Washington Data
27 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 | $432,475,044 | 37.52% | 20.03% | $435,153,444 | 31.14% | 22.60% | 100.62% |
| 2a. | Medicaid Managed Care (capitated) | $300,326,148 | 26.06% | 13.91% | $474,346,324 | 33.94% | 24.64% | 157.94% |
| 2b. | Medicaid Managed Care (fee-for-service) | $419,794,495 | 36.42% | 19.45% | $488,079,139 | 34.92% | 25.35% | 116.27% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,152,595,687 | 100.00% | 53.40% | $1,397,578,907 | 100.00% | 72.60% | 121.25% |
| 4. | Medicare Non-Managed Care | $186,489,123 | 51.50% | 8.64% | $96,536,540 | 43.75% | 5.01% | 51.77% |
| 5a. | Medicare Managed Care (capitated) | $11,535,352 | 3.19% | 0.53% | $12,261,181 | 5.56% | 0.64% | 106.29% |
| 5b. | Medicare Managed Care (fee-for-service) | $164,099,779 | 45.32% | 7.60% | $111,861,572 | 50.69% | 5.81% | 68.17% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $362,124,254 | 100.00% | 16.78% | $220,659,293 | 100.00% | 11.46% | 60.93% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $2,209,688 | 83.45% | 0.10% | $627,194 | 64.59% | 0.03% | 28.38% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $438,094 | 16.55% | 0.02% | $343,874 | 35.41% | 0.02% | 78.49% |
| 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) | $2,647,782 | 100.00% | 0.12% | $971,068 | 100.00% | 0.05% | 36.67% |
| 10. | Private Non-Managed Care | $396,373,087 | 98.07% | 18.36% | $214,404,959 | 98.06% | 11.14% | 54.09% |
| 11a. | Private Managed Care (capitated) | $88,678 | 0.02% | 0.00% | $109,680 | 0.05% | 0.01% | 123.68% |
| 11b. | Private Managed Care (fee-for-service) | $7,725,005 | 1.91% | 0.36% | $4,127,086 | 1.89% | 0.21% | 53.43% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $404,186,770 | 100.00% | 18.72% | $218,641,725 | 100.00% | 11.36% | 54.09% |
| 13. | Self-Pay | $237,058,284 | 100.00% | 10.98% | $87,238,415 | 100.00% | 4.53% | 36.80% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,158,612,777 | 100.00% | $1,925,089,408 | 100.00% | 89.18% | ||
| 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 | $74,146,815 | $744,654 | $0 | $22,675 | $74,868,794 | 17.31% | $71,021,744 | 16.42% |
| 2a. | Medicaid Managed Care (capitated) | $204,101,539 | $12,059,982 | $48,138,355 | $2,210,599 | $262,089,277 | 87.27% | ($162,270,607.00) | -54.03% |
| 2b. | Medicaid Managed Care (fee-for-service) | $191,084,343 | $10,296,977 | $7,354,540 | $1,912,493 | $206,823,367 | 49.27% | $56,176,684 | 13.38% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $469,332,697 | $23,101,613 | $55,492,895 | $4,145,767 | $543,781,438 | 47.18% | ($35,072,179.00) | -3.04% |
| 4. | Medicare Non-Managed Care | $81,273 | $514,368 | $615,970 | $3,905 | $1,207,706 | 0.65% | $89,703,147 | 48.10% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $4,156,111 | 36.03% |
| 5b. | Medicare Managed Care (fee-for-service) | $41,485 | $405,401 | $4,618,466 | $245,474 | $4,819,878 | 2.94% | $47,749,842 | 29.10% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $122,758 | $919,769 | $5,234,436 | $249,379 | $6,027,584 | 1.66% | $141,609,100 | 39.11% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $1,138 | ($1,138.00) | -0.05% | $1,197,039 | 54.17% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $94,220 | 21.51% |
| 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 | $1,138 | ($1,138.00) | -0.04% | $1,291,259 | 48.77% |
| 10. | Private Non-Managed Care | $183,582 | $36,249 | $147,333 | 0.04% | $165,515,444 | 41.76% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | ($21,002.00) | -23.68% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $3,511,947 | 45.46% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $183,582 | $36,249 | $147,333 | 0.04% | $169,006,389 | 41.81% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $469,455,455 | $24,021,382 | $60,910,913 | $4,432,533 | $549,955,217 | 25.48% | $276,834,569 | 12.82% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $101,959,435 | $41,222,180 |
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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