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Table 9D: Patient Related Revenue

Nebraska Data

X

7 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 $34,613,310 53.54% 20.16% $22,692,113 53.45% 24.80% 65.56%
2a. Medicaid Managed Care (capitated) $5,988,549 9.26% 3.49% $4,818,973 11.35% 5.27% 80.47%
2b. Medicaid Managed Care (fee-for-service) $24,053,161 37.20% 14.01% $14,941,499 35.20% 16.33% 62.12%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $64,655,020 100.00% 37.65% $42,452,585 100.00% 46.39% 65.66%
4. Medicare Non-Managed Care $11,035,873 93.51% 6.43% $4,773,697 93.82% 5.22% 43.26%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $765,747 6.49% 0.45% $314,241 6.18% 0.34% 41.04%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $11,801,620 100.00% 6.87% $5,087,938 100.00% 5.56% 43.11%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $519,487 100.00% 0.30% $118,225 100.00% 0.13% 22.76%
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) $519,487 100.00% 0.30% $118,225 100.00% 0.13% 22.76%
10. Private Non-Managed Care $47,004,800 100.00% 27.37% $31,735,343 100.00% 34.68% 67.52%
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) $47,004,800 100.00% 27.37% $31,735,343 100.00% 34.68% 67.52%
13. Self-Pay $47,744,099 100.00% 27.80% $12,121,335 100.00% 13.25% 25.39%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $171,725,026 100.00% $91,515,426 100.00% 53.29%
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 $6,330,261 $0 $6,330,261 18.29% $11,067,644 31.98%
2a. Medicaid Managed Care (capitated) $197,874 $0 $0 $0 $197,874 3.30% $1,169,576 19.53%
2b. Medicaid Managed Care (fee-for-service) $0 $0 $1,823,961 $113,997 $1,709,964 7.11% $8,871,544 36.88%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $197,874 $0 $8,154,222 $113,997 $8,238,099 12.74% $21,108,764 32.65%
4. Medicare Non-Managed Care $0 $109,365 $1,150 $0 $110,515 1.00% $5,535,364 50.16%
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% $442,582 57.80%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $109,365 $1,150 $0 $110,515 0.94% $5,977,946 50.65%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $349,891 67.35%
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% $349,891 67.35%
10. Private Non-Managed Care $10,356 $0 $10,356 0.02% $11,963,741 25.45%
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) $10,356 $0 $10,356 0.02% $11,963,741 25.45%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $197,874 $109,365 $8,165,728 $113,997 $8,358,970 4.87% $39,400,342 22.94%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $30,308,802 $6,748,208

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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