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 | $154,760,790 | 99.31% | 33.37% | $141,540,047 | 98.98% | 45.96% | 91.46% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,071,663 | 0.69% | 0.23% | $1,462,985 | 1.02% | 0.48% | 136.52% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $155,832,453 | 100.00% | 33.60% | $143,003,032 | 100.00% | 46.44% | 91.77% |
| 4. | Medicare Non-Managed Care | $77,555,121 | 99.49% | 16.72% | $47,941,195 | 99.32% | 15.57% | 61.82% |
| 5a. | Medicare Managed Care (capitated) | $118,665 | 0.15% | 0.03% | $179,016 | 0.37% | 0.06% | 150.86% |
| 5b. | Medicare Managed Care (fee-for-service) | $282,763 | 0.36% | 0.06% | $149,769 | 0.31% | 0.05% | 52.97% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $77,956,549 | 100.00% | 16.81% | $48,269,980 | 100.00% | 15.67% | 61.92% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $786,932 | 100.00% | 0.17% | $307,374 | 100.00% | 0.10% | 39.06% |
| 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) | $786,932 | 100.00% | 0.17% | $307,374 | 100.00% | 0.10% | 39.06% |
| 10. | Private Non-Managed Care | $143,811,243 | 100.00% | 31.01% | $97,440,585 | 100.00% | 31.64% | 67.76% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $1,959 | 0.00% | 0.00% | $3,252 | 0.00% | 0.00% | 166.00% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $143,813,202 | 100.00% | 31.01% | $97,443,837 | 100.00% | 31.64% | 67.76% |
| 13. | Self-Pay | $85,380,541 | 100.00% | 18.41% | $18,936,811 | 100.00% | 6.15% | 22.18% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $463,769,677 | 100.00% | $307,961,034 | 100.00% | 66.40% | ||
| 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 | $3,860 | $23,854 | $0 | $640 | $27,074 | 0.02% | $10,791,984 | 6.97% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | ($557,125.00) | -51.99% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $3,860 | $23,854 | $0 | $640 | $27,074 | 0.02% | $10,234,859 | 6.57% |
| 4. | Medicare Non-Managed Care | $268,392 | $70,436 | $1,662,691 | $62 | $2,001,457 | 2.58% | $22,949,766 | 29.59% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | ($60,351.00) | -50.86% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $67,730 | 23.95% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $268,392 | $70,436 | $1,662,691 | $62 | $2,001,457 | 2.57% | $22,957,145 | 29.45% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $439,121 | 55.80% |
| 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% | $439,121 | 55.80% |
| 10. | Private Non-Managed Care | $2,100 | $17,859 | ($15,759.00) | -0.01% | $39,507,262 | 27.47% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | ($2,194.00) | -112.00% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,100 | $17,859 | ($15,759.00) | -0.01% | $39,505,068 | 27.47% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $272,252 | $94,290 | $1,664,791 | $18,561 | $2,012,772 | 0.43% | $73,136,193 | 15.77% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $56,005,168 | $7,786,711 |
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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