Skip to content

HRSA Health Resources & Services Administration

Table 9D: Patient Related Revenue

National Look-Alikes Data

108 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 $248,400,704 37.88% 18.39% $194,070,746 37.52% 20.21% 78.13%
2a. Medicaid Managed Care (capitated) $118,829,896 18.12% 8.80% $114,418,233 22.12% 11.91% 96.29%
2b. Medicaid Managed Care (fee-for-service) $288,609,696 44.01% 21.37% $208,690,469 40.35% 21.73% 72.31%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $655,840,296 100.00% 48.56% $517,179,448 100.00% 53.85% 78.86%
4. Medicare Non-Managed Care $145,346,142 69.53% 10.76% $97,865,709 68.02% 10.19% 67.33%
5a. Medicare Managed Care (capitated) $5,681,406 2.72% 0.42% $5,093,317 3.54% 0.53% 89.65%
5b. Medicare Managed Care (fee-for-service) $58,012,841 27.75% 4.30% $40,908,756 28.43% 4.26% 70.52%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $209,040,389 100.00% 15.48% $143,867,782 100.00% 14.98% 68.82%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $8,305,700 18.05% 0.61% $5,919,993 14.86% 0.62% 71.28%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $472,062 1.03% 0.03% $259,826 0.65% 0.03% 55.04%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $25,680,564 55.82% 1.90% $24,864,155 62.42% 2.59% 96.82%
8c. Other Public, including COVID-19 Uninsured Program $11,550,548 25.11% 0.86% $8,787,712 22.06% 0.91% 76.08%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $46,008,874 100.00% 3.41% $39,831,686 100.00% 4.15% 86.57%
10. Private Non-Managed Care $265,219,565 74.01% 19.64% $166,961,115 70.90% 17.38% 62.95%
11a. Private Managed Care (capitated) $5,355,323 1.49% 0.40% $2,680,729 1.14% 0.28% 50.06%
11b. Private Managed Care (fee-for-service) $87,764,617 24.49% 6.50% $65,848,636 27.96% 6.86% 75.03%
12. Total Private (Sum of Lines 10 + 11a + 11b) $358,339,505 100.00% 26.53% $235,490,480 100.00% 24.52% 65.72%
13. Self-Pay $81,427,612 100.00% 6.03% $24,047,629 100.00% 2.50% 29.53%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,350,656,676 100.00% $960,417,025 100.00% 71.11%
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 $10,391,244 $4,235,847 $456,855 $403,103 $14,680,843 5.91% $48,838,863 19.66%
2a. Medicaid Managed Care (capitated) $46,326,217 $4,397,735 $3,346,325 $8,133,529 $45,936,748 38.66% $2,780,544 2.34%
2b. Medicaid Managed Care (fee-for-service) $24,582,358 $2,529,632 $1,758,207 $1,250,495 $27,619,702 9.57% $74,189,600 25.71%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $81,299,819 $11,163,214 $5,561,387 $9,787,127 $88,237,293 13.45% $125,809,007 19.18%
4. Medicare Non-Managed Care $1,193,780 $158,106 $311,607 $86,249 $1,577,244 1.09% $38,335,018 26.37%
5a. Medicare Managed Care (capitated) $478,334 $23,320 $42,193 $0 $543,847 9.57% $564,072 9.93%
5b. Medicare Managed Care (fee-for-service) $869,483 $40,560 $237,782 $13,300 $1,134,525 1.96% $15,731,581 27.12%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $2,541,597 $221,986 $591,582 $99,549 $3,255,616 1.56% $54,630,671 26.13%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $280,083 $4,752 $0 $739 $284,096 3.42% $1,674,220 20.16%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $68,176 $21,623 $0 $0 $89,799 19.02% $194,631 41.23%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $338,527 $83,824 $0 $0 $422,351 1.64% $629,710 2.45%
8c. Other Public, including COVID-19 Uninsured Program $0 $0 $0 0.00% $2,898,561 25.09%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $686,786 $110,199 $0 $739 $796,246 1.73% $5,397,122 11.73%
10. Private Non-Managed Care $1,122,295 $2,120 $1,120,175 0.42% $82,142,404 30.97%
11a. Private Managed Care (capitated) $30,005 $0 $30,005 0.56% $2,755,379 51.45%
11b. Private Managed Care (fee-for-service) $263,280 $321,506 ($58,226.00) -0.07% $18,208,902 20.75%
12. Total Private (Sum of Lines 10 + 11a + 11b) $1,415,580 $323,626 $1,091,954 0.30% $103,106,685 28.77%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $84,528,202 $11,495,399 $7,568,549 $10,211,041 $93,381,109 6.91% $288,943,485 21.39%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $25,091,739 $14,506,666

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

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.