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Table 9D: Patient Related Revenue

New Mexico 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 $131,314,259 93.50% 38.28% $111,465,237 93.47% 54.24% 84.88%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $9,131,870 6.50% 2.66% $7,784,498 6.53% 3.79% 85.25%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $140,446,129 100.00% 40.94% $119,249,735 100.00% 58.02% 84.91%
4. Medicare Non-Managed Care $66,158,782 97.88% 19.28% $35,263,977 97.67% 17.16% 53.30%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $1,435,859 2.12% 0.42% $842,350 2.33% 0.41% 58.67%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $67,594,641 100.00% 19.70% $36,106,327 100.00% 17.57% 53.42%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $9,014,378 100.00% 2.63% $4,534,616 100.00% 2.21% 50.30%
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) $9,014,378 100.00% 2.63% $4,534,616 100.00% 2.21% 50.30%
10. Private Non-Managed Care $62,402,529 98.62% 18.19% $32,328,403 97.62% 15.73% 51.81%
11a. Private Managed Care (capitated) $670,711 1.06% 0.20% $669,788 2.02% 0.33% 99.86%
11b. Private Managed Care (fee-for-service) $200,151 0.32% 0.06% $118,776 0.36% 0.06% 59.34%
12. Total Private (Sum of Lines 10 + 11a + 11b) $63,273,391 100.00% 18.44% $33,116,967 100.00% 16.11% 52.34%
13. Self-Pay $62,730,760 100.00% 18.29% $12,509,047 100.00% 6.09% 19.94%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $343,059,299 100.00% $205,516,692 100.00% 59.91%
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 $99,275 $0 $8,888,838 $0 $8,988,113 6.84% $19,905,466 15.16%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $8,169 $0 $8,169 0.09% $224,322 2.46%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $99,275 $0 $8,897,007 $0 $8,996,282 6.41% $20,129,788 14.33%
4. Medicare Non-Managed Care $12,182 $106,403 $2,496 $0 $121,081 0.18% $25,316,763 38.27%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $18
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $526,061 36.64%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $12,182 $106,403 $2,496 $0 $121,081 0.18% $25,842,842 38.23%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $3,463,701 38.42%
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% $3,463,701 38.42%
10. Private Non-Managed Care $381,268 $0 $381,268 0.61% $25,848,820 41.42%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $923 0.14%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $65,581 32.77%
12. Total Private (Sum of Lines 10 + 11a + 11b) $381,268 $0 $381,268 0.60% $25,915,324 40.96%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $111,457 $106,403 $9,280,771 $0 $9,498,631 2.77% $75,351,655 21.96%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $41,436,101 $4,988,768

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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