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Table 9D: Patient Service 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 $391,893,704 65.38% 27.31% $357,644,230 77.96% 49.06% 91.26%
2a. Medicaid Managed Care (capitated) $32,386,674 5.40% 2.26% $31,515,952 6.87% 4.32% 97.31%
2b. Medicaid Managed Care (fee-for-service) $175,093,936 29.21% 12.20% $69,568,331 15.17% 9.54% 39.73%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $599,374,314 100.00% 41.77% $458,728,513 100.00% 62.93% 76.53%
4. Medicare Non-Managed Care $100,014,986 43.26% 6.97% $56,286,622 64.66% 7.72% 56.28%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $131,188,143 56.74% 9.14% $30,767,921 35.34% 4.22% 23.45%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $231,203,129 100.00% 16.11% $87,054,543 100.00% 11.94% 37.65%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $30,703,901 77.52% 2.14% $26,710,884 83.22% 3.66% 87.00%
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) $8,902,901 22.48% 0.62% $5,386,796 16.78% 0.74% 60.51%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $39,606,802 100.00% 2.76% $32,097,680 100.00% 4.40% 81.04%
10. Private Non-Managed Care $177,348,175 53.21% 12.36% $81,844,710 70.99% 11.23% 46.15%
11a. Private Managed Care (capitated) $4,847,599 1.45% 0.34% $1,736,169 1.51% 0.24% 35.82%
11b. Private Managed Care (fee-for-service) $151,117,517 45.34% 10.53% $31,703,409 27.50% 4.35% 20.98%
12. Total Private (Sum of Lines 10 + 11a + 11b) $333,313,291 100.00% 23.23% $115,284,288 100.00% 15.81% 34.59%
13. Self-Pay $231,315,573 100.00% 16.12% $35,792,775 100.00% 4.91% 15.47%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,434,813,109 100.00% $728,957,799 100.00% 50.81%
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 $2,237,788 $10,725,562 $974,519 $11,988,831 3.06% $68,819,224 17.56%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $353,149 1.09%
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $102,429,069 58.50%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $2,237,788 $10,725,562 $974,519 $11,988,831 2.00% $171,601,442 28.63%
4. Medicare Non-Managed Care $129,038 $136,795 $937,942 $0 $1,203,775 1.20% $45,270,811 45.26%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $3,815 ($3,815.00) 0.00% $99,406,885 75.77%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $129,038 $136,795 $937,942 $3,815 $1,199,960 0.52% $144,677,696 62.58%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $84,474 $680 $83,794 0.27% $6,319,234 20.58%
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% $3,152,329 35.41%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $84,474 $680 $83,794 0.21% $9,471,563 23.91%
10. Private Non-Managed Care $46,841 $4,621 $42,220 0.02% $85,595,544 48.26%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $4,722,766 97.42%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $118,432,161 78.37%
12. Total Private (Sum of Lines 10 + 11a + 11b) $46,841 $4,621 $42,220 0.01% $208,750,471 62.63%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $129,038 $2,374,583 $11,794,819 $983,635 $13,314,805 0.93% $534,501,172 37.25%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $164,814,437 $13,786,274

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.

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