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Table 9D: Patient Related Revenue

Wyoming Data

X

5 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 $7,463,304 100.00% 19.81% $9,587,935 100.00% 35.15% 128.47%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $7,463,304 100.00% 19.81% $9,587,935 100.00% 35.15% 128.47%
4. Medicare Non-Managed Care $7,190,049 99.92% 19.08% $4,037,104 100.00% 14.80% 56.15%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $5,586 0.08% 0.01% $0 0.00% 0.00% 0.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $7,195,635 100.00% 19.10% $4,037,104 100.00% 14.80% 56.10%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $86,971 100.00% 0.23% $47,519 100.00% 0.17% 54.64%
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) $86,971 100.00% 0.23% $47,519 100.00% 0.17% 54.64%
10. Private Non-Managed Care $14,341,948 99.94% 38.07% $10,782,625 100.00% 39.53% 75.18%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $8,699 0.06% 0.02% $0 0.00% 0.00% 0.00%
12. Total Private (Sum of Lines 10 + 11a + 11b) $14,350,647 100.00% 38.09% $10,782,625 100.00% 39.53% 75.14%
13. Self-Pay $8,579,538 100.00% 22.77% $2,819,381 100.00% 10.34% 32.86%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $37,676,095 100.00% $27,274,564 100.00% 72.39%
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 $0 $0 $0 0.00% ($302,734.00) -4.06%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $0 $0 $0 $0 $0 0.00% ($302,734.00) -4.06%
4. Medicare Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,196,285 30.55%
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% $0 0.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $0 $0 $0 $0 $0 0.00% $2,196,285 30.52%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $28,865 33.19%
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% $28,865 33.19%
10. Private Non-Managed Care $0 $0 $0 0.00% $2,911,967 20.30%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 0.00% $0 0.00%
12. Total Private (Sum of Lines 10 + 11a + 11b) $0 $0 $0 0.00% $2,911,967 20.29%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $0 $0 $0 $0 $0 0.00% $4,834,383 12.83%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $3,524,631 $1,452,226

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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