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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Vermont for 2007
6 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 |
13,698,863 |
96.3% |
35.3% |
11,277,631 |
95.2% |
39.9% |
82.3% |
623,759 |
794,423 |
|
0 |
1,418,182 |
10.4% |
3,011,264 |
22.0% |
| 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)
|
532,252 |
3.7% |
1.4% |
566,871 |
4.8% |
2.0% |
106.5% |
0 |
0 |
0 |
0 |
0 |
0.0% |
-20,173 |
- 3.8% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
14,231,115 |
100.0% |
36.6% |
11,844,502 |
100.0% |
42.0% |
83.2% |
623,759 |
794,423 |
0 |
0 |
1,418,182 |
10.0% |
2,991,091 |
21.0% |
| 4. Medicare Non-Managed Care |
5,993,801 |
100.0% |
15.4% |
4,385,968 |
100.0% |
15.5% |
73.2% |
0 |
195,171 |
|
0 |
195,171 |
3.3% |
1,949,138 |
32.5% |
| 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)
|
2,042 |
0.0% |
0.0% |
555 |
0.0% |
0.0% |
27.2% |
0 |
0 |
0 |
0 |
0 |
0.0% |
606 |
29.7% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
5,995,843 |
100.0% |
15.4% |
4,386,523 |
100.0% |
15.5% |
73.2% |
0 |
195,171 |
0 |
0 |
195,171 |
3.3% |
1,949,744 |
32.5% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
65,477 |
100.0% |
0.2% |
20,876 |
100.0% |
0.1% |
31.9% |
|
|
|
0 |
0 |
0.0% |
22,156 |
33.8% |
| 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) |
65,477 |
100.0% |
0.2% |
20,876 |
100.0% |
0.1% |
31.9% |
|
|
0 |
0 |
0 |
0.0% |
22,156 |
33.8% |
| 10. Private Non-Managed Care |
11,429,970 |
90.9% |
29.4% |
7,913,821 |
90.9% |
28.0% |
69.2% |
|
|
|
0 |
0 |
|
3,628,342 |
31.7% |
| 11a. Private Managed Care (capitated)
|
638,184 |
5.1% |
1.6% |
476,730 |
5.5% |
1.7% |
74.7% |
|
|
0 |
0 |
0 |
0.0% |
155,789 |
24.4% |
| 11b. Private Managed Care (fee-for-service)
|
506,957 |
4.0% |
1.3% |
318,767 |
3.7% |
1.1% |
62.9% |
|
|
0 |
0 |
0 |
0.0% |
180,946 |
35.7% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
12,575,111 |
100.0% |
32.4% |
8,709,318 |
100.0% |
30.8% |
69.3% |
|
|
0 |
0 |
0 |
0.0% |
3,965,077 |
31.5% |
| 13. Self-Pay |
5,983,611 |
100.0% |
15.4% |
3,270,004 |
100.0% |
11.6% |
54.6% |
|
|
|
|
|
|
|
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| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
38,851,157 |
|
100.0% |
28,231,223 |
|
100.0% |
72.7% |
623,759 |
989,594 |
0 |
0 |
1,613,353 |
4.2% |
8,928,068 |
23.0% |
|
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) |
2,062,583 |
34.5% |
698,729 |
11.7% |
data as of: 7/22/2008 4:29:59
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