Annual Statistical Supplement, 2008

Health Care Programs

Medicare

Enrollment, Utilization, and Reimbursement

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 1967–2006
Type of coverage and service 1967 1980 1990 2000 2005 2006
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 19,521 25,515 30,948 34,261 35,777 36,317
Hospital Insurance 19,494 25,104 30,464 33,841 35,407 35,953
Supplementary Medical Insurance 17,893 24,680 29,685 32,602 33,780 34,183
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- -- 27,833 30,399 29,622
Hospital Insurance -- -- -- 27,422 30,033 29,263
Supplementary Medical Insurance -- -- -- 26,174 28,402 27,490
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 7,154 16,271 24,809 25,486 28,071 27,603
Hospital Insurance 3,960 6,024 6,367 6,361 7,016 6,843
Inpatient hospital 3,601 5,951 5,906 5,975 6,455 6,230
Skilled nursing services 354 248 615 1,390 1,719 1,707
Home health services b 126 675 1,818 1,325 1,574 1,539
Hospice services c . . . . . . -- 514 825 890
Supplementary Medical Insurance 6,523 16,099 24,687 25,256 27,816 27,326
Physicians' and other medical services 6,415 15,627 24,193 24,846 27,468 26,952
Outpatient services 1,511 6,629 14,055 18,159 20,436 20,009
Home health services b 118 302 38 1,081 1,214 1,291
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 367 638 802 916 923 932
Hospital Insurance 203 240 209 232 234 234
Inpatient hospital 185 237 194 218 215 213
Skilled nursing services 18 10 21 51 57 58
Home health services b 7 27 60 48 52 53
Hospice services c . . . . . . -- 19 27 30
Supplementary Medical Insurance 365 652 832 965 979 994
Physicians' and other medical services 359 633 815 949 967 980
Outpatient services 77 269 474 694 720 728
Home health services b 7 12 1 41 43 47
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,239 29,134 88,778 148,488 227,594 232,468
Hospital Insurance 2,967 20,353 54,244 87,549 125,993 127,855
Inpatient hospital 2,659 19,583 48,952 72,041 95,557 94,767
Skilled nursing services 274 331 1,886 10,066 17,666 18,978
Home health services b 26 440 3,406 2,679 5,333 5,396
Hospice services c . . . . . . -- 2,763 7,436 8,714
Supplementary Medical Insurance 1,272 8,871 34,533 60,939 101,601 104,613
Physicians' and other medical services 1,224 7,361 27,379 44,506 70,111 71,342
Outpatient services 38 1,261 7,077 12,588 25,385 26,258
Home health services b 17 159 78 3,845 6,106 7,013
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 592 1,791 3,578 5,826 8,108 8,422
Hospital Insurance 749 3,379 8,520 13,763 17,958 18,684
Inpatient hospital 738 3,291 8,289 12,057 14,804 15,212
Skilled nursing services 774 1,336 3,068 7,242 10,277 11,118
Home health services b 204 652 1,874 2,022 3,388 3,507
Hospice services c . . . . . . -- 5,375 9,015 9,791
Supplementary Medical Insurance 195 545 1,399 2,413 3,653 3,828
Physicians' and other medical services 191 471 1,132 1,791 2,552 2,647
Outpatient services 25 190 503 693 1,242 1,312
Home health services b 145 526 2,033 3,557 5,030 5,433
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 217 1,142 2,869 5,335 7,487 7,848
Hospital Insurance 152 811 1,781 3,193 4,195 4,369
Inpatient hospital 137 780 1,607 2,627 3,182 3,238
Skilled nursing services 14 13 62 367 588 649
Home health services b 1 18 112 98 178 184
Hospice services c . . . . . . -- 101 248 298
Supplementary Medical Insurance 71 356 1,163 2,328 3,577 3,805
Physicians' and other medical services 69 298 922 1,700 2,469 2,595
Outpatient services 2 51 238 481 894 955
Home health services  b 1 6 3 147 215 255
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. 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. The hospice care benefit was enacted in 1982. Therefore, for calendar years 1967 and 1980, hospice services were not applicable.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@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 1974–2006
Type of coverage and service 1974 1980 1990 2000 2005 2006
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 1,928 2,963 3,255 5,371 6,723 7,022
Hospital Insurance 1,928 2,963 3,255 5,370 6,722 7,022
Supplementary Medical Insurance 1,745 2,719 2,943 4,768 5,951 6,215
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- -- 4,907 6,286 6,225
Hospital Insurance -- -- -- 4,907 6,285 6,225
Supplementary Medical Insurance -- -- -- 4,304 5,514 5,418
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 792 1,760 2,390 4,096 5,436 5,461
Hospital Insurance 400 728 680 964 1,291 1,277
Inpatient hospital 397 721 644 942 1,255 1,237
Skilled nursing services 8 9 23 78 128 131
Home health services b 15 51 122 119 178 175
Hospice services c . . . . . . -- 27 46 49
Supplementary Medical Insurance 740 1,723 2,365 4,057 5,384 5,406
Physicians' and other medical services 691 1,631 2,249 3,917 5,241 5,254
Outpatient services 296 909 1,496 2,870 3,987 4,001
Home health services b 9 25 d 110 156 169
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 411 594 734 835 865 877
Hospital Insurance 208 246 209 196 205 197
Inpatient hospital 206 243 198 192 200 199
Skilled nursing services 4 3 7 16 20 21
Home health services b 8 17 38 24 28 28
Hospice services c . . . . . . -- 6 7 8
Supplementary Medical Insurance 424 634 804 943 976 998
Physicians' and other medical services 396 600 764 910 950 970
Outpatient services 170 334 508 667 723 738
Home health services b 5 9 d 26 28 31
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 1,049 4,478 11,239 25,773 46,550 48,204
Hospital Insurance 694 2,765 6,694 14,114 23,399 24,061
Inpatient hospital 681 2,714 6,346 13,156 21,091 21,582
Skilled nursing services 7 13 85 555 1,297 1,409
Home health services b 6 38 264 239 583 583
Hospice services c . . . . . . -- 164 428 487
Supplementary Medical Insurance 355 1,713 4,545 11,660 23,151 24,142
Physicians' and other medical services 206 997 2,831 6,968 13,727 13,963
Outpatient services 145 701 1,714 4,198 8,547 9,153
Home health services b 3 16 d 493 877 1,026
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 1,324 2,544 4,703 6,292 8,563 8,826
Hospital Insurance 1,735 3,798 9,847 14,641 18,124 18,841
Inpatient hospital 1,714 3,765 9,849 13,966 16,808 17,442
Skilled nursing services 936 1,571 3,702 7,115 10,127 10,757
Home health services b 399 733 2,156 2,008 3,280 3,327
Hospice services c . . . . . . -- 6,074 9,223 9,882
Supplementary Medical Insurance 479 994 1,922 2,874 4,229 4,466
Physicians' and other medical services 298 611 1,259 1,779 2,619 2,658
Outpatient services 490 771 1,146 1,463 2,144 2,288
Home health services b 345 619 d 4,482 5,631 6,077
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 544 1,511 3,453 5,252 7,405 7,744
Hospital Insurance 360 933 2,057 2,876 3,723 3,865
Inpatient hospital 353 916 1,950 2,681 3,356 3,467
Skilled nursing services 4 4 26 113 206 226
Home health services b 3 13 81 49 93 94
Hospice services c . . . . . . -- 33 68 78
Supplementary Medical Insurance 208 630 1,544 2,709 4,199 4,456
Physicians' and other medical services 118 639 962 1,619 2,489 2,577
Outpatient services 83 258 582 975 1,550 1,689
Home health services b 2 5 d 115 159 189
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 available; . . . = not applicable.
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. The hospice care benefit was enacted in 1982. Therefore, for calendar years 1974 and 1980, hospice services were not applicable.
d. Sample population too small to yield valid calculated results.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by census division and state or other area, July 1, 1980–2007, selected years (in thousands)
Census division and state or area 1980 1990 1995 2000 2004 2005 2006 2007
Total
All areas 25,515 30,948 33,142 34,253 35,334 35,777 36,317 36,966
United States a 25,027 30,350 32,492 33,549 34,571 34,994 35,515 36,145
New England 1,506 1,734 1,816 1,838 1,843 1,843 1,859 1,883
Connecticut 362 436 455 458 458 457 459 464
Maine 142 165 174 180 186 188 191 195
Massachusetts 715 795 825 829 819 815 819 828
New Hampshire 103 126 139 147 156 160 163 168
Rhode Island 125 145 149 148 145 143 144 144
Vermont 59 68 72 76 79 80 82 84
Middle Atlantic 4,496 5,084 5,267 5,282 5,277 5,258 5,290 5,335
New Jersey 851 1,006 1,058 1,070 1,073 1,070 1,079 1,090
New York 2,128 2,280 2,328 2,347 2,365 2,353 2,368 2,390
Pennsylvania 1,516 1,798 1,881 1,865 1,839 1,835 1,843 1,855
East North Central 4,462 5,224 5,500 5,552 5,625 5,650 5,711 5,791
Illinois 1,238 1,401 1,446 1,440 1,452 1,455 1,467 1,486
Indiana 579 685 725 736 751 759 770 782
Michigan 916 1,101 1,177 1,203 1,226 1,231 1,248 1,268
Ohio 1,162 1,387 1,471 1,480 1,489 1,492 1,505 1,523
Wisconsin 567 650 683 693 707 713 721 731
West North Central 2,186 2,424 2,510 2,519 2,542 2,561 2,589 2,623
Iowa 387 422 432 427 426 427 430 434
Kansas 304 337 348 347 345 347 349 352
Minnesota 479 544 570 583 600 606 617 629
Missouri 639 706 733 736 744 751 760 771
Nebraska 205 221 228 227 227 228 230 232
North Dakota 81 91 94 93 92 92 92 93
South Dakota 91 102 106 106 108 110 111 113
South Atlantic 4,179 5,536 6,091 6,410 6,730 6,884 7,013 7,170
Delaware 59 80 90 97 104 108 110 114
District of Columbia 71 71 70 66 63 62 62 63
Florida 1,579 2,174 2,396 2,493 2,596 2,641 2,663 2,706
Georgia 499 636 700 750 799 831 859 887
Maryland 381 496 542 570 596 602 611 622
North Carolina 588 786 878 939 997 1,025 1,054 1,084
South Carolina 279 383 428 463 496 516 533 551
Virginia 490 645 714 761 808 827 845 865
West Virginia 233 264 274 271 271 272 274 277
East South Central 1,613 1,887 2,000 2,060 2,128 2,174 2,213 2,255
Alabama 428 508 541 558 573 584 592 601
Kentucky 402 459 482 491 504 514 524 533
Mississippi 280 313 325 330 339 343 347 352
Tennessee 503 607 652 681 712 732 750 769
West South Central 2,363 2,880 3,120 3,274 3,414 3,472 3,546 3,622
Arkansas 303 343 356 359 365 370 377 383
Louisiana 380 460 488 498 507 492 499 507
Oklahoma 361 412 432 438 445 451 457 463
Texas 1,318 1,665 1,845 1,979 2,097 2,159 2,213 2,269
Mountain 1,043 1,490 1,726 1,906 2,079 2,154 2,213 2,279
Arizona 295 456 536 591 645 674 689 709
Colorado 244 324 367 403 434 447 462 477
Idaho 95 121 134 144 157 163 168 174
Montana 85 106 114 119 124 126 129 133
Nevada 65 128 172 209 246 253 261 270
New Mexico 114 160 182 200 215 222 228 234
Utah 108 147 168 183 198 206 212 218
Wyoming 38 47 54 57 60 61 62 64
Pacific 3,157 4,082 4,444 4,697 4,924 4,993 5,076 5,183
Alaska 11 22 28 35 41 42 44 46
California 2,346 2,990 3,241 3,436 3,592 3,628 3,678 3,750
Hawaii 74 118 138 151 159 162 165 168
Oregon 300 390 422 432 453 463 473 484
Washington 426 562 614 643 679 697 716 735
Unknown 22 10 18 11 10 6 5 4
Outlying areas 270 344 383 420 459 467 478 491
Puerto Rico 263 337 367 401 436 444 454 466
U.S. Virgin Islands 4 6 8 9 11 11 12 12
Other 3 1 8 10 12 12 12 13
Foreign countries 217 254 268 284 304 316 323 331
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 because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of disabled enrollees, by census division and state or other area, July 1, 1980–2007, selected years (in thousands)
Census division and state or area 1980 1990 1995 2000 2004 2005 2006 2007
Total
All areas 2,963 3,255 4,393 5,367 6,395 6,723 7,022 7,297
United States a 2,863 3,149 4,266 5,208 6,225 6,548 6,846 7,120
New England 141 156 228 285 335 349 364 379
Connecticut 31 33 47 58 67 69 71 73
Maine 16 18 27 36 45 47 49 51
Massachusetts 64 72 108 131 150 156 162 169
New Hampshire 9 11 17 23 30 32 34 36
Rhode Island 14 14 19 24 28 29 30 31
Vermont 7 7 10 13 15 16 17 18
Middle Atlantic 493 473 603 731 848 878 912 946
New Jersey 91 86 110 133 153 157 162 167
New York 237 229 302 368 414 423 437 450
Pennsylvania 165 158 190 230 281 297 313 329
East North Central 486 561 715 823 962 1,009 1,053 1,091
Illinois 113 132 172 195 226 236 246 255
Indiana 63 77 99 117 138 146 153 159
Michigan 118 132 170 200 240 251 263 272
Ohio 141 156 196 221 251 262 273 282
Wisconsin 50 64 79 90 107 113 119 124
West North Central 180 211 280 338 408 431 450 466
Iowa 29 34 43 50 59 62 64 66
Kansas 22 26 35 43 52 55 57 60
Minnesota 35 44 60 72 87 91 96 100
Missouri 67 75 100 124 152 162 169 175
Nebraska 14 16 22 26 32 33 35 36
North Dakota 6 7 9 10 11 12 12 13
South Dakota 7 8 11 13 15 15 16 16
South Atlantic 545 607 834 1,075 1,301 1,372 1,426 1,475
Delaware 7 8 11 15 19 20 21 23
District of Columbia 8 7 8 10 11 11 11 12
Florida 147 165 232 311 384 405 416 426
Georgia 88 96 134 166 196 208 216 223
Maryland 41 46 60 75 89 93 97 101
North Carolina 91 106 149 194 237 252 263 275
South Carolina 51 59 81 105 127 135 141 146
Virginia 68 77 105 132 158 166 173 179
West Virginia 43 44 55 67 80 83 87 90
East South Central 246 287 397 495 602 636 665 689
Alabama 63 74 101 127 160 171 180 188
Kentucky 62 75 105 132 156 164 171 178
Mississippi 46 53 72 88 107 111 114 117
Tennessee 76 85 119 148 179 190 199 206
West South Central 288 317 452 539 655 696 743 787
Arkansas 45 48 67 80 96 102 108 113
Louisiana 63 71 93 104 122 118 125 133
Oklahoma 41 39 56 69 84 91 97 102
Texas 139 159 236 286 353 386 413 439
Mountain 112 148 228 284 349 374 394 413
Arizona 34 42 66 84 109 119 126 131
Colorado 24 34 54 65 72 75 78 81
Idaho 9 11 16 21 27 29 31 33
Montana 9 12 16 18 21 22 22 23
Nevada 8 13 22 30 41 44 46 48
New Mexico 15 19 28 34 41 45 47 51
Utah 9 13 20 24 29 31 34 36
Wyoming 3 4 7 8 9 10 10 10
Pacific 367 388 529 637 766 803 839 872
Alaska 2 3 5 7 9 10 10 11
California 284 289 392 465 550 573 597 619
Hawaii 7 9 11 15 19 19 20 21
Oregon 31 34 47 57 72 77 80 83
Washington 43 53 74 93 116 124 131 138
Unknown 4 2 1 1 2 1 1 1
Outlying areas 88 93 111 139 155 159 160 162
Puerto Rico 88 92 110 136 151 154 156 157
U.S. Virgin Islands -- 1 1 1 2 2 2 2
Other -- -- -- 2 2 2 3 3
Foreign countries 12 14 14 14 15 16 16 16
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 because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = 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 or supplement@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, 1980–2007, selected years (in thousands)
Age, sex, and race 1980 1985 1990 1995 2000 2005 2006 2007
Hospital Insurance and/or Supplementary Medical Insurance
Total 25,515 28,176 30,948 33,142 34,253 35,783 36,317 36,966
Age
65–69 8,459 8,956 9,695 9,517 9,167 9,905 10,194 10,582
70–74 6,756 7,441 7,951 8,756 8,609 8,353 8,403 8,494
75–79 4,809 5,453 6,058 6,563 7,285 7,251 7,244 7,203
80–84 3,081 3,463 3,957 4,470 4,870 5,494 5,526 5,561
85 or older 2,410 2,861 3,286 3,837 4,322 4,780 4,951 5,125
Sex
Men 10,268 11,282 12,416 13,434 14,112 15,095 15,395 15,756
Women 15,247 16,894 18,532 19,708 20,141 20,688 20,922 21,210
Race
White 22,534 24,745 26,855 29,011 29,757 30,693 31,071 31,562
Black -- -- -- -- 2,721 2,932 2,994 3,060
All other races a 2,257 2,585 3,114 3,253 1,682 2,094 2,192 2,288
American Indian or Alaska Native -- -- -- -- 42 121 125 129
Asian or Pacific Islander -- -- -- -- 494 648 686 724
Hispanic -- -- -- -- 710 768 789 807
Other -- -- -- -- 436 557 592 629
Unknown 724 846 979 878 92 64 60 57
Hospital Insurance
Total 25,104 27,683 30,464 32,742 33,833 35,413 35,953 36,613
Age
65–69 8,302 8,818 9,565 9,411 9,074 9,811 10,102 10,495
70–74 6,592 7,292 7,829 8,652 8,505 8,274 8,324 8,418
75–79 4,731 5,315 5,947 6,483 7,189 7,176 7,170 7,133
80–84 3,072 3,403 3,872 4,409 4,806 5,432 5,464 5,502
85 or older 2,407 2,854 3,252 3,787 4,259 4,721 4,891 5,065
Sex
Men 10,156 11,146 12,280 13,310 13,979 14,975 15,277 15,641
Women 14,948 16,536 18,184 19,431 19,854 20,438 20,676 20,972
Race
White 22,244 24,424 26,591 28,822 29,570 30,544 30,925 31,421
Black -- -- -- -- 2,668 2,886 2,949 3,016
All other races a 2,160 2,444 2,931 3,127 1,507 1,922 2,021 2,122
American Indian or Alaska Native -- -- -- -- 40 117 122 125
Asian or Pacific Islander -- -- -- -- 406 559 595 636
Hispanic -- -- -- -- 656 716 736 756
Other -- -- -- -- 405 530 568 605
Unknown 699 815 942 792 87 60 57 53
Supplementary Medical Insurance
Total 24,680 27,311 29,686 31,742 32,590 33,784 34,183 34,656
Age
65–69 8,156 8,607 9,008 8,830 8,330 8,852 9,039 9,286
70–74 6,570 7,277 7,740 8,430 8,256 7,949 7,986 8,062
75–79 4,684 5,333 5,942 6,431 7,088 7,042 7,025 6,976
80–84 2,981 3,381 3,879 4,392 4,782 5,367 5,394 5,427
85 or older 2,289 2,712 3,118 3,659 4,134 4,575 4,739 4,905
Sex
Men 9,868 10,852 11,758 12,694 13,205 14,000 14,222 14,483
Women 14,813 16,459 17,927 19,048 19,384 19,784 19,961 20,174
Race
White 21,876 24,060 25,849 27,899 28,432 29,113 29,387 29,736
Black -- -- -- -- 2,544 2,730 2,781 2,833
All other races a 2,114 2,441 2,910 3,028 1,542 1,898 1,976 2,051
American Indian or Alaska Native -- -- -- -- 39 110 114 117
Asian or Pacific Islander -- -- -- -- 470 604 635 664
Hispanic -- -- -- -- 665 711 727 740
Other -- -- -- -- 368 473 500 530
Unknown 691 810 927 815 71 43 40 36
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 because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Before 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, blacks are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@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, 1980–2007, selected years
Age, sex, and race 1980 1990 2000 2006 2007
All disabled ESRD only All disabled ESRD only All disabled ESRD only All disabled Disabled with ESRD and ESRD only All disabled Disabled with ESRD and ESRD only
Hospital Insurance and/or Supplementary Medical Insurance
Total 2,963,175 28,334 3,255,007 64,692 5,367,151 73,890 7,021,977 209,111 7,297,265 214,404
Age
Under 35 371,204 8,773 483,265 16,603 522,321 13,255 614,778 23,604 635,082 23,155
35–44 369,460 5,188 654,957 14,159 1,129,288 15,084 1,183,326 36,532 1,180,060 36,716
45–54 657,486 6,977 741,200 15,800 1,627,238 22,647 2,192,065 64,386 2,279,892 65,632
55–64 1,565,025 7,396 1,375,585 18,130 2,088,304 22,904 3,031,808 84,589 3,202,231 88,901
Sex
Men 1,870,558 14,547 2,042,944 33,647 3,014,107 40,062 3,745,171 121,747 3,865,632 125,138
Women 1,092,617 13,787 1,212,063 31,045 2,353,044 33,828 3,276,806 87,364 3,431,633 89,266
Race
White 2,422,253 19,232 2,480,767 35,638 3,989,357 35,636 5,164,158 94,124 5,344,992 95,589
Black -- -- -- -- 1,007,147 27,404 1,326,485 83,653 1,387,282 85,875
All other races a 486,677 7,907 712,315 26,477 355,310 37,820 515,186 29,930 549,703 31,330
American Indian or Alaska Native -- -- -- -- 23,379 739 54,671 3,126 57,136 3,147
Asian or Pacific Islander -- -- -- -- 41,384 2,143 73,290 6,129 79,792 6,421
Hispanic -- -- -- -- 200,808 4,087 257,192 13,767 275,153 14,825
Other -- -- -- -- 89,739 3,447 130,033 6,908 137,622 6,937
Unknown 54,245 1,195 61,925 2,577 15,337 434 16,148 1,404 15,288 1,610
Hospital Insurance
Total 2,963,156 28,334 3,254,983 64,677 5,366,598 73,890 7,021,504 209,066 7,296,749 214,363
Age
Under 35 371,199 8,773 483,262 16,601 522,123 13,255 614,715 23,591 635,019 23,150
35–44 369,458 5,188 654,953 14,157 1,129,170 15,084 1,183,238 36,519 1,179,951 36,706
45–54 657,483 6,977 741,193 15,794 1,627,107 22,647 2,191,964 64,376 2,279,779 65,619
55–64 1,565,016 7,396 1,375,575 18,125 2,088,198 22,904 3,031,587 84,580 3,202,000 88,888
Sex
Men 1,870,543 14,547 2,042,929 33,639 3,013,803 40,062 3,744,908 121,724 3,865,344 125,114
Women 1,092,613 13,787 1,212,054 31,038 2,352,795 33,828 3,276,596 87,342 3,431,405 89,249
Race
White 2,422,239 19,232 2,480,754 35,631 3,988,957 35,636 5,163,875 94,097 5,344,660 95,557
Black -- -- -- -- 1,007,035 27,404 1,326,356 83,642 1,387,168 85,870
All other races a 486,672 7,907 712,304 26,469 355,270 37,820 515,126 29,923 549,635 31,326
American Indian or Alaska Native -- -- -- -- 23,378 739 54,669 3,126 57,133 3,147
Asian or Pacific Islander -- -- -- -- 41,379 2,143 73,273 6,128 79,771 6,419
Hispanic -- -- -- -- 200,793 4,087 257,168 13,764 275,134 14,823
Other -- -- -- -- 89,720 3,447 130,016 6,905 137,597 6,937
Unknown 54,245 1,195 61,925 2,577 15,336 434 16,147 1,404 15,286 1,610
Supplementary Medical Insurance
Total 2,719,226 27,046 2,943,480 58,912 4,769,804 68,800 6,214,752 193,323 6,453,021 198,472
Age
Under 35 339,665 8,294 441,640 14,782 466,869 12,159 552,077 21,496 571,073 21,124
35–44 337,146 4,963 586,537 12,567 998,230 13,783 1,040,302 33,169 1,037,333 33,447
45–54 596,287 6,683 666,257 14,559 1,421,904 20,961 1,926,837 59,365 2,004,798 60,566
55–64 1,446,128 7,106 1,249,046 17,004 1,882,801 21,897 2,695,536 79,293 2,839,817 83,335
Sex
Men 1,694,569 13,887 1,833,959 30,338 2,665,252 37,037 3,286,124 112,157 3,384,659 115,338
Women 1,024,657 13,159 1,109,521 28,574 2,104,552 31,763 2,928,628 81,166 3,068,362 83,134
Race
White 2,218,176 18,458 2,236,781 32,347 3,535,008 33,154 4,556,193 86,302 4,710,954 87,756
Black -- -- -- -- 917,336 25,581 1,199,390 78,288 1,252,753 80,450
All other races a 449,753 7,446 650,121 24,240 304,500 35,256 445,642 27,520 476,353 28,863
American Indian or Alaska Native -- -- -- -- 20,994 688 48,989 2,913 51,171 2,933
Asian or Pacific Islander -- -- -- -- 36,401 2,003 63,944 5,622 69,468 5,856
Hispanic -- -- -- -- 176,093 3,850 226,560 12,812 242,524 13,821
Other -- -- -- -- 71,012 3,134 106,149 6,173 113,190 6,253
Unknown 51,297 1,142 56,578 2,325 12,960 390 13,527 1,213 12,961 1,403
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 because of differences in sources and methodology.
-- = not available.
a. Before 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, blacks are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8a Medicare Part A (Hospital Insurance): Average covered charge per covered day of care in short-stay hospitals, by census division and state or other area, selected years 1975–2007 (in dollars)
Census division and state or area a 1975 1980 1990 1995 2000 2005 2006 2007
Total
All areas b 143 292 1,090 1,908 2,762 4,999 5,475 5,895
United States c 144 293 1,081 1,920 2,787 5,043 5,508 5,920
New England 159 298 988 1,763 2,436 3,766 4,066 4,380
Connecticut 167 287 1,177 2,013 2,608 4,063 4,460 4,877
Maine 133 284 927 1,645 2,328 3,515 3,709 3,950
Massachusetts 168 316 942 1,705 2,429 3,618 3,867 4,138
New Hampshire 123 264 1,022 1,699 2,480 4,069 4,388 4,792
Rhode Island 154 284 851 1,638 2,316 3,980 4,360 4,629
Vermont 124 230 923 1,580 1,995 3,087 3,374 3,582
Middle Atlantic 163 304 943 1,704 2,743 5,628 6,109 6,420
New Jersey 157 300 725 1,865 3,757 8,621 9,176 9,517
New York 176 301 836 1,366 2,116 4,123 4,501 4,732
Pennsylvania 145 312 1,236 2,109 3,003 5,806 6,413 6,797
East North Central 140 294 1,097 1,866 2,550 4,387 4,815 5,173
Illinois 148 322 1,202 2,126 3,017 4,980 5,493 5,960
Indiana 116 236 997 1,713 2,271 3,847 4,279 4,709
Michigan 156 332 1,193 1,881 2,451 4,089 4,424 4,618
Ohio 134 277 1,030 1,730 2,360 4,307 4,724 5,085
Wisconsin 128 251 933 1,690 2,424 4,426 4,852 5,168
West North Central 117 248 1,052 1,831 2,638 4,580 5,035 5,373
Iowa 110 239 902 1,573 2,124 3,847 4,268 4,649
Kansas 113 244 1,093 1,957 2,589 4,748 5,216 5,592
Minnesota 124 248 1,132 1,938 2,913 5,095 5,602 5,886
Missouri 119 257 1,108 1,922 2,783 4,514 4,948 5,326
Nebraska 116 251 1,043 1,850 3,007 5,279 5,821 6,110
North Dakota 118 237 937 1,509 2,180 3,549 3,837 3,921
South Dakota 107 228 915 1,518 2,167 4,255 4,697 5,006
South Atlantic 135 273 1,106 1,876 2,637 4,546 4,940 5,335
Delaware 153 274 1,191 1,831 1,971 3,336 3,647 4,062
District of Columbia 174 373 1,374 2,129 3,331 5,355 5,776 6,188
Florida 161 321 1,360 2,351 3,439 5,936 6,422 6,965
Georgia 125 258 1,081 1,744 2,527 4,357 4,785 5,196
Maryland 164 274 813 1,365 1,608 2,286 2,462 2,590
North Carolina 101 214 932 1,603 2,175 3,611 3,960 4,267
South Carolina 106 229 1,021 1,818 2,611 4,702 5,178 5,662
Virginia 118 247 1,022 1,732 2,432 4,237 4,623 5,021
West Virginia 108 247 1,009 1,472 1,821 2,886 3,085 3,256
East South Central 115 243 1,019 1,718 2,451 4,237 4,617 4,934
Alabama 126 282 1,176 2,054 2,914 5,068 5,409 5,721
Kentucky 107 216 967 1,630 2,269 3,866 4,189 4,403
Mississippi 98 213 865 1,437 2,017 3,654 4,030 4,344
Tennessee 122 250 1,012 1,662 2,479 4,184 4,630 5,009
West South Central 117 253 1,138 1,937 2,767 5,029 5,549 5,991
Arkansas 104 231 923 1,511 2,194 3,860 4,228 4,471
Louisiana 116 265 1,180 1,926 2,724 4,427 4,703 5,080
Oklahoma 128 271 997 1,620 2,335 4,145 4,610 4,969
Texas 118 250 1,212 2,118 3,008 5,600 6,200 6,706
Mountain 142 305 1,350 2,321 3,279 5,760 6,293 6,872
Arizona 155 325 1,442 2,617 3,885 6,304 6,916 7,598
Colorado 144 288 1,308 2,240 3,392 6,271 6,868 7,396
Idaho 129 273 1,140 1,951 2,471 4,108 4,402 4,663
Montana 116 262 1,036 1,742 2,233 3,757 4,119 4,252
Nevada 177 424 2,031 3,253 4,320 7,475 7,939 8,815
New Mexico 133 293 1,140 1,913 2,533 4,464 4,842 5,314
Utah 142 316 1,283 2,069 2,871 4,567 5,037 5,443
Wyoming 109 245 1,094 1,985 2,373 4,028 4,554 4,945
Pacific 196 416 1,651 2,877 4,228 7,886 8,595 9,331
Alaska 228 379 1,470 2,385 3,144 5,438 5,855 6,603
California 206 448 1,794 3,156 4,701 8,803 9,586 10,405
Hawaii 148 333 1,224 2,319 2,991 4,582 4,639 4,762
Oregon 158 329 1,275 1,987 2,717 4,602 5,033 5,350
Washington 163 293 1,162 1,924 2,708 5,144 5,655 6,367
Outlying areas 77 152 510 739 947 1,138 1,225 1,313
Puerto Rico 77 151 505 736 946 1,124 1,197 1,276
U.S. Virgin Islands 92 161 746 843 1,007 1,922 2,058 2,075
Other d 88 263 . . . . . . . . . . . . 1,421 1,461
SOURCE: Centers for Medicare & Medicaid.
NOTES: Data for 1975–1995 are based on bills approved in each year and recorded before June 1996. Data from 2000–2007 are based on the stay records for 100 percent of Medicare aged and disabled beneficiaries as recorded in the agency's Medicare Provider Analysis and Review (MEDPAR) file.
. . . = not applicable.
a. Geographic distribution for 1975, 1980, 1990, and 1995 reflects the beneficiaries' area of residence. Geographic distribution for 2000–2007 reflects the providers' state.
b. Data for 1975, 1980, 1990, and 1995 exclude claims for persons residing in foreign countries.
c. Data for 1975, 1980, 1990, and 1995 include claims for beneficiaries whose place of residence is unknown. For 1990–2005, residents of other areas were not separately identified and were grouped with "United States."
d. Beginning in 2006, stays for providers in other territories were separately identified and grouped in the "other" category.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.1 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, by state or other area, selected fiscal years 1990–2007
State or area 1990 1995 2000 2001 2002 2003 2004 2005 2006 2007
All areas 10,472,587 11,680,874 11,778,705 12,192,174 12,499,749 12,698,388 12,986,560 12,980,067 12,492,501 12,284,000
Alabama 226,359 255,013 274,518 282,999 291,991 294,850 299,746 289,916 276,177 275,785
Alaska 6,491 8,635 11,684 11,748 11,794 11,398 11,554 11,506 11,862 12,033
Arizona 140,069 139,564 135,143 144,989 156,302 165,231 182,094 191,400 176,691 179,740
Arkansas 143,363 152,516 164,310 166,445 170,102 170,421 174,242 170,003 161,538 154,315
California 834,829 875,926 740,564 756,629 801,758 836,444 847,296 846,286 833,501 846,762
Colorado 98,262 105,216 101,486 101,258 107,180 109,879 114,051 116,310 113,626 113,536
Connecticut 114,938 141,765 124,951 135,169 148,864 154,460 159,594 164,766 163,911 162,839
Delaware 26,125 30,336 34,049 36,386 36,541 38,216 40,959 42,295 42,734 42,718
District of Columbia 36,062 39,526 39,112 40,138 39,389 39,151 40,527 40,881 39,767 38,454
Florida 579,368 742,862 765,130 823,957 869,777 899,404 925,090 921,995 896,030 870,181
Georgia 274,957 316,301 324,286 334,599 338,687 342,392 353,846 355,683 351,720 343,632
Hawaii 26,340 32,526 26,146 26,343 26,932 26,302 27,453 28,125 26,531 25,346
Idaho 31,559 36,327 44,027 43,272 40,996 40,738 39,756 37,580 36,170 34,119
Illinois 460,926 533,238 556,122 578,327 601,373 607,561 624,034 625,493 612,458 606,108
Indiana 254,404 276,601 297,851 306,202 304,034 303,404 310,393 312,461 300,895 297,704
Iowa 141,191 146,448 159,451 162,466 156,854 148,591 145,095 138,025 128,413 127,196
Kansas 117,017 120,593 128,024 129,973 129,334 131,412 130,138 128,439 121,592 119,008
Kentucky 199,042 222,162 243,886 252,454 257,205 255,264 258,938 260,340 248,702 240,036
Louisiana 213,819 234,663 237,154 243,724 248,183 253,774 254,224 244,437 216,209 211,838
Maine 54,963 63,013 69,030 68,547 66,705 67,401 67,914 65,640 62,303 62,285
Maryland 179,835 214,989 208,038 234,162 244,595 251,754 259,460 265,963 269,297 271,851
Massachusetts 286,332 310,455 263,152 271,657 275,984 291,062 300,460 303,171 304,618 309,091
Michigan 366,349 435,455 452,367 468,675 497,195 506,259 522,536 531,888 517,652 494,458
Minnesota 170,808 178,018 200,918 209,469 210,382 208,364 212,125 207,340 188,055 181,781
Mississippi 142,662 162,934 183,952 185,626 182,535 183,965 185,131 182,237 171,334 169,001
Missouri 281,059 298,509 300,576 315,642 317,278 320,454 331,919 335,644 318,253 314,010
Montana 40,505 40,770 44,208 45,697 42,880 40,952 41,719 40,734 37,799 36,547
Nebraska 69,299 70,113 76,960 74,217 71,921 71,577 72,718 75,456 71,717 68,098
Nevada 37,478 49,254 49,613 51,836 56,622 57,345 62,742 65,749 67,049 65,920
New Hampshire 39,103 42,746 45,712 48,206 46,282 46,304 46,893 44,246 43,848 45,865
New Jersey 338,509 385,145 372,063 374,250 389,938 404,035 410,302 415,558 408,774 408,855
New Mexico 50,391 50,334 51,085 51,396 51,469 51,533 52,083 53,247 51,922 51,726
New York 723,060 797,453 750,793 761,352 771,835 780,893 793,919 827,445 801,593 786,979
North Carolina 267,370 336,173 406,700 413,429 418,725 431,441 439,157 437,330 420,790 408,628
North Dakota 37,543 37,014 39,672 38,764 34,707 34,645 34,712 34,214 32,349 31,366
Ohio 527,006 562,234 536,335 550,989 559,223 565,314 588,640 596,857 582,853 577,196
Oklahoma 155,100 156,239 176,021 179,543 182,998 187,913 193,773 190,727 186,979 183,961
Oregon 106,164 105,878 91,806 98,854 102,568 102,182 99,869 92,710 85,095 90,889
Pennsylvania 685,403 766,535 634,802 649,458 656,105 654,661 665,143 666,969 609,706 600,730
Rhode Island 46,578 49,740 38,489 39,658 40,229 38,506 39,556 40,098 40,098 42,598
South Carolina 112,232 156,060 204,038 213,513 216,412 218,775 221,825 223,044 216,080 206,712
South Dakota 38,175 41,714 45,239 45,202 43,134 42,626 40,946 39,276 36,052 35,791
Tennessee 290,371 310,335 327,423 341,212 344,524 348,700 357,600 355,948 347,221 348,083
Texas 603,621 671,734 742,628 798,667 843,945 868,784 897,873 883,811 866,549 848,886
Utah 39,963 43,819 53,003 55,207 56,244 57,928 61,309 60,885 57,025 53,866
Vermont 20,251 22,815 24,014 24,778 22,658 22,690 22,174 20,866 18,715 18,463
Virginia 240,165 271,620 295,790 305,346 310,602 315,181 324,379 323,414 313,069 303,791
Washington 157,942 157,146 153,660 162,197 166,846 167,102 171,361 175,107 175,580 174,343
West Virginia 111,305 124,293 134,585 135,458 132,356 131,953 134,992 128,795 120,039 116,257
Wisconsin 217,727 227,774 238,572 240,711 243,774 244,100 243,116 230,655 217,354 206,379
Wyoming 15,255 16,009 18,764 18,932 18,044 16,416 16,097 15,958 15,335 15,321
Outlying areas
Puerto Rico 93,436 111,950 137,315 138,713 139,682 134,979 131,223 118,565 74,985 49,084
U.S. Virgin Islands 528 1,374 1,552 1,468 1,571 1,641 1,743 1,785 1,768 1,852
Unknown/other a 978 1,012 1,936 2,265 2,485 2,061 2,121 2,794 2,118 1,987
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for 2000 through 2007 are based on short-stay inpatient hospital stay records for claims processed and recorded in the agency's Medicare Provider Analysis and Review (MEDPAR) file through June 2008.
a. Represents unknown and other areas not listed separately.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2007
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
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 supplement@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2007
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
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
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2008
State or area 1991 1995 2000 2002 2003 2004 2005 2006 2007 2008
All areas 3,640,121 4,705,625 5,425,048 5,810,613 6,145,589 6,305,467 6,577,577 6,885,326 7,082,006 7,292,444
Alabama 97,601 116,916 136,860 144,603 162,912 164,499 169,460 175,134 179,542 183,860
Alaska 4,539 6,193 8,486 9,324 10,008 10,318 10,748 11,465 11,904 12,218
Arizona 28,650 44,236 57,712 74,678 91,782 95,804 110,977 116,065 121,455 126,518
Arkansas 64,996 77,660 79,606 82,040 86,597 86,181 89,372 96,906 99,214 101,893
California 646,108 747,814 818,846 892,260 950,503 977,676 1,012,804 1,047,842 1,078,076 1,120,069
Colorado 36,470 46,660 55,325 57,987 59,114 61,140 61,294 64,505 68,264 72,451
Connecticut 23,535 48,047 53,141 60,083 65,223 66,664 66,191 66,968 67,876 70,682
Delaware 4,499 6,645 10,737 13,252 15,224 16,081 17,104 19,534 19,821 20,628
District of Columbia 12,791 14,152 14,233 15,065 15,079 15,586 15,246 15,365 15,584 16,023
Florida 196,992 271,430 342,109 369,092 389,599 406,006 431,764 459,146 470,337 490,437
Georgia 128,976 160,380 176,596 186,466 193,807 199,524 205,476 212,257 217,562 221,444
Hawaii 11,529 16,695 20,326 21,748 22,904 22,988 23,703 26,040 25,862 26,601
Idaho 9,127 12,931 17,081 19,725 21,255 22,291 23,482 24,628 26,030 26,744
Illinois 94,434 137,571 155,743 163,368 175,822 189,044 206,014 215,631 222,728 233,211
Indiana 60,297 76,460 87,543 95,553 102,654 105,011 109,669 114,933 120,079 120,825
Iowa 41,170 48,517 51,976 54,536 56,920 58,023 60,458 63,221 66,022 68,782
Kansas 26,960 34,708 41,217 43,123 44,602 46,175 47,707 49,483 50,732 51,829
Kentucky 76,456 97,978 117,697 122,096 126,690 126,343 126,468 134,469 137,602 140,970
Louisiana 87,570 112,090 117,179 120,478 127,340 132,498 139,802 140,291 141,009 148,875
Maine 22,176 29,453 36,946 39,575 42,269 43,800 46,510 52,560 64,164 78,157
Maryland 48,028 58,865 65,372 70,224 73,994 75,366 79,234 83,078 85,824 89,624
Massachusetts 89,163 125,859 152,587 164,510 167,681 170,689 178,691 188,576 191,171 195,461
Michigan 91,340 123,948 145,172 152,758 158,998 161,519 170,044 180,235 185,626 190,827
Minnesota 39,366 52,192 63,607 70,873 75,080 77,499 79,428 81,353 83,420 85,356
Mississippi 90,530 108,577 107,495 125,832 131,706 133,337 135,023 137,715 136,096 137,874
Missouri 55,116 72,659 88,343 93,512 99,127 103,449 109,561 110,734 113,722 117,954
Montana 10,058 11,031 12,828 13,359 13,889 13,917 14,455 15,097 15,456 15,811
Nebraska 11,358 16,146 20,520 22,120 22,922 23,082 24,210 25,243 25,640 27,030
Nevada 8,657 14,227 19,155 22,207 24,587 26,977 27,408 28,639 30,319 32,197
New Hampshire 3,807 5,405 7,434 9,231 10,120 10,732 11,584 12,597 13,454 14,669
New Jersey 95,795 122,923 146,705 151,644 155,377 153,231 159,110 169,804 170,280 170,807
New Mexico 22,246 29,855 37,330 41,263 44,534 44,642 49,333 52,078 53,757 56,797
New York 255,952 325,882 369,479 409,388 432,681 448,373 465,068 487,736 500,099 489,668
North Carolina 117,656 186,328 223,402 233,229 240,422 241,543 251,739 258,981 261,690 266,009
North Dakota 4,639 5,560 5,908 6,317 6,541 6,560 6,757 7,185 7,610 7,892
Ohio 112,598 164,044 171,139 182,821 191,295 195,792 204,905 223,726 234,958 247,445
Oklahoma 51,457 60,080 67,413 68,905 70,761 72,758 75,903 80,536 82,671 82,920
Oregon 28,537 43,642 59,169 66,255 68,421 69,610 70,927 72,394 75,113 78,272
Pennsylvania 127,519 162,788 206,468 218,691 229,814 232,885 242,552 258,675 268,833 274,566
Rhode Island 10,585 15,517 19,787 22,928 25,146 25,361 26,311 27,002 27,508 27,860
South Carolina 78,701 95,970 112,232 118,635 117,997 118,393 118,843 121,469 124,502 126,074
South Dakota 9,399 12,346 13,146 13,542 14,231 14,045 14,534 15,176 15,407 15,613
Tennessee 116,861 148,391 182,342 187,438 203,567 208,678 218,894 228,849 232,611 236,854
Texas 234,169 314,991 360,191 380,954 410,248 423,560 440,938 457,346 473,962 489,552
Utah 10,263 13,506 16,231 17,497 18,548 19,361 21,787 24,114 24,775 25,459
Vermont 8,223 12,428 13,754 14,650 15,016 15,079 15,509 20,857 21,831 22,078
Virginia 77,898 102,964 113,259 116,496 120,711 124,996 131,083 137,991 141,569 145,896
Washington 54,774 71,531 97,390 99,552 105,516 108,780 113,233 119,180 123,471 127,450
West Virginia 28,086 39,720 46,305 47,547 50,008 51,365 54,200 57,688 59,576 61,749
Wisconsin 67,516 75,247 74,101 75,179 78,124 79,889 83,383 85,661 87,901 90,928
Wyoming 3,505 5,265 6,444 7,087 7,422 7,454 7,749 8,015 8,135 8,458
Outlying areas
Guam 443 669 417 339 339 375 409 647 633 537
Northern Mariana Islands 273 314 342 372 358 340 358 354 373 381
U.S. Virgin Islands 727 219 204 206 194 178 165 152 150 159
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 supplement@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, December 2007
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 b 31,551,229 25,165,409 17,090,506 8,074,928 6,385,795
United States 31,137,294 24,766,322 17,046,108 7,720,239 6,370,947
New England 1,619,960 1,239,991 936,862 303,132 379,966
Connecticut 397,365 286,171 220,188 65,983 111,194
Maine 162,174 141,401 133,737 7,664 20,773
Massachusetts 738,733 554,561 386,945 167,618 184,170
New Hampshire 124,247 88,650 84,038 4,612 35,597
Rhode Island 125,148 113,864 57,333 56,532 11,283
Vermont 72,293 55,344 54,621 723 16,949
Middle Atlantic 4,650,486 3,546,242 2,191,432 1,354,811 1,104,243
New Jersey 914,708 640,295 532,906 107,389 274,413
New York 2,127,527 1,598,592 971,835 626,758 528,934
Pennsylvania 1,608,251 1,307,355 686,691 620,664 300,896
East North Central 4,962,352 3,507,872 2,662,737 845,135 1,454,480
Illinois 1,250,943 950,509 838,667 111,842 300,434
Indiana 679,188 490,005 437,280 52,725 189,183
Michigan 1,187,170 756,603 497,862 258,739 430,569
Ohio 1,287,848 882,954 578,427 304,529 404,892
Wisconsin 557,203 427,801 310,501 117,300 129,402
West North Central 2,258,469 1,949,647 1,505,148 444,497 308,824
Iowa 374,086 324,650 286,008 38,642 49,436
Kansas 276,762 244,814 216,461 28,352 31,949
Minnesota 562,863 485,053 295,127 189,926 77,810
Missouri 682,220 567,802 415,729 152,072 114,419
Nebraska 194,222 170,182 149,192 20,990 24,040
North Dakota 77,552 72,765 68,544 4,221 4,787
South Dakota 90,764 84,381 74,087 10,294 6,383
South Atlantic 6,001,412 4,770,281 3,445,522 1,324,774 1,231,116
Delaware 100,164 66,881 64,075 2,806 33,283
District of Columbia 37,194 33,378 27,291 6,087 3,816
Florida 2,238,254 1,804,739 1,003,373 801,381 433,500
Georgia 772,736 649,409 544,645 104,764 123,327
Maryland 450,900 310,175 266,227 43,948 140,725
North Carolina 999,659 790,971 625,313 165,658 208,688
South Carolina 487,853 370,927 305,603 65,324 116,926
Virginia 643,745 527,593 446,334 81,259 116,152
West Virginia 270,907 216,208 162,661 53,547 54,699
East South Central 2,120,184 1,751,900 1,377,031 374,872 368,281
Alabama 565,175 454,330 322,035 132,295 110,845
Kentucky 517,182 392,035 337,609 54,426 125,147
Mississippi 325,673 297,523 276,603 20,920 28,150
Tennessee 712,154 608,012 440,784 167,231 104,139
West South Central 3,108,936 2,508,669 1,901,672 606,999 600,265
Arkansas 342,701 294,166 250,061 44,105 48,535
Louisiana 466,704 382,043 270,511 111,533 84,660
Oklahoma 376,487 326,154 265,996 60,158 50,333
Texas 1,923,044 1,506,306 1,115,104 391,203 416,737
Mountain 1,871,723 1,557,905 855,484 702,422 313,817
Arizona 605,359 504,835 215,273 289,562 100,524
Colorado 397,700 323,531 162,552 160,980 74,168
Idaho 138,718 115,833 83,481 32,352 22,885
Montana 102,786 87,973 73,402 14,571 14,813
Nevada 215,333 175,619 81,466 94,153 39,714
New Mexico 196,992 173,724 113,613 60,111 23,268
Utah 167,472 136,466 88,224 48,242 31,006
Wyoming 47,363 39,924 37,473 2,451 7,439
Pacific 4,543,772 3,933,815 2,170,220 1,763,597 609,955
Alaska 37,404 23,006 22,749 257 14,398
California 3,410,969 2,983,483 1,569,818 1,413,668 427,483
Hawaii 128,890 121,770 61,504 60,265 7,121
Oregon 401,186 356,147 181,986 174,161 45,039
Washington 565,323 449,409 334,163 115,246 115,914
Outlying areas c 413,935 399,087 44,398 354,689 14,848
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of enrollees 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. Represents enrollees in the 50 States, the District of Columbia, and outlying areas.
c. Includes Puerto Rico, Guam, U.S. Virgin Islands, and all other outlying areas. Excludes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2006
Census division and state or area a Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDS) b Other creditable coverage c (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low-income subsidy d Partial low-income subsidy e No low-income subsidy
Total
All areas f 43,338,571 22,854,973 8,928,404 375,426 13,551,143 6,838,613 5,843,746 7,801,239
United States 42,355,590 22,483,685 8,915,727 375,263 13,192,695 6,811,521 5,772,294 7,228,090
New England 2,222,961 1,148,349 493,320 18,911 636,118 398,491 289,267 386,854
Connecticut 530,034 265,620 96,683 3,294 165,643 111,960 64,570 87,884
Maine 240,568 127,585 66,010 1,814 59,761 28,826 40,561 43,596
Massachusetts 981,691 513,391 234,395 8,810 270,186 191,612 110,272 166,416
New Hampshire 197,821 81,076 31,123 2,042 47,911 35,790 33,962 46,993
Rhode Island 173,776 109,906 39,872 2,099 67,935 12,619 25,321 25,930
Vermont 99,071 50,771 25,237 852 24,682 17,684 14,581 16,035
Middle Atlantic 6,202,255 2,993,464 1,238,922 39,293 1,715,249 1,175,087 828,602 1,205,102
New Jersey 1,241,698 600,587 209,931 13,188 377,468 281,643 146,228 213,240
New York 2,804,725 1,340,617 694,665 14,532 631,420 567,612 310,354 586,142
Pennsylvania 2,155,832 1,052,260 334,326 11,573 706,361 325,832 372,020 405,720
East North Central 6,763,777 3,173,347 1,181,850 58,253 1,933,244 1,659,208 709,163 1,222,059
Illinois 1,712,828 896,259 334,325 15,249 546,685 342,940 182,953 290,676
Indiana 922,553 444,210 157,502 10,838 275,870 197,410 115,069 165,864
Michigan 1,510,532 653,751 254,523 13,447 385,781 459,521 128,968 268,292
Ohio 1,778,058 808,361 298,364 15,303 494,694 517,225 180,125 272,347
Wisconsin 839,806 370,766 137,136 3,416 230,214 142,112 102,048 224,880
West North Central 3,039,491 1,834,283 532,356 29,386 1,272,541 320,528 429,374 455,306
Iowa 494,523 310,571 78,149 5,133 227,289 53,327 65,351 65,274
Kansas 406,456 226,709 63,536 4,379 158,794 30,699 67,332 81,716
Minnesota 713,242 447,250 120,544 5,232 321,474 79,361 85,764 100,867
Missouri 929,501 532,357 191,176 8,774 332,407 120,948 131,052 145,144
Nebraska 264,307 164,238 41,653 2,762 119,823 24,913 41,440 33,716
North Dakota 104,418 71,826 16,538 1,528 53,760 4,755 15,200 12,637
South Dakota 127,044 81,332 20,760 1,578 58,994 6,525 23,235 15,952
South Atlantic 8,439,182 4,336,061 1,740,265 89,715 2,506,081 1,300,752 1,354,022 1,448,347
Delaware 131,832 60,913 22,654 1,156 37,103 32,230 17,802 20,887
District of Columbia 73,575 31,714 19,858 379 11,477 3,955 19,932 17,974
Florida 3,079,554 1,661,093 561,789 22,308 1,076,996 465,467 450,241 502,753
Georgia 1,075,265 587,846 274,229 12,921 300,696 127,209 170,023 190,187
Maryland 708,049 280,708 114,593 6,295 159,820 146,181 140,625 140,535
North Carolina 1,317,754 729,062 320,635 19,885 388,542 202,457 174,720 211,515
South Carolina 673,965 334,449 161,717 9,346 163,386 116,728 114,341 108,447
Virginia 1,017,880 477,026 185,373 12,354 279,299 120,219 218,861 201,774
West Virginia 361,308 173,250 79,417 5,071 88,762 86,306 47,477 54,275
East South Central 2,878,078 1,616,017 841,212 34,238 740,567 398,653 414,679 448,729
Alabama 772,280 411,010 208,884 9,896 192,230 121,486 125,583 114,201
Kentucky 694,894 361,830 178,571 10,603 172,656 125,756 90,510 116,798
Mississippi 461,641 282,824 158,032 5,613 119,179 30,626 74,302 73,889
Tennessee 949,263 560,353 295,725 8,126 256,502 120,785 124,284 143,841
West South Central 4,288,144 2,287,700 1,036,495 53,499 1,197,706 621,004 643,467 735,973
Arkansas 484,836 270,905 124,152 7,457 139,296 52,088 83,611 78,232
Louisiana 624,151 342,291 173,844 7,653 160,794 94,280 76,220 111,360
Oklahoma 553,545 304,985 113,812 6,773 184,400 52,125 92,151 104,284
Texas 2,625,612 1,369,519 624,687 31,616 713,216 422,511 391,485 442,097
Mountain 2,607,186 1,416,564 436,214 21,647 958,703 333,761 419,408 437,453
Arizona 815,115 463,279 145,465 5,330 312,484 103,974 120,203 127,659
Colorado 539,883 298,279 86,171 4,462 207,646 76,864 82,828 81,912
Idaho 199,505 104,892 32,089 2,294 70,509 19,548 33,366 41,699
Montana 151,738 81,588 23,588 1,829 56,171 14,855 26,077 29,218
Nevada 306,777 162,614 43,435 2,478 116,701 40,109 53,801 50,253
New Mexico 275,806 146,898 63,613 2,611 80,674 39,226 43,807 45,875
Utah 245,960 121,227 31,525 1,858 87,844 31,786 45,671 47,276
Wyoming 72,402 37,787 10,328 785 26,674 7,399 13,655 13,561
Pacific 5,914,516 3,677,900 1,415,093 30,321 2,232,486 604,037 684,312 948,267
Alaska 54,305 20,900 13,610 297 6,993 11,946 9,862 11,597
California 4,275,113 2,821,982 1,137,126 17,637 1,667,219 424,184 425,174 603,773
Hawaii 185,449 92,534 33,332 1,449 57,753 8,349 35,288 49,278
Oregon 552,856 329,265 88,394 5,230 235,641 46,443 76,420 100,728
Washington 846,793 413,219 142,631 5,708 264,880 113,115 137,568 182,891
Outlying areas g 982,981 371,288 12,677 163 358,448 27,092 71,452 513,149
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of enrollees may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. Based on the residence of the beneficiary.
b. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
c. 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.
d. 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.
e. 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.
f. Represents enrollees in the 50 States, the District of Columbia, and outlying areas. Includes unknown residence.
g. Includes Puerto Rico, Guam, U.S. Virgin Islands, all other outlying areas, and unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.