Table 9D: Patient Related Revenue
Indiana Data
27 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 | $54,381,953 | 19.67% | 10.26% | $76,171,259 | 21.88% | 15.77% | 140.07% |
| 2a. | Medicaid Managed Care (capitated) | $34 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | 0.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $222,021,978 | 80.33% | 41.88% | $271,926,806 | 78.12% | 56.29% | 122.48% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $276,403,965 | 100.00% | 52.13% | $348,098,065 | 100.00% | 72.06% | 125.94% |
| 4. | Medicare Non-Managed Care | $48,038,123 | 77.17% | 9.06% | $31,158,545 | 75.82% | 6.45% | 64.86% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $14,209,033 | 22.83% | 2.68% | $9,935,051 | 24.18% | 2.06% | 69.92% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $62,247,156 | 100.00% | 11.74% | $41,093,596 | 100.00% | 8.51% | 66.02% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $465,797 | 100.00% | 0.09% | $244,469 | 100.00% | 0.05% | 52.48% |
| 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) | $465,797 | 100.00% | 0.09% | $244,469 | 100.00% | 0.05% | 52.48% |
| 10. | Private Non-Managed Care | $108,981,576 | 98.38% | 20.56% | $61,186,509 | 98.80% | 12.67% | 56.14% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $1,797,559 | 1.62% | 0.34% | $744,030 | 1.20% | 0.15% | 41.39% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $110,779,135 | 100.00% | 20.89% | $61,930,539 | 100.00% | 12.82% | 55.90% |
| 13. | Self-Pay | $80,275,235 | 100.00% | 15.14% | $31,690,550 | 100.00% | 6.56% | 39.48% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $530,171,288 | 100.00% | $483,057,219 | 100.00% | 91.11% | ||
| 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 | $38,164,456 | $539,174 | $279,822 | $7,446 | $38,976,006 | 71.67% | ($2,582,352.00) | -4.75% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $34 | 100.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $147,865,198 | $11,025,311 | $3,451,475 | $0 | $162,341,984 | 73.12% | ($16,657,806.00) | -7.50% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $186,029,654 | $11,564,485 | $3,731,297 | $7,446 | $201,317,990 | 72.83% | ($19,240,124.00) | -6.96% |
| 4. | Medicare Non-Managed Care | $38,101 | $105,384 | $34,256 | $0 | $177,741 | 0.37% | $13,258,516 | 27.60% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $4,709 | $0 | $4,709 | 0.03% | $5,811,653 | 40.90% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $38,101 | $105,384 | $38,965 | $0 | $182,450 | 0.29% | $19,070,169 | 30.64% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $142,949 | 30.69% |
| 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% | $142,949 | 30.69% |
| 10. | Private Non-Managed Care | $583,310 | $0 | $583,310 | 0.54% | $45,384,303 | 41.64% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $1,017,649 | 56.61% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $583,310 | $0 | $583,310 | 0.53% | $46,401,952 | 41.89% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $186,067,755 | $11,669,869 | $4,353,572 | $7,446 | $202,083,750 | 38.12% | $46,374,946 | 8.75% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $42,706,146 | $9,351,158 |
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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