Table 9D: Patient Related Revenue
New Hampshire Data
9 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 | $8,416,856 | 25.86% | 6.90% | $4,541,351 | 18.73% | 6.60% | 53.96% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $24,134,753 | 74.14% | 19.80% | $19,708,644 | 81.27% | 28.65% | 81.66% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $32,551,609 | 100.00% | 26.70% | $24,249,995 | 100.00% | 35.25% | 74.50% |
| 4. | Medicare Non-Managed Care | $23,877,545 | 95.14% | 19.58% | $12,808,041 | 92.25% | 18.62% | 53.64% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $1,220,514 | 4.86% | 1.00% | $1,076,352 | 7.75% | 1.56% | 88.19% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $25,098,059 | 100.00% | 20.59% | $13,884,393 | 100.00% | 20.18% | 55.32% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $720,283 | 100.00% | 0.59% | $417,557 | 100.00% | 0.61% | 57.97% |
| 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) | $720,283 | 100.00% | 0.59% | $417,557 | 100.00% | 0.61% | 57.97% |
| 10. | Private Non-Managed Care | $43,384,052 | 100.00% | 35.58% | $25,334,599 | 100.00% | 36.83% | 58.40% |
| 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) | $43,384,052 | 100.00% | 35.58% | $25,334,599 | 100.00% | 36.83% | 58.40% |
| 13. | Self-Pay | $20,164,495 | 100.00% | 16.54% | $4,908,490 | 100.00% | 7.13% | 24.34% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $121,918,498 | 100.00% | $68,795,034 | 100.00% | 56.43% | ||
| 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% | $3,195,115 | 37.96% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $121,960 | $0 | $121,960 | 0.51% | $2,726,496 | 11.30% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $0 | $0 | $121,960 | $0 | $121,960 | 0.37% | $5,921,611 | 18.19% |
| 4. | Medicare Non-Managed Care | $89,106 | $40,617 | $73,248 | $93,787 | $109,184 | 0.46% | $8,122,692 | 34.02% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $25,021 | $0 | $25,021 | 2.05% | $115,577 | 9.47% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $89,106 | $40,617 | $98,269 | $93,787 | $134,205 | 0.53% | $8,238,269 | 32.82% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $261,829 | 36.35% |
| 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% | $261,829 | 36.35% |
| 10. | Private Non-Managed Care | $254,025 | $0 | $254,025 | 0.59% | $15,144,643 | 34.91% | ||
| 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) | $254,025 | $0 | $254,025 | 0.59% | $15,144,643 | 34.91% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $89,106 | $40,617 | $474,254 | $93,787 | $510,190 | 0.42% | $29,566,352 | 24.25% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $10,985,179 | $2,154,742 |
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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