California Look-Alike Data
43 Look-Alikes
| 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 | $117,569,762 | 30.36% | 21.43% | $93,350,242 | 27.90% | 22.42% | 79.40% |
| 2a. | Medicaid Managed Care (capitated) | $176,500,294 | 45.58% | 32.17% | $170,978,726 | 51.10% | 41.06% | 96.87% |
| 2b. | Medicaid Managed Care (fee-for-service) | $93,124,828 | 24.05% | 16.97% | $70,294,002 | 21.01% | 16.88% | 75.48% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $387,194,884 | 100.00% | 70.57% | $334,622,970 | 100.00% | 80.35% | 86.42% |
| 4. | Medicare Non-Managed Care | $69,889,018 | 81.72% | 12.74% | $33,258,676 | 77.61% | 7.99% | 47.59% |
| 5a. | Medicare Managed Care (capitated) | $7,853,546 | 9.18% | 1.43% | $6,939,830 | 16.19% | 1.67% | 88.37% |
| 5b. | Medicare Managed Care (fee-for-service) | $7,775,575 | 9.09% | 1.42% | $2,653,614 | 6.19% | 0.64% | 34.13% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $85,518,139 | 100.00% | 15.59% | $42,852,120 | 100.00% | 10.29% | 50.11% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $805,683 | 94.96% | 0.15% | $677,011 | 97.67% | 0.16% | 84.03% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $23,850 | 2.81% | 0.00% | $0 | 0.00% | 0.00% | 0.00% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $18,894 | 2.23% | 0.00% | $16,179 | 2.33% | 0.00% | 85.63% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $848,427 | 100.00% | 0.15% | $693,190 | 100.00% | 0.17% | 81.70% |
| 10. | Private Non-Managed Care | $41,556,440 | 75.55% | 7.57% | $28,949,724 | 84.82% | 6.95% | 69.66% |
| 11a. | Private Managed Care (capitated) | $10,026,682 | 18.23% | 1.83% | $4,359,720 | 12.77% | 1.05% | 43.48% |
| 11b. | Private Managed Care (fee-for-service) | $3,423,903 | 6.22% | 0.62% | $822,657 | 2.41% | 0.20% | 24.03% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $55,007,025 | 100.00% | 10.03% | $34,132,101 | 100.00% | 8.20% | 62.05% |
| 13. | Self-Pay | $20,094,228 | 100.00% | 3.66% | $4,153,447 | 100.00% | 1.00% | 20.67% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $548,662,703 | 100.00% | $416,453,828 | 100.00% | 75.90% | ||
| 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 | $14,849,564 | $2,194,221 | $343,269 | $0 | $17,387,054 | 14.79% | $15,218,629 | 12.94% |
| 2a. | Medicaid Managed Care (capitated) | $68,904,509 | $4,071,798 | $8,723,626 | $10,587,950 | $71,111,983 | 40.29% | $6,663,030 | 3.78% |
| 2b. | Medicaid Managed Care (fee-for-service) | $12,359,283 | $1,269,024 | $3,623,678 | $2,275,264 | $14,976,721 | 16.08% | $21,686,328 | 23.29% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $96,113,356 | $7,535,043 | $12,690,573 | $12,863,214 | $103,475,758 | 26.72% | $43,567,987 | 11.25% |
| 4. | Medicare Non-Managed Care | $1,210,826 | $58,818 | $44,162 | $0 | $1,313,806 | 1.88% | $31,256,369 | 44.72% |
| 5a. | Medicare Managed Care (capitated) | $114,378 | $1,675 | $66,308 | $0 | $182,361 | 2.32% | $1,094,151 | 13.93% |
| 5b. | Medicare Managed Care (fee-for-service) | $29,562 | $0 | $0 | $0 | $29,562 | 0.38% | $3,510,819 | 45.15% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $1,354,766 | $60,493 | $110,470 | $0 | $1,525,729 | 1.78% | $35,861,339 | 41.93% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $127,851 | 15.87% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $23,850 | 100.00% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $5,371 | 28.43% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $157,072 | 18.51% |
| 10. | Private Non-Managed Care | $369,371 | $0 | $369,371 | 0.89% | $11,643,589 | 28.02% | ||
| 11a. | Private Managed Care (capitated) | $85,476 | $0 | $85,476 | 0.85% | $5,521,657 | 55.07% | ||
| 11b. | Private Managed Care (fee-for-service) | $25,093 | $0 | $25,093 | 0.73% | $1,989,620 | 58.11% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $479,940 | $0 | $479,940 | 0.87% | $19,154,866 | 34.82% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $97,468,122 | $7,595,536 | $13,280,983 | $12,863,214 | $105,481,427 | 19.23% | $98,741,264 | 18.00% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $8,436,661 | $5,427,289 |
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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