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Table 9D: Patient Related Revenue

Vermont Data

X

11 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 $72,118,769 100.00% 26.58% $63,093,912 100.00% 32.78% 87.49%
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) $72,118,769 100.00% 26.58% $63,093,912 100.00% 32.78% 87.49%
4. Medicare Non-Managed Care $68,953,970 99.54% 25.42% $45,381,623 99.65% 23.58% 65.81%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $316,688 0.46% 0.12% $158,857 0.35% 0.08% 50.16%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $69,270,658 100.00% 25.53% $45,540,480 100.00% 23.66% 65.74%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $95,503 100.00% 0.04% $19,561 100.00% 0.01% 20.48%
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) $95,503 100.00% 0.04% $19,561 100.00% 0.01% 20.48%
10. Private Non-Managed Care $96,927,158 99.98% 35.73% $54,579,797 99.98% 28.36% 56.31%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $17,173 0.02% 0.01% $10,350 0.02% 0.01% 60.27%
12. Total Private (Sum of Lines 10 + 11a + 11b) $96,944,331 100.00% 35.73% $54,590,147 100.00% 28.36% 56.31%
13. Self-Pay $32,874,617 100.00% 12.12% $29,218,621 100.00% 15.18% 88.88%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $271,303,878 100.00% $192,462,721 100.00% 70.94%
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 $613,479 $2,601,541 $673,495 $52,734 $3,835,781 5.32% $8,201,735 11.37%
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) $613,479 $2,601,541 $673,495 $52,734 $3,835,781 5.32% $8,201,735 11.37%
4. Medicare Non-Managed Care $194,370 $627,221 $327,345 $0 $1,148,936 1.67% $18,389,116 26.67%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $17,670 $0 $17,670 5.58% $164,301 51.88%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $194,370 $627,221 $345,015 $0 $1,166,606 1.68% $18,553,417 26.78%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $44,168 46.25%
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% $44,168 46.25%
10. Private Non-Managed Care $704,801 $0 $704,801 0.73% $32,531,202 33.56%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $7,356 42.83%
12. Total Private (Sum of Lines 10 + 11a + 11b) $704,801 $0 $704,801 0.73% $32,538,558 33.56%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $807,849 $3,228,762 $1,723,311 $52,734 $5,707,188 2.10% $59,337,878 21.87%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $2,939,877 $3,660,880

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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