New York Data
63 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 | $426,145,286 | 16.47% | 8.58% | $332,211,833 | 21.84% | 14.13% | 77.96% |
| 2a. | Medicaid Managed Care (capitated) | $434,188,687 | 16.78% | 8.74% | $280,060,408 | 18.41% | 11.92% | 64.50% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,727,651,178 | 66.76% | 34.77% | $908,947,777 | 59.75% | 38.67% | 52.61% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $2,587,985,151 | 100.00% | 52.09% | $1,521,220,018 | 100.00% | 64.72% | 58.78% |
| 4. | Medicare Non-Managed Care | $354,902,608 | 43.56% | 7.14% | $174,057,701 | 49.79% | 7.41% | 49.04% |
| 5a. | Medicare Managed Care (capitated) | $18,376,151 | 2.26% | 0.37% | $9,427,678 | 2.70% | 0.40% | 51.30% |
| 5b. | Medicare Managed Care (fee-for-service) | $441,463,855 | 54.18% | 8.89% | $166,105,473 | 47.51% | 7.07% | 37.63% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $814,742,614 | 100.00% | 16.40% | $349,590,852 | 100.00% | 14.87% | 42.91% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $21,588,293 | 23.74% | 0.43% | $13,964,739 | 31.57% | 0.59% | 64.69% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $30,636,814 | 33.69% | 0.62% | $12,613,128 | 28.51% | 0.54% | 41.17% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $38,717,144 | 42.57% | 0.78% | $17,658,795 | 39.92% | 0.75% | 45.61% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $90,942,251 | 100.00% | 1.83% | $44,236,662 | 100.00% | 1.88% | 48.64% |
| 10. | Private Non-Managed Care | $607,640,337 | 61.94% | 12.23% | $259,458,373 | 67.42% | 11.04% | 42.70% |
| 11a. | Private Managed Care (capitated) | $41,767,111 | 4.26% | 0.84% | $9,514,608 | 2.47% | 0.40% | 22.78% |
| 11b. | Private Managed Care (fee-for-service) | $331,609,418 | 33.80% | 6.67% | $115,862,749 | 30.11% | 4.93% | 34.94% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $981,016,866 | 100.00% | 19.75% | $384,835,730 | 100.00% | 16.37% | 39.23% |
| 13. | Self-Pay | $493,648,064 | 100.00% | 9.94% | $50,583,926 | 100.00% | 2.15% | 10.25% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $4,968,334,946 | 100.00% | $2,350,467,188 | 100.00% | 47.31% | ||
| 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 | $35,597,760 | $9,363,821 | $6,155,514 | $17,014,920 | $34,102,175 | 8.00% | $136,535,396 | 32.04% |
| 2a. | Medicaid Managed Care (capitated) | $101,010,975 | $18,334,053 | $24,737,372 | $2,258,867 | $141,823,533 | 32.66% | $154,128,970 | 35.50% |
| 2b. | Medicaid Managed Care (fee-for-service) | $249,827,083 | $43,482,375 | $112,746,217 | $18,765,736 | $387,289,939 | 22.42% | $838,860,608 | 48.55% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $386,435,818 | $71,180,249 | $143,639,103 | $38,039,523 | $563,215,647 | 21.76% | $1,129,524,974 | 43.64% |
| 4. | Medicare Non-Managed Care | $10,311,780 | $1,734,189 | $3,535,590 | $0 | $15,581,559 | 4.39% | $173,134,707 | 48.78% |
| 5a. | Medicare Managed Care (capitated) | $1,713,583 | $1,463,029 | $130,708 | $0 | $3,307,320 | 18.00% | $8,911,030 | 48.49% |
| 5b. | Medicare Managed Care (fee-for-service) | $13,850,275 | $3,600,397 | $4,981,859 | $1,454 | $22,431,077 | 5.08% | $249,112,287 | 56.43% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $25,875,638 | $6,797,615 | $8,648,157 | $1,454 | $41,319,956 | 5.07% | $431,158,024 | 52.92% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $12,704 | $0 | $0 | $0 | $12,704 | 0.06% | $2,100,524 | 9.73% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $2,736,714 | $2,559,490 | $406,497 | $0 | $5,702,701 | 18.61% | $15,142,125 | 49.42% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $2,741,143 | $485,037 | $278,850 | $0 | $3,505,030 | 9.05% | $20,386,245 | 52.65% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $5,490,561 | $3,044,527 | $685,347 | $0 | $9,220,435 | 10.14% | $37,628,894 | 41.38% |
| 10. | Private Non-Managed Care | $5,475,536 | $351 | $5,475,185 | 0.90% | $309,629,273 | 50.96% | ||
| 11a. | Private Managed Care (capitated) | $2,502,139 | $0 | $2,502,139 | 5.99% | $32,484,378 | 77.78% | ||
| 11b. | Private Managed Care (fee-for-service) | $4,111,050 | $0 | $4,111,050 | 1.24% | $189,757,149 | 57.22% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $12,088,725 | $351 | $12,088,374 | 1.23% | $531,870,800 | 54.22% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $417,802,017 | $81,022,391 | $165,061,332 | $38,041,328 | $625,844,412 | 12.60% | $2,130,182,692 | 42.88% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $359,213,731 | $35,956,194 |
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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