Table 9D: Patient Related Revenue
Texas Data
71 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 | $115,142,351 | 14.88% | 4.10% | $69,251,601 | 12.67% | 4.43% | 60.14% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $658,545,794 | 85.12% | 23.47% | $477,199,381 | 87.33% | 30.55% | 72.46% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $773,688,145 | 100.00% | 27.57% | $546,450,982 | 100.00% | 34.99% | 70.63% |
| 4. | Medicare Non-Managed Care | $220,345,751 | 76.31% | 7.85% | $158,092,132 | 80.60% | 10.12% | 71.75% |
| 5a. | Medicare Managed Care (capitated) | $1,845,290 | 0.64% | 0.07% | $1,499,649 | 0.76% | 0.10% | 81.27% |
| 5b. | Medicare Managed Care (fee-for-service) | $66,558,129 | 23.05% | 2.37% | $36,548,194 | 18.63% | 2.34% | 54.91% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $288,749,170 | 100.00% | 10.29% | $196,139,975 | 100.00% | 12.56% | 67.93% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $63,696,133 | 50.27% | 2.27% | $30,041,876 | 44.59% | 1.92% | 47.16% |
| 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) | $63,021,687 | 49.73% | 2.25% | $37,326,871 | 55.41% | 2.39% | 59.23% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $126,717,820 | 100.00% | 4.52% | $67,368,747 | 100.00% | 4.31% | 53.16% |
| 10. | Private Non-Managed Care | $673,912,184 | 73.84% | 24.01% | $478,873,455 | 73.61% | 30.66% | 71.06% |
| 11a. | Private Managed Care (capitated) | $424,391 | 0.05% | 0.02% | $132,497 | 0.02% | 0.01% | 31.22% |
| 11b. | Private Managed Care (fee-for-service) | $238,340,509 | 26.11% | 8.49% | $171,560,764 | 26.37% | 10.98% | 71.98% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $912,677,084 | 100.00% | 32.52% | $650,566,716 | 100.00% | 41.65% | 71.28% |
| 13. | Self-Pay | $704,653,365 | 100.00% | 25.11% | $101,403,197 | 100.00% | 6.49% | 14.39% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,806,485,584 | 100.00% | $1,561,929,617 | 100.00% | 55.65% | ||
| 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 | $0 | $78,711 | $177,906 | $4,017 | $252,600 | 0.22% | $42,604,860 | 37.00% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $239,225 | $1,545 | $11,478,998 | $123,729 | $11,596,039 | 1.76% | $167,784,819 | 25.48% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $239,225 | $80,256 | $11,656,904 | $127,746 | $11,848,639 | 1.53% | $210,389,679 | 27.19% |
| 4. | Medicare Non-Managed Care | $2 | $635,816 | $234,897 | $38,552 | $832,163 | 0.38% | $55,035,403 | 24.98% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $504,744 | $0 | $504,744 | 27.35% | $324,740 | 17.60% |
| 5b. | Medicare Managed Care (fee-for-service) | $3,073 | $0 | $3,286,543 | $51,092 | $3,238,524 | 4.87% | $24,716,115 | 37.13% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $3,075 | $635,816 | $4,026,184 | $89,644 | $4,575,431 | 1.58% | $80,076,258 | 27.73% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $1,490 | $0 | $20,284 | ($18,794.00) | -0.03% | $28,506,673 | 44.75% |
| 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 | $72,922 | $2,950 | $69,972 | 0.11% | $17,261,312 | 27.39% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $1,490 | $72,922 | $23,234 | $51,178 | 0.04% | $45,767,985 | 36.12% |
| 10. | Private Non-Managed Care | $2,522,205 | $11,026 | $2,511,179 | 0.37% | $177,904,829 | 26.40% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $291,894 | 68.78% | ||
| 11b. | Private Managed Care (fee-for-service) | $108,461 | $5,752 | $102,709 | 0.04% | $47,828,124 | 20.07% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $2,630,666 | $16,778 | $2,613,888 | 0.29% | $226,024,847 | 24.77% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $242,300 | $717,562 | $18,386,676 | $257,402 | $19,089,136 | 0.68% | $562,258,769 | 20.03% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $477,148,609 | $41,782,546 |
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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