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Table 9D: Patient Related Revenue

Oklahoma Data

X

21 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 $157,158,674 93.72% 30.88% $138,151,920 94.82% 41.40% 87.91%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $10,530,443 6.28% 2.07% $7,546,687 5.18% 2.26% 71.67%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $167,689,117 100.00% 32.95% $145,698,607 100.00% 43.66% 86.89%
4. Medicare Non-Managed Care $83,911,247 91.83% 16.49% $47,935,029 92.39% 14.36% 57.13%
5a. Medicare Managed Care (capitated) $1,233,130 1.35% 0.24% $938,274 1.81% 0.28% 76.09%
5b. Medicare Managed Care (fee-for-service) $6,229,762 6.82% 1.22% $3,011,027 5.80% 0.90% 48.33%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $91,374,139 100.00% 17.95% $51,884,330 100.00% 15.55% 56.78%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $607,417 100.00% 0.12% $305,388 100.00% 0.09% 50.28%
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) $607,417 100.00% 0.12% $305,388 100.00% 0.09% 50.28%
10. Private Non-Managed Care $160,237,356 100.00% 31.49% $113,897,237 100.00% 34.13% 71.08%
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) $160,237,356 100.00% 31.49% $113,897,237 100.00% 34.13% 71.08%
13. Self-Pay $89,011,511 100.00% 17.49% $21,932,290 100.00% 6.57% 24.64%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $508,919,540 100.00% $333,717,852 100.00% 65.57%
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 $3,694 $808 $2,886 0.00% $21,757,693 13.84%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $18,879 $0 $0 $0 $18,879 0.18% $1,484,875 14.10%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $18,879 $0 $3,694 $808 $21,765 0.01% $23,242,568 13.86%
4. Medicare Non-Managed Care $205,564 $164,875 $761,467 $0 $1,131,906 1.35% $35,110,224 41.84%
5a. Medicare Managed Care (capitated) $0 $0 $207,580 $0 $207,580 16.83% $294,856 23.91%
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $2,909,963 46.71%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $205,564 $164,875 $969,047 $0 $1,339,486 1.47% $38,315,043 41.93%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $302,029 49.72%
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% $302,029 49.72%
10. Private Non-Managed Care $280,247 $9,872 $270,375 0.17% $42,467,057 26.50%
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) $280,247 $9,872 $270,375 0.17% $42,467,057 26.50%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $224,443 $164,875 $1,252,988 $10,680 $1,631,626 0.32% $104,326,697 20.50%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $52,937,004 $10,317,791

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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