Illinois Data
45 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 | $120,960,112 | 11.81% | 6.37% | $90,982,259 | 12.24% | 7.84% | 75.22% |
| 2a. | Medicaid Managed Care (capitated) | $162,761,425 | 15.89% | 8.57% | $123,932,107 | 16.68% | 10.68% | 76.14% |
| 2b. | Medicaid Managed Care (fee-for-service) | $740,776,231 | 72.31% | 38.99% | $528,164,672 | 71.08% | 45.50% | 71.30% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $1,024,497,768 | 100.00% | 53.93% | $743,079,038 | 100.00% | 64.02% | 72.53% |
| 4. | Medicare Non-Managed Care | $107,168,936 | 56.70% | 5.64% | $62,806,328 | 62.26% | 5.41% | 58.60% |
| 5a. | Medicare Managed Care (capitated) | $272,141 | 0.14% | 0.01% | $272,141 | 0.27% | 0.02% | 100.00% |
| 5b. | Medicare Managed Care (fee-for-service) | $81,558,769 | 43.15% | 4.29% | $37,794,325 | 37.47% | 3.26% | 46.34% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $188,999,846 | 100.00% | 9.95% | $100,872,794 | 100.00% | 8.69% | 53.37% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $8,157,883 | 100.00% | 0.43% | $3,348,312 | 100.00% | 0.29% | 41.04% |
| 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) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $8,157,883 | 100.00% | 0.43% | $3,348,312 | 100.00% | 0.29% | 41.04% |
| 10. | Private Non-Managed Care | $340,777,471 | 79.78% | 17.94% | $219,899,663 | 84.64% | 18.95% | 64.53% |
| 11a. | Private Managed Care (capitated) | $8,875,244 | 2.08% | 0.47% | $10,687,018 | 4.11% | 0.92% | 120.41% |
| 11b. | Private Managed Care (fee-for-service) | $77,506,592 | 18.14% | 4.08% | $29,208,359 | 11.24% | 2.52% | 37.68% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $427,159,307 | 100.00% | 22.49% | $259,795,040 | 100.00% | 22.38% | 60.82% |
| 13. | Self-Pay | $250,927,549 | 100.00% | 13.21% | $53,580,327 | 100.00% | 4.62% | 21.35% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $1,899,742,353 | 100.00% | $1,160,675,511 | 100.00% | 61.10% | ||
| 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 | $0 | $232,738 | $0 | $232,738 | 0.19% | $42,643,995 | 35.25% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $269,009 | $5,373,358 | $208,264 | $5,434,103 | 3.34% | $39,504,706 | 24.27% |
| 2b. | Medicaid Managed Care (fee-for-service) | $0 | $2,216,622 | $20,953,996 | $2,166 | $23,168,452 | 3.13% | $203,791,909 | 27.51% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $0 | $2,485,631 | $26,560,092 | $210,430 | $28,835,293 | 2.81% | $285,940,610 | 27.91% |
| 4. | Medicare Non-Managed Care | $0 | $8,769 | $651,370 | $120 | $660,019 | 0.62% | $33,867,268 | 31.60% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $0 | 0.00% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $100,808 | $133,206 | $0 | $234,014 | 0.29% | $36,248,165 | 44.44% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $109,577 | $784,576 | $120 | $894,033 | 0.47% | $70,115,433 | 37.10% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $119 | $0 | $119 | 0.00% | $4,713,757 | 57.78% |
| 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 | ||
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $0 | $0 | $119 | $0 | $119 | 0.00% | $4,713,757 | 57.78% |
| 10. | Private Non-Managed Care | $935,690 | $313 | $935,377 | 0.27% | $93,888,205 | 27.55% | ||
| 11a. | Private Managed Care (capitated) | $2,112,576 | $0 | $2,112,576 | 23.80% | ($1,750,302.00) | -19.72% | ||
| 11b. | Private Managed Care (fee-for-service) | $1,093,466 | $0 | $1,093,466 | 1.41% | $36,639,827 | 47.27% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $4,141,732 | $313 | $4,141,419 | 0.97% | $128,777,730 | 30.15% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $0 | $2,595,208 | $31,486,519 | $210,863 | $33,870,864 | 1.78% | $489,547,530 | 25.77% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $167,369,671 | $29,918,340 |
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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