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Table 9D: Patient Related Revenue

Louisiana Data

X

36 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 $211,055,825 58.06% 28.51% $167,307,523 57.63% 31.99% 79.27%
2a. Medicaid Managed Care (capitated) $12,073,911 3.32% 1.63% $10,913,454 3.76% 2.09% 90.39%
2b. Medicaid Managed Care (fee-for-service) $140,410,427 38.62% 18.97% $112,095,178 38.61% 21.43% 79.83%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $363,540,163 100.00% 49.10% $290,316,155 100.00% 55.50% 79.86%
4. Medicare Non-Managed Care $109,433,884 81.31% 14.78% $76,716,041 81.20% 14.67% 70.10%
5a. Medicare Managed Care (capitated) $4,407,617 3.27% 0.60% $3,939,910 4.17% 0.75% 89.39%
5b. Medicare Managed Care (fee-for-service) $20,748,159 15.42% 2.80% $13,824,864 14.63% 2.64% 66.63%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $134,589,660 100.00% 18.18% $94,480,815 100.00% 18.06% 70.20%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $791,781 100.00% 0.11% $449,741 100.00% 0.09% 56.80%
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) $791,781 100.00% 0.11% $449,741 100.00% 0.09% 56.80%
10. Private Non-Managed Care $166,121,543 95.22% 22.44% $108,726,996 96.16% 20.79% 65.45%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $8,334,939 4.78% 1.13% $4,338,043 3.84% 0.83% 52.05%
12. Total Private (Sum of Lines 10 + 11a + 11b) $174,456,482 100.00% 23.56% $113,065,039 100.00% 21.62% 64.81%
13. Self-Pay $66,955,459 100.00% 9.04% $24,740,453 100.00% 4.73% 36.95%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $740,333,545 100.00% $523,052,203 100.00% 70.65%
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 $7,983,248 $0 $2,776,496 $0 $10,759,744 5.10% $44,416,101 21.04%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $1,057,878 8.76%
2b. Medicaid Managed Care (fee-for-service) $453,930 $0 $2,840,338 $2,598 $3,291,670 2.34% $25,686,676 18.29%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $8,437,178 $0 $5,616,834 $2,598 $14,051,414 3.87% $71,160,655 19.57%
4. Medicare Non-Managed Care $25,634 $184,050 $1,378,730 $22,793 $1,565,621 1.43% $38,482,313 35.16%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $219,264 4.97%
5b. Medicare Managed Care (fee-for-service) $0 $0 $119,724 $0 $119,724 0.58% $3,812,928 18.38%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $25,634 $184,050 $1,498,454 $22,793 $1,685,345 1.25% $42,514,505 31.59%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $59,429 7.51%
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% $59,429 7.51%
10. Private Non-Managed Care $827,780 $441 $827,339 0.50% $51,931,444 31.26%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $3,224,005 38.68%
12. Total Private (Sum of Lines 10 + 11a + 11b) $827,780 $441 $827,339 0.47% $55,155,449 31.62%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $8,462,812 $184,050 $7,943,068 $25,832 $16,564,098 2.24% $168,890,038 22.81%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $33,165,046 $4,476,641

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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