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 | $202,190,069 | 57.02% | 30.39% | $143,222,152 | 53.81% | 31.33% | 70.84% |
| 2a. | Medicaid Managed Care (capitated) | $12,473,082 | 3.52% | 1.87% | $13,076,245 | 4.91% | 2.86% | 104.84% |
| 2b. | Medicaid Managed Care (fee-for-service) | $139,927,306 | 39.46% | 21.03% | $109,880,863 | 41.28% | 24.04% | 78.53% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $354,590,457 | 100.00% | 53.30% | $266,179,260 | 100.00% | 58.22% | 75.07% |
| 4. | Medicare Non-Managed Care | $95,352,878 | 84.12% | 14.33% | $64,145,788 | 82.49% | 14.03% | 67.27% |
| 5a. | Medicare Managed Care (capitated) | $3,753,850 | 3.31% | 0.56% | $3,487,894 | 4.49% | 0.76% | 92.92% |
| 5b. | Medicare Managed Care (fee-for-service) | $14,241,193 | 12.56% | 2.14% | $10,132,885 | 13.03% | 2.22% | 71.15% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $113,347,921 | 100.00% | 17.04% | $77,766,567 | 100.00% | 17.01% | 68.61% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $904,280 | 100.00% | 0.14% | $451,603 | 100.00% | 0.10% | 49.94% |
| 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) | $904,280 | 100.00% | 0.14% | $451,603 | 100.00% | 0.10% | 49.94% |
| 10. | Private Non-Managed Care | $140,580,309 | 95.59% | 21.13% | $93,703,150 | 96.06% | 20.50% | 66.65% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $6,484,801 | 4.41% | 0.97% | $3,843,006 | 3.94% | 0.84% | 59.26% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $147,065,110 | 100.00% | 22.11% | $97,546,156 | 100.00% | 21.34% | 66.33% |
| 13. | Self-Pay | $49,378,247 | 100.00% | 7.42% | $15,213,044 | 100.00% | 3.33% | 30.81% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $665,286,015 | 100.00% | $457,156,630 | 100.00% | 68.72% | ||
| 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 | $5,516,256 | $0 | $2,755,629 | $0 | $8,271,885 | 4.09% | $52,516,587 | 25.97% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $885,157 | 7.10% |
| 2b. | Medicaid Managed Care (fee-for-service) | $350,238 | $0 | $3,098,936 | $15,777 | $3,433,397 | 2.45% | $31,194,957 | 22.29% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $5,866,494 | $0 | $5,854,565 | $15,777 | $11,705,282 | 3.30% | $84,596,701 | 23.86% |
| 4. | Medicare Non-Managed Care | $9,701 | $107,625 | $1,348,695 | $7,303 | $1,458,718 | 1.53% | $27,974,328 | 29.34% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $62,675 | 1.67% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $131,078 | $0 | $131,078 | 0.92% | $3,189,507 | 22.40% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $9,701 | $107,625 | $1,479,773 | $7,303 | $1,589,796 | 1.40% | $31,226,510 | 27.55% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $443,702 | 49.07% |
| 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% | $443,702 | 49.07% |
| 10. | Private Non-Managed Care | $1,738,251 | $336 | $1,737,915 | 1.24% | $38,085,833 | 27.09% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $2,354,888 | 36.31% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,738,251 | $336 | $1,737,915 | 1.18% | $40,440,721 | 27.50% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $5,876,195 | $107,625 | $9,072,589 | $23,416 | $15,032,993 | 2.26% | $156,707,634 | 23.55% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $24,532,211 | $4,993,743 |
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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