Table 9D: Patient Related Revenue
Vermont Data
11 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 | $72,143,815 | 100.00% | 28.58% | $56,484,978 | 100.00% | 31.78% | 78.29% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $72,143,815 | 100.00% | 28.58% | $56,484,978 | 100.00% | 31.78% | 78.29% |
| 4. | Medicare Non-Managed Care | $60,135,247 | 100.00% | 23.82% | $43,460,388 | 100.00% | 24.45% | 72.27% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $60,135,247 | 100.00% | 23.82% | $43,460,388 | 100.00% | 24.45% | 72.27% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | 0.00% | $0 | 0.00% | |||
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | 0.00% | $0 | 0.00% | |||
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | 0.00% | $0 | 0.00% | |||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | 0.00% | $0 | 0.00% | |||
| 10. | Private Non-Managed Care | $79,248,256 | 100.00% | 31.40% | $51,627,032 | 100.00% | 29.05% | 65.15% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $79,248,256 | 100.00% | 31.40% | $51,627,032 | 100.00% | 29.05% | 65.15% |
| 13. | Self-Pay | $40,893,681 | 100.00% | 16.20% | $26,150,648 | 100.00% | 14.71% | 63.95% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $252,420,999 | 100.00% | $177,723,046 | 100.00% | 70.41% | ||
| 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 | $622,206 | $3,746,570 | $728,448 | $0 | $5,097,224 | 7.07% | $10,811,119 | 14.99% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $622,206 | $3,746,570 | $728,448 | $0 | $5,097,224 | 7.07% | $10,811,119 | 14.99% |
| 4. | Medicare Non-Managed Care | $169,307 | $865,740 | $82,992 | $23 | $1,118,016 | 1.86% | $13,415,827 | 22.31% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $169,307 | $865,740 | $82,992 | $23 | $1,118,016 | 1.86% | $13,415,827 | 22.31% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 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 | ||
| 10. | Private Non-Managed Care | $839,651 | $5,139 | $834,512 | 1.05% | $31,326,516 | 39.53% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | ||||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $839,651 | $5,139 | $834,512 | 1.05% | $31,326,516 | 39.53% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $791,513 | $4,612,310 | $1,651,091 | $5,162 | $7,049,752 | 2.79% | $55,553,462 | 22.01% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $2,340,360 | $3,417,581 |
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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