Table 9D: Patient Related Revenue
Montana Data
14 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 | $68,795,105 | 100.00% | 34.29% | $84,391,715 | 100.00% | 53.67% | 122.67% |
| 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) | $68,795,105 | 100.00% | 34.29% | $84,391,715 | 100.00% | 53.67% | 122.67% |
| 4. | Medicare Non-Managed Care | $38,127,956 | 97.98% | 19.00% | $25,751,137 | 98.04% | 16.38% | 67.54% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $787,147 | 2.02% | 0.39% | $516,110 | 1.96% | 0.33% | 65.57% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $38,915,103 | 100.00% | 19.40% | $26,267,247 | 100.00% | 16.71% | 67.50% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $94,850 | 100.00% | 0.05% | $11,753 | 100.00% | 0.01% | 12.39% |
| 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) | $94,850 | 100.00% | 0.05% | $11,753 | 100.00% | 0.01% | 12.39% |
| 10. | Private Non-Managed Care | $59,082,438 | 99.50% | 29.45% | $33,504,329 | 98.70% | 21.31% | 56.71% |
| 11a. | Private Managed Care (capitated) | $296,365 | 0.50% | 0.15% | $440,378 | 1.30% | 0.28% | 148.59% |
| 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) | $59,378,803 | 100.00% | 29.59% | $33,944,707 | 100.00% | 21.59% | 57.17% |
| 13. | Self-Pay | $33,458,262 | 100.00% | 16.68% | $12,618,442 | 100.00% | 8.03% | 37.71% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $200,642,123 | 100.00% | $157,233,864 | 100.00% | 78.37% | ||
| 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 | $275,957 | $5,201,297 | $1,621,220 | $0 | $7,098,474 | 10.32% | ($16,769,928.00) | -24.38% |
| 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) | $275,957 | $5,201,297 | $1,621,220 | $0 | $7,098,474 | 10.32% | ($16,769,928.00) | -24.38% |
| 4. | Medicare Non-Managed Care | $257,401 | $270,812 | $0 | $4,497 | $523,716 | 1.37% | $12,663,869 | 33.21% |
| 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% | $98,003 | 12.45% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $257,401 | $270,812 | $0 | $4,497 | $523,716 | 1.35% | $12,761,872 | 32.79% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $67,500 | 71.16% |
| 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% | $67,500 | 71.16% |
| 10. | Private Non-Managed Care | $562,386 | $0 | $562,386 | 0.95% | $22,907,575 | 38.77% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | ($144,013.00) | -48.59% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $562,386 | $0 | $562,386 | 0.95% | $22,763,562 | 38.34% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $533,358 | $5,472,109 | $2,183,606 | $4,497 | $8,184,576 | 4.08% | $18,823,006 | 9.38% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $16,116,455 | $5,619,594 |
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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