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Table 9D: Patient Related Revenue

Maryland Data

X

16 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 $85,115,267 32.71% 13.91% $83,534,862 34.45% 18.64% 98.14%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $175,092,186 67.29% 28.62% $158,932,863 65.55% 35.46% 90.77%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $260,207,453 100.00% 42.54% $242,467,725 100.00% 54.10% 93.18%
4. Medicare Non-Managed Care $68,368,592 64.51% 11.18% $40,365,222 63.52% 9.01% 59.04%
5a. Medicare Managed Care (capitated) $599,359 0.57% 0.10% $714,210 1.12% 0.16% 119.16%
5b. Medicare Managed Care (fee-for-service) $37,012,325 34.92% 6.05% $22,467,985 35.36% 5.01% 60.70%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $105,980,276 100.00% 17.32% $63,547,417 100.00% 14.18% 59.96%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $3,398,194 100.00% 0.56% $942,621 100.00% 0.21% 27.74%
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) $3,398,194 100.00% 0.56% $942,621 100.00% 0.21% 27.74%
10. Private Non-Managed Care $166,673,110 97.16% 27.25% $122,168,402 98.08% 27.26% 73.30%
11a. Private Managed Care (capitated) $97,937 0.06% 0.02% $43,887 0.04% 0.01% 44.81%
11b. Private Managed Care (fee-for-service) $4,779,152 2.79% 0.78% $2,350,943 1.89% 0.52% 49.19%
12. Total Private (Sum of Lines 10 + 11a + 11b) $171,550,199 100.00% 28.04% $124,563,232 100.00% 27.79% 72.61%
13. Self-Pay $70,593,562 100.00% 11.54% $16,675,384 100.00% 3.72% 23.62%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $611,729,684 100.00% $448,196,379 100.00% 73.27%
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% $3,839,162 4.51%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $1,086,258 $0 $1,086,258 0.62% $13,251,425 7.57%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $1,086,258 $0 $1,086,258 0.42% $17,090,587 6.57%
4. Medicare Non-Managed Care $0 $1,682,726 $2,461,478 $0 $4,144,204 6.06% $27,683,467 40.49%
5a. Medicare Managed Care (capitated) $0 $0 $442,719 $0 $442,719 73.87% ($114,851.00) -19.16%
5b. Medicare Managed Care (fee-for-service) $0 $0 $1,010,783 $0 $1,010,783 2.73% $14,048,533 37.96%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $1,682,726 $3,914,980 $0 $5,597,706 5.28% $41,617,149 39.27%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $1,290,598 37.98%
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% $1,290,598 37.98%
10. Private Non-Managed Care $64,092 $0 $64,092 0.04% $42,982,078 25.79%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $55,939 57.12%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $2,374,623 49.69%
12. Total Private (Sum of Lines 10 + 11a + 11b) $64,092 $0 $64,092 0.04% $45,412,640 26.47%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $1,682,726 $5,065,330 $0 $6,748,056 1.10% $105,410,974 17.23%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $48,231,221 $6,006,286

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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