Table 9D: Patient Related Revenue
National Look-Alikes Data
87 Look-Alikes
| Line | Payer Category | Charges | Collections | |||||
|---|---|---|---|---|---|---|---|---|
| Full Charges This Period (a) $ |
% of Payer | % of Total | Amount Collected This Period (b) $ |
% of Payer | % of Total | % of Charges | ||
| 1. | Medicaid Non-Managed Care | $209,853,382 | 45.36% | 22.86% | $175,202,216 | 46.39% | 26.89% | 83.49% |
| 2a. | Medicaid Managed Care (capitated) | $102,241,872 | 22.10% | 11.14% | $96,067,411 | 25.44% | 14.75% | 93.96% |
| 2b. | Medicaid Managed Care (fee-for-service) | $150,507,813 | 32.53% | 16.39% | $106,397,387 | 28.17% | 16.33% | 70.69% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $462,603,067 | 100.00% | 50.39% | $377,667,014 | 100.00% | 57.97% | 81.64% |
| 4. | Medicare Non-Managed Care | $115,152,249 | 79.45% | 12.54% | $77,453,143 | 82.74% | 11.89% | 67.26% |
| 5a. | Medicare Managed Care (capitated) | $6,766,939 | 4.67% | 0.74% | $5,223,621 | 5.58% | 0.80% | 77.19% |
| 5b. | Medicare Managed Care (fee-for-service) | $23,017,612 | 15.88% | 2.51% | $10,934,886 | 11.68% | 1.68% | 47.51% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $144,936,800 | 100.00% | 15.79% | $93,611,650 | 100.00% | 14.37% | 64.59% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $5,244,033 | 36.69% | 0.57% | $3,717,400 | 28.91% | 0.57% | 70.89% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $256,840 | 1.80% | 0.03% | $394,333 | 3.07% | 0.06% | 153.53% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $1,865,898 | 13.05% | 0.20% | $846,157 | 6.58% | 0.13% | 45.35% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $6,927,290 | 48.46% | 0.75% | $7,901,115 | 61.44% | 1.21% | 114.06% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $14,294,061 | 100.00% | 1.56% | $12,859,005 | 100.00% | 1.97% | 89.96% |
| 10. | Private Non-Managed Care | $208,392,785 | 86.24% | 22.70% | $131,214,436 | 89.06% | 20.14% | 62.96% |
| 11a. | Private Managed Care (capitated) | $3,975,215 | 1.65% | 0.43% | $2,069,024 | 1.40% | 0.32% | 52.05% |
| 11b. | Private Managed Care (fee-for-service) | $29,264,743 | 12.11% | 3.19% | $14,042,603 | 9.53% | 2.16% | 47.98% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $241,632,743 | 100.00% | 26.32% | $147,326,063 | 100.00% | 22.61% | 60.97% |
| 13. | Self-Pay | $54,579,917 | 100.00% | 5.95% | $20,038,071 | 100.00% | 3.08% | 36.71% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $918,046,588 | 100.00% | $651,501,803 | 100.00% | 70.97% | ||
| Line | Payer Category | Retroactive Settlements, Receipts, and Paybacks(c) | Adjustments | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Collection of Reconciliation /Wraparound Current Year(c1) $ |
Collection of Reconciliation /Wraparound Previous Years(c2) $ |
Collection of Other Payments: P4P, Risk Pools, etc.(c3) $ |
Penalty/ Payback (c4) $ |
Net Retros $ |
Net Retros % of Charges | Adjustments (d) $ |
Adjustments % of Charges | ||
| 1. | Medicaid Non-Managed Care | $7,584,486 | $2,385,396 | $128,355 | $18,898 | $10,079,339 | 4.80% | $39,387,844 | 18.77% |
| 2a. | Medicaid Managed Care (capitated) | $35,468,999 | $3,361,493 | $5,988,285 | $4,723,797 | $40,094,980 | 39.22% | $4,984,583 | 4.88% |
| 2b. | Medicaid Managed Care (fee-for-service) | $10,640,156 | $2,128,892 | $2,465,312 | $574,222 | $14,660,138 | 9.74% | $26,136,604 | 17.37% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $53,693,641 | $7,875,781 | $8,581,952 | $5,316,917 | $64,834,457 | 14.02% | $70,509,031 | 15.24% |
| 4. | Medicare Non-Managed Care | $954,768 | $434,408 | $47,871 | $178 | $1,436,869 | 1.25% | $31,794,011 | 27.61% |
| 5a. | Medicare Managed Care (capitated) | $115,500 | $10,500 | $93,084 | $0 | $219,084 | 3.24% | $1,534,642 | 22.68% |
| 5b. | Medicare Managed Care (fee-for-service) | $1,045,283 | $3,568 | $10,723 | $0 | $1,059,574 | 4.60% | $8,775,877 | 38.13% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $2,115,551 | $448,476 | $151,678 | $178 | $2,715,527 | 1.87% | $42,104,530 | 29.05% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $1,125,268 | 21.46% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $93,266 | $226,882 | $0 | $0 | $320,148 | 124.65% | ($137,493.00) | -53.53% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $113,386 | $238,337 | $0 | $0 | $351,723 | 18.85% | $614,993 | 32.96% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $1,009,428 | 14.57% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $206,652 | $465,219 | $0 | $0 | $671,871 | 4.70% | $2,612,196 | 18.27% |
| 10. | Private Non-Managed Care | $1,018,971 | $1,049 | $1,017,922 | 0.49% | $69,207,337 | 33.21% | ||
| 11a. | Private Managed Care (capitated) | $36,368 | $0 | $36,368 | 0.91% | $1,927,497 | 48.49% | ||
| 11b. | Private Managed Care (fee-for-service) | $97,192 | $0 | $97,192 | 0.33% | $8,430,471 | 28.81% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,152,531 | $1,049 | $1,151,482 | 0.48% | $79,565,305 | 32.93% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $56,015,844 | $8,789,476 | $9,886,161 | $5,318,144 | $69,373,337 | 7.56% | $194,791,062 | 21.22% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $18,454,915 | $14,561,693 |
Footnotes
'-' Data cannot be calculated or has been suppressed for confidentiality purposes.
Cells that are shaded blue represent data that was not reported or null values.
View Detailed UDS Footnotes
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