Table 9D: Patient Related Revenue
Texas Data
72 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 | $129,641,797 | 17.84% | 5.21% | $69,833,892 | 13.36% | 4.97% | 53.87% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $596,954,058 | 82.16% | 24.01% | $453,000,323 | 86.64% | 32.27% | 75.89% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $726,595,855 | 100.00% | 29.23% | $522,834,215 | 100.00% | 37.25% | 71.96% |
| 4. | Medicare Non-Managed Care | $193,705,701 | 76.91% | 7.79% | $109,056,942 | 77.32% | 7.77% | 56.30% |
| 5a. | Medicare Managed Care (capitated) | $1,777,619 | 0.71% | 0.07% | $1,874,682 | 1.33% | 0.13% | 105.46% |
| 5b. | Medicare Managed Care (fee-for-service) | $56,377,630 | 22.38% | 2.27% | $30,118,212 | 21.35% | 2.15% | 53.42% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $251,860,950 | 100.00% | 10.13% | $141,049,836 | 100.00% | 10.05% | 56.00% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $59,056,958 | 53.87% | 2.38% | $28,172,349 | 47.75% | 2.01% | 47.70% |
| 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) | $40,078,973 | 36.56% | 1.61% | $24,716,973 | 41.89% | 1.76% | 61.67% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $10,485,879 | 9.57% | 0.42% | $6,111,776 | 10.36% | 0.44% | 58.29% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $109,621,810 | 100.00% | 4.41% | $59,001,098 | 100.00% | 4.20% | 53.82% |
| 10. | Private Non-Managed Care | $560,321,619 | 73.76% | 22.54% | $395,488,878 | 68.27% | 28.17% | 70.58% |
| 11a. | Private Managed Care (capitated) | $392,419 | 0.05% | 0.02% | $123,582 | 0.02% | 0.01% | 31.49% |
| 11b. | Private Managed Care (fee-for-service) | $198,987,853 | 26.19% | 8.00% | $183,723,239 | 31.71% | 13.09% | 92.33% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $759,701,891 | 100.00% | 30.56% | $579,335,699 | 100.00% | 41.27% | 76.26% |
| 13. | Self-Pay | $638,342,379 | 100.00% | 25.68% | $101,498,904 | 100.00% | 7.23% | 15.90% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,486,122,885 | 100.00% | $1,403,719,752 | 100.00% | 56.46% | ||
| 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 | $10,080 | $60,196 | $30,920 | $15,357 | $85,839 | 0.07% | $56,329,662 | 43.45% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $45,698 | $510,826 | $7,534,105 | $230,288 | $7,860,341 | 1.32% | $120,785,481 | 20.23% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $55,778 | $571,022 | $7,565,025 | $245,645 | $7,946,180 | 1.09% | $177,115,143 | 24.38% |
| 4. | Medicare Non-Managed Care | $1,543 | $636,692 | $114,609 | $30,842 | $722,002 | 0.37% | $46,556,357 | 24.03% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $249,523 | $0 | $249,523 | 14.04% | $63,438 | 3.57% |
| 5b. | Medicare Managed Care (fee-for-service) | $65,734 | $0 | $3,763,809 | $1,818 | $3,827,725 | 6.79% | $23,358,819 | 41.43% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $67,277 | $636,692 | $4,127,941 | $32,660 | $4,799,250 | 1.91% | $69,978,614 | 27.78% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $26,242 | ($26,242.00) | -0.04% | $26,859,878 | 45.48% |
| 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) | $5,757 | $0 | $138,009 | $22,445 | $121,321 | 0.30% | $14,087,573 | 35.15% |
| 8c. | Other Public, including COVID-19 Uninsured Program | $0 | $8,436 | ($8,436.00) | -0.08% | $7,767,920 | 74.08% | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b + 8c) | $5,757 | $0 | $138,009 | $57,123 | $86,643 | 0.08% | $48,715,371 | 44.44% |
| 10. | Private Non-Managed Care | $1,461,948 | $16,010 | $1,445,938 | 0.26% | $147,374,516 | 26.30% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $268,837 | 68.51% | ||
| 11b. | Private Managed Care (fee-for-service) | $191,476 | $9,704 | $181,772 | 0.09% | $43,502,890 | 21.86% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,653,424 | $25,714 | $1,627,710 | 0.21% | $191,146,243 | 25.16% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $128,812 | $1,207,714 | $13,484,399 | $361,142 | $14,459,783 | 0.58% | $486,955,371 | 19.59% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $431,294,034 | $49,530,708 |
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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