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Table 9D: Patient Related Revenue

Delaware Data

X

3 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 $2,095,480 12.81% 5.03% $1,627,225 10.77% 6.05% 77.65%
2a. Medicaid Managed Care (capitated)
2b. Medicaid Managed Care (fee-for-service) $14,260,716 87.19% 34.23% $13,488,627 89.23% 50.18% 94.59%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $16,356,196 100.00% 39.25% $15,115,852 100.00% 56.23% 92.42%
4. Medicare Non-Managed Care $1,795,339 69.14% 4.31% $791,460 69.63% 2.94% 44.08%
5a. Medicare Managed Care (capitated)
5b. Medicare Managed Care (fee-for-service) $801,280 30.86% 1.92% $345,223 30.37% 1.28% 43.08%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $2,596,619 100.00% 6.23% $1,136,683 100.00% 4.23% 43.78%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $300,085 100.00% 0.72% $142,104 100.00% 0.53% 47.35%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated)
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service)
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $300,085 100.00% 0.72% $142,104 100.00% 0.53% 47.35%
10. Private Non-Managed Care $4,473,385 78.82% 10.74% $1,957,038 68.99% 7.28% 43.75%
11a. Private Managed Care (capitated) $53,011 0.93% 0.13% $60,912 2.15% 0.23% 114.90%
11b. Private Managed Care (fee-for-service) $1,148,801 20.24% 2.76% $818,694 28.86% 3.05% 71.27%
12. Total Private (Sum of Lines 10 + 11a + 11b) $5,675,197 100.00% 13.62% $2,836,644 100.00% 10.55% 49.98%
13. Self-Pay $16,739,062 100.00% 40.17% $7,648,541 100.00% 28.45% 45.69%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $41,667,159 100.00% $26,879,824 100.00% 64.51%
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 $311,317 14.86%
2a. Medicaid Managed Care (capitated)
2b. Medicaid Managed Care (fee-for-service) $268,121 1.88%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $579,438 3.54%
4. Medicare Non-Managed Care $740,317 41.24%
5a. Medicare Managed Care (capitated)
5b. Medicare Managed Care (fee-for-service) $504,166 62.92%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $1,244,483 47.93%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $211,922 70.62%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated)
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service)
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $211,922 70.62%
10. Private Non-Managed Care $660,603 $660,603 14.77% $1,654,779 36.99%
11a. Private Managed Care (capitated)
11b. Private Managed Care (fee-for-service) $537,371 46.78%
12. Total Private (Sum of Lines 10 + 11a + 11b) $660,603 $660,603 11.64% $2,192,150 38.63%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $660,603 $660,603 1.59% $4,227,993 10.15%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $6,592,329 $1,524,275

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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