North Carolina Look-Alike Data
5 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 | $26,065,879 | 79.27% | 18.87% | $17,181,319 | 75.73% | 21.72% | 65.91% |
| 2a. | Medicaid Managed Care (capitated) | $129,857 | 0.39% | 0.09% | $129,857 | 0.57% | 0.16% | 100.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $6,685,131 | 20.33% | 4.84% | $5,376,132 | 23.70% | 6.80% | 80.42% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $32,880,867 | 100.00% | 23.80% | $22,687,308 | 100.00% | 28.68% | 69.00% |
| 4. | Medicare Non-Managed Care | $21,276,233 | 77.33% | 15.40% | $9,024,628 | 64.60% | 11.41% | 42.42% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $6,238,917 | 22.67% | 4.52% | $4,944,445 | 35.40% | 6.25% | 79.25% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $27,515,150 | 100.00% | 19.91% | $13,969,073 | 100.00% | 17.66% | 50.77% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $23,208 | 100.00% | 0.02% | $20,263 | 100.00% | 0.03% | 87.31% |
| 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) | $23,208 | 100.00% | 0.02% | $20,263 | 100.00% | 0.03% | 87.31% |
| 10. | Private Non-Managed Care | $60,704,612 | 96.25% | 43.94% | $36,664,793 | 96.86% | 46.36% | 60.40% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $2,365,881 | 3.75% | 1.71% | $1,187,453 | 3.14% | 1.50% | 50.19% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $63,070,493 | 100.00% | 45.65% | $37,852,246 | 100.00% | 47.86% | 60.02% |
| 13. | Self-Pay | $14,675,959 | 100.00% | 10.62% | $4,566,333 | 100.00% | 5.77% | 31.11% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $138,165,677 | 100.00% | $79,095,223 | 100.00% | 57.25% | ||
| 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 | $1,462,880 | $1,915,227 | $26,023 | $0 | $3,404,130 | 13.06% | $7,934,679 | 30.44% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $0 | 0.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $0 | $1,629,434 | $2,135 | $1,627,299 | 24.34% | $907,613 | 13.58% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,462,880 | $1,915,227 | $1,655,457 | $2,135 | $5,031,429 | 15.30% | $8,842,292 | 26.89% |
| 4. | Medicare Non-Managed Care | $0 | $0 | $4,976 | $561 | $4,415 | 0.02% | $13,196,050 | 62.02% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $4,626 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $55,228 | $17,989 | $0 | $73,217 | 1.17% | $600,234 | 9.62% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $55,228 | $22,965 | $561 | $77,632 | 0.28% | $13,800,910 | 50.16% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $26,302 | 113.33% |
| 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% | $26,302 | 113.33% |
| 10. | Private Non-Managed Care | $11,140 | $7,763 | $3,377 | 0.01% | $15,318,877 | 25.24% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $85 | ||||
| 11b. | Private Managed Care (fee-for-service) | $25 | $0 | $25 | 0.00% | $869,217 | 36.74% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $11,165 | $7,763 | $3,402 | 0.01% | $16,188,179 | 25.67% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,462,880 | $1,970,455 | $1,689,587 | $10,459 | $5,112,463 | 3.70% | $38,857,683 | 28.12% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $3,032,864 | $7,009,326 |
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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