Table 9D: Patient Related Revenue
Colorado Data
19 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 | $359,506,055 | 77.48% | 36.88% | $300,567,477 | 84.23% | 57.16% | 83.61% |
| 2a. | Medicaid Managed Care (capitated) | $104,482,839 | 22.52% | 10.72% | $56,263,294 | 15.77% | 10.70% | 53.85% |
| 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) | $463,988,894 | 100.00% | 47.60% | $356,830,771 | 100.00% | 67.86% | 76.91% |
| 4. | Medicare Non-Managed Care | $82,397,450 | 79.69% | 8.45% | $48,734,612 | 90.45% | 9.27% | 59.15% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $21,002,297 | 20.31% | 2.15% | $5,147,237 | 9.55% | 0.98% | 24.51% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $103,399,747 | 100.00% | 10.61% | $53,881,849 | 100.00% | 10.25% | 52.11% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $12,419,035 | 79.32% | 1.27% | $8,084,919 | 82.53% | 1.54% | 65.10% |
| 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) | $3,238,529 | 20.68% | 0.33% | $1,711,527 | 17.47% | 0.33% | 52.85% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $15,657,564 | 100.00% | 1.61% | $9,796,446 | 100.00% | 1.86% | 62.57% |
| 10. | Private Non-Managed Care | $139,306,854 | 80.37% | 14.29% | $61,390,723 | 82.55% | 11.67% | 44.07% |
| 11a. | Private Managed Care (capitated) | $29,884,208 | 17.24% | 3.07% | $12,820,884 | 17.24% | 2.44% | 42.90% |
| 11b. | Private Managed Care (fee-for-service) | $4,148,833 | 2.39% | 0.43% | $155,072 | 0.21% | 0.03% | 3.74% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $173,339,895 | 100.00% | 17.78% | $74,366,679 | 100.00% | 14.14% | 42.90% |
| 13. | Self-Pay | $218,422,787 | 100.00% | 22.41% | $30,973,723 | 100.00% | 5.89% | 14.18% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $974,808,887 | 100.00% | $525,849,468 | 100.00% | 53.94% | ||
| 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 | $1,233,977 | $193,499 | $18,992,563 | $676,463 | $19,743,576 | 5.49% | $87,818,884 | 24.43% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $49,947,660 | 47.80% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,233,977 | $193,499 | $18,992,563 | $676,463 | $19,743,576 | 4.26% | $137,766,544 | 29.69% |
| 4. | Medicare Non-Managed Care | $77,533 | $368,555 | $959,977 | $0 | $1,406,065 | 1.71% | $32,667,312 | 39.65% |
| 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% | $14,176,228 | 67.50% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $77,533 | $368,555 | $959,977 | $0 | $1,406,065 | 1.36% | $46,843,540 | 45.30% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $667 | $11 | $0 | $678 | 0.01% | $3,171,713 | 25.54% |
| 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% | $1,353,009 | 41.78% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $667 | $11 | $0 | $678 | 0.00% | $4,524,722 | 28.90% |
| 10. | Private Non-Managed Care | $113,537 | $0 | $113,537 | 0.08% | $63,992,856 | 45.94% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $17,063,324 | 57.10% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $3,775,502 | 91.00% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $113,537 | $0 | $113,537 | 0.07% | $84,831,682 | 48.94% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,311,510 | $562,721 | $20,066,088 | $676,463 | $21,263,856 | 2.18% | $273,966,488 | 28.10% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $166,682,837 | $12,765,843 |
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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