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Table 9D: Patient Related Revenue

Montana Data

X

13 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 $67,828,605 100.00% 30.17% $80,549,597 100.00% 48.69% 118.75%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $67,828,605 100.00% 30.17% $80,549,597 100.00% 48.69% 118.75%
4. Medicare Non-Managed Care $50,481,546 100.00% 22.45% $28,423,294 100.00% 17.18% 56.30%
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) $50,481,546 100.00% 22.45% $28,423,294 100.00% 17.18% 56.30%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $30,080 100.00% 0.01% $35,048 100.00% 0.02% 116.52%
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) $30,080 100.00% 0.01% $35,048 100.00% 0.02% 116.52%
10. Private Non-Managed Care $68,839,490 98.62% 30.62% $40,659,855 98.52% 24.58% 59.06%
11a. Private Managed Care (capitated) $963,094 1.38% 0.43% $612,353 1.48% 0.37% 63.58%
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) $69,802,584 100.00% 31.05% $41,272,208 100.00% 24.95% 59.13%
13. Self-Pay $36,682,742 100.00% 16.32% $15,148,306 100.00% 9.16% 41.30%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $224,825,557 100.00% $165,428,453 100.00% 73.58%
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 $196,828 $0 $1,231,422 $0 $1,428,250 2.11% ($13,353,443.00) -19.69%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $196,828 $0 $1,231,422 $0 $1,428,250 2.11% ($13,353,443.00) -19.69%
4. Medicare Non-Managed Care $362,741 $409,266 $140,651 $0 $912,658 1.81% $17,590,787 34.85%
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) $362,741 $409,266 $140,651 $0 $912,658 1.81% $17,590,787 34.85%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $33,138 110.17%
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% $33,138 110.17%
10. Private Non-Managed Care $869,328 $0 $869,328 1.26% $25,145,440 36.53%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $350,741 36.42%
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $869,328 $0 $869,328 1.25% $25,496,181 36.53%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $559,569 $409,266 $2,241,401 $0 $3,210,236 1.43% $29,766,663 13.24%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $14,417,305 $4,292,824

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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