Table 9D: Patient Related Revenue
Nevada 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 | $23,415,316 | 39.76% | 11.17% | $20,736,101 | 36.85% | 15.74% | 88.56% |
| 2a. | Medicaid Managed Care (capitated) | $264,558 | 0.45% | 0.13% | $131,912 | 0.23% | 0.10% | 49.86% |
| 2b. | Medicaid Managed Care (fee-for-service) | $35,211,853 | 59.79% | 16.79% | $35,405,634 | 62.92% | 26.87% | 100.55% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $58,891,727 | 100.00% | 28.08% | $56,273,647 | 100.00% | 42.70% | 95.55% |
| 4. | Medicare Non-Managed Care | $22,971,043 | 45.78% | 10.95% | $15,129,911 | 63.18% | 11.48% | 65.87% |
| 5a. | Medicare Managed Care (capitated) | $476,220 | 0.95% | 0.23% | $442,135 | 1.85% | 0.34% | 92.84% |
| 5b. | Medicare Managed Care (fee-for-service) | $26,734,379 | 53.28% | 12.75% | $8,375,380 | 34.97% | 6.36% | 31.33% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $50,181,642 | 100.00% | 23.93% | $23,947,426 | 100.00% | 18.17% | 47.72% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $4,478,841 | 69.08% | 2.14% | $4,538,250 | 89.48% | 3.44% | 101.33% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $3,300 | 0.05% | 0.00% | $2,650 | 0.05% | 0.00% | 80.30% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $2,001,133 | 30.87% | 0.95% | $531,000 | 10.47% | 0.40% | 26.53% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $6,483,274 | 100.00% | 3.09% | $5,071,900 | 100.00% | 3.85% | 78.23% |
| 10. | Private Non-Managed Care | $39,734,426 | 70.85% | 18.95% | $28,321,397 | 68.23% | 21.49% | 71.28% |
| 11a. | Private Managed Care (capitated) | $416,435 | 0.74% | 0.20% | $97,423 | 0.23% | 0.07% | 23.39% |
| 11b. | Private Managed Care (fee-for-service) | $15,929,808 | 28.41% | 7.60% | $13,092,029 | 31.54% | 9.93% | 82.19% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $56,080,669 | 100.00% | 26.74% | $41,510,849 | 100.00% | 31.50% | 74.02% |
| 13. | Self-Pay | $38,077,059 | 100.00% | 18.16% | $4,977,171 | 100.00% | 3.78% | 13.07% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $209,714,371 | 100.00% | $131,780,993 | 100.00% | 62.84% | ||
| 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 | $2,337,337 | $598,192 | $81,580 | $0 | $3,017,109 | 12.89% | $4,377,985 | 18.70% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $132,646 | 50.14% |
| 2b. | Medicaid Managed Care (fee-for-service) | $10,383,408 | $3,362,345 | $4,551,902 | $0 | $18,297,655 | 51.96% | ($1,491,145.00) | -4.23% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $12,720,745 | $3,960,537 | $4,633,482 | $0 | $21,314,764 | 36.19% | $3,019,486 | 5.13% |
| 4. | Medicare Non-Managed Care | $0 | $86,279 | $385,373 | $0 | $471,652 | 2.05% | $5,522,594 | 24.04% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $34,085 | 7.16% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $336,618 | $0 | $336,618 | 1.26% | $16,214,424 | 60.65% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $86,279 | $721,991 | $0 | $808,270 | 1.61% | $21,771,103 | 43.38% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | ($568,288.00) | -12.69% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $650 | 19.70% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $1,400,002 | 69.96% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $832,364 | 12.84% |
| 10. | Private Non-Managed Care | $0 | $0 | $0 | 0.00% | $10,590,267 | 26.65% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $319,012 | 76.61% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $900,666 | 5.65% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $0 | $0 | $0 | 0.00% | $11,809,945 | 21.06% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $12,720,745 | $4,046,816 | $5,355,473 | $0 | $22,123,034 | 10.55% | $37,432,898 | 17.85% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $27,617,325 | $4,693,408 |
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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