Here are statistics on Medicare and Medicaid cases at ASCs based on the VMG Health Multi-Specialty ASC Intellimarker 2017.
Medicare
Payer mix as a percentage of gross charges
1. Mean: 27 percent
2. 25th percentile: 15 percent
3. Median: 24 percent
4. 75th percentile: 37 percent
5. 90th percentile: 48 percent
Payer mix as a percent of cases
6. Mean: 33 percent
7. 25th percentile: 22 percent
8. Median: 31 percent
9. 75th percentile: 44 percent
10. 90th percentile: 52 percent
Payer mix as a percent of collections
11. Mean: 19 percent
12. 25th percentile: 9 percent
13. Median: 16 percent
14. 75th percentile: 25 percent
15. 90th percentile: 37 percent
Medicaid
Payer mix as a percentage of gross charges
16. Mean: 7 percent
17. 25th percentile: 3 percent
18. Median: 5 percent
19. 75th percentile: 8 percent
20. 90th percentile: 15 percent
Payer mix as a percent of cases
21. Mean: 9 percent
22. 25th percentile: 4 percent
23. Median: 6 percent
24. 75th percentile: 12 percent
25. 90th percentile: 19 percent
Payer mix as a percent of collections
26. Mean: 6 percent
27. 25th percentile: 2 percent
28. Median: 3 percent
29. 75th percentile: 8 percent
30. 90th percentile: 12 percent