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Table 9D: Patient Related Revenue

Alabama Data

X

17 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 $86,794,093 100.00% 20.76% $83,390,354 100.00% 32.98% 96.08%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $1,174 0.00% 0.00% $308 0.00% 0.00% 26.24%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $86,795,267 100.00% 20.76% $83,390,662 100.00% 32.98% 96.08%
4. Medicare Non-Managed Care $83,266,386 83.22% 19.92% $49,127,295 85.16% 19.43% 59.00%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $16,794,121 16.78% 4.02% $8,561,851 14.84% 3.39% 50.98%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $100,060,507 100.00% 23.93% $57,689,146 100.00% 22.82% 57.65%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $1,511,255 100.00% 0.36% $936,351 100.00% 0.37% 61.96%
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) $1,511,255 100.00% 0.36% $936,351 100.00% 0.37% 61.96%
10. Private Non-Managed Care $160,651,825 99.59% 38.43% $97,051,739 99.81% 38.39% 60.41%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $667,315 0.41% 0.16% $180,816 0.19% 0.07% 27.10%
12. Total Private (Sum of Lines 10 + 11a + 11b) $161,319,140 100.00% 38.59% $97,232,555 100.00% 38.46% 60.27%
13. Self-Pay $68,383,181 100.00% 16.36% $13,576,526 100.00% 5.37% 19.85%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $418,069,350 100.00% $252,825,240 100.00% 60.47%
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 $1,408,238 $1,509,008 $376,404 $0 $3,293,650 3.79% $1,608,034 1.85%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $411 35.01%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $1,408,238 $1,509,008 $376,404 $0 $3,293,650 3.79% $1,608,445 1.85%
4. Medicare Non-Managed Care $0 $134,552 $432,054 $10,712 $555,894 0.67% $28,884,613 34.69%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $47,565 $78,212 $0 $125,777 0.75% $7,209,699 42.93%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $182,117 $510,266 $10,712 $681,671 0.68% $36,094,312 36.07%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $356,120 23.56%
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% $356,120 23.56%
10. Private Non-Managed Care $1,560 $40,435 ($38,875.00) -0.02% $50,381,965 31.36%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $440,197 65.97%
12. Total Private (Sum of Lines 10 + 11a + 11b) $1,560 $40,435 ($38,875.00) -0.02% $50,822,162 31.50%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,408,238 $1,691,125 $888,230 $51,147 $3,936,446 0.94% $88,881,039 21.26%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $38,638,694 $10,208,337

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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