Table 9D: Patient Related Revenue
South Carolina Data
23 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 | $44,721,133 | 27.29% | 4.93% | $29,115,368 | 21.74% | 5.03% | 65.10% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $119,172,567 | 72.71% | 13.14% | $104,815,567 | 78.26% | 18.10% | 87.95% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $163,893,700 | 100.00% | 18.07% | $133,930,935 | 100.00% | 23.13% | 81.72% |
| 4. | Medicare Non-Managed Care | $202,051,311 | 74.25% | 22.28% | $155,243,402 | 79.70% | 26.81% | 76.83% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $70,077,372 | 25.75% | 7.73% | $39,533,155 | 20.30% | 6.83% | 56.41% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $272,128,683 | 100.00% | 30.01% | $194,776,557 | 100.00% | 33.64% | 71.58% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $957,959 | 100.00% | 0.11% | $329,841 | 100.00% | 0.06% | 34.43% |
| 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) | $957,959 | 100.00% | 0.11% | $329,841 | 100.00% | 0.06% | 34.43% |
| 10. | Private Non-Managed Care | $316,309,053 | 96.67% | 34.88% | $217,652,846 | 98.02% | 37.59% | 68.81% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $10,882,708 | 3.33% | 1.20% | $4,396,474 | 1.98% | 0.76% | 40.40% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $327,191,761 | 100.00% | 36.08% | $222,049,320 | 100.00% | 38.35% | 67.87% |
| 13. | Self-Pay | $142,741,762 | 100.00% | 15.74% | $27,904,070 | 100.00% | 4.82% | 19.55% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $906,913,865 | 100.00% | $578,990,723 | 100.00% | 63.84% | ||
| 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 | $393,209 | $95,226 | $18,457 | $0 | $506,892 | 1.13% | $8,014,526 | 17.92% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $920,768 | $437,564 | $3,591,127 | $2,358 | $4,947,101 | 4.15% | $13,806,202 | 11.59% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,313,977 | $532,790 | $3,609,584 | $2,358 | $5,453,993 | 3.33% | $21,820,728 | 13.31% |
| 4. | Medicare Non-Managed Care | $170,204 | $763,906 | $250,730 | $40 | $1,184,800 | 0.59% | $46,551,407 | 23.04% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $785,772 | $0 | $785,772 | 1.12% | $35,527,787 | 50.70% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $170,204 | $763,906 | $1,036,502 | $40 | $1,970,572 | 0.72% | $82,079,194 | 30.16% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $624,860 | 65.23% |
| 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% | $624,860 | 65.23% |
| 10. | Private Non-Managed Care | $522,186 | $0 | $522,186 | 0.17% | $87,211,121 | 27.57% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $4,988,066 | 45.83% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $522,186 | $0 | $522,186 | 0.16% | $92,199,187 | 28.18% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,484,181 | $1,296,696 | $5,168,272 | $2,398 | $7,946,751 | 0.88% | $196,723,969 | 21.69% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $101,681,156 | $8,512,716 |
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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