New Jersey Data
23 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 | $109,919,139 | 28.08% | 16.27% | $64,054,390 | 24.32% | 18.98% | 58.27% |
| 2a. | Medicaid Managed Care (capitated) | $92,299,818 | 23.58% | 13.66% | $55,288,589 | 20.99% | 16.39% | 59.90% |
| 2b. | Medicaid Managed Care (fee-for-service) | $189,237,744 | 48.34% | 28.00% | $144,010,002 | 54.68% | 42.68% | 76.10% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $391,456,701 | 100.00% | 57.93% | $263,352,981 | 100.00% | 78.05% | 67.28% |
| 4. | Medicare Non-Managed Care | $23,078,695 | 69.32% | 3.42% | $8,105,758 | 66.96% | 2.40% | 35.12% |
| 5a. | Medicare Managed Care (capitated) | $57,087 | 0.17% | 0.01% | $20,879 | 0.17% | 0.01% | 36.57% |
| 5b. | Medicare Managed Care (fee-for-service) | $10,155,895 | 30.51% | 1.50% | $3,978,641 | 32.87% | 1.18% | 39.18% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $33,291,677 | 100.00% | 4.93% | $12,105,278 | 100.00% | 3.59% | 36.36% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $5,267,069 | 100.00% | 0.78% | $4,341,862 | 100.00% | 1.29% | 82.43% |
| 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) | $5,267,069 | 100.00% | 0.78% | $4,341,862 | 100.00% | 1.29% | 82.43% |
| 10. | Private Non-Managed Care | $69,663,211 | 88.25% | 10.31% | $25,039,154 | 90.18% | 7.42% | 35.94% |
| 11a. | Private Managed Care (capitated) | $213,384 | 0.27% | 0.03% | $130,159 | 0.47% | 0.04% | 61.00% |
| 11b. | Private Managed Care (fee-for-service) | $9,057,837 | 11.48% | 1.34% | $2,595,900 | 9.35% | 0.77% | 28.66% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $78,934,432 | 100.00% | 11.68% | $27,765,213 | 100.00% | 8.23% | 35.18% |
| 13. | Self-Pay | $166,784,119 | 100.00% | 24.68% | $29,832,781 | 100.00% | 8.84% | 17.89% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $675,733,998 | 100.00% | $337,398,115 | 100.00% | 49.93% | ||
| 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 | $4,010,803 | $1,655,586 | $0 | $0 | $5,666,389 | 5.16% | $48,507,619 | 44.13% |
| 2a. | Medicaid Managed Care (capitated) | $24,493,255 | $10,109,264 | $1,362,036 | $0 | $35,964,555 | 38.96% | $36,911,246 | 39.99% |
| 2b. | Medicaid Managed Care (fee-for-service) | $66,677,497 | $27,721,832 | $271,635 | $291,239 | $94,379,725 | 49.87% | $48,772,264 | 25.77% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $95,181,555 | $39,486,682 | $1,633,671 | $291,239 | $136,010,669 | 34.74% | $134,191,129 | 34.28% |
| 4. | Medicare Non-Managed Care | $0 | $15,373 | $68,300 | $35,000 | $48,673 | 0.21% | $12,866,023 | 55.75% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | 0.00% | $36,208 | 63.43% |
| 5b. | Medicare Managed Care (fee-for-service) | $0 | $0 | $0 | $0 | $0 | 0.00% | $5,354,092 | 52.72% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $0 | $15,373 | $68,300 | $35,000 | $48,673 | 0.15% | $18,256,323 | 54.84% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $0 | $0 | $0 | $0 | $0 | 0.00% | $535,617 | 10.17% |
| 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 | $0 | $0 | $0 | 0.00% | $535,617 | 10.17% |
| 10. | Private Non-Managed Care | $0 | $0 | $0 | 0.00% | $41,156,922 | 59.08% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $83,225 | 39.00% | ||
| 11b. | Private Managed Care (fee-for-service) | $0 | $0 | $0 | 0.00% | $5,576,752 | 61.57% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $0 | $0 | $0 | 0.00% | $46,816,899 | 59.31% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $95,181,555 | $39,502,055 | $1,701,971 | $326,239 | $136,059,342 | 20.14% | $199,799,968 | 29.57% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $104,316,833 | $22,289,684 |
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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