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Table 9D: Patient Service Revenue

Hawaii Data

X

13 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 $3,614,925 2.06% 1.13% $3,076,043 1.75% 1.23% 85.09%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $172,287,205 97.94% 54.07% $172,527,223 98.25% 68.73% 100.14%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $175,902,130 100.00% 55.20% $175,603,266 100.00% 69.96% 99.83%
4. Medicare Non-Managed Care $27,082,077 43.85% 8.50% $15,303,671 44.77% 6.10% 56.51%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $34,674,079 56.15% 10.88% $18,881,986 55.23% 7.52% 54.46%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $61,756,156 100.00% 19.38% $34,185,657 100.00% 13.62% 55.36%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 0.00% $0 0.00%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 0.00% $0 0.00%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 0.00% $0 0.00%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 0.00% $0 0.00%
10. Private Non-Managed Care $53,526,649 81.36% 16.80% $27,929,295 78.54% 11.13% 52.18%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $12,259,908 18.64% 3.85% $7,633,184 21.46% 3.04% 62.26%
12. Total Private (Sum of Lines 10 + 11a + 11b) $65,786,557 100.00% 20.65% $35,562,479 100.00% 14.17% 54.06%
13. Self-Pay $15,208,798 100.00% 4.77% $5,655,552 100.00% 2.25% 37.19%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $318,653,641 100.00% $251,006,954 100.00% 78.77%
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 $0 $0 $0 0.00% $974,256 26.95%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $3,069,928 $1,738,284 $6,241,521 $0 $11,049,733 6.41% $1,362,131 0.79%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $3,069,928 $1,738,284 $6,241,521 $0 $11,049,733 6.28% $2,336,387 1.33%
4. Medicare Non-Managed Care $0 $187,976 $159,832 $0 $347,808 1.28% $10,561,637 39.00%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $25,121 $19,501 $0 $44,622 0.13% $15,776,106 45.50%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $213,097 $179,333 $0 $392,430 0.64% $26,337,743 42.65%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 $0
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
10. Private Non-Managed Care $39,871 $0 $39,871 0.07% $23,816,336 44.49%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $3,818,248 31.14%
12. Total Private (Sum of Lines 10 + 11a + 11b) $39,871 $0 $39,871 0.06% $27,634,584 42.01%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $3,069,928 $1,951,381 $6,460,725 $0 $11,482,034 3.60% $56,308,714 17.67%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $6,163,543 $3,876,420

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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