,995,751  100.00%  24.05%  69.27% 
13. Self-pay 37,005,355  100.00%  9.73%  11,587,230  100.00%  4.65%  31.31% 
14. Total (Lines 3+6+9+12+13)  380,394,559    100.00%  249,441,789    100.00%  65.57% 

% may not equal 100% due to rounding.


Line 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 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 172,759  12,238  814,590  936  998,651  0.72%  35,764,288  25.72% 
2a. Medicaid Managed Care (capitated)
2b. Medicaid Managed Care (fee-for-service) 135,874  68,887  1,548,672  60,000  1,693,433  2.40%  18,964,601  26.84% 
3. Total Medicaid (Lines 1+2a+2b)  308,633  81,125  2,363,262  60,936  2,692,084  1.28%  54,728,889  26.10% 
4. Medicare Non-Managed Care 18,917  95,083  240,414  354,414  0.78%  10,751,514  23.76% 
5a. Medicare Managed Care (capitated) 0
5b. Medicare Managed Care (fee-for-service) 1,976  52,917  54,893  4.10%  505,808  37.82% 
6. Total Medicare (Lines 4+5a+5b)  18,917  97,059  293,331  0  409,307  0.88%  11,257,322  24.17% 
7. Other Public including Non-Medicaid CHIP (Non-Managed Care) 0.00%  39,750  7.87% 
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 (Lines 7+8a+8b)  0  0  0  0  0  0.00%  39,750  7.87% 
10. Private Non-Managed Care     28,633  28,633  0.03%  20,231,280  23.50% 
11a. Private Managed Care (capitated)    
11b. Private Managed Care (fee-for-service)     0.00%  205,046  39.84% 
12. Total Private (Lines 10+11a+11b)      28,633  0  28,633  0.03%  20,436,326  23.59% 
13. Self-pay                
14. Total (Lines 3+6+9+12+13)  327,550  178,184  2,685,226  60,936  3,130,024  0.82%  86,462,287  22.73% 

Line Sliding Fee Discounts
(e)
Bad Debt Write Off
(f)
13. Self-pay 17,782,770  4,606,186 

Percents may not equal 100% due to rounding.

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