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Table 9D: Patient Related Revenue

Virginia Data

X

26 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 $170,054,109 84.20% 30.47% $123,695,098 79.31% 37.04% 72.74%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $31,919,190 15.80% 5.72% $32,267,725 20.69% 9.66% 101.09%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $201,973,299 100.00% 36.19% $155,962,823 100.00% 46.70% 77.22%
4. Medicare Non-Managed Care $97,469,776 75.96% 17.46% $61,121,333 73.90% 18.30% 62.71%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $30,854,410 24.04% 5.53% $21,581,476 26.10% 6.46% 69.95%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $128,324,186 100.00% 22.99% $82,702,809 100.00% 24.77% 64.45%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $529,018 95.79% 0.09% $212,263 94.74% 0.06% 40.12%
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) $23,249 4.21% 0.00% $11,794 5.26% 0.00% 50.73%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $552,267 100.00% 0.10% $224,057 100.00% 0.07% 40.57%
10. Private Non-Managed Care $126,696,340 98.23% 22.70% $72,411,606 98.50% 21.68% 57.15%
11a. Private Managed Care (capitated) $15,596 0.01% 0.00% $4,150 0.01% 0.00% 26.61%
11b. Private Managed Care (fee-for-service) $2,270,642 1.76% 0.41% $1,100,232 1.50% 0.33% 48.45%
12. Total Private (Sum of Lines 10 + 11a + 11b) $128,982,578 100.00% 23.11% $73,515,988 100.00% 22.02% 57.00%
13. Self-Pay $98,298,322 100.00% 17.61% $21,529,962 100.00% 6.45% 21.90%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $558,130,652 100.00% $333,935,639 100.00% 59.83%
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 $27,174,977 $19,200,014 $929,818 $0 $47,304,809 27.82% $37,825,713 22.24%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $12,048,508 $5,672,284 $178,344 $147,166 $17,751,970 55.62% $14,053,200 44.03%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $39,223,485 $24,872,298 $1,108,162 $147,166 $65,056,779 32.21% $51,878,913 25.69%
4. Medicare Non-Managed Care $427,842 $644,247 $250,506 $0 $1,322,595 1.36% $36,450,468 37.40%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $231,380 $0 $231,380 0.75% $10,800,145 35.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $427,842 $644,247 $481,886 $0 $1,553,975 1.21% $47,250,613 36.82%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $248,884 47.05%
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% $13,340 57.38%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $262,224 47.48%
10. Private Non-Managed Care $535,569 $0 $535,569 0.42% $47,672,778 37.63%
11a. Private Managed Care (capitated) $0 $0 $0 0.00% $9,324 59.78%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $1,108,030 48.80%
12. Total Private (Sum of Lines 10 + 11a + 11b) $535,569 $0 $535,569 0.42% $48,790,132 37.83%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $39,651,327 $25,516,545 $2,125,617 $147,166 $67,146,323 12.03% $148,181,882 26.55%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $57,543,327 $8,857,720

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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