Table 9D: Patient Related Revenue
Hawaii Data
13 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 | $6,545,283 | 5.27% | 2.86% | $4,568,973 | 3.71% | 2.55% | 69.81% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $117,674,800 | 94.73% | 51.40% | $118,594,172 | 96.29% | 66.08% | 100.78% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $124,220,083 | 100.00% | 54.26% | $123,163,145 | 100.00% | 68.63% | 99.15% |
| 4. | Medicare Non-Managed Care | $24,711,121 | 60.38% | 10.79% | $13,677,873 | 53.92% | 7.62% | 55.35% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $16,216,279 | 39.62% | 7.08% | $11,686,940 | 46.08% | 6.51% | 72.07% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $40,927,400 | 100.00% | 17.88% | $25,364,813 | 100.00% | 14.13% | 61.98% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $9,601 | 7.99% | 0.00% | $3,942 | 5.08% | 0.00% | 41.06% |
| 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% | |
| 8c. | Other Public, including COVID-19 Uninsured Program | $110,581 | 92.01% | 0.05% | $73,669 | 94.92% | 0.04% | 66.62% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $120,182 | 100.00% | 0.05% | $77,611 | 100.00% | 0.04% | 64.58% |
| 10. | Private Non-Managed Care | $41,236,638 | 88.59% | 18.01% | $21,954,960 | 87.06% | 12.23% | 53.24% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $5,310,565 | 11.41% | 2.32% | $3,264,522 | 12.94% | 1.82% | 61.47% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $46,547,203 | 100.00% | 20.33% | $25,219,482 | 100.00% | 14.05% | 54.18% |
| 13. | Self-Pay | $17,118,823 | 100.00% | 7.48% | $5,647,537 | 100.00% | 3.15% | 32.99% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $228,933,691 | 100.00% | $179,472,588 | 100.00% | 78.40% | ||
| 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 | $0 | $0 | $0 | $0 | 0.00% | $1,644,480 | 25.12% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $1,555,000 | $6,779,777 | $4,450,750 | $0 | $12,785,527 | 10.87% | $467,668 | 0.40% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,555,000 | $6,779,777 | $4,450,750 | $0 | $12,785,527 | 10.29% | $2,112,148 | 1.70% |
| 4. | Medicare Non-Managed Care | $0 | $53,804 | $40 | $0 | $53,844 | 0.22% | $11,333,831 | 45.87% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $8,979 | $4,058 | $156,469 | $0 | $169,506 | 1.05% | $2,407,702 | 14.85% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $8,979 | $57,862 | $156,509 | $0 | $223,350 | 0.55% | $13,741,533 | 33.58% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $5,754 | 59.93% |
| 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 | ||
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $243,919 | 220.58% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $0 | $0 | 0.00% | $249,673 | 207.75% |
| 10. | Private Non-Managed Care | $302,714 | $0 | $302,714 | 0.73% | $12,771,130 | 30.97% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $23 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $1,730,345 | 32.58% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $302,714 | $0 | $302,714 | 0.65% | $14,501,498 | 31.15% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,563,979 | $6,837,639 | $4,909,973 | $0 | $13,311,591 | 5.81% | $30,604,852 | 13.37% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $6,990,018 | $1,764,887 |
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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