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Table 9D: Patient Related Revenue

South Dakota Data

X

4 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 $30,583,667 99.85% 20.35% $23,757,321 99.95% 25.00% 77.68%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $45,187 0.15% 0.03% $11,434 0.05% 0.01% 25.30%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $30,628,854 100.00% 20.38% $23,768,755 100.00% 25.01% 77.60%
4. Medicare Non-Managed Care $34,371,007 100.00% 22.87% $18,576,294 100.00% 19.55% 54.05%
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) $34,371,007 100.00% 22.87% $18,576,294 100.00% 19.55% 54.05%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $47,912 100.00% 0.03% $16,867 100.00% 0.02% 35.20%
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) $47,912 100.00% 0.03% $16,867 100.00% 0.02% 35.20%
10. Private Non-Managed Care $57,481,088 100.00% 38.24% $40,171,337 100.00% 42.27% 69.89%
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) $57,481,088 100.00% 38.24% $40,171,337 100.00% 42.27% 69.89%
13. Self-Pay $27,787,092 100.00% 18.49% $12,506,421 100.00% 13.16% 45.01%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $150,315,953 100.00% $95,039,674 100.00% 63.23%
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 $156,077 $0 $156,077 0.51% $7,134,172 23.33%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 0.00% $16,656 36.86%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $156,077 $0 $156,077 0.51% $7,150,828 23.35%
4. Medicare Non-Managed Care $0 $0 $539,562 $0 $539,562 1.57% $15,925,836 46.34%
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) $0 $0 $539,562 $0 $539,562 1.57% $15,925,836 46.34%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $26,083 54.44%
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% $26,083 54.44%
10. Private Non-Managed Care $0 $0 $0 0.00% $17,435,101 30.33%
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) $0 $0 $0 0.00% $17,435,101 30.33%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $0 $695,639 $0 $695,639 0.46% $40,537,848 26.97%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $6,690,372 $5,094,077

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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