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Table 9D: Patient Related Revenue

Idaho 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 $102,731,309 97.32% 24.80% $105,436,201 90.89% 34.25% 102.63%
2a. Medicaid Managed Care (capitated) $1,893,239 1.79% 0.46% $10,138,800 8.74% 3.29% 535.53%
2b. Medicaid Managed Care (fee-for-service) $939,935 0.89% 0.23% $427,321 0.37% 0.14% 45.46%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $105,564,483 100.00% 25.48% $116,002,322 100.00% 37.68% 109.89%
4. Medicare Non-Managed Care $64,320,428 100.00% 15.53% $52,145,504 100.00% 16.94% 81.07%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $64,320,428 100.00% 15.53% $52,145,504 100.00% 16.94% 81.07%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $48,709 100.00% 0.01% $21,627 100.00% 0.01% 44.40%
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) $48,709 100.00% 0.01% $21,627 100.00% 0.01% 44.40%
10. Private Non-Managed Care $159,322,447 100.00% 38.46% $111,960,537 100.00% 36.37% 70.27%
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) $159,322,447 100.00% 38.46% $111,960,537 100.00% 36.37% 70.27%
13. Self-Pay $84,969,840 100.00% 20.51% $27,734,990 100.00% 9.01% 32.64%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $414,225,907 100.00% $307,864,980 100.00% 74.32%
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 $2,275,586 $10,033,635 $287 $12,308,934 11.98% ($7,768,913.00) -7.56%
2a. Medicaid Managed Care (capitated) $1,647,272 $0 $4,119,598 $0 $5,766,870 304.60% ($8,747,044.00) -462.01%
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $408,939 43.51%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $1,647,272 $2,275,586 $14,153,233 $287 $18,075,804 17.12% ($16,107,018.00) -15.26%
4. Medicare Non-Managed Care $0 $379,721 $1,462,653 $4,208 $1,838,166 2.86% $10,130,543 15.75%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $379,721 $1,462,653 $4,208 $1,838,166 2.86% $10,130,543 15.75%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $19,524 40.08%
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% $19,524 40.08%
10. Private Non-Managed Care $2,555,434 $116,852 $2,438,582 1.53% $36,077,686 22.64%
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) $2,555,434 $116,852 $2,438,582 1.53% $36,077,686 22.64%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,647,272 $2,655,307 $18,171,320 $121,347 $22,352,552 5.40% $30,120,735 7.27%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $44,813,365 $5,798,944

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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