Table 9D: Patient Related Revenue
Tennessee Data
29 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 | $72,587,790 | 56.82% | 14.23% | $51,186,548 | 55.74% | 20.24% | 70.52% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $55,170,559 | 43.18% | 10.82% | $40,647,440 | 44.26% | 16.07% | 73.68% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $127,758,349 | 100.00% | 25.05% | $91,833,988 | 100.00% | 36.31% | 71.88% |
| 4. | Medicare Non-Managed Care | $101,550,657 | 89.84% | 19.91% | $57,781,920 | 91.24% | 22.85% | 56.90% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $11,489,934 | 10.16% | 2.25% | $5,546,884 | 8.76% | 2.19% | 48.28% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $113,040,591 | 100.00% | 22.17% | $63,328,804 | 100.00% | 25.04% | 56.02% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $12,551,418 | 64.84% | 2.46% | $4,885,847 | 46.09% | 1.93% | 38.93% |
| 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) | $6,805,846 | 35.16% | 1.33% | $5,715,159 | 53.91% | 2.26% | 83.97% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $19,357,264 | 100.00% | 3.80% | $10,601,006 | 100.00% | 4.19% | 54.77% |
| 10. | Private Non-Managed Care | $137,559,926 | 98.33% | 26.98% | $65,215,617 | 98.49% | 25.79% | 47.41% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $2,336,193 | 1.67% | 0.46% | $996,978 | 1.51% | 0.39% | 42.68% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $139,896,119 | 100.00% | 27.43% | $66,212,595 | 100.00% | 26.18% | 47.33% |
| 13. | Self-Pay | $109,895,567 | 100.00% | 21.55% | $20,941,172 | 100.00% | 8.28% | 19.06% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $509,947,890 | 100.00% | $252,917,565 | 100.00% | 49.60% | ||
| 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 | $15,198,509 | $4,926,303 | $1,839,180 | $785 | $21,963,207 | 30.26% | $24,561,615 | 33.84% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $1,291 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $9,141,074 | $5,948,275 | $2,817,670 | $50,223 | $17,856,796 | 32.37% | $11,190,696 | 20.28% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $24,339,583 | $10,874,578 | $4,656,850 | $51,008 | $39,820,003 | 31.17% | $35,753,602 | 27.99% |
| 4. | Medicare Non-Managed Care | $258,978 | $160,430 | $360,637 | $3,207 | $776,838 | 0.76% | $43,698,608 | 43.03% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $10,950 | $0 | $156,185 | $1,791 | $165,344 | 1.44% | $5,252,721 | 45.72% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $269,928 | $160,430 | $516,822 | $4,998 | $942,182 | 0.83% | $48,951,329 | 43.30% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $159,318 | $37,953 | $0 | $62 | $197,209 | 1.57% | $6,184,771 | 49.28% |
| 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) | $102,435 | $415,054 | $0 | $661 | $516,828 | 7.59% | ($3,899,512.00) | -57.30% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $261,753 | $453,007 | $0 | $723 | $714,037 | 3.69% | $2,285,259 | 11.81% |
| 10. | Private Non-Managed Care | $389,938 | $26,647 | $363,291 | 0.26% | $64,507,142 | 46.89% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $213,824 | $0 | $213,824 | 9.15% | $990,525 | 42.40% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $603,762 | $26,647 | $577,115 | 0.41% | $65,497,667 | 46.82% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $24,871,264 | $11,488,015 | $5,777,434 | $83,376 | $42,053,337 | 8.25% | $152,487,857 | 29.90% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $78,685,001 | $16,713,707 |
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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