Table 9D: Patient Related Revenue
Kentucky Data
25 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 | $471,791,557 | 97.97% | 44.98% | $336,007,615 | 97.23% | 55.83% | 71.22% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $9,791,028 | 2.03% | 0.93% | $9,586,969 | 2.77% | 1.59% | 97.92% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $481,582,585 | 100.00% | 45.91% | $345,594,584 | 100.00% | 57.42% | 71.76% |
| 4. | Medicare Non-Managed Care | $162,857,939 | 100.00% | 15.53% | $85,795,547 | 100.00% | 14.26% | 52.68% |
| 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) | $162,857,939 | 100.00% | 15.53% | $85,795,547 | 100.00% | 14.26% | 52.68% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $610,391 | 100.00% | 0.06% | $535,981 | 100.00% | 0.09% | 87.81% |
| 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) | $610,391 | 100.00% | 0.06% | $535,981 | 100.00% | 0.09% | 87.81% |
| 10. | Private Non-Managed Care | $287,954,765 | 100.00% | 27.45% | $136,209,276 | 100.00% | 22.63% | 47.30% |
| 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) | $287,954,765 | 100.00% | 27.45% | $136,209,276 | 100.00% | 22.63% | 47.30% |
| 13. | Self-Pay | $115,981,424 | 100.00% | 11.06% | $33,700,669 | 100.00% | 5.60% | 29.06% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,048,987,104 | 100.00% | $601,836,057 | 100.00% | 57.37% | ||
| 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 | $83,489,350 | $13,922,746 | $5,530,736 | $350 | $102,942,482 | 21.82% | $137,514,897 | 29.15% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $3,868,688 | $301,730 | $0 | $0 | $4,170,418 | 42.59% | $125,500 | 1.28% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $87,358,038 | $14,224,476 | $5,530,736 | $350 | $107,112,900 | 22.24% | $137,640,397 | 28.58% |
| 4. | Medicare Non-Managed Care | $249,195 | $708,979 | $1,889,761 | $211 | $2,847,724 | 1.75% | $85,840,330 | 52.71% |
| 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) | $249,195 | $708,979 | $1,889,761 | $211 | $2,847,724 | 1.75% | $85,840,330 | 52.71% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $25,958 | 4.25% |
| 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% | $25,958 | 4.25% |
| 10. | Private Non-Managed Care | $2,280,364 | $7,514 | $2,272,850 | 0.79% | $145,352,778 | 50.48% | ||
| 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) | $2,280,364 | $7,514 | $2,272,850 | 0.79% | $145,352,778 | 50.48% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $87,607,233 | $14,933,455 | $9,700,861 | $8,075 | $112,233,474 | 10.70% | $368,859,463 | 35.16% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $47,721,995 | $20,903,833 |
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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