Annual Statistical Supplement, 2012

 

Health Care Programs

Medicare

Enrollment, Utilization, and Reimbursement

Table 8.B0 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Total persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2010
Type of coverage and service 1990 1995 2000 2005 2009 2010
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 46,521 47,664
Hospital Insurance 33,719 37,135 39,211 42,129 46,195 47,316
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 42,960 43,954
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,360 35,910
Hospital Insurance -- -- 32,329 36,318 35,041 35,572
Supplementary Medical Insurance -- -- 30,478 33,916 31,800 32,200
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 31,922 32,866
Hospital Insurance 7,036 8,036 7,325 8,307 7,722 8,267
Inpatient hospital 6,543 6,964 6,917 7,710 6,942 7,485
Skilled nursing services 638 1,233 1,468 1,847 1,808 1,839
Home health services b 1,936 3,427 1,444 1,752 1,710 1,722
Hospice services -- -- 541 871 1,085 1,157
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 31,473 31,923
Physicians' and other medical services 26,350 26,539 28,763 32,709 30,971 31,415
Outpatient services 15,511 19,709 21,029 24,423 23,303 23,667
Home health services b 38 41 1,190 1,370 1,746 1,883
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 903 915
Hospital Insurance 209 216 227 229 220 232
Inpatient hospital 194 188 214 212 198 210
Skilled nursing services 19 33 45 51 52 52
Home health services b 57 92 45 48 49 48
Hospice services -- -- 17 24 31 33
Supplementary Medical Insurance 826 848 962 979 990 991
Physicians' and other medical services 808 744 944 964 974 976
Outpatient services 475 552 690 720 733 735
Home health services b 1 1 39 40 55 58
Amount reimbursed (millions of dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 318,009 331,129
Hospital Insurance 62,347 101,835 101,663 149,392 170,331 176,224
Inpatient hospital 56,716 78,944 85,197 116,647 125,662 128,728
Skilled nursing services 1,971 7,799 10,621 18,964 25,580 27,258
Home health services  b 3,660 15,092 2,918 5,916 6,992 7,252
Hospice services -- -- 2,927 7,864 12,097 12,986
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 147,677 154,906
Physicians' and other medical services 30,222 41,617 51,474 83,838 91,174 95,087
Outpatient services 8,773 15,328 16,787 33,931 44,596 47,573
Home health services b 78 200 4,338 6,982 11,908 12,245
Amount reimbursed per person served (dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 9,962 10,075
Hospital Insurance 8,862 12,672 13,878 17,984 22,059 21,315
Inpatient hospital 8,668 11,336 12,318 15,130 18,101 17,197
Skilled nursing services 3,092 6,325 7,235 10,267 14,146 14,820
Home health services b 1,890 4,403 2,021 3,377 4,090 4,211
Hospice services -- -- 5,409 9,027 11,146 11,220
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,692 4,853
Physicians' and other medical services 1,147 1,409 1,709 2,563 2,944 3,027
Outpatient services 566 778 798 1,389 1,914 2,010
Home health services b 2,031 4,837 3,644 5,098 6,822 6,504
Amount reimbursed per enrollee (dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 8,993 9,221
Hospital Insurance 1,849 2,742 3,145 4,113 4,861 4,954
Inpatient hospital 1,682 2,126 2,635 3,212 3,586 3,619
Skilled nursing services 58 210 329 522 730 766
Home health services b 109 406 90 163 200 204
Hospice services -- -- 91 217 345 365
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,644 4,811
Physicians' and other medical services 926 1,166 1,689 2,472 2,867 2,953
Outpatient services 269 430 551 1,000 1,402 1,477
Home health services  b 2 6 142 206 374 380
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2010
Type of coverage and service 1990 1995 2000 2005 2009 2010
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 38,765 39,631
Hospital Insurance 30,464 32,742 33,841 35,407 38,440 39,283
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 36,061 36,768
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 28,925 29,291
Hospital Insurance -- -- 27,422 30,033 28,607 28,954
Supplementary Medical Insurance -- -- 26,174 28,402 26,221 26,429
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,250 26,927
Hospital Insurance 6,367 7,147 6,361 7,016 6,409 6,857
Inpatient hospital 5,906 6,148 5,975 6,455 5,677 6,123
Skilled nursing services 615 1,186 1,390 1,719 1,662 1,683
Home health services b 1,818 3,185 1,325 1,574 1,509 1,508
Hospice services -- -- 514 825 1,027 1,096
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 25,866 26,113
Physicians' and other medical services 24,193 26,621 24,846 27,468 25,519 25,764
Outpatient services 14,055 17,597 18,159 20,436 19,062 19,248
Home health services b 38 42 1,081 1,214 1,515 1,624
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 908 919
Hospital Insurance 209 218 232 234 224 237
Inpatient hospital 194 188 218 215 198 211
Skilled nursing services 21 36 51 57 58 58
Home health services b 60 97 48 52 53 52
Hospice services -- -- 19 27 36 38
Supplementary Medical Insurance 832 858 965 979 986 988
Physicians' and other medical services 815 839 949 967 973 975
Outpatient services 474 554 694 720 727 728
Home health services b 1 1 41 43 58 61
Amount reimbursed (millions of dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 258,546 267,696
Hospital Insurance 54,244 89,631 87,549 125,993 140,673 144,671
Inpatient hospital 48,952 68,213 72,041 95,557 99,460 101,060
Skilled nursing services 1,886 7,504 10,066 17,666 23,530 24,887
Home health services  b 3,406 13,914 2,679 5,333 6,219 6,399
Hospice services -- -- 2,763 7,436 11,464 12,325
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 117,874 123,025
Physicians' and other medical services 27,379 37,069 44,506 70,111 74,780 77,559
Outpatient services 7,077 12,045 12,588 25,385 32,878 34,975
Home health services b 78 203 3,845 6,106 10,216 10,490
Amount reimbursed per person served (dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 9,849 9,942
Hospital Insurance 8,520 12,542 13,763 17,958 21,951 21,097
Inpatient hospital 8,289 11,096 12,057 14,804 17,521 16,504
Skilled nursing services 3,068 6,325 7,242 10,277 14,155 14,791
Home health services b 1,874 4,368 2,022 3,388 4,120 4,244
Hospice services -- -- 5,375 9,015 11,157 11,250
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,557 4,711
Physicians' and other medical services 1,132 1,392 1,791 2,552 2,930 3,010
Outpatient services 503 684 693 1,242 1,725 1,817
Home health services b 2,033 4,862 3,557 5,030 6,742 6,458
Amount reimbursed per enrollee (dollars) c
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 8,938 9,139
Hospital Insurance 1,781 2,738 3,193 4,195 4,917 4,997
Inpatient hospital 1,607 2,083 2,627 3,182 3,477 3,490
Skilled nursing services 62 229 367 588 823 860
Home health services b 112 425 98 178 217 221
Hospice services -- -- 101 248 401 426
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 4,495 4,655
Physicians' and other medical services 922 1,168 1,700 2,469 2,852 2,935
Outpatient services 238 379 481 894 1,254 1,323
Home health services  b 3 6 147 215 390 397
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2010
Type of coverage and service 1990 1995 2000 2005 2009 2010
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 7,755 8,033
Hospital Insurance 3,255 4,393 5,370 6,722 7,755 8,032
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 6,900 7,185
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,435 6,619
Hospital Insurance -- -- 4,907 6,285 6,434 6,619
Supplementary Medical Insurance -- -- 4,304 5,514 5,579 5,772
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,672 5,939
Hospital Insurance 680 933 964 1,291 1,313 1,410
Inpatient hospital 644 844 942 1,255 1,266 1,362
Skilled nursing services 23 54 78 128 146 157
Home health services b 122 272 119 178 200 215
Hospice services -- -- 27 46 58 62
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,607 5,809
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,451 5,651
Outpatient services 1,496 2,281 2,870 3,987 4,241 4,419
Home health services b c c 110 156 230 258
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 881 897
Hospital Insurance 209 212 196 205 204 213
Inpatient hospital 198 192 192 200 197 206
Skilled nursing services 7 12 16 20 23 24
Home health services b 38 62 24 28 31 32
Hospice services -- -- 6 7 9 9
Supplementary Medical Insurance 804 837 943 976 1,005 1,007
Physicians' and other medical services 764 808 910 950 977 979
Outpatient services 508 579 667 723 760 766
Home health services b c c 26 28 41 45
Amount reimbursed (millions of dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 59,462 63,434
Hospital Insurance 6,694 12,752 14,114 23,399 29,659 31,553
Inpatient hospital 6,346 11,079 13,156 21,091 26,202 27,668
Skilled nursing services 85 374 555 1,297 2,050 2,371
Home health services b 264 1,300 239 583 773 853
Hospice services -- -- 164 428 633 661
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 29,804 31,881
Physicians' and other medical services 2,831 4,888 6,968 13,727 16,394 17,528
Outpatient services 1,714 3,384 4,198 8,547 11,717 12,598
Home health services b c c 493 877 1,692 1,755
Amount reimbursed per person served (dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 10,484 10,680
Hospital Insurance 9,847 13,666 14,641 18,124 22,588 22,377
Inpatient hospital 9,849 13,126 13,966 16,808 20,698 20,315
Skilled nursing services 3,702 6,959 7,115 10,127 14,046 15,130
Home health services b 2,156 4,777 2,008 3,280 3,859 3,975
Hospice services -- -- 6,074 9,223 10,947 10,683
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 5,315 5,488
Physicians' and other medical services 1,259 1,535 1,779 2,619 3,007 3,102
Outpatient services 1,146 1,483 1,463 2,144 2,763 2,851
Home health services b c c 4,482 5,631 7,342 6,789
Amount reimbursed per enrollee (dollars)  d
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 9,241 9,583
Hospital Insurance 2,057 2,903 2,876 3,723 4,610 4,767
Inpatient hospital 1,950 2,522 2,681 3,356 4,072 4,180
Skilled nursing services 26 85 113 206 319 358
Home health services b 81 296 49 93 120 129
Hospice services -- -- 33 68 98 100
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 5,342 5,524
Physicians' and other medical services 962 1,240 1,619 2,489 2,938 3,037
Outpatient services 582 858 975 1,550 2,100 2,183
Home health services b c c 115 159 303 304
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Sample population too small to yield valid calculated results.
d. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area 1990 2000 2010 2011
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 30,939 30,255 684 34,247 27,840 6,407 39,631 29,291 10,340 40,474 29,627 10,847
United States a 30,341 29,657 684 33,540 27,137 6,403 38,742 28,736 10,006 39,559 29,067 10,492
New England 1,733 1,719 15 1,836 1,449 387 1,996 1,595 401 2,030 1,629 401
Connecticut 436 434 2 457 356 101 489 393 96 496 392 104
Maine 165 165 b 180 178 2 209 178 31 213 178 35
Massachusetts 795 786 9 828 601 227 875 679 196 891 706 184
New Hampshire 126 126 b 147 145 2 183 167 16 186 173 13
Rhode Island 145 141 3 148 94 54 149 91 58 151 92 59
Vermont 67 67 b 76 76 b 91 87 5 93 87 6
Middle Atlantic 5,082 4,945 137 5,263 4,078 1,186 5,560 3,841 1,720 5,629 3,867 1,763
New Jersey 1,006 977 29 1,067 905 162 1,146 997 149 1,164 1,008 157
New York 2,279 2,199 80 2,334 1,871 463 2,499 1,693 806 2,536 1,699 837
Pennsylvania 1,798 1,769 29 1,863 1,302 561 1,915 1,151 764 1,929 1,160 769
East North Central 5,223 5,153 70 5,541 4,948 593 6,092 4,721 1,370 6,177 4,644 1,533
Illinois 1,401 1,377 24 1,435 1,263 172 1,564 1,406 158 1,586 1,433 153
Indiana 685 673 12 735 703 32 827 684 143 839 684 155
Michigan 1,101 1,100 1 1,201 1,128 73 1,344 1,103 240 1,365 997 368
Ohio 1,387 1,364 22 1,478 1,206 272 1,586 1,002 583 1,603 1,004 599
Wisconsin 649 639 10 693 649 43 771 526 246 784 527 258
West North Central 2,423 2,350 74 2,518 2,252 266 2,753 2,101 652 2,786 2,093 693
Iowa 422 412 10 426 410 16 446 384 62 449 387 62
Kansas 337 333 5 347 319 28 366 324 42 370 325 45
Minnesota 544 500 44 582 496 86 674 361 312 686 345 341
Missouri 706 692 14 736 612 124 812 625 187 822 629 193
Nebraska 221 220 1 227 217 10 240 211 29 242 214 28
North Dakota 91 91 1 93 92 1 95 87 8 96 85 11
South Dakota 102 102 b 106 106 1 119 109 10 120 107 13
South Atlantic 5,534 5,473 61 6,430 5,510 920 7,802 6,087 1,715 8,009 6,197 1,811
Delaware 80 80 b 98 93 5 124 120 5 128 123 5
District of Columbia 71 68 2 65 59 6 65 58 7 66 59 7
Florida 2,174 2,158 15 2,507 1,815 692 2,911 2,015 896 2,983 2,019 964
Georgia 636 635 b 752 702 50 990 766 224 1,023 782 241
Maryland 496 492 4 571 504 67 673 617 56 689 631 58
North Carolina 786 785 2 941 897 44 1,190 968 222 1,223 996 227
South Carolina 383 383 b 464 463 2 615 519 97 635 534 101
Virginia 645 636 9 762 730 32 947 812 135 973 839 134
West Virginia 264 236 28 270 247 23 286 213 74 289 215 74
East South Central 1,886 1,868 18 2,061 1,930 131 2,410 1,933 477 2,455 1,965 489
Alabama 508 503 4 558 507 51 639 505 134 649 518 131
Kentucky 459 448 11 491 460 31 566 470 97 576 472 103
Mississippi 313 313 b 330 325 5 372 336 36 378 341 37
Tennessee 607 604 3 682 638 44 833 623 210 851 633 218
West South Central 2,879 2,875 4 3,276 2,754 522 3,930 3,160 770 4,027 3,225 802
Arkansas 343 342 1 359 342 17 406 350 56 411 353 58
Louisiana 460 460 b 497 404 93 539 399 140 549 406 143
Oklahoma 412 411 1 438 388 50 488 412 77 495 417 77
Texas 1,665 1,662 2 1,982 1,620 362 2,497 2,000 497 2,572 2,049 524
Mountain 1,489 1,452 38 1,914 1,400 514 2,530 1,715 815 2,612 1,773 838
Arizona 456 436 19 596 371 225 788 506 282 814 524 290
Colorado 324 312 11 403 253 151 535 345 189 555 359 196
Idaho 121 121 1 145 129 16 193 133 60 198 138 60
Montana 106 105 b 119 118 b 144 117 27 147 124 23
Nevada 128 127 1 212 139 73 304 206 98 316 214 102
New Mexico 160 158 2 200 159 41 256 187 69 263 189 74
Utah 147 145 2 183 176 7 242 157 85 249 160 89
Wyoming 47 47 b 57 56 2 69 64 5 70 66 4
Pacific 4,081 3,813 267 4,692 2,808 1,884 5,665 3,580 2,085 5,831 3,670 2,162
Alaska 22 22 b 35 35 b 54 53 1 56 56 1
California 2,989 2,750 239 3,430 1,947 1,483 4,081 2,528 1,552 4,200 2,584 1,616
Hawaii 118 114 4 151 98 53 184 104 80 189 105 84
Oregon 390 371 19 433 260 173 527 297 231 542 311 231
Washington 562 556 6 643 468 175 818 598 221 844 614 230
Unknown 10 10 b 9 8 1 3 3 b 3 3 b
Outlying areas
Puerto Rico 337 337 b 401 400 1 506 175 331 520 169 351
U.S. Virgin Islands 6 6 b 9 9 b 14 14 b 15 15 b
Other b b b 9 9 b 14 14 b 15 15 b
Foreign countries 255 254 b 288 285 3 355 352 3 365 362 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area 1990 2000 2010 2011
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 3,260 3,238 22 5,373 4,913 460 8,033 6,619 1,414 8,375 6,831 1,544
United States a 3,154 3,132 22 5,219 4,759 459 7,847 6,540 1,307 8,185 6,753 1,432
New England 156 156 b 284 265 19 415 390 25 431 404 27
Connecticut 33 33 b 57 53 4 78 70 8 81 72 9
Maine 18 18 b 36 36 b 56 54 2 58 55 3
Massachusetts 72 72 b 131 120 11 186 179 7 194 187 8
New Hampshire 11 11 b 23 23 b 41 39 2 43 41 2
Rhode Island 14 14 b 24 20 4 34 29 5 35 30 5
Vermont 7 7 b 13 13 b 20 20 b 21 21 b
Middle Atlantic 474 470 4 729 655 73 1,039 819 220 1,076 841 235
New Jersey 86 85 1 133 124 9 181 163 18 187 167 20
New York 230 228 2 366 334 31 490 392 98 505 400 105
Pennsylvania 158 157 1 230 197 33 368 264 104 383 274 110
East North Central 562 560 2 823 773 50 1,216 1,080 136 1,276 1,117 159
Illinois 132 132 1 195 180 15 276 256 20 286 266 20
Indiana 77 76 1 117 114 3 179 158 21 188 164 24
Michigan 132 132 b 200 193 7 307 279 29 324 285 39
Ohio 156 155 1 221 199 23 315 269 46 331 279 52
Wisconsin 64 64 b 90 88 2 139 118 21 147 123 24
West North Central 212 210 2 339 324 14 513 456 57 533 472 61
Iowa 34 34 b 50 49 1 71 66 6 74 67 6
Kansas 26 26 b 43 42 2 66 61 5 69 64 5
Minnesota 44 44 b 72 70 1 112 97 15 117 101 16
Missouri 75 75 1 124 115 10 192 168 24 201 174 27
Nebraska 16 16 b 26 26 1 39 35 4 40 36 5
North Dakota 7 7 b 10 10 b 14 13 1 14 13 1
South Dakota 8 8 b 13 13 b 18 17 1 18 17 1
South Atlantic 608 604 4 1,082 998 84 1,606 1,325 281 1,677 1,369 308
Delaware 8 8 b 15 14 b 25 24 1 26 25 1
District of Columbia 7 7 b 10 9 b 13 12 1 14 13 1
Florida 165 165 1 316 253 63 463 343 120 489 355 133
Georgia 96 96 b 167 161 6 246 207 38 258 215 43
Maryland 46 46 b 75 70 5 112 104 8 118 110 8
North Carolina 106 106 b 195 191 4 300 258 42 310 265 46
South Carolina 59 59 b 105 105 b 159 131 27 165 135 30
Virginia 77 76 1 133 130 3 194 162 31 200 167 33
West Virginia 44 41 3 67 64 3 95 82 13 97 84 13
East South Central 287 286 1 498 482 16 750 616 134 779 634 145
Alabama 74 74 b 128 119 9 206 159 47 215 168 47
Kentucky 75 74 1 132 128 4 193 167 26 201 173 28
Mississippi 53 53 b 89 88 b 125 113 12 129 116 13
Tennessee 85 85 b 149 146 3 225 175 50 235 178 57
West South Central 317 317 b 541 492 50 892 743 149 936 774 163
Arkansas 48 48 b 80 78 2 126 106 20 131 109 22
Louisiana 71 71 b 104 92 12 147 124 23 153 128 25
Oklahoma 39 39 b 70 65 4 115 101 14 120 105 15
Texas 159 159 b 288 256 31 504 412 92 532 431 101
Mountain 148 147 1 286 240 46 457 342 115 480 356 124
Arizona 43 42 b 85 62 24 142 88 54 148 90 58
Colorado 34 34 1 65 53 11 90 70 20 95 74 21
Idaho 11 11 b 21 20 1 37 30 7 39 31 8
Montana 12 12 b 18 18 b 26 22 3 27 24 3
Nevada 13 13 b 31 24 7 53 42 10 56 45 11
New Mexico 19 19 b 34 31 3 57 48 9 60 50 10
Utah 13 13 b 24 23 b 41 31 10 43 32 12
Wyoming 4 4 b 8 8 b 11 11 1 12 11 1
Pacific 389 381 7 636 529 107 958 769 189 996 787 209
Alaska 3 3 b 7 7 b 12 12 b 12 12 b
California 290 283 7 464 378 86 676 544 133 701 554 147
Hawaii 9 9 b 15 14 1 22 17 6 23 17 7
Oregon 34 33 1 58 46 11 94 66 27 99 70 28
Washington 53 53 b 93 84 9 154 131 23 161 134 27
Unknown 2 2 b 1 1 b b b b b b b
Outlying areas
Puerto Rico 92 92 b 136 136 b 164 58 107 168 56 112
U.S. Virgin Islands 1 1 b 1 1 b 2 2 b 2 2 b
Other b b b 2 2 b 3 3 b 3 3 b
Foreign countries 14 14 b 15 15 b 17 16 b 17 17 b
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area 1990 2000 2010 2011
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 34,200 33,493 706 39,620 32,753 6,867 47,664 35,910 11,754 48,849 36,458 12,391
United States a 33,494 32,789 706 38,759 31,896 6,863 46,588 35,276 11,313 47,744 35,821 11,924
New England 1,889 1,874 15 2,120 1,714 405 2,411 1,985 427 2,461 2,034 428
Connecticut 469 467 2 514 409 105 568 463 104 577 464 113
Maine 183 183 b 217 214 2 265 231 33 271 234 37
Massachusetts 867 858 9 958 721 237 1,061 858 203 1,085 893 192
New Hampshire 137 137 b 170 167 3 223 206 18 229 214 15
Rhode Island 159 155 3 172 114 58 183 120 63 186 122 64
Vermont 75 74 b 89 89 b 112 107 5 115 108 7
Middle Atlantic 5,556 5,415 141 5,992 4,733 1,259 6,599 4,659 1,939 6,705 4,707 1,998
New Jersey 1,092 1,062 30 1,200 1,029 170 1,327 1,160 167 1,352 1,175 177
New York 2,508 2,427 82 2,699 2,206 494 2,988 2,085 904 3,041 2,099 942
Pennsylvania 1,956 1,926 30 2,093 1,498 595 2,283 1,415 869 2,312 1,433 879
East North Central 5,784 5,713 72 6,364 5,722 643 7,308 5,801 1,506 7,453 5,761 1,692
Illinois 1,534 1,509 24 1,630 1,443 187 1,839 1,662 178 1,872 1,699 173
Indiana 762 749 13 852 816 35 1,006 842 164 1,027 848 179
Michigan 1,233 1,231 1 1,401 1,320 80 1,651 1,382 269 1,689 1,282 408
Ohio 1,543 1,520 23 1,699 1,405 295 1,901 1,271 629 1,934 1,283 651
Wisconsin 714 703 10 783 737 46 911 644 267 931 650 281
West North Central 2,635 2,560 75 2,857 2,576 281 3,265 2,557 709 3,319 2,565 754
Iowa 457 446 11 476 459 17 517 449 68 523 455 68
Kansas 363 359 5 390 360 30 433 385 48 439 389 50
Minnesota 588 544 44 654 566 88 786 458 328 804 446 357
Missouri 781 767 14 861 727 133 1,004 793 211 1,022 802 220
Nebraska 237 237 1 253 243 11 279 246 34 283 250 33
North Dakota 98 98 1 103 102 1 109 100 9 110 98 12
South Dakota 110 110 b 119 119 1 137 125 11 139 124 14
South Atlantic 6,142 6,077 65 7,512 6,508 1,004 9,408 7,412 1,997 9,685 7,566 2,119
Delaware 88 88 b 112 107 5 149 144 6 154 148 6
District of Columbia 78 75 3 75 68 7 78 70 8 80 72 8
Florida 2,339 2,323 16 2,823 2,068 754 3,375 2,359 1,016 3,472 2,374 1,097
Georgia 732 731 b 918 863 56 1,236 973 262 1,281 997 284
Maryland 541 538 4 646 574 72 785 721 64 807 741 66
North Carolina 892 890 2 1,136 1,088 48 1,490 1,225 265 1,533 1,261 273
South Carolina 442 441 b 570 568 2 774 650 124 799 669 131
Virginia 722 712 10 895 860 35 1,141 974 166 1,173 1,006 167
West Virginia 308 277 30 337 312 26 382 295 87 386 299 87
East South Central 2,173 2,153 20 2,559 2,411 147 3,160 2,549 611 3,234 2,600 635
Alabama 582 577 5 686 626 60 845 664 181 864 686 178
Kentucky 534 521 12 623 588 35 760 637 123 777 645 132
Mississippi 366 366 b 419 413 6 497 450 48 507 457 49
Tennessee 692 689 3 831 784 47 1,058 798 260 1,086 811 275
West South Central 3,196 3,192 5 3,817 3,246 571 4,823 3,903 919 4,964 3,999 965
Arkansas 391 390 1 439 420 19 531 456 76 542 462 80
Louisiana 531 531 b 601 496 105 687 524 163 703 535 168
Oklahoma 451 450 1 508 453 54 603 512 91 615 523 92
Texas 1,824 1,821 2 2,269 1,876 393 3,001 2,412 589 3,104 2,480 624
Mountain 1,637 1,599 39 2,200 1,640 560 2,987 2,057 930 3,092 2,129 963
Arizona 498 478 20 681 433 248 930 594 336 962 614 349
Colorado 358 346 12 468 306 162 625 415 209 650 433 217
Idaho 132 131 1 166 149 17 230 163 67 238 170 68
Montana 117 117 b 137 136 1 170 139 30 174 148 26
Nevada 141 140 1 243 163 80 357 249 108 372 258 114
New Mexico 179 177 2 234 190 44 313 235 79 322 238 84
Utah 160 157 2 206 199 7 283 188 96 292 192 101
Wyoming 52 51 b 65 64 2 80 75 5 82 77 5
Pacific 4,469 4,195 275 5,328 3,337 1,991 6,623 4,349 2,274 6,828 4,457 2,371
Alaska 25 25 b 42 42 b 66 65 1 69 68 1
California 3,279 3,033 245 3,894 2,325 1,569 4,757 3,072 1,685 4,901 3,138 1,763
Hawaii 127 123 4 165 111 54 206 121 86 213 122 91
Oregon 424 404 19 491 307 184 621 363 258 640 381 259
Washington 615 609 6 736 553 183 972 728 244 1,005 747 257
Unknown 12 12 b 10 9 1 4 3 b 4 3 b
Outlying areas
Puerto Rico 429 429 b 537 536 1 670 233 438 688 224 464
U.S. Virgin Islands 7 7 b 10 10 b 16 16 b 17 17 b
Other b b b 11 11 b 17 17 b 18 18 b
Foreign countries 269 268 b 303 300 3 372 369 3 382 379 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2011, selected years (in thousands)
Age, sex, and race 1990 2000 2010 2011
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 30,939 30,255 684 34,247 27,840 6,407 39,631 29,291 10,340 40,474 29,627 10,847
Age            
65–69 9,690 9,514 176 9,166 7,360 1,806 12,096 9,046 3,050 12,458 9,274 3,183
70–74 7,951 7,752 200 8,609 6,878 1,731 9,138 6,602 2,536 9,431 6,723 2,709
75–79 6,058 5,904 155 7,284 5,902 1,381 7,169 5,146 2,023 7,230 5,135 2,095
80–84 3,957 3,864 93 4,868 4,010 859 5,617 4,145 1,472 5,627 4,097 1,530
85 or older 3,282 3,221 61 4,320 3,690 630 5,612 4,352 1,259 5,728 4,398 1,330
Sex            
Men 12,412 12,132 280 14,109 11,421 2,688 17,167 12,770 4,398 17,615 12,998 4,617
Women 18,528 18,123 404 20,138 16,419 3,719 22,464 16,521 5,943 22,859 16,629 6,230
Race            
White 26,847 26,251 596 29,752 24,251 5,502 33,581 25,020 8,561 34,157 25,210 8,946
Black -- -- -- 2,720 2,204 516 3,330 2,332 999 3,424 2,377 1,048
All other races a 3,113 3,050 63 1,682 1,305 377 2,624 1,857 767 2,745 1,915 830
American Indian or Alaska Native -- -- -- 42 39 3 143 124 18 147 128 19
Asian or Pacific Islander -- -- -- 494 386 108 848 632 216 891 653 239
Hispanic -- -- -- 710 555 155 884 584 301 917 597 320
Other -- -- -- 436 324 112 749 516 232 790 537 252
Unknown 979 953 26 92 81 12 95 82 13 148 124 24
Hospital Insurance
Total 30,455 29,778 678 33,827 27,429 6,398 39,283 28,954 10,330 40,136 29,301 10,835
Age            
65–69 9,560 9,386 174 9,074 7,269 1,804 12,000 8,954 3,047 12,366 9,187 3,179
70–74 7,829 7,631 198 8,505 6,776 1,729 9,063 6,529 2,534 9,358 6,652 2,706
75–79 5,947 5,793 153 7,188 5,809 1,379 7,106 5,085 2,021 7,169 5,076 2,093
80–84 3,872 3,780 92 4,805 3,947 857 5,564 4,093 1,470 5,576 4,047 1,529
85 or older 3,248 3,188 60 4,256 3,627 629 5,551 4,293 1,258 5,667 4,338 1,329
Sex            
Men 12,276 11,998 278 13,976 11,291 2,685 17,054 12,660 4,394 17,505 12,892 4,613
Women 18,179 17,779 400 19,851 16,138 3,713 22,230 16,293 5,936 22,631 16,409 6,222
Race            
White 26,583 25,991 592 29,565 24,068 5,497 33,444 24,889 8,554 34,022 25,084 8,938
Black -- -- -- 2,668 2,153 515 3,283 2,287 997 3,379 2,334 1,045
All other races a 2,930 2,870 60 1,508 1,133 374 2,469 1,703 766 2,598 1,769 829
American Indian or Alaska Native -- -- -- 40 37 3 140 121 18 143 124 19
Asian or Pacific Islander -- -- -- 406 300 106 769 553 215 814 575 238
Hispanic -- -- -- 656 502 154 837 537 300 870 550 320
Other -- -- -- 405 294 111 724 492 232 771 519 252
Unknown 942 916 26 87 75 12 87 74 13 137 114 23
Supplementary Medical Insurance
Total 29,678 28,993 684 32,585 26,178 6,407 36,768 26,429 10,340 37,432 26,585 10,847
Age            
65–69 9,003 8,827 176 8,330 6,525 1,806 10,382 7,332 3,050 10,630 7,447 3,183
70–74 7,740 7,540 200 8,256 6,525 1,731 8,625 6,089 2,536 8,872 6,163 2,708
75–79 5,942 5,787 155 7,087 5,705 1,381 6,919 4,896 2,023 6,974 4,879 2,095
80–84 3,879 3,786 93 4,780 3,922 859 5,474 4,002 1,472 5,479 3,948 1,530
85 or older 3,114 3,054 61 4,131 3,501 630 5,368 4,109 1,259 5,477 4,147 1,330
Sex            
Men 11,754 11,474 280 13,203 10,515 2,688 15,579 11,182 4,397 15,919 11,302 4,617
Women 17,923 17,519 404 19,382 15,663 3,719 21,189 15,247 5,943 21,512 15,283 6,230
Race            
White 25,842 25,247 596 28,428 22,927 5,502 31,316 22,755 8,561 31,762 22,816 8,946
Black -- -- -- 2,543 2,027 516 3,061 2,062 998 3,141 2,093 1,047
All other races a 2,909 2,846 63 1,542 1,164 377 2,327 1,560 767 2,424 1,594 830
American Indian or Alaska Native -- -- -- 39 36 3 128 109 18 130 112 19
Asian or Pacific Islander -- -- -- 470 362 108 766 550 216 802 563 239
Hispanic -- -- -- 665 510 155 799 498 301 825 505 320
Other -- -- -- 368 257 112 635 402 232 666 414 252
Unknown 927 900 26 71 60 12 64 51 13 105 82 24
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, black enrollees are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2011, selected years (in thousands)
Age, sex, and race 1990 2000 2010 2011
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 3,260 3,238 22 5,373 4,913 460 8,033 6,619 1,414 8,375 6,831 1,544
Age            
Under 35 483 482 1 522 505 18 711 649 62 754 685 70
35–44 655 652 3 1,130 1,068 62 1,154 1,008 145 1,169 1,014 156
45–54 741 737 4 1,627 1,501 126 2,477 2,075 402 2,534 2,101 432
55–64 1,381 1,367 13 2,094 1,840 254 3,691 2,887 803 3,918 3,032 887
Sex            
Men 2,045 2,032 14 3,017 2,772 245 4,193 3,511 682 4,367 3,624 743
Women 1,215 1,207 8 2,356 2,141 215 3,840 3,108 732 4,008 3,207 801
Race            
White 2,485 2,467 18 3,994 3,641 353 5,799 4,781 1,019 6,012 4,908 1,104
Black -- -- -- 1,008 933 74 1,560 1,301 259 1,637 1,352 286
All other races a 713 710 3 356 327 32 646 513 133 685 537 148
American Indian or Alaska Native -- -- -- 23 22 1 66 61 5 70 64 6
Asian or Pacific Islander -- -- -- 41 38 4 100 84 16 107 89 18
Hispanic -- -- -- 201 182 19 337 257 80 364 273 91
Other -- -- -- 90 83 7 143 111 31 144 111 33
Unknown 62 62 1 15 14 1 28 24 4 41 35 6
Hospital Insurance
Total 3,260 3,238 22 5,372 4,913 460 8,032 6,619 1,414 8,375 6,831 1,544
Age            
Under 35 483 482 1 522 504 18 711 649 62 754 684 70
35–44 655 652 3 1,129 1,068 62 1,154 1,008 145 1,169 1,014 156
45–54 741 737 4 1,627 1,501 126 2,477 2,075 402 2,534 2,101 432
55–64 1,381 1,367 13 2,093 1,840 254 3,690 2,887 803 3,918 3,031 887
Sex            
Men 2,045 2,032 14 3,017 2,772 245 4,193 3,511 682 4,367 3,624 743
Women 1,215 1,206 8 2,356 2,141 215 3,840 3,108 732 4,008 3,207 801
Race            
White 2,485 2,467 18 3,994 3,641 353 5,799 4,780 1,019 6,012 4,907 1,104
Black -- -- -- 1,008 933 74 1,560 1,301 259 1,637 1,352 286
All other races a 713 710 3 356 325 31 646 513 133 685 537 148
American Indian or Alaska Native -- -- -- 23 22 1 66 61 5 70 64 6
Asian or Pacific Islander -- -- -- 41 38 4 100 84 16 107 89 18
Hispanic -- -- -- 201 182 19 337 257 80 364 273 91
Other -- -- -- 90 83 7 143 111 31 144 111 33
Unknown 62 61 1 15 14 1 28 24 4 41 35 6
Supplementary Medical Insurance
Total 2,948 2,926 22 4,775 4,315 460 7,185 5,772 1,413 7,512 5,968 1,544
Age            
Under 35 442 440 1 467 449 18 647 585 62 687 618 70
35–44 587 584 3 998 937 62 1,028 883 145 1,045 890 156
45–54 666 662 4 1,422 1,296 126 2,211 1,808 402 2,269 1,836 432
55–64 1,253 1,240 13 1,887 1,633 254 3,299 2,496 803 3,511 2,624 887
Sex            
Men 1,836 1,822 14 2,667 2,423 245 3,701 3,019 682 3,862 3,120 743
Women 1,112 1,104 8 2,107 1,892 215 3,485 2,753 732 3,650 2,849 801
Race            
White 2,241 2,222 18 3,539 3,186 353 5,167 4,149 1,018 5,373 4,269 1,104
Black -- -- -- 918 843 74 1,423 1,165 259 1,497 1,211 286
All other races a 651 648 3 305 274 31 570 438 133 607 459 148
American Indian or Alaska Native -- -- -- 21 20 1 60 55 5 63 57 6
Asian or Pacific Islander -- -- -- 36 33 4 87 72 16 94 76 18
Hispanic -- -- -- 176 157 19 301 220 80 325 235 91
Other -- -- -- 71 64 7 122 91 31 124 91 33
Unknown 57 56 1 13 12 1 24 20 4 35 29 6
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, black enrollees are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area 1990 2000 2010
Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars)
Total
All areas 70,268 3,713,652 53 90,566 7,215,958 80 126,063 19,407,218 154
United States 69,645 3,687,770 53 87,641 6,995,748 80 124,602 19,168,082 154
New England 4,716 243,462 52 6,953 511,226 74 7,198 1,027,785 143
Connecticut 1,062 56,806 53 1,696 120,602 71 1,900 251,504 132
Maine 380 19,900 52 664 47,095 71 453 75,876 167
Massachusetts 2,403 121,472 51 3,328 253,132 76 3,701 520,842 141
New Hampshire 292 15,274 52 504 36,257 72 521 84,875 163
Rhode Island 315 17,537 56 393 32,720 83 325 54,699 168
Vermont 264 12,473 47 368 21,418 58 297 39,989 135
Middle Atlantic 8,570 504,379 59 12,446 1,066,579 86 12,114 1,815,857 150
New Jersey 1,435 71,239 50 2,274 203,145 89 2,251 405,510 180
New York 2,867 193,812 68 5,983 510,094 85 6,339 829,649 131
Pennsylvania 4,269 239,329 56 4,190 353,341 84 3,524 580,697 165
East North Central 8,864 488,161 55 11,615 996,673 86 18,053 3,158,933 175
Illinois 2,695 152,406 57 3,112 278,001 89 6,483 1,248,999 193
Indiana 1,112 56,613 51 1,464 112,768 77 2,147 330,697 154
Michigan 2,157 128,251 59 3,436 311,343 91 4,772 886,909 186
Ohio 2,082 108,602 52 2,713 223,430 82 3,846 561,021 146
Wisconsin 817 42,289 52 891 71,131 80 805 131,307 163
West North Central 3,591 182,775 51 3,884 297,355 77 4,201 674,453 161
Iowa 490 20,609 42 602 39,847 66 602 83,367 138
Kansas 463 22,023 49 515 38,056 74 691 101,393 147
Minnesota 380 20,168 53 525 40,350 77 673 117,078 174
Missouri 1,809 96,011 53 1,651 134,144 81 1,693 285,034 168
Nebraska 283 15,169 54 318 25,063 79 359 59,337 165
North Dakota 104 4,979 48 140 9,814 70 87 12,226 140
South Dakota 71 3,816 54 134 10,083 75 97 16,019 166
South Atlantic 15,504 792,155 51 17,603 1,434,967 82 27,755 4,147,843 149
Delaware 195 9,033 46 222 18,759 85 265 45,588 172
District of Columbia 129 8,552 66 154 13,859 90 156 28,775 185
Florida 7,513 371,331 49 7,032 576,519 82 16,660 2,207,943 133
Georgia 2,647 120,132 45 2,568 197,327 77 2,734 453,869 166
Maryland 863 52,659 61 1,046 95,980 92 1,192 237,129 199
North Carolina 1,659 93,205 56 2,533 209,226 83 2,550 453,949 178
South Carolina 694 41,712 60 1,412 118,278 84 1,338 243,074 182
Virginia 1,277 70,498 55 2,030 157,804 78 2,322 386,851 167
West Virginia 528 25,033 47 606 47,215 78 539 90,665 168
East South Central 11,432 501,015 44 10,424 708,458 68 10,618 1,654,875 156
Alabama 2,792 111,655 40 2,466 163,019 66 2,486 380,656 153
Kentucky 1,202 56,717 47 1,916 135,941 71 2,005 314,962 157
Mississippi 2,777 108,559 39 2,514 159,346 63 2,425 377,257 156
Tennessee 4,661 224,084 48 3,529 250,152 71 3,702 581,999 157
West South Central 9,063 445,067 49 15,305 1,062,985 69 31,520 4,314,530 137
Arkansas 1,072 47,907 45 1,103 70,205 64 1,356 172,533 127
Louisiana 2,286 106,074 46 4,081 261,901 64 4,238 606,968 143
Oklahoma 1,153 57,990 50 2,354 149,916 64 4,100 522,018 127
Texas 4,553 233,095 51 7,767 580,964 75 21,825 3,012,978 138
Mountain 2,485 139,038 56 3,188 257,608 81 4,600 726,129 158
Arizona 568 33,529 59 497 43,124 87 792 148,499 188
Colorado 595 35,779 60 725 59,239 82 963 152,620 158
Idaho 153 8,904 58 258 22,771 88 331 50,791 153
Montana 195 9,825 50 208 16,200 78 147 24,962 170
Nevada 218 13,279 61 309 27,152 88 755 135,272 179
New Mexico 256 13,328 52 390 30,327 78 568 87,315 154
Utah 447 21,573 48 680 50,606 74 951 112,815 119
Wyoming 53 2,820 53 120 8,190 68 93 13,857 150
Pacific 5,419 391,717 72 6,222 659,896 106 8,543 1,647,677 193
Alaska 14 1,404 100 39 5,145 132 54 11,688 217
California 4,237 310,835 73 5,031 529,250 105 7,168 1,350,065 188
Hawaii 57 4,241 74 84 8,980 107 46 11,042 240
Oregon 417 29,872 72 399 45,225 113 413 89,148 216
Washington 693 45,365 65 669 71,296 107 862 185,733 215
Outlying areas a 622 25,882 42 2,926 220,210 75 1,461 239,136 164
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area 1990 2000 2010
Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b
Total
All areas 10,521,925 8.8 53,708,287 5,281 11,719,960 6.0 81,230,259 6,971 12,340,835 5.4 116,852,409 9,588
United States 10,421,685 8.8 53,502,918 5,312 11,574,200 6.0 80,769,047 7,019 12,284,510 5.4 116,558,944 9,608
New England 561,265 10.0 3,097,017 5,702 563,305 5.8 4,365,878 7,797 661,465 5.3 6,721,080 10,273
Connecticut 117,230 10.4 719,274 6,366 125,295 6.2 1,097,034 8,807 165,520 5.6 1,749,223 10,687
Maine 54,695 9.3 239,915 4,477 69,740 5.6 434,302 6,239 59,695 5.1 560,261 9,458
Massachusetts 281,780 10.0 1,598,356 5,878 257,720 5.7 2,035,018 7,952 322,725 5.2 3,232,388 10,133
New Hampshire 39,640 9.2 190,737 4,917 46,970 5.6 334,202 7,167 49,645 5.2 500,856 10,165
Rhode Island 47,060 10.0 251,050 5,514 37,325 6.2 276,771 7,449 42,740 5.9 398,337 9,453
Vermont 20,860 9.7 97,686 4,793 26,255 5.7 188,547 7,237 21,140 5.3 280,014 13,391
Middle Atlantic 1,779,975 11.4 10,484,595 6,030 1,747,960 7.3 14,864,554 8,569 1,852,945 6.2 18,772,529 10,306
New Jersey 353,960 11.7 1,933,841 5,606 380,730 7.5 3,384,886 8,983 423,905 5.9 4,427,211 10,565
New York 729,465 13.1 4,888,241 6,884 750,130 8.2 7,155,309 9,625 828,675 6.7 9,358,190 11,478
Pennsylvania 696,550 9.5 3,662,512 5,358 617,100 6.1 4,324,358 7,036 600,365 5.6 4,987,128 8,494
East North Central 1,890,545 8.6 10,017,401 5,413 2,118,675 5.7 14,097,236 6,693 2,184,505 5.2 19,845,591 9,196
Illinois 509,075 8.9 2,670,430 5,410 580,250 5.7 3,840,706 6,672 624,800 5.2 5,821,547 9,449
Indiana 254,105 8.3 1,198,667 4,837 291,380 5.7 1,796,295 6,198 291,055 5.2 2,607,929 9,037
Michigan 376,545 8.9 2,199,988 5,925 468,095 6.1 3,473,727 7,459 539,100 5.3 5,249,883 9,828
Ohio 534,035 8.6 2,920,387 5,567 538,445 5.6 3,466,013 6,471 536,080 5.1 4,339,817 8,229
Wisconsin 216,785 7.7 1,027,929 4,817 240,505 5.4 1,520,493 6,352 193,470 5.0 1,826,415 9,518
West North Central 841,935 7.8 3,804,644 4,683 925,865 5.4 5,759,187 6,250 839,945 5.0 7,523,433 9,051
Iowa 145,360 8.1 635,397 4,440 164,590 5.4 959,210 5,844 123,715 5.1 1,087,128 8,872
Kansas 124,065 7.7 542,828 4,516 134,585 5.5 806,523 6,005 116,305 5.1 1,024,304 8,896
Minnesota 165,095 6.7 764,017 5,052 193,910 5.0 1,256,854 6,545 178,610 4.6 1,704,060 9,641
Missouri 266,625 8.6 1,270,319 4,872 281,505 5.7 1,810,063 6,460 292,685 5.2 2,503,651 8,647
Nebraska 69,875 7.6 300,070 4,434 76,015 5.2 506,171 6,686 71,475 5.1 665,399 9,393
North Dakota 33,230 7.2 141,966 4,368 33,640 5.1 193,994 5,793 24,650 4.9 229,995 9,434
South Dakota 37,685 7.2 150,047 4,058 41,620 5.2 226,370 5,454 32,505 5.0 308,895 9,635
South Atlantic 1,848,195 8.8 8,906,934 5,000 2,403,790 6.0 15,911,326 6,655 2,588,625 5.4 24,117,041 9,398
Delaware 27,260 9.3 149,857 5,599 36,845 6.4 275,714 7,513 44,690 5.8 496,471 11,167
District of Columbia 24,410 11.6 183,855 7,754 26,940 7.9 269,614 10,121 26,585 6.1 325,339 12,556
Florida 596,765 8.6 3,014,347 5,323 754,145 5.8 5,004,157 6,675 878,690 5.5 7,527,249 8,633
Georgia 269,315 7.9 1,143,257 4,373 320,335 5.8 2,061,225 6,469 322,870 5.4 2,951,001 9,228
Maryland 183,820 9.4 1,092,833 6,056 217,605 5.8 1,773,771 8,190 273,955 5.0 3,231,204 11,916
North Carolina 267,020 9.6 1,215,983 4,703 396,985 6.0 2,467,636 6,251 407,405 5.3 3,893,911 9,654
South Carolina 120,540 9.4 540,954 4,655 214,540 6.2 1,390,229 6,504 213,040 5.6 1,987,028 9,403
Virginia 245,065 8.9 1,102,096 4,627 300,785 6.1 1,896,484 6,338 309,110 5.3 2,759,469 8,994
West Virginia 114,000 8.2 463,751 4,217 135,610 5.8 772,492 5,724 112,280 5.6 945,370 8,483
East South Central 827,120 8.2 3,345,751 4,156 1,013,885 5.8 5,704,817 5,652 963,640 5.4 7,786,714 8,149
Alabama 228,580 8.1 959,825 4,308 274,470 5.5 1,492,353 5,454 253,420 5.3 1,910,245 7,608
Kentucky 201,625 8.3 831,981 4,255 244,210 5.6 1,362,272 5,614 241,895 5.2 2,044,960 8,525
Mississippi 145,900 7.8 501,880 3,522 191,685 6.4 1,013,536 5,310 171,515 5.8 1,448,510 8,517
Tennessee 251,015 8.3 1,052,065 4,307 303,520 5.9 1,836,655 6,078 296,810 5.3 2,382,999 8,092
West South Central 1,103,155 8.1 5,139,839 4,772 1,298,505 5.9 8,215,049 6,357 1,365,910 5.4 12,066,708 8,964
Arkansas 145,225 8.1 556,377 3,918 163,480 5.9 872,811 5,364 152,555 5.2 1,220,475 8,056
Louisiana 206,510 7.9 968,667 4,791 226,020 5.9 1,408,934 6,263 201,110 5.6 1,637,434 8,255
Oklahoma 162,505 8.0 700,390 4,403 187,220 5.8 1,069,986 5,730 191,485 5.2 1,599,516 8,438
Texas 588,915 8.2 2,914,405 5,079 721,785 5.9 4,863,318 6,774 820,760 5.4 7,609,283 9,433
Mountain 445,395 7.0 2,152,663 5,100 488,870 5.0 3,196,062 6,569 580,410 4.8 5,406,084 9,449
Arizona 135,340 7.0 711,071 5,601 131,325 5.0 866,364 6,642 190,090 4.8 1,803,854 9,680
Colorado 93,400 7.3 460,034 5,251 92,655 5.0 625,753 6,788 119,065 4.7 1,070,536 9,052
Idaho 34,290 6.2 146,967 4,382 47,780 4.6 290,241 6,102 34,810 4.4 318,622 9,213
Montana 39,820 6.6 164,698 4,230 44,270 4.8 258,894 5,850 31,240 4.7 283,979 9,244
Nevada 34,890 8.1 201,288 6,349 46,945 6.0 349,025 7,473 78,520 5.5 752,101 9,725
New Mexico 52,435 6.8 208,909 4,235 53,130 5.2 327,251 6,196 61,660 5.0 561,743 9,216
Utah 37,740 6.3 181,133 4,928 50,715 4.8 336,745 6,661 47,455 4.4 416,811 8,925
Wyoming 17,480 6.7 78,563 4,561 22,050 5.0 141,785 6,442 17,570 4.6 198,438 11,517
Pacific 1,124,100 7.2 6,554,074 6,290 1,013,345 5.8 8,654,933 8,599 1,247,065 5.2 14,319,765 11,677
Alaska 6,590 7.7 43,028 6,912 12,715 5.8 120,546 9,682 14,650 5.2 212,259 14,792
California 826,685 7.3 5,117,872 6,574 731,050 6.0 6,543,541 9,015 934,155 5.4 11,046,507 12,052
Hawaii 25,665 10.1 121,606 6,416 25,510 8.0 213,726 8,431 26,115 6.6 309,384 12,022
Oregon 104,300 6.2 474,125 5,211 92,985 4.6 624,464 6,741 87,580 4.6 838,918 9,687
Washington 160,860 6.7 797,442 5,414 151,085 4.9 1,152,655 7,672 184,565 4.7 1,912,697 10,449
Outlying areas c 100,240 7.8 205,369 2,091 145,760 6.8 461,482 3,187 56,325 7.2 293,464 5,274
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area 1990 2000 2010
Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b
Total
All areas 737,700 1,827,190 2,509 1,936,127 10,651,274 5,511 2,542,541 27,454,045 10,808
United States 736,466 1,824,011 2,509 1,932,134 10,635,515 5,514 2,540,694 27,439,911 10,811
New England 30,180 69,422 2,321 137,383 849,428 6,194 175,964 1,953,174 11,105
Connecticut 10,912 26,387 2,423 34,452 254,218 7,387 48,443 540,283 11,157
Maine 1,377 5,178 3,763 13,391 66,702 4,983 15,774 156,059 9,899
Massachusetts 11,733 26,107 2,267 64,946 389,016 6,003 80,521 905,645 11,254
New Hampshire 1,443 2,803 1,953 10,243 59,904 5,859 14,791 171,224 11,578
Rhode Island 3,685 7,472 2,037 9,452 54,095 5,757 9,947 107,017 10,765
Vermont 1,030 1,476 1,437 4,899 25,492 5,207 6,488 72,946 11,248
Middle Atlantic 97,503 254,554 2,642 290,974 1,937,835 6,677 380,134 4,171,432 10,982
New Jersey 10,725 27,797 2,599 68,638 412,488 6,014 113,972 1,280,984 11,243
New York 37,454 95,175 2,587 110,292 931,412 8,465 147,187 1,687,582 11,472
Pennsylvania 49,324 131,582 2,692 112,044 593,935 5,322 118,975 1,202,866 10,124
East North Central 142,252 323,800 2,305 374,369 2,014,281 5,382 481,136 5,126,375 10,669
Illinois 40,758 117,390 2,902 104,203 515,307 4,946 147,185 1,559,820 10,603
Indiana 22,093 61,858 2,844 59,020 330,466 5,600 69,921 811,368 11,611
Michigan 27,324 46,583 1,730 57,347 374,014 6,526 93,831 995,036 10,646
Ohio 33,115 61,462 1,894 107,475 555,817 5,173 122,318 1,233,107 10,089
Wisconsin 18,962 36,507 1,935 46,324 238,678 5,153 47,881 527,044 11,022
West North Central 95,732 209,517 2,206 190,486 756,598 3,973 219,843 2,015,228 9,177
Iowa 13,613 33,630 2,483 33,702 110,449 3,277 38,254 319,680 8,368
Kansas 12,712 24,259 1,919 27,334 99,927 3,657 32,862 320,051 9,753
Minnesota 28,729 54,696 1,926 42,888 199,933 4,662 44,978 422,675 9,408
Missouri 26,942 74,044 2,764 50,515 216,975 4,297 62,488 564,750 9,049
Nebraska 6,988 14,623 2,100 18,766 71,141 3,793 22,604 222,826 9,863
North Dakota 4,203 4,823 1,177 7,790 23,998 3,081 8,396 67,273 8,019
South Dakota 2,545 3,441 1,356 9,491 34,175 3,603 10,261 97,973 9,551
South Atlantic 97,746 221,593 2,304 351,271 1,962,427 5,597 501,914 5,359,990 10,685
Delaware 1,136 2,298 2,057 4,938 31,158 6,319 9,137 111,129 12,163
District of Columbia 1,118 3,635 3,283 3,745 23,113 6,175 5,216 61,576 11,812
Florida 46,617 114,361 2,504 139,057 813,328 5,866 187,538 2,156,069 11,501
Georgia 12,065 21,913 1,836 36,847 195,450 5,309 52,699 528,536 10,039
Maryland 8,450 19,625 2,344 38,562 194,644 5,065 56,562 585,864 10,360
North Carolina 12,138 21,391 1,776 50,008 270,927 5,422 73,593 753,582 10,249
South Carolina 4,787 9,645 2,127 24,069 130,669 5,430 34,373 360,369 10,488
Virginia 7,393 17,995 2,443 36,536 217,418 5,952 64,246 634,720 9,886
West Virginia 4,042 10,731 2,679 17,509 85,720 4,897 18,550 168,144 9,080
East South Central 41,228 74,764 1,842 131,017 665,240 5,081 177,560 1,758,671 9,911
Alabama 11,934 20,172 1,716 29,268 164,159 5,614 41,831 371,952 8,899
Kentucky 9,029 20,697 2,319 35,891 167,196 4,659 47,157 450,243 9,552
Mississippi 5,850 7,897 1,381 20,560 95,372 4,648 30,670 332,958 10,865
Tennessee 14,415 25,998 1,833 45,298 238,514 5,267 57,902 603,518 10,428
West South Central 62,302 173,258 2,809 183,161 869,345 4,757 255,317 2,555,424 10,019
Arkansas 6,254 13,455 2,167 22,862 83,236 3,644 29,669 245,575 8,289
Louisiana 12,244 42,336 3,488 27,165 120,360 4,433 35,333 346,586 9,814
Oklahoma 7,065 20,642 2,928 26,004 105,867 4,072 31,116 270,167 8,697
Texas 36,739 96,824 2,669 107,130 559,882 5,245 159,199 1,693,097 10,646
Mountain 43,063 105,189 2,467 87,157 435,051 5,004 105,187 1,128,681 10,743
Arizona 12,521 30,667 2,463 20,256 95,244 4,742 25,381 252,844 9,977
Colorado 10,220 29,480 2,928 18,993 99,687 5,256 26,415 296,144 11,226
Idaho 3,569 6,819 1,918 10,396 50,995 4,909 8,767 92,792 10,593
Montana 4,483 6,780 1,527 9,410 36,201 3,847 8,782 80,925 9,219
Nevada 2,173 7,202 3,328 6,348 37,209 5,867 11,071 143,694 12,991
New Mexico 2,494 7,687 3,250 6,130 31,929 5,213 9,119 94,673 10,405
Utah 6,081 14,452 2,378 11,672 65,662 5,627 11,181 122,528 10,966
Wyoming 1,522 2,102 1,388 3,952 18,123 4,586 4,471 45,080 10,083
Pacific 126,460 391,915 3,155 186,316 1,145,310 6,174 243,639 3,370,936 13,861
Alaska 320 1,182 3,705 991 6,406 6,477 1,229 20,023 16,305
California 101,886 325,664 3,234 137,485 875,847 6,395 184,255 2,639,123 14,341
Hawaii 1,122 3,421 3,831 2,173 14,886 6,898 3,384 44,348 13,608
Oregon 8,869 26,399 3,111 13,964 67,421 4,844 15,143 167,579 11,076
Washington 14,263 35,249 2,551 31,703 180,749 5,742 39,628 499,862 12,634
Outlying areas c 1,234 3,179 2,593 3,993 15,760 3,948 1,847 14,134 7,661
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2010
Census division and state or area 1993 2000 2010
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars)
Total
All areas 215,089 12,649,489 1,250,415 5,817 534,408 25,957,716 2,925,819 5,476 1,163,037 81,654,927 12,950,475 11,175
United States 207,660 11,808,826 1,184,752 5,709 529,745 25,646,822 2,903,200 5,482 1,151,358 80,244,133 12,810,641 11,166
New England 9,423 478,589 51,507 5,468 20,642 799,522 104,817 5,078 52,085 3,078,644 537,146 10,338
Connecticut 2,083 78,816 12,535 6,024 5,425 197,854 31,872 5,875 11,416 547,732 109,556 9,613
Maine 477 26,596 2,250 4,717 1,135 49,657 4,977 4,386 5,564 333,326 52,509 9,456
Massachusetts 4,951 272,647 27,718 5,601 9,906 381,853 47,884 4,834 23,516 1,468,601 251,551 10,733
New Hampshire 604 31,383 2,787 4,615 1,679 77,363 8,824 5,256 4,809 287,539 46,943 9,782
Rhode Island 887 49,247 4,514 5,090 1,758 61,325 7,978 4,538 5,225 356,516 63,315 12,134
Vermont 421 19,900 1,702 4,044 739 31,470 3,279 4,438 1,555 84,930 13,272 8,552
Middle Atlantic 24,505 1,233,263 126,915 5,186 63,096 2,697,689 333,959 5,293 132,722 8,262,583 1,359,530 10,277
New Jersey 5,933 309,909 29,758 5,017 13,067 560,846 67,535 5,169 30,884 1,965,196 341,688 11,100
New York 11,400 576,724 63,460 5,567 23,214 1,008,086 135,580 5,841 41,252 2,232,898 397,994 9,682
Pennsylvania 7,172 346,630 33,696 4,717 26,815 1,128,757 130,843 4,880 60,586 4,064,489 619,848 10,262
East North Central 37,377 2,061,004 207,056 5,541 93,025 4,154,816 464,650 4,996 189,675 12,185,738 1,917,277 10,142
Illinois 10,856 630,851 66,465 6,123 24,067 1,071,673 121,113 5,033 42,648 2,536,817 417,839 9,831
Indiana 1,708 101,725 9,310 5,454 9,984 484,813 51,390 5,149 23,846 1,539,234 230,087 9,693
Michigan 9,984 521,346 52,695 5,279 22,873 1,017,365 115,791 5,063 43,979 2,708,169 420,647 9,589
Ohio 10,981 596,101 59,575 5,427 27,228 1,159,156 132,377 4,863 56,207 3,845,723 606,275 10,827
Wisconsin 3,848 210,981 19,008 4,943 8,873 421,809 43,977 4,959 22,995 1,555,795 242,429 10,570
West North Central 14,164 865,934 80,074 5,659 36,720 1,748,289 176,312 4,804 85,257 5,548,987 808,443 9,510
Iowa 2,545 165,177 15,656 6,162 6,460 298,008 30,383 4,705 16,461 1,013,650 149,409 9,109
Kansas 2,190 144,153 13,161 6,021 5,550 267,095 26,068 4,708 12,631 904,768 130,738 10,393
Minnesota 3,303 185,954 18,338 5,555 8,175 402,271 45,222 5,532 17,922 996,562 157,216 8,796
Missouri 4,411 272,688 24,401 5,537 11,678 554,407 52,819 4,524 26,845 1,997,507 280,319 10,468
Nebraska 871 50,606 4,178 4,797 2,982 142,942 13,829 4,638 7,011 398,330 57,620 8,237
North Dakota 479 27,677 2,498 5,216 1,023 42,601 4,151 4,058 1,878 107,110 14,088 7,522
South Dakota 365 19,679 1,839 5,055 852 40,965 3,838 4,505 2,509 131,060 19,052 7,603
South Atlantic 48,947 2,962,460 289,612 5,921 112,303 5,663,896 656,729 5,851 253,063 18,723,650 3,067,189 12,164
Delaware 699 37,634 3,367 4,818 1,550 78,705 8,819 5,690 4,928 475,245 77,511 15,764
District of Columbia 283 13,467 1,381 4,899 614 29,755 3,866 6,297 1,386 98,035 16,654 12,068
Florida 28,465 1,677,775 170,767 6,001 56,248 2,819,511 350,229 6,229 103,806 7,594,127 1,359,349 13,129
Georgia 3,526 178,394 15,480 4,392 13,658 723,558 77,534 5,683 35,789 2,884,282 443,861 12,464
Maryland 2,792 136,154 13,277 4,771 7,638 298,523 34,343 4,496 16,135 910,816 149,059 9,279
North Carolina 7,111 541,896 49,572 6,972 13,198 717,297 77,961 5,913 36,577 2,600,507 407,364 11,179
South Carolina 2,181 146,669 13,105 6,009 6,552 345,769 34,999 5,345 21,965 1,837,036 274,837 12,561
Virginia 2,240 128,588 13,190 5,910 9,397 467,386 51,049 5,434 24,066 1,698,135 251,164 10,481
West Virginia 1,650 101,883 9,468 5,770 3,448 183,392 17,926 5,199 8,411 625,467 87,390 10,472
East South Central 11,117 769,046 71,474 6,432 32,995 2,126,137 208,855 6,332 77,344 6,108,342 858,930 11,155
Alabama 2,914 171,404 15,094 5,182 11,421 838,025 79,080 6,925 25,923 2,396,559 322,869 12,502
Kentucky 4,851 399,811 37,024 7,634 8,047 443,176 45,727 5,684 14,392 899,474 135,399 9,451
Mississippi 1,153 70,260 6,449 5,598 5,693 467,035 45,142 7,931 13,571 1,272,552 171,812 12,749
Tennessee 2,199 127,571 12,905 5,872 7,834 377,901 38,903 4,971 23,458 1,539,757 228,851 9,792
West South Central 21,336 1,299,331 122,741 5,754 62,010 3,558,642 364,302 5,876 134,916 10,937,925 1,599,793 11,901
Arkansas 1,975 124,494 10,723 5,430 5,281 323,207 30,097 5,700 12,333 784,841 115,479 9,399
Louisiana 1,991 97,592 8,831 4,436 7,154 350,795 36,690 5,130 18,486 1,546,444 214,631 11,669
Oklahoma 2,019 105,462 9,731 4,820 10,423 755,349 69,813 6,699 19,362 1,856,218 247,808 12,862
Texas 15,351 971,783 93,455 6,089 39,152 2,129,291 227,700 5,817 84,735 6,750,422 1,021,874 12,096
Mountain 12,453 624,739 66,336 5,330 38,491 1,806,545 212,559 5,523 84,688 6,581,368 1,063,470 12,607
Arizona 5,123 229,256 27,722 5,411 15,509 732,768 91,111 5,875 30,880 2,570,440 435,891 14,173
Colorado 3,250 160,173 16,126 4,970 8,840 344,737 41,239 4,666 16,793 1,165,872 193,049 11,546
Idaho 838 50,527 4,407 5,260 1,940 101,328 9,991 5,150 5,766 455,895 63,624 11,082
Montana 585 35,506 3,157 5,406 1,405 78,669 7,783 5,540 3,582 226,610 32,146 8,997
Nevada 958 58,400 6,536 6,823 3,637 144,309 20,034 6,301 8,950 628,159 114,184 12,801
New Mexico 1,348 74,578 6,969 5,174 3,838 236,349 24,181 5,589 7,910 625,018 93,903 11,906
Utah 263 11,506 979 3,740 2,805 143,233 15,676 4,914 9,588 838,377 119,927 12,563
Wyoming 88 4,793 437 4,971 517 25,152 2,540 4,943 1,219 70,997 10,745 8,873
Pacific 28,338 1,514,460 169,033 5,969 70,463 3,091,286 381,013 5,409 141,608 8,816,896 1,598,863 11,334
Alaska 16 895 87 5,476 103 4,269 513 4,988 550 29,128 4,808 8,855
California 20,316 1,080,047 119,651 5,896 50,116 2,208,522 279,037 5,571 99,267 6,420,966 1,201,190 12,147
Hawaii 619 27,282 2,906 4,695 1,406 56,188 7,626 5,428 3,293 189,763 31,877 9,784
Oregon 3,365 185,088 17,102 5,083 8,915 387,697 42,557 4,773 17,156 987,572 159,935 9,345
Washington 4,022 221,148 29,285 7,281 9,923 434,610 51,278 5,168 21,342 1,189,467 201,053 9,457
Outlying areas a 7,429 840,663 65,662 8,839 4,663 310,894 22,619 4,851 11,679 1,410,794 139,834 12,034
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2011
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
2009 974,680 99.2
2010 973,767 99.3
2011 972,115 99.4
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2011
Year Claims approved Charges before reduction
Number (thousands) Percentage reduced Amount (millions of dollars) Percentage reduced
Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
2003 759,783 88.9 189,920 52.0
2004 781,000 89.8 208,027 52.9
2005 846,093 87.2 236,430 52.0
2006 837,332 92.0 246,608 55.1
2007 822,902 93.4 253,248 58.1
2008 851,335 92.9 279,428 58.7
2009 867,878 93.0 291,065 59.3
2010 872,278 93.7 301,388 59.6
2011 876,669 94.5 312,931 60.0
Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
2009 6,677 88.0 746 19.1
2010 5,905 86.4 669 18.7
2011 5,429 86.5 640 19.9
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2010
Census division and state or area 1993 2000 2010
Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars)
Total
All areas 1,062,047 46,155,237 35,206,101 1,247,483 66,911,902 51,456,747 1,857,482 122,904,370 95,036,813
United States 1,050,605 45,677,059 34,838,562 1,229,583 66,047,753 50,790,939 1,850,800 122,520,394 94,740,428
New England 57,475 2,532,989 1,923,891 60,701 3,357,803 2,562,793 90,342 6,068,287 4,647,351
Connecticut 14,971 688,632 523,801 16,024 908,981 696,770 25,105 1,762,062 1,363,383
Maine 5,093 203,657 152,933 6,725 357,616 272,731 8,115 531,761 403,024
Massachusetts 26,993 1,216,000 927,157 26,099 1,464,973 1,117,345 40,600 2,691,594 2,061,972
New Hampshire 3,712 151,558 113,589 5,018 264,412 200,026 7,164 490,694 372,749
Rhode Island 5,089 200,132 152,442 4,512 227,420 175,093 5,949 371,097 279,266
Vermont 1,617 73,011 53,968 2,323 134,403 100,828 3,408 221,079 166,957
Middle Atlantic 190,966 8,727,545 6,679,025 198,796 11,114,019 8,582,935 278,006 18,392,020 14,290,928
New Jersey 39,741 1,795,252 1,374,199 46,582 2,706,642 2,098,689 77,068 5,247,082 4,095,126
New York 84,011 3,869,484 2,968,599 94,073 5,222,652 4,031,686 129,814 8,334,346 6,484,647
Pennsylvania 67,214 3,062,810 2,336,227 58,141 3,184,725 2,452,560 71,123 4,810,591 3,711,155
East North Central 178,252 7,526,281 5,711,398 202,748 10,835,911 8,301,058 287,975 19,244,169 14,818,771
Illinois 43,382 1,995,230 1,518,069 50,279 2,722,188 2,087,286 84,529 5,712,273 4,407,437
Indiana 19,724 855,441 642,446 27,376 1,418,457 1,079,378 38,589 2,574,392 1,976,913
Michigan 48,483 1,916,709 1,468,007 50,326 2,823,614 2,173,760 73,788 5,111,720 3,945,939
Ohio 47,701 2,011,679 1,522,281 50,755 2,722,161 2,085,982 63,723 4,172,156 3,207,844
Wisconsin 18,962 747,222 560,596 24,012 1,149,491 874,652 27,345 1,673,628 1,280,638
West North Central 69,790 2,693,967 2,024,254 86,209 4,213,384 3,209,083 112,402 7,191,572 5,514,064
Iowa 13,006 457,750 342,045 15,717 732,727 556,426 18,674 1,171,379 892,862
Kansas 10,888 451,677 342,214 13,030 671,147 514,252 18,373 1,191,468 917,373
Minnesota 11,608 438,052 323,989 16,548 798,015 603,082 17,699 1,167,440 888,449
Missouri 22,543 914,332 693,436 25,365 1,300,857 996,024 37,499 2,423,369 1,867,892
Nebraska 6,294 233,733 174,219 8,226 388,700 294,564 11,311 705,570 540,950
North Dakota 2,595 96,467 72,033 3,349 149,240 113,542 3,695 230,791 175,728
South Dakota 2,856 101,957 76,316 3,974 172,698 131,194 5,151 301,554 230,810
South Atlantic 216,862 9,345,787 7,164,358 270,430 14,646,480 11,291,572 427,892 28,325,952 21,962,008
Delaware 3,037 137,176 104,482 4,302 244,628 188,488 7,790 525,941 406,709
District of Columbia 2,620 121,120 93,475 2,346 136,917 105,493 3,045 221,389 171,953
Florida 96,578 4,399,081 3,410,771 105,141 6,100,419 4,747,090 163,215 11,277,264 8,814,204
Georgia 25,860 1,058,968 807,700 32,915 1,725,056 1,323,041 53,084 3,430,248 2,645,020
Maryland 18,896 883,554 679,402 22,693 1,316,285 1,014,698 37,456 2,620,309 2,026,685
North Carolina 26,228 1,014,093 763,647 40,027 1,960,603 1,494,488 66,319 4,077,609 3,146,266
South Carolina 13,834 515,359 386,450 21,862 1,117,181 855,190 36,709 2,322,800 1,793,745
Virginia 22,218 890,532 672,647 30,380 1,517,689 1,159,960 46,816 3,006,778 2,309,542
West Virginia 7,592 325,904 245,784 10,764 527,703 403,124 13,458 843,712 647,884
East South Central 70,461 2,797,568 2,129,747 91,596 4,658,756 3,566,213 139,839 8,515,736 6,571,022
Alabama 19,916 810,199 618,658 24,361 1,286,579 988,420 36,838 2,301,906 1,776,842
Kentucky 16,959 662,058 503,342 22,036 1,062,201 812,037 33,228 1,987,997 1,534,928
Mississippi 11,214 449,002 340,330 14,913 776,595 595,267 23,443 1,460,566 1,127,163
Tennessee 22,372 876,309 667,417 30,286 1,533,381 1,170,489 46,330 2,765,268 2,132,088
West South Central 104,249 4,415,507 3,375,452 134,444 6,928,068 5,349,132 215,132 13,860,057 10,739,604
Arkansas 12,311 487,744 367,896 15,708 781,724 599,631 22,596 1,367,704 1,052,012
Louisiana 17,967 798,002 610,958 19,622 1,058,214 816,817 26,474 1,761,717 1,359,082
Oklahoma 13,387 538,757 408,622 15,874 845,762 649,096 24,679 1,567,436 1,205,579
Texas 60,584 2,591,004 1,987,977 83,240 4,242,368 3,283,588 141,384 9,163,200 7,122,931
Mountain 43,230 1,899,807 1,443,957 53,859 2,986,527 2,286,851 91,082 6,347,128 4,884,471
Arizona 14,630 641,234 493,319 16,122 897,890 694,194 31,452 2,147,165 1,663,698
Colorado 9,017 368,183 280,001 10,021 545,066 417,340 17,972 1,261,635 973,064
Idaho 3,187 133,188 100,116 4,382 232,051 176,337 5,830 376,496 286,461
Montana 2,737 122,992 91,713 3,944 219,874 167,290 4,808 333,334 254,196
Nevada 4,744 239,310 183,265 6,605 374,374 287,238 12,490 905,576 698,618
New Mexico 4,111 178,573 134,253 5,218 293,417 224,310 8,385 605,263 463,282
Utah 3,580 158,473 117,886 5,657 320,886 241,885 7,412 524,507 398,090
Wyoming 1,224 57,853 43,405 1,910 102,968 78,257 2,734 193,153 147,061
Pacific 119,320 5,737,609 4,386,479 130,801 7,306,805 5,641,301 208,133 14,575,473 11,312,207
Alaska 599 30,305 22,675 964 60,128 45,822 1,912 166,074 126,829
California 91,760 4,561,912 3,504,741 99,393 5,621,663 4,358,871 159,288 11,263,051 8,777,446
Hawaii 2,517 112,138 83,062 3,642 180,404 134,791 4,721 278,269 209,164
Oregon 8,461 362,350 271,415 9,002 487,346 371,215 12,797 895,534 683,514
Washington 15,982 670,904 504,586 17,800 957,265 730,602 29,416 1,972,544 1,515,255
Outlying areas a 11,442 478,177 367,538 17,900 864,149 665,808 6,681 383,976 296,385
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2010
Census division and state or area 1991 2000 2010
Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars)
Total
All areas 17,176 9,433 21,537 16,732 24,222 46,662
United States 17,040 9,386 21,355 16,620 24,159 46,515
New England 1,060 587 1,237 937 1,513 2,987
Connecticut 233 142 274 225 316 591
Maine 124 45 168 117 193 391
Massachusetts 493 297 525 410 666 1,308
New Hampshire 80 37 120 79 163 349
Rhode Island 79 46 77 55 82 142
Vermont 51 21 74 52 93 205
Middle Atlantic 2,850 1,500 3,055 2,511 2,927 5,388
New Jersey 480 323 590 519 651 1,347
New York 1,163 602 1,348 1,249 1,222 2,251
Pennsylvania 1,207 575 1,118 743 1,054 1,790
East North Central 3,308 1,685 4,142 3,034 4,472 8,340
Illinois 834 407 1,015 725 1,250 2,268
Indiana 431 223 587 400 643 1,187
Michigan 754 393 1,003 807 1,128 2,096
Ohio 876 501 1,037 755 972 1,851
Wisconsin 413 161 500 348 479 938
West North Central 1,447 668 1,888 1,317 2,047 4,098
Iowa 280 120 366 254 366 716
Kansas 206 94 261 187 273 576
Minnesota 283 129 420 254 443 856
Missouri 442 214 520 384 605 1,195
Nebraska 125 62 174 130 189 396
North Dakota 52 24 69 48 82 169
South Dakota 60 24 77 60 88 190
South Atlantic 3,094 1,750 4,244 3,383 4,911 9,630
Delaware 47 19 68 57 99 177
District of Columbia 40 50 38 54 42 115
Florida 1,012 543 1,285 932 1,451 2,713
Georgia 401 243 571 465 679 1,335
Maryland 270 227 324 459 402 1,210
North Carolina 484 255 720 543 843 1,658
South Carolina 248 118 404 282 485 851
Virginia 407 226 590 426 671 1,148
West Virginia 185 69 245 164 239 423
East South Central 1,151 538 1,635 1,102 1,837 3,224
Alabama 308 155 424 261 482 776
Kentucky 284 126 399 228 477 830
Mississippi 192 92 292 254 334 707
Tennessee 366 165 520 360 543 911
West South Central 1,522 963 2,107 1,848 2,567 5,295
Arkansas 195 86 267 180 307 513
Louisiana 273 229 339 360 377 877
Oklahoma 218 105 294 210 360 596
Texas 836 542 1,206 1,098 1,523 3,309
Mountain 792 387 1,047 768 1,295 2,377
Arizona 201 180 233 169 311 584
Colorado 187 93 217 178 288 530
Idaho 75 29 108 74 120 235
Montana 66 4 101 64 113 221
Nevada 55 28 75 62 120 223
New Mexico 90 48 125 97 159 269
Utah 91 3 146 91 128 220
Wyoming 27 2 43 33 56 96
Pacific 1,816 1,308 2,000 1,720 2,589 5,177
Alaska 14 10 26 29 41 91
California 1,295 1,011 1,346 1,200 1,761 3,596
Hawaii 37 30 58 44 63 123
Oregon 195 91 225 143 246 439
Washington 275 166 345 303 478 928
Outlying areas a 136 47 182 112 64 146
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2012
State or area 1991 1995 2000 2005 2010 2011 2012
All areas 3,640,121 4,705,625 5,425,048 6,577,577 7,703,292 8,141,455 8,462,197
Alabama 97,601 116,916 136,860 169,460 179,668 188,259 193,339
Alaska 4,539 6,193 8,486 10,748 12,908 13,618 14,452
Arizona 28,650 44,236 57,712 110,977 140,079 148,603 155,930
Arkansas 64,996 77,660 79,606 89,372 106,343 111,043 115,117
California 646,108 747,814 818,846 1,012,804 1,103,853 1,144,369 1,174,838
Colorado 36,470 46,660 55,325 61,294 79,980 83,898 88,953
Connecticut 23,535 48,047 53,141 66,191 94,154 116,167 128,535
Delaware 4,499 6,645 10,737 17,104 22,060 23,312 24,445
District of Columbia 12,791 14,152 14,233 15,246 20,102 22,549 25,312
Florida 196,992 271,430 342,109 431,764 553,625 619,376 661,258
Georgia 128,976 160,380 176,596 205,476 233,528 252,360 266,563
Hawaii 11,529 16,695 20,326 23,703 28,864 29,998 31,682
Idaho 9,127 12,931 17,081 23,482 28,945 30,912 33,523
Illinois 94,434 137,571 155,743 206,014 255,529 272,257 286,124
Indiana 60,297 76,460 87,543 109,669 133,816 141,834 148,737
Iowa 41,170 48,517 51,976 60,458 72,562 74,694 76,947
Kansas 26,960 34,708 41,217 47,707 56,096 59,446 61,362
Kentucky 76,456 97,978 117,697 126,468 148,188 154,983 159,542
Louisiana 87,570 112,090 117,179 139,802 158,370 166,683 174,077
Maine 22,176 29,453 36,946 46,510 84,602 85,237 87,851
Maryland 48,028 58,865 65,372 79,234 98,268 104,892 110,449
Massachusetts 89,163 125,859 152,587 178,691 199,370 207,332 216,120
Michigan 91,340 123,948 145,172 170,044 205,521 217,064 225,275
Minnesota 39,366 52,192 63,607 79,428 91,630 95,704 98,504
Mississippi 90,530 108,577 107,495 135,023 136,915 142,257 146,667
Missouri 55,116 72,659 88,343 109,561 126,577 124,669 126,812
Montana 10,058 11,031 12,828 14,455 17,587 18,420 19,421
Nebraska 11,358 16,146 20,520 24,210 34,020 33,301 33,671
Nevada 8,657 14,227 19,155 27,408 35,035 38,904 42,900
New Hampshire 3,807 5,405 7,434 11,584 17,381 18,906 20,166
New Jersey 95,795 122,923 146,705 159,110 179,273 183,880 186,591
New Mexico 22,246 29,855 37,330 49,333 62,640 65,544 67,557
New York 255,952 325,882 369,479 465,068 531,060 559,720 579,244
North Carolina 117,656 186,328 223,402 251,739 278,325 287,885 296,129
North Dakota 4,639 5,560 5,908 6,757 8,464 8,687 8,700
Ohio 112,598 164,044 171,139 204,905 273,167 288,652 295,842
Oklahoma 51,457 60,080 67,413 75,903 86,586 90,595 93,125
Oregon 28,537 43,642 59,169 70,927 87,068 87,789 93,899
Pennsylvania 127,519 162,788 206,468 242,552 295,984 321,665 332,168
Rhode Island 10,585 15,517 19,787 26,311 28,782 29,906 29,900
South Carolina 78,701 95,970 112,232 118,843 129,489 134,833 140,412
South Dakota 9,399 12,346 13,146 14,534 16,148 16,569 16,882
Tennessee 116,861 148,391 182,342 218,894 215,868 228,105 234,498
Texas 234,169 314,991 360,191 440,938 514,153 547,345 570,944
Utah 10,263 13,506 16,231 21,787 27,064 30,087 31,955
Vermont 8,223 12,428 13,754 15,509 22,798 23,342 23,623
Virginia 77,898 102,964 113,259 131,083 155,647 161,997 168,028
Washington 54,774 71,531 97,390 113,233 143,398 152,270 157,459
West Virginia 28,086 39,720 46,305 54,200 65,324 67,811 69,123
Wisconsin 67,516 75,247 74,101 83,383 96,201 102,942 106,258
Wyoming 3,505 5,265 6,444 7,749 9,087 9,586 9,963
Outlying areas
Guam 443 669 417 409 693 719 795
Northern Mariana Islands 273 314 342 358 394 384 431
U.S. Virgin Islands 727 219 204 165 103 95 99
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2010
Census division and state or area Total Part D and RDS enrollees Medicare Part D RDS a
Total Stand-alone prescription drug plan (PDP) Medicare Advantage plan offering Part D coverage
Total
All areas 34,767,226 28,032,753 17,844,486 10,188,267 6,734,473
United States 34,257,024 27,545,506 17,792,414 9,753,092 6,711,518
New England 1,776,637 1,379,944 986,082 393,862 396,693
Connecticut 428,322 312,590 216,043 96,547 115,732
Maine 186,193 165,145 135,144 30,001 21,048
Massachusetts 801,468 610,364 420,237 190,127 191,104
New Hampshire 144,870 106,880 93,486 13,394 37,990
Rhode Island 135,258 123,050 62,759 60,291 12,208
Vermont 80,526 61,915 58,413 3,502 18,611
Middle Atlantic 5,053,555 3,900,681 2,246,936 1,653,745 1,152,874
New Jersey 988,661 693,280 556,572 136,708 295,381
New York 2,328,255 1,773,682 967,329 806,353 554,573
Pennsylvania 1,736,639 1,433,719 723,035 710,684 302,920
East North Central 5,530,310 3,912,630 2,856,562 1,056,068 1,617,680
Illinois 1,377,290 1,019,577 881,238 138,339 357,713
Indiana 748,088 573,337 447,120 126,217 174,751
Michigan 1,292,159 785,077 571,691 213,386 507,082
Ohio 1,486,971 1,043,010 649,215 393,795 443,961
Wisconsin 625,802 491,629 307,298 184,331 134,173
West North Central 2,422,202 2,117,095 1,529,454 587,641 305,107
Iowa 396,121 344,738 293,043 51,695 51,383
Kansas 298,468 268,358 226,948 41,410 30,110
Minnesota 609,128 536,012 282,053 253,959 73,116
Missouri 741,085 625,504 428,022 197,482 115,581
Nebraska 202,553 179,272 151,911 27,361 23,281
North Dakota 79,806 75,128 68,880 6,248 4,678
South Dakota 95,041 88,083 78,597 9,486 6,958
South Atlantic 6,651,552 5,368,500 3,598,220 1,770,280 1,283,052
Delaware 110,644 74,752 70,723 4,029 35,892
District of Columbia 41,764 37,386 29,998 7,388 4,378
Florida 2,476,114 2,032,733 1,063,463 969,270 443,381
Georgia 871,483 744,529 506,739 237,790 126,954
Maryland 492,356 356,912 299,848 57,064 135,444
North Carolina 1,116,578 878,279 650,745 227,534 238,299
South Carolina 544,363 417,174 317,306 99,868 127,189
Virginia 714,404 594,727 461,811 132,916 119,677
West Virginia 283,846 232,008 197,587 34,421 51,838
East South Central 2,305,028 1,954,185 1,424,037 530,148 350,843
Alabama 612,552 478,305 306,110 172,195 134,247
Kentucky 558,296 478,957 396,422 82,535 79,339
Mississippi 348,739 320,200 280,598 39,602 28,539
Tennessee 785,441 676,723 440,907 235,816 108,718
West South Central 3,419,698 2,792,184 1,964,942 827,242 627,514
Arkansas 370,294 320,829 256,370 64,459 49,465
Louisiana 512,450 422,317 271,773 150,544 90,133
Oklahoma 403,133 357,019 279,615 77,404 46,114
Texas 2,133,821 1,692,019 1,157,184 534,835 441,802
Mountain 2,086,107 1,750,381 907,608 842,773 335,726
Arizona 673,712 566,152 244,868 321,284 107,560
Colorado 445,076 364,195 175,346 188,849 80,881
Idaho 155,685 133,676 82,389 51,287 22,009
Montana 112,007 96,260 74,666 21,594 15,747
Nevada 242,882 197,096 92,813 104,283 45,786
New Mexico 216,843 191,755 117,814 73,941 25,088
Utah 189,593 158,329 80,534 77,795 31,264
Wyoming 50,309 42,918 39,178 3,740 7,391
Pacific 5,011,935 4,369,906 2,278,573 2,091,333 642,029
Alaska 41,813 25,041 24,666 375 16,772
California 3,719,766 3,276,712 1,655,498 1,621,214 443,054
Hawaii 143,612 135,717 59,179 76,538 7,895
Oregon 446,865 400,307 185,608 214,699 46,558
Washington 659,879 532,129 353,622 178,507 127,750
Outlying areas b 510,202 487,247 52,072 435,175 22,955
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2010
Census division and state or area Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDSa Other creditable coverage b (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low-income subsidy c Partial low-income subsidy d No low-income subsidy
Total
All areas 47,664,048 28,032,753 9,975,966 429,705 17,627,082 6,734,473 6,187,417 6,709,405
United States 46,584,745 27,545,506 9,960,062 429,291 17,156,153 6,711,518 6,121,054 6,206,667
New England 2,411,206 1,379,944 581,523 16,540 781,881 396,693 295,698 338,871
Connecticut 567,517 312,590 125,401 1,953 185,236 115,732 62,667 76,528
Maine 264,883 165,145 93,130 413 71,602 21,048 36,427 42,263
Massachusetts 1,061,049 610,364 258,566 8,984 342,814 191,104 120,191 139,390
New Hampshire 223,259 106,880 35,650 2,027 69,203 37,990 35,748 42,641
Rhode Island 182,972 123,050 41,491 2,250 79,309 12,208 25,187 22,527
Vermont 111,526 61,915 27,285 913 33,717 18,611 15,478 15,522
Middle Atlantic 6,598,652 3,900,681 1,428,764 60,581 2,411,336 1,152,874 710,168 834,929
New Jersey 1,327,012 693,280 228,076 12,495 452,709 295,381 150,902 187,449
New York 2,988,430 1,773,682 780,529 23,495 969,658 554,573 289,260 370,915
Pennsylvania 2,283,210 1,433,719 420,159 24,591 988,969 302,920 270,006 276,565
East North Central 7,307,860 3,912,630 1,323,842 62,025 2,526,763 1,617,680 764,604 1,012,946
Illinois 1,839,383 1,019,577 360,249 17,613 641,715 357,713 203,178 258,915
Indiana 1,005,734 573,337 181,170 10,483 381,684 174,751 121,943 135,703
Michigan 1,651,222 785,077 290,282 14,072 480,723 507,082 137,106 221,957
Ohio 1,900,576 1,043,010 340,992 16,213 685,805 443,961 193,115 220,490
Wisconsin 910,945 491,629 151,149 3,644 336,836 134,173 109,262 175,881
West North Central 3,265,349 2,117,095 574,188 28,697 1,514,210 305,107 459,102 384,045
Iowa 517,427 344,738 83,693 4,236 256,809 51,383 68,277 53,029
Kansas 432,755 268,358 70,571 4,181 193,606 30,110 71,107 63,180
Minnesota 785,852 536,012 134,017 5,628 396,367 73,116 96,135 80,589
Missouri 1,004,371 625,504 203,040 9,830 412,634 115,581 137,586 125,700
Nebraska 279,073 179,272 44,020 2,418 132,834 23,281 43,889 32,631
North Dakota 109,307 75,128 17,266 1,127 56,735 4,678 16,653 12,848
South Dakota 136,564 88,083 21,581 1,277 65,225 6,958 25,455 16,068
South Atlantic 9,408,316 5,368,500 1,951,161 97,211 3,320,128 1,283,052 1,481,108 1,275,656
Delaware 149,288 74,752 25,341 1,344 48,067 35,892 20,178 18,466
District of Columbia 78,134 37,386 23,972 291 13,123 4,378 19,689 16,681
Florida 3,374,563 2,032,733 662,786 25,764 1,344,183 443,381 471,477 426,972
Georgia 1,235,730 744,529 299,362 14,562 430,605 126,954 193,377 170,870
Maryland 784,770 356,912 129,002 6,397 221,513 135,444 157,294 135,120
North Carolina 1,489,840 878,279 346,392 20,661 511,226 238,299 195,937 177,325
South Carolina 773,702 417,174 172,543 10,747 233,884 127,189 127,272 102,067
Virginia 1,140,524 594,727 204,331 12,151 378,245 119,677 244,510 181,610
West Virginia 381,765 232,008 87,432 5,294 139,282 51,838 51,374 46,545
East South Central 3,160,291 1,954,185 865,224 42,695 1,046,266 350,843 454,569 400,694
Alabama 845,266 478,305 220,965 11,856 245,484 134,247 136,185 96,529
Kentucky 759,956 478,957 195,369 11,104 272,484 79,339 98,529 103,131
Mississippi 497,155 320,200 162,875 6,246 151,079 28,539 78,125 70,291
Tennessee 1,057,914 676,723 286,015 13,489 377,219 108,718 141,730 130,743
West South Central 4,822,624 2,792,184 1,172,335 56,935 1,562,914 627,514 712,183 690,743
Arkansas 531,404 320,829 134,682 7,520 178,627 49,465 88,307 72,803
Louisiana 686,727 422,317 194,225 8,384 219,708 90,133 81,294 92,983
Oklahoma 603,461 357,019 124,885 6,834 225,300 46,114 102,568 97,760
Texas 3,001,032 1,692,019 718,543 34,197 939,279 441,802 440,014 427,197
Mountain 2,987,491 1,750,381 499,127 25,157 1,226,097 335,726 482,065 419,319
Arizona 930,211 566,152 166,972 7,015 392,165 107,560 138,549 117,950
Colorado 624,824 364,195 98,209 5,016 260,970 80,881 97,519 82,229
Idaho 229,797 133,676 37,108 2,144 94,424 22,009 37,311 36,801
Montana 169,503 96,260 26,201 2,125 67,934 15,747 28,919 28,577
Nevada 356,618 197,096 51,487 3,172 142,437 45,786 63,386 50,350
New Mexico 313,427 191,755 71,091 2,982 117,682 25,088 50,940 45,644
Utah 283,032 158,329 36,980 2,066 119,283 31,264 50,132 43,307
Wyoming 80,079 42,918 11,079 637 31,202 7,391 15,309 14,461
Pacific 6,622,956 4,369,906 1,563,898 39,450 2,766,558 642,029 761,557 849,464
Alaska 65,691 25,041 14,987 275 9,779 16,772 11,519 12,359
California 4,757,352 3,276,712 1,242,253 25,711 2,008,748 443,054 477,129 560,457
Hawaii 206,487 135,717 37,187 1,513 97,017 7,895 33,275 29,600
Oregon 621,067 400,307 102,026 5,485 292,796 46,558 84,854 89,348
Washington 972,359 532,129 167,445 6,466 358,218 127,750 154,780 157,700
Outlying areas e 1,079,303 487,247 15,904 414 470,929 22,955 66,363 502,738
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
c. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
d. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.