Table 9D: Patient Related Revenue
New York Data
63 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 | $393,699,365 | 14.67% | 8.23% | $349,515,844 | 20.26% | 14.03% | 88.78% |
| 2a. | Medicaid Managed Care (capitated) | $468,072,057 | 17.45% | 9.78% | $334,284,536 | 19.38% | 13.42% | 71.42% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,821,036,986 | 67.88% | 38.05% | $1,041,294,677 | 60.36% | 41.81% | 57.18% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $2,682,808,408 | 100.00% | 56.06% | $1,725,095,057 | 100.00% | 69.27% | 64.30% |
| 4. | Medicare Non-Managed Care | $342,305,682 | 43.36% | 7.15% | $185,319,478 | 53.86% | 7.44% | 54.14% |
| 5a. | Medicare Managed Care (capitated) | $17,565,310 | 2.23% | 0.37% | $7,240,812 | 2.10% | 0.29% | 41.22% |
| 5b. | Medicare Managed Care (fee-for-service) | $429,512,820 | 54.41% | 8.98% | $151,538,418 | 44.04% | 6.08% | 35.28% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $789,383,812 | 100.00% | 16.50% | $344,098,708 | 100.00% | 13.82% | 43.59% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $13,732,045 | 21.20% | 0.29% | $9,732,764 | 27.14% | 0.39% | 70.88% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $21,396,204 | 33.03% | 0.45% | $11,710,583 | 32.65% | 0.47% | 54.73% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $29,641,789 | 45.76% | 0.62% | $14,420,189 | 40.21% | 0.58% | 48.65% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $64,770,038 | 100.00% | 1.35% | $35,863,536 | 100.00% | 1.44% | 55.37% |
| 10. | Private Non-Managed Care | $534,635,129 | 63.39% | 11.17% | $229,912,937 | 67.43% | 9.23% | 43.00% |
| 11a. | Private Managed Care (capitated) | $38,752,899 | 4.59% | 0.81% | $8,798,133 | 2.58% | 0.35% | 22.70% |
| 11b. | Private Managed Care (fee-for-service) | $270,061,510 | 32.02% | 5.64% | $102,242,134 | 29.99% | 4.11% | 37.86% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $843,449,538 | 100.00% | 17.63% | $340,953,204 | 100.00% | 13.69% | 40.42% |
| 13. | Self-Pay | $404,955,052 | 100.00% | 8.46% | $44,486,131 | 100.00% | 1.79% | 10.99% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $4,785,366,848 | 100.00% | $2,490,496,636 | 100.00% | 52.04% | ||
| 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 | $44,975,110 | $9,352,881 | $2,714,752 | $3,524,294 | $53,518,449 | 13.59% | $106,408,941 | 27.03% |
| 2a. | Medicaid Managed Care (capitated) | $120,073,111 | $24,179,482 | $26,990,716 | $0 | $171,243,309 | 36.58% | $129,036,143 | 27.57% |
| 2b. | Medicaid Managed Care (fee-for-service) | $274,779,315 | $56,962,988 | $142,073,590 | $224,906 | $473,590,987 | 26.01% | $738,677,096 | 40.56% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $439,827,536 | $90,495,351 | $171,779,058 | $3,749,200 | $698,352,745 | 26.03% | $974,122,180 | 36.31% |
| 4. | Medicare Non-Managed Care | $7,086,898 | $1,151,816 | $4,190,912 | $314 | $12,429,312 | 3.63% | $145,843,437 | 42.61% |
| 5a. | Medicare Managed Care (capitated) | $760,949 | $840,706 | $251,626 | $0 | $1,853,281 | 10.55% | $10,321,571 | 58.76% |
| 5b. | Medicare Managed Care (fee-for-service) | $11,055,342 | $2,928,043 | $3,689,692 | $0 | $17,673,077 | 4.11% | $244,214,595 | 56.86% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $18,903,189 | $4,920,565 | $8,132,230 | $314 | $31,955,670 | 4.05% | $400,379,603 | 50.72% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,806 | $391 | $0 | $0 | $2,197 | 0.02% | $3,023,344 | 22.02% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $1,460,180 | $3,328,400 | $91,929 | $0 | $4,880,509 | 22.81% | $9,789,919 | 45.76% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $1,741,262 | $1,259,407 | $56,918 | $0 | $3,057,587 | 10.32% | $15,429,951 | 52.05% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $3,203,248 | $4,588,198 | $148,847 | $0 | $7,940,293 | 12.26% | $28,243,214 | 43.61% |
| 10. | Private Non-Managed Care | $925,102 | $11,717 | $913,385 | 0.17% | $270,644,465 | 50.62% | ||
| 11a. | Private Managed Care (capitated) | $3,047,396 | $0 | $3,047,396 | 7.86% | $30,193,404 | 77.91% | ||
| 11b. | Private Managed Care (fee-for-service) | $2,843,887 | $0 | $2,843,887 | 1.05% | $155,023,694 | 57.40% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $6,816,385 | $11,717 | $6,804,668 | 0.81% | $455,861,563 | 54.05% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $461,933,973 | $100,004,114 | $186,876,520 | $3,761,231 | $745,053,376 | 15.57% | $1,858,606,560 | 38.84% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $298,508,704 | $31,483,514 |
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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