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 | $4,168,849 | 2.71% | 1.53% | $2,874,788 | 2.11% | 1.43% | 68.96% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $149,786,740 | 97.29% | 54.94% | $133,300,059 | 97.89% | 66.49% | 88.99% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $153,955,589 | 100.00% | 56.47% | $136,174,847 | 100.00% | 67.92% | 88.45% |
| 4. | Medicare Non-Managed Care | $19,983,811 | 39.08% | 7.33% | $10,754,213 | 35.15% | 5.36% | 53.81% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $31,152,241 | 60.92% | 11.43% | $19,842,305 | 64.85% | 9.90% | 63.69% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $51,136,052 | 100.00% | 18.76% | $30,596,518 | 100.00% | 15.26% | 59.83% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $13,243 | 100.00% | 0.00% | $4,308 | 100.00% | 0.00% | 32.53% |
| 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) | $13,243 | 100.00% | 0.00% | $4,308 | 100.00% | 0.00% | 32.53% |
| 10. | Private Non-Managed Care | $45,288,414 | 88.54% | 16.61% | $24,814,128 | 88.99% | 12.38% | 54.79% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $5,860,672 | 11.46% | 2.15% | $3,070,091 | 11.01% | 1.53% | 52.38% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $51,149,086 | 100.00% | 18.76% | $27,884,219 | 100.00% | 13.91% | 54.52% |
| 13. | Self-Pay | $16,377,692 | 100.00% | 6.01% | $5,830,113 | 100.00% | 2.91% | 35.60% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $272,631,662 | 100.00% | $200,490,005 | 100.00% | 73.54% | ||
| 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% | $1,737,041 | 41.67% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $4,642,000 | $7,116,558 | $5,968,588 | $0 | $17,727,146 | 11.83% | $14,697,302 | 9.81% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $4,642,000 | $7,116,558 | $5,968,588 | $0 | $17,727,146 | 11.51% | $16,434,343 | 10.67% |
| 4. | Medicare Non-Managed Care | $0 | $429,860 | $36,885 | $0 | $466,745 | 2.34% | $8,358,450 | 41.83% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $3,343 | $153,521 | $0 | $156,864 | 0.50% | $10,381,828 | 33.33% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $433,203 | $190,406 | $0 | $623,609 | 1.22% | $18,740,278 | 36.65% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $10,488 | 79.20% |
| 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% | $10,488 | 79.20% |
| 10. | Private Non-Managed Care | $274,256 | $0 | $274,256 | 0.61% | $18,355,086 | 40.53% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $24,400 | $0 | $24,400 | 0.42% | $2,230,225 | 38.05% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $298,656 | $0 | $298,656 | 0.58% | $20,585,311 | 40.25% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $4,642,000 | $7,549,761 | $6,457,650 | $0 | $18,649,411 | 6.84% | $55,770,420 | 20.46% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $6,599,569 | $1,732,787 |
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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