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Table 9D: Patient Service Revenue

Virginia 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 $183,149,562 84.21% 29.30% $141,076,071 78.78% 35.77% 77.03%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $34,344,730 15.79% 5.49% $37,998,331 21.22% 9.63% 110.64%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $217,494,292 100.00% 34.79% $179,074,402 100.00% 45.40% 82.34%
4. Medicare Non-Managed Care $115,125,096 75.51% 18.42% $72,503,272 74.15% 18.38% 62.98%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $37,342,827 24.49% 5.97% $25,271,506 25.85% 6.41% 67.67%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $152,467,923 100.00% 24.39% $97,774,778 100.00% 24.79% 64.13%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $395,131 85.05% 0.06% $216,693 86.88% 0.05% 54.84%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $48,585 10.46% 0.01% $24,717 9.91% 0.01% 50.87%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $20,877 4.49% 0.00% $8,020 3.22% 0.00% 38.42%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $464,593 100.00% 0.07% $249,430 100.00% 0.06% 53.69%
10. Private Non-Managed Care $145,786,612 94.48% 23.32% $85,560,771 94.66% 21.69% 58.69%
11a. Private Managed Care (capitated) $14,326 0.01% 0.00% $7,373 0.01% 0.00% 51.47%
11b. Private Managed Care (fee-for-service) $8,502,035 5.51% 1.36% $4,818,195 5.33% 1.22% 56.67%
12. Total Private (Sum of Lines 10 + 11a + 11b) $154,302,973 100.00% 24.69% $90,386,339 100.00% 22.92% 58.58%
13. Self-Pay $100,351,994 100.00% 16.05% $26,942,234 100.00% 6.83% 26.85%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $625,081,775 100.00% $394,427,183 100.00% 63.10%
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 $31,062,147 $26,854,349 $913,156 $1,184 $58,828,468 32.12% $42,765,355 23.35%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $13,998,898 $5,361,167 $1,456,426 $0 $20,816,491 60.61% $18,821,677 54.80%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $45,061,045 $32,215,516 $2,369,582 $1,184 $79,644,959 36.62% $61,587,032 28.32%
4. Medicare Non-Managed Care $734,184 $902,574 $851,750 $618 $2,487,890 2.16% $36,227,146 31.47%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $814,311 $0 $814,311 2.18% $12,592,588 33.72%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $734,184 $902,574 $1,666,061 $618 $3,302,201 2.17% $48,819,734 32.02%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $231,230 58.52%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $16,593 34.15%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $11,590 55.52%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $259,413 55.84%
10. Private Non-Managed Care $992,938 $2,913 $990,025 0.68% $52,540,991 36.04%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $2,768 19.32%
11b. Private Managed Care (fee-for-service) $310,769 $0 $310,769 3.66% $4,190,388 49.29%
12. Total Private (Sum of Lines 10 + 11a + 11b) $1,303,707 $2,913 $1,300,794 0.84% $56,734,147 36.77%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $45,795,229 $33,118,090 $5,339,350 $4,715 $84,247,954 13.48% $167,400,326 26.78%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $60,582,065 $6,065,257

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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