West Virginia Data
28 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 | $147,887,049 | 61.29% | 16.51% | $120,565,457 | 56.70% | 20.77% | 81.53% |
| 2a. | Medicaid Managed Care (capitated) | $639,625 | 0.27% | 0.07% | $511,700 | 0.24% | 0.09% | 80.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $92,761,082 | 38.44% | 10.35% | $91,578,233 | 43.06% | 15.77% | 98.72% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $241,287,756 | 100.00% | 26.93% | $212,655,390 | 100.00% | 36.63% | 88.13% |
| 4. | Medicare Non-Managed Care | $150,605,266 | 85.39% | 16.81% | $94,744,140 | 81.33% | 16.32% | 62.91% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $25,770,630 | 14.61% | 2.88% | $21,756,238 | 18.67% | 3.75% | 84.42% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $176,375,896 | 100.00% | 19.68% | $116,500,378 | 100.00% | 20.07% | 66.05% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $4,431,547 | 100.00% | 0.49% | $2,513,724 | 100.00% | 0.43% | 56.72% |
| 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) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $4,431,547 | 100.00% | 0.49% | $2,513,724 | 100.00% | 0.43% | 56.72% |
| 10. | Private Non-Managed Care | $318,780,917 | 94.26% | 35.58% | $185,145,645 | 94.98% | 31.89% | 58.08% |
| 11a. | Private Managed Care (capitated) | $6,105,017 | 1.81% | 0.68% | $3,384,878 | 1.74% | 0.58% | 55.44% |
| 11b. | Private Managed Care (fee-for-service) | $13,319,243 | 3.94% | 1.49% | $6,408,043 | 3.29% | 1.10% | 48.11% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $338,205,177 | 100.00% | 37.75% | $194,938,566 | 100.00% | 33.58% | 57.64% |
| 13. | Self-Pay | $135,696,910 | 100.00% | 15.14% | $53,990,330 | 100.00% | 9.30% | 39.79% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $895,997,286 | 100.00% | $580,598,388 | 100.00% | 64.80% | ||
| 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 | $1,127,151 | $1,093,917 | $597,428 | $248 | $2,818,248 | 1.91% | $32,913,349 | 22.26% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $127,925 | 20.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $578,043 | $212,484 | $551,555 | $0 | $1,342,082 | 1.45% | $1,980,309 | 2.13% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,705,194 | $1,306,401 | $1,148,983 | $248 | $4,160,330 | 1.72% | $35,021,583 | 14.51% |
| 4. | Medicare Non-Managed Care | $694,194 | $1,510,810 | $1,063,117 | $3,146 | $3,264,975 | 2.17% | $61,653,901 | 40.94% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $22,902 | $1,012,162 | $0 | $1,035,064 | 4.02% | $5,119,080 | 19.86% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $694,194 | $1,533,712 | $2,075,279 | $3,146 | $4,300,039 | 2.44% | $66,772,981 | 37.86% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $15 | $0 | $15 | 0.00% | $1,729,937 | 39.04% |
| 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 | $15 | $0 | $15 | 0.00% | $1,729,937 | 39.04% |
| 10. | Private Non-Managed Care | $1,172,652 | $2,756 | $1,169,896 | 0.37% | $122,747,699 | 38.51% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $2,452,377 | 40.17% | ||
| 11b. | Private Managed Care (fee-for-service) | $103,631 | $0 | $103,631 | 0.78% | $6,556,483 | 49.23% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,276,283 | $2,756 | $1,273,527 | 0.38% | $131,756,559 | 38.96% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,399,388 | $2,840,113 | $4,500,560 | $6,150 | $9,733,911 | 1.09% | $235,281,060 | 26.26% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $55,876,940 | $8,522,041 |
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.
View Detailed UDS Footnotes
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