Table 9D: Patient Related Revenue
California Look-Alike Data
37 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 | $56,306,492 | 19.51% | 13.27% | $50,634,425 | 20.39% | 15.62% | 89.93% |
| 2a. | Medicaid Managed Care (capitated) | $152,832,477 | 52.96% | 36.03% | $142,053,779 | 57.19% | 43.82% | 92.95% |
| 2b. | Medicaid Managed Care (fee-for-service) | $79,422,156 | 27.52% | 18.72% | $55,690,604 | 22.42% | 17.18% | 70.12% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $288,561,125 | 100.00% | 68.02% | $248,378,808 | 100.00% | 76.62% | 86.07% |
| 4. | Medicare Non-Managed Care | $39,417,622 | 81.26% | 9.29% | $22,626,538 | 78.13% | 6.98% | 57.40% |
| 5a. | Medicare Managed Care (capitated) | $7,282,289 | 15.01% | 1.72% | $5,526,449 | 19.08% | 1.70% | 75.89% |
| 5b. | Medicare Managed Care (fee-for-service) | $1,807,122 | 3.73% | 0.43% | $808,644 | 2.79% | 0.25% | 44.75% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $48,507,033 | 100.00% | 11.43% | $28,961,631 | 100.00% | 8.93% | 59.71% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $832,606 | 43.76% | 0.20% | $444,993 | 66.31% | 0.14% | 53.45% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $1,070,168 | 56.24% | 0.25% | $226,098 | 33.69% | 0.07% | 21.13% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $1,902,774 | 100.00% | 0.45% | $671,091 | 100.00% | 0.21% | 35.27% |
| 10. | Private Non-Managed Care | $48,554,284 | 83.57% | 11.45% | $36,106,255 | 89.53% | 11.14% | 74.36% |
| 11a. | Private Managed Care (capitated) | $8,276,957 | 14.25% | 1.95% | $3,747,103 | 9.29% | 1.16% | 45.27% |
| 11b. | Private Managed Care (fee-for-service) | $1,269,655 | 2.19% | 0.30% | $476,863 | 1.18% | 0.15% | 37.56% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $58,100,896 | 100.00% | 13.70% | $40,330,221 | 100.00% | 12.44% | 69.41% |
| 13. | Self-Pay | $27,145,690 | 100.00% | 6.40% | $5,822,685 | 100.00% | 1.80% | 21.45% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $424,217,518 | 100.00% | $324,164,436 | 100.00% | 76.41% | ||
| 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 | $12,143,973 | $485,463 | $7,962 | $10,358 | $12,627,040 | 22.43% | $7,567,321 | 13.44% |
| 2a. | Medicaid Managed Care (capitated) | $62,302,400 | $5,381,818 | $9,565,070 | $10,868,796 | $66,380,492 | 43.43% | $8,835,451 | 5.78% |
| 2b. | Medicaid Managed Care (fee-for-service) | $14,049,061 | $255,671 | $575,367 | $2,088,887 | $12,791,212 | 16.11% | $16,279,535 | 20.50% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $88,495,434 | $6,122,952 | $10,148,399 | $12,968,041 | $91,798,744 | 31.81% | $32,682,307 | 11.33% |
| 4. | Medicare Non-Managed Care | $1,120,101 | $70,262 | $19,833 | $0 | $1,210,196 | 3.07% | $14,406,717 | 36.55% |
| 5a. | Medicare Managed Care (capitated) | $122,482 | $5,254 | $57,977 | $0 | $185,713 | 2.55% | $1,613,399 | 22.16% |
| 5b. | Medicare Managed Care (fee-for-service) | $15,779 | $0 | $0 | $0 | $15,779 | 0.87% | $854,745 | 47.30% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $1,258,362 | $75,516 | $77,810 | $0 | $1,411,688 | 2.91% | $16,874,861 | 34.79% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $348,774 | 41.89% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $808,890 | 75.59% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $1,157,664 | 60.84% |
| 10. | Private Non-Managed Care | $2,355 | $0 | $2,355 | 0.00% | $10,795,350 | 22.23% | ||
| 11a. | Private Managed Care (capitated) | $24,675 | $0 | $24,675 | 0.30% | $4,430,586 | 53.53% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $640,320 | 50.43% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $27,030 | $0 | $27,030 | 0.05% | $15,866,256 | 27.31% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $89,753,796 | $6,198,468 | $10,253,239 | $12,968,041 | $93,237,462 | 21.98% | $66,581,088 | 15.70% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $12,617,143 | $7,114,060 |
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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