Table 9D: Patient Related Revenue
North Carolina Look-Alike Data
5 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 | $25,111,336 | 84.97% | 19.86% | $17,127,051 | 84.36% | 24.62% | 68.20% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $4,441,710 | 15.03% | 3.51% | $3,175,800 | 15.64% | 4.57% | 71.50% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $29,553,046 | 100.00% | 23.37% | $20,302,851 | 100.00% | 29.18% | 68.70% |
| 4. | Medicare Non-Managed Care | $22,838,363 | 84.12% | 18.06% | $7,796,509 | 66.42% | 11.21% | 34.14% |
| 5a. | Medicare Managed Care (capitated) | $5,131 | 0.02% | 0.00% | $356 | 0.00% | 0.00% | 6.94% |
| 5b. | Medicare Managed Care (fee-for-service) | $4,306,736 | 15.86% | 3.41% | $3,942,105 | 33.58% | 5.67% | 91.53% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $27,150,230 | 100.00% | 21.47% | $11,738,970 | 100.00% | 16.87% | 43.24% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $58,319 | 100.00% | 0.05% | $63,330 | 100.00% | 0.09% | 108.59% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 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) | $58,319 | 100.00% | 0.05% | $63,330 | 100.00% | 0.09% | 108.59% |
| 10. | Private Non-Managed Care | $53,544,282 | 90.24% | 42.34% | $30,509,980 | 92.82% | 43.86% | 56.98% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $5,789,990 | 9.76% | 4.58% | $2,360,346 | 7.18% | 3.39% | 40.77% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $59,334,272 | 100.00% | 46.92% | $32,870,326 | 100.00% | 47.25% | 55.40% |
| 13. | Self-Pay | $10,370,864 | 100.00% | 8.20% | $4,592,705 | 100.00% | 6.60% | 44.28% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $126,466,731 | 100.00% | $69,568,182 | 100.00% | 55.01% | ||
| 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 | $284,221 | $0 | $0 | $0 | $284,221 | 1.13% | $13,268,287 | 52.84% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $397,779 | $0 | $0 | $397,779 | 8.96% | $1,369,790 | 30.84% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $284,221 | $397,779 | $0 | $0 | $682,000 | 2.31% | $14,638,077 | 49.53% |
| 4. | Medicare Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $14,995,561 | 65.66% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $3,817 | 74.39% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $188,441 | 4.38% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $15,187,819 | 55.94% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $4,804 | 8.24% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 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% | $4,804 | 8.24% |
| 10. | Private Non-Managed Care | $0 | $0 | $0 | 0.00% | $20,669,707 | 38.60% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $2,709,149 | 46.79% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $0 | $0 | $0 | 0.00% | $23,378,856 | 39.40% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $284,221 | $397,779 | $0 | $0 | $682,000 | 0.54% | $53,209,556 | 42.07% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $3,526,455 | $2,751,743 |
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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