Table 9D: Patient Related Revenue
Wisconsin Data
16 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 | $182,743,782 | 89.47% | 52.99% | $185,810,707 | 93.75% | 73.54% | 101.68% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $21,518,161 | 10.53% | 6.24% | $12,388,193 | 6.25% | 4.90% | 57.57% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $204,261,943 | 100.00% | 59.23% | $198,198,900 | 100.00% | 78.44% | 97.03% |
| 4. | Medicare Non-Managed Care | $26,938,743 | 83.38% | 7.81% | $9,377,746 | 81.61% | 3.71% | 34.81% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $5,370,020 | 16.62% | 1.56% | $2,113,097 | 18.39% | 0.84% | 39.35% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $32,308,763 | 100.00% | 9.37% | $11,490,843 | 100.00% | 4.55% | 35.57% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $48,163 | 54.47% | 0.01% | $13,543 | 29.57% | 0.01% | 28.12% |
| 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% | |
| 8c. | Other Public, including COVID-19 Uninsured Program | $40,260 | 45.53% | 0.01% | $32,259 | 70.43% | 0.01% | 80.13% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $88,423 | 100.00% | 0.03% | $45,802 | 100.00% | 0.02% | 51.80% |
| 10. | Private Non-Managed Care | $45,835,349 | 81.70% | 13.29% | $26,844,881 | 81.19% | 10.62% | 58.57% |
| 11a. | Private Managed Care (capitated) | $4,934,212 | 8.80% | 1.43% | $2,760,932 | 8.35% | 1.09% | 55.95% |
| 11b. | Private Managed Care (fee-for-service) | $5,330,760 | 9.50% | 1.55% | $3,458,538 | 10.46% | 1.37% | 64.88% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $56,100,321 | 100.00% | 16.27% | $33,064,351 | 100.00% | 13.09% | 58.94% |
| 13. | Self-Pay | $52,089,562 | 100.00% | 15.11% | $9,875,220 | 100.00% | 3.91% | 18.96% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $344,849,012 | 100.00% | $252,675,116 | 100.00% | 73.27% | ||
| 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 | $85,938,018 | $23,647,779 | $0 | $82,500 | $109,503,297 | 59.92% | $37,546,617 | 20.55% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $5,050,954 | $1,448,647 | $0 | $167,500 | $6,332,101 | 29.43% | $12,064,700 | 56.07% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $90,988,972 | $25,096,426 | $0 | $250,000 | $115,835,398 | 56.71% | $49,611,317 | 24.29% |
| 4. | Medicare Non-Managed Care | $10,169 | $57,803 | $0 | $0 | $67,972 | 0.25% | $15,693,156 | 58.25% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $3,353,379 | 62.45% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $10,169 | $57,803 | $0 | $0 | $67,972 | 0.21% | $19,046,535 | 58.95% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $43,347 | 90.00% |
| 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 | ||
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $34,070 | 84.62% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $0 | $0 | 0.00% | $77,417 | 87.55% |
| 10. | Private Non-Managed Care | $0 | $0 | $0 | 0.00% | $16,104,537 | 35.14% | ||
| 11a. | Private Managed Care (capitated) | $74,968 | $0 | $74,968 | 1.52% | $2,173,280 | 44.05% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $2,266,179 | 42.51% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $74,968 | $0 | $74,968 | 0.13% | $20,543,996 | 36.62% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $90,999,141 | $25,154,229 | $74,968 | $250,000 | $115,978,338 | 33.63% | $89,279,265 | 25.89% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $35,322,289 | $5,812,771 |
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.
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