Table 9D: Patient Related Revenue
Georgia Data
35 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 | $96,090,537 | 55.48% | 12.01% | $59,821,835 | 52.74% | 13.35% | 62.26% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $77,105,395 | 44.52% | 9.64% | $53,595,311 | 47.26% | 11.96% | 69.51% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $173,195,932 | 100.00% | 21.64% | $113,417,146 | 100.00% | 25.32% | 65.48% |
| 4. | Medicare Non-Managed Care | $158,357,783 | 90.31% | 19.79% | $99,477,938 | 91.15% | 22.21% | 62.82% |
| 5a. | Medicare Managed Care (capitated) | $199,638 | 0.11% | 0.02% | $124,350 | 0.11% | 0.03% | 62.29% |
| 5b. | Medicare Managed Care (fee-for-service) | $16,797,817 | 9.58% | 2.10% | $9,539,218 | 8.74% | 2.13% | 56.79% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $175,355,238 | 100.00% | 21.91% | $109,141,506 | 100.00% | 24.36% | 62.24% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,743,366 | 95.21% | 0.22% | $948,002 | 91.75% | 0.21% | 54.38% |
| 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) | $87,715 | 4.79% | 0.01% | $85,277 | 8.25% | 0.02% | 97.22% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $1,831,081 | 100.00% | 0.23% | $1,033,279 | 100.00% | 0.23% | 56.43% |
| 10. | Private Non-Managed Care | $257,353,036 | 95.33% | 32.16% | $171,448,120 | 96.16% | 38.27% | 66.62% |
| 11a. | Private Managed Care (capitated) | $31,804 | 0.01% | 0.00% | $13,682 | 0.01% | 0.00% | 43.02% |
| 11b. | Private Managed Care (fee-for-service) | $12,582,570 | 4.66% | 1.57% | $6,836,145 | 3.83% | 1.53% | 54.33% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $269,967,410 | 100.00% | 33.74% | $178,297,947 | 100.00% | 39.80% | 66.04% |
| 13. | Self-Pay | $179,841,415 | 100.00% | 22.47% | $46,058,334 | 100.00% | 10.28% | 25.61% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $800,191,076 | 100.00% | $447,948,212 | 100.00% | 55.98% | ||
| 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 | $1,987 | $0 | $836,431 | $0 | $838,418 | 0.87% | $34,974,318 | 36.40% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $4,000 | $0 | $1,195,325 | $0 | $1,199,325 | 1.56% | $28,203,524 | 36.58% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $5,987 | $0 | $2,031,756 | $0 | $2,037,743 | 1.18% | $63,177,842 | 36.48% |
| 4. | Medicare Non-Managed Care | $377,311 | $253,296 | $633,869 | $264,815 | $999,661 | 0.63% | $57,676,925 | 36.42% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $75,288 | 37.71% |
| 5b. | Medicare Managed Care (fee-for-service) | $32,358 | $125,495 | $132,851 | $0 | $290,704 | 1.73% | $7,113,313 | 42.35% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $409,669 | $378,791 | $766,720 | $264,815 | $1,290,365 | 0.74% | $64,865,526 | 36.99% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $687,049 | 39.41% |
| 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% | ($683.00) | -0.78% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $686,366 | 37.48% |
| 10. | Private Non-Managed Care | $305,260 | $517,006 | ($211,746.00) | -0.08% | $78,061,922 | 30.33% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $18,122 | 56.98% | ||
| 11b. | Private Managed Care (fee-for-service) | $78,244 | $0 | $78,244 | 0.62% | $4,637,283 | 36.85% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $383,504 | $517,006 | ($133,502.00) | -0.05% | $82,717,327 | 30.64% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $415,656 | $378,791 | $3,181,980 | $781,821 | $3,194,606 | 0.40% | $211,447,061 | 26.42% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $91,476,843 | $28,340,777 |
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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