Oregon Data
30 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 | $91,616,290 | 19.45% | 11.26% | $88,105,681 | 12.04% | 9.52% | 96.17% |
| 2a. | Medicaid Managed Care (capitated) | $126,942,741 | 26.95% | 15.60% | $289,213,917 | 39.53% | 31.25% | 227.83% |
| 2b. | Medicaid Managed Care (fee-for-service) | $252,446,010 | 53.60% | 31.02% | $354,267,858 | 48.42% | 38.28% | 140.33% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $471,005,041 | 100.00% | 57.88% | $731,587,456 | 100.00% | 79.06% | 155.32% |
| 4. | Medicare Non-Managed Care | $136,705,958 | 84.33% | 16.80% | $78,185,419 | 80.03% | 8.45% | 57.19% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $7,891 | 0.01% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $25,408,174 | 15.67% | 3.12% | $19,500,500 | 19.96% | 2.11% | 76.75% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $162,114,132 | 100.00% | 19.92% | $97,693,810 | 100.00% | 10.56% | 60.26% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $936,159 | 98.96% | 0.12% | $560,021 | 99.77% | 0.06% | 59.82% |
| 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) | $9,796 | 1.04% | 0.00% | $1,310 | 0.23% | 0.00% | 13.37% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $945,955 | 100.00% | 0.12% | $561,331 | 100.00% | 0.06% | 59.34% |
| 10. | Private Non-Managed Care | $118,804,960 | 96.27% | 14.60% | $76,408,521 | 97.15% | 8.26% | 64.31% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $66,668 | 0.08% | 0.01% | |
| 11b. | Private Managed Care (fee-for-service) | $4,607,870 | 3.73% | 0.57% | $2,172,781 | 2.76% | 0.23% | 47.15% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $123,412,830 | 100.00% | 15.17% | $78,647,970 | 100.00% | 8.50% | 63.73% |
| 13. | Self-Pay | $56,265,753 | 100.00% | 6.91% | $16,918,428 | 100.00% | 1.83% | 30.07% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $813,743,711 | 100.00% | $925,408,995 | 100.00% | 113.72% | ||
| 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 | $18,617,133 | $16,602,414 | $5,175,682 | $1,300 | $40,393,929 | 44.09% | $1,781,444 | 1.94% |
| 2a. | Medicaid Managed Care (capitated) | $24,064,345 | $15,893,028 | $46,074,514 | $1,289 | $86,030,598 | 67.77% | ($150,713,413.00) | -118.73% |
| 2b. | Medicaid Managed Care (fee-for-service) | $139,102,719 | $43,692,481 | $20,272,231 | $1,058 | $203,066,373 | 80.44% | ($54,554,104.00) | -21.61% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $181,784,197 | $76,187,923 | $71,522,427 | $3,647 | $329,490,900 | 69.95% | ($203,486,073.00) | -43.20% |
| 4. | Medicare Non-Managed Care | $0 | $222,121 | $823,205 | $122 | $1,045,204 | 0.76% | $52,036,363 | 38.06% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $5,612 | $0 | $5,612 | ($7,891.00) | ||
| 5b. | Medicare Managed Care (fee-for-service) | $2,404,510 | $2,139,893 | $1,210,504 | $2,009 | $5,752,898 | 22.64% | $3,921,137 | 15.43% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $2,404,510 | $2,362,014 | $2,039,321 | $2,131 | $6,803,714 | 4.20% | $55,949,609 | 34.51% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $310,109 | 33.13% |
| 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 | 0.00% | $7,897 | 80.61% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $0 | $0 | $0 | 0.00% | $318,006 | 33.62% |
| 10. | Private Non-Managed Care | $82,873 | $452 | $82,421 | 0.07% | $38,275,130 | 32.22% | ||
| 11a. | Private Managed Care (capitated) | $8,882 | $0 | $8,882 | ($66,668.00) | ||||
| 11b. | Private Managed Care (fee-for-service) | $33,145 | $3,790 | $29,355 | 0.64% | $1,805,382 | 39.18% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $124,900 | $4,242 | $120,658 | 0.10% | $40,013,844 | 32.42% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $184,188,707 | $78,549,937 | $73,686,648 | $10,020 | $336,415,272 | 41.34% | ($107,204,614.00) | -13.17% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $29,545,423 | $4,388,510 |
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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