Table 9D: Patient Related Revenue
Arizona Data
23 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 | $318,786,690 | 41.86% | 20.15% | $217,514,890 | 33.44% | 22.63% | 68.23% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $442,723,676 | 58.14% | 27.98% | $432,962,324 | 66.56% | 45.05% | 97.80% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $761,510,366 | 100.00% | 48.13% | $650,477,214 | 100.00% | 67.69% | 85.42% |
| 4. | Medicare Non-Managed Care | $142,897,342 | 58.98% | 9.03% | $68,540,343 | 59.26% | 7.13% | 47.96% |
| 5a. | Medicare Managed Care (capitated) | $2,045,009 | 0.84% | 0.13% | $621,109 | 0.54% | 0.06% | 30.37% |
| 5b. | Medicare Managed Care (fee-for-service) | $97,337,513 | 40.18% | 6.15% | $46,498,146 | 40.20% | 4.84% | 47.77% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $242,279,864 | 100.00% | 15.31% | $115,659,598 | 100.00% | 12.04% | 47.74% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $7,244,100 | 100.00% | 0.46% | $6,101,906 | 100.00% | 0.63% | 84.23% |
| 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) | $7,244,100 | 100.00% | 0.46% | $6,101,906 | 100.00% | 0.63% | 84.23% |
| 10. | Private Non-Managed Care | $276,444,730 | 85.05% | 17.47% | $113,819,024 | 78.41% | 11.84% | 41.17% |
| 11a. | Private Managed Care (capitated) | $3,704,780 | 1.14% | 0.23% | $3,667,732 | 2.53% | 0.38% | 99.00% |
| 11b. | Private Managed Care (fee-for-service) | $44,893,723 | 13.81% | 2.84% | $27,676,050 | 19.07% | 2.88% | 61.65% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $325,043,233 | 100.00% | 20.54% | $145,162,806 | 100.00% | 15.11% | 44.66% |
| 13. | Self-Pay | $246,102,610 | 100.00% | 15.55% | $43,618,756 | 100.00% | 4.54% | 17.72% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,582,180,173 | 100.00% | $961,020,280 | 100.00% | 60.74% | ||
| 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 | $11,662,766 | $13,902,208 | $6,194,221 | $1,824,824 | $29,934,371 | 9.39% | $106,934,846 | 33.54% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $17,440,525 | $1,573,207 | $9,334,122 | $183,662 | $28,164,192 | 6.36% | $38,768,725 | 8.76% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $29,103,291 | $15,475,415 | $15,528,343 | $2,008,486 | $58,098,563 | 7.63% | $145,703,571 | 19.13% |
| 4. | Medicare Non-Managed Care | $242,270 | $2,043,195 | $595,351 | $61,626 | $2,819,190 | 1.97% | $64,102,162 | 44.86% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $1,606,188 | 78.54% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $117,266 | $0 | $117,266 | 0.12% | $38,514,156 | 39.57% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $242,270 | $2,043,195 | $712,617 | $61,626 | $2,936,456 | 1.21% | $104,222,506 | 43.02% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $957,100 | 13.21% |
| 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% | $957,100 | 13.21% |
| 10. | Private Non-Managed Care | $4,286,407 | $0 | $4,286,407 | 1.55% | $141,602,970 | 51.22% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $37,048 | 1.00% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $17,203,527 | 38.32% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $4,286,407 | $0 | $4,286,407 | 1.32% | $158,843,545 | 48.87% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $29,345,561 | $17,518,610 | $20,527,367 | $2,070,112 | $65,321,426 | 4.13% | $409,726,722 | 25.90% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $172,732,897 | $13,827,078 |
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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