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Table 9D: Patient Related Revenue

Ohio Data

X

51 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 $630,927,807 94.12% 47.73% $522,319,856 95.22% 57.16% 82.79%
2a. Medicaid Managed Care (capitated) $12,903 0.00% 0.00% $11,480 0.00% 0.00% 88.97%
2b. Medicaid Managed Care (fee-for-service) $39,403,222 5.88% 2.98% $26,190,910 4.77% 2.87% 66.47%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $670,343,932 100.00% 50.71% $548,522,246 100.00% 60.03% 81.83%
4. Medicare Non-Managed Care $234,480,314 94.60% 17.74% $164,387,281 96.57% 17.99% 70.11%
5a. Medicare Managed Care (capitated) $3,343 0.00% 0.00% $1,872 0.00% 0.00% 56.00%
5b. Medicare Managed Care (fee-for-service) $13,370,254 5.39% 1.01% $5,845,068 3.43% 0.64% 43.72%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $247,853,911 100.00% 18.75% $170,234,221 100.00% 18.63% 68.68%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $6,262,510 100.00% 0.47% $4,067,771 100.00% 0.45% 64.95%
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) $6,262,510 100.00% 0.47% $4,067,771 100.00% 0.45% 64.95%
10. Private Non-Managed Care $263,872,137 99.80% 19.96% $150,784,921 99.79% 16.50% 57.14%
11a. Private Managed Care (capitated) $138,628 0.05% 0.01% $53,576 0.04% 0.01% 38.65%
11b. Private Managed Care (fee-for-service) $383,531 0.15% 0.03% $260,740 0.17% 0.03% 67.98%
12. Total Private (Sum of Lines 10 + 11a + 11b) $264,394,296 100.00% 20.00% $151,099,237 100.00% 16.54% 57.15%
13. Self-Pay $133,112,552 100.00% 10.07% $39,789,520 100.00% 4.35% 29.89%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,321,967,201 100.00% $913,712,995 100.00% 69.12%
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 $79,702,635 $36,120,030 $25,000,123 $67,595 $140,755,193 22.31% $132,626,567 21.02%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $2,323 18.00%
2b. Medicaid Managed Care (fee-for-service) $1,596,902 $1,524,508 $1,480,022 $1,706 $4,599,726 11.67% $10,127,448 25.70%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $81,299,537 $37,644,538 $26,480,145 $69,301 $145,354,919 21.68% $142,756,338 21.30%
4. Medicare Non-Managed Care $1,380,277 $461,674 $1,321,482 $50,560 $3,112,873 1.33% $64,716,444 27.60%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $380 11.37%
5b. Medicare Managed Care (fee-for-service) $135,818 $20,707 $322,752 $1,324 $477,953 3.57% $6,666,015 49.86%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $1,516,095 $482,381 $1,644,234 $51,884 $3,590,826 1.45% $71,382,839 28.80%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $59,959 $6,070 $0 $0 $66,029 1.05% $2,199,159 35.12%
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) $59,959 $6,070 $0 $0 $66,029 1.05% $2,199,159 35.12%
10. Private Non-Managed Care $2,887,376 $24,416 $2,862,960 1.08% $88,289,685 33.46%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $99,937 72.09%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $113,040 29.47%
12. Total Private (Sum of Lines 10 + 11a + 11b) $2,887,376 $24,416 $2,862,960 1.08% $88,502,662 33.47%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $82,875,591 $38,132,989 $31,011,755 $145,601 $151,874,734 11.49% $304,840,998 23.06%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $64,621,675 $18,155,561

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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