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 | $65,296,072 | 61.53% | 14.24% | $50,623,197 | 58.73% | 21.52% | 77.53% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $40,832,566 | 38.47% | 8.91% | $35,573,509 | 41.27% | 15.12% | 87.12% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $106,128,638 | 100.00% | 23.15% | $86,196,706 | 100.00% | 36.64% | 81.22% |
| 4. | Medicare Non-Managed Care | $87,196,512 | 86.53% | 19.02% | $49,084,535 | 87.26% | 20.87% | 56.29% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $13,570,386 | 13.47% | 2.96% | $7,166,845 | 12.74% | 3.05% | 52.81% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $100,766,898 | 100.00% | 21.98% | $56,251,380 | 100.00% | 23.91% | 55.82% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $7,610,004 | 47.47% | 1.66% | $3,244,486 | 32.80% | 1.38% | 42.63% |
| 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) | $6,722,437 | 41.93% | 1.47% | $5,837,746 | 59.02% | 2.48% | 86.84% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $1,698,759 | 10.60% | 0.37% | $809,146 | 8.18% | 0.34% | 47.63% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $16,031,200 | 100.00% | 3.50% | $9,891,378 | 100.00% | 4.21% | 61.70% |
| 10. | Private Non-Managed Care | $131,722,416 | 98.51% | 28.74% | $65,713,810 | 98.60% | 27.94% | 49.89% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $1,993,437 | 1.49% | 0.43% | $932,982 | 1.40% | 0.40% | 46.80% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $133,715,853 | 100.00% | 29.17% | $66,646,792 | 100.00% | 28.33% | 49.84% |
| 13. | Self-Pay | $101,761,436 | 100.00% | 22.20% | $16,241,232 | 100.00% | 6.90% | 15.96% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $458,404,025 | 100.00% | $235,227,488 | 100.00% | 51.31% | ||
| 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 | $14,214,871 | $7,643,826 | $1,829,026 | $820,601 | $22,867,122 | 35.02% | $18,005,223 | 27.57% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $12,771,331 | $4,082,027 | $2,787,029 | $3,001 | $19,637,386 | 48.09% | $16,235,689 | 39.76% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $26,986,202 | $11,725,853 | $4,616,055 | $823,602 | $42,504,508 | 40.05% | $34,240,912 | 32.26% |
| 4. | Medicare Non-Managed Care | $70,335 | $35,201 | $122,638 | $5,193 | $222,981 | 0.26% | $39,185,022 | 44.94% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $1,450 | $3,935 | $195,126 | $512 | $199,999 | 1.47% | $5,473,364 | 40.33% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $71,785 | $39,136 | $317,764 | $5,705 | $422,980 | 0.42% | $44,658,386 | 44.32% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $126,529 | $70,226 | $0 | $279 | $196,476 | 2.58% | $4,256,505 | 55.93% |
| 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) | $37,505 | $261,814 | $0 | $63 | $299,256 | 4.45% | ($4,210,216.00) | -62.63% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $1,399 | ($1,399.00) | -0.08% | ($4,093,141.00) | -240.95% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $164,034 | $332,040 | $0 | $1,741 | $494,333 | 3.08% | ($4,046,852.00) | -25.24% |
| 10. | Private Non-Managed Care | $180,404 | $23,589 | $156,815 | 0.12% | $56,605,145 | 42.97% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $185,117 | $0 | $185,117 | 9.29% | $1,032,106 | 51.78% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $365,521 | $23,589 | $341,932 | 0.26% | $57,637,251 | 43.10% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $27,222,021 | $12,097,029 | $5,299,340 | $854,637 | $43,763,753 | 9.55% | $132,489,697 | 28.90% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $74,468,686 | $7,845,516 |
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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