Table 9D: Patient Related Revenue
Louisiana Data
36 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 | $159,879,363 | 54.96% | 28.50% | $108,960,654 | 53.53% | 29.21% | 68.15% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $131,039,826 | 45.04% | 23.36% | $94,607,035 | 46.47% | 25.36% | 72.20% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $290,919,189 | 100.00% | 51.85% | $203,567,689 | 100.00% | 54.57% | 69.97% |
| 4. | Medicare Non-Managed Care | $66,150,595 | 82.78% | 11.79% | $45,041,261 | 84.07% | 12.07% | 68.09% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $13,765,429 | 17.22% | 2.45% | $8,531,915 | 15.93% | 2.29% | 61.98% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $79,916,024 | 100.00% | 14.24% | $53,573,176 | 100.00% | 14.36% | 67.04% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $3,888,522 | 94.60% | 0.69% | $3,398,437 | 95.79% | 0.91% | 87.40% |
| 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% | |
| 8c. | Other Public, including COVID-19 Uninsured Program | $222,009 | 5.40% | 0.04% | $149,240 | 4.21% | 0.04% | 67.22% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $4,110,531 | 100.00% | 0.73% | $3,547,677 | 100.00% | 0.95% | 86.31% |
| 10. | Private Non-Managed Care | $124,404,129 | 97.29% | 22.17% | $83,356,150 | 98.71% | 22.34% | 67.00% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $3,465,787 | 2.71% | 0.62% | $1,093,081 | 1.29% | 0.29% | 31.54% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $127,869,916 | 100.00% | 22.79% | $84,449,231 | 100.00% | 22.64% | 66.04% |
| 13. | Self-Pay | $58,260,197 | 100.00% | 10.38% | $27,927,929 | 100.00% | 7.49% | 47.94% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $561,075,857 | 100.00% | $373,065,702 | 100.00% | 66.49% | ||
| 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 | $148,406 | $0 | $5,428,193 | $0 | $5,576,599 | 3.49% | $50,221,519 | 31.41% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $300,406 | $0 | $2,283,707 | $33,268 | $2,550,845 | 1.95% | $38,878,114 | 29.67% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $448,812 | $0 | $7,711,900 | $33,268 | $8,127,444 | 2.79% | $89,099,633 | 30.63% |
| 4. | Medicare Non-Managed Care | $9,193 | $286,662 | $1,076,321 | $147,553 | $1,224,623 | 1.85% | $21,609,890 | 32.67% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $66,600 | $0 | $66,600 | 0.48% | $3,014,770 | 21.90% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $9,193 | $286,662 | $1,142,921 | $147,553 | $1,291,223 | 1.62% | $24,624,660 | 30.81% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $413,260 | 10.63% |
| 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 | ||
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $0 | $0 | 0.00% | $112,289 | 50.58% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $0 | $0 | $0 | $0 | $0 | 0.00% | $525,549 | 12.79% |
| 10. | Private Non-Managed Care | $1,722,556 | $439 | $1,722,117 | 1.38% | $35,616,840 | 28.63% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $2,205,867 | 63.65% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,722,556 | $439 | $1,722,117 | 1.35% | $37,822,707 | 29.58% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $458,005 | $286,662 | $10,577,377 | $181,260 | $11,140,784 | 1.99% | $152,072,549 | 27.10% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $20,152,387 | $5,495,786 |
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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