Table 9D: Patient Related Revenue
Nebraska Data
7 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 | $34,343,088 | 52.56% | 21.08% | $22,749,768 | 53.37% | 25.81% | 66.24% |
| 2a. | Medicaid Managed Care (capitated) | $7,451,707 | 11.40% | 4.57% | $4,686,706 | 11.00% | 5.32% | 62.89% |
| 2b. | Medicaid Managed Care (fee-for-service) | $23,543,440 | 36.03% | 14.45% | $15,188,978 | 35.63% | 17.24% | 64.51% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $65,338,235 | 100.00% | 40.10% | $42,625,452 | 100.00% | 48.37% | 65.24% |
| 4. | Medicare Non-Managed Care | $10,455,152 | 94.12% | 6.42% | $4,291,207 | 93.84% | 4.87% | 41.04% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $652,713 | 5.88% | 0.40% | $281,568 | 6.16% | 0.32% | 43.14% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $11,107,865 | 100.00% | 6.82% | $4,572,775 | 100.00% | 5.19% | 41.17% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $542,587 | 100.00% | 0.33% | $120,440 | 100.00% | 0.14% | 22.20% |
| 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) | $542,587 | 100.00% | 0.33% | $120,440 | 100.00% | 0.14% | 22.20% |
| 10. | Private Non-Managed Care | $39,965,945 | 100.00% | 24.53% | $31,211,936 | 100.00% | 35.42% | 78.10% |
| 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) | $39,965,945 | 100.00% | 24.53% | $31,211,936 | 100.00% | 35.42% | 78.10% |
| 13. | Self-Pay | $45,966,756 | 100.00% | 28.21% | $9,597,105 | 100.00% | 10.89% | 20.88% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $162,921,388 | 100.00% | $88,127,708 | 100.00% | 54.09% | ||
| 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 | $6,182,109 | $0 | $6,182,109 | 18.00% | $12,211,464 | 35.56% |
| 2a. | Medicaid Managed Care (capitated) | $363,538 | $0 | $0 | $0 | $363,538 | 4.88% | $2,765,001 | 37.11% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $1,860,601 | $0 | $1,860,601 | 7.90% | $7,747,891 | 32.91% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $363,538 | $0 | $8,042,710 | $0 | $8,406,248 | 12.87% | $22,724,356 | 34.78% |
| 4. | Medicare Non-Managed Care | $7,334 | $110,006 | $705 | $0 | $118,045 | 1.13% | $6,314,692 | 60.40% |
| 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% | $307,262 | 47.07% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $7,334 | $110,006 | $705 | $0 | $118,045 | 1.06% | $6,621,954 | 59.62% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $531,852 | 98.02% |
| 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% | $531,852 | 98.02% |
| 10. | Private Non-Managed Care | $20,962 | $63 | $20,899 | 0.05% | $10,535,108 | 26.36% | ||
| 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) | $20,962 | $63 | $20,899 | 0.05% | $10,535,108 | 26.36% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $370,872 | $110,006 | $8,064,377 | $63 | $8,545,192 | 5.24% | $40,413,270 | 24.81% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $32,219,953 | $3,675,884 |
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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