Table 9D: Patient Related Revenue
North Carolina Data
38 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 | $122,824,218 | 68.80% | 14.11% | $92,554,568 | 65.65% | 18.80% | 75.36% |
| 2a. | Medicaid Managed Care (capitated) | $4,781,837 | 2.68% | 0.55% | $5,156,922 | 3.66% | 1.05% | 107.84% |
| 2b. | Medicaid Managed Care (fee-for-service) | $50,913,720 | 28.52% | 5.85% | $43,278,274 | 30.70% | 8.79% | 85.00% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $178,519,775 | 100.00% | 20.51% | $140,989,764 | 100.00% | 28.63% | 78.98% |
| 4. | Medicare Non-Managed Care | $184,380,922 | 95.31% | 21.18% | $109,898,810 | 95.82% | 22.32% | 59.60% |
| 5a. | Medicare Managed Care (capitated) | $466,196 | 0.24% | 0.05% | $341,474 | 0.30% | 0.07% | 73.25% |
| 5b. | Medicare Managed Care (fee-for-service) | $8,605,763 | 4.45% | 0.99% | $4,450,994 | 3.88% | 0.90% | 51.72% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $193,452,881 | 100.00% | 22.22% | $114,691,278 | 100.00% | 23.29% | 59.29% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $4,189,154 | 100.00% | 0.48% | $1,739,326 | 100.00% | 0.35% | 41.52% |
| 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) | $4,189,154 | 100.00% | 0.48% | $1,739,326 | 100.00% | 0.35% | 41.52% |
| 10. | Private Non-Managed Care | $259,829,001 | 98.18% | 29.85% | $179,212,145 | 98.30% | 36.40% | 68.97% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $4,817,184 | 1.82% | 0.55% | $3,093,233 | 1.70% | 0.63% | 64.21% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $264,646,185 | 100.00% | 30.40% | $182,305,378 | 100.00% | 37.02% | 68.89% |
| 13. | Self-Pay | $229,649,509 | 100.00% | 26.38% | $52,680,291 | 100.00% | 10.70% | 22.94% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $870,457,504 | 100.00% | $492,406,037 | 100.00% | 56.57% | ||
| 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 | $7,535,494 | $17,979,730 | $451,833 | $12,089 | $25,954,968 | 21.13% | $22,619,722 | 18.42% |
| 2a. | Medicaid Managed Care (capitated) | $641,547 | $517,298 | $194,633 | $0 | $1,353,478 | 28.30% | $1,572,969 | 32.89% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,622,482 | $3,863,780 | $3,421,391 | $0 | $8,907,653 | 17.50% | $6,688,184 | 13.14% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $9,799,523 | $22,360,808 | $4,067,857 | $12,089 | $36,216,099 | 20.29% | $30,880,875 | 17.30% |
| 4. | Medicare Non-Managed Care | $256,598 | $1,335,390 | $1,807,295 | $127,143 | $3,272,140 | 1.77% | $71,114,287 | 38.57% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $93,558 | 20.07% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $71,971 | $0 | $71,971 | 0.84% | $3,209,350 | 37.29% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $256,598 | $1,335,390 | $1,879,266 | $127,143 | $3,344,111 | 1.73% | $74,417,195 | 38.47% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $2,396,342 | 57.20% |
| 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% | $2,396,342 | 57.20% |
| 10. | Private Non-Managed Care | $447,621 | $0 | $447,621 | 0.17% | $74,328,243 | 28.61% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $293,558 | 6.09% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $447,621 | $0 | $447,621 | 0.17% | $74,621,801 | 28.20% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $10,056,121 | $23,696,198 | $6,394,744 | $139,232 | $40,007,831 | 4.60% | $182,316,213 | 20.94% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $144,769,849 | $24,661,559 |
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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