Table 9D: Patient Related Revenue
Illinois Data
45 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 | $127,643,413 | 12.68% | 7.28% | $84,170,256 | 12.25% | 8.01% | 65.94% |
| 2a. | Medicaid Managed Care (capitated) | $182,794,667 | 18.16% | 10.42% | $141,157,240 | 20.54% | 13.43% | 77.22% |
| 2b. | Medicaid Managed Care (fee-for-service) | $696,339,872 | 69.17% | 39.70% | $461,861,723 | 67.21% | 43.94% | 66.33% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,006,777,952 | 100.00% | 57.40% | $687,189,219 | 100.00% | 65.37% | 68.26% |
| 4. | Medicare Non-Managed Care | $109,609,363 | 63.62% | 6.25% | $64,645,763 | 69.49% | 6.15% | 58.98% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $62,674,545 | 36.38% | 3.57% | $28,380,083 | 30.51% | 2.70% | 45.28% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $172,283,908 | 100.00% | 9.82% | $93,025,846 | 100.00% | 8.85% | 54.00% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $9,112,486 | 99.96% | 0.52% | $4,240,977 | 99.83% | 0.40% | 46.54% |
| 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) | $4,071 | 0.04% | 0.00% | $7,239 | 0.17% | 0.00% | 177.82% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $9,116,557 | 100.00% | 0.52% | $4,248,216 | 100.00% | 0.40% | 46.60% |
| 10. | Private Non-Managed Care | $288,710,818 | 81.78% | 16.46% | $190,769,145 | 85.63% | 18.15% | 66.08% |
| 11a. | Private Managed Care (capitated) | $9,017,262 | 2.55% | 0.51% | $10,057,845 | 4.51% | 0.96% | 111.54% |
| 11b. | Private Managed Care (fee-for-service) | $55,315,761 | 15.67% | 3.15% | $21,955,262 | 9.86% | 2.09% | 39.69% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $353,043,841 | 100.00% | 20.13% | $222,782,252 | 100.00% | 21.19% | 63.10% |
| 13. | Self-Pay | $212,867,850 | 100.00% | 12.14% | $43,904,693 | 100.00% | 4.18% | 20.63% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,754,090,108 | 100.00% | $1,051,150,226 | 100.00% | 59.93% | ||
| 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 | $47,285 | $2,349 | $44,936 | 0.04% | $54,590,822 | 42.77% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $1,263,608 | $0 | $1,263,608 | 0.69% | $38,979,830 | 21.32% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $2,272,208 | $16,933,612 | $225,430 | $18,980,390 | 2.73% | $201,107,093 | 28.88% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $0 | $2,272,208 | $18,244,505 | $227,779 | $20,288,934 | 2.02% | $294,677,745 | 29.27% |
| 4. | Medicare Non-Managed Care | $9,695 | $57,399 | $435,489 | $0 | $502,583 | 0.46% | $32,771,840 | 29.90% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $122,155 | $0 | $122,155 | 0.19% | $25,178,170 | 40.17% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $9,695 | $57,399 | $557,644 | $0 | $624,738 | 0.36% | $57,950,010 | 33.64% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $4,823,286 | 52.93% |
| 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 | 0.00% | $5,645 | 138.66% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $4,828,931 | 52.97% |
| 10. | Private Non-Managed Care | $412,924 | $155 | $412,769 | 0.14% | $74,940,257 | 25.96% | ||
| 11a. | Private Managed Care (capitated) | $2,837,033 | $0 | $2,837,033 | 31.46% | ($955,434.00) | -10.60% | ||
| 11b. | Private Managed Care (fee-for-service) | $1,284,221 | $0 | $1,284,221 | 2.32% | $22,159,557 | 40.06% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $4,534,178 | $155 | $4,534,023 | 1.28% | $96,144,380 | 27.23% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $9,695 | $2,329,607 | $23,336,327 | $227,934 | $25,447,695 | 1.45% | $453,601,066 | 25.86% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $144,494,822 | $23,053,752 |
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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