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Table 9D: Patient Related Revenue

Nevada 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 $29,426,654 41.07% 11.71% $23,584,259 34.16% 15.37% 80.15%
2a. Medicaid Managed Care (capitated) $28,556 0.04% 0.01% $19,798 0.03% 0.01% 69.33%
2b. Medicaid Managed Care (fee-for-service) $42,199,651 58.89% 16.80% $45,435,782 65.81% 29.62% 107.67%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $71,654,861 100.00% 28.53% $69,039,839 100.00% 45.00% 96.35%
4. Medicare Non-Managed Care $24,991,520 57.53% 9.95% $15,073,792 60.56% 9.83% 60.32%
5a. Medicare Managed Care (capitated) $1,784,247 4.11% 0.71% $725,482 2.91% 0.47% 40.66%
5b. Medicare Managed Care (fee-for-service) $16,664,341 38.36% 6.63% $9,093,287 36.53% 5.93% 54.57%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $43,440,108 100.00% 17.29% $24,892,561 100.00% 16.23% 57.30%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $5,444,142 69.91% 2.17% $4,697,986 87.53% 3.06% 86.29%
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) $2,342,787 30.09% 0.93% $669,079 12.47% 0.44% 28.56%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $7,786,929 100.00% 3.10% $5,367,065 100.00% 3.50% 68.92%
10. Private Non-Managed Care $48,335,384 66.65% 19.24% $27,863,337 59.17% 18.16% 57.65%
11a. Private Managed Care (capitated) $591,322 0.82% 0.24% $119,265 0.25% 0.08% 20.17%
11b. Private Managed Care (fee-for-service) $23,595,514 32.54% 9.39% $19,110,535 40.58% 12.46% 80.99%
12. Total Private (Sum of Lines 10 + 11a + 11b) $72,522,220 100.00% 28.87% $47,093,137 100.00% 30.70% 64.94%
13. Self-Pay $55,785,112 100.00% 22.21% $7,014,131 100.00% 4.57% 12.57%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $251,189,230 100.00% $153,406,733 100.00% 61.07%
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 $2,898,565 $1,500,360 $1,063,034 $0 $5,461,959 18.56% $6,929,483 23.55%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $8,758 30.67%
2b. Medicaid Managed Care (fee-for-service) $13,132,277 $7,242,639 $5,623,602 $0 $25,998,518 61.61% ($1,930,705.00) -4.58%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $16,030,842 $8,742,999 $6,686,636 $0 $31,460,477 43.91% $5,007,536 6.99%
4. Medicare Non-Managed Care $0 $0 $391,450 $0 $391,450 1.57% $7,709,002 30.85%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $1,007,046 56.44%
5b. Medicare Managed Care (fee-for-service) $0 $0 $775,365 $0 $775,365 4.65% $3,122,750 18.74%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $0 $1,166,815 $0 $1,166,815 2.69% $11,838,798 27.25%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% ($359,102.00) -6.60%
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% $1,473,708 62.90%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $1,114,606 14.31%
10. Private Non-Managed Care $21,647 $628 $21,019 0.04% $13,854,212 28.66%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $472,057 79.83%
11b. Private Managed Care (fee-for-service) $0 $114 ($114.00) 0.00% $1,045,778 4.43%
12. Total Private (Sum of Lines 10 + 11a + 11b) $21,647 $742 $20,905 0.03% $15,372,047 21.20%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $16,030,842 $8,742,999 $7,875,098 $742 $32,648,197 13.00% $33,332,987 13.27%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $38,766,173 $4,604,603

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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