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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Maine for 2007
18 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 |
23,671,868 |
89.0% |
29.3% |
22,941,520 |
87.1% |
34.3% |
96.9% |
58,513 |
114,599 |
|
765,000 |
-591,888 |
- 2.5% |
179,050 |
0.8% |
| 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)
|
2,914,269 |
11.0% |
3.6% |
3,411,800 |
12.9% |
5.1% |
117.1% |
0 |
0 |
0 |
0 |
0 |
0.0% |
-586,445 |
- 20.1% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
26,586,137 |
100.0% |
32.9% |
26,353,320 |
100.0% |
39.4% |
99.1% |
58,513 |
114,599 |
0 |
765,000 |
-591,888 |
- 2.2% |
-407,395 |
- 1.5% |
| 4. Medicare Non-Managed Care |
16,601,051 |
99.8% |
20.6% |
14,197,886 |
99.8% |
21.2% |
85.5% |
11,252 |
156,242 |
|
516 |
166,978 |
1.0% |
1,831,634 |
11.0% |
| 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)
|
31,815 |
0.2% |
0.0% |
24,096 |
0.2% |
0.0% |
75.7% |
0 |
0 |
0 |
0 |
0 |
0.0% |
12,367 |
38.9% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
16,632,866 |
100.0% |
20.6% |
14,221,982 |
100.0% |
21.2% |
85.5% |
11,252 |
156,242 |
0 |
516 |
166,978 |
1.0% |
1,844,001 |
11.1% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
74,991 |
100.0% |
0.1% |
44,145 |
100.0% |
0.1% |
58.9% |
|
|
|
0 |
0 |
0.0% |
38,318 |
51.1% |
| 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) |
74,991 |
100.0% |
0.1% |
44,145 |
100.0% |
0.1% |
58.9% |
|
|
0 |
0 |
0 |
0.0% |
38,318 |
51.1% |
| 10. Private Non-Managed Care |
18,741,889 |
82.9% |
23.2% |
14,081,483 |
82.0% |
21.0% |
75.1% |
|
|
|
0 |
0 |
|
5,024,662 |
26.8% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
82 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
3,875,917 |
17.1% |
4.8% |
3,093,121 |
18.0% |
4.6% |
79.8% |
|
|
0 |
0 |
0 |
0.0% |
904,706 |
23.3% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
22,617,806 |
100.0% |
28.0% |
17,174,604 |
100.0% |
25.6% |
75.9% |
|
|
0 |
0 |
0 |
0.0% |
5,929,450 |
26.2% |
| 13. Self-Pay |
14,845,190 |
100.0% |
18.4% |
9,173,987 |
100.0% |
13.7% |
61.8% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
80,756,990 |
|
100.0% |
66,968,038 |
|
100.0% |
82.9% |
69,765 |
270,841 |
0 |
765,516 |
-424,910 |
- 0.5% |
7,404,374 |
9.2% |
|
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) |
4,104,652 |
27.6% |
828,765 |
5.6% |
data as of: 7/22/2008 3:50:30
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