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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Delaware for 2007
4 Grantees
| Payor Category |
Full
Charges This Period (a) |
Charges
as Percent of Payor |
Charges
as Percent of Total |
Amount
Collected This Period (b) |
Collections
as Percent of Payor |
Collections
as Percent of Total |
Collections
as Percent of Charges |
Collection
of recon./wrap around Current Year (c1) |
Collection
of recon./wrap around Previous Years
(c2) |
Collection
of other retroactive payments (c3) |
Penalty/Payback
(c4) |
Net
Retros |
Net
Retros as Percent of Charges |
Allowances
(d) |
Allowances
as Percent of Charges |
| 1. Medicaid Non-Managed Care |
1,482,715 |
29.5% |
11.5% |
970,956 |
22.9% |
14.3% |
65.5% |
0 |
0 |
|
0 |
0 |
0.0% |
364,695 |
24.6% |
| 2a. Medicaid Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 2b. Medicaid Managed Care (fee-for-service)
|
3,542,113 |
70.5% |
27.6% |
3,261,008 |
77.1% |
47.9% |
92.1% |
0 |
0 |
0 |
0 |
0 |
0.0% |
207,114 |
5.8% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
5,024,828 |
100.0% |
39.1% |
4,231,964 |
100.0% |
62.2% |
84.2% |
0 |
0 |
0 |
0 |
0 |
0.0% |
571,809 |
11.4% |
| 4. Medicare Non-Managed Care |
801,882 |
100.0% |
6.2% |
629,623 |
100.0% |
9.3% |
78.5% |
849 |
702 |
|
0 |
1,551 |
0.2% |
238,437 |
29.7% |
| 5a. Medicare Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 5b. Medicare Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
801,882 |
100.0% |
6.2% |
629,623 |
100.0% |
9.3% |
78.5% |
849 |
702 |
0 |
0 |
1,551 |
0.2% |
238,437 |
29.7% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
311,447 |
100.0% |
2.4% |
139,239 |
100.0% |
2.0% |
44.7% |
|
|
|
0 |
0 |
0.0% |
54,149 |
17.4% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
311,447 |
100.0% |
2.4% |
139,239 |
100.0% |
2.0% |
44.7% |
|
|
0 |
0 |
0 |
0.0% |
54,149 |
17.4% |
| 10. Private Non-Managed Care |
976,516 |
83.5% |
7.6% |
299,974 |
64.5% |
4.4% |
30.7% |
|
|
|
0 |
0 |
|
445,691 |
45.6% |
| 11a. Private Managed Care (capitated)
|
20,897 |
1.8% |
0.2% |
31,866 |
6.9% |
0.5% |
152.5% |
|
|
0 |
0 |
0 |
0.0% |
-10,969 |
- 52.5% |
| 11b. Private Managed Care (fee-for-service)
|
171,615 |
14.7% |
1.3% |
133,282 |
28.7% |
2.0% |
77.7% |
|
|
0 |
0 |
0 |
0.0% |
36,624 |
21.3% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
1,169,028 |
100.0% |
9.1% |
465,122 |
100.0% |
6.8% |
39.8% |
|
|
0 |
0 |
0 |
0.0% |
471,346 |
40.3% |
| 13. Self-Pay |
5,541,261 |
100.0% |
43.1% |
1,339,704 |
100.0% |
19.7% |
24.2% |
|
|
|
|
|
|
|
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| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
12,848,446 |
|
100.0% |
6,805,652 |
|
100.0% |
53.0% |
849 |
702 |
0 |
0 |
1,551 |
0.0% |
1,335,741 |
10.4% |
|
Sliding Discounts (e) |
Sliding Discounts as a Percent of Self-Pay
Charges |
Bad Debt Write Off(f) |
Bad Debt as Percent of Self-Pay
Charges |
| 13. Self-Pay (line 14 is same) |
3,317,491 |
59.9% |
715,077 |
12.9% |
data as of: 7/22/2008 11:42:24
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