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Table 9D: Patient Related Revenue

Maine Data

X

18 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 $81,692,162 100.00% 28.48% $106,096,226 100.00% 43.51% 129.87%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $81,692,162 100.00% 28.48% $106,096,226 100.00% 43.51% 129.87%
4. Medicare Non-Managed Care $80,878,204 99.73% 28.20% $55,239,938 99.73% 22.66% 68.30%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $219,318 0.27% 0.08% $151,887 0.27% 0.06% 69.25%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $81,097,522 100.00% 28.27% $55,391,825 100.00% 22.72% 68.30%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $16,541 100.00% 0.01% $14,090 100.00% 0.01% 85.18%
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) $16,541 100.00% 0.01% $14,090 100.00% 0.01% 85.18%
10. Private Non-Managed Care $100,468,638 99.75% 35.03% $67,793,143 99.74% 27.81% 67.48%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $247,521 0.25% 0.09% $180,058 0.26% 0.07% 72.74%
12. Total Private (Sum of Lines 10 + 11a + 11b) $100,716,159 100.00% 35.11% $67,973,201 100.00% 27.88% 67.49%
13. Self-Pay $23,320,865 100.00% 8.13% $14,340,137 100.00% 5.88% 61.49%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $286,843,249 100.00% $243,815,479 100.00% 85.00%
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 $7,826,445 $0 $7,826,445 9.58% ($13,008,597.00) -15.92%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $7,826,445 $0 $7,826,445 9.58% ($13,008,597.00) -15.92%
4. Medicare Non-Managed Care $41,384 $265,784 $450,486 $0 $757,654 0.94% $18,958,820 23.44%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $9,496 $0 $9,496 4.33% $79,886 36.42%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $41,384 $265,784 $459,982 $0 $767,150 0.95% $19,038,706 23.48%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $5,559 33.61%
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% $5,559 33.61%
10. Private Non-Managed Care $4,443,923 $374,317 $4,069,606 4.05% $30,007,222 29.87%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $29,319 $0 $29,319 11.85% $28,882 11.67%
12. Total Private (Sum of Lines 10 + 11a + 11b) $4,473,242 $374,317 $4,098,925 4.07% $30,036,104 29.82%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $41,384 $265,784 $12,759,669 $374,317 $12,692,520 4.42% $36,071,772 12.58%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $3,778,727 $4,004,801

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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