Table 9D: Patient Related Revenue
National Look-Alikes Data
133 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 | $387,546,697 | 40.00% | 18.88% | $309,647,646 | 39.11% | 20.94% | 79.90% |
| 2a. | Medicaid Managed Care (capitated) | $184,427,877 | 19.04% | 8.99% | $167,766,023 | 21.19% | 11.35% | 90.97% |
| 2b. | Medicaid Managed Care (fee-for-service) | $396,781,660 | 40.96% | 19.33% | $314,234,643 | 39.69% | 21.25% | 79.20% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $968,756,234 | 100.00% | 47.20% | $791,648,312 | 100.00% | 53.55% | 81.72% |
| 4. | Medicare Non-Managed Care | $256,660,640 | 66.14% | 12.51% | $169,882,672 | 63.12% | 11.49% | 66.19% |
| 5a. | Medicare Managed Care (capitated) | $12,421,793 | 3.20% | 0.61% | $9,726,924 | 3.61% | 0.66% | 78.31% |
| 5b. | Medicare Managed Care (fee-for-service) | $118,950,605 | 30.65% | 5.80% | $89,550,052 | 33.27% | 6.06% | 75.28% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $388,033,038 | 100.00% | 18.91% | $269,159,648 | 100.00% | 18.21% | 69.37% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $14,186,962 | 77.38% | 0.69% | $10,817,144 | 84.63% | 0.73% | 76.25% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $1,373,369 | 7.49% | 0.07% | $611,789 | 4.79% | 0.04% | 44.55% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $2,774,388 | 15.13% | 0.14% | $1,352,571 | 10.58% | 0.09% | 48.75% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $18,334,719 | 100.00% | 0.89% | $12,781,504 | 100.00% | 0.86% | 69.71% |
| 10. | Private Non-Managed Care | $430,344,699 | 75.74% | 20.97% | $281,910,616 | 76.00% | 19.07% | 65.51% |
| 11a. | Private Managed Care (capitated) | $9,149,098 | 1.61% | 0.45% | $4,358,768 | 1.18% | 0.29% | 47.64% |
| 11b. | Private Managed Care (fee-for-service) | $128,699,387 | 22.65% | 6.27% | $84,646,035 | 22.82% | 5.73% | 65.77% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $568,193,184 | 100.00% | 27.68% | $370,915,419 | 100.00% | 25.09% | 65.28% |
| 13. | Self-Pay | $109,110,441 | 100.00% | 5.32% | $33,943,485 | 100.00% | 2.30% | 31.11% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,052,427,616 | 100.00% | $1,478,448,368 | 100.00% | 72.03% | ||
| 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 | $21,713,641 | $6,097,286 | $939,295 | $18,851 | $28,731,371 | 7.41% | $85,829,355 | 22.15% |
| 2a. | Medicaid Managed Care (capitated) | $63,797,757 | $6,119,838 | $9,636,954 | $10,868,796 | $68,685,753 | 37.24% | $8,098,787 | 4.39% |
| 2b. | Medicaid Managed Care (fee-for-service) | $59,449,889 | $4,486,425 | $2,850,260 | $2,088,942 | $64,697,632 | 16.31% | $73,701,064 | 18.57% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $144,961,287 | $16,703,549 | $13,426,509 | $12,976,589 | $162,114,756 | 16.73% | $167,629,206 | 17.30% |
| 4. | Medicare Non-Managed Care | $2,194,678 | $762,948 | $175,912 | $392,401 | $2,741,137 | 1.07% | $74,852,859 | 29.16% |
| 5a. | Medicare Managed Care (capitated) | $122,482 | $5,254 | $57,977 | $0 | $185,713 | 1.50% | $1,847,330 | 14.87% |
| 5b. | Medicare Managed Care (fee-for-service) | $1,095,654 | $57,817 | $79,494 | $35 | $1,232,930 | 1.04% | $22,285,231 | 18.73% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $3,412,814 | $826,019 | $313,383 | $392,436 | $4,159,780 | 1.07% | $98,985,420 | 25.51% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $2,438,518 | 17.19% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $84,596 | $19,060 | $0 | $0 | $103,656 | 7.55% | $946,242 | 68.90% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $222,612 | $151,145 | $0 | $0 | $373,757 | 13.47% | $1,352,707 | 48.76% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $307,208 | $170,205 | $0 | $0 | $477,413 | 2.60% | $4,737,467 | 25.84% |
| 10. | Private Non-Managed Care | $1,381,303 | $14,020 | $1,367,283 | 0.32% | $126,343,071 | 29.36% | ||
| 11a. | Private Managed Care (capitated) | $24,675 | $0 | $24,675 | 0.27% | $4,818,163 | 52.66% | ||
| 11b. | Private Managed Care (fee-for-service) | $168,143 | $0 | $168,143 | 0.13% | $29,523,561 | 22.94% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,574,121 | $14,020 | $1,560,101 | 0.27% | $160,684,795 | 28.28% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $148,681,309 | $17,699,773 | $15,314,013 | $13,383,045 | $168,312,050 | 8.20% | $432,036,888 | 21.05% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $60,403,426 | $20,338,412 |
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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