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Table 9D: Patient Related Revenue

Arizona Data

X

23 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 $372,121,114 47.46% 21.29% $260,283,927 37.03% 24.67% 69.95%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $411,984,679 52.54% 23.57% $442,524,387 62.97% 41.95% 107.41%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $784,105,793 100.00% 44.86% $702,808,314 100.00% 66.62% 89.63%
4. Medicare Non-Managed Care $159,000,296 56.96% 9.10% $73,908,150 51.03% 7.01% 46.48%
5a. Medicare Managed Care (capitated) $2,805,055 1.00% 0.16% $2,144,195 1.48% 0.20% 76.44%
5b. Medicare Managed Care (fee-for-service) $117,343,644 42.04% 6.71% $68,794,411 47.49% 6.52% 58.63%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $279,148,995 100.00% 15.97% $144,846,756 100.00% 13.73% 51.89%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $10,085,242 100.00% 0.58% $7,207,109 100.00% 0.68% 71.46%
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%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $10,085,242 100.00% 0.58% $7,207,109 100.00% 0.68% 71.46%
10. Private Non-Managed Care $382,470,542 92.30% 21.88% $141,899,684 91.85% 13.45% 37.10%
11a. Private Managed Care (capitated) $3,290,099 0.79% 0.19% $3,125,594 2.02% 0.30% 95.00%
11b. Private Managed Care (fee-for-service) $28,595,165 6.90% 1.64% $9,460,513 6.12% 0.90% 33.08%
12. Total Private (Sum of Lines 10 + 11a + 11b) $414,355,806 100.00% 23.71% $154,485,791 100.00% 14.64% 37.28%
13. Self-Pay $260,134,706 100.00% 14.88% $45,608,240 100.00% 4.32% 17.53%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,747,830,542 100.00% $1,054,956,210 100.00% 60.36%
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 $15,204,100 $6,441,075 $1,857,157 $442,850 $23,059,482 6.20% $103,550,296 27.83%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $22,778,948 $15,778,390 $9,405,263 $0 $47,962,601 11.64% ($5,012,520.00) -1.22%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $37,983,048 $22,219,465 $11,262,420 $442,850 $71,022,083 9.06% $98,537,776 12.57%
4. Medicare Non-Managed Care $327,138 $1,505,486 $301,791 $0 $2,134,415 1.34% $78,974,976 49.67%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $660,860 23.56%
5b. Medicare Managed Care (fee-for-service) $0 $160,331 $2,900,118 $0 $3,060,449 2.61% $39,974,824 34.07%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $327,138 $1,665,817 $3,201,909 $0 $5,194,864 1.86% $119,610,660 42.85%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,342,524 23.23%
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 0.00% $2,342,524 23.23%
10. Private Non-Managed Care $4,570,621 $0 $4,570,621 1.20% $207,571,164 54.27%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $164,505 5.00%
11b. Private Managed Care (fee-for-service) $50,004 $0 $50,004 0.17% $8,173,267 28.58%
12. Total Private (Sum of Lines 10 + 11a + 11b) $4,620,625 $0 $4,620,625 1.12% $215,908,936 52.11%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $38,310,186 $23,885,282 $19,084,954 $442,850 $80,837,572 4.63% $436,399,896 24.97%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $182,847,793 $11,170,927

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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