Tennessee Data
29 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 | $77,267,887 | 50.32% | 12.36% | $55,349,124 | 52.19% | 18.42% | 71.63% |
| 2a. | Medicaid Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 2b. | Medicaid Managed Care (fee-for-service) | $76,287,143 | 49.68% | 12.20% | $50,695,070 | 47.81% | 16.87% | 66.45% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $153,555,030 | 100.00% | 24.56% | $106,044,194 | 100.00% | 35.29% | 69.06% |
| 4. | Medicare Non-Managed Care | $140,233,173 | 88.11% | 22.43% | $72,226,214 | 90.87% | 24.04% | 51.50% |
| 5a. | Medicare Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 5b. | Medicare Managed Care (fee-for-service) | $18,930,955 | 11.89% | 3.03% | $7,257,209 | 9.13% | 2.42% | 38.34% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $159,164,128 | 100.00% | 25.46% | $79,483,423 | 100.00% | 26.45% | 49.94% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $8,645,866 | 62.38% | 1.38% | $3,812,207 | 47.60% | 1.27% | 44.09% |
| 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) | $5,215,078 | 37.62% | 0.83% | $4,197,177 | 52.40% | 1.40% | 80.48% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $13,860,944 | 100.00% | 2.22% | $8,009,384 | 100.00% | 2.67% | 57.78% |
| 10. | Private Non-Managed Care | $172,969,013 | 99.18% | 27.66% | $81,344,262 | 99.07% | 27.07% | 47.03% |
| 11a. | Private Managed Care (capitated) | $0 | 0.00% | 0.00% | $0 | 0.00% | 0.00% | |
| 11b. | Private Managed Care (fee-for-service) | $1,422,038 | 0.82% | 0.23% | $764,686 | 0.93% | 0.25% | 53.77% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $174,391,051 | 100.00% | 27.89% | $82,108,948 | 100.00% | 27.33% | 47.08% |
| 13. | Self-Pay | $124,273,364 | 100.00% | 19.88% | $24,813,635 | 100.00% | 8.26% | 19.97% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $625,244,517 | 100.00% | $300,459,584 | 100.00% | 48.05% | ||
| 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 | $16,253,640 | $6,102,887 | $1,792,984 | $185 | $24,149,326 | 31.25% | $28,112,380 | 36.38% |
| 2a. | Medicaid Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 2b. | Medicaid Managed Care (fee-for-service) | $11,451,210 | $11,277,838 | $2,321,394 | $65,682 | $24,984,760 | 32.75% | $16,036,154 | 21.02% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $27,704,850 | $17,380,725 | $4,114,378 | $65,867 | $49,134,086 | 32.00% | $44,148,534 | 28.75% |
| 4. | Medicare Non-Managed Care | $97,145 | $46,959 | $571,161 | $6,391 | $708,874 | 0.51% | $66,178,430 | 47.19% |
| 5a. | Medicare Managed Care (capitated) | $0 | $0 | $0 | $0 | $0 | $0 | ||
| 5b. | Medicare Managed Care (fee-for-service) | $7,698 | $0 | $1,041,214 | $1,468 | $1,047,444 | 5.53% | $7,271,721 | 38.41% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $104,843 | $46,959 | $1,612,375 | $7,859 | $1,756,318 | 1.10% | $73,450,151 | 46.15% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $272,496 | $170,157 | $0 | $0 | $442,653 | 5.12% | $3,775,827 | 43.67% |
| 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) | $190,662 | $111,056 | $0 | $1,551 | $300,167 | 5.76% | ($2,522,574.00) | -48.37% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $463,158 | $281,213 | $0 | $1,551 | $742,820 | 5.36% | $1,253,253 | 9.04% |
| 10. | Private Non-Managed Care | $507,068 | $27,090 | $479,978 | 0.28% | $80,201,808 | 46.37% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | $0 | ||||
| 11b. | Private Managed Care (fee-for-service) | $5,594 | $452 | $5,142 | 0.36% | $699,254 | 49.17% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $512,662 | $27,542 | $485,120 | 0.28% | $80,901,062 | 46.39% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $28,272,851 | $17,708,897 | $6,239,415 | $102,819 | $52,118,344 | 8.34% | $199,753,000 | 31.95% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $84,277,064 | $11,607,065 |
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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