Table 9D: Patient Related Revenue
District of Columbia Data
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 | $159,419,764 | 97.91% | 46.09% | $176,889,624 | 97.57% | 57.83% | 110.96% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $3,397,923 | 2.09% | 0.98% | $4,396,682 | 2.43% | 1.44% | 129.39% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $162,817,687 | 100.00% | 47.08% | $181,286,306 | 100.00% | 59.27% | 111.34% |
| 4. | Medicare Non-Managed Care | $48,998,495 | 98.97% | 14.17% | $36,350,199 | 99.22% | 11.88% | 74.19% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $508,405 | 1.03% | 0.15% | $286,678 | 0.78% | 0.09% | 56.39% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $49,506,900 | 100.00% | 14.31% | $36,636,877 | 100.00% | 11.98% | 74.00% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $53,285,054 | 100.00% | 15.41% | $41,742,547 | 100.00% | 13.65% | 78.34% |
| 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) | $53,285,054 | 100.00% | 15.41% | $41,742,547 | 100.00% | 13.65% | 78.34% |
| 10. | Private Non-Managed Care | $49,898,818 | 99.98% | 14.43% | $39,725,145 | 99.98% | 12.99% | 79.61% |
| 11a. | Private Managed Care (capitated) | $10,195 | 0.02% | 0.00% | $6,315 | 0.02% | 0.00% | 61.94% |
| 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) | $49,909,013 | 100.00% | 14.43% | $39,731,460 | 100.00% | 12.99% | 79.61% |
| 13. | Self-Pay | $30,339,854 | 100.00% | 8.77% | $6,472,345 | 100.00% | 2.12% | 21.33% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $345,858,508 | 100.00% | $305,869,535 | 100.00% | 88.44% | ||
| 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 | $53,522 | $333,299 | $396,832 | $4,366 | $779,287 | 0.49% | ($13,101,677.00) | -8.22% |
| 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% | ($1,230,568.00) | -36.22% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $53,522 | $333,299 | $396,832 | $4,366 | $779,287 | 0.48% | ($14,332,245.00) | -8.80% |
| 4. | Medicare Non-Managed Care | $0 | $0 | $83,872 | $74 | $83,798 | 0.17% | $5,850,769 | 11.94% |
| 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% | $98,002 | 19.28% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $0 | $83,872 | $74 | $83,798 | 0.17% | $5,948,771 | 12.02% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $5,613,495 | 10.53% |
| 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% | $5,613,495 | 10.53% |
| 10. | Private Non-Managed Care | $2,382 | $2,017 | $365 | 0.00% | $7,998,673 | 16.03% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $3,880 | 38.06% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,382 | $2,017 | $365 | 0.00% | $8,002,553 | 16.03% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $53,522 | $333,299 | $483,086 | $6,457 | $863,450 | 0.25% | $5,232,574 | 1.51% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $7,305,219 | $16,242,165 |
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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