Texas Data
71 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 | $125,064,104 | 14.81% | 4.10% | $67,568,409 | 12.88% | 4.41% | 54.03% |
| 2a. | Medicaid Managed Care (capitated) | $33,002,432 | 3.91% | 1.08% | $16,771,671 | 3.20% | 1.09% | 50.82% |
| 2b. | Medicaid Managed Care (fee-for-service) | $686,127,091 | 81.28% | 22.51% | $440,454,798 | 83.93% | 28.73% | 64.19% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $844,193,627 | 100.00% | 27.70% | $524,794,878 | 100.00% | 34.24% | 62.17% |
| 4. | Medicare Non-Managed Care | $189,401,731 | 64.48% | 6.21% | $118,142,373 | 66.62% | 7.71% | 62.38% |
| 5a. | Medicare Managed Care (capitated) | $2,615,861 | 0.89% | 0.09% | $1,630,403 | 0.92% | 0.11% | 62.33% |
| 5b. | Medicare Managed Care (fee-for-service) | $101,706,113 | 34.63% | 3.34% | $57,574,090 | 32.46% | 3.76% | 56.61% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $293,723,705 | 100.00% | 9.64% | $177,346,866 | 100.00% | 11.57% | 60.38% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $73,211,867 | 46.94% | 2.40% | $35,558,103 | 42.65% | 2.32% | 48.57% |
| 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) | $82,765,699 | 53.06% | 2.72% | $47,815,819 | 57.35% | 3.12% | 57.77% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $155,977,566 | 100.00% | 5.12% | $83,373,922 | 100.00% | 5.44% | 53.45% |
| 10. | Private Non-Managed Care | $848,450,561 | 87.03% | 27.84% | $575,026,707 | 91.14% | 37.51% | 67.77% |
| 11a. | Private Managed Care (capitated) | $4,345,345 | 0.45% | 0.14% | $1,586,687 | 0.25% | 0.10% | 36.51% |
| 11b. | Private Managed Care (fee-for-service) | $122,052,659 | 12.52% | 4.00% | $54,308,561 | 8.61% | 3.54% | 44.50% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $974,848,565 | 100.00% | 31.98% | $630,921,955 | 100.00% | 41.16% | 64.72% |
| 13. | Self-Pay | $779,261,970 | 100.00% | 25.57% | $116,459,068 | 100.00% | 7.60% | 14.94% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $3,048,005,433 | 100.00% | $1,532,896,689 | 100.00% | 50.29% | ||
| 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 | $0 | $196,430 | $78,590 | $8,745 | $266,275 | 0.21% | $54,024,915 | 43.20% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $16,802,510 | 50.91% |
| 2b. | Medicaid Managed Care (fee-for-service) | $181,311 | $1,207,163 | $11,293,164 | $14,297 | $12,667,341 | 1.85% | $251,397,556 | 36.64% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $181,311 | $1,403,593 | $11,371,754 | $23,042 | $12,933,616 | 1.53% | $322,224,981 | 38.17% |
| 4. | Medicare Non-Managed Care | $112,360 | $469,120 | $528,034 | $881 | $1,108,633 | 0.59% | $61,946,169 | 32.71% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $341,181 | $0 | $341,181 | 13.04% | $909,746 | 34.78% |
| 5b. | Medicare Managed Care (fee-for-service) | $3,785 | $599,059 | $3,449,701 | $60,658 | $3,991,887 | 3.92% | $39,463,886 | 38.80% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $116,145 | $1,068,179 | $4,318,916 | $61,539 | $5,441,701 | 1.85% | $102,319,801 | 34.84% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $1,233 | $0 | $4,787 | ($3,554.00) | 0.00% | $37,560,562 | 51.30% |
| 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 | $222,462 | $64,389 | $3,219 | $283,632 | 0.34% | $32,973,333 | 39.84% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $223,695 | $64,389 | $8,006 | $280,078 | 0.18% | $70,533,895 | 45.22% |
| 10. | Private Non-Managed Care | $1,527,999 | $11,691 | $1,516,308 | 0.18% | $248,060,889 | 29.24% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $2,567,652 | 59.09% | ||
| 11b. | Private Managed Care (fee-for-service) | $128,439 | $4,069 | $124,370 | 0.10% | $49,102,830 | 40.23% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,656,438 | $15,760 | $1,640,678 | 0.17% | $299,731,371 | 30.75% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $297,456 | $2,695,467 | $17,411,497 | $108,347 | $20,296,073 | 0.67% | $794,810,048 | 26.08% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $532,316,225 | $62,336,009 |
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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