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HRSA Health Resources & Services Administration

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 $91,519,125 12.63% 6.79% $66,704,798 12.81% 7.88% 72.89%
2a. Medicaid Managed Care (capitated) $81,703,706 11.27% 6.06% $57,360,684 11.01% 6.78% 70.21%
2b. Medicaid Managed Care (fee-for-service) $551,631,410 76.10% 40.92% $396,818,979 76.18% 46.90% 71.94%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $724,854,241 100.00% 53.77% $520,884,461 100.00% 61.57% 71.86%
4. Medicare Non-Managed Care $88,688,421 82.00% 6.58% $55,415,666 83.92% 6.55% 62.48%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $19,471,528 18.00% 1.44% $10,621,184 16.08% 1.26% 54.55%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $108,159,949 100.00% 8.02% $66,036,850 100.00% 7.81% 61.05%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $7,287,736 41.99% 0.54% $3,768,211 58.27% 0.45% 51.71%
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) $190,257 1.10% 0.01% $0 0.00% 0.00% 0.00%
8c. Other Public, including COVID-19 Uninsured Program $9,877,992 56.91% 0.73% $2,698,669 41.73% 0.32% 27.32%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $17,355,985 100.00% 1.29% $6,466,880 100.00% 0.76% 37.26%
10. Private Non-Managed Care $240,448,447 85.57% 17.84% $173,510,340 86.95% 20.51% 72.16%
11a. Private Managed Care (capitated) $19,675,126 7.00% 1.46% $17,553,710 8.80% 2.07% 89.22%
11b. Private Managed Care (fee-for-service) $20,880,868 7.43% 1.55% $8,483,464 4.25% 1.00% 40.63%
12. Total Private (Sum of Lines 10 + 11a + 11b) $281,004,441 100.00% 20.85% $199,547,514 100.00% 23.59% 71.01%
13. Self-Pay $216,691,540 100.00% 16.07% $53,131,954 100.00% 6.28% 24.52%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,348,066,156 100.00% $846,067,659 100.00% 62.76%
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 $105,039 $324 $104,715 0.11% $39,646,751 43.32%
2a. Medicaid Managed Care (capitated) $0 $0 $158,280 $0 $158,280 0.19% $23,165,465 28.35%
2b. Medicaid Managed Care (fee-for-service) $13,717,429 $0 $16,354,890 $812 $30,071,507 5.45% $152,782,179 27.70%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $13,717,429 $0 $16,618,209 $1,136 $30,334,502 4.18% $215,594,395 29.74%
4. Medicare Non-Managed Care $60,139 $633,552 $44,378 $766 $737,303 0.83% $26,421,387 29.79%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $401
5b. Medicare Managed Care (fee-for-service) $0 $0 $44,894 $0 $44,894 0.23% $6,954,565 35.72%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $60,139 $633,552 $89,272 $766 $782,197 0.72% $33,376,353 30.86%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $3,167,202 43.46%
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% $0 0.00%
8c. Other Public, including COVID-19 Uninsured Program $0 $0 $0 0.00% $2,995,227 30.32%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $0 $0 $0 $0 $0 0.00% $6,162,429 35.51%
10. Private Non-Managed Care $894,905 $2,018 $892,887 0.37% $60,361,561 25.10%
11a. Private Managed Care (capitated) $2,897,975 $0 $2,897,975 14.73% $1,381,601 7.02%
11b. Private Managed Care (fee-for-service) $15,678 $0 $15,678 0.08% $11,887,418 56.93%
12. Total Private (Sum of Lines 10 + 11a + 11b) $3,808,558 $2,018 $3,806,540 1.35% $73,630,580 26.20%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $13,777,568 $633,552 $20,516,039 $3,920 $34,923,239 2.59% $328,763,757 24.39%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $120,214,584 $21,673,448

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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