Table 9D: Patient Related Revenue
Ohio Look-Alike Data
7 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 | $97,396,444 | 96.48% | 40.45% | $56,441,255 | 97.14% | 42.19% | 57.95% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $3,552,069 | 3.52% | 1.48% | $1,660,937 | 2.86% | 1.24% | 46.76% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $100,948,513 | 100.00% | 41.92% | $58,102,192 | 100.00% | 43.44% | 57.56% |
| 4. | Medicare Non-Managed Care | $35,757,804 | 100.00% | 14.85% | $21,241,372 | 100.00% | 15.88% | 59.40% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $543 | 0.00% | 0.00% | $640 | 0.00% | 0.00% | 117.86% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $35,758,347 | 100.00% | 14.85% | $21,242,012 | 100.00% | 15.88% | 59.40% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $6,385,262 | 100.00% | 2.65% | $5,238,711 | 100.00% | 3.92% | 82.04% |
| 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) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $6,385,262 | 100.00% | 2.65% | $5,238,711 | 100.00% | 3.92% | 82.04% |
| 10. | Private Non-Managed Care | $93,838,930 | 99.99% | 38.97% | $48,004,303 | 99.99% | 35.89% | 51.16% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $9,296 | 0.01% | 0.00% | $7,012 | 0.01% | 0.01% | 75.43% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $93,848,226 | 100.00% | 38.97% | $48,011,315 | 100.00% | 35.89% | 51.16% |
| 13. | Self-Pay | $3,854,648 | 100.00% | 1.60% | $1,173,210 | 100.00% | 0.88% | 30.44% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $240,794,996 | 100.00% | $133,767,440 | 100.00% | 55.55% | ||
| 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 | $202,842 | $353,501 | $8,484 | $1,905 | $562,922 | 0.58% | $38,724,175 | 39.76% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $447,116 | $74,907 | $284,307 | $0 | $806,330 | 22.70% | $1,751,089 | 49.30% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $649,958 | $428,408 | $292,791 | $1,905 | $1,369,252 | 1.36% | $40,475,264 | 40.09% |
| 4. | Medicare Non-Managed Care | $128,231 | $18,797 | $6,344 | $100 | $153,272 | 0.43% | $14,252,587 | 39.86% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $105 | 19.34% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $128,231 | $18,797 | $6,344 | $100 | $153,272 | 0.43% | $14,252,692 | 39.86% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $862,736 | 13.51% |
| 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 | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $862,736 | 13.51% |
| 10. | Private Non-Managed Care | $1,340 | $0 | $1,340 | 0.00% | $44,852,317 | 47.80% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $3,680 | 39.59% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,340 | $0 | $1,340 | 0.00% | $44,855,997 | 47.80% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $778,189 | $447,205 | $300,475 | $2,005 | $1,523,864 | 0.63% | $100,446,689 | 41.71% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $1,295,508 | $983,890 |
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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