North Carolina Data
38 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 | $127,383,990 | 58.34% | 12.63% | $111,388,719 | 53.06% | 17.01% | 87.44% |
| 2a. | Medicaid Managed Care (capitated) | $10,174,360 | 4.66% | 1.01% | $7,278,796 | 3.47% | 1.11% | 71.54% |
| 2b. | Medicaid Managed Care (fee-for-service) | $80,806,977 | 37.01% | 8.01% | $91,269,568 | 43.47% | 13.94% | 112.95% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $218,365,327 | 100.00% | 21.66% | $209,937,083 | 100.00% | 32.06% | 96.14% |
| 4. | Medicare Non-Managed Care | $221,325,335 | 96.09% | 21.95% | $150,167,905 | 97.16% | 22.93% | 67.85% |
| 5a. | Medicare Managed Care (capitated) | $961,128 | 0.42% | 0.10% | $671,216 | 0.43% | 0.10% | 69.84% |
| 5b. | Medicare Managed Care (fee-for-service) | $8,034,903 | 3.49% | 0.80% | $3,723,472 | 2.41% | 0.57% | 46.34% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $230,321,366 | 100.00% | 22.84% | $154,562,593 | 100.00% | 23.61% | 67.11% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,228,632 | 100.00% | 0.12% | $851,008 | 100.00% | 0.13% | 69.26% |
| 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) | $1,228,632 | 100.00% | 0.12% | $851,008 | 100.00% | 0.13% | 69.26% |
| 10. | Private Non-Managed Care | $340,661,860 | 98.37% | 33.79% | $236,277,932 | 98.45% | 36.08% | 69.36% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $5,629,406 | 1.63% | 0.56% | $3,711,393 | 1.55% | 0.57% | 65.93% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $346,291,266 | 100.00% | 34.34% | $239,989,325 | 100.00% | 36.65% | 69.30% |
| 13. | Self-Pay | $212,088,971 | 100.00% | 21.03% | $49,446,600 | 100.00% | 7.55% | 23.31% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,008,295,562 | 100.00% | $654,786,609 | 100.00% | 64.94% | ||
| 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 | $21,114,620 | $20,873,856 | $958,971 | $13,497 | $42,933,950 | 33.70% | $14,688,458 | 11.53% |
| 2a. | Medicaid Managed Care (capitated) | $289,706 | $933,309 | $13,139 | $0 | $1,236,154 | 12.15% | $3,973,086 | 39.05% |
| 2b. | Medicaid Managed Care (fee-for-service) | $8,170,923 | $16,355,102 | $5,662,202 | $620 | $30,187,607 | 37.36% | ($8,382,848.00) | -10.37% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $29,575,249 | $38,162,267 | $6,634,312 | $14,117 | $74,357,711 | 34.05% | $10,278,696 | 4.71% |
| 4. | Medicare Non-Managed Care | $649,823 | $382,005 | $9,136,155 | $354,805 | $9,813,178 | 4.43% | $81,238,126 | 36.71% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $262,539 | 27.32% |
| 5b. | Medicare Managed Care (fee-for-service) | $109,695 | $0 | $117,889 | $0 | $227,584 | 2.83% | $3,746,395 | 46.63% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $759,518 | $382,005 | $9,254,044 | $354,805 | $10,040,762 | 4.36% | $85,247,060 | 37.01% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $531,459 | 43.26% |
| 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% | $531,459 | 43.26% |
| 10. | Private Non-Managed Care | $1,139,918 | $89 | $1,139,829 | 0.33% | $95,835,374 | 28.13% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $2,179,649 | 38.72% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,139,918 | $89 | $1,139,829 | 0.33% | $98,015,023 | 28.30% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $30,334,767 | $38,544,272 | $17,028,274 | $369,011 | $85,538,302 | 8.48% | $194,072,238 | 19.25% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $142,008,205 | $16,737,152 |
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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