Table 9D: Patient Related Revenue
Ohio Data
51 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 | $622,050,255 | 97.33% | 51.69% | $498,061,410 | 97.86% | 59.84% | 80.07% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $17,058,396 | 2.67% | 1.42% | $10,876,013 | 2.14% | 1.31% | 63.76% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $639,108,651 | 100.00% | 53.11% | $508,937,423 | 100.00% | 61.15% | 79.63% |
| 4. | Medicare Non-Managed Care | $213,488,364 | 99.02% | 17.74% | $148,346,965 | 99.08% | 17.82% | 69.49% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $2,117,095 | 0.98% | 0.18% | $1,376,927 | 0.92% | 0.17% | 65.04% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $215,605,459 | 100.00% | 17.92% | $149,723,892 | 100.00% | 17.99% | 69.44% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $3,578,201 | 100.00% | 0.30% | $2,230,879 | 100.00% | 0.27% | 62.35% |
| 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) | $3,578,201 | 100.00% | 0.30% | $2,230,879 | 100.00% | 0.27% | 62.35% |
| 10. | Private Non-Managed Care | $224,175,610 | 99.85% | 18.63% | $130,767,462 | 99.81% | 15.71% | 58.33% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $338,707 | 0.15% | 0.03% | $252,310 | 0.19% | 0.03% | 74.49% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $224,514,317 | 100.00% | 18.66% | $131,019,772 | 100.00% | 15.74% | 58.36% |
| 13. | Self-Pay | $120,536,355 | 100.00% | 10.02% | $40,375,479 | 100.00% | 4.85% | 33.50% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,203,342,983 | 100.00% | $832,287,445 | 100.00% | 69.16% | ||
| 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 | $84,378,711 | $28,701,506 | $28,211,781 | $75,244 | $141,216,754 | 22.70% | $125,405,380 | 20.16% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $1,314,124 | $139,508 | $0 | $3 | $1,453,629 | 8.52% | $4,096,789 | 24.02% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $85,692,835 | $28,841,014 | $28,211,781 | $75,247 | $142,670,383 | 22.32% | $129,502,169 | 20.26% |
| 4. | Medicare Non-Managed Care | $2,382,250 | $301,894 | $786,953 | $167,698 | $3,303,399 | 1.55% | $66,322,645 | 31.07% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $119,470 | $35,890 | $0 | $0 | $155,360 | 7.34% | $687,329 | 32.47% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $2,501,720 | $337,784 | $786,953 | $167,698 | $3,458,759 | 1.60% | $67,009,974 | 31.08% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $705,698 | 19.72% |
| 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% | $705,698 | 19.72% |
| 10. | Private Non-Managed Care | $1,420,736 | $42,156 | $1,378,580 | 0.61% | $72,560,552 | 32.37% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $74,324 | 21.94% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,420,736 | $42,156 | $1,378,580 | 0.61% | $72,634,876 | 32.35% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $88,194,555 | $29,178,798 | $30,419,470 | $285,101 | $147,507,722 | 12.26% | $269,852,717 | 22.43% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $56,312,559 | $19,890,860 |
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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