Skip to main content

Table 9D: Patient Related Revenue

Hawaii Data

X

13 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 $4,859,410 2.88% 1.65% $3,094,884 1.81% 1.31% 63.69%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $164,085,057 97.12% 55.76% $168,299,140 98.19% 71.00% 102.57%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $168,944,467 100.00% 57.41% $171,394,024 100.00% 72.31% 101.45%
4. Medicare Non-Managed Care $23,310,678 42.03% 7.92% $13,034,185 43.74% 5.50% 55.92%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $32,151,087 57.97% 10.93% $16,762,285 56.26% 7.07% 52.14%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $55,461,765 100.00% 18.85% $29,796,470 100.00% 12.57% 53.72%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $3,789 100.00% 0.00% $2,066 100.00% 0.00% 54.53%
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) $3,789 100.00% 0.00% $2,066 100.00% 0.00% 54.53%
10. Private Non-Managed Care $50,864,810 89.84% 17.29% $27,017,264 90.57% 11.40% 53.12%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $5,750,456 10.16% 1.95% $2,812,621 9.43% 1.19% 48.91%
12. Total Private (Sum of Lines 10 + 11a + 11b) $56,615,266 100.00% 19.24% $29,829,885 100.00% 12.59% 52.69%
13. Self-Pay $13,231,700 100.00% 4.50% $6,002,283 100.00% 2.53% 45.36%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $294,256,987 100.00% $237,024,728 100.00% 80.55%
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 $0 $0 $0 0.00% $1,176,865 24.22%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $5,554,000 $14,655,276 $4,533,809 $0 $24,743,085 15.08% ($2,086,381.00) -1.27%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $5,554,000 $14,655,276 $4,533,809 $0 $24,743,085 14.65% ($909,516.00) -0.54%
4. Medicare Non-Managed Care $0 $248,655 $61,007 $0 $309,662 1.33% $8,422,352 36.13%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $24,705 $237,749 $0 $262,454 0.82% $12,845,355 39.95%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $273,360 $298,756 $0 $572,116 1.03% $21,267,707 38.35%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $783 20.67%
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
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $783 20.67%
10. Private Non-Managed Care $183,309 $0 $183,309 0.36% $22,758,613 44.74%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $23,881 $0 $23,881 0.42% $2,641,522 45.94%
12. Total Private (Sum of Lines 10 + 11a + 11b) $207,190 $0 $207,190 0.37% $25,400,135 44.86%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $5,554,000 $14,928,636 $5,039,755 $0 $25,522,391 8.67% $45,759,109 15.55%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $5,767,315 $2,007,913

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.

View Detailed UDS Footnotes

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.