Table 9D: Patient Related Revenue
Oregon Data
30 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 | $87,356,348 | 20.03% | 11.90% | $104,870,062 | 15.06% | 12.14% | 120.05% |
| 2a. | Medicaid Managed Care (capitated) | $97,503,814 | 22.35% | 13.29% | $232,469,242 | 33.39% | 26.92% | 238.42% |
| 2b. | Medicaid Managed Care (fee-for-service) | $251,362,482 | 57.62% | 34.25% | $358,902,576 | 51.55% | 41.56% | 142.78% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $436,222,644 | 100.00% | 59.44% | $696,241,880 | 100.00% | 80.62% | 159.61% |
| 4. | Medicare Non-Managed Care | $117,978,820 | 81.61% | 16.07% | $68,409,544 | 77.49% | 7.92% | 57.98% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $6,188 | 0.01% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $26,577,882 | 18.39% | 3.62% | $19,862,429 | 22.50% | 2.30% | 74.73% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $144,556,702 | 100.00% | 19.70% | $88,278,161 | 100.00% | 10.22% | 61.07% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,336,465 | 100.00% | 0.18% | $713,137 | 100.00% | 0.08% | 53.36% |
| 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) | $1,336,465 | 100.00% | 0.18% | $713,137 | 100.00% | 0.08% | 53.36% |
| 10. | Private Non-Managed Care | $87,441,491 | 94.82% | 11.91% | $59,717,113 | 96.11% | 6.91% | 68.29% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $152,589 | 0.25% | 0.02% | |
| 11b. | Private Managed Care (fee-for-service) | $4,780,212 | 5.18% | 0.65% | $2,263,925 | 3.64% | 0.26% | 47.36% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $92,221,703 | 100.00% | 12.57% | $62,133,627 | 100.00% | 7.19% | 67.37% |
| 13. | Self-Pay | $59,590,648 | 100.00% | 8.12% | $16,270,653 | 100.00% | 1.88% | 27.30% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $733,928,162 | 100.00% | $863,637,458 | 100.00% | 117.67% | ||
| 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 | $29,023,673 | $16,369,800 | $3,842,511 | $503 | $49,235,481 | 56.36% | ($7,565,455.00) | -8.66% |
| 2a. | Medicaid Managed Care (capitated) | $30,088,140 | $15,854,646 | $38,692,975 | $1,950 | $84,633,811 | 86.80% | ($127,185,944.00) | -130.44% |
| 2b. | Medicaid Managed Care (fee-for-service) | $131,097,977 | $63,144,197 | $13,627,887 | $1,325 | $207,868,736 | 82.70% | ($82,507,329.00) | -32.82% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $190,209,790 | $95,368,643 | $56,163,373 | $3,778 | $341,738,028 | 78.34% | ($217,258,728.00) | -49.80% |
| 4. | Medicare Non-Managed Care | $428,951 | $343,127 | $326,338 | $1,254 | $1,097,162 | 0.93% | $42,114,197 | 35.70% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $4,494 | $0 | $4,494 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $1,043,249 | $70,933 | $888,506 | $2,701 | $1,999,987 | 7.53% | $4,478,678 | 16.85% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $1,472,200 | $414,060 | $1,219,338 | $3,955 | $3,101,643 | 2.15% | $46,592,875 | 32.23% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $120 | $0 | $0 | $120 | $0 | 0.00% | $603,163 | 45.13% |
| 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) | $120 | $0 | $0 | $120 | $0 | 0.00% | $603,163 | 45.13% |
| 10. | Private Non-Managed Care | $255,389 | $574 | $254,815 | 0.29% | $24,727,350 | 28.28% | ||
| 11a. | Private Managed Care (capitated) | $11,215 | $0 | $11,215 | ($122,316.00) | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $1,886 | ($1,886.00) | -0.04% | $1,744,500 | 36.49% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $266,604 | $2,460 | $264,144 | 0.29% | $26,349,534 | 28.57% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $191,682,110 | $95,782,703 | $57,649,315 | $10,313 | $345,103,815 | 47.02% | ($143,713,156.00) | -19.58% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $36,094,416 | $4,189,696 |
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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