Table 9D: Patient Related Revenue
Idaho Data
14 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 | $93,676,508 | 98.21% | 26.21% | $106,076,241 | 92.08% | 38.04% | 113.24% |
| 2a. | Medicaid Managed Care (capitated) | $1,025,855 | 1.08% | 0.29% | $8,710,016 | 7.56% | 3.12% | 849.05% |
| 2b. | Medicaid Managed Care (fee-for-service) | $679,920 | 0.71% | 0.19% | $419,385 | 0.36% | 0.15% | 61.68% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $95,382,283 | 100.00% | 26.69% | $115,205,642 | 100.00% | 41.32% | 120.78% |
| 4. | Medicare Non-Managed Care | $50,514,240 | 100.00% | 14.13% | $41,813,035 | 100.00% | 15.00% | 82.77% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $50,514,240 | 100.00% | 14.13% | $41,813,035 | 100.00% | 15.00% | 82.77% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $33,362 | 100.00% | 0.01% | $15,717 | 100.00% | 0.01% | 47.11% |
| 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) | $33,362 | 100.00% | 0.01% | $15,717 | 100.00% | 0.01% | 47.11% |
| 10. | Private Non-Managed Care | $130,070,985 | 100.00% | 36.39% | $93,172,736 | 100.00% | 33.42% | 71.63% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 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) | $130,070,985 | 100.00% | 36.39% | $93,172,736 | 100.00% | 33.42% | 71.63% |
| 13. | Self-Pay | $81,415,118 | 100.00% | 22.78% | $28,619,579 | 100.00% | 10.26% | 35.15% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $357,415,988 | 100.00% | $278,826,709 | 100.00% | 78.01% | ||
| 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 | $1,348,000 | $7,067,718 | $0 | $8,415,718 | 8.98% | ($12,412,707.00) | -13.25% |
| 2a. | Medicaid Managed Care (capitated) | $1,637,310 | $0 | $3,044,721 | $0 | $4,682,031 | 456.40% | ($7,745,158.00) | -755.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $330,128 | 48.55% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,637,310 | $1,348,000 | $10,112,439 | $0 | $13,097,749 | 13.73% | ($19,827,737.00) | -20.79% |
| 4. | Medicare Non-Managed Care | $0 | $880,804 | $892,437 | $324,233 | $1,449,008 | 2.87% | $6,104,639 | 12.08% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $880,804 | $892,437 | $324,233 | $1,449,008 | 2.87% | $6,104,639 | 12.08% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $11,067 | 33.17% |
| 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% | $11,067 | 33.17% |
| 10. | Private Non-Managed Care | $2,096,362 | $43,481 | $2,052,881 | 1.58% | $28,784,523 | 22.13% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,096,362 | $43,481 | $2,052,881 | 1.58% | $28,784,523 | 22.13% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,637,310 | $2,228,804 | $13,101,238 | $367,714 | $16,599,638 | 4.64% | $15,072,492 | 4.22% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $45,376,025 | $4,820,593 |
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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