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 | $310,002,769 | 12.15% | 7.02% | $262,667,092 | 16.38% | 11.36% | 84.73% |
| 2a. | Medicaid Managed Care (capitated) | $434,337,343 | 17.02% | 9.84% | $299,580,432 | 18.68% | 12.96% | 68.97% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,807,889,251 | 70.84% | 40.95% | $1,041,508,698 | 64.94% | 45.05% | 57.61% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $2,552,229,363 | 100.00% | 57.81% | $1,603,756,222 | 100.00% | 69.37% | 62.84% |
| 4. | Medicare Non-Managed Care | $324,205,023 | 47.42% | 7.34% | $177,191,261 | 56.91% | 7.66% | 54.65% |
| 5a. | Medicare Managed Care (capitated) | $14,919,566 | 2.18% | 0.34% | $5,082,858 | 1.63% | 0.22% | 34.07% |
| 5b. | Medicare Managed Care (fee-for-service) | $344,529,162 | 50.40% | 7.80% | $129,063,798 | 41.45% | 5.58% | 37.46% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $683,653,751 | 100.00% | 15.48% | $311,337,917 | 100.00% | 13.47% | 45.54% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $10,256,378 | 17.87% | 0.23% | $7,625,959 | 21.66% | 0.33% | 74.35% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $14,317,548 | 24.94% | 0.32% | $9,680,562 | 27.50% | 0.42% | 67.61% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $30,226,464 | 52.66% | 0.68% | $14,476,791 | 41.12% | 0.63% | 47.89% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $2,597,186 | 4.52% | 0.06% | $3,424,956 | 9.73% | 0.15% | 131.87% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $57,397,576 | 100.00% | 1.30% | $35,208,268 | 100.00% | 1.52% | 61.34% |
| 10. | Private Non-Managed Care | $466,187,540 | 61.72% | 10.56% | $213,350,103 | 66.69% | 9.23% | 45.76% |
| 11a. | Private Managed Care (capitated) | $37,905,811 | 5.02% | 0.86% | $5,018,138 | 1.57% | 0.22% | 13.24% |
| 11b. | Private Managed Care (fee-for-service) | $251,257,030 | 33.26% | 5.69% | $101,539,615 | 31.74% | 4.39% | 40.41% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $755,350,381 | 100.00% | 17.11% | $319,907,856 | 100.00% | 13.84% | 42.35% |
| 13. | Self-Pay | $366,354,390 | 100.00% | 8.30% | $41,572,588 | 100.00% | 1.80% | 11.35% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $4,414,985,461 | 100.00% | $2,311,782,851 | 100.00% | 52.36% | ||
| 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 | $50,849,993 | $15,889,041 | $3,788,349 | $2,459,766 | $68,067,617 | 21.96% | $85,365,087 | 27.54% |
| 2a. | Medicaid Managed Care (capitated) | $96,237,820 | $23,964,647 | $19,533,503 | $53,070 | $139,682,900 | 32.16% | $135,163,724 | 31.12% |
| 2b. | Medicaid Managed Care (fee-for-service) | $258,170,527 | $51,106,620 | $132,232,138 | $1,044,343 | $440,464,942 | 24.36% | $893,597,108 | 49.43% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $405,258,340 | $90,960,308 | $155,553,990 | $3,557,179 | $648,215,459 | 25.40% | $1,114,125,919 | 43.65% |
| 4. | Medicare Non-Managed Care | $6,279,962 | $2,050,564 | $5,298,608 | $2,227 | $13,626,907 | 4.20% | $147,307,877 | 45.44% |
| 5a. | Medicare Managed Care (capitated) | $529,280 | $536,972 | $23,298 | $0 | $1,089,550 | 7.30% | $9,836,707 | 65.93% |
| 5b. | Medicare Managed Care (fee-for-service) | $7,770,973 | $2,419,122 | $1,575,228 | $1,270 | $11,764,053 | 3.41% | $191,521,959 | 55.59% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $14,580,215 | $5,006,658 | $6,897,134 | $3,497 | $26,480,510 | 3.87% | $348,666,543 | 51.00% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $128 | $493 | $0 | $0 | $621 | 0.01% | $2,074,630 | 20.23% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $1,283,344 | $2,352,153 | $68,399 | $182 | $3,703,714 | 25.87% | $4,854,327 | 33.90% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $1,690,956 | $877,350 | $28,004 | $70 | $2,596,240 | 8.59% | $13,881,373 | 45.92% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $635 | ($635.00) | -0.02% | $717,227 | 27.62% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $2,974,428 | $3,229,996 | $96,403 | $887 | $6,299,940 | 10.98% | $21,527,557 | 37.51% |
| 10. | Private Non-Managed Care | $426,858 | $10,352 | $416,506 | 0.09% | $220,084,722 | 47.21% | ||
| 11a. | Private Managed Care (capitated) | $344,684 | $0 | $344,684 | 0.91% | $32,887,430 | 86.76% | ||
| 11b. | Private Managed Care (fee-for-service) | $3,149,393 | $0 | $3,149,393 | 1.25% | $137,464,174 | 54.71% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $3,920,935 | $10,352 | $3,910,583 | 0.52% | $390,436,326 | 51.69% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $422,812,983 | $99,196,962 | $166,468,462 | $3,571,915 | $684,906,492 | 15.51% | $1,874,756,345 | 42.46% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $259,102,642 | $35,916,814 |
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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