Table 9D: Patient Related Revenue
Virginia Data
26 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 | $154,864,972 | 87.15% | 31.50% | $108,567,170 | 84.87% | 36.30% | 70.10% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $22,837,626 | 12.85% | 4.64% | $19,356,078 | 15.13% | 6.47% | 84.76% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $177,702,598 | 100.00% | 36.14% | $127,923,248 | 100.00% | 42.77% | 71.99% |
| 4. | Medicare Non-Managed Care | $86,059,105 | 73.37% | 17.50% | $60,669,907 | 75.31% | 20.29% | 70.50% |
| 5a. | Medicare Managed Care (capitated) | $89,148 | 0.08% | 0.02% | $63,157 | 0.08% | 0.02% | 70.85% |
| 5b. | Medicare Managed Care (fee-for-service) | $31,143,805 | 26.55% | 6.33% | $19,821,870 | 24.61% | 6.63% | 63.65% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $117,292,058 | 100.00% | 23.86% | $80,554,934 | 100.00% | 26.94% | 68.68% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $572,569 | 70.00% | 0.12% | $249,903 | 55.29% | 0.08% | 43.65% |
| 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) | $245,407 | 30.00% | 0.05% | $202,105 | 44.71% | 0.07% | 82.36% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $817,976 | 100.00% | 0.17% | $452,008 | 100.00% | 0.15% | 55.26% |
| 10. | Private Non-Managed Care | $106,740,884 | 98.02% | 21.71% | $69,314,687 | 98.89% | 23.18% | 64.94% |
| 11a. | Private Managed Care (capitated) | $5,911 | 0.01% | 0.00% | $37,183 | 0.05% | 0.01% | 629.05% |
| 11b. | Private Managed Care (fee-for-service) | $2,152,112 | 1.98% | 0.44% | $741,337 | 1.06% | 0.25% | 34.45% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $108,898,907 | 100.00% | 22.15% | $70,093,207 | 100.00% | 23.44% | 64.37% |
| 13. | Self-Pay | $86,960,122 | 100.00% | 17.69% | $20,040,003 | 100.00% | 6.70% | 23.05% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $491,671,661 | 100.00% | $299,063,400 | 100.00% | 60.83% | ||
| 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 | $24,272,080 | $15,555,084 | $1,097,225 | $70,597 | $40,853,792 | 26.38% | $41,531,961 | 26.82% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $6,758,418 | $2,221,400 | $573,437 | $0 | $9,553,255 | 41.83% | $3,323,075 | 14.55% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $31,030,498 | $17,776,484 | $1,670,662 | $70,597 | $50,407,047 | 28.37% | $44,855,036 | 25.24% |
| 4. | Medicare Non-Managed Care | $2,972,482 | $687,952 | $201,593 | $0 | $3,862,027 | 4.49% | $24,729,573 | 28.74% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $25,991 | 29.15% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $391,245 | $0 | $391,245 | 1.26% | $11,960,344 | 38.40% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $2,972,482 | $687,952 | $592,838 | $0 | $4,253,272 | 3.63% | $36,715,908 | 31.30% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $360 | $0 | $360 | 0.06% | $426,263 | 74.45% |
| 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 | 0.00% | $42,918 | 17.49% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $360 | $0 | $360 | 0.04% | $469,181 | 57.36% |
| 10. | Private Non-Managed Care | $604,982 | $1,078 | $603,904 | 0.57% | $35,696,066 | 33.44% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $2,369 | 40.08% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $1,289,566 | 59.92% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $604,982 | $1,078 | $603,904 | 0.55% | $36,988,001 | 33.97% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $34,002,980 | $18,464,436 | $2,868,842 | $71,675 | $55,264,583 | 11.24% | $119,028,126 | 24.21% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $48,158,408 | $7,547,935 |
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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