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Table 9D: Patient Related Revenue

Wisconsin Data

X

16 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 $199,091,087 88.96% 47.06% $200,224,232 92.86% 68.27% 100.57%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $24,699,876 11.04% 5.84% $15,400,809 7.14% 5.25% 62.35%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $223,790,963 100.00% 52.90% $215,625,041 100.00% 73.53% 96.35%
4. Medicare Non-Managed Care $32,315,182 80.32% 7.64% $13,606,182 79.91% 4.64% 42.10%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $7,915,646 19.68% 1.87% $3,419,956 20.09% 1.17% 43.21%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $40,230,828 100.00% 9.51% $17,026,138 100.00% 5.81% 42.32%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $157,493 100.00% 0.04% $17,895 100.00% 0.01% 11.36%
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) $157,493 100.00% 0.04% $17,895 100.00% 0.01% 11.36%
10. Private Non-Managed Care $69,295,381 86.87% 16.38% $39,255,499 86.46% 13.39% 56.65%
11a. Private Managed Care (capitated) $794,830 1.00% 0.19% $396,996 0.87% 0.14% 49.95%
11b. Private Managed Care (fee-for-service) $9,682,860 12.14% 2.29% $5,751,946 12.67% 1.96% 59.40%
12. Total Private (Sum of Lines 10 + 11a + 11b) $79,773,071 100.00% 18.86% $45,404,441 100.00% 15.48% 56.92%
13. Self-Pay $79,129,169 100.00% 18.70% $15,188,367 100.00% 5.18% 19.19%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $423,081,524 100.00% $293,261,882 100.00% 69.32%
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 $47,780,873 $16,302,547 $820,511 $734,043 $64,169,888 32.23% $17,628,649 8.85%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $5,330,172 $2,390,721 $0 $194 $7,720,699 31.26% $8,852,130 35.84%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $53,111,045 $18,693,268 $820,511 $734,237 $71,890,587 32.12% $26,480,779 11.83%
4. Medicare Non-Managed Care $20,868 $0 $0 $0 $20,868 0.06% $17,173,315 53.14%
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% $4,511,929 57.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $20,868 $0 $0 $0 $20,868 0.05% $21,685,244 53.90%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $147,661 93.76%
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% $147,661 93.76%
10. Private Non-Managed Care $0 $3,481 ($3,481.00) -0.01% $28,381,952 40.96%
11a. Private Managed Care (capitated) $23,085 $0 $23,085 2.90% $397,834 50.05%
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $4,358,954 45.02%
12. Total Private (Sum of Lines 10 + 11a + 11b) $23,085 $3,481 $19,604 0.02% $33,138,740 41.54%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $53,131,913 $18,693,268 $843,596 $737,718 $71,931,059 17.00% $81,452,424 19.25%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $51,501,722 $9,159,824

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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