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HRSA Health Resources & Services Administration

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 $74,770,451 12.66% 4.45% $46,154,382 10.89% 5.33% 61.73%
2a. Medicaid Managed Care (capitated) $162,438,872 27.51% 9.66% $130,619,685 30.81% 15.08% 80.41%
2b. Medicaid Managed Care (fee-for-service) $353,218,691 59.82% 21.00% $247,182,032 58.30% 28.54% 69.98%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $590,428,014 100.00% 35.11% $423,956,099 100.00% 48.95% 71.80%
4. Medicare Non-Managed Care $111,562,184 71.20% 6.63% $60,885,807 73.30% 7.03% 54.58%
5a. Medicare Managed Care (capitated) $5,857,339 3.74% 0.35% $4,484,064 5.40% 0.52% 76.55%
5b. Medicare Managed Care (fee-for-service) $39,261,235 25.06% 2.33% $17,698,860 21.31% 2.04% 45.08%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $156,680,758 100.00% 9.32% $83,068,731 100.00% 9.59% 53.02%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $9,814,696 40.20% 0.58% $6,838,336 50.71% 0.79% 69.67%
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) $2,727,724 11.17% 0.16% $1,350,899 10.02% 0.16% 49.52%
8c. Other Public, including COVID-19 Uninsured Program $11,871,336 48.63% 0.71% $5,294,922 39.27% 0.61% 44.60%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $24,413,756 100.00% 1.45% $13,484,157 100.00% 1.56% 55.23%
10. Private Non-Managed Care $375,576,218 86.81% 22.33% $235,452,715 88.71% 27.18% 62.69%
11a. Private Managed Care (capitated) $7,097,758 1.64% 0.42% $4,351,462 1.64% 0.50% 61.31%
11b. Private Managed Care (fee-for-service) $49,954,987 11.55% 2.97% $25,606,639 9.65% 2.96% 51.26%
12. Total Private (Sum of Lines 10 + 11a + 11b) $432,628,963 100.00% 25.72% $265,410,816 100.00% 30.64% 61.35%
13. Self-Pay $477,670,675 100.00% 28.40% $80,239,289 100.00% 9.26% 16.80%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,681,822,166 100.00% $866,159,092 100.00% 51.50%
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 $3,562,038 $778,212 $0 $0 $4,340,250 5.80% $47,795,293 63.92%
2a. Medicaid Managed Care (capitated) $44,508,087 $14,937,148 $634,602 $0 $60,079,837 36.99% $31,814,090 19.59%
2b. Medicaid Managed Care (fee-for-service) $67,605,418 $27,267,194 $1,979,999 $0 $96,852,611 27.42% $103,289,527 29.24%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $115,675,543 $42,982,554 $2,614,601 $0 $161,272,698 27.31% $182,898,910 30.98%
4. Medicare Non-Managed Care $429,900 $37,627 $299,616 $11,498 $755,645 0.68% $51,381,682 46.06%
5a. Medicare Managed Care (capitated) $115,069 $122,638 $8,545 $0 $246,252 4.20% $1,386,187 23.67%
5b. Medicare Managed Care (fee-for-service) $243,750 $105,566 $618,334 $9,712 $957,938 2.44% $20,562,711 52.37%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $788,719 $265,831 $926,495 $21,210 $1,959,835 1.25% $73,330,580 46.80%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,364,072 24.09%
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% $1,146,578 42.03%
8c. Other Public, including COVID-19 Uninsured Program $0 $0 $0 0.00% $4,730,279 39.85%
9. Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) $0 $0 $0 $0 $0 0.00% $8,240,929 33.76%
10. Private Non-Managed Care $95,023 $0 $95,023 0.03% $125,209,412 33.34%
11a. Private Managed Care (capitated) $463,778 $0 $463,778 6.53% $2,745,379 38.68%
11b. Private Managed Care (fee-for-service) $9,781 $0 $9,781 0.02% $22,957,842 45.96%
12. Total Private (Sum of Lines 10 + 11a + 11b) $568,582 $0 $568,582 0.13% $150,912,633 34.88%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $116,464,262 $43,248,385 $4,109,678 $21,210 $163,801,115 9.74% $415,383,052 24.70%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $344,703,499 $37,348,941

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.

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