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Table 9D: Patient Related Revenue

District of Columbia Data

X

8 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 $139,885,854 78.84% 36.70% $156,136,395 77.18% 43.41% 111.62%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $37,541,014 21.16% 9.85% $46,165,569 22.82% 12.84% 122.97%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $177,426,868 100.00% 46.55% $202,301,964 100.00% 56.25% 114.02%
4. Medicare Non-Managed Care $42,689,089 99.67% 11.20% $38,118,372 98.05% 10.60% 89.29%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $142,186 0.33% 0.04% $757,602 1.95% 0.21% 532.82%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $42,831,275 100.00% 11.24% $38,875,974 100.00% 10.81% 90.77%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $65,786,384 99.23% 17.26% $61,921,344 99.78% 17.22% 94.12%
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) $509,736 0.77% 0.13% $134,995 0.22% 0.04% 26.48%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $66,296,120 100.00% 17.40% $62,056,339 100.00% 17.25% 93.60%
10. Private Non-Managed Care $57,106,552 99.98% 14.98% $49,783,812 99.98% 13.84% 87.18%
11a. Private Managed Care (capitated) $14,102 0.02% 0.00% $12,137 0.02% 0.00% 86.07%
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) $57,120,654 100.00% 14.99% $49,795,949 100.00% 13.85% 87.18%
13. Self-Pay $37,438,348 100.00% 9.82% $6,617,458 100.00% 1.84% 17.68%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $381,113,265 100.00% $359,647,684 100.00% 94.37%
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 $0 $28,937 $784,828 $8,232 $805,533 0.58% ($13,528,161.00) -9.67%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% ($8,828,332.00) -23.52%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $28,937 $784,828 $8,232 $805,533 0.45% ($22,356,493.00) -12.60%
4. Medicare Non-Managed Care $0 $0 $178,196 $3,344 $174,852 0.41% $8,915,100 20.88%
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% ($764,866.00) -537.93%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $0 $178,196 $3,344 $174,852 0.41% $8,150,234 19.03%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $325 $0 $325 0.00% $5,986,358 9.10%
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% $347,657 68.20%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $325 $0 $325 0.00% $6,334,015 9.55%
10. Private Non-Managed Care $9,439 $2,948 $6,491 0.01% $5,686,275 9.96%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $1,965 13.93%
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $9,439 $2,948 $6,491 0.01% $5,688,240 9.96%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $28,937 $972,788 $14,524 $987,201 0.26% ($2,184,004.00) -0.57%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $16,984,260 $7,792,026

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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