California Data
171 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 | $1,984,015,497 | 25.35% | 17.83% | $1,666,412,382 | 23.26% | 17.87% | 83.99% |
| 2a. | Medicaid Managed Care (capitated) | $3,968,779,770 | 50.71% | 35.67% | $4,028,342,354 | 56.22% | 43.19% | 101.50% |
| 2b. | Medicaid Managed Care (fee-for-service) | $1,874,135,941 | 23.94% | 16.84% | $1,470,066,762 | 20.52% | 15.76% | 78.44% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $7,826,931,208 | 100.00% | 70.35% | $7,164,821,498 | 100.00% | 76.82% | 91.54% |
| 4. | Medicare Non-Managed Care | $882,279,291 | 53.61% | 7.93% | $561,851,561 | 41.22% | 6.02% | 63.68% |
| 5a. | Medicare Managed Care (capitated) | $626,961,432 | 38.09% | 5.64% | $715,580,328 | 52.50% | 7.67% | 114.13% |
| 5b. | Medicare Managed Care (fee-for-service) | $136,628,856 | 8.30% | 1.23% | $85,520,920 | 6.27% | 0.92% | 62.59% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $1,645,869,579 | 100.00% | 14.79% | $1,362,952,809 | 100.00% | 14.61% | 82.81% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $126,383,605 | 89.64% | 1.14% | $88,305,663 | 96.38% | 0.95% | 69.87% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $13,983,568 | 9.92% | 0.13% | $3,177,225 | 3.47% | 0.03% | 22.72% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $620,820 | 0.44% | 0.01% | $138,352 | 0.15% | 0.00% | 22.29% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $140,987,993 | 100.00% | 1.27% | $91,621,240 | 100.00% | 0.98% | 64.99% |
| 10. | Private Non-Managed Care | $810,552,082 | 79.74% | 7.29% | $499,572,827 | 85.94% | 5.36% | 61.63% |
| 11a. | Private Managed Care (capitated) | $105,215,693 | 10.35% | 0.95% | $45,155,808 | 7.77% | 0.48% | 42.92% |
| 11b. | Private Managed Care (fee-for-service) | $100,732,528 | 9.91% | 0.91% | $36,554,410 | 6.29% | 0.39% | 36.29% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,016,500,303 | 100.00% | 9.14% | $581,283,045 | 100.00% | 6.23% | 57.18% |
| 13. | Self-Pay | $495,670,996 | 100.00% | 4.46% | $125,607,603 | 100.00% | 1.35% | 25.34% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $11,125,960,079 | 100.00% | $9,326,286,195 | 100.00% | 83.82% | ||
| 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 | $114,412,606 | $32,855,434 | $9,684,778 | $12,054,310 | $144,898,508 | 7.30% | $360,588,603 | 18.17% |
| 2a. | Medicaid Managed Care (capitated) | $1,914,382,339 | $169,262,019 | $239,059,431 | $62,304,902 | $2,260,398,887 | 56.95% | ($26,337,423.00) | -0.66% |
| 2b. | Medicaid Managed Care (fee-for-service) | $557,261,684 | $43,556,620 | $69,671,940 | $47,447,301 | $623,042,943 | 33.24% | $279,358,325 | 14.91% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $2,586,056,629 | $245,674,073 | $318,416,149 | $121,806,513 | $3,028,340,338 | 38.69% | $613,609,505 | 7.84% |
| 4. | Medicare Non-Managed Care | $19,628,416 | $4,581,415 | $7,243,390 | $6,256 | $31,446,965 | 3.56% | $306,226,812 | 34.71% |
| 5a. | Medicare Managed Care (capitated) | $11,272,907 | $1,543,858 | $25,605,971 | $3,620,483 | $34,802,253 | 5.55% | ($88,404,450.00) | -14.10% |
| 5b. | Medicare Managed Care (fee-for-service) | $6,606,037 | $1,112,309 | $774,027 | $7,097 | $8,485,276 | 6.21% | $42,424,489 | 31.05% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $37,507,360 | $7,237,582 | $33,623,388 | $3,633,836 | $74,734,494 | 4.54% | $260,246,851 | 15.81% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $379,518 | $23,226 | $2,174 | $1,280 | $403,638 | 0.32% | $33,402,526 | 26.43% |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | $0 | $0 | $95,671 | $0 | $95,671 | 0.68% | $10,981,652 | 78.53% |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $97,223 | 15.66% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $379,518 | $23,226 | $97,845 | $1,280 | $499,309 | 0.35% | $44,481,401 | 31.55% |
| 10. | Private Non-Managed Care | $1,281,804 | $17,343 | $1,264,461 | 0.16% | $263,819,792 | 32.55% | ||
| 11a. | Private Managed Care (capitated) | $2,162,764 | $3,517 | $2,159,247 | 2.05% | $58,740,932 | 55.83% | ||
| 11b. | Private Managed Care (fee-for-service) | $497,456 | $81,163 | $416,293 | 0.41% | $62,796,163 | 62.34% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $3,942,024 | $102,023 | $3,840,001 | 0.38% | $385,356,887 | 37.91% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,623,943,507 | $252,934,881 | $356,079,406 | $125,543,652 | $3,107,414,142 | 27.93% | $1,303,694,644 | 11.72% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $296,682,768 | $40,772,480 |
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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