Skip to main content

Table 9D: Patient Service Revenue

Wisconsin Data

X
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 $211,629,420 90.46% 46.42% $242,042,633 94.94% 69.80% 114.37%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $22,307,404 9.54% 4.89% $12,891,990 5.06% 3.72% 57.79%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $233,936,824 100.00% 51.32% $254,934,623 100.00% 73.51% 108.98%
4. Medicare Non-Managed Care $39,605,761 83.70% 8.69% $17,620,532 83.74% 5.08% 44.49%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $7,710,393 16.30% 1.69% $3,420,633 16.26% 0.99% 44.36%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $47,316,154 100.00% 10.38% $21,041,165 100.00% 6.07% 44.47%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $231,833 100.00% 0.05% $18,785 100.00% 0.01% 8.10%
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 (specify _______) (Sum of Lines 7 + 8a + 8b) $231,833 100.00% 0.05% $18,785 100.00% 0.01% 8.10%
10. Private Non-Managed Care $76,681,945 86.26% 16.82% $47,683,644 87.13% 13.75% 62.18%
11a. Private Managed Care (capitated) $1,036,797 1.17% 0.23% $378,677 0.69% 0.11% 36.52%
11b. Private Managed Care (fee-for-service) $11,175,725 12.57% 2.45% $6,664,050 12.18% 1.92% 59.63%
12. Total Private (Sum of Lines 10 + 11a + 11b) $88,894,467 100.00% 19.50% $54,726,371 100.00% 15.78% 61.56%
13. Self-Pay $85,476,782 100.00% 18.75% $16,062,646 100.00% 4.63% 18.79%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $455,856,060 100.00% $346,783,590 100.00% 76.07%
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 $67,278,030 $28,276,819 $0 $0 $95,554,849 45.15% $26,791,218 12.66%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $4,668,425 $311,548 $0 $0 $4,979,973 22.32% $9,524,321 42.70%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $71,946,455 $28,588,367 $0 $0 $100,534,822 42.98% $36,315,539 15.52%
4. Medicare Non-Managed Care $268,163 $28,673 $109,993 $0 $406,829 1.03% $19,327,228 48.80%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $2,540 $0 $2,540 0.03% $4,259,135 55.24%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $268,163 $28,673 $112,533 $0 $409,369 0.87% $23,586,363 49.85%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $216,773 93.50%
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 (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $216,773 93.50%
10. Private Non-Managed Care $53,058 $0 $53,058 0.07% $33,496,827 43.68%
11a. Private Managed Care (capitated) $9,219 $0 $9,219 0.89% $658,120 63.48%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $5,268,516 47.14%
12. Total Private (Sum of Lines 10 + 11a + 11b) $62,277 $0 $62,277 0.07% $39,423,463 44.35%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $72,214,618 $28,617,040 $174,810 $0 $101,006,468 22.16% $99,542,138 21.84%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $57,053,085 $10,575,398

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.

View Detailed UDS Footnotes

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.