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Table 9D: Patient Service Revenue

Kentucky Data

X
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 $553,780,910 98.19% 43.44% $410,374,402 97.65% 52.29% 74.10%
2a. Medicaid Managed Care (capitated) $465,805 0.08% 0.04% $465,805 0.11% 0.06% 100.00%
2b. Medicaid Managed Care (fee-for-service) $9,734,097 1.73% 0.76% $9,399,360 2.24% 1.20% 96.56%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $563,980,812 100.00% 44.24% $420,239,567 100.00% 53.55% 74.51%
4. Medicare Non-Managed Care $206,877,489 99.87% 16.23% $117,316,365 99.92% 14.95% 56.71%
5a. Medicare Managed Care (capitated) $20,910 0.01% 0.00% $20,910 0.02% 0.00% 100.00%
5b. Medicare Managed Care (fee-for-service) $245,655 0.12% 0.02% $75,951 0.06% 0.01% 30.92%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $207,144,054 100.00% 16.25% $117,413,226 100.00% 14.96% 56.68%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $644,447 100.00% 0.05% $575,027 100.00% 0.07% 89.23%
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 (specify _______) (Sum of Lines 7 + 8a + 8b) $644,447 100.00% 0.05% $575,027 100.00% 0.07% 89.23%
10. Private Non-Managed Care $388,009,359 99.98% 30.43% $205,289,223 99.96% 26.16% 52.91%
11a. Private Managed Care (capitated) $75,460 0.02% 0.01% $75,460 0.04% 0.01% 100.00%
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) $388,084,819 100.00% 30.44% $205,364,683 100.00% 26.17% 52.92%
13. Self-Pay $115,055,806 100.00% 9.02% $41,198,025 100.00% 5.25% 35.81%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,274,909,938 100.00% $784,790,528 100.00% 61.56%
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 $101,069,172 $11,571,840 $7,307,017 $176 $119,947,853 21.66% $142,389,337 25.71%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $0 0.00%
2b. Medicaid Managed Care (fee-for-service) $3,466,655 $307,780 $0 $0 $3,774,435 38.78% $283,202 2.91%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $104,535,827 $11,879,620 $7,307,017 $176 $123,722,288 21.94% $142,672,539 25.30%
4. Medicare Non-Managed Care $1,278,437 $671,268 $1,491,686 $258 $3,441,133 1.66% $94,023,923 45.45%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $0 0.00%
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $159,724 65.02%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $1,278,437 $671,268 $1,491,686 $258 $3,441,133 1.66% $94,183,647 45.47%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $34,961 5.42%
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 (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $34,961 5.42%
10. Private Non-Managed Care $2,721,629 $3,919 $2,717,710 0.70% $172,372,569 44.42%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $0 0.00%
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $2,721,629 $3,919 $2,717,710 0.70% $172,372,569 44.42%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $105,814,264 $12,550,888 $11,520,332 $4,353 $129,881,131 10.19% $409,263,716 32.10%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $45,503,701 $19,374,023

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

Cells that are shaded blue represent data that was not reported or null values.

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