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Table 9D: Patient Related Revenue

Georgia Data

X

35 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 $99,406,574 53.28% 10.56% $58,609,759 54.82% 11.77% 58.96%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $87,151,734 46.72% 9.26% $48,297,949 45.18% 9.70% 55.42%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $186,558,308 100.00% 19.82% $106,907,708 100.00% 21.47% 57.31%
4. Medicare Non-Managed Care $188,716,945 88.84% 20.05% $111,226,697 89.85% 22.34% 58.94%
5a. Medicare Managed Care (capitated) $491,955 0.23% 0.05% $367,851 0.30% 0.07% 74.77%
5b. Medicare Managed Care (fee-for-service) $23,220,746 10.93% 2.47% $12,193,204 9.85% 2.45% 52.51%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $212,429,646 100.00% 22.57% $123,787,752 100.00% 24.86% 58.27%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $4,884,434 99.92% 0.52% $3,197,366 99.90% 0.64% 65.46%
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) $3,821 0.08% 0.00% $3,224 0.10% 0.00% 84.38%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $4,888,255 100.00% 0.52% $3,200,590 100.00% 0.64% 65.48%
10. Private Non-Managed Care $341,087,958 95.04% 36.24% $207,972,913 95.33% 41.77% 60.97%
11a. Private Managed Care (capitated) $40,244 0.01% 0.00% $22,106 0.01% 0.00% 54.93%
11b. Private Managed Care (fee-for-service) $17,774,968 4.95% 1.89% $10,156,842 4.66% 2.04% 57.14%
12. Total Private (Sum of Lines 10 + 11a + 11b) $358,903,170 100.00% 38.13% $218,151,861 100.00% 43.82% 60.78%
13. Self-Pay $178,471,796 100.00% 18.96% $45,798,156 100.00% 9.20% 25.66%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $941,251,175 100.00% $497,846,067 100.00% 52.89%
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 $0 $111,234 $0 $111,234 0.11% $36,564,836 36.78%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $508,677 $0 $508,677 0.58% $32,505,941 37.30%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $619,911 $0 $619,911 0.33% $69,070,777 37.02%
4. Medicare Non-Managed Care $419,684 $379,658 $535,126 $0 $1,334,468 0.71% $71,020,957 37.63%
5a. Medicare Managed Care (capitated) $0 $0 $100,000 $0 $100,000 20.33% $124,104 25.23%
5b. Medicare Managed Care (fee-for-service) $0 $0 $213,641 $0 $213,641 0.92% $10,397,205 44.78%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $419,684 $379,658 $848,767 $0 $1,648,109 0.78% $81,542,266 38.39%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $1,253,807 25.67%
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% $2,516 65.85%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $1,256,323 25.70%
10. Private Non-Managed Care $142,115 $0 $142,115 0.04% $109,484,229 32.10%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $18,138 45.07%
11b. Private Managed Care (fee-for-service) $66,344 $0 $66,344 0.37% $6,933,327 39.01%
12. Total Private (Sum of Lines 10 + 11a + 11b) $208,459 $0 $208,459 0.06% $116,435,694 32.44%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $419,684 $379,658 $1,677,137 $0 $2,476,479 0.26% $268,305,060 28.51%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $88,263,357 $33,768,899

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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