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Table 9D: Patient Related Revenue

Iowa Data

X

14 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 $91,266,221 66.12% 28.99% $95,053,775 66.72% 39.46% 104.15%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $46,759,484 33.88% 14.85% $47,423,201 33.28% 19.68% 101.42%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $138,025,705 100.00% 43.85% $142,476,976 100.00% 59.14% 103.22%
4. Medicare Non-Managed Care $39,529,350 93.94% 12.56% $26,250,215 96.58% 10.90% 66.41%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $2,548,160 6.06% 0.81% $929,124 3.42% 0.39% 36.46%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $42,077,510 100.00% 13.37% $27,179,339 100.00% 11.28% 64.59%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $1,595,199 100.00% 0.51% $1,448,793 100.00% 0.60% 90.82%
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) $1,595,199 100.00% 0.51% $1,448,793 100.00% 0.60% 90.82%
10. Private Non-Managed Care $80,724,479 100.00% 25.64% $56,054,916 100.00% 23.27% 69.44%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
12. Total Private (Sum of Lines 10 + 11a + 11b) $80,724,479 100.00% 25.64% $56,054,916 100.00% 23.27% 69.44%
13. Self-Pay $52,367,003 100.00% 16.64% $13,751,586 100.00% 5.71% 26.26%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $314,789,896 100.00% $240,911,610 100.00% 76.53%
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 $7,547,632 $6,696,837 $3,863,339 $265,929 $17,841,879 19.55% $1,749,963 1.92%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $3,630,285 $6,749,806 $16,990 $0 $10,397,081 22.24% $50,677 0.11%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $11,177,917 $13,446,643 $3,880,329 $265,929 $28,238,960 20.46% $1,800,640 1.30%
4. Medicare Non-Managed Care $108,803 $126,908 $455,291 $0 $691,002 1.75% $12,679,470 32.08%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $108,182 $0 $108,182 4.25% $1,631,590 64.03%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $108,803 $126,908 $563,473 $0 $799,184 1.90% $14,311,060 34.01%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $148,314 9.30%
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% $148,314 9.30%
10. Private Non-Managed Care $904,678 $24,960 $879,718 1.09% $24,808,818 30.73%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $904,678 $24,960 $879,718 1.09% $24,808,818 30.73%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $11,286,720 $13,573,551 $5,348,480 $290,889 $29,917,862 9.50% $41,068,832 13.05%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $28,070,231 $6,200,795

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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