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Table 9D: Patient Service Revenue

Florida Data

X

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 $90,706,453 10.43% 3.33% $45,583,463 6.78% 2.91% 50.25%
2a. Medicaid Managed Care (capitated) $211,572,612 24.33% 7.77% $159,707,450 23.76% 10.18% 75.49%
2b. Medicaid Managed Care (fee-for-service) $567,243,940 65.24% 20.84% $466,986,498 69.46% 29.76% 82.33%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $869,523,005 100.00% 31.95% $672,277,411 100.00% 42.85% 77.32%
4. Medicare Non-Managed Care $137,076,171 45.42% 5.04% $96,879,980 51.58% 6.17% 70.68%
5a. Medicare Managed Care (capitated) $6,677,398 2.21% 0.25% $4,822,118 2.57% 0.31% 72.22%
5b. Medicare Managed Care (fee-for-service) $158,033,704 52.37% 5.81% $86,130,054 45.85% 5.49% 54.50%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $301,787,273 100.00% 11.09% $187,832,152 100.00% 11.97% 62.24%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $22,886,671 64.79% 0.84% $12,029,213 73.78% 0.77% 52.56%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $54,443 0.15% 0.00% $36,471 0.22% 0.00% 66.99%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $12,383,474 35.06% 0.46% $4,237,628 25.99% 0.27% 34.22%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $35,324,588 100.00% 1.30% $16,303,312 100.00% 1.04% 46.15%
10. Private Non-Managed Care $776,158,110 77.81% 28.52% $448,653,313 78.02% 28.59% 57.80%
11a. Private Managed Care (capitated) $14,406,449 1.44% 0.53% $4,708,236 0.82% 0.30% 32.68%
11b. Private Managed Care (fee-for-service) $206,925,424 20.74% 7.60% $121,698,054 21.16% 7.76% 58.81%
12. Total Private (Sum of Lines 10 + 11a + 11b) $997,489,983 100.00% 36.65% $575,059,603 100.00% 36.65% 57.65%
13. Self-Pay $517,274,273 100.00% 19.01% $117,584,546 100.00% 7.49% 22.73%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $2,721,399,122 100.00% $1,569,057,024 100.00% 57.66%
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 $1,016,837 $567,633 $176,902 $1,381 $1,759,991 1.94% $44,667,949 49.24%
2a. Medicaid Managed Care (capitated) $52,389,518 $17,280,400 $4,176,855 $198,788 $73,647,985 34.81% $62,579,134 29.58%
2b. Medicaid Managed Care (fee-for-service) $142,973,488 $31,780,002 $12,371,297 $3,288 $187,121,499 32.99% $127,580,313 22.49%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $196,379,843 $49,628,035 $16,725,054 $203,457 $262,529,475 30.19% $234,827,396 27.01%
4. Medicare Non-Managed Care $38,025 $1,422 $542,981 $41 $582,387 0.42% $48,078,731 35.07%
5a. Medicare Managed Care (capitated) $206,339 $31,360 $19,395 $892 $256,202 3.84% $2,054,977 30.78%
5b. Medicare Managed Care (fee-for-service) $4,689,288 $655,238 $3,186,135 $0 $8,530,661 5.40% $66,454,327 42.05%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $4,933,652 $688,020 $3,748,511 $933 $9,369,250 3.10% $116,588,035 38.63%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $286,524 $214,787 $13,350 $730 $513,931 2.25% $7,687,104 33.59%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $11,603 21.31%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $1,301 $337 $964 0.01% $7,150,229 57.74%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $286,524 $214,787 $14,651 $1,067 $514,895 1.46% $14,848,936 42.04%
10. Private Non-Managed Care $9,311,267 $4,514 $9,306,753 1.20% $322,378,229 41.54%
11a. Private Managed Care (capitated) $1,235,949 $0 $1,235,949 8.58% $10,150,864 70.46%
11b. Private Managed Care (fee-for-service) $1,584,808 $721 $1,584,087 0.77% $82,025,692 39.64%
12. Total Private (Sum of Lines 10 + 11a + 11b) $12,132,024 $5,235 $12,126,789 1.22% $414,554,785 41.56%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $201,600,019 $50,530,842 $32,620,240 $210,692 $284,540,409 10.46% $780,819,152 28.69%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $326,357,065 $42,161,154

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

Cells that are shaded blue represent data that was not reported or null values.

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