Table 9D: Patient Related Revenue
National Look-Alikes Data
117 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 | $298,758,049 | 38.94% | 18.58% | $232,317,039 | 37.76% | 20.36% | 77.76% |
| 2a. | Medicaid Managed Care (capitated) | $139,309,630 | 18.16% | 8.66% | $125,722,833 | 20.43% | 11.02% | 90.25% |
| 2b. | Medicaid Managed Care (fee-for-service) | $329,253,200 | 42.91% | 20.47% | $257,284,582 | 41.81% | 22.55% | 78.14% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $767,320,879 | 100.00% | 47.71% | $615,324,454 | 100.00% | 53.92% | 80.19% |
| 4. | Medicare Non-Managed Care | $183,250,578 | 67.98% | 11.39% | $118,509,484 | 64.11% | 10.39% | 64.67% |
| 5a. | Medicare Managed Care (capitated) | $7,340,463 | 2.72% | 0.46% | $5,740,394 | 3.11% | 0.50% | 78.20% |
| 5b. | Medicare Managed Care (fee-for-service) | $78,988,682 | 29.30% | 4.91% | $60,607,406 | 32.79% | 5.31% | 76.73% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $269,579,723 | 100.00% | 16.76% | $184,857,284 | 100.00% | 16.20% | 68.57% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $11,331,768 | 57.70% | 0.70% | $6,125,320 | 47.72% | 0.54% | 54.05% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $437,867 | 2.23% | 0.03% | $313,551 | 2.44% | 0.03% | 71.61% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $1,150,954 | 5.86% | 0.07% | $755,975 | 5.89% | 0.07% | 65.68% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $6,718,623 | 34.21% | 0.42% | $5,640,789 | 43.95% | 0.49% | 83.96% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $19,639,212 | 100.00% | 1.22% | $12,835,635 | 100.00% | 1.12% | 65.36% |
| 10. | Private Non-Managed Care | $302,999,596 | 72.67% | 18.84% | $181,153,704 | 67.98% | 15.88% | 59.79% |
| 11a. | Private Managed Care (capitated) | $6,623,918 | 1.59% | 0.41% | $3,034,522 | 1.14% | 0.27% | 45.81% |
| 11b. | Private Managed Care (fee-for-service) | $107,345,688 | 25.74% | 6.67% | $82,294,971 | 30.88% | 7.21% | 76.66% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $416,969,202 | 100.00% | 25.93% | $266,483,197 | 100.00% | 23.35% | 63.91% |
| 13. | Self-Pay | $134,673,864 | 100.00% | 8.37% | $61,601,037 | 100.00% | 5.40% | 45.74% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,608,182,880 | 100.00% | $1,141,101,607 | 100.00% | 70.96% | ||
| 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 | $19,631,635 | $9,491,749 | $1,162,997 | $242,569 | $30,043,812 | 10.06% | $74,363,448 | 24.89% |
| 2a. | Medicaid Managed Care (capitated) | $53,004,203 | $5,752,810 | $4,743,405 | $10,044,459 | $53,455,959 | 38.37% | $14,796,201 | 10.62% |
| 2b. | Medicaid Managed Care (fee-for-service) | $30,961,352 | $2,673,588 | $3,047,836 | $2,249,652 | $34,433,124 | 10.46% | $57,126,705 | 17.35% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $103,597,190 | $17,918,147 | $8,954,238 | $12,536,680 | $117,932,895 | 15.37% | $146,286,354 | 19.06% |
| 4. | Medicare Non-Managed Care | $2,541,831 | $416,955 | $132,624 | $8,677 | $3,082,733 | 1.68% | $55,364,234 | 30.21% |
| 5a. | Medicare Managed Care (capitated) | $55,429 | $0 | $0 | $0 | $55,429 | 0.76% | $1,779,559 | 24.24% |
| 5b. | Medicare Managed Care (fee-for-service) | $1,184,599 | $273,268 | $85,244 | $203,463 | $1,339,648 | 1.70% | $10,464,473 | 13.25% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $3,781,859 | $690,223 | $217,868 | $212,140 | $4,477,810 | 1.66% | $67,608,266 | 25.08% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $8,944 | $2,899 | $0 | $11,843 | 0.10% | $4,187,214 | 36.95% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $82,137 | $27,699 | $0 | $0 | $109,836 | 25.08% | $151,869 | 34.68% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $177,541 | $68,711 | $20,955 | $0 | $267,207 | 23.22% | ($155,372.00) | -13.50% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $3,013 | $0 | $3,013 | 0.04% | $1,528,704 | 22.75% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $259,678 | $105,354 | $26,867 | $0 | $391,899 | 2.00% | $5,712,415 | 29.09% |
| 10. | Private Non-Managed Care | $1,352,323 | $2,326 | $1,349,997 | 0.45% | $106,818,535 | 35.25% | ||
| 11a. | Private Managed Care (capitated) | $9,651 | $0 | $9,651 | 0.15% | $3,745,634 | 56.55% | ||
| 11b. | Private Managed Care (fee-for-service) | $167,118 | $176,997 | ($9,879.00) | -0.01% | $17,058,439 | 15.89% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,529,092 | $179,323 | $1,349,769 | 0.32% | $127,622,608 | 30.61% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $107,638,727 | $18,713,724 | $10,728,065 | $12,928,143 | $124,152,373 | 7.72% | $347,229,643 | 21.59% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $50,781,964 | $17,974,230 |
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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