National Data
1,359 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 | $9,541,440,546 | 37.42% | 17.56% | $8,113,991,025 | 36.95% | 22.37% | 85.04% |
| 2a. | Medicaid Managed Care (capitated) | $6,054,945,935 | 23.74% | 11.15% | $6,100,816,776 | 27.78% | 16.82% | 100.76% |
| 2b. | Medicaid Managed Care (fee-for-service) | $9,904,160,515 | 38.84% | 18.23% | $7,746,585,970 | 35.27% | 21.36% | 78.22% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $25,500,546,996 | 100.00% | 46.94% | $21,961,393,771 | 100.00% | 60.55% | 86.12% |
| 4. | Medicare Non-Managed Care | $6,025,638,162 | 67.81% | 11.09% | $3,619,496,367 | 65.53% | 9.98% | 60.07% |
| 5a. | Medicare Managed Care (capitated) | $762,054,232 | 8.58% | 1.40% | $817,359,705 | 14.80% | 2.25% | 107.26% |
| 5b. | Medicare Managed Care (fee-for-service) | $2,098,578,670 | 23.62% | 3.86% | $1,086,388,574 | 19.67% | 3.00% | 51.77% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $8,886,271,064 | 100.00% | 16.36% | $5,523,244,646 | 100.00% | 15.23% | 62.15% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $519,062,933 | 70.84% | 0.96% | $350,328,168 | 77.48% | 0.97% | 67.49% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $46,148,329 | 6.30% | 0.08% | $16,913,376 | 3.74% | 0.05% | 36.65% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $167,526,531 | 22.86% | 0.31% | $84,887,156 | 18.77% | 0.23% | 50.67% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $732,737,793 | 100.00% | 1.35% | $452,128,700 | 100.00% | 1.25% | 61.70% |
| 10. | Private Non-Managed Care | $10,516,084,675 | 86.30% | 19.36% | $6,036,741,908 | 89.35% | 16.64% | 57.40% |
| 11a. | Private Managed Care (capitated) | $235,285,016 | 1.93% | 0.43% | $100,150,639 | 1.48% | 0.28% | 42.57% |
| 11b. | Private Managed Care (fee-for-service) | $1,433,501,982 | 11.76% | 2.64% | $619,586,438 | 9.17% | 1.71% | 43.22% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $12,184,871,673 | 100.00% | 22.43% | $6,756,478,985 | 100.00% | 18.63% | 55.45% |
| 13. | Self-Pay | $7,023,869,994 | 100.00% | 12.93% | $1,579,526,994 | 100.00% | 4.35% | 22.49% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $54,328,297,520 | 100.00% | $36,272,773,096 | 100.00% | 66.77% | ||
| 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 | $746,309,829 | $294,275,041 | $146,091,890 | $32,474,428 | $1,154,202,332 | 12.10% | $1,804,388,383 | 18.91% |
| 2a. | Medicaid Managed Care (capitated) | $2,406,284,552 | $301,185,667 | $388,040,554 | $67,024,878 | $3,028,485,895 | 50.02% | $33,556,272 | 0.55% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,698,841,688 | $345,105,959 | $343,294,857 | $70,855,705 | $2,316,386,799 | 23.39% | $2,312,545,710 | 23.35% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $4,851,436,069 | $940,566,667 | $877,427,301 | $170,355,011 | $6,499,075,026 | 25.49% | $4,150,490,365 | 16.28% |
| 4. | Medicare Non-Managed Care | $43,655,393 | $23,367,314 | $46,108,911 | $623,577 | $112,508,041 | 1.87% | $2,293,991,261 | 38.07% |
| 5a. | Medicare Managed Care (capitated) | $13,064,110 | $4,170,119 | $27,772,272 | $3,620,483 | $41,386,018 | 5.43% | ($48,435,178.00) | -6.36% |
| 5b. | Medicare Managed Care (fee-for-service) | $27,594,405 | $9,164,636 | $28,910,090 | $379,096 | $65,290,035 | 3.11% | $882,470,821 | 42.05% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $84,313,908 | $36,702,069 | $102,791,273 | $4,623,156 | $219,184,094 | 2.47% | $3,128,026,904 | 35.20% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $2,398,310 | $394,489 | $905,364 | $7,455 | $3,690,708 | 0.71% | $145,395,118 | 28.01% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $2,736,714 | $2,559,490 | $502,168 | $0 | $5,798,372 | 12.56% | $26,527,896 | 57.48% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $2,931,805 | $818,555 | $349,729 | $4,770 | $4,095,319 | 2.44% | $73,587,868 | 43.93% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $8,066,829 | $3,772,534 | $1,757,261 | $12,225 | $13,584,399 | 1.85% | $245,510,882 | 33.51% |
| 10. | Private Non-Managed Care | $57,231,863 | $1,167,969 | $56,063,894 | 0.53% | $3,901,082,758 | 37.10% | ||
| 11a. | Private Managed Care (capitated) | $8,026,112 | $3,517 | $8,022,595 | 3.41% | $137,334,170 | 58.37% | ||
| 11b. | Private Managed Care (fee-for-service) | $7,675,608 | $120,897 | $7,554,711 | 0.53% | $719,718,801 | 50.21% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $72,933,583 | $1,292,383 | $71,641,200 | 0.59% | $4,758,135,729 | 39.05% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $4,943,816,806 | $981,041,270 | $1,054,909,418 | $176,282,775 | $6,803,484,719 | 12.52% | $12,282,163,880 | 22.61% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $4,217,094,442 | $710,412,477 |
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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