Table 9D: Patient Related Revenue
Oklahoma Data
21 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 | $132,245,717 | 100.00% | 34.12% | $117,323,120 | 100.00% | 48.45% | 88.72% |
| 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) | $132,245,717 | 100.00% | 34.12% | $117,323,120 | 100.00% | 48.45% | 88.72% |
| 4. | Medicare Non-Managed Care | $55,003,112 | 99.97% | 14.19% | $33,050,188 | 99.79% | 13.65% | 60.09% |
| 5a. | Medicare Managed Care (capitated) | $18,254 | 0.03% | 0.00% | $69,830 | 0.21% | 0.03% | 382.55% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $55,021,366 | 100.00% | 14.19% | $33,120,018 | 100.00% | 13.68% | 60.19% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $777,899 | 55.48% | 0.20% | $1,007,055 | 74.89% | 0.42% | 129.46% |
| 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% | |
| 8c. | Other Public, including COVID-19 Uninsured Program | $624,119 | 44.52% | 0.16% | $337,664 | 25.11% | 0.14% | 54.10% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $1,402,018 | 100.00% | 0.36% | $1,344,719 | 100.00% | 0.56% | 95.91% |
| 10. | Private Non-Managed Care | $126,717,559 | 99.99% | 32.69% | $73,497,732 | 99.98% | 30.35% | 58.00% |
| 11a. | Private Managed Care (capitated) | $12,941 | 0.01% | 0.00% | $11,673 | 0.02% | 0.00% | 90.20% |
| 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) | $126,730,500 | 100.00% | 32.69% | $73,509,405 | 100.00% | 30.35% | 58.00% |
| 13. | Self-Pay | $72,233,654 | 100.00% | 18.63% | $16,872,735 | 100.00% | 6.97% | 23.36% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $387,633,255 | 100.00% | $242,169,997 | 100.00% | 62.47% | ||
| 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 | $4,300 | $0 | $350,461 | $0 | $354,761 | 0.27% | $14,021,362 | 10.60% |
| 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) | $4,300 | $0 | $350,461 | $0 | $354,761 | 0.27% | $14,021,362 | 10.60% |
| 4. | Medicare Non-Managed Care | $27,825 | $51,239 | $859,964 | $25 | $939,003 | 1.71% | $16,272,012 | 29.58% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | ($51,576.00) | -282.55% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $27,825 | $51,239 | $859,964 | $25 | $939,003 | 1.71% | $16,220,436 | 29.48% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | ($202,499.00) | -26.03% |
| 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 | ||
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $218,305 | 34.98% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $0 | $0 | 0.00% | $15,806 | 1.13% |
| 10. | Private Non-Managed Care | $5,226 | $2,894 | $2,332 | 0.00% | $42,531,964 | 33.56% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $1,268 | 9.80% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $5,226 | $2,894 | $2,332 | 0.00% | $42,533,232 | 33.56% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $32,125 | $51,239 | $1,215,651 | $2,919 | $1,296,096 | 0.33% | $72,790,836 | 18.78% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $44,878,379 | $8,679,320 |
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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