TRAUMA FUND 2008 APRIL Distribution Report Oklahoma State Department of Health Emergency Systems Division 1000 Northeast 10th Street, Oklahoma City, Oklahoma 73117-1299 Contents 1. Distribution by each period 2. Current distribution demographics 3. OSDH collections for current distribution 4. Top ten recipients by the provider type 5. EMS – In alphabetical order 6. EMS – By trauma region 7. Hospitals – In alphabetical order 8. Hospitals – By trauma region 9. Physicians – In alphabetical order Trauma regions: Region Description 0 = Out of state, but licensed to provide care in Oklahoma 1 = Northwest 2 = Northeast 3 = Southwest 4 = East Central 5 = Southeast 6 = Central (surrounding Oklahoma City) 7 = Tulsa County 8 = Oklahoma City Area TRAUMA FUND DISTRIBUTIONS 2000-2008 FY FY2002 FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2007 FY2008 FY2008 FY2009 Distribution Month/Year August 2001 April 2002 April 2003 April 2004 April 2005 Dec 2005 August 2006 March 2007 October 2007 April 2008 Nov 2008 Total Distribution $2,124,136.00 $2,184,208.88 $3,378,852.00 $2,515,364.55 $4,000,183.71 $7,323,285.03 $15,519,366.58 $12,003,291.00 $12,251,613.45 $10,352,747.14 $11,867,795.00 Claim Period 07/01/99-06/30/00 07/01/00-06/30/01 07/01/01-06/30/02 07/01/02-06/30/03 07/01/03-06/30/04 07/01/04-12/31/04 01/01/05-06/30/05 07/01/05-12/31/05 01/01/06-06/30/06 07/01/06-12/31/06 01/01/07-06/30/07 Collection Period 10/01/99-09/30/00 07/01/00-06/30/01 07/01/01-02/28/03 03/01/03-02/28/04 03/01/04-02/28/05 03/01/05-08/31/05 09/01/05-06/30/06 07/01/06-12/31/06 01/01/07-06/30/07 07/01/07-12/31/07 01/01/08-06/30/08 Cummulative Distribution by Entity Totals, to date. EMS distribution $122,041.65 $120,821.70 $178,030.16 $126,560.78 $284,523.35 $351,416.68 $940,343.48 $1,006,127.00 $1,148,582.35 $896,461.00 $698,843.00 $5,873,751.15 Hospital distribution $2,002,095.15 $2,063,387.18 $3,200,821.83 $2,388,803.77 $3,715,661.26 $6,200,898.62 $13,517,643.37 $9,918,689.00 $10,223,177.98 $8,362,949.00 $9,814,076.00 $71,408,203.16 Physician Distribution $0.00 $0.00 $0.00 $0.00 $0.00 $770,969.73 $1,061,379.73 $1,078,475.00 $879,853.12 $1,093,337.00 $1,354,876.00 $6,238,890.58 Total Distribution $2,124,136.80 $2,184,208.88 $3,378,851.99 $2,515,364.55 $4,000,184.61 $7,323,285.03 $15,519,366.58 $12,003,291.00 $12,251,613.45 $10,352,747.00 $11,867,795.00 $83,520,844.89 Uncompensated Totals EMS uncompensated $508,561.18 $589,517.87 $877,353.48 $1,358,137.84 $1,531,929.81 $788,261.71 $960,716.57 $1,533,340.06 $1,460,128.35 $1,640,760.00 $1,063,208.00 $11,248,706.87 Hospital Uncompensated $8,342,954.07 $10,067,758.20 $15,774,025.07 $25,634,518.95 $20,005,852.58 $13,909,217.33 $13,517,643.37 $15,116,104.83 $12,996,153.07 $15,306,397.00 $14,930,972.00 $150,670,624.47 Physician Uncompensated $0.00 $0.00 $0.00 $0.00 $0.00 $770,969.73 $2,183,707.55 $1,078,475.16 $879,853.12 $1,093,337.00 $1,354,876.00 $6,006,342.56 Total Uncompensated $8,851,515.25 $10,657,276.07 $16,651,378.55 $26,992,656.79 $21,537,782.39 $15,468,448.77 $16,662,067.49 $17,727,920.05 $15,336,134.54 $18,040,494.00 $17,349,056.00 $167,925,673.90 Unduplicated # Patients 2210 1923 2313 Average return, Reimbursement Rate (X return rate on dollar) to date. EMS / Hosp 0.2400 0.2050 0.2029 0.0932 0.1857 0.4458 1.0000 0.6562 0.7866 0.5464 0.6573 0.4362 Physician: N/A N/A N/A N/A N/A 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 Tier A N/A N/A N/A N/A N/A 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 Tier B N/A N/A N/A N/A N/A 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 EMS / Hosp / Physician N/A N/A N/A N/A N/A 0.4734 1.0000 0.6771 0.7989 0.5739 0.6841 0.7047 Oklahoma State Dept of Health-Emergency Systems Division TF 2008 Apr-Recipient Listing, Page 1 of 21 TRAUMA FUND DISTRIBUTION 04/2008 Demographic Information 10th Distribution to Hospitals and EMS Agencies 5th Distribution to Physicians From To Total Months Claim Period 7/1/2006 12/31/2006 6 months Collection Period 7/1/2007 12/31/2007 6 months Check Mailed 4/11/2008 Total distributed on 04/11/2008 $10,352,747.14 * Hospitals EMS Physicians %Fund Allocated to Hospitals/EMS Hosp + EMS= 70% 30% Total Funds Allocated $7,246,923 $3,105,824 $10,352,747 Total $$ Amount Eligible Claims $15,306,397 $1,640,760 $1,093,337 $18,040,494 Total Distribution paid 04/11/2008 $ 8,362,949 $ 896,461 $1,093,337 $10,352,747 Reimbursement Rate (eligible claims to payment) 55% 55% 100% % of Total Eligible Funds Disbursed 89% 11% Total # Claims Submitted 3920 1114 12272 Total # Claims Eligible 1801 706 Pending 2,507 Total # Eligible Distribution Entities 129 195 Unknown Total # Distribution Entities who Submitted Claim 76 57 486 619 Total # Distribution Entities Submitting Eligible Claim 72 57 411 540 Hospitals EMS Physicians Total Region 1 Northwest $ 102,358 1.22% $ 73,586 8.21% $ - 0.00% $ 175,944 1.70% Region 2 Northeast $ 81,334 0.97% $ 102,232 11.40% $ 106 0.01% $ 183,672 1.77% Region 3 Southwest $ 275,040 3.29% $ 180,818 20.17% $ 6,860 0.63% $ 462,717 4.47% Region 4 East Central $ 63,304 0.76% $ 43,946 4.90% $ 5,847 0.53% $ 113,096 1.09% Region 5 Southeast $ 79,578 0.95% $ 117,310 13.09% $ 182 0.02% $ 197,070 1.90% Region 6 Central $ 31,487 0.38% $ 5,352 0.60% $ 1,802 0.16% $ 38,640 0.37% Region 7 Tulsa $ 2,893,673 34.60% $ 151,727 16.93% $ 400,716 36.65% $ 3,446,116 33.29% Region 8 Oklahoma City $ 4,836,174 57.83% $ 165,322 18.44% $ 677,825 62.00% $ 5,679,321 54.86% EMS licensed in OK, out-of-state $ - 0.00% $ 56,170 6.27% $ - 0.00% $ 56,170 0.54% $ 8,362,949 100.00% $ 896,461 100.00% $ 1,093,337 100.00% $ 10,352,747 100.00% 80.78% 8.66% 10.56% 100.00% Physicians By Specialty: Tiers Percent (%) Anesthesiology $ 75,424.51 A 6.90% Cardiovascular $ 350.65 B 0.03% Emergency / Emergency Medicine $ 64,620.46 A 5.91% Family Medicine $ 28.22 B 0.00% Hospitalist $ 599.95 B 0.05% Internal Medicine $ 936.94 B 0.09% Neurological Surgery / Neurosurgery $ 119,250.70 A 10.91% Ophthalmology $ 2,567.39 B 0.23% Oralmaxillofacial Surgery $ 6,493.83 A 0.59% Orthopaedic / Orthopedic Surgery $ 356,688.97 A 32.62% - Hand Surgery $ 2,052.55 A 0.19% Otolaryngology $ 476.99 B 0.04% Otorhinolaryngology $ 8,012.89 B 0.73% Pediatric Intensivist $ 8,586.41 B 0.79% Plastics and Reconstructive Surgery $ 2,387.44 A 0.22% Psychiatry $ 832.66 B 0.08% Pulmonary $ 77.49 B 0.01% Radiology $ 146,375.20 B 13.39% Surgery $ 271,441.45 A 24.83% Trauma / Critical Care $ 24,626.39 A 2.25% Urology $ 1,506.31 B 0.14% $ 1,093,337.40 100.00% * Funds distributed for 2313 (unduplicated) trauma patients of 4227 cases meeting major trauma criteria. Oklahoma State Dept of Health-Emergency Systems Division TF 2008 Apr-Recipient Listing, Page 2 of 21 Trauma Fund Collections by Revenue Sources 03/2008 Jul 07 Aug 07 Sept 07 Oct 07 Nov 07 Dec 07 Total to Date Receipt Type Receipt Code Cigarette Tax 1120100 $889,085.00 $857,466.81 $1,088,831.42 $908,496.96 $943,536.09$ 804,527.33 $5,491,943.61 42.70% Tobacco Products 1121000 $102,701.62 $86,673.13 $91,784.21 $93,526.38 $76,634.30$ 105,605.14 $556,924.78 4.33% Tribal Cigarette/Tobacco Payment 1121900 $165,037.09 $113,542.03 $245,288.01 $186,737.65 $162,510.59$ 182,057.36 $1,055,172.73 8.20% Motor Vehicle Collections 1512500 $235,090.50 $262,399.50 $400,288.00 $325,078.00 $229,897.50$ 244,888.50 $1,697,642.00 13.20% Refunds of Previous Distributions 5810100 $2,270.68 $9.74 $0.00 $11,616.25 $18,375.48$ 3,344.16 $35,616.31 0.28% Receipts from Counties 7919900 $670,030.30 $672,042.98 $728,779.46 $637,508.41 $674,074.11$ 641,705.86 $4,024,141.12 31.29% Average Monthly Collections Totals $2,064,215.19 $1,992,134.19 $2,554,971.10 $2,162,963.65 $2,105,028.07$ 1,982,128.35 $12,861,440.55 100.00% $2,143,573.43 09/2008 Jan 08 Feb 08 Mar 08 Apr 08 May 08 Jun 08 Total to Date Receipt Type Receipt Code Cigarette Tax 1120100 $894,001.37 $874,002.11 $717,583.22 $857,369.76 $871,431.64$ 892,267.70 $5,106,655.80 39.15% Tobacco Products 1121000 $69,996.91 $77,419.99 $108,190.81 $108,357.88 $82,064.72$ 84,255.70 $530,286.01 4.06% Tribal Cigarette/Tobacco Payment 1121900 $166,651.03 $169,563.34 $129,255.81 $196,882.54 $228,534.32$ 226,209.41 $1,117,096.45 8.56% Motor Vehicle Collections 1512500 $232,912.00 $197,717.50 $244,047.00 $250,399.50 $263,528.50$ 241,395.50 $1,430,000.00 10.96% Refunds of Previous Distributions 5810100 $15,957.77 $36,143.60 $29,208.98 $6,280.11$ 11,524.41 $99,114.87 0.76% Receipts from Counties 7919900 $463,775.08 $819,095.06 $1,006,305.54 $914,806.39 $793,876.31$ 764,347.26 $4,762,205.64 36.50% Average Monthly Collections Totals $1,843,294.16 $2,137,798.00 $2,241,525.98 $2,357,025.05 $2,245,715.60$ 2,219,999.98 $13,045,358.77 100.00% $2,174,226.46 Oklahoma State Dept of Health-Emergency Systems Division TF 2008 Apr-Recipient Listing, Page 3 of 21 * Trauma Fund 2008 April * Top 10 Providers July 1, 2006 through December 31, 2006 EMS Region Eligible Expense ($) Percent (%) Amount ($) 1 Medi Flight of Oklahoma LLC 8 265,346.09 1.57 144,977.01 2 Tulsa Life Flight 7 259,167.77 1.53 141,601.37 3 Ballard Aviation - 423 Ardmore 3 133,885.04 0.79 73,150.70 4 Air Evac EMS - 398 McAlester 5 130,257.82 0.77 71,168.90 5 Air Evac EMS - 412 Elk City 1 126,366.74 0.75 69,042.93 6 Air Evac EMS - 396 Pauls Valley 3 102,678.84 0.61 56,100.59 7 Air Evac EMS - 397 Claremore 2 75,254.08 0.44 41,116.53 8 Ballard Aviation - 382 Tahlequah 4 69,037.86 0.41 37,720.18 9 Ballard Aviation - 418 Hugo 5 62,494.82 0.37 34,145.26 10 Air Evac EMS - 399 Cushing 2 54,655.25 0.32 29,861.96 EMS Total 1,279,144.31 7.55 698,885.44 Hospital Region Eligible Expense ($) Percent (%) Amount ($) 1 O.U.