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Table 9D: Patient Service Revenue

Michigan Data

X

39 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 $162,861,473 34.33% 14.24% $177,110,643 39.78% 21.24% 108.75%
2a. Medicaid Managed Care (capitated) $1,314,219 0.28% 0.11% $1,255,546 0.28% 0.15% 95.54%
2b. Medicaid Managed Care (fee-for-service) $310,237,676 65.39% 27.13% $266,890,651 59.94% 32.01% 86.03%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $474,413,368 100.00% 41.48% $445,256,840 100.00% 53.40% 93.85%
4. Medicare Non-Managed Care $196,284,440 70.75% 17.16% $128,851,910 69.24% 15.45% 65.65%
5a. Medicare Managed Care (capitated) $120,968 0.04% 0.01% $51,900 0.03% 0.01% 42.90%
5b. Medicare Managed Care (fee-for-service) $81,032,880 29.21% 7.09% $57,188,182 30.73% 6.86% 70.57%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $277,438,288 100.00% 24.26% $186,091,992 100.00% 22.32% 67.08%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $867,018 100.00% 0.08% $503,083 100.00% 0.06% 58.02%
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 (specify _______) (Sum of Lines 7 + 8a + 8b) $867,018 100.00% 0.08% $503,083 100.00% 0.06% 58.02%
10. Private Non-Managed Care $250,339,301 83.87% 21.89% $144,623,372 83.07% 17.35% 57.77%
11a. Private Managed Care (capitated) $953,551 0.32% 0.08% $470,663 0.27% 0.06% 49.36%
11b. Private Managed Care (fee-for-service) $47,201,137 15.81% 4.13% $28,995,906 16.66% 3.48% 61.43%
12. Total Private (Sum of Lines 10 + 11a + 11b) $298,493,989 100.00% 26.10% $174,089,941 100.00% 20.88% 58.32%
13. Self-Pay $92,441,483 100.00% 8.08% $27,807,210 100.00% 3.34% 30.08%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,143,654,146 100.00% $833,749,066 100.00% 72.90%
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 $45,320,212 $11,035,512 $1,840,808 $805,110 $57,391,422 35.24% $224,029 0.14%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $58,673 4.46%
2b. Medicaid Managed Care (fee-for-service) $92,519,175 $22,536,866 $5,897,040 $841,619 $120,111,462 38.72% $37,781,475 12.18%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $137,839,387 $33,572,378 $7,737,848 $1,646,729 $177,502,884 37.42% $38,064,177 8.02%
4. Medicare Non-Managed Care $574,466 $1,547,620 $918,590 $129,407 $2,911,269 1.48% $35,314,499 17.99%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $69,068 57.10%
5b. Medicare Managed Care (fee-for-service) $955,078 $211,636 $799,245 $17,229 $1,948,730 2.40% $21,873,364 26.99%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $1,529,544 $1,759,256 $1,717,835 $146,636 $4,859,999 1.75% $57,256,931 20.64%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $249,300 28.75%
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 0.00% $249,300 28.75%
10. Private Non-Managed Care $2,224,944 $8,000 $2,216,944 0.89% $91,263,112 36.46%
11a. Private Managed Care (capitated) $76,376 $0 $76,376 8.01% $415,159 43.54%
11b. Private Managed Care (fee-for-service) $1,313,694 $52,144 $1,261,550 2.67% $13,511,998 28.63%
12. Total Private (Sum of Lines 10 + 11a + 11b) $3,615,014 $60,144 $3,554,870 1.19% $105,190,269 35.24%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $139,368,931 $35,331,634 $13,070,697 $1,853,509 $185,917,753 16.26% $200,760,677 17.55%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $45,751,651 $9,339,279

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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