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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Oregon for 2007
23 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 |
17,856,825 |
29.2% |
12.2% |
16,373,663 |
19.9% |
15.3% |
91.7% |
71,922 |
663,603 |
|
1,821 |
733,704 |
4.1% |
1,569,045 |
8.8% |
| 2a. Medicaid Managed Care (capitated)
|
10,615,248 |
17.4% |
7.2% |
14,532,685 |
17.6% |
13.6% |
136.9% |
765,377 |
5,567,159 |
0 |
0 |
6,332,536 |
59.7% |
-3,970,322 |
- 37.4% |
| 2b. Medicaid Managed Care (fee-for-service)
|
32,659,955 |
53.4% |
22.3% |
51,493,498 |
62.5% |
48.2% |
157.7% |
2,989,468 |
26,718,853 |
328,848 |
16,552 |
30,020,617 |
91.9% |
-15,760,748 |
- 48.3% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
61,132,028 |
100.0% |
41.7% |
82,399,846 |
100.0% |
77.2% |
134.8% |
3,826,767 |
32,949,615 |
328,848 |
18,373 |
37,086,857 |
60.7% |
-18,162,025 |
- 29.7% |
| 4. Medicare Non-Managed Care |
7,933,172 |
73.0% |
5.4% |
5,143,551 |
75.9% |
4.8% |
64.8% |
0 |
47,746 |
|
818 |
46,928 |
0.6% |
1,875,684 |
23.6% |
| 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)
|
2,940,439 |
27.0% |
2.0% |
1,635,793 |
24.1% |
1.5% |
55.6% |
0 |
77,665 |
0 |
0 |
77,665 |
2.6% |
1,084,849 |
36.9% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
10,873,611 |
100.0% |
7.4% |
6,779,344 |
100.0% |
6.3% |
62.3% |
0 |
125,411 |
0 |
818 |
124,593 |
1.1% |
2,960,533 |
27.2% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
1,331,840 |
100.0% |
0.9% |
1,446,642 |
100.0% |
1.4% |
108.6% |
|
|
|
107 |
- 107 |
- 0.0% |
-63,725 |
- 4.8% |
| 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) |
1,331,840 |
100.0% |
0.9% |
1,446,642 |
100.0% |
1.4% |
108.6% |
|
|
0 |
107 |
- 107 |
- 0.0% |
-63,725 |
- 4.8% |
| 10. Private Non-Managed Care |
11,956,003 |
98.9% |
8.2% |
6,881,489 |
98.4% |
6.4% |
57.6% |
|
|
|
4,189 |
-4,189 |
|
3,543,404 |
29.6% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
138,717 |
1.1% |
0.1% |
112,574 |
1.6% |
0.1% |
81.2% |
|
|
1,341 |
0 |
1,341 |
1.0% |
25,965 |
18.7% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
12,094,720 |
100.0% |
8.3% |
6,994,063 |
100.0% |
6.5% |
57.8% |
|
|
1,341 |
4,189 |
-2,848 |
- 0.0% |
3,569,369 |
29.5% |
| 13. Self-Pay |
61,028,261 |
100.0% |
41.7% |
9,179,744 |
100.0% |
8.6% |
15.0% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
146,460,460 |
|
100.0% |
106,799,639 |
|
100.0% |
72.9% |
3,826,767 |
33,075,026 |
330,189 |
23,487 |
37,208,495 |
25.4% |
-11,695,848 |
- 8.0% |
|
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) |
44,902,682 |
73.6% |
2,152,641 |
3.5% |
data as of: 7/22/2008 4:02:47
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