Annual Statistical Supplement, 2005
Health Care Programs
Medicare
Enrollment, Utilization, and Reimbursement
Type of coverage and service | 1967 | 1975 | 1980 | 1990 | 2000 | 2002 |
---|---|---|---|---|---|---|
Persons enrolled (fee-for-service and managed care) (thousands) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 19,521 | 22,790 | 25,515 | 30,948 | 34,261 | 34,698 |
Hospital Insurance | 19,494 | 22,472 | 25,104 | 30,464 | 33,841 | 34,275 |
Supplementary Medical Insurance | 17,893 | 21,945 | 24,680 | 29,685 | 32,602 | 32,955 |
Persons enrolled (fee-for-service only) (thousands) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | -- | -- | -- | -- | 27,833 | 29,529 |
Hospital Insurance | -- | -- | -- | -- | 27,422 | 29,109 |
Supplementary Medical Insurance | -- | -- | -- | -- | 26,174 | 27,786 |
Persons served (thousands) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 7,154 | 12,032 | 16,271 | 24,809 | 25,486 | 27,117 |
Hospital Insurance | 3,960 | 4,963 | 6,024 | 6,367 | 6,361 | 6,739 |
Inpatient hospital | 3,601 | 4,913 | 5,951 | 5,906 | 5,975 | 6,308 |
Skilled nursing services | 354 | 260 | 248 | 615 | 1,390 | 1,526 |
Home health services a | 126 | 329 | 675 | 1,818 | 1,325 | 1,428 |
Hospice services b | . . . | . . . | . . . | -- | 514 | 620 |
Supplementary Medical Insurance | 6,523 | 11,762 | 16,099 | 24,687 | 25,256 | 26,900 |
Physicians' and other medical services | 6,415 | 11,396 | 15,627 | 24,193 | 24,846 | 26,525 |
Outpatient services | 1,511 | 3,768 | 6,629 | 14,055 | 18,159 | 19,691 |
Home health services a | 118 | 161 | 302 | 38 | 1,081 | 998 |
Persons served per 1,000 enrollees | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 367 | 528 | 638 | 802 | 916 | 918 |
Hospital Insurance | 203 | 221 | 240 | 209 | 232 | 232 |
Inpatient hospital | 185 | 219 | 237 | 194 | 218 | 217 |
Skilled nursing services | 18 | 12 | 10 | 21 | 51 | 52 |
Home health servicesa | 7 | 15 | 27 | 60 | 48 | 49 |
Hospice services b | . . . | . . . | . . . | -- | 19 | 21 |
Supplementary Medical Insurance | 365 | 536 | 652 | 832 | 965 | 968 |
Physicians' and other medical services | 359 | 519 | 633 | 815 | 949 | 955 |
Outpatient services | 77 | 172 | 269 | 474 | 694 | 709 |
Home health services a | 7 | 7 | 12 | 1 | 41 | 36 |
Amount reimbursed (millions of dollars) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 4,239 | 12,689 | 29,134 | 88,778 | 148,488 | 182,303 |
Hospital Insurance | 2,967 | 9,209 | 20,353 | 54,244 | 87,549 | 105,384 |
Inpatient hospital | 2,659 | 8,840 | 19,583 | 48,952 | 72,041 | 83,246 |
Skilled nursing services | 274 | 233 | 331 | 1,886 | 10,066 | 13,546 |
Home health services a | 26 | 136 | 440 | 3,406 | 2,679 | 4,382 |
Hospice services b | . . . | . . . | . . . | -- | 2,763 | 4,211 |
Supplementary Medical Insurance | 1,272 | 3,481 | 8,871 | 34,533 | 60,939 | 76,919 |
Physicians' and other medical services | 1,224 | 3,050 | 7,361 | 27,379 | 44,506 | 55,126 |
Outpatient services | 38 | 374 | 1,261 | 7,077 | 12,588 | 17,518 |
Home health services a | 17 | 56 | 159 | 78 | 3,845 | 4,275 |
Amount reimbursed per person served (dollars) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 592 | 1,055 | 1,791 | 3,578 | 5,826 | 6,723 |
Hospital Insurance | 749 | 1,855 | 3,379 | 8,520 | 13,763 | 15,638 |
Inpatient hospital | 738 | 1,799 | 3,291 | 8,289 | 12,057 | 13,197 |
Skilled nursing services | 774 | 896 | 1,336 | 3,068 | 7,242 | 8,877 |
Home health services a | 204 | 413 | 652 | 1,874 | 2,022 | 3,069 |
Hospice services b | . . . | . . . | . . . | -- | 5,375 | 6,792 |
Supplementary Medical Insurance | 195 | 296 | 545 | 1,399 | 2,413 | 2,859 |
Physicians' and other medical services | 191 | 268 | 471 | 1,132 | 1,791 | 2,078 |
Outpatient services | 25 | 99 | 190 | 503 | 693 | 890 |
Home health servicesa | 145 | 347 | 526 | 2,033 | 3,557 | 4,284 |
Amount reimbursed per enrollee (dollars) | ||||||
Hospital Insurance and/or Supplementary Medical Insurance | 217 | 557 | 1,142 | 2,869 | 5,335 | 6,174 |
Hospital Insurance | 152 | 410 | 811 | 1,781 | 3,193 | 3,620 |
Inpatient hospital | 137 | 394 | 780 | 1,607 | 2,627 | 2,860 |
Skilled nursing services | 14 | 11 | 13 | 62 | 367 | 465 |
Home health services a | 1 | 6 | 18 | 112 | 98 | 151 |
Hospice services b | . . . | . . . | . . . | -- | 101 | 145 |
Supplementary Medical Insurance | 71 | 159 | 356 | 1,163 | 2,328 | 2,768 |
Physicians' and other medical services | 69 | 139 | 298 | 922 | 1,700 | 1,984 |
Outpatient services | 2 | 17 | 51 | 238 | 481 | 630 |
Home health services a | 1 | 2 | 6 | 3 | 147 | 154 |
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.
. . . = not applicable; -- = not available.
|
||||||
a. 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. | ||||||
b. The hospice care benefit was enacted in 1982. Therefore, for calendar years 1967, 1975, and 1980, hospice services were not applicable. | ||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Type of coverage and service | 1974 | 1975 | 1980 | 1990 | 2000 | 2001 | 2002 |
---|---|---|---|---|---|---|---|
Persons enrolled (fee-for-service and managed care) (thousands) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 1,928 | 2,168 | 2,963 | 3,255 | 5,371 | 5,567 | 5,805 |
Hospital Insurance | 1,928 | 2,168 | 2,963 | 3,255 | 5,370 | 5,567 | 5,804 |
Supplementary Medical Insurance | 1,745 | 1,959 | 2,719 | 2,943 | 4,768 | 4,934 | 5,133 |
Persons enrolled (fee-for-service only) (thousands) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | -- | -- | -- | -- | 4,907 | 5,172 | 5,449 |
Hospital Insurance | -- | -- | -- | -- | 4,907 | 5,172 | 5,448 |
Supplementary Medical Insurance | -- | -- | -- | -- | 4,304 | 4,539 | 4,777 |
Persons served (thousands) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 792 | 975 | 1,760 | 2,390 | 4,096 | 4,358 | 4,637 |
Hospital Insurance | 400 | 475 | 728 | 680 | 964 | 1,031 | 1,098 |
Inpatient hospital | 397 | 472 | 721 | 644 | 942 | 1,009 | 1,072 |
Skilled nursing services | 8 | 8 | 9 | 23 | 78 | 86 | 95 |
Home health services a | 15 | 22 | 51 | 122 | 119 | 123 | 137 |
Hospice services b | . . . | . . . | . . . | -- | 27 | 28 | 32 |
Supplementary Medical Insurance | 740 | 924 | 1,723 | 2,365 | 4,057 | 4,319 | 4,599 |
Physicians' and other medical services | 691 | 865 | 1,631 | 2,249 | 3,917 | 4,187 | 4,468 |
Outpatient services | 296 | 399 | 909 | 1,496 | 2,870 | 3,090 | 3,324 |
Home health services a | 9 | 13 | 25 | c | 110 | 100 | 109 |
Persons served per 1,000 enrollees | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 411 | 450 | 594 | 734 | 835 | 843 | 851 |
Hospital Insurance | 208 | 219 | 246 | 209 | 196 | 199 | 202 |
Inpatient hospital | 206 | 218 | 243 | 198 | 192 | 195 | 197 |
Skilled nursing services | 4 | 4 | 3 | 7 | 16 | 17 | 17 |
Home health services a | 8 | 10 | 17 | 38 | 24 | 24 | 25 |
Hospice services b | . . . | . . . | . . . | -- | 6 | 5 | 6 |
Supplementary Medical Insurance | 424 | 471 | 634 | 804 | 943 | 952 | 963 |
Physicians' and other medical services | 396 | 442 | 600 | 764 | 910 | 922 | 935 |
Outpatient services | 170 | 204 | 334 | 508 | 667 | 681 | 696 |
Home health services a | 5 | 7 | 9 | c | 26 | 22 | 23 |
Amount reimbursed (millions of dollars) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 1,049 | 1,509 | 4,478 | 11,239 | 25,773 | 29,680 | 33,108 |
Hospital Insurance | 694 | 987 | 2,765 | 6,694 | 14,114 | 16,039 | 17,609 |
Inpatient hospital | 681 | 968 | 2,714 | 6,346 | 13,156 | 14,794 | 16,136 |
Skilled nursing services | 7 | 9 | 13 | 85 | 555 | 711 | 817 |
Home health services a | 6 | 10 | 38 | 264 | 239 | 345 | 406 |
Hospice services b | . . . | . . . | . . . | -- | 164 | 189 | 249 |
Supplementary Medical Insurance | 355 | 522 | 1,713 | 4,545 | 11,660 | 13,641 | 15,499 |
Physicians' and other medical services | 206 | 295 | 997 | 2,831 | 6,968 | 8,187 | 9,146 |
Outpatient services | 145 | 221 | 701 | 1,714 | 4,198 | 4,988 | 5,828 |
Home health services a | 3 | 5 | 16 | c | 493 | 467 | 525 |
Amount reimbursed per person served (dollars) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 1,324 | 1,548 | 2,544 | 4,703 | 6,292 | 6,810 | 7,140 |
Hospital Insurance | 1,735 | 2,077 | 3,798 | 9,847 | 14,641 | 15,557 | 16,037 |
Inpatient hospital | 1,714 | 2,051 | 3,765 | 9,849 | 13,966 | 14,662 | 15,052 |
Skilled nursing services | 936 | 1,049 | 1,571 | 3,702 | 7,115 | 8,267 | 8,600 |
Home health services a | 399 | 478 | 733 | 2,156 | 2,008 | 2,805 | 2,964 |
Hospice services b | . . . | . . . | . . . | -- | 6,074 | 6,750 | 7,781 |
Supplementary Medical Insurance | 479 | 565 | 994 | 1,922 | 2,874 | 3,158 | 3,370 |
Physicians' and other medical services | 298 | 341 | 611 | 1,259 | 1,779 | 1,955 | 2,047 |
Outpatient services | 490 | 554 | 771 | 1,146 | 1,463 | 1,614 | 1,753 |
Home health services a | 345 | 420 | 619 | c | 4,482 | 4,670 | 4,817 |
Amount reimbursed per enrollee (dollars) | |||||||
Hospital Insurance and/or Supplementary Medical Insurance | 544 | 696 | 1,511 | 3,453 | 5,252 | 5,739 | 6,076 |
Hospital Insurance | 360 | 455 | 933 | 2,057 | 2,876 | 3,101 | 3,232 |
Inpatient hospital | 353 | 446 | 916 | 1,950 | 2,681 | 2,860 | 2,962 |
Skilled nursing services | 4 | 4 | 4 | 26 | 113 | 137 | 150 |
Home health services a | 3 | 5 | 13 | 81 | 49 | 67 | 75 |
Hospice services b | . . . | . . . | . . . | -- | 33 | 37 | 46 |
Supplementary Medical Insurance | 208 | 266 | 630 | 1,544 | 2,709 | 3,005 | 3,245 |
Physicians' and other medical services | 118 | 151 | 639 | 962 | 1,619 | 1,804 | 1,915 |
Outpatient services | 83 | 113 | 258 | 582 | 975 | 1,099 | 1,220 |
Home health services a | 2 | 3 | 5 | c | 115 | 103 | 110 |
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.
. . . = not applicable; -- = not available.
|
|||||||
a. 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. | |||||||
b. The hospice care benefit was enacted in 1982. Therefore, for calendar years 1974, 1975, and 1980, hospice services were not applicable. | |||||||
c. Sample population too small to yield valid calculated results. | |||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Census division and state or area | 1980 | 1990 | 1995 | 2000 | 2001 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|
Total | ||||||||
All areas | 25,515 | 30,948 | 33,142 | 34,253 | 34,462 | 34,679 | 35,008 | 35,334 |
United States a | 25,027 | 30,350 | 32,492 | 33,549 | 33,743 | 33,947 | 34,261 | 34,571 |
New England | 1,506 | 1,734 | 1,816 | 1,838 | 1,837 | 1,836 | 1,841 | 1,843 |
Connecticut | 362 | 436 | 455 | 458 | 457 | 456 | 458 | 458 |
Maine | 142 | 165 | 174 | 180 | 182 | 183 | 185 | 186 |
Massachusetts | 715 | 795 | 825 | 829 | 827 | 824 | 822 | 819 |
New Hampshire | 103 | 126 | 139 | 147 | 148 | 150 | 152 | 156 |
Rhode Island | 125 | 145 | 149 | 148 | 147 | 146 | 146 | 145 |
Vermont | 59 | 68 | 72 | 76 | 76 | 77 | 78 | 79 |
Middle Atlantic | 4,496 | 5,084 | 5,267 | 5,282 | 5,277 | 5,276 | 5,279 | 5,277 |
New Jersey | 851 | 1,006 | 1,058 | 1,070 | 1,070 | 1,071 | 1,073 | 1,073 |
New York | 2,128 | 2,280 | 2,328 | 2,347 | 2,351 | 2,356 | 2,361 | 2,365 |
Pennsylvania | 1,516 | 1,798 | 1,881 | 1,865 | 1,856 | 1,849 | 1,845 | 1,839 |
East North Central | 4,462 | 5,224 | 5,500 | 5,552 | 5,560 | 5,567 | 5,599 | 5,625 |
Illinois | 1,238 | 1,401 | 1,446 | 1,440 | 1,440 | 1,439 | 1,446 | 1,452 |
Indiana | 579 | 685 | 725 | 736 | 738 | 740 | 746 | 751 |
Michigan | 916 | 1,101 | 1,177 | 1,203 | 1,207 | 1,210 | 1,218 | 1,226 |
Ohio | 1,162 | 1,387 | 1,471 | 1,480 | 1,480 | 1,480 | 1,486 | 1,489 |
Wisconsin | 567 | 650 | 683 | 693 | 695 | 698 | 703 | 707 |
West North Central | 2,186 | 2,424 | 2,510 | 2,519 | 2,522 | 2,523 | 2,532 | 2,542 |
Iowa | 387 | 422 | 432 | 427 | 426 | 425 | 426 | 426 |
Kansas | 304 | 337 | 348 | 347 | 346 | 345 | 345 | 345 |
Minnesota | 479 | 544 | 570 | 583 | 586 | 590 | 595 | 600 |
Missouri | 639 | 706 | 733 | 736 | 737 | 737 | 740 | 744 |
Nebraska | 205 | 221 | 228 | 227 | 227 | 227 | 227 | 227 |
North Dakota | 81 | 91 | 94 | 93 | 93 | 92 | 92 | 92 |
South Dakota | 91 | 102 | 106 | 106 | 107 | 107 | 107 | 108 |
South Atlantic | 4,179 | 5,536 | 6,091 | 6,410 | 6,474 | 6,542 | 6,630 | 6,730 |
Delaware | 59 | 80 | 90 | 97 | 99 | 100 | 102 | 104 |
District of Columbia | 71 | 71 | 70 | 66 | 65 | 64 | 64 | 63 |
Florida | 1,579 | 2,174 | 2,396 | 2,493 | 2,511 | 2,531 | 2,558 | 2,596 |
Georgia | 499 | 636 | 700 | 750 | 760 | 771 | 785 | 799 |
Maryland | 381 | 496 | 542 | 570 | 576 | 582 | 589 | 596 |
North Carolina | 588 | 786 | 878 | 939 | 952 | 965 | 980 | 997 |
South Carolina | 279 | 383 | 428 | 463 | 470 | 477 | 486 | 496 |
Virginia | 490 | 645 | 714 | 761 | 771 | 782 | 795 | 808 |
West Virginia | 233 | 264 | 274 | 271 | 270 | 270 | 271 | 271 |
East South Central | 1,613 | 1,887 | 2,000 | 2,060 | 2,072 | 2,084 | 2,107 | 2,128 |
Alabama | 428 | 508 | 541 | 558 | 561 | 564 | 569 | 573 |
Kentucky | 402 | 459 | 482 | 491 | 492 | 494 | 499 | 504 |
Mississippi | 280 | 313 | 325 | 330 | 331 | 333 | 336 | 339 |
Tennessee | 503 | 607 | 652 | 681 | 688 | 693 | 703 | 712 |
West South Central | 2,363 | 2,880 | 3,120 | 3,274 | 3,299 | 3,328 | 3,369 | 3,414 |
Arkansas | 303 | 343 | 356 | 359 | 359 | 360 | 362 | 365 |
Louisiana | 380 | 460 | 488 | 498 | 498 | 500 | 504 | 507 |
Oklahoma | 361 | 412 | 432 | 438 | 439 | 440 | 442 | 445 |
Texas | 1,318 | 1,665 | 1,845 | 1,979 | 2,003 | 2,028 | 2,061 | 2,097 |
Mountain | 1,043 | 1,490 | 1,726 | 1,906 | 1,944 | 1,983 | 2,028 | 2,079 |
Arizona | 295 | 456 | 536 | 591 | 602 | 614 | 628 | 645 |
Colorado | 244 | 324 | 367 | 403 | 410 | 416 | 424 | 434 |
Idaho | 95 | 121 | 134 | 144 | 147 | 150 | 153 | 157 |
Montana | 85 | 106 | 114 | 119 | 120 | 121 | 123 | 124 |
Nevada | 65 | 128 | 172 | 209 | 218 | 227 | 236 | 246 |
New Mexico | 114 | 160 | 182 | 200 | 203 | 207 | 211 | 215 |
Utah | 108 | 147 | 168 | 183 | 186 | 189 | 193 | 198 |
Wyoming | 38 | 47 | 54 | 57 | 58 | 59 | 60 | 60 |
Pacific | 3,157 | 4,082 | 4,444 | 4,697 | 4,747 | 4,798 | 4,865 | 4,924 |
Alaska | 11 | 22 | 28 | 35 | 36 | 38 | 39 | 41 |
California | 2,346 | 2,990 | 3,241 | 3,436 | 3,474 | 3,509 | 3,556 | 3,592 |
Hawaii | 74 | 118 | 138 | 151 | 153 | 155 | 157 | 159 |
Oregon | 300 | 390 | 422 | 432 | 435 | 440 | 446 | 453 |
Washington | 426 | 562 | 614 | 643 | 649 | 656 | 667 | 679 |
Unknown | 22 | 10 | 18 | 11 | 11 | 10 | 10 | 10 |
Outlying areas | 270 | 344 | 383 | 420 | 430 | 439 | 448 | 459 |
Puerto Rico | 263 | 337 | 367 | 401 | 410 | 418 | 427 | 436 |
Virgin Islands | 4 | 6 | 8 | 9 | 10 | 10 | 10 | 11 |
Other | 3 | 1 | 8 | 10 | 10 | 11 | 11 | 12 |
Foreign countries | 217 | 254 | 268 | 284 | 289 | 293 | 299 | 304 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Census division and state or area | 1980 | 1990 | 1995 | 2000 | 2001 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|
Total | ||||||||
All areas | 2,963 | 3,255 | 4,393 | 5,367 | 5,563 | 5,810 | 6,079 | 6,395 |
United States a | 2,863 | 3,149 | 4,266 | 5,208 | 5,406 | 5,648 | 5,912 | 6,225 |
New England | 141 | 156 | 228 | 285 | 295 | 307 | 319 | 335 |
Connecticut | 31 | 33 | 47 | 58 | 59 | 62 | 64 | 67 |
Maine | 16 | 18 | 27 | 36 | 38 | 40 | 42 | 45 |
Massachusetts | 64 | 72 | 108 | 131 | 135 | 139 | 144 | 150 |
New Hampshire | 9 | 11 | 17 | 23 | 24 | 26 | 27 | 30 |
Rhode Island | 14 | 14 | 19 | 24 | 25 | 26 | 27 | 28 |
Vermont | 7 | 7 | 10 | 13 | 14 | 14 | 15 | 15 |
Middle Atlantic | 493 | 473 | 603 | 731 | 755 | 784 | 814 | 848 |
New Jersey | 91 | 86 | 110 | 133 | 138 | 142 | 147 | 153 |
New York | 237 | 229 | 302 | 368 | 378 | 391 | 402 | 414 |
Pennsylvania | 165 | 158 | 190 | 230 | 239 | 251 | 265 | 281 |
East North Central | 486 | 561 | 715 | 823 | 845 | 877 | 916 | 962 |
Illinois | 113 | 132 | 172 | 195 | 200 | 207 | 215 | 226 |
Indiana | 63 | 77 | 99 | 117 | 120 | 125 | 132 | 138 |
Michigan | 118 | 132 | 170 | 200 | 207 | 216 | 227 | 240 |
Ohio | 141 | 156 | 196 | 221 | 226 | 233 | 241 | 251 |
Wisconsin | 50 | 64 | 79 | 90 | 92 | 96 | 101 | 107 |
West North Central | 180 | 211 | 280 | 338 | 351 | 370 | 387 | 408 |
Iowa | 29 | 34 | 43 | 50 | 52 | 54 | 57 | 59 |
Kansas | 22 | 26 | 35 | 43 | 45 | 47 | 49 | 52 |
Minnesota | 35 | 44 | 60 | 72 | 74 | 78 | 82 | 87 |
Missouri | 67 | 75 | 100 | 124 | 130 | 137 | 144 | 152 |
Nebraska | 14 | 16 | 22 | 26 | 27 | 29 | 30 | 32 |
North Dakota | 6 | 7 | 9 | 10 | 10 | 11 | 11 | 11 |
South Dakota | 7 | 8 | 11 | 13 | 13 | 14 | 14 | 15 |
South Atlantic | 545 | 607 | 834 | 1,075 | 1,125 | 1,179 | 1,236 | 1,301 |
Delaware | 7 | 8 | 11 | 15 | 15 | 16 | 17 | 19 |
District of Columbia | 8 | 7 | 8 | 10 | 10 | 10 | 10 | 11 |
Florida | 147 | 165 | 232 | 311 | 328 | 345 | 363 | 384 |
Georgia | 88 | 96 | 134 | 166 | 173 | 180 | 188 | 196 |
Maryland | 41 | 46 | 60 | 75 | 78 | 82 | 85 | 89 |
North Carolina | 91 | 106 | 149 | 194 | 203 | 214 | 225 | 237 |
South Carolina | 51 | 59 | 81 | 105 | 110 | 115 | 121 | 127 |
Virginia | 68 | 77 | 105 | 132 | 138 | 144 | 151 | 158 |
West Virginia | 43 | 44 | 55 | 67 | 70 | 73 | 76 | 80 |
East South Central | 246 | 287 | 397 | 495 | 518 | 543 | 570 | 602 |
Alabama | 63 | 74 | 101 | 127 | 134 | 142 | 151 | 160 |
Kentucky | 62 | 75 | 105 | 132 | 137 | 143 | 149 | 156 |
Mississippi | 46 | 53 | 72 | 88 | 92 | 96 | 101 | 107 |
Tennessee | 76 | 85 | 119 | 148 | 155 | 162 | 169 | 179 |
West South Central | 288 | 317 | 452 | 539 | 559 | 584 | 614 | 655 |
Arkansas | 45 | 48 | 67 | 80 | 83 | 86 | 90 | 96 |
Louisiana | 63 | 71 | 93 | 104 | 107 | 112 | 116 | 122 |
Oklahoma | 41 | 39 | 56 | 69 | 72 | 75 | 79 | 84 |
Texas | 139 | 159 | 236 | 286 | 297 | 311 | 329 | 353 |
Mountain | 112 | 148 | 228 | 284 | 295 | 312 | 327 | 349 |
Arizona | 34 | 42 | 66 | 84 | 89 | 95 | 101 | 109 |
Colorado | 24 | 34 | 54 | 65 | 66 | 68 | 69 | 72 |
Idaho | 9 | 11 | 16 | 21 | 22 | 23 | 25 | 27 |
Montana | 9 | 12 | 16 | 18 | 18 | 19 | 20 | 21 |
Nevada | 8 | 13 | 22 | 30 | 32 | 35 | 37 | 41 |
New Mexico | 15 | 19 | 28 | 34 | 35 | 37 | 39 | 41 |
Utah | 9 | 13 | 20 | 24 | 25 | 26 | 27 | 29 |
Wyoming | 3 | 4 | 7 | 8 | 8 | 9 | 9 | 9 |
Pacific | 367 | 388 | 529 | 637 | 662 | 692 | 726 | 766 |
Alaska | 2 | 3 | 5 | 7 | 8 | 8 | 9 | 9 |
California | 284 | 289 | 392 | 465 | 481 | 500 | 522 | 550 |
Hawaii | 7 | 9 | 11 | 15 | 15 | 17 | 18 | 19 |
Oregon | 31 | 34 | 47 | 57 | 61 | 64 | 68 | 72 |
Washington | 43 | 53 | 74 | 93 | 97 | 103 | 109 | 116 |
Unknown | 4 | 2 | 1 | 1 | 1 | 2 | 2 | 2 |
Outlying areas | 88 | 93 | 111 | 139 | 142 | 147 | 152 | 155 |
Puerto Rico | 88 | 92 | 110 | 136 | 139 | 144 | 148 | 151 |
Virgin Islands | -- | 1 | 1 | 1 | 1 | 1 | 2 | 2 |
Other | -- | -- | -- | 2 | 2 | 2 | 2 | 2 |
Foreign countries | 12 | 14 | 14 | 14 | 15 | 15 | 15 | 15 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||
NOTE: -- = not available. | ||||||||
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Age, sex, and race | 1980 | 1985 | 1990 | 1995 | 2000 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|
Hospital Insurance and/or Supplementary Medical Insurance | ||||||||
Total | 25,515 | 28,176 | 30,948 | 33,142 | 34,253 | 34,680 | 35,008 | 35,334 |
Age | ||||||||
65–69 | 8,459 | 8,956 | 9,695 | 9,517 | 9,167 | 9,274 | 9,466 | 9,698 |
70–74 | 6,756 | 7,441 | 7,951 | 8,756 | 8,609 | 8,480 | 8,394 | 8,321 |
75–79 | 4,809 | 5,453 | 6,058 | 6,563 | 7,285 | 7,292 | 7,302 | 7,258 |
80–84 | 3,081 | 3,463 | 3,957 | 4,470 | 4,870 | 5,173 | 5,283 | 5,429 |
85 or older | 2,410 | 2,861 | 3,286 | 3,837 | 4,322 | 4,461 | 4,563 | 4,627 |
Sex | ||||||||
Men | 10,268 | 11,282 | 12,416 | 13,434 | 14,112 | 14,418 | 14,625 | 14,837 |
Women | 15,247 | 16,894 | 18,532 | 19,708 | 20,141 | 20,261 | 20,382 | 20,497 |
Race | ||||||||
White | 22,534 | 24,745 | 26,855 | 29,011 | 29,757 | 29,974 | 30,195 | 30,413 |
All other races | 2,257 | 2,585 | 3,114 | 3,253 | 4,403 | 4,627 | 4,741 | 4,853 |
Unknown | 724 | 846 | 979 | 878 | 92 | 78 | 72 | 67 |
Hospital Insurance | ||||||||
Total | 25,104 | 27,683 | 30,464 | 32,742 | 33,833 | 34,257 | 34,581 | 34,996 |
Age | ||||||||
65–69 | 8,302 | 8,818 | 9,565 | 9,411 | 9,074 | 9,183 | 9,373 | 9,622 |
70–74 | 6,592 | 7,292 | 7,829 | 8,652 | 8,505 | 8,380 | 8,295 | 8,248 |
75–79 | 4,731 | 5,315 | 5,947 | 6,483 | 7,189 | 7,196 | 7,206 | 7,186 |
80–84 | 3,072 | 3,403 | 3,872 | 4,409 | 4,806 | 5,103 | 5,211 | 5,369 |
85 or older | 2,407 | 2,854 | 3,252 | 3,787 | 4,259 | 4,395 | 4,496 | 4,572 |
Sex | ||||||||
Men | 10,156 | 11,146 | 12,280 | 13,310 | 13,979 | 14,284 | 14,489 | 14,727 |
Women | 14,948 | 16,536 | 18,184 | 19,431 | 19,854 | 19,974 | 20,092 | 20,269 |
Race | ||||||||
White | 22,244 | 24,424 | 26,591 | 28,822 | 29,570 | 29,792 | 30,013 | 30,272 |
All other races | 2,160 | 2,444 | 2,931 | 3,127 | 4,176 | 4,392 | 4,500 | 4,660 |
Unknown | 699 | 815 | 942 | 792 | 87 | 73 | 68 | 65 |
Supplementary Medical Insurance | ||||||||
Total | 24,680 | 27,311 | 29,686 | 31,742 | 32,590 | 32,934 | 33,203 | 33,440 |
Age | ||||||||
65–69 | 8,156 | 8,607 | 9,008 | 8,830 | 8,330 | 8,401 | 8,554 | 8,724 |
70–74 | 6,570 | 7,277 | 7,740 | 8,430 | 8,256 | 8,107 | 8,012 | 7,929 |
75–79 | 4,684 | 5,333 | 5,942 | 6,431 | 7,088 | 7,090 | 7,100 | 7,053 |
80–84 | 2,981 | 3,381 | 3,879 | 4,392 | 4,782 | 5,068 | 5,169 | 5,306 |
85 or older | 2,289 | 2,712 | 3,118 | 3,659 | 4,134 | 4,268 | 4,368 | 4,429 |
Sex | ||||||||
Men | 9,868 | 10,852 | 11,758 | 12,694 | 13,205 | 13,466 | 13,640 | 13,802 |
Women | 14,813 | 16,459 | 17,927 | 19,048 | 19,384 | 19,468 | 19,562 | 19,639 |
Race | ||||||||
White | 21,876 | 24,060 | 25,849 | 27,899 | 28,432 | 28,592 | 28,765 | 28,914 |
All other races | 2,114 | 2,441 | 2,910 | 3,028 | 4,086 | 4,285 | 4,386 | 4,479 |
Unknown | 691 | 810 | 927 | 815 | 71 | 58 | 52 | 47 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Age, sex, and race | 1980 | 1990 | 2000 | 2003 | 2004 | |||||
---|---|---|---|---|---|---|---|---|---|---|
All disabled |
End-stage renal disease only |
All disabled |
End-stage renal disease only |
All disabled |
End-stage renal disease only |
All disabled |
End-stage renal disease only |
All disabled |
End-stage renal disease only |
|
Hospital Insurance and/or Supplementary Medical Insurance | ||||||||||
Total | 2,963,175 | 28,334 | 3,255,007 | 64,692 | 5,367,151 | 73,890 | 6,079,424 | 81,662 | 6,311,771 | 83,111 |
Age | ||||||||||
Under 35 | 371,204 | 8,773 | 483,265 | 16,603 | 522,321 | 13,255 | 553,946 | 13,801 | 565,761 | 13,680 |
35–44 | 369,460 | 5,188 | 654,957 | 14,159 | 1,129,288 | 15,084 | 1,154,953 | 15,428 | 1,153,154 | 15,527 |
45–54 | 657,486 | 6,977 | 741,200 | 15,800 | 1,627,238 | 22,647 | 1,885,826 | 25,323 | 1,961,154 | 25,715 |
55–64 | 1,565,025 | 7,396 | 1,375,585 | 18,130 | 2,088,304 | 22,904 | 2,484,699 | 27,110 | 2,631,702 | 28,189 |
Sex | ||||||||||
Men | 1,870,558 | 14,547 | 2,042,944 | 33,647 | 3,014,107 | 40,062 | 3,311,265 | 44,736 | 3,411,286 | 45,637 |
Women | 1,092,617 | 13,787 | 1,212,063 | 31,045 | 2,353,044 | 33,828 | 2,768,159 | 36,926 | 2,900,485 | 37,474 |
Race | ||||||||||
White | 2,422,253 | 19,232 | 2,480,767 | 35,638 | 3,989,357 | 35,636 | 4,495,109 | 37,913 | 4,686,861 | 38,304 |
All other races | 486,677 | 7,907 | 712,315 | 26,477 | 1,362,457 | 37,820 | 1,571,271 | 43,551 | 1,607,703 | 44,314 |
Unknown | 54,245 | 1,195 | 61,925 | 2,577 | 15,337 | 434 | 13,044 | 198 | 17,207 | 493 |
Hospital Insurance | ||||||||||
Total | 2,963,156 | 28,334 | 3,254,983 | 64,677 | 5,366,598 | 73,890 | 6,076,034 | 81,652 | 6,311,437 | 83,103 |
Age | ||||||||||
Under 35 | 371,199 | 8,773 | 483,262 | 16,601 | 522,123 | 13,255 | 553,083 | 13,797 | 565,698 | 13,679 |
35–44 | 369,458 | 5,188 | 654,953 | 14,157 | 1,129,170 | 15,084 | 1,154,266 | 15,427 | 1,153,074 | 15,525 |
45–54 | 657,483 | 6,977 | 741,193 | 15,794 | 1,627,107 | 22,647 | 1,884,907 | 25,320 | 1,961,074 | 25,712 |
55–64 | 1,565,016 | 7,396 | 1,375,575 | 18,125 | 2,088,198 | 22,904 | 2,483,778 | 27,108 | 2,631,591 | 28,187 |
Sex | ||||||||||
Men | 1,870,543 | 14,547 | 2,042,929 | 33,639 | 3,013,803 | 40,062 | 3,309,440 | 44,729 | 3,411,088 | 45,632 |
Women | 1,092,613 | 13,787 | 1,212,054 | 31,038 | 2,352,795 | 33,828 | 2,766,594 | 36,923 | 2,900,349 | 37,471 |
Race | ||||||||||
White | 2,422,239 | 19,232 | 2,480,754 | 35,631 | 3,988,957 | 35,636 | 4,493,014 | 37,907 | 4,686,631 | 38,302 |
All other races | 486,672 | 7,907 | 712,304 | 26,469 | 1,362,305 | 37,820 | 1,569,996 | 43,547 | 1,607,599 | 44,309 |
Unknown | 54,245 | 1,195 | 61,925 | 2,577 | 15,336 | 434 | 13,024 | 198 | 17,207 | 492 |
Supplementary Medical Insurance | ||||||||||
Total | 2,719,226 | 27,046 | 2,943,480 | 58,912 | 4,769,804 | 68,800 | 5,386,970 | 75,042 | 5,584,413 | 76,173 |
Age | ||||||||||
Under 35 | 339,665 | 8,294 | 441,640 | 14,782 | 466,869 | 12,159 | 494,729 | 12,520 | 505,202 | 12,392 |
35–44 | 337,146 | 4,963 | 586,537 | 12,567 | 998,230 | 13,783 | 1,015,672 | 13,854 | 1,012,955 | 13,964 |
45–54 | 596,287 | 6,683 | 666,257 | 14,559 | 1,421,904 | 20,961 | 1,650,064 | 23,087 | 1,717,578 | 23,370 |
55–64 | 1,446,128 | 7,106 | 1,249,046 | 17,004 | 1,882,801 | 21,897 | 2,226,505 | 25,581 | 2,348,678 | 26,447 |
Sex | ||||||||||
Men | 1,694,569 | 13,887 | 1,833,959 | 30,338 | 2,665,252 | 37,037 | 2,917,468 | 40,651 | 2,999,387 | 41,429 |
Women | 1,024,657 | 13,159 | 1,109,521 | 28,574 | 2,104,552 | 31,763 | 2,469,502 | 34,391 | 2,585,026 | 34,744 |
Race | ||||||||||
White | 2,218,176 | 18,458 | 2,236,781 | 32,347 | 3,535,008 | 33,154 | 3,974,030 | 34,952 | 4,134,472 | 35,228 |
All other races | 449,753 | 7,446 | 650,121 | 24,240 | 1,221,836 | 35,256 | 1,401,696 | 39,907 | 1,435,596 | 40,559 |
Unknown | 51,297 | 1,142 | 56,578 | 2,325 | 12,960 | 390 | 11,244 | 183 | 14,345 | 386 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Census division and state or area a | 1975 | 1980 | 1990 | 1995 | 2000 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|
Total | ||||||||
All areas b | 143 | 292 | 1,090 | 1,908 | 2,762 | 3,574 | 4,117 | 4,559 |
United States c | 144 | 293 | 1,081 | 1,920 | 2,787 | 3,608 | 4,157 | 4,603 |
New England | 159 | 298 | 988 | 1,763 | 2,436 | 2,862 | 3,194 | 3,512 |
Connecticut | 167 | 287 | 1,177 | 2,013 | 2,608 | 3,014 | 3,413 | 3,746 |
Maine | 133 | 284 | 927 | 1,645 | 2,328 | 2,763 | 3,042 | 3,306 |
Massachusetts | 168 | 316 | 942 | 1,705 | 2,429 | 2,797 | 3,100 | 3,415 |
New Hampshire | 123 | 264 | 1,022 | 1,699 | 2,480 | 3,027 | 3,384 | 3,676 |
Rhode Island | 154 | 284 | 851 | 1,638 | 2,316 | 2,967 | 3,290 | 3,703 |
Vermont | 124 | 230 | 923 | 1,580 | 1,995 | 2,356 | 2,660 | 2,889 |
Middle Atlantic | 163 | 304 | 943 | 1,704 | 2,743 | 3,925 | 4,763 | 5,209 |
New Jersey | 157 | 300 | 725 | 1,865 | 3,757 | 6,157 | 7,447 | 8,142 |
New York | 176 | 301 | 836 | 1,366 | 2,116 | 2,817 | 3,412 | 3,752 |
Pennsylvania | 145 | 312 | 1,236 | 2,109 | 3,003 | 3,979 | 4,791 | 5,287 |
East North Central | 140 | 294 | 1,097 | 1,866 | 2,550 | 3,135 | 3,547 | 3,979 |
Illinois | 148 | 322 | 1,202 | 2,126 | 3,017 | 3,645 | 4,094 | 4,566 |
Indiana | 116 | 236 | 997 | 1,713 | 2,271 | 2,731 | 3,061 | 3,477 |
Michigan | 156 | 332 | 1,193 | 1,881 | 2,451 | 2,925 | 3,310 | 3,715 |
Ohio | 134 | 277 | 1,030 | 1,730 | 2,360 | 2,995 | 3,443 | 3,861 |
Wisconsin | 128 | 251 | 933 | 1,690 | 2,424 | 3,154 | 3,541 | 3,984 |
West North Central | 117 | 248 | 1,052 | 1,831 | 2,638 | 3,305 | 3,732 | 4,166 |
Iowa | 110 | 239 | 902 | 1,573 | 2,124 | 2,663 | 3,031 | 3,391 |
Kansas | 113 | 244 | 1,093 | 1,957 | 2,589 | 3,225 | 3,768 | 4,321 |
Minnesota | 124 | 248 | 1,132 | 1,938 | 2,913 | 3,666 | 4,162 | 4,683 |
Missouri | 119 | 257 | 1,108 | 1,922 | 2,783 | 3,385 | 3,747 | 4,107 |
Nebraska | 116 | 251 | 1,043 | 1,850 | 3,007 | 4,031 | 4,497 | 4,968 |
North Dakota | 118 | 237 | 937 | 1,509 | 2,180 | 2,663 | 2,989 | 3,318 |
South Dakota | 107 | 228 | 915 | 1,518 | 2,167 | 2,870 | 3,266 | 3,762 |
South Atlantic | 135 | 273 | 1,106 | 1,876 | 2,637 | 3,337 | 3,776 | 4,162 |
Delaware | 153 | 274 | 1,191 | 1,831 | 1,971 | 2,384 | 2,631 | 2,954 |
District of Columbia | 174 | 373 | 1,374 | 2,129 | 3,331 | 3,829 | 4,437 | 4,892 |
Florida | 161 | 321 | 1,360 | 2,351 | 3,439 | 4,406 | 5,030 | 5,477 |
Georgia | 125 | 258 | 1,081 | 1,744 | 2,527 | 3,101 | 3,552 | 3,947 |
Maryland | 164 | 274 | 813 | 1,365 | 1,608 | 1,859 | 1,951 | 2,141 |
North Carolina | 101 | 214 | 932 | 1,603 | 2,175 | 2,672 | 2,963 | 3,303 |
South Carolina | 106 | 229 | 1,021 | 1,818 | 2,611 | 3,368 | 3,799 | 4,240 |
Virginia | 118 | 247 | 1,022 | 1,732 | 2,432 | 3,082 | 3,474 | 3,862 |
West Virginia | 108 | 247 | 1,009 | 1,472 | 1,821 | 2,193 | 2,433 | 2,641 |
East South Central | 115 | 243 | 1,019 | 1,718 | 2,451 | 3,016 | 3,457 | 3,844 |
Alabama | 126 | 282 | 1,176 | 2,054 | 2,914 | 3,612 | 4,143 | 4,609 |
Kentucky | 107 | 216 | 967 | 1,630 | 2,269 | 2,751 | 3,117 | 3,497 |
Mississippi | 98 | 213 | 865 | 1,437 | 2,017 | 2,504 | 2,883 | 3,278 |
Tennessee | 122 | 250 | 1,012 | 1,662 | 2,479 | 3,031 | 3,485 | 3,798 |
West South Central | 117 | 253 | 1,138 | 1,937 | 2,767 | 3,539 | 4,045 | 4,538 |
Arkansas | 104 | 231 | 923 | 1,511 | 2,194 | 2,773 | 3,152 | 3,491 |
Louisiana | 116 | 265 | 1,180 | 1,926 | 2,724 | 3,369 | 3,700 | 4,063 |
Oklahoma | 128 | 271 | 997 | 1,620 | 2,335 | 2,841 | 3,263 | 3,696 |
Texas | 118 | 250 | 1,212 | 2,118 | 3,008 | 3,890 | 4,486 | 5,049 |
Mountain | 142 | 305 | 1,350 | 2,321 | 3,279 | 4,090 | 4,630 | 5,226 |
Arizona | 155 | 325 | 1,442 | 2,617 | 3,885 | 4,663 | 5,197 | 5,800 |
Colorado | 144 | 288 | 1,308 | 2,240 | 3,392 | 4,329 | 4,859 | 5,539 |
Idaho | 129 | 273 | 1,140 | 1,951 | 2,471 | 2,997 | 3,304 | 3,700 |
Montana | 116 | 262 | 1,036 | 1,742 | 2,233 | 2,756 | 3,091 | 3,491 |
Nevada | 177 | 424 | 2,031 | 3,253 | 4,320 | 5,418 | 6,237 | 6,889 |
New Mexico | 133 | 293 | 1,140 | 1,913 | 2,533 | 3,149 | 3,591 | 4,112 |
Utah | 142 | 316 | 1,283 | 2,069 | 2,871 | 3,375 | 3,777 | 4,206 |
Wyoming | 109 | 245 | 1,094 | 1,985 | 2,373 | 2,911 | 3,319 | 3,623 |
Pacific | 196 | 416 | 1,651 | 2,877 | 4,228 | 5,648 | 6,495 | 7,149 |
Alaska | 228 | 379 | 1,470 | 2,385 | 3,144 | 3,757 | 4,521 | 4,951 |
California | 206 | 448 | 1,794 | 3,156 | 4,701 | 6,363 | 7,283 | 7,976 |
Hawaii | 148 | 333 | 1,224 | 2,319 | 2,991 | 3,440 | 3,800 | 4,170 |
Oregon | 158 | 329 | 1,275 | 1,987 | 2,717 | 3,245 | 3,707 | 4,223 |
Washington | 163 | 293 | 1,162 | 1,924 | 2,708 | 3,455 | 3,972 | 4,570 |
Outlying areas | 77 | 152 | 510 | 739 | 947 | 1,055 | 1,077 | 1,084 |
Puerto Rico | 77 | 151 | 505 | 736 | 946 | 1,050 | 1,069 | 1,074 |
Virgin Islands | 92 | 161 | 746 | 843 | 1,007 | 1,372 | 1,568 | 1,618 |
Other | 88 | 263 | . . . | . . . | . . . | . . . | . . . | . . . |
SOURCE: Centers for Medicare & Medicaid. | ||||||||
NOTES: Data from 1975 to 1995 are based on bills approved in each year and recorded before June 1996. Data from 2000 to 2004 are based on the stay records for 100 percent of Medicare-aged and disabled beneficiaries as recorded in the MEDPAR file.
. . . = not applicable.
|
||||||||
a. Geographic distribution reflects the beneficiaries' area of residence. | ||||||||
b. Excludes claims for persons residing in foreign countries. | ||||||||
c. Includes claims for persons whose place of residence is unknown. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Census division and state or area a | 1975 | 1980 | 1990 | 1995 | 2000 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|
Total | ||||||||
All areas b | 43 | 70 | 193 | 402 | 462 | 475 | 487 | 493 |
United States c | 43 | 70 | 193 | 402 | 462 | 475 | 487 | 493 |
New England | 50 | 77 | 172 | 347 | 431 | 459 | 478 | 500 |
Connecticut | 35 | 51 | 165 | 314 | 388 | 427 | 442 | 464 |
Maine | 52 | 100 | 274 | 308 | 406 | 469 | 485 | 510 |
Massachusetts | 63 | 98 | 181 | 380 | 484 | 494 | 518 | 536 |
New Hampshire | 41 | 86 | 218 | 412 | 410 | 470 | 482 | 506 |
Rhode Island | 43 | 59 | 129 | 265 | 392 | 405 | 428 | 439 |
Vermont | 38 | 62 | 155 | 266 | 357 | 392 | 412 | 452 |
Middle Atlantic | 50 | 73 | 168 | 308 | 428 | 466 | 489 | 499 |
New Jersey | 45 | 81 | 164 | 344 | 434 | 504 | 531 | 546 |
New York | 61 | 80 | 168 | 240 | 360 | 402 | 430 | 446 |
Pennsylvania | 40 | 65 | 170 | 373 | 510 | 522 | 535 | 528 |
East North Central | 40 | 68 | 167 | 358 | 450 | 464 | 481 | 481 |
Illinois | 37 | 77 | 215 | 421 | 528 | 533 | 556 | 550 |
Indiana | 35 | 60 | 180 | 399 | 447 | 444 | 448 | 446 |
Michigan | 45 | 60 | 130 | 270 | 376 | 405 | 425 | 429 |
Ohio | 41 | 69 | 157 | 375 | 462 | 476 | 485 | 484 |
Wisconsin | 35 | 64 | 149 | 315 | 343 | 372 | 398 | 429 |
West North Central | 45 | 82 | 194 | 367 | 473 | 483 | 507 | 506 |
Iowa | 46 | 84 | 269 | 406 | 490 | 539 | 558 | 570 |
Kansas | 39 | 66 | 255 | 461 | 539 | 507 | 511 | 497 |
Minnesota | 46 | 94 | 125 | 245 | 306 | 363 | 407 | 427 |
Missouri | 47 | 95 | 263 | 465 | 603 | 562 | 575 | 542 |
Nebraska | 41 | 71 | 205 | 338 | 484 | 503 | 521 | 523 |
North Dakota | 43 | 49 | 118 | 221 | 408 | 409 | 440 | 464 |
South Dakota | 33 | 61 | 160 | 270 | 326 | 380 | 433 | 485 |
South Atlantic | 34 | 59 | 168 | 396 | 405 | 410 | 420 | 431 |
Delaware | 31 | 50 | 132 | 328 | 345 | 380 | 411 | 432 |
District of Columbia | 34 | 64 | 193 | 389 | 437 | 483 | 504 | 513 |
Florida | 34 | 59 | 195 | 488 | 447 | 421 | 432 | 447 |
Georgia | 34 | 71 | 146 | 346 | 356 | 385 | 394 | 407 |
Maryland | 37 | 56 | 141 | 347 | 403 | 416 | 428 | 428 |
North Carolina | 31 | 52 | 132 | 283 | 342 | 368 | 380 | 397 |
South Carolina | 26 | 46 | 159 | 337 | 384 | 414 | 404 | 404 |
Virginia | 42 | 68 | 168 | 331 | 374 | 404 | 418 | 426 |
West Virginia | 36 | 64 | 171 | 364 | 446 | 466 | 493 | 478 |
East South Central | 37 | 56 | 154 | 358 | 420 | 439 | 433 | 445 |
Alabama | 33 | 38 | 143 | 353 | 381 | 400 | 405 | 423 |
Kentucky | 36 | 58 | 151 | 352 | 439 | 431 | 450 | 469 |
Mississippi | 45 | 105 | 160 | 377 | 480 | 522 | 524 | 537 |
Tennessee | 41 | 70 | 162 | 358 | 407 | 435 | 406 | 412 |
West South Central | 45 | 94 | 267 | 539 | 579 | 549 | 537 | 533 |
Arkansas | 44 | 84 | 238 | 372 | 499 | 571 | 574 | 570 |
Louisiana | 43 | 83 | 374 | 683 | 754 | 687 | 674 | 648 |
Oklahoma | 60 | 145 | 312 | 563 | 579 | 588 | 583 | 575 |
Texas | 43 | 78 | 238 | 542 | 556 | 511 | 497 | 496 |
Mountain | 38 | 64 | 226 | 486 | 477 | 461 | 456 | 462 |
Arizona | 41 | 71 | 236 | 549 | 535 | 450 | 432 | 425 |
Colorado | 42 | 73 | 266 | 538 | 502 | 488 | 471 | 478 |
Idaho | 27 | 46 | 152 | 381 | 384 | 419 | 428 | 458 |
Montana | 30 | 44 | 123 | 291 | 362 | 405 | 406 | 415 |
Nevada | 37 | 66 | 232 | 569 | 592 | 467 | 425 | 428 |
New Mexico | 57 | 122 | 267 | 488 | 534 | 545 | 552 | 549 |
Utah | 36 | 75 | 266 | 473 | 435 | 460 | 483 | 494 |
Wyoming | 36 | 49 | 208 | 379 | 421 | 441 | 475 | 473 |
Pacific | 45 | 81 | 269 | 576 | 584 | 613 | 630 | 633 |
Alaska | 68 | 115 | 283 | 437 | 0 | 746 | 660 | 735 |
California | 46 | 87 | 287 | 629 | 0 | 683 | 698 | 702 |
Hawaii | 49 | 83 | 217 | 467 | 469 | 532 | 550 | 580 |
Oregon | 40 | 63 | 207 | 421 | 382 | 387 | 401 | 426 |
Washington | 34 | 62 | 196 | 412 | 390 | 421 | 427 | 443 |
Outlying areas | ||||||||
Puerto Rico | 51 | 97 | 202 | 261 | 362 | 354 | 370 | 391 |
Virgin Islands | 43 | 104 | 171 | 370 | 399 | 763 | 490 | 404 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||
NOTE: Data from 1975 to 1995 are based on bills approved in each year and recorded in the Centers for Medicare & Medicaid Services before December 29, 1995. Data from 2000 to 2004 are based on bills incurred in each year and recorded in the Centers for Medicare & Medicaid Services before June 27, 2005. Includes data for services rendered to both aged and disabled persons. | ||||||||
a. Geographic distribution reflects the beneficiaries' area of residence. | ||||||||
b. Excludes claims for persons residing in foreign countries. | ||||||||
c. Includes claims for persons whose place of residence is unknown. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
State or area | 1990 | 1995 | 1997 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 |
---|---|---|---|---|---|---|---|---|---|---|
All areas | 10,472,587 | 11,680,874 | 11,952,088 | 11,912,079 | 11,659,885 | 11,778,705 | 12,192,174 | 12,499,749 | 12,698,388 | 12,986,560 |
Alabama | 226,359 | 255,013 | 265,029 | 266,603 | 266,541 | 274,518 | 282,999 | 291,991 | 294,850 | 299,746 |
Alaska | 6,491 | 8,635 | 9,917 | 10,633 | 11,031 | 11,684 | 11,748 | 11,794 | 11,398 | 11,554 |
Arizona | 140,069 | 139,564 | 150,597 | 150,190 | 128,363 | 135,143 | 144,989 | 156,302 | 165,231 | 182,094 |
Arkansas | 143,363 | 152,516 | 157,920 | 160,379 | 160,880 | 164,310 | 166,445 | 170,102 | 170,421 | 174,242 |
California | 834,829 | 875,926 | 901,018 | 921,068 | 780,295 | 740,564 | 756,629 | 801,758 | 836,444 | 847,296 |
Colorado | 98,262 | 105,216 | 103,735 | 97,479 | 100,648 | 101,486 | 101,258 | 107,180 | 109,879 | 114,051 |
Connecticut | 114,938 | 141,765 | 143,071 | 133,672 | 125,115 | 124,951 | 135,169 | 148,864 | 154,460 | 159,594 |
Delaware | 26,125 | 30,336 | 30,632 | 30,738 | 33,287 | 34,049 | 36,386 | 36,541 | 38,216 | 40,959 |
District of Columbia | 36,062 | 39,526 | 38,508 | 38,661 | 38,693 | 39,112 | 40,138 | 39,389 | 39,151 | 40,527 |
Florida | 579,368 | 742,862 | 743,556 | 758,714 | 736,958 | 765,130 | 823,957 | 869,777 | 899,404 | 925,090 |
Georgia | 274,957 | 316,301 | 327,839 | 320,774 | 311,998 | 324,286 | 334,599 | 338,687 | 342,392 | 353,846 |
Hawaii | 26,340 | 32,526 | 34,795 | 33,331 | 26,347 | 26,146 | 26,343 | 26,932 | 26,302 | 27,453 |
Idaho | 31,559 | 36,327 | 41,066 | 42,451 | 43,353 | 44,027 | 43,272 | 40,996 | 40,738 | 39,756 |
Illinois | 460,926 | 533,238 | 538,476 | 531,184 | 539,314 | 556,122 | 578,327 | 601,373 | 607,561 | 624,034 |
Indiana | 254,404 | 276,601 | 287,615 | 289,743 | 289,693 | 297,851 | 306,202 | 304,034 | 303,404 | 310,393 |
Iowa | 141,191 | 146,448 | 151,815 | 154,152 | 155,497 | 159,451 | 162,466 | 156,854 | 148,591 | 145,095 |
Kansas | 117,017 | 120,593 | 125,481 | 127,045 | 126,920 | 128,024 | 129,973 | 129,334 | 131,412 | 130,138 |
Kentucky | 199,042 | 222,162 | 231,081 | 231,352 | 237,553 | 243,886 | 252,454 | 257,205 | 255,264 | 258,938 |
Louisiana | 213,819 | 234,663 | 237,390 | 232,942 | 223,794 | 237,154 | 243,724 | 248,183 | 253,774 | 254,224 |
Maine | 54,963 | 63,013 | 66,278 | 67,895 | 68,128 | 69,030 | 68,547 | 66,705 | 67,401 | 67,914 |
Maryland | 179,835 | 214,989 | 204,988 | 195,489 | 199,012 | 208,038 | 234,162 | 244,595 | 251,754 | 259,460 |
Massachusetts | 286,332 | 310,455 | 293,217 | 280,333 | 268,179 | 263,152 | 271,657 | 275,984 | 291,062 | 300,460 |
Michigan | 366,349 | 435,455 | 457,401 | 456,972 | 452,461 | 452,367 | 468,675 | 497,195 | 506,259 | 522,536 |
Minnesota | 170,808 | 178,018 | 187,164 | 192,488 | 194,935 | 200,918 | 209,469 | 210,382 | 208,364 | 212,125 |
Mississippi | 142,662 | 162,934 | 181,599 | 185,149 | 181,575 | 183,952 | 185,626 | 182,535 | 183,965 | 185,131 |
Missouri | 281,059 | 298,509 | 299,996 | 297,554 | 293,724 | 300,576 | 315,642 | 317,278 | 320,454 | 331,919 |
Montana | 40,505 | 40,770 | 41,542 | 41,854 | 42,343 | 44,208 | 45,697 | 42,880 | 40,952 | 41,719 |
Nebraska | 69,299 | 70,113 | 75,630 | 77,188 | 76,841 | 76,960 | 74,217 | 71,921 | 71,577 | 72,718 |
Nevada | 37,478 | 49,254 | 54,509 | 55,150 | 48,369 | 49,613 | 51,836 | 56,622 | 57,345 | 62,742 |
New Hampshire | 39,103 | 42,746 | 44,758 | 42,918 | 42,054 | 45,712 | 48,206 | 46,282 | 46,304 | 46,893 |
New Jersey | 338,509 | 385,145 | 371,173 | 364,034 | 373,224 | 372,063 | 374,250 | 389,938 | 404,035 | 410,302 |
New Mexico | 50,391 | 50,334 | 53,329 | 52,913 | 51,459 | 51,085 | 51,396 | 51,469 | 51,533 | 52,083 |
New York | 723,060 | 797,453 | 798,611 | 787,116 | 777,269 | 750,793 | 761,352 | 771,835 | 780,893 | 793,919 |
North Carolina | 267,370 | 336,173 | 369,667 | 385,533 | 395,004 | 406,700 | 413,429 | 418,725 | 431,441 | 439,157 |
North Dakota | 37,543 | 37,014 | 38,272 | 38,332 | 38,847 | 39,672 | 38,764 | 34,707 | 34,645 | 34,712 |
Ohio | 527,006 | 562,234 | 562,603 | 541,958 | 533,499 | 536,335 | 550,989 | 559,223 | 565,314 | 588,640 |
Oklahoma | 155,100 | 156,239 | 163,842 | 166,068 | 170,592 | 176,021 | 179,543 | 182,998 | 187,913 | 193,773 |
Oregon | 106,164 | 105,878 | 111,656 | 111,028 | 100,569 | 91,806 | 98,854 | 102,568 | 102,182 | 99,869 |
Pennsylvania | 685,403 | 766,535 | 728,572 | 692,290 | 664,002 | 634,802 | 649,458 | 656,105 | 654,661 | 665,143 |
Rhode Island | 46,578 | 49,740 | 50,498 | 46,484 | 39,625 | 38,489 | 39,658 | 40,229 | 38,506 | 39,556 |
South Carolina | 112,232 | 156,060 | 171,889 | 184,188 | 194,344 | 204,038 | 213,513 | 216,412 | 218,775 | 221,825 |
South Dakota | 38,175 | 41,714 | 44,101 | 44,350 | 44,846 | 45,239 | 45,202 | 43,134 | 42,626 | 40,946 |
Tennessee | 290,371 | 310,335 | 324,380 | 324,831 | 318,793 | 327,423 | 341,212 | 344,524 | 348,700 | 357,600 |
Texas | 603,621 | 671,734 | 721,006 | 732,255 | 725,166 | 742,628 | 798,667 | 843,945 | 868,784 | 897,873 |
Utah | 39,963 | 43,819 | 44,513 | 45,698 | 48,898 | 53,003 | 55,207 | 56,244 | 57,928 | 61,309 |
Vermont | 20,251 | 22,815 | 23,456 | 22,585 | 23,133 | 24,014 | 24,778 | 22,658 | 22,690 | 22,174 |
Virginia | 240,165 | 271,620 | 285,721 | 286,752 | 289,195 | 295,790 | 305,346 | 310,602 | 315,181 | 324,379 |
Washington | 157,942 | 157,146 | 158,264 | 152,867 | 148,620 | 153,660 | 162,197 | 166,846 | 167,102 | 171,361 |
West Virginia | 111,305 | 124,293 | 131,334 | 131,473 | 134,483 | 134,585 | 135,458 | 132,356 | 131,953 | 134,992 |
Wisconsin | 217,727 | 227,774 | 232,721 | 233,103 | 233,432 | 238,572 | 240,711 | 243,774 | 244,100 | 243,116 |
Wyoming | 15,255 | 16,009 | 16,557 | 17,256 | 17,429 | 18,764 | 18,932 | 18,044 | 16,416 | 16,097 |
Outlying areas | ||||||||||
Puerto Rico | 93,436 | 111,950 | 120,547 | 123,752 | 130,209 | 137,315 | 138,713 | 139,682 | 134,979 | 131,223 |
Virgin Islands | 528 | 1,374 | 1,402 | 1,569 | 1,511 | 1,552 | 1,468 | 1,571 | 1,641 | 1,743 |
Unknown | 978 | 1,012 | 1,351 | 1,543 | 1,835 | 1,936 | 2,265 | 2,485 | 2,061 | 2,121 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||||
NOTE: Discharge data for fiscal year 2004 are final as of June 2005. | ||||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
Year a | All services |
Physicians' services | Outpatient hospital services |
Independent laboratory services |
Home health services b |
All other services |
||
---|---|---|---|---|---|---|---|---|
Total | Surgical c | Medical c | ||||||
Persons aged 65 or older | ||||||||
Number of bills | ||||||||
1996 | 590,301 | 411,789 | 46,171 | 365,618 | 50,578 | 52,417 | 248 | 75,269 |
1997 | 600,228 | 418,826 | 46,517 | 372,309 | 52,364 | 49,917 | 245 | 78,876 |
1998 | 611,356 | 427,891 | 46,273 | 381,618 | 52,807 | 42,715 | 4,632 | 83,311 |
1999 | 486,296 d | 429,299 | 45,496 | 383,803 | 51,498 | d | 5,499 | d |
2000 | -- | -- | -- | -- | -- | -- | -- | -- |
2001 | -- | -- | -- | -- | -- | -- | -- | -- |
2002 | -- | -- | -- | -- | -- | -- | -- | -- |
2003 | -- | -- | -- | -- | -- | -- | -- | -- |
2004 | -- | -- | -- | -- | -- | -- | -- | -- |
Allowed charges e (dollars) | ||||||||
1996 | 88,175,817 | 39,483,655 | 13,164,645 | 26,318,914 | 34,958,694 | 1,634,475 | 320,718 | 11,778,275 |
1997 | 92,897,145 | 40,447,618 | 12,953,314 | 27,493,847 | 37,669,144 | 1,490,474 | 336,345 | 12,953,564 |
1998 | 101,840,529 | 41,704,119 | 12,061,669 | 29,634,502 | 38,746,727 | 1,333,198 | 6,051,693 | 14,004,792 |
1999 | 105,662,969 | 43,771,886 | 12,080,067 | 31,637,737 | 40,242,409 | 1,264,426 | 6,874,109 | 13,510,139 |
2000 | 114,454,943 | 48,334,792 | 12,358,986 | 35,902,761 | 44,212,849 | 1,583,630 | 5,555,627 | 14,768,045 |
2001 | 131,291,215 | 55,171,969 | 13,091,543 | 40,923,161 | 52,843,382 | 1,860,351 | 4,185,640 | 17,229,873 |
2002 | 152,885,772 | 58,778,210 | -- | -- | 67,445,207 | 2,101,436 | 4,357,737 | 20,203,182 |
2003 | 175,667,107 | 64,653,983 | -- | -- | 80,959,313 | 2,292,008 | 4,799,099 | 22,962,704 |
2004 | 198,398,314 | 70,232,291 | -- | -- | 96,151,578 | 2,502,012 | 5,223,243 | 24,289,190 |
Amount reimbursed f (dollars) | ||||||||
1996 | 50,800,766 | 30,914,663 | 10,381,197 | 20,533,397 | 10,732,311 | 1,583,843 | 228,972 | 7,340,977 |
1997 | 52,436,955 | 31,683,703 | 10,218,613 | 21,464,753 | 11,208,164 | 1,440,441 | 235,031 | 7,869,616 |
1998 | 56,706,407 | 32,668,172 | 9,517,777 | 23,144,124 | 10,686,575 | 1,278,720 | 4,262,203 | 7,810,737 |
1999 | 58,241,615 | 34,424,777 | 9,523,625 | 24,857,734 | 10,365,173 | 1,209,285 | 4,836,243 | 7,406,137 |
2000 | 62,314,344 | 37,964,285 | 9,743,222 | 28,166,179 | 10,676,020 | 1,503,061 | 4,178,643 | 7,992,335 |
2001 | 71,330,918 | 43,354,135 | 10,351,499 | 32,120,569 | 12,941,110 | 1,760,131 | 4,054,566 | 9,220,976 |
2002 | 77,650,281 | 46,205,476 | -- | -- | 14,739,204 | 1,983,166 | 4,310,321 | 10,412,114 |
2003 | 85,882,891 | 50,859,377 | -- | -- | 16,685,157 | 2,162,092 | 4,574,119 | 11,602,146 |
2004 | 94,058,001 | 55,304,787 | -- | -- | 19,152,316 | 2,360,186 | 5,146,055 | 12,094,657 |
Disabled beneficiaries | ||||||||
Number of bills | ||||||||
1996 | 82,908 | 53,010 | 4,594 | 48,416 | 12,068 | 8,193 | 1 | 9,636 |
1997 | 86,071 | 55,260 | 4,773 | 50,487 | 12,415 | 8,073 | 0 | 10,323 |
1998 | 89,890 | 58,244 | 4,991 | 53,253 | 12,639 | 6,776 | 475 | 11,756 |
1999 | 72,288 d | 59,281 | 5,042 | 54,239 | 12,413 | d | 594 | d |
2000 | -- | -- | -- | -- | -- | -- | -- | -- |
2001 | -- | -- | -- | -- | -- | -- | -- | -- |
2002 | -- | -- | -- | -- | -- | -- | -- | -- |
2003 | -- | -- | -- | -- | -- | -- | -- | -- |
2004 | -- | -- | -- | -- | -- | -- | -- | -- |
Allowed charges e (dollars) | ||||||||
1996 | 15,902,303 | 5,168,573 | 1,401,285 | 3,767,217 | 8,682,159 | 284,031 | 194 | 1,767,346 |
1997 | 17,062,640 | 5,399,410 | 1,409,583 | 3,989,586 | 9,394,955 | 281,459 | 575 | 1,986,241 |
1998 | 18,746,643 | 5,828,275 | 1,401,045 | 4,421,251 | 9,551,763 | 252,549 | 721,865 | 2,392,191 |
1999 | 20,045,719 | 6,298,865 | 1,453,807 | 4,812,231 | 10,129,090 | 245,525 | 867,217 | 2,505,022 |
2000 | 22,093,729 | 7,140,023 | 1,526,798 | 5,582,913 | 11,119,952 | 294,758 | 730,337 | 2,808,659 |
2001 | 25,861,014 | 8,339,437 | 1,631,945 | 6,383,077 | 13,302,288 | 343,218 | 559,581 | 3,316,490 |
2002 | 32,783,675 | 9,233,983 | -- | -- | 18,546,603 | 402,351 | 606,204 | 3,994,534 |
2003 | 41,385,238 | 10,772,085 | -- | -- | 24,767,523 | 457,010 | 691,767 | 4,696,853 |
2004 | 51,158,604 | 12,341,835 | -- | -- | 32,575,598 | 514,090 | 774,420 | 4,952,661 |
Amount reimbursed f (dollars) | ||||||||
1996 | 9,099,774 | 3,908,985 | 1,095,977 | 2,812,960 | 3,652,755 | 278,816 | 142 | 1,259,076 |
1997 | 9,592,801 | 4,093,664 | 1,103,074 | 2,990,428 | 3,839,736 | 276,057 | 454 | 1,382,890 |
1998 | 10,446,211 | 4,409,959 | 1,095,140 | 3,310,214 | 3,778,109 | 246,338 | 497,569 | 1,514,236 |
1999 | 11,002,342 | 4,782,110 | 1,135,375 | 3,621,070 | 3,841,309 | 239,194 | 594,961 | 1,544,768 |
2000 | 11,936,775 | 5,418,838 | 1,192,908 | 4,203,799 | 4,006,256 | 286,675 | 529,400 | 1,695,606 |
2001 | 13,846,924 | 6,333,051 | 1,278,008 | 4,823,352 | 4,725,340 | 333,212 | 488,759 | 1,966,562 |
2002 | 15,681,526 | 7,024,579 | -- | -- | 5,427,642 | 390,192 | 540,364 | 2,298,749 |
2003 | 18,077,481 | 8,220,466 | -- | -- | 6,157,923 | 442,757 | 599,769 | 2,656,566 |
2004 | 20,387,472 | 9,462,029 | -- | -- | 7,008,792 | 498,483 | 695,847 | 2,722,321 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||||||
NOTE: -- = not available. | ||||||||
a. Period for which the claim incurred. | ||||||||
b. Because of provisions in the Balanced Budget Act, beginning in 1998, Part A now has a 100-visit limit, and additional home health services will be billed under Part B. | ||||||||
c. Where both medical and surgical charges are included on a single bill, the highest-priced service is the determining factor in classifying the bill. | ||||||||
d. Total for "All services" excludes "Independent laboratory services" and "All other services"; for those services, data are not available because of programmatic problems. | ||||||||
e. Includes physician or supplier allowed charges as determined by the carrier and amounts actually billed by providers for outpatient hospital and home health services. | ||||||||
f. Amount reimbursed to or on behalf of the beneficiary—generally 80 percent of the allowed charges, once the beneficiary has satisfied the deductible in the current year. Some radiology and pathology services are reimbursed at a 100 percent rate, regardless of the beneficiary's deductible status. | ||||||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
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 |
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. |
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 |
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 |
SOURCE: Centers for Medicare & Medicaid Services. | ||||
a. Excludes Texas Blue-Shield plan from July to December 1981. | ||||
CONTACT: Maria Diacogiannis (410) 786-0178. |
State or area | 1991 | 1995 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 |
---|---|---|---|---|---|---|---|---|---|---|
All areas | 3,640,121 | 4,705,625 | 5,109,228 | 5,273,573 | 5,425,048 | 5,615,326 | 5,810,613 | 6,145,589 | 6,305,467 | 6,577,577 |
Alabama | 97,601 | 116,916 | 121,990 | 128,875 | 136,860 | 141,436 | 144,603 | 162,912 | 164,499 | 169,460 |
Alaska | 4,539 | 6,193 | 7,093 | 7,799 | 8,486 | 8,832 | 9,324 | 10,008 | 10,318 | 10,748 |
Arizona | 28,650 | 44,236 | 51,141 | 53,450 | 57,712 | 61,989 | 74,678 | 91,782 | 95,804 | 110,977 |
Arkansas | 64,996 | 77,660 | 78,514 | 79,508 | 79,606 | 80,231 | 82,040 | 86,597 | 86,181 | 89,372 |
California | 646,108 | 747,814 | 776,832 | 793,510 | 818,846 | 848,361 | 892,260 | 950,503 | 977,676 | 1,012,804 |
Colorado | 36,470 | 46,660 | 52,175 | 53,964 | 55,325 | 56,934 | 57,987 | 59,114 | 61,140 | 61,294 |
Connecticut | 23,535 | 48,047 | 51,335 | 52,134 | 53,141 | 55,933 | 60,083 | 65,223 | 66,664 | 66,191 |
Delaware | 4,499 | 6,645 | 8,900 | 8,231 | 10,737 | 12,094 | 13,252 | 15,224 | 16,081 | 17,104 |
District of Columbia | 12,791 | 14,152 | 14,582 | 13,181 | 14,233 | 14,621 | 15,065 | 15,079 | 15,586 | 15,246 |
Florida | 196,992 | 271,430 | 313,744 | 324,172 | 342,109 | 358,642 | 369,092 | 389,599 | 406,006 | 431,764 |
Georgia | 128,976 | 160,380 | 171,047 | 171,638 | 176,596 | 181,312 | 186,466 | 193,807 | 199,524 | 205,476 |
Hawaii | 11,529 | 16,695 | 19,226 | 19,962 | 20,326 | 21,090 | 21,748 | 22,904 | 22,988 | 23,703 |
Idaho | 9,127 | 12,931 | 14,909 | 15,868 | 17,081 | 18,550 | 19,725 | 21,255 | 22,291 | 23,482 |
Illinois | 94,434 | 137,571 | 145,976 | 149,850 | 155,743 | 161,141 | 163,368 | 175,822 | 189,044 | 206,014 |
Indiana | 60,297 | 76,460 | 81,184 | 82,901 | 87,543 | 91,311 | 95,553 | 102,654 | 105,011 | 109,669 |
Iowa | 41,170 | 48,517 | 49,844 | 50,954 | 51,976 | 52,891 | 54,536 | 56,920 | 58,023 | 60,458 |
Kansas | 26,960 | 34,708 | 39,008 | 40,365 | 41,217 | 42,126 | 43,123 | 44,602 | 46,175 | 47,707 |
Kentucky | 76,456 | 97,978 | 106,537 | 111,789 | 117,697 | 118,641 | 122,096 | 126,690 | 126,343 | 126,468 |
Louisiana | 87,570 | 112,090 | 115,031 | 116,602 | 117,179 | 117,867 | 120,478 | 127,340 | 132,498 | 139,802 |
Maine | 22,176 | 29,453 | 33,006 | 35,211 | 36,946 | 38,161 | 39,575 | 42,269 | 43,800 | 46,510 |
Maryland | 48,028 | 58,865 | 61,669 | 64,086 | 65,372 | 68,010 | 70,224 | 73,994 | 75,366 | 79,234 |
Massachusetts | 89,163 | 125,859 | 138,796 | 143,779 | 152,587 | 160,198 | 164,510 | 167,681 | 170,689 | 178,691 |
Michigan | 91,340 | 123,948 | 135,769 | 139,411 | 145,172 | 148,760 | 152,758 | 158,998 | 161,519 | 170,044 |
Minnesota | 39,366 | 52,192 | 57,559 | 59,926 | 63,607 | 66,874 | 70,873 | 75,080 | 77,499 | 79,428 |
Mississippi | 90,530 | 108,577 | 106,336 | 107,176 | 107,495 | 116,503 | 125,832 | 131,706 | 133,337 | 135,023 |
Missouri | 55,116 | 72,659 | 81,841 | 85,329 | 88,343 | 91,244 | 93,512 | 99,127 | 103,449 | 109,561 |
Montana | 10,058 | 11,031 | 11,882 | 12,274 | 12,828 | 13,120 | 13,359 | 13,889 | 13,917 | 14,455 |
Nebraska | 11,358 | 16,146 | 18,029 | 19,064 | 20,520 | 21,121 | 22,120 | 22,922 | 23,082 | 24,210 |
Nevada | 8,657 | 14,227 | 17,191 | 18,322 | 19,155 | 20,709 | 22,207 | 24,587 | 26,977 | 27,408 |
New Hampshire | 3,807 | 5,405 | 6,295 | 6,875 | 7,434 | 8,866 | 9,231 | 10,120 | 10,732 | 11,584 |
New Jersey | 95,795 | 122,923 | 137,598 | 143,024 | 146,705 | 149,303 | 151,644 | 155,377 | 153,231 | 159,110 |
New Mexico | 22,246 | 29,855 | 34,411 | 36,023 | 37,330 | 39,275 | 41,263 | 44,534 | 44,642 | 49,333 |
New York | 255,952 | 325,882 | 363,331 | 372,824 | 369,479 | 395,830 | 409,388 | 432,681 | 448,373 | 465,068 |
North Carolina | 117,656 | 186,328 | 210,388 | 216,563 | 223,402 | 228,997 | 233,229 | 240,422 | 241,543 | 251,739 |
North Dakota | 4,639 | 5,560 | 5,612 | 5,758 | 5,908 | 6,275 | 6,317 | 6,541 | 6,560 | 6,757 |
Ohio | 112,598 | 164,044 | 180,172 | 181,407 | 171,139 | 176,602 | 182,821 | 191,295 | 195,792 | 204,905 |
Oklahoma | 51,457 | 60,080 | 63,142 | 66,115 | 67,413 | 67,787 | 68,905 | 70,761 | 72,758 | 75,903 |
Oregon | 28,537 | 43,642 | 51,392 | 55,896 | 59,169 | 62,910 | 66,255 | 68,421 | 69,610 | 70,927 |
Pennsylvania | 127,519 | 162,788 | 179,295 | 198,492 | 206,468 | 215,351 | 218,691 | 229,814 | 232,885 | 242,552 |
Rhode Island | 10,585 | 15,517 | 17,729 | 18,513 | 19,787 | 21,620 | 22,928 | 25,146 | 25,361 | 26,311 |
South Carolina | 78,701 | 95,970 | 104,111 | 110,032 | 112,232 | 116,288 | 118,635 | 117,997 | 118,393 | 118,843 |
South Dakota | 9,399 | 12,346 | 12,791 | 13,112 | 13,146 | 13,237 | 13,542 | 14,231 | 14,045 | 14,534 |
Tennessee | 116,861 | 148,391 | 171,653 | 178,707 | 182,342 | 184,570 | 187,438 | 203,567 | 208,678 | 218,894 |
Texas | 234,169 | 314,991 | 339,648 | 350,959 | 360,191 | 370,598 | 380,954 | 410,248 | 423,560 | 440,938 |
Utah | 10,263 | 13,506 | 14,900 | 15,569 | 16,231 | 16,712 | 17,497 | 18,548 | 19,361 | 21,787 |
Vermont | 8,223 | 12,428 | 13,197 | 13,598 | 13,754 | 14,296 | 14,650 | 15,016 | 15,079 | 15,509 |
Virginia | 77,898 | 102,964 | 108,427 | 111,404 | 113,259 | 113,898 | 116,496 | 120,711 | 124,996 | 131,083 |
Washington | 54,774 | 71,531 | 89,419 | 91,976 | 97,390 | 94,852 | 99,552 | 105,516 | 108,780 | 113,233 |
West Virginia | 28,086 | 39,720 | 43,019 | 45,406 | 46,305 | 47,774 | 47,547 | 50,008 | 51,365 | 54,200 |
Wisconsin | 67,516 | 75,247 | 74,429 | 74,681 | 74,101 | 73,875 | 75,179 | 78,124 | 79,889 | 83,383 |
Wyoming | 3,505 | 5,265 | 5,963 | 6,183 | 6,444 | 6,746 | 7,087 | 7,422 | 7,454 | 7,749 |
Outlying areas | ||||||||||
Guam | 443 | 669 | 650 | 583 | 417 | 385 | 339 | 339 | 375 | 409 |
Northern Mariana Islands | 273 | 314 | 311 | 335 | 342 | 367 | 372 | 358 | 340 | 358 |
Virgin Islands | 727 | 219 | 199 | 207 | 204 | 210 | 206 | 194 | 178 | 165 |
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. |