ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
Payer Mix
Est. Payer Count
Rate
Amount Billed
ALS Count
BLS Count
Est. ALS Revenue
Est. BLS Revenue
Est. Total Revenue
Collection Rate
3
Medicare41%870$1,400$1,218,028268602$139,006$262,871$401,87833%
4
Medicare (Managed)10%212$1,400$297,08065147$29,001$53,103$82,10428%
5
Medicaid29%615$1,400$861,532190426$67,915$128,432$196,34723%
6
Private Insurance (65%)13%276$1,400$386,20485191$77,344$173,688$251,03365%
7
Private Pay - Uninsured (15%)
4%85$1,400$118,8322659$5,492$12,333$17,82515%
8
Veterens Administration3%64$1,400$89,1242044$10,171$19,234$29,40633%
9
TOTAL100%2,122$2,970,8006541468$328,929$649,662$978,59233%
10
11
12
13
Bottom Line
Payer Mix Collection Assumptions
14
Payer Mix: Updated as of 3/31/23 - 9 Months of Data from GC
Medicare: 100% of Reimbursement Rate (ALS $518.57) (BLS $436.69)
15
Payer Count: Actual Count as of 12/31 (6 Months of Data from GC) Doubled
Managed Medicare: Subtract an Estimated $250 Deductable from Either ALS or BLS Reimbursement and Assume Only 70% Collection
16
Rate: Advice from A.P. Triton ($100 roughly = $23,342)
Private Insureance: Assume 65% Collection
17
Amount Billed: Multiply rate Times Count
Private Pay: Assume 15% Collection
18
ALS Count: Multiply ALS % (31%) by Payer Count
Veterans Administration: Assume Same as Medicare
19
BLS Count: Multiply BLS % (69%) by Payer Count
Medicaid: Same Process as Medicare But Using Lower Reimbursement Rates
20
ALS Revenue: Multiply ALS Reimbursement Rate by ALS Count
Reimbursement Rates
MedicareVT Medicaid
21
BLS Revenue: Multiply BLS Reimbursement Rate by BLS Count
ALS - AO433
750.56$0.00
22
Total Revenue: Aaa ALS Revenue and BLS Revenue
ALS - AO427
$518.57$358.20
23
BLS - AO429
$436.69$301.64
24
ALS46031%
Private Insurance Collection Rate
65%$910
25
BLS103369%
Private Pay Collection Rate
15%
26
1493100%
Estimated Managed Medicare Deductable
$ 250
27
Managed Medicare Deductable Collection Rate
70%
28
30%
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100