Table 9D: Patient Related Revenue
Minnesota Data
16 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 | $90,926,348 | 100.00% | 44.99% | $87,780,967 | 100.00% | 71.52% | 96.54% |
| 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) | $90,926,348 | 100.00% | 44.99% | $87,780,967 | 100.00% | 71.52% | 96.54% |
| 4. | Medicare Non-Managed Care | $26,899,071 | 100.00% | 13.31% | $11,713,602 | 100.00% | 9.54% | 43.55% |
| 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) | $26,899,071 | 100.00% | 13.31% | $11,713,602 | 100.00% | 9.54% | 43.55% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $5,905,382 | 100.00% | 2.92% | $2,246,147 | 100.00% | 1.83% | 38.04% |
| 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) | $5,905,382 | 100.00% | 2.92% | $2,246,147 | 100.00% | 1.83% | 38.04% |
| 10. | Private Non-Managed Care | $27,407,563 | 100.00% | 13.56% | $12,882,085 | 100.00% | 10.50% | 47.00% |
| 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) | $27,407,563 | 100.00% | 13.56% | $12,882,085 | 100.00% | 10.50% | 47.00% |
| 13. | Self-Pay | $50,976,968 | 100.00% | 25.22% | $8,106,525 | 100.00% | 6.61% | 15.90% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $202,115,332 | 100.00% | $122,729,326 | 100.00% | 60.72% | ||
| 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 | $1,129,371 | $280,748 | $0 | $1,410,119 | 1.55% | $1,053,655 | 1.16% |
| 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 | $1,129,371 | $280,748 | $0 | $1,410,119 | 1.55% | $1,053,655 | 1.16% |
| 4. | Medicare Non-Managed Care | $65,592 | $162,869 | $0 | $0 | $228,461 | 0.85% | $14,072,434 | 52.32% |
| 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) | $65,592 | $162,869 | $0 | $0 | $228,461 | 0.85% | $14,072,434 | 52.32% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $2,968,446 | 50.27% |
| 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% | $2,968,446 | 50.27% |
| 10. | Private Non-Managed Care | $28,840 | $0 | $28,840 | 0.11% | $12,963,748 | 47.30% | ||
| 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) | $28,840 | $0 | $28,840 | 0.11% | $12,963,748 | 47.30% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $65,592 | $1,292,240 | $309,588 | $0 | $1,667,420 | 0.82% | $31,058,283 | 15.37% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $33,198,244 | $6,630,286 |
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.
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