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Revenue Recognition and Accounts Receivable Segment revenue by major payor (Tables) | 12 Months Ended
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Dec. 31, 2020
Disaggregation of Revenue [Abstract] |
Disaggregation of Revenue | The Company's revenues by segment and primary payor source were as follows:
| Year ended December 31, 2020
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,048,043 |  |  | $ |  | $ | 6,048,043 |
Medicaid and Managed Medicaid | 744,862 |  |  |  |  | 744,862 |
Other government | 455,897 |  |  | 380,584 |  |  | 836,481 |
Commercial | 3,370,562 |  |  | 170,394 |  |  | 3,540,956 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 419,662 |  |  | 419,662 |
Medicaid and Managed Medicaid |  |  | 1,227 |  |  | 1,227 |
Commercial |  |  | 33,246 |  |  | 33,246 |
Other(1) | 40,571 |  |  | 47,585 |  |  | 88,156 |
Eliminations of intersegment revenues | (145,286) |  |  | (16,743) |  |  | (162,029) |
Total | $ | 10,514,649 |  |  | $ | 1,035,955 |  |  | $ | 11,550,604 |
(1)Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.
| Year ended December 31, 2019
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,129,697 |  |  | $ |  | $ | 6,129,697 |
Medicaid and Managed Medicaid | 669,089 |  |  |  |  | 669,089 |
Other government | 446,010 |  |  | 352,765 |  |  | 798,775 |
Commercial | 3,286,089 |  |  | 144,256 |  |  | 3,430,345 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 264,538 |  |  | 264,538 |
Medicaid and Managed Medicaid |  |  | 606 |  |  | 606 |
Commercial |  |  | 130,823 |  |  | 130,823 |
Other(1) | 32,021 |  |  | 78,940 |  |  | 110,961 |
Eliminations of intersegment revenues | (132,325) |  |  | (14,030) |  |  | (146,355) |
Total | $ | 10,430,581 |  |  | $ | 957,898 |  |  | $ | 11,388,479 |
(1)Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.
| Year ended December 31, 2018
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,063,891 |  |  | $ |  | $ | 6,063,891 |
Medicaid and Managed Medicaid | 628,766 |  |  |  |  | 628,766 |
Other government | 446,999 |  |  | 335,594 |  |  | 782,593 |
Commercial | 3,176,413 |  |  | 101,681 |  |  | 3,278,094 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 492,812 |  |  | 492,812 |
Medicaid and Managed Medicaid |  |  | 44,246 |  |  | 44,246 |
Commercial |  |  | 90,890 |  |  | 90,890 |
Other(1) | 19,880 |  |  | 130,865 |  |  | 150,745 |
Eliminations of intersegment revenues | (92,950) |  |  | (34,236) |  |  | (127,186) |
Total | $ | 10,242,999 |  |  | $ | 1,161,852 |  |  | $ | 11,404,851 |
(1)Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.

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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130545-203045 + Details
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