Florida Data
47 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 | $96,930,785 | 11.63% | 3.73% | $53,549,595 | 9.27% | 3.91% | 55.25% |
| 2a. | Medicaid Managed Care (capitated) | $215,553,385 | 25.87% | 8.30% | $133,285,282 | 23.06% | 9.73% | 61.83% |
| 2b. | Medicaid Managed Care (fee-for-service) | $520,773,975 | 62.50% | 20.05% | $391,042,022 | 67.67% | 28.54% | 75.09% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $833,258,145 | 100.00% | 32.09% | $577,876,899 | 100.00% | 42.18% | 69.35% |
| 4. | Medicare Non-Managed Care | $89,000,464 | 37.95% | 3.43% | $53,869,851 | 38.84% | 3.93% | 60.53% |
| 5a. | Medicare Managed Care (capitated) | $5,226,389 | 2.23% | 0.20% | $4,208,999 | 3.03% | 0.31% | 80.53% |
| 5b. | Medicare Managed Care (fee-for-service) | $140,276,295 | 59.82% | 5.40% | $80,628,774 | 58.13% | 5.88% | 57.48% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $234,503,148 | 100.00% | 9.03% | $138,707,624 | 100.00% | 10.12% | 59.15% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $17,803,055 | 48.26% | 0.69% | $12,699,633 | 71.15% | 0.93% | 71.33% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $16,649 | 0.05% | 0.00% | $3,640 | 0.02% | 0.00% | 21.86% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $19,073,621 | 51.70% | 0.73% | $5,147,035 | 28.83% | 0.38% | 26.99% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $36,893,325 | 100.00% | 1.42% | $17,850,308 | 100.00% | 1.30% | 48.38% |
| 10. | Private Non-Managed Care | $722,457,406 | 77.07% | 27.82% | $371,464,276 | 74.87% | 27.11% | 51.42% |
| 11a. | Private Managed Care (capitated) | $9,786,689 | 1.04% | 0.38% | $5,167,186 | 1.04% | 0.38% | 52.80% |
| 11b. | Private Managed Care (fee-for-service) | $205,164,548 | 21.89% | 7.90% | $119,533,673 | 24.09% | 8.72% | 58.26% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $937,408,643 | 100.00% | 36.10% | $496,165,135 | 100.00% | 36.21% | 52.93% |
| 13. | Self-Pay | $554,844,195 | 100.00% | 21.37% | $139,502,068 | 100.00% | 10.18% | 25.14% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,596,907,456 | 100.00% | $1,370,102,034 | 100.00% | 52.76% | ||
| 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 | $4,356,978 | $31,280 | $497,233 | $539 | $4,884,952 | 5.04% | $46,737,632 | 48.22% |
| 2a. | Medicaid Managed Care (capitated) | $34,025,347 | $12,576,050 | $5,510,126 | $0 | $52,111,523 | 24.18% | $90,540,474 | 42.00% |
| 2b. | Medicaid Managed Care (fee-for-service) | $112,130,000 | $22,775,089 | $17,296,219 | $22,019 | $152,179,289 | 29.22% | $163,003,419 | 31.30% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $150,512,325 | $35,382,419 | $23,303,578 | $22,558 | $209,175,764 | 25.10% | $300,281,525 | 36.04% |
| 4. | Medicare Non-Managed Care | $806,400 | $31,106 | $471,164 | $0 | $1,308,670 | 1.47% | $38,332,216 | 43.07% |
| 5a. | Medicare Managed Care (capitated) | $77,620 | $17,499 | $0 | $0 | $95,119 | 1.82% | $1,524,850 | 29.18% |
| 5b. | Medicare Managed Care (fee-for-service) | $3,304,163 | $324,497 | $2,764,288 | $0 | $6,392,948 | 4.56% | $56,486,067 | 40.27% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $4,188,183 | $373,102 | $3,235,452 | $0 | $7,796,737 | 3.32% | $96,343,133 | 41.08% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $2,466 | $250 | $2,216 | 0.01% | $3,621,029 | 20.34% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $13,653 | 82.00% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $14,103,013 | 73.94% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $2,466 | $250 | $2,216 | 0.01% | $17,737,695 | 48.08% |
| 10. | Private Non-Managed Care | $2,876,195 | $0 | $2,876,195 | 0.40% | $334,546,506 | 46.31% | ||
| 11a. | Private Managed Care (capitated) | $1,149,333 | $0 | $1,149,333 | 11.74% | $6,457,256 | 65.98% | ||
| 11b. | Private Managed Care (fee-for-service) | $615,863 | $348 | $615,515 | 0.30% | $106,095,535 | 51.71% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $4,641,391 | $348 | $4,641,043 | 0.50% | $447,099,297 | 47.70% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $154,700,508 | $35,755,521 | $31,182,887 | $23,156 | $221,615,760 | 8.53% | $861,461,650 | 33.17% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $365,970,579 | $46,654,321 |
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.
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