Table 9D: Patient Related Revenue
Florida Data
47 Awardees
| 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 | $102,196,736 | 12.42% | 4.78% | $56,232,329 | 9.64% | 4.94% | 55.02% |
| 2a. | Medicaid Managed Care (capitated) | $253,310,166 | 30.79% | 11.85% | $186,294,207 | 31.95% | 16.37% | 73.54% |
| 2b. | Medicaid Managed Care (fee-for-service) | $467,216,026 | 56.79% | 21.86% | $340,633,310 | 58.41% | 29.93% | 72.91% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $822,722,928 | 100.00% | 38.49% | $583,159,846 | 100.00% | 51.24% | 70.88% |
| 4. | Medicare Non-Managed Care | $127,902,989 | 62.81% | 5.98% | $76,820,076 | 60.45% | 6.75% | 60.06% |
| 5a. | Medicare Managed Care (capitated) | $8,265,312 | 4.06% | 0.39% | $6,494,066 | 5.11% | 0.57% | 78.57% |
| 5b. | Medicare Managed Care (fee-for-service) | $67,480,802 | 33.14% | 3.16% | $43,765,826 | 34.44% | 3.85% | 64.86% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $203,649,103 | 100.00% | 9.53% | $127,079,968 | 100.00% | 11.17% | 62.40% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $12,551,467 | 57.85% | 0.59% | $11,127,008 | 80.71% | 0.98% | 88.65% |
| 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) | $4,396,684 | 20.26% | 0.21% | $776,131 | 5.63% | 0.07% | 17.65% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $4,747,874 | 21.88% | 0.22% | $1,884,018 | 13.67% | 0.17% | 39.68% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $21,696,025 | 100.00% | 1.02% | $13,787,157 | 100.00% | 1.21% | 63.55% |
| 10. | Private Non-Managed Care | $434,913,555 | 76.27% | 20.35% | $268,518,737 | 80.15% | 23.60% | 61.74% |
| 11a. | Private Managed Care (capitated) | $13,679,786 | 2.40% | 0.64% | $6,834,546 | 2.04% | 0.60% | 49.96% |
| 11b. | Private Managed Care (fee-for-service) | $121,623,572 | 21.33% | 5.69% | $59,685,359 | 17.81% | 5.24% | 49.07% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $570,216,913 | 100.00% | 26.68% | $335,038,642 | 100.00% | 29.44% | 58.76% |
| 13. | Self-Pay | $519,049,595 | 100.00% | 24.28% | $78,939,196 | 100.00% | 6.94% | 15.21% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,137,334,564 | 100.00% | $1,138,004,809 | 100.00% | 53.24% | ||
| 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 | $8,954,507 | $2,153,662 | $83,290 | $84,461 | $11,106,998 | 10.87% | $44,685,220 | 43.72% |
| 2a. | Medicaid Managed Care (capitated) | $48,217,386 | $21,848,058 | $3,020,697 | $0 | $73,086,141 | 28.85% | $70,370,347 | 27.78% |
| 2b. | Medicaid Managed Care (fee-for-service) | $100,848,397 | $30,528,777 | $8,003,063 | $0 | $139,380,237 | 29.83% | $130,425,636 | 27.92% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $158,020,290 | $54,530,497 | $11,107,050 | $84,461 | $223,573,376 | 27.17% | $245,481,203 | 29.84% |
| 4. | Medicare Non-Managed Care | $1,887,389 | $315,127 | $2,502,673 | $22,025 | $4,683,164 | 3.66% | $58,929,984 | 46.07% |
| 5a. | Medicare Managed Care (capitated) | $81,114 | $99,786 | $0 | $0 | $180,900 | 2.19% | $2,229,635 | 26.98% |
| 5b. | Medicare Managed Care (fee-for-service) | $822,467 | $61,637 | $1,220,554 | $0 | $2,104,658 | 3.12% | $25,132,284 | 37.24% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $2,790,970 | $476,550 | $3,723,227 | $22,025 | $6,968,722 | 3.42% | $86,291,903 | 42.37% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $50 | ($50.00) | 0.00% | $2,512,118 | 20.01% |
| 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 | 0.00% | $3,249,015 | 73.90% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $4,166,730 | 87.76% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $50 | ($50.00) | 0.00% | $9,927,863 | 45.76% |
| 10. | Private Non-Managed Care | $1,453,209 | $0 | $1,453,209 | 0.33% | $131,295,864 | 30.19% | ||
| 11a. | Private Managed Care (capitated) | $631,590 | $129 | $631,461 | 4.62% | $7,539,833 | 55.12% | ||
| 11b. | Private Managed Care (fee-for-service) | $149,410 | $0 | $149,410 | 0.12% | $52,524,318 | 43.19% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,234,209 | $129 | $2,234,080 | 0.39% | $191,360,015 | 33.56% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $160,811,260 | $55,007,047 | $17,064,486 | $106,665 | $232,776,128 | 10.89% | $533,060,984 | 24.94% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $375,883,699 | $44,135,043 |
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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