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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Washington for 2007
25 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 |
132,160,080 |
70.7% |
35.8% |
103,790,094 |
42.9% |
28.9% |
78.5% |
30,693,721 |
2,941,222 |
|
10,735 |
33,624,208 |
25.4% |
31,619,379 |
23.9% |
| 2a. Medicaid Managed Care (capitated)
|
42,217,538 |
22.6% |
11.4% |
129,287,997 |
53.4% |
36.0% |
306.2% |
60,703,748 |
2,953,154 |
23,440,956 |
51,407 |
87,046,451 |
206.2% |
-84,180,687 |
- 199.4% |
| 2b. Medicaid Managed Care (fee-for-service)
|
12,485,070 |
6.7% |
3.4% |
8,898,503 |
3.7% |
2.5% |
71.3% |
1,320,365 |
1,091,625 |
9,150 |
1,225 |
2,419,915 |
19.4% |
3,374,445 |
27.0% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
186,862,688 |
100.0% |
50.6% |
241,976,594 |
100.0% |
67.4% |
129.5% |
92,717,834 |
6,986,001 |
23,450,106 |
63,367 |
123,090,574 |
65.9% |
-49,186,863 |
- 26.3% |
| 4. Medicare Non-Managed Care |
24,188,867 |
98.6% |
6.5% |
17,220,831 |
98.8% |
4.8% |
71.2% |
162,441 |
751,574 |
|
2,667 |
911,348 |
3.8% |
3,342,038 |
13.8% |
| 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)
|
333,925 |
1.4% |
0.1% |
207,223 |
1.2% |
0.1% |
62.1% |
0 |
0 |
0 |
213 |
- 213 |
- 0.1% |
113,956 |
34.1% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
24,522,792 |
100.0% |
6.6% |
17,428,054 |
100.0% |
4.9% |
71.1% |
162,441 |
751,574 |
0 |
2,880 |
911,135 |
3.7% |
3,455,994 |
14.1% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
1,321,982 |
6.0% |
0.4% |
704,993 |
1.8% |
0.2% |
53.3% |
|
|
|
709 |
- 709 |
- 0.1% |
541,905 |
41.0% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
18,439,461 |
83.9% |
5.0% |
37,873,085 |
95.6% |
10.6% |
205.4% |
|
|
14,813,850 |
2,138 |
14,811,712 |
80.3% |
-17,073,126 |
- 92.6% |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
2,214,785 |
10.1% |
0.6% |
1,028,557 |
2.6% |
0.3% |
46.4% |
|
|
1,686 |
785 |
901 |
0.0% |
1,183,248 |
53.4% |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
21,976,228 |
100.0% |
5.9% |
39,606,635 |
100.0% |
11.0% |
180.2% |
|
|
14,815,536 |
3,632 |
14,811,904 |
67.4% |
-15,347,973 |
- 69.8% |
| 10. Private Non-Managed Care |
43,421,245 |
99.7% |
11.8% |
28,137,733 |
99.7% |
7.8% |
64.8% |
|
|
|
10,099 |
-10,099 |
|
10,833,415 |
24.9% |
| 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)
|
131,465 |
0.3% |
0.0% |
86,724 |
0.3% |
0.0% |
66.0% |
|
|
0 |
0 |
0 |
0.0% |
38,262 |
29.1% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
43,552,710 |
100.0% |
11.8% |
28,224,457 |
100.0% |
7.9% |
64.8% |
|
|
0 |
10,099 |
-10,099 |
- 0.0% |
10,871,677 |
25.0% |
| 13. Self-Pay |
92,611,627 |
100.0% |
25.1% |
31,721,718 |
100.0% |
8.8% |
34.3% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
369,526,045 |
|
100.0% |
358,957,458 |
|
100.0% |
97.1% |
92,880,275 |
7,737,575 |
38,265,642 |
79,978 |
138,803,514 |
37.6% |
-50,207,165 |
- 13.6% |
|
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) |
47,437,864 |
51.2% |
13,878,328 |
15.0% |
data as of: 7/22/2008 4:31:23
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