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Table 9D: Patient Related Revenue

Indiana Data

X

26 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 $56,304,823 21.10% 9.54% $98,890,887 25.93% 18.59% 175.63%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $210,582,253 78.90% 35.68% $282,429,849 74.07% 53.09% 134.12%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $266,887,076 100.00% 45.22% $381,320,736 100.00% 71.68% 142.88%
4. Medicare Non-Managed Care $56,634,621 75.22% 9.60% $34,603,313 78.87% 6.50% 61.10%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $18,661,195 24.78% 3.16% $9,272,101 21.13% 1.74% 49.69%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $75,295,816 100.00% 12.76% $43,875,414 100.00% 8.25% 58.27%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $509,941 100.00% 0.09% $287,687 100.00% 0.05% 56.42%
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) $509,941 100.00% 0.09% $287,687 100.00% 0.05% 56.42%
10. Private Non-Managed Care $150,053,763 97.93% 25.42% $69,246,752 98.25% 13.02% 46.15%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $3,179,090 2.07% 0.54% $1,231,464 1.75% 0.23% 38.74%
12. Total Private (Sum of Lines 10 + 11a + 11b) $153,232,853 100.00% 25.96% $70,478,216 100.00% 13.25% 45.99%
13. Self-Pay $94,293,878 100.00% 15.98% $36,044,891 100.00% 6.78% 38.23%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $590,219,564 100.00% $532,006,944 100.00% 90.14%
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 $44,739,712 $7,642,652 $157,417 $310 $52,539,471 93.31% $13,522,349 24.02%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $148,125,506 $23,700,024 $2,534,298 $0 $174,359,828 82.80% ($13,939,210.00) -6.62%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $192,865,218 $31,342,676 $2,691,715 $310 $226,899,299 85.02% ($416,861.00) -0.16%
4. Medicare Non-Managed Care $43 $96,428 $74,199 $0 $170,670 0.30% $18,847,526 33.28%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $31,770 $0 $31,770 0.17% $8,467,647 45.38%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $43 $96,428 $105,969 $0 $202,440 0.27% $27,315,173 36.28%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $196,567 38.55%
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% $196,567 38.55%
10. Private Non-Managed Care $649,190 $0 $649,190 0.43% $57,947,787 38.62%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $1,686,094 53.04%
12. Total Private (Sum of Lines 10 + 11a + 11b) $649,190 $0 $649,190 0.42% $59,633,881 38.92%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $192,865,261 $31,439,104 $3,446,874 $310 $227,750,929 38.59% $86,728,760 14.69%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $47,680,450 $14,670,097

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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