Pennsylvania Data
42 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 | $155,237,111 | 24.81% | 12.28% | $119,632,491 | 23.97% | 14.58% | 77.06% |
| 2a. | Medicaid Managed Care (capitated) | $120,188 | 0.02% | 0.01% | $40,488 | 0.01% | 0.00% | 33.69% |
| 2b. | Medicaid Managed Care (fee-for-service) | $470,337,551 | 75.17% | 37.20% | $379,359,233 | 76.02% | 46.24% | 80.66% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $625,694,850 | 100.00% | 49.49% | $499,032,212 | 100.00% | 60.83% | 79.76% |
| 4. | Medicare Non-Managed Care | $155,719,371 | 66.24% | 12.32% | $101,496,309 | 76.43% | 12.37% | 65.18% |
| 5a. | Medicare Managed Care (capitated) | $645,367 | 0.27% | 0.05% | $232,671 | 0.18% | 0.03% | 36.05% |
| 5b. | Medicare Managed Care (fee-for-service) | $78,711,200 | 33.48% | 6.23% | $31,073,948 | 23.40% | 3.79% | 39.48% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $235,075,938 | 100.00% | 18.59% | $132,802,928 | 100.00% | 16.19% | 56.49% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $7,599,304 | 54.88% | 0.60% | $6,698,460 | 66.12% | 0.82% | 88.15% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $5,581 | 0.04% | 0.00% | $2,159 | 0.02% | 0.00% | 38.68% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $6,242,624 | 45.08% | 0.49% | $3,429,513 | 33.85% | 0.42% | 54.94% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $13,847,509 | 100.00% | 1.10% | $10,130,132 | 100.00% | 1.23% | 73.15% |
| 10. | Private Non-Managed Care | $221,825,912 | 81.76% | 17.55% | $122,972,076 | 83.04% | 14.99% | 55.44% |
| 11a. | Private Managed Care (capitated) | $11,286,453 | 4.16% | 0.89% | $4,049,439 | 2.73% | 0.49% | 35.88% |
| 11b. | Private Managed Care (fee-for-service) | $38,185,200 | 14.08% | 3.02% | $21,065,661 | 14.23% | 2.57% | 55.17% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $271,297,565 | 100.00% | 21.46% | $148,087,176 | 100.00% | 18.05% | 54.58% |
| 13. | Self-Pay | $118,408,726 | 100.00% | 9.37% | $30,355,978 | 100.00% | 3.70% | 25.64% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,264,324,588 | 100.00% | $820,408,426 | 100.00% | 64.89% | ||
| 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 | $242,708 | $5,783,239 | $237,078 | $239 | $6,262,786 | 4.03% | $39,083,707 | 25.18% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $79,700 | 66.31% |
| 2b. | Medicaid Managed Care (fee-for-service) | $906,858 | $9,157,428 | $8,857,489 | $44,596 | $18,877,179 | 4.01% | $74,233,443 | 15.78% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,149,566 | $14,940,667 | $9,094,567 | $44,835 | $25,139,965 | 4.02% | $113,396,850 | 18.12% |
| 4. | Medicare Non-Managed Care | $55,065 | $717,533 | $890,501 | $49 | $1,663,050 | 1.07% | $54,393,125 | 34.93% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $11,484 | $0 | $11,484 | 1.78% | $413,309 | 64.04% |
| 5b. | Medicare Managed Care (fee-for-service) | $248,169 | $56,015 | $1,109,617 | $0 | $1,413,801 | 1.80% | $24,157,563 | 30.69% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $303,234 | $773,548 | $2,011,602 | $49 | $3,088,335 | 1.31% | $78,963,997 | 33.59% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $705 | $0 | $705 | 0.01% | $280,204 | 3.69% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $1,973 | 35.35% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $2,809,803 | 45.01% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $705 | $0 | $705 | 0.01% | $3,091,980 | 22.33% |
| 10. | Private Non-Managed Care | $4,221,818 | $2,600 | $4,219,218 | 1.90% | $81,188,128 | 36.60% | ||
| 11a. | Private Managed Care (capitated) | $31 | $0 | $31 | 0.00% | $6,714,196 | 59.49% | ||
| 11b. | Private Managed Care (fee-for-service) | $171,755 | $0 | $171,755 | 0.45% | $11,751,041 | 30.77% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $4,393,604 | $2,600 | $4,391,004 | 1.62% | $99,653,365 | 36.73% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,452,800 | $15,714,215 | $15,500,478 | $47,484 | $32,620,009 | 2.58% | $295,106,192 | 23.34% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $70,389,234 | $13,387,959 |
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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