Missouri Data
27 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 | $506,475,260 | 84.96% | 43.70% | $420,896,680 | 86.63% | 57.03% | 83.10% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $89,669,347 | 15.04% | 7.74% | $64,968,492 | 13.37% | 8.80% | 72.45% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $596,144,607 | 100.00% | 51.44% | $485,865,172 | 100.00% | 65.84% | 81.50% |
| 4. | Medicare Non-Managed Care | $117,679,996 | 90.25% | 10.15% | $57,920,160 | 91.63% | 7.85% | 49.22% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $12,710,586 | 9.75% | 1.10% | $5,290,325 | 8.37% | 0.72% | 41.62% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $130,390,582 | 100.00% | 11.25% | $63,210,485 | 100.00% | 8.57% | 48.48% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $22,475,879 | 99.68% | 1.94% | $22,627,964 | 100.00% | 3.07% | 100.68% |
| 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) | $72,968 | 0.32% | 0.01% | $0 | 0.00% | 0.00% | 0.00% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $22,548,847 | 100.00% | 1.95% | $22,627,964 | 100.00% | 3.07% | 100.35% |
| 10. | Private Non-Managed Care | $280,560,208 | 100.00% | 24.21% | $136,846,255 | 100.00% | 18.54% | 48.78% |
| 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) | $280,560,208 | 100.00% | 24.21% | $136,846,255 | 100.00% | 18.54% | 48.78% |
| 13. | Self-Pay | $129,217,489 | 100.00% | 11.15% | $29,418,563 | 100.00% | 3.99% | 22.77% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,158,861,733 | 100.00% | $737,968,439 | 100.00% | 63.68% | ||
| 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 | $66,471,921 | $23,603,026 | $7,069,934 | $1,092,831 | $96,052,050 | 18.96% | $131,176,825 | 25.90% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $27,043,349 | $6,745,380 | $1,335,741 | $716,510 | $34,407,960 | 38.37% | $10,630,814 | 11.86% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $93,515,270 | $30,348,406 | $8,405,675 | $1,809,341 | $130,460,010 | 21.88% | $141,807,639 | 23.79% |
| 4. | Medicare Non-Managed Care | $81,527 | $214,010 | $703,263 | $434 | $998,366 | 0.85% | $56,020,712 | 47.60% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $6,210,020 | 48.86% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $81,527 | $214,010 | $703,263 | $434 | $998,366 | 0.77% | $62,230,732 | 47.73% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $899,560 | $0 | $899,560 | 4.00% | $1,673,316 | 7.44% |
| 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 | 0.00% | $0 | 0.00% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $899,560 | $0 | $899,560 | 3.99% | $1,673,316 | 7.42% |
| 10. | Private Non-Managed Care | $2,085,816 | $11,977 | $2,073,839 | 0.74% | $121,990,047 | 43.48% | ||
| 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) | $2,085,816 | $11,977 | $2,073,839 | 0.74% | $121,990,047 | 43.48% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $93,596,797 | $30,562,416 | $12,094,314 | $1,821,752 | $134,431,775 | 11.60% | $327,701,734 | 28.28% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $57,360,166 | $37,335,272 |
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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