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Table 9D: Patient Service Revenue

Georgia Data

X

35 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 $92,411,405 48.34% 8.23% $56,939,300 51.20% 10.14% 61.62%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $98,760,967 51.66% 8.80% $54,275,636 48.80% 9.67% 54.96%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $191,172,372 100.00% 17.03% $111,214,936 100.00% 19.82% 58.18%
4. Medicare Non-Managed Care $243,738,924 90.32% 21.71% $126,577,326 91.04% 22.55% 51.93%
5a. Medicare Managed Care (capitated) $446,269 0.17% 0.04% $271,433 0.20% 0.05% 60.82%
5b. Medicare Managed Care (fee-for-service) $25,685,237 9.52% 2.29% $12,188,219 8.77% 2.17% 47.45%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $269,870,430 100.00% 24.04% $139,036,978 100.00% 24.77% 51.52%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $3,659,763 100.00% 0.33% $2,504,942 99.99% 0.45% 68.45%
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) $176 0.00% 0.00% $137 0.01% 0.00% 77.84%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $3,659,939 100.00% 0.33% $2,505,079 100.00% 0.45% 68.45%
10. Private Non-Managed Care $424,984,443 93.69% 37.85% $246,390,868 93.44% 43.90% 57.98%
11a. Private Managed Care (capitated) $52,118 0.01% 0.00% $19,809 0.01% 0.00% 38.01%
11b. Private Managed Care (fee-for-service) $28,572,894 6.30% 2.54% $17,281,953 6.55% 3.08% 60.48%
12. Total Private (Sum of Lines 10 + 11a + 11b) $453,609,455 100.00% 40.40% $263,692,630 100.00% 46.98% 58.13%
13. Self-Pay $204,449,436 100.00% 18.21% $44,806,045 100.00% 7.98% 21.92%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,122,761,632 100.00% $561,255,668 100.00% 49.99%
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 $0 $144,172 $0 $144,172 0.16% $35,834,140 38.78%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $537,845 $0 $537,845 0.54% $44,118,834 44.67%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $682,017 $0 $682,017 0.36% $79,952,974 41.82%
4. Medicare Non-Managed Care $18,601 $141,046 $1,669,321 $0 $1,828,968 0.75% $91,281,461 37.45%
5a. Medicare Managed Care (capitated) $0 $0 $80,000 $0 $80,000 17.93% $174,836 39.18%
5b. Medicare Managed Care (fee-for-service) $0 $0 $66,637 $0 $66,637 0.26% $12,859,833 50.07%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $18,601 $141,046 $1,815,958 $0 $1,975,605 0.73% $104,316,130 38.65%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $1,017,182 27.79%
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% $33 18.75%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $1,017,215 27.79%
10. Private Non-Managed Care $1,051,934 $0 $1,051,934 0.25% $140,795,336 33.13%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $32,309 61.99%
11b. Private Managed Care (fee-for-service) $102,834 $0 $102,834 0.36% $10,485,474 36.70%
12. Total Private (Sum of Lines 10 + 11a + 11b) $1,154,768 $0 $1,154,768 0.25% $151,313,119 33.36%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $18,601 $141,046 $3,652,743 $0 $3,812,390 0.34% $336,599,438 29.98%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $93,524,840 $32,256,084

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

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