Table 9D: Patient Related Revenue
Maine Data
18 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 | $79,111,851 | 100.00% | 28.26% | $98,233,445 | 100.00% | 41.78% | 124.17% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $79,111,851 | 100.00% | 28.26% | $98,233,445 | 100.00% | 41.78% | 124.17% |
| 4. | Medicare Non-Managed Care | $77,121,089 | 97.96% | 27.55% | $50,349,972 | 97.90% | 21.41% | 65.29% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $1,609,566 | 2.04% | 0.57% | $1,079,150 | 2.10% | 0.46% | 67.05% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $78,730,655 | 100.00% | 28.12% | $51,429,122 | 100.00% | 21.87% | 65.32% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $17,567 | 100.00% | 0.01% | $4,836 | 100.00% | 0.00% | 27.53% |
| 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) | $17,567 | 100.00% | 0.01% | $4,836 | 100.00% | 0.00% | 27.53% |
| 10. | Private Non-Managed Care | $96,494,864 | 98.50% | 34.47% | $69,856,658 | 99.04% | 29.71% | 72.39% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $1,468,948 | 1.50% | 0.52% | $676,625 | 0.96% | 0.29% | 46.06% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $97,963,812 | 100.00% | 34.99% | $70,533,283 | 100.00% | 30.00% | 72.00% |
| 13. | Self-Pay | $24,123,296 | 100.00% | 8.62% | $14,937,764 | 100.00% | 6.35% | 61.92% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $279,947,181 | 100.00% | $235,138,450 | 100.00% | 83.99% | ||
| 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 | $7,677,237 | $0 | $7,677,237 | 9.70% | ($13,222,146.00) | -16.71% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $0 | $0 | $7,677,237 | $0 | $7,677,237 | 9.70% | ($13,222,146.00) | -16.71% |
| 4. | Medicare Non-Managed Care | $88,107 | $441,724 | $708,271 | $0 | $1,238,102 | 1.61% | $15,758,095 | 20.43% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $686,968 | 42.68% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $88,107 | $441,724 | $708,271 | $0 | $1,238,102 | 1.57% | $16,445,063 | 20.89% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $10,580 | 60.23% |
| 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% | $10,580 | 60.23% |
| 10. | Private Non-Managed Care | $6,984,131 | $130 | $6,984,001 | 7.24% | $23,329,449 | 24.18% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $33,831 | $0 | $33,831 | 2.30% | $751,835 | 51.18% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $7,017,962 | $130 | $7,017,832 | 7.16% | $24,081,284 | 24.58% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $88,107 | $441,724 | $15,403,470 | $130 | $15,933,171 | 5.69% | $27,314,781 | 9.76% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $3,812,644 | $4,515,273 |
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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