JR
Total Revenue
$48.7M
↑ 8.3% vs prior year
Premium Revenue
$41.2M
↑ 6.1% 84.6% of total
Risk Adjustment
$5.4M
↑ 14.2% 11.1% of total
Other Revenue
$2.1M
↓ 3.7% 4.3% of total
YTD 2024
$48.7M
12 months complete
YTD 2023
$44.9M
Same period last year
Growth YoY
+$3.8M
+8.3%
Monthly Revenue Trend — 2024 vs 2023
12-month rolling comparison by revenue stream
2024 Total
2023 Total
Premium
Revenue by Payer
Payer mix distribution YTD
Medicare $18.4M
Medicaid $14.2M
Commercial $10.1M
Dual Eligible $4.8M
Other $1.2M
Revenue by Product / Plan
Comparison across plan types
Revenue by Service Type
Breakdown by care category YTD
Monthly Performance Highlights
Key revenue milestones 2024
Month Revenue vs Budget
Jan 2024$3.82M+2.1%
Feb 2024$3.74M-0.8%
Mar 2024$4.10M+5.4%
Apr 2024$3.98M+1.2%
May 2024$4.05M+3.1%
Jun 2024$4.22M+7.2%
Jul 2024$3.95M-1.5%
Aug 2024$4.01M+0.3%
Sep 2024$4.18M+4.8%
Oct 2024$4.34M+8.9%
Nov 2024$4.12M+3.0%
Dec 2024$4.20M+5.0%
Top Revenue Sources
Rank Revenue Source Type Payer YTD Revenue Prior Year Change Share
#1 Medicare Advantage Premium Premium CMS Medicare $18,412,500 $16,890,000 +9.0%
37.8%
#2 Medicaid Managed Care Premium State Medicaid $14,218,200 $13,542,000 +5.0%
29.2%
#3 Commercial Group Premium Premium Blue Cross Blue Shield $10,124,750 $9,801,200 +3.3%
20.8%
#4 HCC Risk Adjustment Revenue Risk Adj. CMS RAPS/EDPS $5,394,000 $4,723,000 +14.2%
11.1%
#5 Dual Eligible Special Needs Premium CMS D-SNP $4,810,000 $4,390,000 +9.6%
9.9%
#6 Provider Admin Fees Other Various $1,244,500 $1,380,000 -9.8%
2.6%
#7 Coordination of Benefits Recovery Other Mixed $887,050 $942,000 -5.8%
1.8%
Page Guide

The Revenue Charts page provides a comprehensive view of all revenue streams across your health plan.

  • Use the period selector (Q1–YTD) to filter the time range.
  • KPI cards at the top show headline metrics with year-over-year trends.
  • The YTD comparison banner shows 2024 vs 2023 at a glance.
  • Click Export to download a PDF or CSV report of the current view.

Revenue Trend Line: Compares monthly totals for 2024 vs 2023. The green line shows premium revenue only.

Payer Pie Chart: Shows your revenue mix by payer type — Medicare, Medicaid, Commercial, Dual Eligible, and Other.

Product Bar Chart: Compares revenue across plan types (HMO, PPO, D-SNP, PACE, etc.).

Service Type Chart: Breaks revenue down by care category — inpatient, outpatient, pharmacy, etc.

  • Premium Revenue: Monthly capitation payments from CMS/state/commercial payers.
  • Risk Adjustment: HCC-based adjustments from CMS RAPS/EDPS submissions. High HCC accuracy drives this up.
  • Other Revenue: Admin fees, COB recoveries, and supplemental payments.
  • A healthy plan targets 80–85% of total revenue from premiums.
  • Monitor risk adjustment revenue monthly — CMS sweeps occur quarterly.
  • A declining COB recovery trend may indicate documentation issues.
  • Use the Top Revenue Sources table to identify payer contract renewal priorities.
  • Export the trend chart monthly for executive board reporting.
  • Compare product-level bars to identify underperforming plan types.