Table 9D: Patient Related Revenue
Maryland Data
17 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 | $87,931,073 | 36.43% | 15.62% | $77,723,050 | 36.11% | 19.71% | 88.39% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $153,447,876 | 63.57% | 27.26% | $137,495,708 | 63.89% | 34.86% | 89.60% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $241,378,949 | 100.00% | 42.88% | $215,218,758 | 100.00% | 54.57% | 89.16% |
| 4. | Medicare Non-Managed Care | $63,945,881 | 71.99% | 11.36% | $31,981,703 | 69.56% | 8.11% | 50.01% |
| 5a. | Medicare Managed Care (capitated) | $1,074 | 0.00% | 0.00% | $268,896 | 0.58% | 0.07% | 25036.87% |
| 5b. | Medicare Managed Care (fee-for-service) | $24,880,760 | 28.01% | 4.42% | $13,725,241 | 29.85% | 3.48% | 55.16% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $88,827,715 | 100.00% | 15.78% | $45,975,840 | 100.00% | 11.66% | 51.76% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $2,790,391 | 100.00% | 0.50% | $676,064 | 100.00% | 0.17% | 24.23% |
| 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) | $2,790,391 | 100.00% | 0.50% | $676,064 | 100.00% | 0.17% | 24.23% |
| 10. | Private Non-Managed Care | $153,624,437 | 91.78% | 27.29% | $114,844,876 | 96.51% | 29.12% | 74.76% |
| 11a. | Private Managed Care (capitated) | $176,785 | 0.11% | 0.03% | $57,960 | 0.05% | 0.01% | 32.79% |
| 11b. | Private Managed Care (fee-for-service) | $13,576,054 | 8.11% | 2.41% | $4,100,746 | 3.45% | 1.04% | 30.21% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $167,377,276 | 100.00% | 29.73% | $119,003,582 | 100.00% | 30.18% | 71.10% |
| 13. | Self-Pay | $62,565,248 | 100.00% | 11.11% | $13,494,711 | 100.00% | 3.42% | 21.57% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $562,939,579 | 100.00% | $394,368,955 | 100.00% | 70.06% | ||
| 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 | $0 | $0 | $0 | 0.00% | $8,249,461 | 9.38% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $48,042 | $210,889 | $0 | $258,931 | 0.17% | $7,187,458 | 4.68% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $0 | $48,042 | $210,889 | $0 | $258,931 | 0.11% | $15,436,919 | 6.40% |
| 4. | Medicare Non-Managed Care | $0 | $1,103,251 | $2,118,511 | $0 | $3,221,762 | 5.04% | $26,054,337 | 40.74% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $43 | 4.00% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $10,646,912 | 42.79% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $1,103,251 | $2,118,511 | $0 | $3,221,762 | 3.63% | $36,701,292 | 41.32% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $214,294 | $0 | $0 | $214,294 | 7.68% | $1,922,676 | 68.90% |
| 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 | $214,294 | $0 | $0 | $214,294 | 7.68% | $1,922,676 | 68.90% |
| 10. | Private Non-Managed Care | $113,107 | $0 | $113,107 | 0.07% | $33,387,045 | 21.73% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $108,931 | 61.62% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $8,353,095 | 61.53% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $113,107 | $0 | $113,107 | 0.07% | $41,849,071 | 25.00% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $0 | $1,365,587 | $2,442,507 | $0 | $3,808,094 | 0.68% | $95,909,958 | 17.04% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $42,802,629 | $6,918,346 |
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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