Annual Statistical Supplement, 2013

 

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 1990–2011
Type of coverage and service 1990 1995 2000 2005 2010 2011
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 47,664 48,849
Hospital Insurance 33,719 37,135 39,211 42,129 47,316 48,511
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 43,954 44,944
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,910 36,458
Hospital Insurance -- -- 32,329 36,318 35,572 36,132
Supplementary Medical Insurance -- -- 30,478 33,916 32,200 32,553
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 32,866 32,791
Hospital Insurance 7,036 8,036 7,325 8,307 8,267 7,719
Inpatient hospital 6,543 6,964 6,917 7,710 7,485 6,848
Skilled nursing services 638 1,233 1,468 1,847 1,839 1,864
Home health services b 1,936 3,427 1,444 1,752 1,722 1,720
Hospice services -- -- 541 871 1,157 1,213
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 31,923 32,347
Physicians' and other medical services 26,350 26,539 28,763 32,709 31,415 31,792
Outpatient services 15,511 19,709 21,029 24,423 23,667 24,162
Home health services b 38 41 1,190 1,370 1,883 1,901
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 915 899
Hospital Insurance 209 216 227 229 232 214
Inpatient hospital 194 188 214 212 210 190
Skilled nursing services 19 33 45 51 52 52
Home health services b 57 92 45 48 48 48
Hospice services -- -- 17 24 33 34
Supplementary Medical Insurance 826 848 962 979 991 994
Physicians' and other medical services 808 744 944 964 976 977
Outpatient services 475 552 690 720 735 742
Home health services b 1 1 39 40 58 58
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 331,129 340,543
Hospital Insurance 62,347 101,835 101,663 149,392 176,224 179,690
Inpatient hospital 56,716 78,944 85,197 116,647 128,728 128,859
Skilled nursing services 1,971 7,799 10,621 18,964 27,258 30,259
Home health services b 3,660 15,092 2,918 5,916 7,252 6,867
Hospice services -- -- 2,927 7,864 12,986 13,704
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 154,906 160,853
Physicians' and other medical services 30,222 41,617 51,474 83,838 95,087 97,886
Outpatient services 8,773 15,328 16,787 33,931 47,573 51,367
Home health services b 78 200 4,338 6,982 12,245 11,600
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 10,075 10,385
Hospital Insurance 8,862 12,672 13,878 17,984 21,315 23,278
Inpatient hospital 8,668 11,336 12,318 15,130 17,197 18,816
Skilled nursing services 3,092 6,325 7,235 10,267 14,820 16,231
Home health services b 1,890 4,403 2,021 3,377 4,211 3,993
Hospice services -- -- 5,409 9,027 11,220 11,294
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,853 4,973
Physicians' and other medical services 1,147 1,409 1,709 2,563 3,027 3,079
Outpatient services 566 778 798 1,389 2,010 2,126
Home health services b 2,031 4,837 3,644 5,098 6,504 6,102
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 9,221 9,341
Hospital Insurance 1,849 2,742 3,145 4,113 4,954 4,973
Inpatient hospital 1,682 2,126 2,635 3,212 3,619 3,566
Skilled nursing services 58 210 329 522 766 837
Home health services b 109 406 90 163 204 190
Hospice services -- -- 91 217 365 379
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,811 4,452
Physicians' and other medical services 926 1,166 1,689 2,472 2,953 2,709
Outpatient services 269 430 551 1,000 1,477 1,422
Home health services b 2 6 142 206 380 321
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.
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 1990–2011
Type of coverage and service 1990 1995 2000 2005 2010 2011
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 39,631 40,474
Hospital Insurance 30,464 32,742 33,841 35,407 39,283 40,136
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 36,768 37,432
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 29,291 29,627
Hospital Insurance -- -- 27,422 30,033 28,954 29,301
Supplementary Medical Insurance -- -- 26,174 28,402 26,429 26,585
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,927 26,619
Hospital Insurance 6,367 7,147 6,361 7,016 6,857 6,350
Inpatient hospital 5,906 6,148 5,975 6,455 6,123 5,533
Skilled nursing services 615 1,186 1,390 1,719 1,683 1,695
Home health services b 1,818 3,185 1,325 1,574 1,508 1,501
Hospice services -- -- 514 825 1,096 1,148
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 26,113 26,240
Physicians' and other medical services 24,193 26,621 24,846 27,468 25,764 25,862
Outpatient services 14,055 17,597 18,159 20,436 19,248 19,503
Home health services b 38 42 1,081 1,214 1,624 1,637
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 919 898
Hospital Insurance 209 218 232 234 237 217
Inpatient hospital 194 188 218 215 211 189
Skilled nursing services 21 36 51 57 58 58
Home health services b 60 97 48 52 52 51
Hospice services -- -- 19 27 38 39
Supplementary Medical Insurance 832 858 965 979 988 987
Physicians' and other medical services 815 839 949 967 975 973
Outpatient services 474 554 694 720 728 734
Home health services b 1 1 41 43 61 62
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 267,696 274,272
Hospital Insurance 54,244 89,631 87,549 125,993 144,671 147,006
Inpatient hospital 48,952 68,213 72,041 95,557 101,060 100,440
Skilled nursing services 1,886 7,504 10,066 17,666 24,887 27,500
Home health services b 3,406 13,914 2,679 5,333 6,399 6,045
Hospice services -- -- 2,763 7,436 12,325 13,021
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 123,025 127,267
Physicians' and other medical services 27,379 37,069 44,506 70,111 77,559 79,723
Outpatient services 7,077 12,045 12,588 25,385 34,975 37,640
Home health services b 78 203 3,845 6,106 10,490 9,904
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 9,942 10,304
Hospital Insurance 8,520 12,542 13,763 17,958 21,097 23,152
Inpatient hospital 8,289 11,096 12,057 14,804 16,504 18,152
Skilled nursing services 3,068 6,325 7,242 10,277 14,791 16,226
Home health services b 1,874 4,368 2,022 3,388 4,244 4,028
Hospice services -- -- 5,375 9,015 11,250 11,343
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,711 4,850
Physicians' and other medical services 1,132 1,392 1,791 2,552 3,010 3,083
Outpatient services 503 684 693 1,242 1,817 1,930
Home health services b 2,033 4,862 3,557 5,030 6,458 6,051
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 9,139 9,258
Hospital Insurance 1,781 2,738 3,193 4,195 4,997 5,017
Inpatient hospital 1,607 2,083 2,627 3,182 3,490 3,428
Skilled nursing services 62 229 367 588 860 939
Home health services b 112 425 98 178 221 206
Hospice services -- -- 101 248 426 444
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 4,655 4,787
Physicians' and other medical services 922 1,168 1,700 2,469 2,935 2,999
Outpatient services 238 379 481 894 1,323 1,416
Home health services b 3 6 147 215 397 373
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.
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 1990–2011
Type of coverage and service 1990 1995 2000 2005 2010 2011
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 8,033 8,375
Hospital Insurance 3,255 4,393 5,370 6,722 8,032 8,375
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 7,185 7,512
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,619 6,831
Hospital Insurance -- -- 4,907 6,285 6,619 6,831
Supplementary Medical Insurance -- -- 4,304 5,514 5,772 5,968
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,939 6,172
Hospital Insurance 680 933 964 1,291 1,410 1,370
Inpatient hospital 644 844 942 1,255 1,362 1,315
Skilled nursing services 23 54 78 128 157 169
Home health services b 122 272 119 178 215 219
Hospice services -- -- 27 46 62 66
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,809 6,107
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,651 5,931
Outpatient services 1,496 2,281 2,870 3,987 4,419 4,660
Home health services b c c 110 156 258 264
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 897 904
Hospital Insurance 209 212 196 205 213 201
Inpatient hospital 198 192 192 200 206 193
Skilled nursing services 7 12 16 20 24 25
Home health services b 38 62 24 28 32 32
Hospice services -- -- 6 7 9 10
Supplementary Medical Insurance 804 837 943 976 1,007 1,023
Physicians' and other medical services 764 808 910 950 979 994
Outpatient services 508 579 667 723 766 781
Home health services b c c 26 28 45 44
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 63,434 66,271
Hospital Insurance 6,694 12,752 14,114 23,399 31,553 32,684
Inpatient hospital 6,346 11,079 13,156 21,091 27,668 28,419
Skilled nursing services 85 374 555 1,297 2,371 2,759
Home health services b 264 1,300 239 583 853 822
Hospice services -- -- 164 428 661 683
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 31,881 33,587
Physicians' and other medical services 2,831 4,888 6,968 13,727 17,528 18,163
Outpatient services 1,714 3,384 4,198 8,547 12,598 13,726
Home health services b c c 493 877 1,755 1,697
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 10,680 10,737
Hospital Insurance 9,847 13,666 14,641 18,124 22,377 23,861
Inpatient hospital 9,849 13,126 13,966 16,808 20,315 21,609
Skilled nursing services 3,702 6,959 7,115 10,127 15,130 16,281
Home health services b 2,156 4,777 2,008 3,280 3,975 3,754
Hospice services -- -- 6,074 9,223 10,683 10,432
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 5,488 5,500
Physicians' and other medical services 1,259 1,535 1,779 2,619 3,102 3,063
Outpatient services 1,146 1,483 1,463 2,144 2,851 2,946
Home health services b c c 4,482 5,631 6,789 6,419
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 9,583 9,701
Hospital Insurance 2,057 2,903 2,876 3,723 4,767 4,785
Inpatient hospital 1,950 2,522 2,681 3,356 4,180 4,160
Skilled nursing services 26 85 113 206 358 404
Home health services b 81 296 49 93 129 120
Hospice services -- -- 33 68 100 100
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 5,524 5,628
Physicians' and other medical services 962 1,240 1,619 2,489 3,037 3,043
Outpatient services 582 858 975 1,550 2,183 2,300
Home health services b c c 115 159 304 284
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.
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, 2000–2012, selected years (in thousands)
Census division and state or area 2000 2010 2011 2012
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 34,247 27,840 6,407 39,631 29,291 10,340 40,474 29,627 10,847 42,204 30,340 11,864
United States a 33,540 27,137 6,403 38,742 28,736 10,006 39,559 29,067 10,492 41,255 29,769 11,487
New England 1,836 1,449 387 1,996 1,595 401 2,030 1,629 401 2,113 1,676 436
Connecticut 457 356 101 489 393 96 496 392 104 514 395 118
Maine 180 178 2 209 178 31 213 178 35 223 181 42
Massachusetts 828 601 227 875 679 196 891 706 184 926 730 196
New Hampshire 147 145 2 183 167 16 186 173 13 196 184 12
Rhode Island 148 94 54 149 91 58 151 92 59 156 95 61
Vermont 76 76 (F) 91 87 5 93 87 6 98 91 7
Middle Atlantic 5,263 4,078 1,186 5,560 3,841 1,720 5,629 3,867 1,763 5,820 3,934 1,886
New Jersey 1,067 905 162 1,146 997 149 1,164 1,008 157 1,206 1,024 181
New York 2,334 1,871 463 2,499 1,693 806 2,536 1,699 837 2,623 1,719 904
Pennsylvania 1,863 1,302 561 1,915 1,151 764 1,929 1,160 769 1,992 1,190 801
East North Central 5,541 4,948 593 6,092 4,721 1,370 6,177 4,644 1,533 6,405 4,703 1,702
Illinois 1,435 1,263 172 1,564 1,406 158 1,586 1,433 153 1,642 1,465 177
Indiana 735 703 32 827 684 143 839 684 155 870 693 178
Michigan 1,201 1,128 73 1,344 1,103 240 1,365 997 368 1,418 1,014 404
Ohio 1,478 1,206 272 1,586 1,002 583 1,603 1,004 599 1,661 1,001 660
Wisconsin 693 649 43 771 526 246 784 527 258 814 530 284
West North Central 2,518 2,252 266 2,753 2,101 652 2,786 2,093 693 2,883 2,116 767
Iowa 426 410 16 446 384 62 449 387 62 462 395 68
Kansas 347 319 28 366 324 42 370 325 45 383 333 50
Minnesota 582 496 86 674 361 312 686 345 341 715 340 375
Missouri 736 612 124 812 625 187 822 629 193 851 638 213
Nebraska 227 217 10 240 211 29 242 214 28 250 219 31
North Dakota 93 92 1 95 87 8 96 85 11 98 85 13
South Dakota 106 106 1 119 109 10 120 107 13 124 107 17
South Atlantic 6,430 5,510 920 7,802 6,087 1,715 8,009 6,197 1,811 8,401 6,373 2,028
Delaware 98 93 5 124 120 5 128 123 5 135 128 7
District of Columbia 65 59 6 65 58 7 66 59 7 68 60 8
Florida 2,507 1,815 692 2,911 2,015 896 2,983 2,019 964 3,114 2,040 1,074
Georgia 752 702 50 990 766 224 1,023 782 241 1,083 809 274
Maryland 571 504 67 673 617 56 689 631 58 722 658 63
North Carolina 941 897 44 1,190 968 222 1,223 996 227 1,288 1,031 257
South Carolina 464 463 2 615 519 97 635 534 101 671 554 117
Virginia 762 730 32 947 812 135 973 839 134 1,022 872 150
West Virginia 270 247 23 286 213 74 289 215 74 299 220 79
East South Central 2,061 1,930 131 2,410 1,933 477 2,455 1,965 489 2,557 2,014 543
Alabama 558 507 51 639 505 134 649 518 131 674 534 140
Kentucky 491 460 31 566 470 97 576 472 103 599 485 114
Mississippi 330 325 5 372 336 36 378 341 37 393 348 44
Tennessee 682 638 44 833 623 210 851 633 218 891 646 244
West South Central 3,276 2,754 522 3,930 3,160 770 4,027 3,225 802 4,209 3,280 929
Arkansas 359 342 17 406 350 56 411 353 58 425 359 66
Louisiana 497 404 93 539 399 140 549 406 143 571 415 156
Oklahoma 438 388 50 488 412 77 495 417 77 512 427 84
Texas 1,982 1,620 362 2,497 2,000 497 2,572 2,049 524 2,702 2,079 623
Mountain 1,914 1,400 514 2,530 1,715 815 2,612 1,773 838 2,757 1,853 903
Arizona 596 371 225 788 506 282 814 524 290 858 550 307
Colorado 403 253 151 535 345 189 555 359 196 589 377 212
Idaho 145 129 16 193 133 60 198 138 60 209 143 66
Montana 119 118 (F) 144 117 27 147 124 23 154 129 25
Nevada 212 139 73 304 206 98 316 214 102 336 225 111
New Mexico 200 159 41 256 187 69 263 189 74 275 193 81
Utah 183 176 7 242 157 85 249 160 89 262 168 94
Wyoming 57 56 2 69 64 5 70 66 4 74 69 4
Pacific 4,692 2,808 1,884 5,665 3,580 2,085 5,831 3,670 2,162 6,111 3,820 2,292
Alaska 35 35 (F) 54 53 1 56 56 1 60 60 1
California 3,430 1,947 1,483 4,081 2,528 1,552 4,200 2,584 1,616 4,394 2,702 1,692
Hawaii 151 98 53 184 104 80 189 105 84 197 107 90
Oregon 433 260 173 527 297 231 542 311 231 570 324 246
Washington 643 468 175 818 598 221 844 614 230 890 627 262
Unknown 9 8 1 3 3 (F) 3 3 (F) 3 3 (F)
Outlying areas
Puerto Rico 401 400 1 506 175 331 520 169 351 536 163 373
U.S. Virgin Islands 9 9 (F) 14 14 (F) 15 15 (F) 16 16 (F)
Other 9 9 (F) 14 14 (F) 15 15 (F) 16 15 (F)
Foreign countries 288 285 3 355 352 3 365 362 3 379 375 4
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
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, 2000–2012, selected years (in thousands)
Census division and state or area 2000 2010 2011 2012
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 5,373 4,913 460 8,033 6,619 1,414 8,375 6,831 1,544 8,624 6,874 1,750
United States a 5,219 4,759 459 7,847 6,540 1,307 8,185 6,753 1,432 8,427 6,797 1,629
New England 284 265 19 415 390 25 431 404 27 442 411 30
Connecticut 57 53 4 78 70 8 81 72 9 82 71 11
Maine 36 36 (F) 56 54 2 58 55 3 59 56 3
Massachusetts 131 120 11 186 179 7 194 187 8 199 191 8
New Hampshire 23 23 (F) 41 39 2 43 41 2 44 43 1
Rhode Island 24 20 4 34 29 5 35 30 5 36 30 6
Vermont 13 13 (F) 20 20 (F) 21 21 (F) 22 21 1
Middle Atlantic 729 655 73 1,039 819 220 1,076 841 235 1,100 838 262
New Jersey 133 124 9 181 163 18 187 167 20 192 164 28
New York 366 334 31 490 392 98 505 400 105 515 397 118
Pennsylvania 230 197 33 368 264 104 383 274 110 393 278 115
East North Central 823 773 50 1,216 1,080 136 1,276 1,117 159 1,318 1,228 189
Illinois 195 180 15 276 256 20 286 266 20 293 269 24
Indiana 117 114 3 179 158 21 188 164 24 194 166 29
Michigan 200 193 7 307 279 29 324 285 39 337 290 47
Ohio 221 199 23 315 269 46 331 279 52 342 279 63
Wisconsin 90 88 2 139 118 21 147 123 24 152 125 27
West North Central 339 324 14 513 456 57 533 472 61 550 479 71
Iowa 50 49 1 71 66 6 74 67 6 75 68 7
Kansas 43 42 2 66 61 5 69 64 5 71 65 6
Minnesota 72 70 1 112 97 15 117 101 16 121 105 17
Missouri 124 115 10 192 168 24 201 174 27 207 175 33
Nebraska 26 26 1 39 35 4 40 36 5 41 36 5
North Dakota 10 10 (F) 14 13 1 14 13 1 15 14 1
South Dakota 13 13 (F) 18 17 1 18 17 1 19 17 1
South Atlantic 1,082 998 84 1,606 1,325 281 1,677 1,369 308 1,727 1,372 355
Delaware 15 14 (F) 25 24 1 26 25 1 26 25 2
District of Columbia 10 9 (F) 13 12 1 14 13 1 14 14 1
Florida 316 253 63 463 343 120 489 355 133 507 352 155
Georgia 167 161 6 246 207 38 258 215 43 268 217 51
Maryland 75 70 5 112 104 8 118 110 8 123 113 10
North Carolina 195 191 4 300 258 42 310 265 46 316 265 51
South Carolina 105 105 (F) 159 131 27 165 135 30 169 134 35
Virginia 133 130 3 194 162 31 200 167 33 205 169 36
West Virginia 67 64 3 95 82 13 97 84 13 98 84 14
East South Central 498 482 16 750 616 134 779 634 145 800 639 162
Alabama 128 119 9 206 159 47 215 168 47 222 169 53
Kentucky 132 128 4 193 167 26 201 173 28 205 179 26
Mississippi 89 88 (F) 125 113 12 129 116 13 131 116 15
Tennessee 149 146 3 225 175 50 235 178 57 242 175 68
West South Central 541 492 50 892 743 149 936 774 163 971 780 190
Arkansas 80 78 2 126 106 20 131 109 22 134 108 26
Louisiana 104 92 12 147 124 23 153 128 25 159 130 29
Oklahoma 70 65 4 115 101 14 120 105 15 124 107 16
Texas 288 256 31 504 412 92 532 431 101 555 436 119
Mountain 286 240 46 457 342 115 480 356 124 497 358 138
Arizona 85 62 24 142 88 54 148 90 58 152 88 64
Colorado 65 53 11 90 70 20 95 74 21 99 76 23
Idaho 21 20 1 37 30 7 39 31 8 41 32 9
Montana 18 18 (F) 26 22 3 27 24 3 28 24 4
Nevada 31 24 7 53 42 10 56 45 11 58 45 13
New Mexico 34 31 3 57 48 9 60 50 10 62 50 12
Utah 24 23 (F) 41 31 10 43 32 12 46 32 14
Wyoming 8 8 (F) 11 11 1 12 11 1 12 11 1
Pacific 636 529 107 958 769 189 996 787 209 1,022 790 232
Alaska 7 7 (F) 12 12 (F) 12 12 (F) 13 13 (F)
California 464 378 86 676 544 133 701 554 147 717 558 159
Hawaii 15 14 1 22 17 6 23 17 7 24 16 8
Oregon 58 46 11 94 66 27 99 70 28 102 72 30
Washington 93 84 9 154 131 23 161 134 27 166 132 35
Unknown 1 1 (F) (F) (F) (F) (F) (F) (F) (F) (F) (F)
Outlying areas
Puerto Rico 136 136 (F) 164 58 107 168 56 112 175 54 120
U.S. Virgin Islands 1 1 (F) 2 2 (F) 2 2 (F) 2 2 (F)
Other 2 2 (F) 3 3 (F) 3 3 (F) 3 3 (F)
Foreign countries 15 15 (F) 17 16 (F) 17 17 (F) 17 17 (F)
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
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, 2000–2012, selected years (in thousands)
Census division and state or area 2000 2010 2011 2012
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 39,620 32,753 6,867 47,664 35,910 11,754 48,849 36,458 12,391 50,829 37,214 13,614
United States a 38,759 31,896 6,863 46,588 35,276 11,313 47,744 35,821 11,924 49,682 36,566 13,116
New England 2,120 1,714 405 2,411 1,985 427 2,461 2,034 428 2,555 2,088 467
Connecticut 514 409 105 568 463 104 577 464 113 595 466 129
Maine 217 214 2 265 231 33 271 234 37 282 237 45
Massachusetts 958 721 237 1,061 858 203 1,085 893 192 1,126 921 205
New Hampshire 170 167 3 223 206 18 229 214 15 241 227 13
Rhode Island 172 114 58 183 120 63 186 122 64 191 125 67
Vermont 89 89 (F) 112 107 5 115 108 7 120 112 8
Middle Atlantic 5,992 4,733 1,259 6,599 4,659 1,939 6,705 4,707 1,998 6,921 4,772 2,148
New Jersey 1,200 1,029 170 1,327 1,160 167 1,352 1,175 177 1,398 1,188 209
New York 2,699 2,206 494 2,988 2,085 904 3,041 2,099 942 3,138 2,116 1,022
Pennsylvania 2,093 1,498 595 2,283 1,415 869 2,312 1,433 879 2,385 1,468 917
East North Central 6,364 5,722 643 7,308 5,801 1,506 7,453 5,761 1,692 7,723 5,831 1,891
Illinois 1,630 1,443 187 1,839 1,662 178 1,872 1,699 173 1,935 1,734 200
Indiana 852 816 35 1,006 842 164 1,027 848 179 1,065 858 206
Michigan 1,401 1,320 80 1,651 1,382 269 1,689 1,282 408 1,754 1,303 451
Ohio 1,699 1,405 295 1,901 1,271 629 1,934 1,283 651 2,003 1,280 723
Wisconsin 783 737 46 911 644 267 931 650 281 966 655 311
West North Central 2,857 2,576 281 3,265 2,557 709 3,319 2,565 754 3,433 2,595 837
Iowa 476 459 17 517 449 68 523 455 68 537 463 75
Kansas 390 360 30 433 385 48 439 389 50 454 398 56
Minnesota 654 566 88 786 458 328 804 446 357 836 444 392
Missouri 861 727 133 1,004 793 211 1,022 802 220 1,058 812 246
Nebraska 253 243 11 279 246 34 283 250 33 291 255 37
North Dakota 103 102 1 109 100 9 110 98 12 112 99 14
South Dakota 119 119 1 137 125 11 139 124 14 143 125 18
South Atlantic 7,512 6,508 1,004 9,408 7,412 1,997 9,685 7,566 2,119 10,128 7,745 2,383
Delaware 112 107 5 149 144 6 154 148 6 161 153 9
District of Columbia 75 68 7 78 70 8 80 72 8 82 74 8
Florida 2,823 2,068 754 3,375 2,359 1,016 3,472 2,374 1,097 3,621 2,392 1,229
Georgia 918 863 56 1,236 973 262 1,281 997 284 1,351 1,026 325
Maryland 646 574 72 785 721 64 807 741 66 845 772 73
North Carolina 1,136 1,088 48 1,490 1,225 265 1,533 1,261 273 1,604 1,296 308
South Carolina 570 568 2 774 650 124 799 669 131 840 688 152
Virginia 895 860 35 1,141 974 166 1,173 1,006 167 1,227 1,041 186
West Virginia 337 312 26 382 295 87 386 299 87 397 303 93
East South Central 2,559 2,411 147 3,160 2,549 611 3,234 2,600 635 3,357 2,653 705
Alabama 686 626 60 845 664 181 864 686 178 896 703 193
Kentucky 623 588 35 760 637 123 777 645 132 804 664 140
Mississippi 419 413 6 497 450 48 507 457 49 524 464 60
Tennessee 831 784 47 1,058 798 260 1,086 811 275 1,133 821 312
West South Central 3,817 3,246 571 4,823 3,903 919 4,964 3,999 965 5,180 4,060 1,120
Arkansas 439 420 19 531 456 76 542 462 80 559 466 92
Louisiana 601 496 105 687 524 163 703 535 168 729 544 185
Oklahoma 508 453 54 603 512 91 615 523 92 636 535 101
Texas 2,269 1,876 393 3,001 2,412 589 3,104 2,480 624 3,256 2,515 742
Mountain 2,200 1,640 560 2,987 2,057 930 3,092 2,129 963 3,252 2,212 1,041
Arizona 681 433 248 930 594 336 962 614 349 1,009 638 371
Colorado 468 306 162 625 415 209 650 433 217 688 453 236
Idaho 166 149 17 230 163 67 238 170 68 250 175 75
Montana 137 136 1 170 139 30 174 148 26 182 153 29
Nevada 243 163 80 357 249 108 372 258 114 394 270 124
New Mexico 234 190 44 313 235 79 322 238 84 336 244 93
Utah 206 199 7 283 188 96 292 192 101 307 199 108
Wyoming 65 64 2 80 75 5 82 77 5 86 81 5
Pacific 5,328 3,337 1,991 6,623 4,349 2,274 6,828 4,457 2,371 7,133 4,610 2,523
Alaska 42 42 (F) 66 65 1 69 68 1 73 72 1
California 3,894 2,325 1,569 4,757 3,072 1,685 4,901 3,138 1,763 5,111 3,260 1,851
Hawaii 165 111 54 206 121 86 213 122 91 222 123 99
Oregon 491 307 184 621 363 258 640 381 259 672 396 276
Washington 736 553 183 972 728 244 1,005 747 257 1,056 759 297
Unknown 10 9 1 4 3 (F) 4 3 (F) 3 3 (F)
Outlying areas
Puerto Rico 537 536 1 670 233 438 688 224 464 711 217 493
U.S. Virgin Islands 10 10 (F) 16 16 (F) 17 17 (F) 17 17 (F)
Other 11 11 (F) 17 17 (F) 18 18 (F) 19 19 (F)
Foreign countries 303 300 3 372 369 3 382 379 3 396 392 4
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
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, 2000–2012, selected years (in thousands)
Age, sex, and race 2000 2010 2011 2012
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 34,247 27,840 6,407 39,631 29,291 10,340 40,474 29,627 10,847 42,204 30,340 11,864
Age
65–69 9,166 7,360 1,806 12,096 9,046 3,050 12,458 9,274 3,183 13,566 9,979 3,587
70–74 8,609 6,878 1,731 9,138 6,602 2,536 9,431 6,723 2,709 9,830 6,831 2,999
75–79 7,284 5,902 1,381 7,169 5,146 2,023 7,230 5,135 2,095 7,334 5,108 2,226
80–84 4,868 4,010 859 5,617 4,145 1,472 5,627 4,097 1,530 5,617 4,001 1,616
85 or older 4,320 3,690 630 5,612 4,352 1,259 5,728 4,398 1,330 5,857 4,422 1,435
Sex
Men 14,109 11,421 2,688 17,167 12,770 4,398 17,615 12,998 4,617 18,484 13,413 5,070
Women 20,138 16,419 3,719 22,464 16,521 5,943 22,859 16,629 6,230 23,721 16,927 6,794
Race
White 29,752 24,251 5,502 33,581 25,020 8,561 34,157 25,210 8,946 35,480 25,741 9,739
Black 2,720 2,204 516 3,330 2,332 999 3,424 2,377 1,048 3,576 2,419 1,157
All other races 1,682 1,305 377 2,624 1,857 767 2,745 1,915 830 2,900 1,978 922
American Indian or Alaska Native 42 39 3 143 124 18 147 128 19 153 133 21
Asian or Pacific Islander 494 386 108 848 632 216 891 653 239 947 677 270
Hispanic 710 555 155 884 584 301 917 597 320 958 607 351
Other 436 324 112 749 516 232 790 537 252 842 562 280
Unknown 92 81 12 95 82 13 148 124 24 248 202 46
  Hospital Insurance
Total 33,827 27,429 6,398 39,283 28,954 10,330 40,136 29,301 10,835 41,875 30,033 11,842
Age
65–69 9,074 7,269 1,804 12,000 8,954 3,047 12,366 9,187 3,179 13,478 9,900 3,579
70–74 8,505 6,776 1,729 9,063 6,529 2,534 9,358 6,652 2,706 9,758 6,764 2,994
75–79 7,188 5,809 1,379 7,106 5,085 2,021 7,169 5,076 2,093 7,274 5,051 2,223
80–84 4,805 3,947 857 5,564 4,093 1,470 5,576 4,047 1,529 5,569 3,955 1,614
85 or older 4,256 3,627 629 5,551 4,293 1,258 5,667 4,338 1,329 5,796 4,363 1,433
Sex
Men 13,976 11,291 2,685 17,054 12,660 4,394 17,505 12,892 4,613 18,375 13,313 5,062
Women 19,851 16,138 3,713 22,230 16,293 5,936 22,631 16,409 6,222 23,500 16,720 6,780
Race
White 29,565 24,068 5,497 33,444 24,889 8,554 34,022 25,084 8,938 35,349 25,627 9,722
Black 2,668 2,153 515 3,283 2,287 997 3,379 2,334 1,045 3,532 2,376 1,154
All other races 1,508 1,133 374 2,469 1,703 766 2,598 1,769 829 2,761 1,840 921
American Indian or Alaska Native 40 37 3 140 121 18 143 124 19 150 129 20
Asian or Pacific Islander 406 300 106 769 553 215 814 575 238 872 602 270
Hispanic 656 502 154 837 537 300 870 550 320 913 562 351
Other 405 294 111 724 492 232 771 519 252 825 546 279
Unknown 87 75 12 87 74 13 137 114 23 234 189 45
  Supplementary Medical Insurance
Total 32,585 26,178 6,407 36,768 26,429 10,340 37,432 26,585 10,847 38,832 26,968 11,864
Age
65–69 8,330 6,525 1,806 10,382 7,332 3,050 10,630 7,447 3,183 11,477 7,890 3,587
70–74 8,256 6,525 1,731 8,625 6,089 2,536 8,872 6,163 2,708 9,213 6,214 2,999
75–79 7,087 5,705 1,381 6,919 4,896 2,023 6,974 4,879 2,095 7,073 4,846 2,226
80–84 4,780 3,922 859 5,474 4,002 1,472 5,479 3,948 1,530 5,464 3,847 1,616
85 or older 4,131 3,501 630 5,368 4,109 1,259 5,477 4,147 1,330 5,606 4,171 1,435
Sex
Men 13,203 10,515 2,688 15,579 11,182 4,397 15,919 11,302 4,617 16,595 11,525 5,070
Women 19,382 15,663 3,719 21,189 15,247 5,943 21,512 15,283 6,230 22,237 15,443 6,794
Race
White 28,428 22,927 5,502 31,316 22,755 8,561 31,762 22,816 8,946 32,828 23,089 9,739
Black 2,543 2,027 516 3,061 2,062 998 3,141 2,093 1,047 3,271 2,114 1,157
All other races 1,542 1,164 377 2,327 1,560 767 2,424 1,594 830 2,550 1,628 922
American Indian or Alaska Native 39 36 3 128 109 18 130 112 19 135 115 21
Asian or Pacific Islander 470 362 108 766 550 216 802 563 239 846 576 270
Hispanic 665 510 155 799 498 301 825 505 320 859 508 351
Other 368 257 112 635 402 232 666 414 252 710 430 280
Unknown 71 60 12 64 51 13 105 82 24 182 137 46
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.
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, 2000–2012, selected years (in thousands)
Age, sex, and race 2000 2010 2011 2012
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 5,373 4,913 460 8,033 6,619 1,414 8,375 6,831 1,544 8,624 6,874 1,750
Age
Under 35 522 505 18 711 649 62 754 685 70 782 701 81
35–44 1,130 1,068 62 1,154 1,008 145 1,169 1,014 156 1,189 1,013 176
45–54 1,627 1,501 126 2,477 2,075 402 2,534 2,101 432 2,566 2,081 486
55–64 2,094 1,840 254 3,691 2,887 803 3,918 3,032 887 4,087 3,079 1,008
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,367 3,624 743 4,492 3,647 845
Women 2,356 2,141 215 3,840 3,108 732 4,008 3,207 801 4,132 3,227 905
Race
White 3,994 3,641 353 5,799 4,781 1,019 6,012 4,908 1,104 6,144 4,908 1,236
Black 1,008 933 74 1,560 1,301 259 1,637 1,352 286 1,706 1,371 336
All other races 356 327 32 646 513 133 685 537 148 721 551 169
American Indian or Alaska Native 23 22 1 66 61 5 70 64 6 72 66 6
Asian or Pacific Islander 41 38 4 100 84 16 107 89 18 115 93 22
Hispanic 201 182 19 337 257 80 364 273 91 394 287 106
Other 90 83 7 143 111 31 144 111 33 140 105 35
Unknown 15 14 1 28 24 4 41 35 6 53 44 10
  Hospital Insurance
Total 5,372 4,913 460 8,032 6,619 1,414 8,375 6,831 1,544 8,624 6,874 1,750
Age
Under 35 522 504 18 711 649 62 754 684 70 782 701 81
35–44 1,129 1,068 62 1,154 1,008 145 1,169 1,014 156 1,189 1,013 176
45–54 1,627 1,501 126 2,477 2,075 402 2,534 2,101 432 2,566 2,081 486
55–64 2,093 1,840 254 3,690 2,887 803 3,918 3,031 887 4,087 3,079 1,008
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,367 3,624 743 4,491 3,647 845
Women 2,356 2,141 215 3,840 3,108 732 4,008 3,207 801 4,132 3,227 905
Race
White 3,994 3,641 353 5,799 4,780 1,019 6,012 4,907 1,104 6,144 4,908 1,236
Black 1,008 933 74 1,560 1,301 259 1,637 1,352 286 1,706 1,370 336
All other races 356 325 31 646 513 133 685 537 148 720 551 169
American Indian or Alaska Native 23 22 1 66 61 5 70 64 6 72 66 6
Asian or Pacific Islander 41 38 4 100 84 16 107 89 18 115 93 22
Hispanic 201 182 19 337 257 80 364 273 91 394 287 106
Other 90 83 7 143 111 31 144 111 33 140 105 35
Unknown 15 14 1 28 24 4 41 35 6 53 44 10
  Supplementary Medical Insurance
Total 4,775 4,315 460 7,185 5,772 1,413 7,512 5,968 1,544 7,756 6,006 1,750
Age
Under 35 467 449 18 647 585 62 687 618 70 713 632 81
35–44 998 937 62 1,028 883 145 1,045 890 156 1,066 890 176
45–54 1,422 1,296 126 2,211 1,808 402 2,269 1,836 432 2,304 1,818 486
55–64 1,887 1,633 254 3,299 2,496 803 3,511 2,624 887 3,674 2,666 1,008
Sex
Men 2,667 2,423 245 3,701 3,019 682 3,862 3,120 743 3,983 3,139 845
Women 2,107 1,892 215 3,485 2,753 732 3,650 2,849 801 3,773 2,868 905
Race
White 3,539 3,186 353 5,167 4,149 1,018 5,373 4,269 1,104 5,507 4,271 1,236
Black 918 843 74 1,423 1,165 259 1,497 1,211 286 1,563 1,227 336
All other races 305 274 31 570 438 133 607 459 148 640 471 169
American Indian or Alaska Native 21 20 1 60 55 5 63 57 6 65 59 6
Asian or Pacific Islander 36 33 4 87 72 16 94 76 18 101 79 22
Hispanic 176 157 19 301 220 80 325 235 91 353 247 106
Other 71 64 7 122 91 31 124 91 33 121 86 35
Unknown 13 12 1 24 20 4 35 29 6 46 37 10
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.
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 2000–2011
Census division and state or area 2000 2010 2011
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 90,566 7,215,958 80 126,063 19,407,218 154 123,249 18,362,264 149
United States 87,641 6,995,748 80 124,602 19,168,082 154 121,648 18,108,917 149
New England 6,953 511,226 74 7,198 1,027,785 143 7,196 990,364 138
Connecticut 1,696 120,602 71 1,900 251,504 132 1,800 235,220 131
Maine 664 47,095 71 453 75,876 167 438 71,367 163
Massachusetts 3,328 253,132 76 3,701 520,842 141 3,848 513,425 133
New Hampshire 504 36,257 72 521 84,875 163 505 79,686 158
Rhode Island 393 32,720 83 325 54,699 168 322 52,599 163
Vermont 368 21,418 58 297 39,989 135 284 38,067 134
Middle Atlantic 12,446 1,066,579 86 12,114 1,815,857 150 14,834 1,702,637 115
New Jersey 2,274 203,145 89 2,251 405,510 180 2,181 384,984 177
New York 5,983 510,094 85 6,339 829,649 131 9,100 756,863 83
Pennsylvania 4,190 353,341 84 3,524 580,697 165 3,553 560,790 158
East North Central 11,615 996,673 86 18,053 3,158,933 175 17,117 2,876,807 168
Illinois 3,112 278,001 89 6,483 1,248,999 193 6,331 1,161,310 183
Indiana 1,464 112,768 77 2,147 330,697 154 2,069 304,361 147
Michigan 3,436 311,343 91 4,772 886,909 186 4,196 754,644 180
Ohio 2,713 223,430 82 3,846 561,021 146 3,769 533,472 142
Wisconsin 891 71,131 80 805 131,307 163 752 123,021 164
West North Central 3,884 297,355 77 4,201 674,453 161 4,116 642,129 156
Iowa 602 39,847 66 602 83,367 138 607 81,137 134
Kansas 515 38,056 74 691 101,393 147 663 96,221 145
Minnesota 525 40,350 77 673 117,078 174 668 113,695 170
Missouri 1,651 134,144 81 1,693 285,034 168 1,637 266,438 163
Nebraska 318 25,063 79 359 59,337 165 362 58,372 161
North Dakota 140 9,814 70 87 12,226 140 81 10,658 132
South Dakota 134 10,083 75 97 16,019 166 97 15,608 161
South Atlantic 17,603 1,434,967 82 27,755 4,147,843 149 26,179 4,025,512 154
Delaware 222 18,759 85 265 45,588 172 262 42,655 163
District of Columbia 154 13,859 90 156 28,775 185 152 27,176 178
Florida 7,032 576,519 82 16,660 2,207,943 133 14,986 2,159,793 144
Georgia 2,568 197,327 77 2,734 453,869 166 2,707 429,137 159
Maryland 1,046 95,980 92 1,192 237,129 199 1,261 237,551 188
North Carolina 2,533 209,226 83 2,550 453,949 178 2,533 430,998 170
South Carolina 1,412 118,278 84 1,338 243,074 182 1,286 222,331 173
Virginia 2,030 157,804 78 2,322 386,851 167 2,433 385,639 159
West Virginia 606 47,215 78 539 90,665 168 559 90,231 161
East South Central 10,424 708,458 68 10,618 1,654,875 156 10,367 1,550,479 150
Alabama 2,466 163,019 66 2,486 380,656 153 2,428 360,795 149
Kentucky 1,916 135,941 71 2,005 314,962 157 2,015 301,855 150
Mississippi 2,514 159,346 63 2,425 377,257 156 2,439 359,895 148
Tennessee 3,529 250,152 71 3,702 581,999 157 3,486 527,934 151
West South Central 15,305 1,062,985 69 31,520 4,314,530 137 28,947 3,986,664 138
Arkansas 1,103 70,205 64 1,356 172,533 127 1,292 159,336 123
Louisiana 4,081 261,901 64 4,238 606,968 143 4,067 567,127 139
Oklahoma 2,354 149,916 64 4,100 522,018 127 3,851 481,934 125
Texas 7,767 580,964 75 21,825 3,012,978 138 19,736 2,778,268 141
Mountain 3,188 257,608 81 4,600 726,129 158 4,539 694,643 153
Arizona 497 43,124 87 792 148,499 188 782 143,037 183
Colorado 725 59,239 82 963 152,620 158 973 143,108 147
Idaho 258 22,771 88 331 50,791 153 326 49,371 152
Montana 208 16,200 78 147 24,962 170 136 22,005 162
Nevada 309 27,152 88 755 135,272 179 757 132,822 175
New Mexico 390 30,327 78 568 87,315 154 557 83,884 151
Utah 680 50,606 74 951 112,815 119 899 105,517 117
Wyoming 120 8,190 68 93 13,857 150 110 14,899 136
Pacific 6,222 659,896 106 8,543 1,647,677 193 8,353 1,639,681 196
Alaska 39 5,145 132 54 11,688 217 55 11,441 208
California 5,031 529,250 105 7,168 1,350,065 188 6,971 1,354,082 194
Hawaii 84 8,980 107 46 11,042 240 47 10,154 215
Oregon 399 45,225 113 413 89,148 216 418 86,519 207
Washington 669 71,296 107 862 185,733 215 861 177,485 206
Outlying areas a 2,926 220,210 75 1,461 239,136 164 1,601 253,347 158
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 2000–2011
Census division and state or area 2000 2010 2011
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 11,719,960 6.0 81,230,259 6,971 12,340,835 5.4 116,852,409 9,588 11,492,668 5.4 116,719,998 10,347
United States 11,574,200 6.0 80,769,047 7,019 12,284,510 5.4 116,558,944 9,608 11,449,114 5.4 116,448,523 10,362
New England 563,305 5.8 4,365,878 7,797 661,465 5.3 6,721,080 10,273 622,362 5.3 6,780,579 11,076
Connecticut 125,295 6.2 1,097,034 8,807 165,520 5.6 1,749,223 10,687 152,419 5.8 1,773,539 11,784
Maine 69,740 5.6 434,302 6,239 59,695 5.1 560,261 9,458 57,276 5.1 553,002 9,874
Massachusetts 257,720 5.7 2,035,018 7,952 322,725 5.2 3,232,388 10,133 303,554 5.1 3,264,496 10,932
New Hampshire 46,970 5.6 334,202 7,167 49,645 5.2 500,856 10,165 51,825 5.3 536,409 10,500
Rhode Island 37,325 6.2 276,771 7,449 42,740 5.9 398,337 9,453 36,896 5.7 383,221 10,647
Vermont 26,255 5.7 188,547 7,237 21,140 5.3 280,014 13,391 20,392 5.3 269,910 13,483
Middle Atlantic 1,747,960 7.3 14,864,554 8,569 1,852,945 6.2 18,772,529 10,306 1,634,120 6.1 18,513,683 11,504
New Jersey 380,730 7.5 3,384,886 8,983 423,905 5.9 4,427,211 10,565 398,043 5.9 4,357,504 11,170
New York 750,130 8.2 7,155,309 9,625 828,675 6.7 9,358,190 11,478 720,723 6.7 9,196,446 12,941
Pennsylvania 617,100 6.1 4,324,358 7,036 600,365 5.6 4,987,128 8,494 515,354 5.5 4,959,734 9,753
East North Central 2,118,675 5.7 14,097,236 6,693 2,184,505 5.2 19,845,591 9,196 2,019,257 5.2 19,536,874 9,773
Illinois 580,250 5.7 3,840,706 6,672 624,800 5.2 5,821,547 9,449 609,127 5.1 5,894,741 9,829
Indiana 291,380 5.7 1,796,295 6,198 291,055 5.2 2,607,929 9,037 283,230 5.2 2,621,784 9,314
Michigan 468,095 6.1 3,473,727 7,459 539,100 5.3 5,249,883 9,828 472,055 5.4 4,869,313 10,386
Ohio 538,445 5.6 3,466,013 6,471 536,080 5.1 4,339,817 8,229 475,640 5.1 4,340,314 9,203
Wisconsin 240,505 5.4 1,520,493 6,352 193,470 5.0 1,826,415 9,518 179,205 4.9 1,810,723 10,207
West North Central 925,865 5.4 5,759,187 6,250 839,945 5.0 7,523,433 9,051 799,907 5.0 7,556,225 9,675
Iowa 164,590 5.4 959,210 5,844 123,715 5.1 1,087,128 8,872 120,389 5.0 1,103,625 9,450
Kansas 134,585 5.5 806,523 6,005 116,305 5.1 1,024,304 8,896 111,083 5.1 1,002,644 9,265
Minnesota 193,910 5.0 1,256,854 6,545 178,610 4.6 1,704,060 9,641 168,284 4.7 1,761,724 10,675
Missouri 281,505 5.7 1,810,063 6,460 292,685 5.2 2,503,651 8,647 276,585 5.1 2,474,737 9,144
Nebraska 76,015 5.2 506,171 6,686 71,475 5.1 665,399 9,393 66,561 4.9 638,507 9,796
North Dakota 33,640 5.1 193,994 5,793 24,650 4.9 229,995 9,434 24,337 5.0 248,525 10,617
South Dakota 41,620 5.2 226,370 5,454 32,505 5.0 308,895 9,635 32,668 5.0 326,464 10,288
South Atlantic 2,403,790 6.0 15,911,326 6,655 2,588,625 5.4 24,117,041 9,398 2,487,719 5.4 24,202,722 9,900
Delaware 36,845 6.4 275,714 7,513 44,690 5.8 496,471 11,167 43,135 5.6 490,136 11,493
District of Columbia 26,940 7.9 269,614 10,121 26,585 6.1 325,339 12,556 25,628 6.1 330,356 13,162
Florida 754,145 5.8 5,004,157 6,675 878,690 5.5 7,527,249 8,633 825,436 5.4 7,406,758 9,129
Georgia 320,335 5.8 2,061,225 6,469 322,870 5.4 2,951,001 9,228 310,133 5.4 2,865,749 9,425
Maryland 217,605 5.8 1,773,771 8,190 273,955 5.0 3,231,204 11,916 263,614 5.2 3,407,091 13,194
North Carolina 396,985 6.0 2,467,636 6,251 407,405 5.3 3,893,911 9,654 396,036 5.3 3,943,420 10,128
South Carolina 214,540 6.2 1,390,229 6,504 213,040 5.6 1,987,028 9,403 202,765 5.7 1,968,582 9,878
Virginia 300,785 6.1 1,896,484 6,338 309,110 5.3 2,759,469 8,994 310,305 5.2 2,842,163 9,295
West Virginia 135,610 5.8 772,492 5,724 112,280 5.6 945,370 8,483 110,667 5.4 948,467 8,710
East South Central 1,013,885 5.8 5,704,817 5,652 963,640 5.4 7,786,714 8,149 920,560 5.4 7,739,261 8,555
Alabama 274,470 5.5 1,492,353 5,454 253,420 5.3 1,910,245 7,608 243,451 5.3 1,910,397 8,022
Kentucky 244,210 5.6 1,362,272 5,614 241,895 5.2 2,044,960 8,525 233,016 5.2 2,058,202 8,910
Mississippi 191,685 6.4 1,013,536 5,310 171,515 5.8 1,448,510 8,517 163,727 5.7 1,415,073 8,784
Tennessee 303,520 5.9 1,836,655 6,078 296,810 5.3 2,382,999 8,092 280,366 5.3 2,355,589 8,584
West South Central 1,298,505 5.9 8,215,049 6,357 1,365,910 5.4 12,066,708 8,964 1,306,690 5.3 12,132,183 9,488
Arkansas 163,480 5.9 872,811 5,364 152,555 5.2 1,220,475 8,056 148,459 5.3 1,251,679 8,560
Louisiana 226,020 5.9 1,408,934 6,263 201,110 5.6 1,637,434 8,255 186,203 5.6 1,638,256 8,955
Oklahoma 187,220 5.8 1,069,986 5,730 191,485 5.2 1,599,516 8,438 178,208 5.2 1,577,036 9,051
Texas 721,785 5.9 4,863,318 6,774 820,760 5.4 7,609,283 9,433 793,820 5.3 7,665,212 9,887
Mountain 488,870 5.0 3,196,062 6,569 580,410 4.8 5,406,084 9,449 532,268 4.8 5,483,237 10,603
Arizona 131,325 5.0 866,364 6,642 190,090 4.8 1,803,854 9,680 171,320 4.8 1,795,550 10,844
Colorado 92,655 5.0 625,753 6,788 119,065 4.7 1,070,536 9,052 108,550 4.7 1,083,701 10,179
Idaho 47,780 4.6 290,241 6,102 34,810 4.4 318,622 9,213 32,959 4.5 341,197 10,500
Montana 44,270 4.8 258,894 5,850 31,240 4.7 283,979 9,244 29,774 4.7 289,068 10,115
Nevada 46,945 6.0 349,025 7,473 78,520 5.5 752,101 9,725 71,593 5.6 777,324 11,164
New Mexico 53,130 5.2 327,251 6,196 61,660 5.0 561,743 9,216 55,921 5.0 563,554 10,319
Utah 50,715 4.8 336,745 6,661 47,455 4.4 416,811 8,925 45,116 4.3 427,541 9,847
Wyoming 22,050 5.0 141,785 6,442 17,570 4.6 198,438 11,517 17,035 4.8 205,303 12,540
Pacific 1,013,345 5.8 8,654,933 8,599 1,247,065 5.2 14,319,765 11,677 1,126,231 5.3 14,503,759 13,290
Alaska 12,715 5.8 120,546 9,682 14,650 5.2 212,259 14,792 14,339 5.3 216,371 15,517
California 731,050 6.0 6,543,541 9,015 934,155 5.4 11,046,507 12,052 832,432 5.5 11,170,793 13,930
Hawaii 25,510 8.0 213,726 8,431 26,115 6.6 309,384 12,022 22,819 6.4 293,002 13,295
Oregon 92,985 4.6 624,464 6,741 87,580 4.6 838,918 9,687 78,799 4.6 884,150 11,352
Washington 151,085 4.9 1,152,655 7,672 184,565 4.7 1,912,697 10,449 177,842 4.7 1,939,441 11,047
Outlying areas c 145,760 6.8 461,482 3,187 56,325 7.2 293,464 5,274 43,554 7.2 271,475 6,326
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 2000–2011
Census division and state or area 2000 2010 2011
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 1,936,127 10,651,274 5,511 2,542,541 27,454,045 10,808 2,573,854 30,101,764 11,707
United States 1,932,134 10,635,515 5,514 2,540,694 27,439,911 10,811 2,572,015 30,085,993 11,710
New England 137,383 849,428 6,194 175,964 1,953,174 11,105 178,768 2,107,164 11,795
Connecticut 34,452 254,218 7,387 48,443 540,283 11,157 47,850 551,987 11,544
Maine 13,391 66,702 4,983 15,774 156,059 9,899 15,961 161,864 10,150
Massachusetts 64,946 389,016 6,003 80,521 905,645 11,254 82,669 1,001,873 12,127
New Hampshire 10,243 59,904 5,859 14,791 171,224 11,578 15,567 193,517 12,439
Rhode Island 9,452 54,095 5,757 9,947 107,017 10,765 10,040 116,707 11,628
Vermont 4,899 25,492 5,207 6,488 72,946 11,248 6,681 81,215 12,160
Middle Atlantic 290,974 1,937,835 6,677 380,134 4,171,432 10,982 382,120 4,653,792 12,189
New Jersey 68,638 412,488 6,014 113,972 1,280,984 11,243 114,649 1,394,259 12,164
New York 110,292 931,412 8,465 147,187 1,687,582 11,472 147,402 1,931,938 13,118
Pennsylvania 112,044 593,935 5,322 118,975 1,202,866 10,124 120,069 1,327,595 11,073
East North Central 374,369 2,014,281 5,382 481,136 5,126,375 10,669 481,563 5,546,993 11,534
Illinois 104,203 515,307 4,946 147,185 1,559,820 10,603 149,769 1,761,007 11,763
Indiana 59,020 330,466 5,600 69,921 811,368 11,611 70,482 870,327 12,367
Michigan 57,347 374,014 6,526 93,831 995,036 10,646 89,965 1,011,019 11,266
Ohio 107,475 555,817 5,173 122,318 1,233,107 10,089 123,608 1,344,932 10,895
Wisconsin 46,324 238,678 5,153 47,881 527,044 11,022 47,739 559,708 11,743
West North Central 190,486 756,598 3,973 219,843 2,015,228 9,177 222,038 2,183,165 9,843
Iowa 33,702 110,449 3,277 38,254 319,680 8,368 38,542 349,161 9,066
Kansas 27,334 99,927 3,657 32,862 320,051 9,753 32,951 348,169 10,581
Minnesota 42,888 199,933 4,662 44,978 422,675 9,408 46,287 460,556 9,958
Missouri 50,515 216,975 4,297 62,488 564,750 9,049 63,060 604,436 9,600
Nebraska 18,766 71,141 3,793 22,604 222,826 9,863 22,732 244,257 10,758
North Dakota 7,790 23,998 3,081 8,396 67,273 8,019 8,324 70,516 8,480
South Dakota 9,491 34,175 3,603 10,261 97,973 9,551 10,142 106,069 10,462
South Atlantic 351,271 1,962,427 5,597 501,914 5,359,990 10,685 511,950 5,865,565 11,466
Delaware 4,938 31,158 6,319 9,137 111,129 12,163 9,276 120,712 13,020
District of Columbia 3,745 23,113 6,175 5,216 61,576 11,812 5,404 68,708 12,752
Florida 139,057 813,328 5,866 187,538 2,156,069 11,501 189,281 2,332,548 12,327
Georgia 36,847 195,450 5,309 52,699 528,536 10,039 54,248 581,807 10,737
Maryland 38,562 194,644 5,065 56,562 585,864 10,360 57,836 652,965 11,292
North Carolina 50,008 270,927 5,422 73,593 753,582 10,249 76,262 831,107 10,905
South Carolina 24,069 130,669 5,430 34,373 360,369 10,488 34,830 396,394 11,402
Virginia 36,536 217,418 5,952 64,246 634,720 9,886 65,835 701,264 10,657
West Virginia 17,509 85,720 4,897 18,550 168,144 9,080 18,978 180,060 9,525
East South Central 131,017 665,240 5,081 177,560 1,758,671 9,911 180,976 1,908,824 10,555
Alabama 29,268 164,159 5,614 41,831 371,952 8,899 42,748 402,649 9,428
Kentucky 35,891 167,196 4,659 47,157 450,243 9,552 49,379 491,322 9,960
Mississippi 20,560 95,372 4,648 30,670 332,958 10,865 30,213 352,583 11,678
Tennessee 45,298 238,514 5,267 57,902 603,518 10,428 58,636 662,271 11,300
West South Central 183,161 869,345 4,757 255,317 2,555,424 10,019 257,353 2,830,491 11,012
Arkansas 22,862 83,236 3,644 29,669 245,575 8,289 29,734 268,935 9,050
Louisiana 27,165 120,360 4,433 35,333 346,586 9,814 34,465 381,945 11,089
Oklahoma 26,004 105,867 4,072 31,116 270,167 8,697 31,538 297,247 9,457
Texas 107,130 559,882 5,245 159,199 1,693,097 10,646 161,616 1,882,364 11,660
Mountain 87,157 435,051 5,004 105,187 1,128,681 10,743 109,208 1,255,802 11,519
Arizona 20,256 95,244 4,742 25,381 252,844 9,977 26,678 287,288 10,787
Colorado 18,993 99,687 5,256 26,415 296,144 11,226 27,097 323,466 11,956
Idaho 10,396 50,995 4,909 8,767 92,792 10,593 9,472 102,817 10,885
Montana 9,410 36,201 3,847 8,782 80,925 9,219 8,386 86,452 10,314
Nevada 6,348 37,209 5,867 11,071 143,694 12,991 11,629 161,075 13,911
New Mexico 6,130 31,929 5,213 9,119 94,673 10,405 9,597 104,969 10,946
Utah 11,672 65,662 5,627 11,181 122,528 10,966 11,919 138,090 11,596
Wyoming 3,952 18,123 4,586 4,471 45,080 10,083 4,430 51,646 11,661
Pacific 186,316 1,145,310 6,174 243,639 3,370,936 13,861 248,039 3,734,197 15,074
Alaska 991 6,406 6,477 1,229 20,023 16,305 1,175 20,733 17,645
California 137,485 875,847 6,395 184,255 2,639,123 14,341 187,252 2,933,741 15,682
Hawaii 2,173 14,886 6,898 3,384 44,348 13,608 3,551 49,315 14,278
Oregon 13,964 67,421 4,844 15,143 167,579 11,076 15,618 187,825 12,036
Washington 31,703 180,749 5,742 39,628 499,862 12,634 40,443 542,584 13,427
Outlying areas c 3,993 15,760 3,948 1,847 14,134 7,661 1,839 15,771 8,594
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 2000–2011
Census division and state or area 2000 2010 2011
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a
Total
All areas 534,408 25,957,716 2,925,819 5,476 1,163,037 81,654,927 12,950,475 11,175 1,223,551 85,449,473 13,827,641 11,342
United States 529,745 25,646,822 2,903,200 5,482 1,151,358 80,244,133 12,810,641 11,166 1,211,743 84,030,090 13,683,498 11,333
New England 20,642 799,522 104,817 5,078 52,085 3,078,644 537,146 10,338 55,404 3,307,852 588,459 10,641
Connecticut 5,425 197,854 31,872 5,875 11,416 547,732 109,556 9,613 12,322 601,000 122,008 9,914
Maine 1,135 49,657 4,977 4,386 5,564 333,326 52,509 9,456 5,949 340,807 54,685 9,206
Massachusetts 9,906 381,853 47,884 4,834 23,516 1,468,601 251,551 10,733 25,016 1,616,206 282,923 11,334
New Hampshire 1,679 77,363 8,824 5,256 4,809 287,539 46,943 9,782 5,085 300,360 49,961 9,835
Rhode Island 1,758 61,325 7,978 4,538 5,225 356,516 63,315 12,134 5,354 353,707 63,601 11,913
Vermont 739 31,470 3,279 4,438 1,555 84,930 13,272 8,552 1,678 95,772 15,281 9,129
Middle Atlantic 63,096 2,697,689 333,959 5,293 132,722 8,262,583 1,359,530 10,277 139,188 8,524,064 1,426,666 10,288
New Jersey 13,067 560,846 67,535 5,169 30,884 1,965,196 341,688 11,100 31,977 1,978,664 348,158 10,929
New York 23,214 1,008,086 135,580 5,841 41,252 2,232,898 397,994 9,682 43,594 2,348,372 428,662 9,870
Pennsylvania 26,815 1,128,757 130,843 4,880 60,586 4,064,489 619,848 10,262 63,617 4,197,028 649,846 10,253
East North Central 93,025 4,154,816 464,650 4,996 189,675 12,185,738 1,917,277 10,142 202,552 13,027,962 2,088,056 10,344
Illinois 24,067 1,071,673 121,113 5,033 42,648 2,536,817 417,839 9,831 45,573 2,716,508 458,968 10,101
Indiana 9,984 484,813 51,390 5,149 23,846 1,539,234 230,087 9,693 25,584 1,594,329 242,395 9,508
Michigan 22,873 1,017,365 115,791 5,063 43,979 2,708,169 420,647 9,589 46,781 2,860,063 449,862 9,643
Ohio 27,228 1,159,156 132,377 4,863 56,207 3,845,723 606,275 10,827 59,937 4,198,028 671,993 11,260
Wisconsin 8,873 421,809 43,977 4,959 22,995 1,555,795 242,429 10,570 24,677 1,659,034 264,838 10,770
West North Central 36,720 1,748,289 176,312 4,804 85,257 5,548,987 808,443 9,510 87,811 5,702,402 849,482 9,705
Iowa 6,460 298,008 30,383 4,705 16,461 1,013,650 149,409 9,109 16,875 1,019,560 153,043 9,096
Kansas 5,550 267,095 26,068 4,708 12,631 904,768 130,738 10,393 12,780 869,398 129,299 10,151
Minnesota 8,175 402,271 45,222 5,532 17,922 996,562 157,216 8,796 18,619 1,082,505 174,141 9,399
Missouri 11,678 554,407 52,819 4,524 26,845 1,997,507 280,319 10,468 27,684 2,073,501 297,124 10,758
Nebraska 2,982 142,942 13,829 4,638 7,011 398,330 57,620 8,237 7,478 427,215 63,237 8,473
North Dakota 1,023 42,601 4,151 4,058 1,878 107,110 14,088 7,522 1,786 97,495 13,155 7,386
South Dakota 852 40,965 3,838 4,505 2,509 131,060 19,052 7,603 2,589 132,728 19,482 7,548
South Atlantic 112,303 5,663,896 656,729 5,851 253,063 18,723,650 3,067,189 12,164 265,860 19,506,132 3,242,389 12,236
Delaware 1,550 78,705 8,819 5,690 4,928 475,245 77,511 15,764 5,163 498,150 82,556 16,058
District of Columbia 614 29,755 3,866 6,297 1,386 98,035 16,654 12,068 1,550 110,060 18,952 12,266
Florida 56,248 2,819,511 350,229 6,229 103,806 7,594,127 1,359,349 13,129 106,069 7,651,795 1,395,644 13,189
Georgia 13,658 723,558 77,534 5,683 35,789 2,884,282 443,861 12,464 38,368 3,129,593 486,185 12,738
Maryland 7,638 298,523 34,343 4,496 16,135 910,816 149,059 9,279 17,414 993,649 165,813 9,553
North Carolina 13,198 717,297 77,961 5,913 36,577 2,600,507 407,364 11,179 38,659 2,703,700 432,409 11,215
South Carolina 6,552 345,769 34,999 5,345 21,965 1,837,036 274,837 12,561 23,994 2,021,572 304,974 12,761
Virginia 9,397 467,386 51,049 5,434 24,066 1,698,135 251,164 10,481 25,730 1,751,501 263,894 10,293
West Virginia 3,448 183,392 17,926 5,199 8,411 625,467 87,390 10,472 8,913 646,112 91,962 10,390
East South Central 32,995 2,126,137 208,855 6,332 77,344 6,108,342 858,930 11,155 80,349 6,227,451 888,719 11,104
Alabama 11,421 838,025 79,080 6,925 25,923 2,396,559 322,869 12,502 26,357 2,412,639 330,216 12,573
Kentucky 8,047 443,176 45,727 5,684 14,392 899,474 135,399 9,451 15,114 924,735 142,170 9,444
Mississippi 5,693 467,035 45,142 7,931 13,571 1,272,552 171,812 12,749 14,194 1,293,129 180,678 12,796
Tennessee 7,834 377,901 38,903 4,971 23,458 1,539,757 228,851 9,792 24,684 1,596,948 235,655 9,579
West South Central 62,010 3,558,642 364,302 5,876 134,916 10,937,925 1,599,793 11,901 140,527 11,229,865 1,672,460 11,948
Arkansas 5,281 323,207 30,097 5,700 12,333 784,841 115,479 9,399 13,068 805,993 121,170 9,314
Louisiana 7,154 350,795 36,690 5,130 18,486 1,546,444 214,631 11,669 20,063 1,628,163 233,954 11,705
Oklahoma 10,423 755,349 69,813 6,699 19,362 1,856,218 247,808 12,862 19,477 1,749,799 240,788 12,416
Texas 39,152 2,129,291 227,700 5,817 84,735 6,750,422 1,021,874 12,096 87,919 7,045,910 1,076,549 12,290
Mountain 38,491 1,806,545 212,559 5,523 84,688 6,581,368 1,063,470 12,607 90,002 6,966,027 1,157,893 12,909
Arizona 15,509 732,768 91,111 5,875 30,880 2,570,440 435,891 14,173 32,980 2,681,965 470,463 14,297
Colorado 8,840 344,737 41,239 4,666 16,793 1,165,872 193,049 11,546 17,458 1,245,656 209,374 12,042
Idaho 1,940 101,328 9,991 5,150 5,766 455,895 63,624 11,082 6,345 514,018 73,427 11,616
Montana 1,405 78,669 7,783 5,540 3,582 226,610 32,146 8,997 3,792 244,033 35,085 9,297
Nevada 3,637 144,309 20,034 6,301 8,950 628,159 114,184 12,801 9,937 763,879 140,667 14,206
New Mexico 3,838 236,349 24,181 5,589 7,910 625,018 93,903 11,906 8,288 623,254 96,193 11,649
Utah 2,805 143,233 15,676 4,914 9,588 838,377 119,927 12,563 9,940 822,920 121,707 12,300
Wyoming 517 25,152 2,540 4,943 1,219 70,997 10,745 8,873 1,262 70,302 10,976 8,739
Pacific 70,463 3,091,286 381,013 5,409 141,608 8,816,896 1,598,863 11,334 150,050 9,538,335 1,769,376 11,848
Alaska 103 4,269 513 4,988 550 29,128 4,808 8,855 585 30,169 5,216 9,008
California 50,116 2,208,522 279,037 5,571 99,267 6,420,966 1,201,190 12,147 105,536 7,007,878 1,341,329 12,768
Hawaii 1,406 56,188 7,626 5,428 3,293 189,763 31,877 9,784 3,753 236,484 40,822 10,965
Oregon 8,915 387,697 42,557 4,773 17,156 987,572 159,935 9,345 18,012 1,029,071 170,519 9,497
Washington 9,923 434,610 51,278 5,168 21,342 1,189,467 201,053 9,457 22,164 1,234,733 211,490 9,601
Outlying areas b 4,663 310,894 22,619 4,851 11,679 1,410,794 139,834 12,034 11,808 1,419,383 144,143 --
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.
-- = not available.
a. Excludes persons who received covered services for which no program payments were reported.
b. 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, 1969–2012
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
2012 1,003,161 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, 1971–2012
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
2012 893,971 94.9 334,509 61.3
  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
2012 4,981 86.9 602 20.6
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 2000–2011
Census division and state or area 2000 2010 2011
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 1,247,483 66,911,902 51,456,747 1,857,482 122,904,370 95,036,813 1,845,666 126,314,400 97,795,615
United States 1,229,583 66,047,753 50,790,939 1,850,800 122,520,394 94,740,428 1,839,627 125,946,810 97,512,049
New England 60,701 3,357,803 2,562,793 90,342 6,068,287 4,647,351 90,188 6,235,342 4,788,008
Connecticut 16,024 908,981 696,770 25,105 1,762,062 1,363,383 24,419 1,774,731 1,374,056
Maine 6,725 357,616 272,731 8,115 531,761 403,024 8,137 558,871 425,294
Massachusetts 26,099 1,464,973 1,117,345 40,600 2,691,594 2,061,972 40,879 2,797,536 2,146,605
New Hampshire 5,018 264,412 200,026 7,164 490,694 372,749 7,179 519,405 395,739
Rhode Island 4,512 227,420 175,093 5,949 371,097 279,266 5,928 366,492 281,237
Vermont 2,323 134,403 100,828 3,408 221,079 166,957 3,645 218,307 165,078
Middle Atlantic 198,796 11,114,019 8,582,935 278,006 18,392,020 14,290,928 279,123 18,985,934 14,767,023
New Jersey 46,582 2,706,642 2,098,689 77,068 5,247,082 4,095,126 77,806 5,395,659 4,218,414
New York 94,073 5,222,652 4,031,686 129,814 8,334,346 6,484,647 130,406 8,614,378 6,709,852
Pennsylvania 58,141 3,184,725 2,452,560 71,123 4,810,591 3,711,155 70,911 4,975,897 3,838,756
East North Central 202,748 10,835,911 8,301,058 287,975 19,244,169 14,818,771 278,106 19,211,363 14,793,633
Illinois 50,279 2,722,188 2,087,286 84,529 5,712,273 4,407,437 84,418 5,874,783 4,533,121
Indiana 27,376 1,418,457 1,079,378 38,589 2,574,392 1,976,913 37,976 2,623,935 2,016,076
Michigan 50,326 2,823,614 2,173,760 73,788 5,111,720 3,945,939 66,900 4,764,864 3,679,584
Ohio 50,755 2,722,161 2,085,982 63,723 4,172,156 3,207,844 61,900 4,241,832 3,259,259
Wisconsin 24,012 1,149,491 874,652 27,345 1,673,628 1,280,638 26,912 1,705,949 1,305,593
West North Central 86,209 4,213,384 3,209,083 112,402 7,191,572 5,514,064 109,874 7,262,572 5,574,669
Iowa 15,717 732,727 556,426 18,674 1,171,379 892,862 18,690 1,227,684 938,969
Kansas 13,030 671,147 514,252 18,373 1,191,468 917,373 17,836 1,180,621 908,678
Minnesota 16,548 798,015 603,082 17,699 1,167,440 888,449 16,655 1,143,413 871,611
Missouri 25,365 1,300,857 996,024 37,499 2,423,369 1,867,892 36,738 2,422,325 1,867,089
Nebraska 8,226 388,700 294,564 11,311 705,570 540,950 11,290 735,602 565,097
North Dakota 3,349 149,240 113,542 3,695 230,791 175,728 3,553 234,936 179,026
South Dakota 3,974 172,698 131,194 5,151 301,554 230,810 5,111 317,992 244,197
South Atlantic 270,430 14,646,480 11,291,572 427,892 28,325,952 21,962,008 428,662 29,379,940 22,817,159
Delaware 4,302 244,628 188,488 7,790 525,941 406,709 8,055 561,080 435,151
District of Columbia 2,346 136,917 105,493 3,045 221,389 171,953 3,024 229,574 178,229
Florida 105,141 6,100,419 4,747,090 163,215 11,277,264 8,814,204 159,699 11,491,861 9,001,227
Georgia 32,915 1,725,056 1,323,041 53,084 3,430,248 2,645,020 53,560 3,602,504 2,787,579
Maryland 22,693 1,316,285 1,014,698 37,456 2,620,309 2,026,685 38,490 2,799,014 2,168,228
North Carolina 40,027 1,960,603 1,494,488 66,319 4,077,609 3,146,266 66,361 4,177,561 3,224,422
South Carolina 21,862 1,117,181 855,190 36,709 2,322,800 1,793,745 36,990 2,412,751 1,864,002
Virginia 30,380 1,517,689 1,159,960 46,816 3,006,778 2,309,542 48,610 3,206,797 2,468,640
West Virginia 10,764 527,703 403,124 13,458 843,712 647,884 13,873 898,797 689,682
East South Central 91,596 4,658,756 3,566,213 139,839 8,515,736 6,571,022 140,142 8,828,575 6,819,823
Alabama 24,361 1,286,579 988,420 36,838 2,301,906 1,776,842 36,896 2,419,063 1,869,237
Kentucky 22,036 1,062,201 812,037 33,228 1,987,997 1,534,928 33,648 2,077,013 1,607,571
Mississippi 14,913 776,595 595,267 23,443 1,460,566 1,127,163 23,032 1,469,096 1,133,487
Tennessee 30,286 1,533,381 1,170,489 46,330 2,765,268 2,132,088 46,565 2,863,403 2,209,528
West South Central 134,444 6,928,068 5,349,132 215,132 13,860,057 10,739,604 210,910 14,104,401 10,935,583
Arkansas 15,708 781,724 599,631 22,596 1,367,704 1,052,012 22,351 1,407,409 1,084,158
Louisiana 19,622 1,058,214 816,817 26,474 1,761,717 1,359,082 26,060 1,789,035 1,381,566
Oklahoma 15,874 845,762 649,096 24,679 1,567,436 1,205,579 23,808 1,584,827 1,220,546
Texas 83,240 4,242,368 3,283,588 141,384 9,163,200 7,122,931 138,691 9,323,129 7,249,313
Mountain 53,859 2,986,527 2,286,851 91,082 6,347,128 4,884,471 93,327 6,724,030 5,188,698
Arizona 16,122 897,890 694,194 31,452 2,147,165 1,663,698 32,502 2,269,617 1,764,273
Colorado 10,021 545,066 417,340 17,972 1,261,635 973,064 18,151 1,321,948 1,021,959
Idaho 4,382 232,051 176,337 5,830 376,496 286,461 6,037 399,824 305,492
Montana 3,944 219,874 167,290 4,808 333,334 254,196 4,775 341,319 260,483
Nevada 6,605 374,374 287,238 12,490 905,576 698,618 13,021 982,088 758,661
New Mexico 5,218 293,417 224,310 8,385 605,263 463,282 8,343 628,862 483,393
Utah 5,657 320,886 241,885 7,412 524,507 398,090 7,617 562,388 428,120
Wyoming 1,910 102,968 78,257 2,734 193,153 147,061 2,880 217,985 166,316
Pacific 130,801 7,306,805 5,641,301 208,133 14,575,473 11,312,207 209,295 15,214,653 11,827,453
Alaska 964 60,128 45,822 1,912 166,074 126,829 1,958 180,368 138,279
California 99,393 5,621,663 4,358,871 159,288 11,263,051 8,777,446 160,092 11,740,839 9,160,676
Hawaii 3,642 180,404 134,791 4,721 278,269 209,164 4,492 283,438 213,710
Oregon 9,002 487,346 371,215 12,797 895,534 683,514 13,455 966,924 742,975
Washington 17,800 957,265 730,602 29,416 1,972,544 1,515,255 29,298 2,043,085 1,571,814
Outlying areas a 17,900 864,149 665,808 6,681 383,976 296,385 6,039 367,590 283,566
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 2000–2011
Census division and state or area 2000 2010 2011
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 21,537 16,732 24,222 46,662 24,714 50,259
United States 21,355 16,620 24,159 46,515 24,653 50,128
New England 1,237 937 1,513 2,987 1,562 3,268
Connecticut 274 225 316 591 324 638
Maine 168 117 193 391 194 435
Massachusetts 525 410 666 1,308 698 1,435
New Hampshire 120 79 163 349 169 389
Rhode Island 77 55 82 142 82 154
Vermont 74 52 93 205 95 219
Middle Atlantic 3,055 2,511 2,927 5,388 2,982 5,804
New Jersey 590 519 651 1,347 659 1,413
New York 1,348 1,249 1,222 2,251 1,238 2,413
Pennsylvania 1,118 743 1,054 1,790 1,085 1,978
East North Central 4,142 3,034 4,472 8,340 4,454 8,869
Illinois 1,015 725 1,250 2,268 1,284 2,488
Indiana 587 400 643 1,187 649 1,279
Michigan 1,003 807 1,128 2,096 1,044 2,084
Ohio 1,037 755 972 1,851 991 1,989
Wisconsin 500 348 479 938 487 1,029
West North Central 1,888 1,317 2,047 4,098 2,097 4,417
Iowa 366 254 366 716 370 782
Kansas 261 187 273 576 275 582
Minnesota 420 254 443 856 465 939
Missouri 520 384 605 1,195 614 1,282
Nebraska 174 130 189 396 193 423
North Dakota 69 48 82 169 88 195
South Dakota 77 60 88 190 91 214
South Atlantic 4,244 3,383 4,911 9,630 5,020 10,259
Delaware 68 57 99 177 105 202
District of Columbia 38 54 42 115 44 121
Florida 1,285 932 1,451 2,713 1,456 2,750
Georgia 571 465 679 1,335 697 1,417
Maryland 324 459 402 1,210 414 1,371
North Carolina 720 543 843 1,658 879 1,800
South Carolina 404 282 485 851 500 909
Virginia 590 426 671 1,148 682 1,236
West Virginia 245 164 239 423 244 453
East South Central 1,635 1,102 1,837 3,224 1,892 3,539
Alabama 424 261 482 776 500 869
Kentucky 399 228 477 830 487 907
Mississippi 292 254 334 707 342 756
Tennessee 520 360 543 911 563 1,007
West South Central 2,107 1,848 2,567 5,295 2,630 5,693
Arkansas 267 180 307 513 311 552
Louisiana 339 360 377 877 389 937
Oklahoma 294 210 360 596 370 678
Texas 1,206 1,098 1,523 3,309 1,560 3,526
Mountain 1,047 768 1,295 2,377 1,351 2,638
Arizona 233 169 311 584 321 631
Colorado 217 178 288 530 307 576
Idaho 108 74 120 235 128 253
Montana 101 64 113 221 120 268
Nevada 75 62 120 223 127 260
New Mexico 125 97 159 269 160 292
Utah 146 91 128 220 131 239
Wyoming 43 33 56 96 58 119
Pacific 2,000 1,720 2,589 5,177 2,665 5,640
Alaska 26 29 41 91 43 104
California 1,346 1,200 1,761 3,596 1,799 3,906
Hawaii 58 44 63 123 62 134
Oregon 225 143 246 439 262 486
Washington 345 303 478 928 499 1,009
Outlying areas a 182 112 64 146 61 131
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 1991–2013
State or area 1991 1995 2000 2005 2010 2012 2013
All areas 3,640,121 4,705,625 5,425,048 6,577,577 7,703,292 8,462,197 8,721,791
Alabama 97,601 116,916 136,860 169,460 179,668 193,339 196,961
Alaska 4,539 6,193 8,486 10,748 12,908 14,452 14,983
Arizona 28,650 44,236 57,712 110,977 140,079 155,930 164,815
Arkansas 64,996 77,660 79,606 89,372 106,343 115,117 117,936
California 646,108 747,814 818,846 1,012,804 1,103,853 1,174,838 1,206,643
Colorado 36,470 46,660 55,325 61,294 79,980 88,953 94,090
Connecticut 23,535 48,047 53,141 66,191 94,154 128,535 139,914
Delaware 4,499 6,645 10,737 17,104 22,060 24,445 25,115
District of Columbia 12,791 14,152 14,233 15,246 20,102 25,312 27,490
Florida 196,992 271,430 342,109 431,764 553,625 661,258 694,070
Georgia 128,976 160,380 176,596 205,476 233,528 266,563 274,183
Hawaii 11,529 16,695 20,326 23,703 28,864 31,682 32,860
Idaho 9,127 12,931 17,081 23,482 28,945 33,523 35,684
Illinois 94,434 137,571 155,743 206,014 255,529 286,124 296,125
Indiana 60,297 76,460 87,543 109,669 133,816 148,737 155,280
Iowa 41,170 48,517 51,976 60,458 72,562 76,947 79,189
Kansas 26,960 34,708 41,217 47,707 56,096 61,362 62,477
Kentucky 76,456 97,978 117,697 126,468 148,188 159,542 161,091
Louisiana 87,570 112,090 117,179 139,802 158,370 174,077 178,794
Maine 22,176 29,453 36,946 46,510 84,602 87,851 86,468
Maryland 48,028 58,865 65,372 79,234 98,268 110,449 116,441
Massachusetts 89,163 125,859 152,587 178,691 199,370 216,120 227,200
Michigan 91,340 123,948 145,172 170,044 205,521 225,275 231,471
Minnesota 39,366 52,192 63,607 79,428 91,630 98,504 100,537
Mississippi 90,530 108,577 107,495 135,023 136,915 146,667 149,108
Missouri 55,116 72,659 88,343 109,561 126,577 126,812 132,838
Montana 10,058 11,031 12,828 14,455 17,587 19,421 20,693
Nebraska 11,358 16,146 20,520 24,210 34,020 33,671 35,090
Nevada 8,657 14,227 19,155 27,408 35,035 42,900 44,078
New Hampshire 3,807 5,405 7,434 11,584 17,381 20,166 21,119
New Jersey 95,795 122,923 146,705 159,110 179,273 186,591 188,325
New Mexico 22,246 29,855 37,330 49,333 62,640 67,557 69,932
New York 255,952 325,882 369,479 465,068 531,060 579,244 598,880
North Carolina 117,656 186,328 223,402 251,739 278,325 296,129 299,034
North Dakota 4,639 5,560 5,908 6,757 8,464 8,700 8,838
Ohio 112,598 164,044 171,139 204,905 273,167 295,842 306,287
Oklahoma 51,457 60,080 67,413 75,903 86,586 93,125 93,763
Oregon 28,537 43,642 59,169 70,927 87,068 93,899 98,673
Pennsylvania 127,519 162,788 206,468 242,552 295,984 332,168 341,224
Rhode Island 10,585 15,517 19,787 26,311 28,782 29,900 30,130
South Carolina 78,701 95,970 112,232 118,843 129,489 140,412 140,243
South Dakota 9,399 12,346 13,146 14,534 16,148 16,882 17,181
Tennessee 116,861 148,391 182,342 218,894 215,868 234,498 238,634
Texas 234,169 314,991 360,191 440,938 514,153 570,944 584,022
Utah 10,263 13,506 16,231 21,787 27,064 31,955 33,272
Vermont 8,223 12,428 13,754 15,509 22,798 23,623 24,363
Virginia 77,898 102,964 113,259 131,083 155,647 168,028 171,565
Washington 54,774 71,531 97,390 113,233 143,398 157,459 163,594
West Virginia 28,086 39,720 46,305 54,200 65,324 69,123 69,371
Wisconsin 67,516 75,247 74,101 83,383 96,201 106,258 110,156
Wyoming 3,505 5,265 6,444 7,749 9,087 9,963 10,110
Outlying areas
Guam 443 669 417 409 693 795 913
Northern Mariana Islands 273 314 342 358 394 431 419
U.S. Virgin Islands 727 219 204 165 103 99 119
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, 2011
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 35,751,150 29,542,860 18,711,521 10,831,339 6,208,290
United States 35,218,148 29,031,496 18,661,503 10,369,993 6,186,652
New England 1,816,818 1,442,833 1,045,145 397,688 373,985
Connecticut 438,300 328,466 222,611 105,855 109,834
Maine 191,101 171,860 137,475 34,385 19,241
Massachusetts 817,521 635,652 455,952 179,700 181,869
New Hampshire 148,806 113,053 101,962 11,091 35,753
Rhode Island 137,876 127,174 65,599 61,575 10,702
Vermont 83,214 66,628 61,546 5,082 16,586
Middle Atlantic 5,159,880 4,074,776 2,340,108 1,734,668 1,085,104
New Jersey 1,004,176 728,603 581,651 146,952 275,573
New York 2,388,787 1,854,777 998,497 856,280 534,010
Pennsylvania 1,766,917 1,491,396 759,960 731,436 275,521
East North Central 5,675,594 4,289,253 3,133,906 1,155,347 1,386,341
Illinois 1,398,988 1,053,482 910,018 143,464 345,506
Indiana 771,182 610,399 457,819 152,580 160,783
Michigan 1,337,326 827,427 596,427 231,000 509,899
Ohio 1,519,479 1,273,917 853,758 420,159 245,562
Wisconsin 648,619 524,028 315,884 208,144 124,591
West North Central 2,460,664 2,179,733 1,576,043 603,690 280,931
Iowa 400,481 352,551 296,973 55,578 47,930
Kansas 304,566 276,660 231,936 44,724 27,906
Minnesota 619,061 553,854 302,826 251,028 65,207
Missouri 756,227 648,681 440,383 208,298 107,546
Nebraska 204,512 183,138 155,214 27,924 21,374
North Dakota 79,985 75,533 69,572 5,961 4,452
South Dakota 95,832 89,316 79,139 10,177 6,516
South Atlantic 6,884,750 5,674,872 3,749,306 1,925,566 1,209,878
Delaware 114,256 78,718 73,368 5,350 35,538
District of Columbia 44,056 39,647 32,296 7,351 4,409
Florida 2,569,405 2,164,250 1,116,364 1,047,886 405,155
Georgia 909,499 790,740 525,659 265,081 118,759
Maryland 506,865 372,673 313,903 58,770 134,192
North Carolina 1,150,126 920,398 677,394 243,004 229,728
South Carolina 565,966 441,119 321,681 119,438 124,847
Virginia 737,639 627,412 485,427 141,985 110,227
West Virginia 286,938 239,915 203,214 36,701 47,023
East South Central 2,367,735 2,042,003 1,476,916 565,087 325,732
Alabama 627,962 493,753 321,980 171,773 134,209
Kentucky 575,069 512,686 420,827 91,859 62,383
Mississippi 357,266 330,861 286,650 44,211 26,405
Tennessee 807,438 704,703 447,459 257,244 102,735
West South Central 3,519,781 2,913,228 2,031,937 881,291 606,553
Arkansas 370,688 334,160 262,076 72,084 36,528
Louisiana 527,387 438,205 277,332 160,873 89,182
Oklahoma 409,828 367,445 286,469 80,976 42,383
Texas 2,211,878 1,773,418 1,206,060 567,358 438,460
Mountain 2,158,486 1,852,887 968,667 884,220 305,599
Arizona 697,572 599,455 263,976 335,479 98,117
Colorado 460,746 382,606 187,252 195,354 78,140
Idaho 160,791 140,061 85,242 54,819 20,730
Montana 114,170 99,809 79,192 20,617 14,361
Nevada 253,035 215,228 105,009 110,219 37,807
New Mexico 224,099 203,854 123,737 80,117 20,245
Utah 196,888 167,481 83,067 84,414 29,407
Wyoming 51,185 44,393 41,192 3,201 6,792
Pacific 5,174,440 4,561,911 2,339,475 2,222,436 612,529
Alaska 43,899 26,336 25,909 427 17,563
California 3,833,302 3,406,707 1,699,207 1,707,500 426,595
Hawaii 149,860 142,165 58,110 84,055 7,695
Oregon 461,007 418,883 195,336 223,547 42,124
Washington 686,372 567,820 360,913 206,907 118,552
Outlying areas b 533,002 511,364 50,018 461,346 21,638
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, 2011
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 48,849,404 29,542,860 10,333,538 422,309 18,787,013 6,208,290 5,514,358 7,583,896
United States 47,740,806 29,031,496 10,316,879 421,892 18,292,725 6,186,652 5,452,292 7,070,366
New England 2,461,423 1,442,833 608,393 15,165 819,275 373,985 269,870 374,735
Connecticut 576,839 328,466 140,546 1,009 186,911 109,834 62,295 76,244
Maine 270,719 171,860 93,743 349 77,768 19,241 32,696 46,922
Massachusetts 1,084,638 635,652 266,245 8,647 360,760 181,869 106,467 160,650
New Hampshire 228,980 113,053 37,141 1,989 73,923 35,753 32,294 47,880
Rhode Island 185,622 127,174 42,323 2,093 82,758 10,702 21,577 26,169
Vermont 114,625 66,628 28,395 1,078 37,155 16,586 14,541 16,870
Middle Atlantic 6,704,975 4,074,776 1,474,014 58,947 2,541,815 1,085,104 624,894 920,201
New Jersey 1,351,656 728,603 234,192 12,363 482,048 275,573 132,766 214,714
New York 3,041,341 1,854,777 804,740 21,977 1,028,060 534,010 259,461 393,093
Pennsylvania 2,311,978 1,491,396 435,082 24,607 1,031,707 275,521 232,667 312,394
East North Central 7,452,615 4,289,253 1,379,560 58,965 2,850,728 1,386,341 706,385 1,070,636
Illinois 1,872,074 1,053,482 370,928 15,622 666,932 345,506 187,061 286,025
Indiana 1,026,925 610,399 188,228 10,133 412,038 160,783 110,779 144,964
Michigan 1,689,263 827,427 303,317 13,833 510,277 509,899 129,905 222,032
Ohio 1,933,520 1,273,917 358,343 15,855 899,719 245,562 177,759 236,282
Wisconsin 930,833 524,028 158,744 3,522 361,762 124,591 100,881 181,333
West North Central 3,319,371 2,179,733 586,710 27,347 1,565,676 280,931 411,829 446,878
Iowa 522,966 352,551 85,158 3,919 263,474 47,930 60,798 61,687
Kansas 439,315 276,660 72,043 4,080 200,537 27,906 62,385 72,364
Minnesota 803,635 553,854 137,794 5,373 410,687 65,207 91,285 93,289
Missouri 1,022,181 648,681 207,844 9,726 431,111 107,546 120,353 145,601
Nebraska 282,613 183,138 44,837 2,127 136,174 21,374 39,872 38,229
North Dakota 110,078 75,533 17,321 948 57,264 4,452 14,597 15,496
South Dakota 138,583 89,316 21,713 1,174 66,429 6,516 22,539 20,212
South Atlantic 9,685,140 5,674,872 2,042,476 96,404 3,535,992 1,209,878 1,256,519 1,543,871
Delaware 153,707 78,718 26,410 1,375 50,933 35,538 17,873 21,578
District of Columbia 79,775 39,647 26,158 216 13,273 4,409 8,576 27,143
Florida 3,471,895 2,164,250 709,113 25,586 1,429,551 405,155 420,197 482,293
Georgia 1,280,520 790,740 316,119 14,341 460,280 118,759 171,175 199,846
Maryland 807,149 372,673 134,610 6,420 231,643 134,192 103,553 196,731
North Carolina 1,533,296 920,398 352,877 20,762 546,759 229,728 178,450 204,720
South Carolina 799,441 441,119 176,742 10,805 253,572 124,847 116,960 116,515
Virginia 1,173,277 627,412 210,219 11,899 405,294 110,227 193,280 242,358
West Virginia 386,080 239,915 90,228 5,000 144,687 47,023 46,455 52,687
East South Central 3,234,066 2,042,003 871,556 44,775 1,125,672 325,732 405,430 460,901
Alabama 864,160 493,753 226,703 11,869 255,181 134,209 116,662 119,536
Kentucky 776,814 512,686 201,601 10,961 300,124 62,383 88,535 113,210
Mississippi 506,614 330,861 165,929 5,833 159,099 26,405 69,698 79,650
Tennessee 1,086,478 704,703 277,323 16,112 411,268 102,735 130,535 148,505
West South Central 4,963,718 2,913,228 1,209,658 56,028 1,647,542 606,553 645,434 798,503
Arkansas 541,870 334,160 137,693 7,409 189,058 36,528 82,221 88,961
Louisiana 702,860 438,205 199,310 7,890 231,005 89,182 74,804 100,669
Oklahoma 614,693 367,445 127,838 6,675 232,932 42,383 87,772 117,093
Texas 3,104,295 1,773,418 744,817 34,054 994,547 438,460 400,637 491,780
Mountain 3,091,874 1,852,887 523,383 25,230 1,304,274 305,599 432,495 500,893
Arizona 962,360 599,455 175,656 7,145 416,654 98,117 126,546 138,242
Colorado 649,626 382,606 101,412 4,922 276,272 78,140 87,965 100,915
Idaho 237,567 140,061 38,828 2,144 99,089 20,730 34,060 42,716
Montana 173,661 99,809 27,162 2,070 70,577 14,361 25,771 33,720
Nevada 371,789 215,228 56,368 3,444 155,416 37,807 61,211 57,543
New Mexico 322,493 203,854 74,037 2,829 126,988 20,245 43,568 54,826
Utah 292,447 167,481 38,511 2,076 126,894 29,407 39,356 56,203
Wyoming 81,931 44,393 11,409 600 32,384 6,792 14,018 16,728
Pacific 6,827,624 4,561,911 1,621,129 39,031 2,901,751 612,529 699,436 953,748
Alaska 68,864 26,336 15,792 258 10,286 17,563 10,549 14,416
California 4,900,501 3,406,707 1,284,714 25,530 2,096,463 426,595 445,249 621,950
Hawaii 212,912 142,165 38,209 1,342 102,614 7,695 26,209 36,843
Oregon 640,447 418,883 107,540 5,410 305,933 42,124 77,297 102,143
Washington 1,004,900 567,820 174,874 6,491 386,455 118,552 140,132 178,396
Outlying areas e 1,108,598 511,364 16,659 417 494,288 21,638 62,066 513,530
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.