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 | $86,611,970 | 9.40% | 5.33% | $58,311,756 | 8.99% | 5.83% | 67.33% |
| 2a. | Medicaid Managed Care (capitated) | $175,464,752 | 19.05% | 10.80% | $124,443,643 | 19.18% | 12.45% | 70.92% |
| 2b. | Medicaid Managed Care (fee-for-service) | $659,237,551 | 71.55% | 40.57% | $466,023,581 | 71.83% | 46.61% | 70.69% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $921,314,273 | 100.00% | 56.70% | $648,778,980 | 100.00% | 64.89% | 70.42% |
| 4. | Medicare Non-Managed Care | $103,126,662 | 71.31% | 6.35% | $61,449,408 | 74.23% | 6.15% | 59.59% |
| 5a. | Medicare Managed Care (capitated) | $156,935 | 0.11% | 0.01% | $38,926 | 0.05% | 0.00% | 24.80% |
| 5b. | Medicare Managed Care (fee-for-service) | $41,338,380 | 28.58% | 2.54% | $21,288,588 | 25.72% | 2.13% | 51.50% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $144,621,977 | 100.00% | 8.90% | $82,776,922 | 100.00% | 8.28% | 57.24% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $8,021,983 | 76.10% | 0.49% | $3,584,373 | 58.50% | 0.36% | 44.68% |
| 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 | $2,519,905 | 23.90% | 0.16% | $2,542,481 | 41.50% | 0.25% | 100.90% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $10,541,888 | 100.00% | 0.65% | $6,126,854 | 100.00% | 0.61% | 58.12% |
| 10. | Private Non-Managed Care | $247,716,636 | 82.40% | 15.24% | $177,179,680 | 86.21% | 17.72% | 71.53% |
| 11a. | Private Managed Care (capitated) | $7,713,273 | 2.57% | 0.47% | $7,297,169 | 3.55% | 0.73% | 94.61% |
| 11b. | Private Managed Care (fee-for-service) | $45,192,316 | 15.03% | 2.78% | $21,042,332 | 10.24% | 2.10% | 46.56% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $300,622,225 | 100.00% | 18.50% | $205,519,181 | 100.00% | 20.56% | 68.36% |
| 13. | Self-Pay | $247,887,721 | 100.00% | 15.25% | $56,537,677 | 100.00% | 5.66% | 22.81% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,624,988,084 | 100.00% | $999,739,614 | 100.00% | 61.52% | ||
| 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 | $11,610 | $0 | $11,610 | 0.01% | $37,448,591 | 43.24% |
| 2a. | Medicaid Managed Care (capitated) | $809,294 | $0 | $0 | $0 | $809,294 | 0.46% | $54,042,563 | 30.80% |
| 2b. | Medicaid Managed Care (fee-for-service) | $2,317,613 | $6,053,236 | $14,450,143 | $154 | $22,820,838 | 3.46% | $184,745,700 | 28.02% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $3,126,907 | $6,053,236 | $14,461,753 | $154 | $23,641,742 | 2.57% | $276,236,854 | 29.98% |
| 4. | Medicare Non-Managed Care | $145,882 | $10,326 | $225,381 | $1,713 | $379,876 | 0.37% | $34,030,793 | 33.00% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $73,337 | 46.73% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $47,371 | $0 | $47,371 | 0.11% | $15,327,082 | 37.08% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $145,882 | $10,326 | $272,752 | $1,713 | $427,247 | 0.30% | $49,431,212 | 34.18% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $4,349,066 | 54.21% |
| 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% | $940,087 | 37.31% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $0 | $0 | 0.00% | $5,289,153 | 50.17% |
| 10. | Private Non-Managed Care | $1,112,280 | $0 | $1,112,280 | 0.45% | $59,477,129 | 24.01% | ||
| 11a. | Private Managed Care (capitated) | $1,252,115 | $0 | $1,252,115 | 16.23% | $331,326 | 4.30% | ||
| 11b. | Private Managed Care (fee-for-service) | $137,035 | $0 | $137,035 | 0.30% | $17,518,042 | 38.76% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,501,430 | $0 | $2,501,430 | 0.83% | $77,326,497 | 25.72% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $3,272,789 | $6,063,562 | $17,235,935 | $1,867 | $26,570,419 | 1.64% | $408,283,716 | 25.13% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $147,979,858 | $29,418,517 |
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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