Table 9D: Patient Related Revenue
Indiana Look-Alike Data
12 Look-Alikes
| 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 | $18,047,438 | 33.85% | 13.07% | $14,635,456 | 24.02% | 13.78% | 81.09% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $35,270,304 | 66.15% | 25.55% | $46,282,907 | 75.98% | 43.57% | 131.22% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $53,317,742 | 100.00% | 38.62% | $60,918,363 | 100.00% | 57.34% | 114.26% |
| 4. | Medicare Non-Managed Care | $37,268,662 | 82.19% | 27.00% | $23,645,382 | 79.32% | 22.26% | 63.45% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $8,074,066 | 17.81% | 5.85% | $6,163,346 | 20.68% | 5.80% | 76.34% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $45,342,728 | 100.00% | 32.85% | $29,808,728 | 100.00% | 28.06% | 65.74% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $165,877 | 99.86% | 0.12% | $106,957 | 99.63% | 0.10% | 64.48% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $227 | 0.14% | 0.00% | $401 | 0.37% | 0.00% | 176.65% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $166,104 | 100.00% | 0.12% | $107,358 | 100.00% | 0.10% | 64.63% |
| 10. | Private Non-Managed Care | $16,206,164 | 51.27% | 11.74% | $7,448,528 | 61.50% | 7.01% | 45.96% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $15,405,026 | 48.73% | 11.16% | $4,662,581 | 38.50% | 4.39% | 30.27% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $31,611,190 | 100.00% | 22.90% | $12,111,109 | 100.00% | 11.40% | 38.31% |
| 13. | Self-Pay | $7,609,573 | 100.00% | 5.51% | $3,288,043 | 100.00% | 3.10% | 43.21% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $138,047,337 | 100.00% | $106,233,601 | 100.00% | 76.95% | ||
| Line | Payer Category | Retroactive Settlements, Receipts, and Paybacks(c) | Adjustments | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Collection of Reconciliation /Wraparound Current Year(c1) $ |
Collection of Reconciliation /Wraparound Previous Years(c2) $ |
Collection of Other Payments: P4P, Risk Pools, etc.(c3) $ |
Penalty/ Payback (c4) $ |
Net Retros $ |
Net Retros % of Charges | Adjustments (d) $ |
Adjustments % of Charges | ||
| 1. | Medicaid Non-Managed Care | $44,536 | $0 | $500 | $0 | $45,036 | 0.25% | $5,753,319 | 31.88% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $22,311,087 | $975,160 | $41,068 | $55 | $23,327,260 | 66.14% | $3,517,121 | 9.97% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $22,355,623 | $975,160 | $41,568 | $55 | $23,372,296 | 43.84% | $9,270,440 | 17.39% |
| 4. | Medicare Non-Managed Care | $604,433 | $167,287 | $56,197 | $162 | $827,755 | 2.22% | $9,331,101 | 25.04% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $1,066 | $16,127 | $0 | $35 | $17,158 | 0.21% | $3,288,797 | 40.73% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $605,499 | $183,414 | $56,197 | $197 | $844,913 | 1.86% | $12,619,898 | 27.83% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $30,305 | 18.27% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $346 | 152.42% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $30,651 | 18.45% |
| 10. | Private Non-Managed Care | $0 | $13,184 | ($13,184.00) | -0.08% | $6,886,914 | 42.50% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $20,799 | $0 | $20,799 | 0.14% | $10,237,148 | 66.45% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $20,799 | $13,184 | $7,615 | 0.02% | $17,124,062 | 54.17% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $22,961,122 | $1,158,574 | $118,564 | $13,436 | $24,224,824 | 17.55% | $39,045,051 | 28.28% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $3,967,569 | $757,989 |
Footnotes
'-' Data cannot be calculated or has been suppressed for confidentiality purposes.
Cells that are shaded blue represent data that was not reported or null values.
View Detailed UDS Footnotes
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