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Table 9D: Patient Related Revenue

Colorado Data

X

19 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 $335,453,400 63.04% 23.41% $305,946,808 81.00% 49.31% 91.20%
2a. Medicaid Managed Care (capitated) $84,730,423 15.92% 5.91% $52,083,344 13.79% 8.39% 61.47%
2b. Medicaid Managed Care (fee-for-service) $111,903,324 21.03% 7.81% $19,666,923 5.21% 3.17% 17.57%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $532,087,147 100.00% 37.13% $377,697,075 100.00% 60.87% 70.98%
4. Medicare Non-Managed Care $94,218,410 40.38% 6.57% $49,242,419 66.48% 7.94% 52.26%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $139,092,920 59.62% 9.71% $24,830,480 33.52% 4.00% 17.85%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $233,311,330 100.00% 16.28% $74,072,899 100.00% 11.94% 31.75%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $27,366,211 76.75% 1.91% $22,641,822 83.79% 3.65% 82.74%
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) $8,288,033 23.25% 0.58% $4,379,844 16.21% 0.71% 52.85%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $35,654,244 100.00% 2.49% $27,021,666 100.00% 4.35% 75.79%
10. Private Non-Managed Care $163,992,071 45.33% 11.44% $70,865,173 64.16% 11.42% 43.21%
11a. Private Managed Care (capitated) $36,840,507 10.18% 2.57% $12,839,714 11.62% 2.07% 34.85%
11b. Private Managed Care (fee-for-service) $160,904,901 44.48% 11.23% $26,745,788 24.22% 4.31% 16.62%
12. Total Private (Sum of Lines 10 + 11a + 11b) $361,737,479 100.00% 25.24% $110,450,675 100.00% 17.80% 30.53%
13. Self-Pay $270,307,592 100.00% 18.86% $31,253,743 100.00% 5.04% 11.56%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,433,097,792 100.00% $620,496,058 100.00% 43.30%
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 $0 $2,008,487 $17,796,316 $0 $19,804,803 5.90% $61,446,000 18.32%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $31,045,409 36.64%
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $92,172,214 82.37%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $2,008,487 $17,796,316 $0 $19,804,803 3.72% $184,663,623 34.71%
4. Medicare Non-Managed Care $0 $41,074 $213,431 $0 $254,505 0.27% $38,908,596 41.30%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $112,886,492 81.16%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $41,074 $213,431 $0 $254,505 0.11% $151,795,088 65.06%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,402,819 8.78%
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 0.00% $3,211,104 38.74%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $5,613,923 15.75%
10. Private Non-Managed Care $31,628 $0 $31,628 0.02% $69,080,076 42.12%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $26,866,986 72.93%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $133,658,620 83.07%
12. Total Private (Sum of Lines 10 + 11a + 11b) $31,628 $0 $31,628 0.01% $229,605,682 63.47%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $2,049,561 $18,041,375 $0 $20,090,936 1.40% $571,678,316 39.89%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $211,880,230 $19,239,993

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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