Page 146 - Flipbook January Board

ROBERT PACKER HOSPITAL
PAYOR MIX - FY19

BUDGET 2019
ACTUAL FY2019
% of % of YTD % of
Amount Total Dec Total Total Total
Inpatient Cases
Blue Cross 2,845 18.4% 208 16.44% 1,370 17.6%
Medicare 6,885 44.4% 457 36.13% 2,887 37.2%
Medicare Advantage 2,317 15.0% 213 16.84% 1,372 17.7%
PA Medicaid 1,150 7.4% 134 10.59% 725 9.3%
NY Medicaid 934 6.0% 100 7.91% 572 7.4%
Self Pay 165 1.1% 28 2.21% 194 2.5%
Commercial 1,201 7.7% 125 9.88% 649 8.4%
Total 15,497 100.00% 1,265 100.00% 7,769 100.0%

Inpatient Gross Revenue
Blue Cross 79,255,830 14.19% 6,099,707 13.44% 38,559,025 13.9%
Medicare 287,730,054 51.51% 19,377,775 42.71% 117,797,652 42.6%
Medicare Advantage 96,270,460 17.24% 8,647,522 19.06% 56,110,595 20.3%
PA Medicaid 25,020,796 4.48% 2,761,071 6.09% 17,370,500 6.3%
NY Medicaid 25,434,442 4.55% 3,050,726 6.72% 17,429,191 6.3%
Self Pay 4,398,129 0.79% 784,134 1.73% 2,646,911 1.0%
Commercial 40,459,169 7.24% 4,648,925 10.25% 26,632,303 9.6%
Total 558,568,881 100.00% 45,369,861 100.00% 276,546,177 100.0%
% of Total Gross Revenue 46.84% 48.18% 46.23%

Oupatient Gross Revenue
Blue Cross 171,125,221 26.99% 12,970,862 26.58% 86,212,949 26.8%
Medicare 215,296,336 33.96% 15,032,284 30.80% 104,371,860 32.4%
Medicare Advantage 90,001,574 14.19% 7,008,560 14.36% 48,910,342 15.2%
PA Medicaid 37,829,293 5.97% 3,149,034 6.45% 21,876,303 6.8%
NY Medicaid 45,844,458 7.23% 2,893,613 5.93% 20,773,639 6.5%
Self Pay 8,246,982 1.30% 664,642 1.36% 3,060,742 1.0%
Commercial 65,706,129 10.36% 7,085,425 14.52% 36,459,878 11.3%
Total 634,049,993 100.00% 48,804,420 100.00% 321,665,713 100.0%
% of Total Gross Revenue 53.16% 51.82% 53.77%

Total Gross Revenue
Blue Cross 250,381,051 20.99% 19,070,569 20.25% 124,771,974 20.9%
Medicare 503,026,390 42.18% 34,410,058 36.54% 222,169,512 37.1%
Medicare Advantage 186,272,034 15.62% 15,656,082 16.62% 105,020,937 17.6%
PA Medicaid 62,850,089 5.27% 5,910,105 6.28% 39,246,803 6.6%
NY Medicaid 71,278,899 5.98% 5,944,339 6.31% 38,202,830 6.4%
Self Pay 12,645,112 1.06% 1,448,776 1.54% 5,707,653 1.0%
Commercial 106,165,298 8.90% 11,734,350 12.46% 63,092,182 10.5%
Total 1,192,618,874 100.00% 94,174,280 100.00% 598,211,890 100.0%