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Table 9D: Patient Service Revenue

District of Columbia Data

X

8 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 $145,274,760 78.84% 35.35% $155,774,622 75.34% 41.09% 107.23%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $38,994,111 21.16% 9.49% $50,981,662 24.66% 13.45% 130.74%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $184,268,871 100.00% 44.83% $206,756,284 100.00% 54.53% 112.20%
4. Medicare Non-Managed Care $45,307,206 95.61% 11.02% $42,545,750 96.14% 11.22% 93.91%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $2,081,160 4.39% 0.51% $1,708,840 3.86% 0.45% 82.11%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $47,388,366 100.00% 11.53% $44,254,590 100.00% 11.67% 93.39%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $73,596,060 99.36% 17.91% $62,928,999 99.78% 16.60% 85.51%
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) $476,736 0.64% 0.12% $137,720 0.22% 0.04% 28.89%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $74,072,796 100.00% 18.02% $63,066,719 100.00% 16.63% 85.14%
10. Private Non-Managed Care $69,245,547 99.73% 16.85% $56,661,936 99.78% 14.95% 81.83%
11a. Private Managed Care (capitated) $189,811 0.27% 0.05% $126,794 0.22% 0.03% 66.80%
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) $69,435,358 100.00% 16.89% $56,788,730 100.00% 14.98% 81.79%
13. Self-Pay $35,838,442 100.00% 8.72% $8,265,079 100.00% 2.18% 23.06%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $411,003,833 100.00% $379,131,402 100.00% 92.25%
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 $0 $2,524 $161,385 $35,626 $128,283 0.09% ($6,885,000.00) -4.74%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% ($11,194,930.00) -28.71%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $2,524 $161,385 $35,626 $128,283 0.07% ($18,079,930.00) -9.81%
4. Medicare Non-Managed Care $0 $0 $352,822 $833 $351,989 0.78% $5,453,193 12.04%
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% $419,790 20.17%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $0 $352,822 $833 $351,989 0.74% $5,872,983 12.39%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $14,297 ($14,297.00) -0.02% $8,841,062 12.01%
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% $302,460 63.44%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $14,297 ($14,297.00) -0.02% $9,143,522 12.34%
10. Private Non-Managed Care $10,217 $1,280 $8,937 0.01% $11,435,844 16.51%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $63,017 33.20%
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $10,217 $1,280 $8,937 0.01% $11,498,861 16.56%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $2,524 $524,424 $52,036 $474,912 0.12% $8,435,436 2.05%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $8,467,231 $22,729,602

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

Cells that are shaded blue represent data that was not reported or null values.

View Detailed UDS Footnotes

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