Table 9D: Patient Related Revenue
Alabama Data
17 Awardees
| 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 | $85,235,797 | 100.00% | 24.25% | $80,252,408 | 100.00% | 35.50% | 94.15% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $85,235,797 | 100.00% | 24.25% | $80,252,408 | 100.00% | 35.50% | 94.15% |
| 4. | Medicare Non-Managed Care | $76,006,376 | 100.00% | 21.62% | $53,126,374 | 100.00% | 23.50% | 69.90% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $76,006,376 | 100.00% | 21.62% | $53,126,374 | 100.00% | 23.50% | 69.90% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,255,923 | 100.00% | 0.36% | $687,088 | 100.00% | 0.30% | 54.71% |
| 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) | $1,255,923 | 100.00% | 0.36% | $687,088 | 100.00% | 0.30% | 54.71% |
| 10. | Private Non-Managed Care | $125,798,330 | 100.00% | 35.79% | $81,755,919 | 100.00% | 36.16% | 64.99% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $125,798,330 | 100.00% | 35.79% | $81,755,919 | 100.00% | 36.16% | 64.99% |
| 13. | Self-Pay | $63,209,250 | 100.00% | 17.98% | $10,243,031 | 100.00% | 4.53% | 16.20% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $351,505,676 | 100.00% | $226,064,820 | 100.00% | 64.31% | ||
| 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 | $117 | $71,439 | $218,746 | $0 | $290,302 | 0.34% | $931,775 | 1.09% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $117 | $71,439 | $218,746 | $0 | $290,302 | 0.34% | $931,775 | 1.09% |
| 4. | Medicare Non-Managed Care | $95,798 | $116,175 | $812,866 | $0 | $1,024,839 | 1.35% | $18,949,760 | 24.93% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $95,798 | $116,175 | $812,866 | $0 | $1,024,839 | 1.35% | $18,949,760 | 24.93% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $356,560 | 28.39% |
| 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% | $356,560 | 28.39% |
| 10. | Private Non-Managed Care | $83,415 | $0 | $83,415 | 0.07% | $34,132,314 | 27.13% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $83,415 | $0 | $83,415 | 0.07% | $34,132,314 | 27.13% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $95,915 | $187,614 | $1,115,027 | $0 | $1,398,556 | 0.40% | $54,370,409 | 15.47% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $39,352,032 | $10,732,508 |
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.
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