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Table 9D: Patient Related Revenue

Utah Data

X

12 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 $56,769,144 93.49% 17.14% $62,235,322 96.44% 45.21% 109.63%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $3,956,047 6.51% 1.19% $2,295,481 3.56% 1.67% 58.02%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $60,725,191 100.00% 18.34% $64,530,803 100.00% 46.88% 106.27%
4. Medicare Non-Managed Care $32,262,584 98.22% 9.74% $17,767,045 98.15% 12.91% 55.07%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $584,746 1.78% 0.18% $335,318 1.85% 0.24% 57.34%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $32,847,330 100.00% 9.92% $18,102,363 100.00% 13.15% 55.11%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $354,754 54.10% 0.11% $98,326 34.91% 0.07% 27.72%
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) $301,012 45.90% 0.09% $183,291 65.09% 0.13% 60.89%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $655,766 100.00% 0.20% $281,617 100.00% 0.20% 42.94%
10. Private Non-Managed Care $63,212,456 84.03% 19.09% $31,194,919 87.89% 22.66% 49.35%
11a. Private Managed Care (capitated) $5,040 0.01% 0.00% $9,155 0.03% 0.01% 181.65%
11b. Private Managed Care (fee-for-service) $12,011,900 15.97% 3.63% $4,288,844 12.08% 3.12% 35.70%
12. Total Private (Sum of Lines 10 + 11a + 11b) $75,229,396 100.00% 22.72% $35,492,918 100.00% 25.78% 47.18%
13. Self-Pay $161,661,238 100.00% 48.82% $19,246,127 100.00% 13.98% 11.91%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $331,118,921 100.00% $137,653,828 100.00% 41.57%
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 $1,451,500 $656,327 $0 $52,786 $2,055,041 3.62% ($9,972,877.00) -17.57%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $177,662 $0 $177,662 4.49% $1,969,276 49.78%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $1,451,500 $656,327 $177,662 $52,786 $2,232,703 3.68% ($8,003,601.00) -13.18%
4. Medicare Non-Managed Care $65,254 $36,864 $264,645 $0 $366,763 1.14% $10,303,381 31.94%
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% $268,193 45.86%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $65,254 $36,864 $264,645 $0 $366,763 1.12% $10,571,574 32.18%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $3,600 $800 $0 $0 $4,400 1.24% $122,635 34.57%
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% $126,608 42.06%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $3,600 $800 $0 $0 $4,400 0.67% $249,243 38.01%
10. Private Non-Managed Care $226,963 $278 $226,685 0.36% $22,572,654 35.71%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% ($4,115.00) -81.65%
11b. Private Managed Care (fee-for-service) $42,368 $0 $42,368 0.35% $7,341,574 61.12%
12. Total Private (Sum of Lines 10 + 11a + 11b) $269,331 $278 $269,053 0.36% $29,910,113 39.76%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,520,354 $693,991 $711,638 $53,064 $2,872,919 0.87% $32,727,329 9.88%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $124,823,829 $1,199,809

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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