Annual Statistical Supplement, 2009 - Medicare Enrollment, Utilization, and Reimbursement (8.B)

Table 8.B0 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Total persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007
Type of coverage and service	1990	1995	2000	2005	2006	2007
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	34,203	37,535	39,632	42,500	43,339	44,263
Hospital Insurance	33,719	37,135	39,211	42,129	42,975	43,910
Supplementary Medical Insurance	32,629	35,685	37,369	39,730	40,398	41,109
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	32,740	36,685	35,847	35,490
Hospital Insurance	--	--	32,329	36,318	35,488	35,141
Supplementary Medical Insurance	--	--	30,478	33,916	32,908	32,338
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	27,099	30,423	29,583	33,506	33,063	32,406
Hospital Insurance	7,036	8,036	7,325	8,307	8,120	7,952
Inpatient hospital	6,543	6,964	6,917	7,710	7,467	7,254
Skilled nursing services	638	1,233	1,468	1,847	1,838	1,828
Home health services ^b	1,936	3,427	1,444	1,752	1,714	1,705
Hospice services	--	--	541	871	939	995
Supplementary Medical Insurance	26,951	30,249	29,313	33,201	32,732	32,040
Physicians' and other medical services	26,350	26,539	28,763	32,709	32,205	31,481
Outpatient services	15,511	19,709	21,029	24,423	24,010	23,587
Home health services ^b	38	41	1,190	1,370	1,460	1,553
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	792	811	904	913	922	913
Hospital Insurance	209	216	227	229	229	226
Inpatient hospital	194	188	214	212	210	206
Skilled nursing services	19	33	45	51	52	52
Home health services ^b	57	92	45	48	48	49
Hospice services	--	--	17	24	26	28
Supplementary Medical Insurance	826	848	962	979	995	991
Physicians' and other medical services	808	744	944	964	979	974
Outpatient services	475	552	690	720	730	729
Home health services ^b	1	1	39	40	44	48
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	101,419	158,980	174,261	274,143	280,672	288,504
Hospital Insurance	62,347	101,835	101,663	149,392	151,917	155,785
Inpatient hospital	56,716	78,944	85,197	116,647	116,350	116,922
Skilled nursing services	1,971	7,799	10,621	18,964	20,387	22,261
Home health services ^b	3,660	15,092	2,918	5,916	5,979	6,275
Hospice services	--	--	2,927	7,864	9,201	10,327
Supplementary Medical Insurance	39,072	57,145	72,599	124,752	128,755	132,719
Physicians' and other medical services	30,222	41,617	51,474	83,838	85,305	85,694
Outpatient services	8,773	15,328	16,787	33,931	35,411	37,560
Home health services ^b	78	200	4,338	6,982	8,039	9,465
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,743	5,226	5,891	8,182	8,489	8,903
Hospital Insurance	8,862	12,672	13,878	17,984	18,709	19,592
Inpatient hospital	8,668	11,336	12,318	15,130	15,581	16,118
Skilled nursing services	3,092	6,325	7,235	10,267	11,093	12,176
Home health services ^b	1,890	4,403	2,021	3,377	3,489	3,680
Hospice services	--	--	5,409	9,027	9,796	10,378
Supplementary Medical Insurance	1,450	1,889	2,477	3,757	3,634	4,142
Physicians' and other medical services	1,147	1,409	1,709	2,563	2,649	2,722
Outpatient services	566	778	798	1,389	1,475	1,592
Home health services ^b	2,031	4,837	3,644	5,098	5,508	6,095
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	2,965	4,236	5,323	7,473	7,830	8,129
Hospital Insurance	1,849	2,742	3,145	4,113	4,281	4,433
Inpatient hospital	1,682	2,126	2,635	3,212	3,279	3,327
Skilled nursing services	58	210	329	522	574	633
Home health services ^b	109	406	90	163	168	179
Hospice services	--	--	91	217	259	294
Supplementary Medical Insurance	1,197	1,601	2,382	3,678	3,913	4,104
Physicians' and other medical services	926	1,166	1,689	2,472	2,592	2,650
Outpatient services	269	430	551	1,000	1,076	1,162
Home health services ^b	2	6	142	206	244	293
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee. Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. -- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007
Type of coverage and service	1990	1995	2000	2005	2006	2007
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	30,948	33,142	34,261	35,777	36,317	36,966
Hospital Insurance	30,464	32,742	33,841	35,407	35,953	36,613
Supplementary Medical Insurance	29,685	31,742	32,602	33,780	34,183	34,656
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	27,833	30,399	29,622	29,172
Hospital Insurance	--	--	27,422	30,033	29,263	28,824
Supplementary Medical Insurance	--	--	26,174	28,402	27,490	26,864
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	24,809	27,379	25,486	28,071	27,603	26,874
Hospital Insurance	6,367	7,147	6,361	7,016	6,843	6,664
Inpatient hospital	5,906	6,148	5,975	6,455	6,230	6,009
Skilled nursing services	615	1,186	1,390	1,719	1,707	1,692
Home health services ^b	1,818	3,185	1,325	1,574	1,539	1,518
Hospice services	--	--	514	825	890	941
Supplementary Medical Insurance	24,687	27,234	25,256	27,816	27,326	26,569
Physicians' and other medical services	24,193	26,621	24,846	27,468	26,952	26,177
Outpatient services	14,055	17,597	18,159	20,436	20,009	19,523
Home health services ^b	38	42	1,081	1,214	1,291	1,365
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	802	826	916	923	932	921
Hospital Insurance	209	218	232	234	234	231
Inpatient hospital	194 ^c	188	218	215	213	208
Skilled nursing services	21	36	51	57	58	59
Home health services ^b	60	97	48	52	53	53
Hospice services	--	--	19	27	30	33
Supplementary Medical Insurance	832	858	965	979	994	989
Physicians' and other medical services	815	839	949	967	980	974
Outpatient services	474	554	694	720	728	727
Home health services ^b	1	1	41	43	47	51
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	88,778	138,948	148,488	227,594	232,468	237,806
Hospital Insurance	54,244	89,631	87,549	125,993	127,855	130,478
Inpatient hospital	48,952	68,213	72,041	95,557	94,767	94,442
Skilled nursing services	1,886	7,504	10,066	17,666	18,978	20,628
Home health services ^b	3,406	13,914	2,679	5,333	5,396	5,621
Hospice services	--	--	2,763	7,436	8,714	9,786
Supplementary Medical Insurance	34,533	49,317	60,939	101,601	104,613	107,329
Physicians' and other medical services	27,379	37,069	44,506	70,111	71,342	71,349
Outpatient services	7,077	12,045	12,588	25,385	26,258	27,779
Home health services ^b	78	203	3,845	6,106	7,013	8,201
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,578	5,075	5,826	8,108	8,422	8,849
Hospital Insurance	8,520	12,542	13,763	17,958	18,684	19,580
Inpatient hospital	8,289	11,096	12,057	14,804	15,212	15,716
Skilled nursing services	3,068	6,325	7,242	10,277	11,118	12,190
Home health services ^b	1,874	4,368	2,022	3,388	3,507	3,702
Hospice services	--	--	5,375	9,015	9,791	10,398
Supplementary Medical Insurance	1,399	1,811	2,413	3,653	3,828	4,040
Physicians' and other medical services	1,132	1,392	1,791	2,552	2,647	2,726
Outpatient services	503	684	693	1,242	1,312	1,423
Home health services ^b	2,033	4,862	3,557	5,030	5,433	6,009
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	2,869	4,193	5,335	7,487	7,848	8,152
Hospital Insurance	1,781	2,738	3,193	4,195	4,369	4,527
Inpatient hospital	1,607	2,083	2,627	3,182	3,238	3,277
Skilled nursing services	62	229	367	588	649	716
Home health services ^b	112	425	98	178	184	195
Hospice services	--	--	101	248	298	340
Supplementary Medical Insurance	1,163	1,554	2,328	3,577	3,805	3,995
Physicians' and other medical services	922	1,168	1,700	2,469	2,595	2,656
Outpatient services	238	379	481	894	955	1,034
Home health services ^b	3	6	147	215	255	305
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee. Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. -- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Revised data.
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 1990–2007
Type of coverage and service	1990	1995	2000	2005	2006	2007
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	3,255	4,393	5,371	6,723	7,022	7,297
Hospital Insurance	3,255	4,393	5,370	6,722	7,022	7,297
Supplementary Medical Insurance	2,943	3,942	4,768	5,951	6,215	6,453
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	4,907	6,286	6,225	6,318
Hospital Insurance	--	--	4,907	6,285	6,225	6,317
Supplementary Medical Insurance	--	--	4,304	5,514	5,418	5,474
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	2,390	3,333	4,096	5,436	5,461	5,531
Hospital Insurance	680	933	964	1,291	1,277 ^b	1,288
Inpatient hospital	644	844	942	1,255	1,237	1,245
Skilled nursing services	23	54	78	128	131	136
Home health services ^c	122	272	119	178	175	187
Hospice services	--	--	27	46	49	54
Supplementary Medical Insurance	2,365	3,299	4,057	5,384	5,406	5,471
Physicians' and other medical services	2,249	3,184	3,917	5,241	5,254	5,305
Outpatient services	1,496	2,281	2,870	3,987	4,001	4,064
Home health services ^c	d	d	110	156	169	188
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	734	759	835	865	877	875
Hospital Insurance	209	212	196	205	197	204
Inpatient hospital	198	192	192	200	199	197
Skilled nursing services	7	12	16	20	21	22
Home health services ^c	38	62	24	28	28	30
Hospice services	--	--	6	7	8	9
Supplementary Medical Insurance	804	837	943	976	998	999
Physicians' and other medical services	764	808	910	950	970	969
Outpatient services	508	579	667	723	738	742
Home health services ^c	d	d	26	28	31	34
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	11,239	21,024	25,773	46,550	48,204	50,697
Hospital Insurance	6,694	12,752	14,114	23,399	24,061	25,307
Inpatient hospital	6,346	11,079	13,156	21,091	21,582	22,479
Skilled nursing services	85	374	555	1,297	1,409	1,633
Home health services ^c	264	1,300	239	583	583	653
Hospice services	--	--	164	428	487	541
Supplementary Medical Insurance	4,545	8,272	11,660	23,151	24,142	25,390
Physicians' and other medical services	2,831	4,888	6,968	13,727	13,963	14,345
Outpatient services	1,714	3,384	4,198	8,547	9,153	9,782
Home health services ^c	d	d	493	877	1,026	1,264
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	4,703	6,308	6,292	8,563	8,826	9,166
Hospital Insurance	9,847	13,666	14,641	18,124	18,841	19,651
Inpatient hospital	9,849	13,126	13,966	16,808	17,442	18,058
Skilled nursing services	3,702	6,959	7,115	10,127	10,757	11,999
Home health services ^c	2,156	4,777	2,008	3,280	3,327	3,495
Hospice services	--	--	6,074	9,223	9,882	10,036
Supplementary Medical Insurance	1,922	2,507	2,874	4,229	4,466	4,641
Physicians' and other medical services	1,259	1,535	1,779	2,619	2,658	2,704
Outpatient services	1,146	1,483	1,463	2,144	2,288	2,407
Home health services ^c	d	d	4,482	5,631	6,077	6,720
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,453	4,786	5,252	7,405	7,744	8,024
Hospital Insurance	2,057	2,903	2,876	3,723	3,865	4,006
Inpatient hospital	1,950	2,522	2,681	3,356	3,467	3,558
Skilled nursing services	26	85	113	206	226	259
Home health services ^c	81	296	49	93	94	103
Hospice services	--	--	33	68	78	86
Supplementary Medical Insurance	1,544	2,098	2,709	4,199	4,456	4,638
Physicians' and other medical services	962	1,240	1,619	2,489	2,577	2,621
Outpatient services	582	858	975	1,550	1,689	1,787
Home health services ^c	d	d	115	159	189	231
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee. Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. -- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. Revised data.
c. 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.
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 fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area	1990			2000			2007			2008
Census division and state or area	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
Total
All areas	30,939	30,255	684	34,247	27,840	6,407	36,966	29,172	7,794	37,896	28,961	8,935
United States ^a	30,341	29,657	684	33,540	27,137	6,403	36,145	28,619	7,526	37,053	28,405	8,648
New England	1,733	1,719	15	1,836	1,449	387	1,883	1,592	290	1,925	1,586	339
Connecticut	436	434	2	457	356	101	464	411	53	474	401	73
Maine	165	165	b	180	178	2	195	189	6	200	187	13
Massachusetts	795	786	9	828	601	227	828	660	168	845	663	182
New Hampshire	126	126	b	147	145	2	168	162	6	174	164	10
Rhode Island	145	141	3	148	94	54	144	87	56	146	88	58
Vermont	67	67	b	76	76	b	84	82	2	86	83	3
Middle Atlantic	5,082	4,945	137	5,263	4,078	1,186	5,335	3,973	1,362	5,421	3,879	1,542
New Jersey	1,006	977	29	1,067	905	162	1,090	982	109	1,112	991	122
New York	2,279	2,199	80	2,334	1,871	463	2,390	1,761	630	2,429	1,724	705
Pennsylvania	1,798	1,769	29	1,863	1,302	561	1,855	1,231	624	1,880	1,164	716
East North Central	5,223	5,153	70	5,541	4,948	593	5,791	4,900	891	5,907	4,709	1,198
Illinois	1,401	1,377	24	1,435	1,263	172	1,486	1,357	129	1,514	1,369	145
Indiana	685	673	12	735	703	32	782	698	84	800	691	109
Michigan	1,101	1,100	1	1,201	1,128	73	1,268	1,046	222	1,298	978	320
Ohio	1,387	1,364	22	1,478	1,206	272	1,523	1,230	293	1,550	1,122	427
Wisconsin	649	639	10	693	649	43	731	568	163	746	549	197
West North Central	2,423	2,350	74	2,518	2,252	266	2,623	2,154	469	2,669	2,130	539
Iowa	422	412	10	426	410	16	434	381	53	438	384	55
Kansas	337	333	5	347	319	28	352	323	29	356	322	35
Minnesota	544	500	44	582	496	86	629	419	210	645	401	244
Missouri	706	692	14	736	612	124	771	631	140	786	627	159
Nebraska	221	220	1	227	217	10	232	209	23	234	207	27
North Dakota	91	91	1	93	92	1	93	86	6	93	86	7
South Dakota	102	102	b	106	106	1	113	105	8	115	103	12
South Atlantic	5,534	5,473	61	6,430	5,510	920	7,170	5,966	1,203	7,394	6,002	1,392
Delaware	80	80	b	98	93	5	114	110	3	118	113	5
District of Columbia	71	68	2	65	59	6	63	57	6	63	56	7
Florida	2,174	2,158	15	2,507	1,815	692	2,706	2,017	690	2,778	2,012	766
Georgia	636	635	b	752	702	50	887	788	99	922	799	123
Maryland	496	492	4	571	504	67	622	583	39	640	593	47
North Carolina	786	785	2	941	897	44	1,084	920	164	1,122	932	191
South Carolina	383	383	b	464	463	2	551	496	55	574	499	75
Virginia	645	636	9	762	730	32	865	782	84	895	788	107
West Virginia	264	236	28	270	247	23	277	214	63	281	210	71
East South Central	1,886	1,868	18	2,061	1,930	131	2,255	1,930	325	2,313	1,915	398
Alabama	508	503	4	558	507	51	601	514	88	616	499	116
Kentucky	459	448	11	491	460	31	533	469	65	546	466	79
Mississippi	313	313	b	330	325	5	352	326	26	359	329	31
Tennessee	607	604	3	682	638	44	769	622	146	792	621	171
West South Central	2,879	2,875	4	3,276	2,754	522	3,622	3,078	544	3,722	3,085	638
Arkansas	343	342	1	359	342	17	383	345	38	391	345	46
Louisiana	460	460	b	497	404	93	507	409	98	518	402	116
Oklahoma	412	411	1	438	388	50	463	403	60	471	405	67
Texas	1,665	1,662	2	1,982	1,620	362	2,269	1,920	349	2,341	1,933	408
Mountain	1,489	1,452	38	1,914	1,400	514	2,279	1,625	654	2,362	1,642	720
Arizona	456	436	19	596	371	225	709	463	247	735	471	264
Colorado	324	312	11	403	253	151	477	320	157	495	327	169
Idaho	121	121	1	145	129	16	174	135	39	180	133	47
Montana	106	105	b	119	118	b	133	116	17	137	115	21
Nevada	128	127	1	212	139	73	270	185	85	281	191	90
New Mexico	160	158	2	200	159	41	234	179	55	241	181	60
Utah	147	145	2	183	176	7	218	167	51	227	161	65
Wyoming	47	47	b	57	56	2	64	61	3	65	62	4
Pacific	4,081	3,813	267	4,692	2,808	1,884	5,183	3,397	1,786	5,335	3,452	1,883
Alaska	22	22	b	35	35	b	46	46	b	49	48	b
California	2,989	2,750	239	3,430	1,947	1,483	3,750	2,389	1,360	3,855	2,434	1,420
Hawaii	118	114	4	151	98	53	168	103	66	173	104	69
Oregon	390	371	19	433	260	173	484	283	201	498	287	211
Washington	562	556	6	643	468	175	735	576	159	760	579	181
Unknown	10	10	b	9	8	1	4	4	b	4	4	b
Outlying areas
Puerto Rico	337	337	b	401	400	1	466	201	265	478	195	283
U.S. Virgin Islands	6	6	b	9	9	b	12	12	b	13	13	b
Other	b	b	b	9	9	b	13	13	b	13	13	b
Foreign countries	255	254	b	288	285	3	331	328	3	339	336	3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
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 fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area	1990			2000			2007			2008
Census division and state or area	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
Total
All areas	3,260	3,238	22	5,373	4,913	460	7,297	6,318	979	7,516	6,359	1,157
United States ^a	3,154	3,132	22	5,219	4,759	459	7,120	6,228	892	7,336	6,271	1,065
New England	156	156	b	284	265	19	379	362	17	390	368	22
Connecticut	33	33	b	57	53	4	73	69	4	75	69	6
Maine	18	18	b	36	36	b	51	51	1	53	52	1
Massachusetts	72	72	b	131	120	11	169	162	6	174	166	7
New Hampshire	11	11	b	23	23	b	36	35	1	38	37	1
Rhode Island	14	14	b	24	20	4	31	26	5	32	26	6
Vermont	7	7	b	13	13	b	18	18	b	19	18	b
Middle Atlantic	474	470	4	729	655	73	946	780	166	974	783	190
New Jersey	86	85	1	133	124	9	167	156	10	170	158	12
New York	230	228	2	366	334	31	450	387	63	462	385	77
Pennsylvania	158	157	1	230	197	33	329	237	92	341	241	101
East North Central	562	560	2	823	773	50	1,091	1,006	85	1,126	1,013	113
Illinois	132	132	1	195	180	15	255	239	16	260	241	19
Indiana	77	76	1	117	114	3	159	148	11	165	150	14
Michigan	132	132	b	200	193	7	272	256	17	282	256	26
Ohio	156	155	1	221	199	23	282	252	30	291	254	37
Wisconsin	64	64	b	90	88	2	124	111	13	128	112	16
West North Central	212	210	2	339	324	14	466	429	37	480	436	45
Iowa	34	34	b	50	49	1	66	61	5	68	63	5
Kansas	26	26	b	43	42	2	60	56	3	62	58	4
Minnesota	44	44	b	72	70	1	100	91	10	104	92	12
Missouri	75	75	1	124	115	10	175	160	15	180	162	18
Nebraska	16	16	b	26	26	1	36	33	3	37	34	3
North Dakota	7	7	b	10	10	b	13	12	1	13	12	1
South Dakota	8	8	b	13	13	b	16	16	1	17	16	1
South Atlantic	608	604	4	1,082	998	84	1,475	1,285	190	1,511	1,281	230
Delaware	8	8	b	15	14	b	23	22	1	23	22	1
District of Columbia	7	7	b	10	9	b	12	11	b	12	11	1
Florida	165	165	1	316	253	63	426	340	86	434	332	102
Georgia	96	96	b	167	161	6	223	203	20	230	205	26
Maryland	46	46	b	75	70	5	101	96	5	104	98	6
North Carolina	106	106	b	195	191	4	275	244	31	282	247	36
South Carolina	59	59	b	105	105	b	146	130	16	149	128	21
Virginia	77	76	1	133	130	3	179	159	20	184	159	25
West Virginia	44	41	3	67	64	3	90	80	11	92	80	12
East South Central	287	286	1	498	482	16	689	607	82	708	607	101
Alabama	74	74	b	128	119	9	188	158	30	194	157	37
Kentucky	75	74	1	132	128	4	178	161	17	183	162	20
Mississippi	53	53	b	89	88	b	117	110	8	120	110	10
Tennessee	85	85	b	149	146	3	206	179	27	212	178	34
West South Central	317	317	b	541	492	50	787	698	89	823	711	112
Arkansas	48	48	b	80	78	2	113	101	12	117	101	16
Louisiana	71	71	b	104	92	12	133	118	15	138	120	18
Oklahoma	39	39	b	70	65	4	102	93	9	107	96	11
Texas	159	159	b	288	256	31	439	386	54	461	393	67
Mountain	148	147	1	286	240	46	413	324	89	426	327	99
Arizona	43	42	b	85	62	24	131	87	45	134	86	49
Colorado	34	34	1	65	53	11	81	66	16	84	67	17
Idaho	11	11	b	21	20	1	33	28	5	34	28	6
Montana	12	12	b	18	18	b	23	21	2	24	21	3
Nevada	13	13	b	31	24	7	48	38	9	49	39	10
New Mexico	19	19	b	34	31	3	51	44	6	53	46	7
Utah	13	13	b	24	23	b	36	30	5	38	31	7
Wyoming	4	4	b	8	8	b	10	10	b	11	10	b
Pacific	389	381	7	636	529	107	872	736	136	898	744	154
Alaska	3	3	b	7	7	b	11	11	b	11	11	b
California	290	283	7	464	378	86	619	522	97	637	528	109
Hawaii	9	9	b	15	14	1	21	18	3	21	18	3
Oregon	34	33	1	58	46	11	83	60	23	86	62	24
Washington	53	53	b	93	84	9	138	124	14	143	126	17
Unknown	2	2	b	1	1	b	1	1	b	b	b	b
Outlying areas
Puerto Rico	92	92	b	136	136	b	157	70	87	159	67	92
U.S. Virgin Islands	1	1	b	1	1	b	2	2	b	2	2	b
Other	b	b	b	2	2	b	3	3	b	3	3	b
Foreign countries	14	14	b	15	15	b	16	16	b	16	16	b
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area	1990			2000			2007			2008
Census division and state or area	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
Total
All areas	34,200	33,493	706	39,620	32,753	6,867	44,263	35,490	8,773	45,412	35,320	10,092
United States ^a	33,494	32,789	706	38,759	31,896	6,863	43,264	34,847	8,417	44,389	34,676	9,713
New England	1,889	1,874	15	2,120	1,714	405	2,261	1,954	308	2,315	1,954	361
Connecticut	469	467	2	514	409	105	537	480	57	549	470	79
Maine	183	183	b	217	214	2	247	240	7	253	239	14
Massachusetts	867	858	9	958	721	237	997	823	174	1,019	830	189
New Hampshire	137	137	b	170	167	3	204	198	7	212	201	11
Rhode Island	159	155	3	172	114	58	175	114	61	178	114	64
Vermont	75	74	b	89	89	b	102	100	2	105	102	3
Middle Atlantic	5,556	5,415	141	5,992	4,733	1,259	6,281	4,753	1,528	6,395	4,663	1,732
New Jersey	1,092	1,062	30	1,200	1,029	170	1,257	1,138	119	1,283	1,149	134
New York	2,508	2,427	82	2,699	2,206	494	2,841	2,148	693	2,891	2,109	782
Pennsylvania	1,956	1,926	30	2,093	1,498	595	2,184	1,468	716	2,221	1,405	816
East North Central	5,784	5,713	72	6,364	5,722	643	6,882	5,906	976	7,033	5,722	1,311
Illinois	1,534	1,509	24	1,630	1,443	187	1,741	1,596	145	1,775	1,610	164
Indiana	762	749	13	852	816	35	941	846	95	964	841	123
Michigan	1,233	1,231	1	1,401	1,320	80	1,541	1,302	239	1,580	1,234	346
Ohio	1,543	1,520	23	1,699	1,405	295	1,805	1,482	323	1,841	1,376	465
Wisconsin	714	703	10	783	737	46	854	679	175	874	661	213
West North Central	2,635	2,560	75	2,857	2,576	281	3,089	2,583	506	3,149	2,566	584
Iowa	457	446	11	476	459	17	500	442	58	506	446	60
Kansas	363	359	5	390	360	30	412	380	32	418	379	39
Minnesota	588	544	44	654	566	88	729	510	219	749	493	256
Missouri	781	767	14	861	727	133	946	791	156	966	789	177
Nebraska	237	237	1	253	243	11	268	242	26	271	241	31
North Dakota	98	98	1	103	102	1	105	98	7	107	98	8
South Dakota	110	110	b	119	119	1	129	121	8	132	119	13
South Atlantic	6,142	6,077	65	7,512	6,508	1,004	8,644	7,251	1,393	8,905	7,283	1,622
Delaware	88	88	b	112	107	5	136	132	4	141	135	6
District of Columbia	78	75	3	75	68	7	74	68	6	75	68	8
Florida	2,339	2,323	16	2,823	2,068	754	3,133	2,356	776	3,212	2,344	868
Georgia	732	731	b	918	863	56	1,111	992	119	1,153	1,004	149
Maryland	541	538	4	646	574	72	723	679	44	745	691	54
North Carolina	892	890	2	1,136	1,088	48	1,359	1,164	195	1,405	1,178	226
South Carolina	442	441	b	570	568	2	697	626	71	724	627	97
Virginia	722	712	10	895	860	35	1,045	941	104	1,079	947	132
West Virginia	308	277	30	337	312	26	367	293	74	373	290	83
East South Central	2,173	2,153	20	2,559	2,411	147	2,944	2,538	407	3,021	2,523	498
Alabama	582	577	5	686	626	60	789	672	118	809	656	153
Kentucky	534	521	12	623	588	35	711	629	82	728	629	100
Mississippi	366	366	b	419	413	6	469	435	34	479	438	41
Tennessee	692	689	3	831	784	47	975	802	173	1,004	799	205
West South Central	3,196	3,192	5	3,817	3,246	571	4,409	3,776	633	4,545	3,795	750
Arkansas	391	390	1	439	420	19	496	447	50	509	446	62
Louisiana	531	531	b	601	496	105	639	527	113	656	522	134
Oklahoma	451	450	1	508	453	54	565	497	69	578	501	78
Texas	1,824	1,821	2	2,269	1,876	393	2,708	2,306	402	2,802	2,326	476
Mountain	1,637	1,599	39	2,200	1,640	560	2,692	1,949	743	2,788	1,970	819
Arizona	498	478	20	681	433	248	841	549	291	870	557	313
Colorado	358	346	12	468	306	162	558	386	173	579	393	186
Idaho	132	131	1	166	149	17	207	163	44	214	161	53
Montana	117	117	b	137	136	1	156	137	19	160	136	24
Nevada	141	140	1	243	163	80	318	223	95	330	230	100
New Mexico	179	177	2	234	190	44	285	223	62	294	227	67
Utah	160	157	2	206	199	7	254	197	57	264	192	72
Wyoming	52	51	b	65	64	2	74	71	3	76	72	4
Pacific	4,469	4,195	275	5,328	3,337	1,991	6,055	4,133	1,923	6,233	4,197	2,036
Alaska	25	25	b	42	42	b	57	56	b	60	59	1
California	3,279	3,033	245	3,894	2,325	1,569	4,369	2,912	1,457	4,492	2,962	1,530
Hawaii	127	123	4	165	111	54	189	121	68	194	122	72
Oregon	424	404	19	491	307	184	567	343	224	584	349	235
Washington	615	609	6	736	553	183	873	700	173	903	704	199
Unknown	12	12	b	10	9	1	5	4	b	4	4	b
Outlying areas
Puerto Rico	429	429	b	537	536	1	623	271	352	637	262	375
U.S. Virgin Islands	7	7	b	10	10	b	14	14	b	15	14	b
Other	b	b	b	11	11	b	16	15	b	16	16	b
Foreign countries	269	268	b	303	300	3	347	344	3	355	352	3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
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, 1990–2008, selected years (in thousands)
Age, sex, and race	1990			2000			2008
Age, sex, and race	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
	Hospital Insurance and/or Supplementary Medical Insurance
Total	30,939	30,255	684	34,247	27,840	6,407	37,896	28,961	8,935
Age
65–69	9,690	9,514	176	9,166	7,360	1,806	11,190	8,670	2,521
70–74	7,951	7,752	200	8,609	6,878	1,731	8,694	6,512	2,182
75–79	6,058	5,904	155	7,284	5,902	1,381	7,154	5,326	1,827
80–84	3,957	3,864	93	4,868	4,010	859	5,590	4,266	1,325
85 or older	3,282	3,221	61	4,320	3,690	630	5,268	4,187	1,080
Sex
Men	12,412	12,132	280	14,109	11,421	2,688	16,254	12,497	3,757
Women	18,528	18,123	404	20,138	16,419	3,719	21,642	16,464	5,177
Race
White	26,847	26,251	596	29,752	24,251	5,502	32,303	24,915	7,388
Black	--	--	--	2,720	2,204	516	3,142	2,251	892
All other races ^a	3,113	3,050	63	1,682	1,305	377	2,395	1,747	649
American Indian or Alaska Native	--	--	--	42	39	3	134	118	16
Asian or Pacific Islander	--	--	--	494	386	108	761	588	173
Hispanic	--	--	--	710	555	155	828	561	268
Other	--	--	--	436	324	112	672	480	192
Unknown	979	953	26	92	81	12	55	48	7
	Hospital Insurance
Total	30,455	29,778	678	33,827	27,429	6,398	37,552	28,624	8,928
Age
65–69	9,560	9,386	174	9,074	7,269	1,804	11,105	8,586	2,519
70–74	7,829	7,631	198	8,505	6,776	1,729	8,619	6,438	2,180
75–79	5,947	5,793	153	7,188	5,809	1,379	7,087	5,261	1,826
80–84	3,872	3,780	92	4,805	3,947	857	5,533	4,210	1,323
85 or older	3,248	3,188	60	4,256	3,627	629	5,208	4,129	1,079
Sex
Men	12,276	11,998	278	13,976	11,291	2,685	16,142	12,387	3,755
Women	18,179	17,779	400	19,851	16,138	3,713	21,410	16,236	5,173
Race
White	26,583	25,991	592	29,565	24,068	5,497	32,166	24,783	7,383
Black	--	--	--	2,668	2,153	515	3,100	2,209	890
All other races ^a	2,930	2,870	60	1,508	1,133	374	2,234	1,586	648
American Indian or Alaska Native	--	--	--	40	37	3	130	114	16
Asian or Pacific Islander	--	--	--	406	300	106	676	504	173
Hispanic	--	--	--	656	502	154	778	511	267
Other	--	--	--	405	294	111	649	458	191
Unknown	942	916	26	87	75	12	52	45	7
	Supplementary Medical Insurance
Total	29,678	28,993	684	32,585	26,178	6,407	35,364	26,430	8,934
Age
65–69	9,003	8,827	176	8,330	6,525	1,806	9,713	7,193	2,521
70–74	7,740	7,540	200	8,256	6,525	1,731	8,240	6,058	2,181
75–79	5,942	5,787	155	7,087	5,705	1,381	6,918	5,091	1,827
80–84	3,879	3,786	93	4,780	3,922	859	5,454	4,129	1,325
85 or older	3,114	3,054	61	4,131	3,501	630	5,039	3,959	1,080
Sex
Men	11,754	11,474	280	13,203	10,515	2,688	14,855	11,098	3,757
Women	17,923	17,519	404	19,382	15,663	3,719	20,509	15,332	5,177
Race
White	25,842	25,247	596	28,428	22,927	5,502	30,294	22,907	7,387
Black	--	--	--	2,543	2,027	516	2,900	2,009	891
All other races ^a	2,909	2,846	63	1,542	1,164	377	2,136	1,487	648
American Indian or Alaska Native	--	--	--	39	36	3	120	104	16
Asian or Pacific Islander	--	--	--	470	362	108	695	522	173
Hispanic	--	--	--	665	510	155	756	488	268
Other	--	--	--	368	257	112	565	373	192
Unknown	927	900	26	71	60	12	35	28	7
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components. -- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, 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, 1990–2008, selected years (in thousands)
Age, sex, and race	1990			2000			2008
Age, sex, and race	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
	Hospital Insurance and/or Supplementary Medical Insurance
Total	3,260	3,238	22	5,373	4,913	460	7,516	6,359	1,157
Age
Under 35	483	482	1	522	505	18	656	604	53
35–44	655	652	3	1,130	1,068	62	1,169	1,039	130
45–54	741	737	4	1,627	1,501	126	2,352	2,018	334
55–64	1,381	1,367	13	2,094	1,840	254	3,338	2,698	641
Sex
Men	2,045	2,032	14	3,017	2,772	245	3,957	3,393	564
Women	1,215	1,207	8	2,356	2,141	215	3,559	2,966	593
Race
White	2,485	2,467	18	3,994	3,641	353	5,475	4,640	835
Black	--	--	--	1,008	933	74	1,442	1,226	216
All other races ^a	713	710	3	356	327	32	583	478	105
American Indian or Alaska Native	--	--	--	23	22	1	61	56	4
Asian or Pacific Islander	--	--	--	41	38	4	86	75	11
Hispanic	--	--	--	201	182	19	293	229	64
Other	--	--	--	90	83	7	144	118	26
Unknown	62	62	1	15	14	1	15	14	2
	Hospital Insurance
Total	3,260	3,238	22	5,372	4,913	460	7,515	6,358	1,157
Age
Under 35	483	482	1	522	504	18	656	603	53
35–44	655	652	3	1,129	1,068	62	1,169	1,039	130
45–54	741	737	4	1,627	1,501	126	2,352	2,018	334
55–64	1,381	1,367	13	2,093	1,840	254	3,338	2,697	641
Sex
Men	2,045	2,032	14	3,017	2,772	245	3,957	3,393	564
Women	1,215	1,206	8	2,356	2,141	215	3,558	2,966	593
Race
White	2,485	2,467	18	3,994	3,641	353	5,475	4,640	835
Black	--	--	--	1,008	933	74	1,442	1,226	216
All other races ^a	713	710	3	356	325	31	583	478	105
American Indian or Alaska Native	--	--	--	23	22	1	61	56	4
Asian or Pacific Islander	--	--	--	41	38	4	86	75	11
Hispanic	--	--	--	201	182	19	293	229	64
Other	--	--	--	90	83	7	144	118	26
Unknown	62	61	1	15	14	1	15	14	2
	Supplementary Medical Insurance
Total	2,948	2,926	22	4,775	4,315	460	6,655	5,498	1,157
Age
Under 35	442	440	1	467	449	18	592	539	53
35–44	587	584	3	998	937	62	1,030	900	130
45–54	666	662	4	1,422	1,296	126	2,072	1,739	334
55–64	1,253	1,240	13	1,887	1,633	254	2,961	2,321	640
Sex
Men	1,836	1,822	14	2,667	2,423	245	3,466	2,902	564
Women	1,112	1,104	8	2,107	1,892	215	3,189	2,597	593
Race
White	2,241	2,222	18	3,539	3,186	353	4,831	3,996	835
Black	--	--	--	918	843	74	1,304	1,088	216
All other races ^a	651	648	3	305	274	31	508	403	105
American Indian or Alaska Native	--	--	--	21	20	1	54	50	4
Asian or Pacific Islander	--	--	--	36	33	4	75	64	11
Hispanic	--	--	--	176	157	19	259	195	64
Other	--	--	--	71	64	7	119	94	26
Unknown	57	56	1	13	12	1	13	11	2
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components. -- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, 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.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area	1990			2000			2007
Census division and state or area	Total visits (thousands)	Program payments (thousands of dollars)	Program payments per visit (dollars)	Total visits (thousands)	Program payments (thousands of dollars)	Program payments per visit (dollars)	Total visits (thousands)	Program payments (thousands of dollars)	Program payments per visit (dollars)
Total
All areas	70,268	3,713,652	53	90,566	7,215,958	80	114,654	15,565,441	136
United States	69,645	3,687,770	53	87,641	6,995,748	80	113,044	15,324,031	136
New England	4,716	243,462	52	6,953	511,226	74	6,262	859,056	137
Connecticut	1,062	56,806	53	1,696	120,602	71	1,675	214,685	128
Maine	380	19,900	52	664	47,095	71	468	66,079	141
Massachusetts	2,403	121,472	51	3,328	253,132	76	3,055	433,113	142
New Hampshire	292	15,274	52	504	36,257	72	480	67,646	141
Rhode Island	315	17,537	56	393	32,720	83	265	39,669	150
Vermont	264	12,473	47	368	21,418	58	318	37,863	119
Middle Atlantic	8,570	504,379	59	12,446	1,066,579	86	11,567	1,608,234	139
New Jersey	1,435	71,239	50	2,274	203,145	89	2,057	338,844	165
New York	2,867	193,812	68	5,983	510,094	85	6,140	760,625	124
Pennsylvania	4,269	239,329	56	4,190	353,341	84	3,370	508,766	151
East North Central	8,864	488,161	55	11,615	996,673	86	14,237	2,285,740	161
Illinois	2,695	152,406	57	3,112	278,001	89	4,403	805,178	183
Indiana	1,112	56,613	51	1,464	112,768	77	1,730	235,224	136
Michigan	2,157	128,251	59	3,436	311,343	91	3,799	654,804	172
Ohio	2,082	108,602	52	2,713	223,430	82	3,497	474,389	136
Wisconsin	817	42,289	52	891	71,131	80	808	116,145	144
West North Central	3,591	182,775	51	3,884	297,355	77	3,744	533,936	143
Iowa	490	20,609	42	602	39,847	66	529	63,752	121
Kansas	463	22,023	49	515	38,056	74	598	81,903	137
Minnesota	380	20,168	53	525	40,350	77	617	94,632	153
Missouri	1,809	96,011	53	1,651	134,144	81	1,543	227,727	148
Nebraska	283	15,169	54	318	25,063	79	277	41,766	151
North Dakota	104	4,979	48	140	9,814	70	90	10,966	122
South Dakota	71	3,816	54	134	10,083	75	89	13,190	148
South Atlantic	15,504	792,155	51	17,603	1,434,967	82	29,258	3,413,145	117
Delaware	195	9,033	46	222	18,759	85	222	35,154	158
District of Columbia	129	8,552	66	154	13,859	90	132	22,277	169
Florida	7,513	371,331	49	7,032	576,519	82	19,872	1,942,601	98
Georgia	2,647	120,132	45	2,568	197,327	77	2,267	339,306	150
Maryland	863	52,659	61	1,046	95,980	92	969	168,947	174
North Carolina	1,659	93,205	56	2,533	209,226	83	2,227	354,324	159
South Carolina	694	41,712	60	1,412	118,278	84	1,149	190,391	166
Virginia	1,277	70,498	55	2,030	157,804	78	1,975	292,241	148
West Virginia	528	25,033	47	606	47,215	78	445	67,904	153
East South Central	11,432	501,015	44	10,424	708,458	68	8,795	1,209,809	138
Alabama	2,792	111,655	40	2,466	163,019	66	2,171	291,476	134
Kentucky	1,202	56,717	47	1,916	135,941	71	1,631	226,142	139
Mississippi	2,777	108,559	39	2,514	159,346	63	1,894	258,444	136
Tennessee	4,661	224,084	48	3,529	250,152	71	3,099	433,747	140
West South Central	9,063	445,067	49	15,305	1,062,985	69	27,091	3,447,276	127
Arkansas	1,072	47,907	45	1,103	70,205	64	1,207	134,319	111
Louisiana	2,286	106,074	46	4,081	261,901	64	4,022	505,251	126
Oklahoma	1,153	57,990	50	2,354	149,916	64	3,284	367,513	112
Texas	4,553	233,095	51	7,767	580,964	75	18,579	2,440,193	131
Mountain	2,485	139,038	56	3,188	257,608	81	3,740	530,145	142
Arizona	568	33,529	59	497	43,124	87	549	93,886	171
Colorado	595	35,779	60	725	59,239	82	714	106,850	150
Idaho	153	8,904	58	258	22,771	88	316	42,783	135
Montana	195	9,825	50	208	16,200	78	144	21,398	149
Nevada	218	13,279	61	309	27,152	88	552	93,031	169
New Mexico	256	13,328	52	390	30,327	78	493	67,047	136
Utah	447	21,573	48	680	50,606	74	887	94,012	106
Wyoming	53	2,820	53	120	8,190	68	85	11,137	131
Pacific	5,419	391,717	72	6,222	659,896	106	8,351	1,436,690	172
Alaska	14	1,404	100	39	5,145	132	52	9,314	179
California	4,237	310,835	73	5,031	529,250	105	7,106	1,195,764	168
Hawaii	57	4,241	74	84	8,980	107	55	11,234	204
Oregon	417	29,872	72	399	45,225	113	394	74,425	189
Washington	693	45,365	65	669	71,296	107	743	145,953	196
Outlying areas ^a	622	25,882	42	2,926	220,210	75	1,610	241,410	150
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are now associated with episodes and not with individual visits. Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of covered care per discharge, and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area	1990				2000				2007
Census division and state or area	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b
Total
All areas	10,521,925	8.8	53,708,287	5,281	11,719,960	6.0	81,230,259	6,971	12,036,270	5.7	106,783,834	8,926
United States	10,421,685	8.8	53,502,918	5,312	11,574,200	6.0	80,769,047	7,019	11,979,420	5.6	106,495,119	8,943
New England	561,265	10.0	3,097,017	5,702	563,305	5.8	4,365,878	7,797	635,500	5.6	6,026,737	9,545
Connecticut	117,230	10.4	719,274	6,366	125,295	6.2	1,097,034	8,807	162,780	5.9	1,694,897	10,484
Maine	54,695	9.3	239,915	4,477	69,740	5.6	434,302	6,239	65,095	5.3	563,523	8,686
Massachusetts	281,780	10.0	1,598,356	5,878	257,720	5.7	2,035,018	7,952	298,860	5.4	2,726,202	9,188
New Hampshire	39,640	9.2	190,737	4,917	46,970	5.6	334,202	7,167	50,025	5.8	470,370	9,437
Rhode Island	47,060	10.0	251,050	5,514	37,325	6.2	276,771	7,449	37,770	6.0	338,215	9,021
Vermont	20,860	9.7	97,686	4,793	26,255	5.7	188,547	7,237	20,970	5.5	233,528	11,208
Middle Atlantic	1,779,975	11.4	10,484,595	6,030	1,747,960	7.3	14,864,554	8,569	1,765,960	6.5	17,555,969	10,017
New Jersey	353,960	11.7	1,933,841	5,606	380,730	7.5	3,384,886	8,983	422,510	6.4	4,203,659	10,051
New York	729,465	13.1	4,888,241	6,884	750,130	8.2	7,155,309	9,625	778,880	7.1	8,690,626	11,255
Pennsylvania	696,550	9.5	3,662,512	5,358	617,100	6.1	4,324,358	7,036	564,570	5.7	4,661,683	8,293
East North Central	1,890,545	8.6	10,017,401	5,413	2,118,675	5.7	14,097,236	6,693	2,185,100	5.4	18,552,896	8,546
Illinois	509,075	8.9	2,670,430	5,410	580,250	5.7	3,840,706	6,672	631,065	5.4	5,295,433	8,479
Indiana	254,105	8.3	1,198,667	4,837	291,380	5.7	1,796,295	6,198	284,375	5.4	2,351,122	8,305
Michigan	376,545	8.9	2,199,988	5,925	468,095	6.1	3,473,727	7,459	492,265	5.6	4,498,137	9,195
Ohio	534,035	8.6	2,920,387	5,567	538,445	5.6	3,466,013	6,471	571,565	5.3	4,593,287	8,071
Wisconsin	216,785	7.7	1,027,929	4,817	240,505	5.4	1,520,493	6,352	205,830	5.0	1,814,915	8,850
West North Central	841,935	7.8	3,804,644	4,683	925,865	5.4	5,759,187	6,250	849,280	5.2	6,931,783	8,199
Iowa	145,360	8.1	635,397	4,440	164,590	5.4	959,210	5,844	129,115	5.2	1,036,128	8,085
Kansas	124,065	7.7	542,828	4,516	134,585	5.5	806,523	6,005	122,155	5.3	947,278	7,780
Minnesota	165,095	6.7	764,017	5,052	193,910	5.0	1,256,854	6,545	174,610	4.8	1,527,777	8,784
Missouri	266,625	8.6	1,270,319	4,872	281,505	5.7	1,810,063	6,460	297,865	5.4	2,365,458	7,982
Nebraska	69,875	7.6	300,070	4,434	76,015	5.2	506,171	6,686	68,280	5.3	593,303	8,705
North Dakota	33,230	7.2	141,966	4,368	33,640	5.1	193,994	5,793	25,840	5.0	206,868	8,037
South Dakota	37,685	7.2	150,047	4,058	41,620	5.2	226,370	5,454	31,415	5.1	254,968	8,143
South Atlantic	1,848,195	8.8	8,906,934	5,000	2,403,790	6.0	15,911,326	6,655	2,550,520	5.7	21,898,478	8,630
Delaware	27,260	9.3	149,857	5,599	36,845	6.4	275,714	7,513	45,840	6.1	440,650	9,646
District of Columbia	24,410	11.6	183,855	7,754	26,940	7.9	269,614	10,121	25,440	6.7	293,370	11,742
Florida	596,765	8.6	3,014,347	5,323	754,145	5.8	5,004,157	6,675	840,225	5.7	6,813,389	8,150
Georgia	269,315	7.9	1,143,257	4,373	320,335	5.8	2,061,225	6,469	331,470	5.6	2,823,835	8,559
Maryland	183,820	9.4	1,092,833	6,056	217,605	5.8	1,773,771	8,190	270,235	5.2	2,972,345	11,070
North Carolina	267,020	9.6	1,215,983	4,703	396,985	6.0	2,467,636	6,251	401,395	5.6	3,434,805	8,582
South Carolina	120,540	9.4	540,954	4,655	214,540	6.2	1,390,229	6,504	211,645	6.0	1,790,838	8,514
Virginia	245,065	8.9	1,102,096	4,627	300,785	6.1	1,896,484	6,338	306,385	5.6	2,421,931	7,951
West Virginia	114,000	8.2	463,751	4,217	135,610	5.8	772,492	5,724	117,885	5.6	907,312	7,743
East South Central	827,120	8.2	3,345,751	4,156	1,013,885	5.8	5,704,817	5,652	986,335	5.6	7,486,032	7,624
Alabama	228,580	8.1	959,825	4,308	274,470	5.5	1,492,353	5,454	275,210	5.4	1,927,638	7,049
Kentucky	201,625	8.3	831,981	4,255	244,210	5.6	1,362,272	5,614	232,495	5.5	1,860,726	8,040
Mississippi	145,900	7.8	501,880	3,522	191,685	6.4	1,013,536	5,310	172,120	5.9	1,312,773	7,648
Tennessee	251,015	8.3	1,052,065	4,307	303,520	5.9	1,836,655	6,078	306,510	5.6	2,384,894	7,809
West South Central	1,103,155	8.1	5,139,839	4,772	1,298,505	5.9	8,215,049	6,357	1,369,850	5.6	11,293,773	8,286
Arkansas	145,225	8.1	556,377	3,918	163,480	5.9	872,811	5,364	155,760	5.5	1,235,074	7,946
Louisiana	206,510	7.9	968,667	4,791	226,020	5.9	1,408,934	6,263	203,905	5.7	1,587,272	7,831
Oklahoma	162,505	8.0	700,390	4,403	187,220	5.8	1,069,986	5,730	194,215	5.4	1,485,824	7,682
Texas	588,915	8.2	2,914,405	5,079	721,785	5.9	4,863,318	6,774	815,970	5.6	6,985,601	8,609
Mountain	445,395	7.0	2,152,663	5,100	488,870	5.0	3,196,062	6,569	534,845	5.0	4,712,102	8,845
Arizona	135,340	7.0	711,071	5,601	131,325	5.0	866,364	6,642	162,215	5.0	1,508,868	9,346
Colorado	93,400	7.3	460,034	5,251	92,655	5.0	625,753	6,788	111,955	4.9	944,525	8,465
Idaho	34,290	6.2	146,967	4,382	47,780	4.6	290,241	6,102	35,560	4.6	302,910	8,557
Montana	39,820	6.6	164,698	4,230	44,270	4.8	258,894	5,850	35,540	4.7	276,162	7,784
Nevada	34,890	8.1	201,288	6,349	46,945	6.0	349,025	7,473	63,095	5.8	590,724	9,420
New Mexico	52,435	6.8	208,909	4,235	53,130	5.2	327,251	6,196	57,670	5.0	491,981	8,554
Utah	37,740	6.3	181,133	4,928	50,715	4.8	336,745	6,661	49,800	4.7	430,191	8,657
Wyoming	17,480	6.7	78,563	4,561	22,050	5.0	141,785	6,442	19,010	4.8	166,739	8,806
Pacific	1,124,100	7.2	6,554,074	6,290	1,013,345	5.8	8,654,933	8,599	1,102,030	5.7	12,037,346	11,016
Alaska	6,590	7.7	43,028	6,912	12,715	5.8	120,546	9,682	13,610	5.6	167,412	12,369
California	826,685	7.3	5,117,872	6,574	731,050	6.0	6,543,541	9,015	807,665	5.8	9,126,518	11,414
Hawaii	25,665	10.1	121,606	6,416	25,510	8.0	213,726	8,431	24,975	7.5	260,959	10,546
Oregon	104,300	6.2	474,125	5,211	92,985	4.6	624,464	6,741	84,145	4.9	799,912	9,544
Washington	160,860	6.7	797,442	5,414	151,085	4.9	1,152,655	7,672	171,635	4.9	1,682,543	9,836
Outlying areas ^c	100,240	7.8	205,369	2,091	145,760	6.8	461,482	3,187	56,850	7.3	288,714	5,208
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area	1990			2000			2007
Census division and state or area	Covered admissions ^a	Program payments (thousands of dollars)	Program payments per admission (dollars) ^b	Covered admissions ^a	Program payments (thousands of dollars)	Program payments per admission (dollars) ^b	Covered admissions ^a	Program payments (thousands of dollars)	Program payments per admission (dollars) ^b
Total
All areas	737,700	1,827,190	2,509	1,936,127	10,651,274	5,511	2,533,016	22,189,390	8,766
United States	736,466	1,824,011	2,509	1,932,134	10,635,515	5,514	2,530,913	22,176,059	8,768
New England	30,180	69,422	2,321	137,383	849,428	6,194	176,482	1,670,063	9,465
Connecticut	10,912	26,387	2,423	34,452	254,218	7,387	48,923	496,392	10,148
Maine	1,377	5,178	3,763	13,391	66,702	4,983	16,964	141,154	8,321
Massachusetts	11,733	26,107	2,267	64,946	389,016	6,003	79,791	754,865	9,461
New Hampshire	1,443	2,803	1,953	10,243	59,904	5,859	14,908	139,830	9,388
Rhode Island	3,685	7,472	2,037	9,452	54,095	5,757	9,731	80,800	8,305
Vermont	1,030	1,476	1,437	4,899	25,492	5,207	6,165	57,021	9,249
Middle Atlantic	97,503	254,554	2,642	290,974	1,937,835	6,677	389,225	3,445,713	8,855
New Jersey	10,725	27,797	2,599	68,638	412,488	6,014	111,773	1,028,103	9,199
New York	37,454	95,175	2,587	110,292	931,412	8,465	150,922	1,410,657	9,348
Pennsylvania	49,324	131,582	2,692	112,044	593,935	5,322	126,530	1,006,952	7,963
East North Central	142,252	323,800	2,305	374,369	2,014,281	5,382	499,732	4,362,645	8,741
Illinois	40,758	117,390	2,902	104,203	515,307	4,946	146,036	1,216,870	8,341
Indiana	22,093	61,858	2,844	59,020	330,466	5,600	69,890	653,971	9,371
Michigan	27,324	46,583	1,730	57,347	374,014	6,526	83,186	770,880	9,302
Ohio	33,115	61,462	1,894	107,475	555,817	5,173	147,404	1,227,266	8,326
Wisconsin	18,962	36,507	1,935	46,324	238,678	5,153	53,216	493,658	9,286
West North Central	95,732	209,517	2,206	190,486	756,598	3,973	226,116	1,653,388	7,318
Iowa	13,613	33,630	2,483	33,702	110,449	3,277	40,355	248,465	6,160
Kansas	12,712	24,259	1,919	27,334	99,927	3,657	32,995	246,276	7,470
Minnesota	28,729	54,696	1,926	42,888	199,933	4,662	46,143	359,815	7,799
Missouri	26,942	74,044	2,764	50,515	216,975	4,297	65,475	496,230	7,589
Nebraska	6,988	14,623	2,100	18,766	71,141	3,793	22,229	177,132	7,983
North Dakota	4,203	4,823	1,177	7,790	23,998	3,081	8,575	52,045	6,071
South Dakota	2,545	3,441	1,356	9,491	34,175	3,603	10,344	73,425	7,098
South Atlantic	97,746	221,593	2,304	351,271	1,962,427	5,597	483,353	4,268,105	8,832
Delaware	1,136	2,298	2,057	4,938	31,158	6,319	8,211	70,881	8,634
District of Columbia	1,118	3,635	3,283	3,745	23,113	6,175	5,008	46,104	9,252
Florida	46,617	114,361	2,504	139,057	813,328	5,866	181,463	1,727,208	9,519
Georgia	12,065	21,913	1,836	36,847	195,450	5,309	51,753	425,352	8,222
Maryland	8,450	19,625	2,344	38,562	194,644	5,065	55,184	452,782	8,208
North Carolina	12,138	21,391	1,776	50,008	270,927	5,422	70,381	600,047	8,526
South Carolina	4,787	9,645	2,127	24,069	130,669	5,430	31,461	286,649	9,113
Virginia	7,393	17,995	2,443	36,536	217,418	5,952	60,563	509,075	8,408
West Virginia	4,042	10,731	2,679	17,509	85,720	4,897	19,329	150,007	7,762
East South Central	41,228	74,764	1,842	131,017	665,240	5,081	172,750	1,420,212	8,223
Alabama	11,934	20,172	1,716	29,268	164,159	5,614	41,310	322,935	7,821
Kentucky	9,029	20,697	2,319	35,891	167,196	4,659	45,777	361,934	7,907
Mississippi	5,850	7,897	1,381	20,560	95,372	4,648	29,125	248,482	8,534
Tennessee	14,415	25,998	1,833	45,298	238,514	5,267	56,538	486,862	8,613
West South Central	62,302	173,258	2,809	183,161	869,345	4,757	249,150	2,004,239	8,053
Arkansas	6,254	13,455	2,167	22,862	83,236	3,644	29,890	191,514	6,412
Louisiana	12,244	42,336	3,488	27,165	120,360	4,433	35,595	270,142	7,594
Oklahoma	7,065	20,642	2,928	26,004	105,867	4,072	30,939	212,886	6,886
Texas	36,739	96,824	2,669	107,130	559,882	5,245	152,726	1,329,697	8,718
Mountain	43,063	105,189	2,467	87,157	435,051	5,004	101,600	890,290	8,773
Arizona	12,521	30,667	2,463	20,256	95,244	4,742	22,784	184,070	8,082
Colorado	10,220	29,480	2,928	18,993	99,687	5,256	25,627	237,423	9,296
Idaho	3,569	6,819	1,918	10,396	50,995	4,909	9,504	86,375	9,093
Montana	4,483	6,780	1,527	9,410	36,201	3,847	9,850	70,772	7,186
Nevada	2,173	7,202	3,328	6,348	37,209	5,867	8,649	96,696	11,187
New Mexico	2,494	7,687	3,250	6,130	31,929	5,213	8,247	69,076	8,381
Utah	6,081	14,452	2,378	11,672	65,662	5,627	12,127	107,154	8,837
Wyoming	1,522	2,102	1,388	3,952	18,123	4,586	4,812	38,725	8,064
Pacific	126,460	391,915	3,155	186,316	1,145,310	6,174	232,505	2,461,404	10,591
Alaska	320	1,182	3,705	991	6,406	6,477	1,111	14,457	13,024
California	101,886	325,664	3,234	137,485	875,847	6,395	172,382	1,880,961	10,916
Hawaii	1,122	3,421	3,831	2,173	14,886	6,898	3,197	31,319	9,796
Oregon	8,869	26,399	3,111	13,964	67,421	4,844	16,552	146,935	8,878
Washington	14,263	35,249	2,551	31,703	180,749	5,742	39,263	387,731	9,881
Outlying areas ^c	1,234	3,179	2,593	3,993	15,760	3,948	2,103	13,331	6,348
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services. Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. Includes only covered admission bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2007
Census division and state or area	1993				2000				2007
Census division and state or area	Persons served	Covered days of care	Program payments (thousands of dollars)	Program payments per person served (dollars)	Persons served	Covered days of care	Program payments (thousands of dollars)	Program payments per person served (dollars)	Persons served	Covered days of care	Program payments (thousands of dollars)	Program payments per person served (dollars)
Total
All areas	215,089	12,649,489	1,250,415	5,817	534,408	25,957,716	2,925,819	5,476	999,803	70,551,721	10,343,319	10,385
United States	207,660	11,808,826	1,184,752	5,709	529,745	25,646,822	2,903,200	5,482	990,671	69,543,543	10,248,702	10,384
New England	9,423	478,589	51,507	5,468	20,642	799,522	104,817	5,078	44,195	2,620,368	430,634	9,769
Connecticut	2,083	78,816	12,535	6,024	5,425	197,854	31,872	5,875	10,044	465,070	91,170	9,096
Maine	477	26,596	2,250	4,717	1,135	49,657	4,977	4,386	4,287	279,116	40,467	9,457
Massachusetts	4,951	272,647	27,718	5,601	9,906	381,853	47,884	4,834	19,914	1,290,134	204,902	10,315
New Hampshire	604	31,383	2,787	4,615	1,679	77,363	8,824	5,256	4,147	229,057	36,605	8,848
Rhode Island	887	49,247	4,514	5,090	1,758	61,325	7,978	4,538	4,465	276,161	45,806	10,307
Vermont	421	19,900	1,702	4,044	739	31,470	3,279	4,438	1,338	80,830	11,681	8,744
Middle Atlantic	24,505	1,233,263	126,915	5,186	63,096	2,697,689	333,959	5,293	114,375	6,856,322	1,067,072	9,367
New Jersey	5,933	309,909	29,758	5,017	13,067	560,846	67,535	5,169	25,715	1,469,874	243,616	9,523
New York	11,400	576,724	63,460	5,567	23,214	1,008,086	135,580	5,841	36,428	2,000,440	334,855	9,234
Pennsylvania	7,172	346,630	33,696	4,717	26,815	1,128,757	130,843	4,880	52,232	3,386,008	488,600	9,383
East North Central	37,377	2,061,004	207,056	5,541	93,025	4,154,816	464,650	4,996	161,282	10,059,888	1,476,739	9,191
Illinois	10,856	630,851	66,465	6,123	24,067	1,071,673	121,113	5,033	37,532	2,183,144	332,672	8,895
Indiana	1,708	101,725	9,310	5,454	9,984	484,813	51,390	5,149	20,514	1,338,806	187,214	9,169
Michigan	9,984	521,346	52,695	5,279	22,873	1,017,365	115,791	5,063	38,041	2,262,881	328,144	8,657
Ohio	10,981	596,101	59,575	5,427	27,228	1,159,156	132,377	4,863	46,722	3,050,654	450,339	9,674
Wisconsin	3,848	210,981	19,008	4,943	8,873	421,809	43,977	4,959	18,473	1,224,403	178,369	9,699
West North Central	14,164	865,934	80,074	5,659	36,720	1,748,289	176,312	4,804	71,980	4,780,179	644,730	8,984
Iowa	2,545	165,177	15,656	6,162	6,460	298,008	30,383	4,705	14,078	848,300	119,200	8,489
Kansas	2,190	144,153	13,161	6,021	5,550	267,095	26,068	4,708	11,698	845,850	112,421	9,651
Minnesota	3,303	185,954	18,338	5,555	8,175	402,271	45,222	5,532	14,029	844,473	124,016	8,869
Missouri	4,411	272,688	24,401	5,537	11,678	554,407	52,819	4,524	22,909	1,706,393	218,688	9,574
Nebraska	871	50,606	4,178	4,797	2,982	142,942	13,829	4,638	5,741	326,188	43,504	7,592
North Dakota	479	27,677	2,498	5,216	1,023	42,601	4,151	4,058	1,643	108,248	13,171	8,041
South Dakota	365	19,679	1,839	5,055	852	40,965	3,838	4,505	1,882	100,727	13,726	7,301
South Atlantic	48,947	2,962,460	289,612	5,921	112,303	5,663,896	656,729	5,851	213,956	15,801,139	2,402,115	11,260
Delaware	699	37,634	3,367	4,818	1,550	78,705	8,819	5,690	3,755	280,167	42,337	11,290
District of Columbia	283	13,467	1,381	4,899	614	29,755	3,866	6,297	1,055	70,582	11,642	11,046
Florida	28,465	1,677,775	170,767	6,001	56,248	2,819,511	350,229	6,229	92,289	6,810,570	1,126,306	12,230
Georgia	3,526	178,394	15,480	4,392	13,658	723,558	77,534	5,683	28,679	2,178,059	316,628	11,101
Maryland	2,792	136,154	13,277	4,771	7,638	298,523	34,343	4,496	13,222	703,326	107,588	8,157
North Carolina	7,111	541,896	49,572	6,972	13,198	717,297	77,961	5,913	31,061	2,385,721	335,520	10,834
South Carolina	2,181	146,669	13,105	6,009	6,552	345,769	34,999	5,345	17,151	1,517,316	208,733	12,216
Virginia	2,240	128,588	13,190	5,910	9,397	467,386	51,049	5,434	19,904	1,342,523	185,471	9,350
West Virginia	1,650	101,883	9,468	5,770	3,448	183,392	17,926	5,199	6,840	512,875	67,885	9,957
East South Central	11,117	769,046	71,474	6,432	32,995	2,126,137	208,855	6,332	72,920	6,519,185	840,699	11,585
Alabama	2,914	171,404	15,094	5,182	11,421	838,025	79,080	6,925	26,108	2,775,182	345,601	13,305
Kentucky	4,851	399,811	37,024	7,634	8,047	443,176	45,727	5,684	12,261	738,534	100,848	8,257
Mississippi	1,153	70,260	6,449	5,598	5,693	467,035	45,142	7,931	14,866	1,687,818	206,918	14,015
Tennessee	2,199	127,571	12,905	5,872	7,834	377,901	38,903	4,971	19,685	1,317,651	187,331	9,549
West South Central	21,336	1,299,331	122,741	5,754	62,010	3,558,642	364,302	5,876	117,297	9,546,813	1,289,753	11,043
Arkansas	1,975	124,494	10,723	5,430	5,281	323,207	30,097	5,700	10,112	699,958	94,722	9,402
Louisiana	1,991	97,592	8,831	4,436	7,154	350,795	36,690	5,130	15,600	1,230,431	158,190	10,190
Oklahoma	2,019	105,462	9,731	4,820	10,423	755,349	69,813	6,699	19,374	2,071,031	253,712	13,174
Texas	15,351	971,783	93,455	6,089	39,152	2,129,291	227,700	5,817	72,211	5,545,393	783,127	10,886
Mountain	12,453	624,739	66,336	5,330	38,491	1,806,545	212,559	5,523	74,718	5,898,439	878,195	11,800
Arizona	5,123	229,256	27,722	5,411	15,509	732,768	91,111	5,875	28,775	2,446,610	381,788	13,324
Colorado	3,250	160,173	16,126	4,970	8,840	344,737	41,239	4,666	14,346	925,155	142,576	9,968
Idaho	838	50,527	4,407	5,260	1,940	101,328	9,991	5,150	4,734	409,115	53,013	11,239
Montana	585	35,506	3,157	5,406	1,405	78,669	7,783	5,540	2,967	200,822	26,812	9,052
Nevada	958	58,400	6,536	6,823	3,637	144,309	20,034	6,301	7,040	433,525	73,284	10,444
New Mexico	1,348	74,578	6,969	5,174	3,838	236,349	24,181	5,589	7,404	625,432	85,964	11,675
Utah	263	11,506	979	3,740	2,805	143,233	15,676	4,914	8,531	805,430	107,428	12,652
Wyoming	88	4,793	437	4,971	517	25,152	2,540	4,943	921	52,350	7,327	8,017
Pacific	28,338	1,514,460	169,033	5,969	70,463	3,091,286	381,013	5,409	119,948	7,461,210	1,218,761	10,208
Alaska	16	895	87	5,476	103	4,269	513	4,988	513	30,524	4,742	9,299
California	20,316	1,080,047	119,651	5,896	50,116	2,208,522	279,037	5,571	83,732	5,256,348	880,764	10,571
Hawaii	619	27,282	2,906	4,695	1,406	56,188	7,626	5,428	2,202	123,021	20,649	9,503
Oregon	3,365	185,088	17,102	5,083	8,915	387,697	42,557	4,773	15,229	938,414	139,079	9,157
Washington	4,022	221,148	29,285	7,281	9,923	434,610	51,278	5,168	18,272	1,112,903	173,524	9,535
Outlying areas ^a	7,429	840,663	65,662	8,839	4,663	310,894	22,619	4,851	9,132	1,008,178	94,617	10,448
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
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, 1969–2008
Year	Total number of claims (thousands)	Net assignment rate ^a (percent)
1969	37,542	61.5
1970	42,148	60.8
1971	46,572	58.5
1972	51,041	54.9
1973	57,007	52.7
1974	68,307	51.9
1975	79,980	51.8
1976	91,624	50.5
1977	105,339	50.5
1978	117,886	50.6
1979	132,098	51.3
1980	150,048	51.5
1981	167,154	52.3
1982	182,440	53.0
1983	204,122	53.9
1984	238,362	59.0
1985	279,559	68.5
1986	306,714	68.0
1987	346,551	73.1
1988	386,763	77.3
1989	421,305	79.7
1990	474,226	81.1
1991	517,123	83.1
1992	554,619	86.2
1993	583,863	90.1
1994	622,514	92.8
1995	647,855	94.7
1996	678,030	95.9
1997	688,891	96.7
1998	697,523	97.3
1999	703,227	97.6
2000	720,493	97.9
2001	766,758	98.1
2002	821,993	98.4
2003	860,746	98.5
2004	922,197	98.7
2005	951,551	98.9
2006	944,072	99.0
2007	951,072	99.1
2008	979,324	99.2
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, 1971–2008
Year	Claims approved		Charges before reduction
Year	Number (thousands)	Percentage reduced	Amount (millions of dollars)	Percentage reduced
	Assigned claims
1971	25,919	44.5	1,571	11.1
1972	26,798	47.5	1,630	10.9
1973	28,376	55.6	1,751	11.9
1974	33,295	64.5	2,194	14.3
1975	39,218	70.8	2,716	17.8
1976	44,065	74.3	3,261	19.9
1977	50,260	72.8	3,936	19.4
1978	56,493	73.6	4,678	19.9
1979	64,051	77.0	5,746	21.2
1980	73,068	80.8	7,303	22.7
1981 ^a	80,127	82.8	8,868	24.0
1982	91,615	83.3	11,315	24.3
1983	103,139	81.0	13,657	23.6
1984	128,559	80.8	16,571	25.4
1985	176,956	81.7	22,008	27.4
1986	191,139	82.8	24,662	28.4
1987	234,488	83.4	31,179	28.0
1988	271,225	85.6	37,275	29.8
1989	304,649	86.9	44,567	31.0
1990	341,220	87.5	51,012	32.9
1991	384,168	87.4	60,057	36.2
1992	412,924	86.2	67,667	39.7
1993	460,761	88.8	76,186	42.8
1994	508,981	87.7	85,170	42.5
1995	539,630	86.4	93,300	42.3
1996	550,587	87.1	97,744	44.9
1997	566,591	87.4	103,389	45.9
1998	575,799	87.9	106,947	46.9
1999	590,463	88.9	114,981	47.8
2000	615,862	87.9	126,391	47.7
2001	665,196	87.5	145,641	48.0
2002	722,826	87.7	152,373	56.3
2003	759,783	88.9	189,920	52.0
2004	781,000	89.8	208,027	52.9
2005	846,093	87.2	236,430	52.0
2006	837,332	92.0	246,608	55.1
2007	822,902	93.4	253,248	58.1
2008	851,335	92.9	279,428	58.7
	Unassigned claims
1971	17,955	57.6	1,348	12.5
1972	21,286	59.3	1,608	12.0
1973	24,691	66.4	1,886	12.6
1974	30,492	72.7	2,401	14.7
1975	36,182	77.4	2,973	17.7
1976	42,100	78.9	3,591	19.8
1977	48,619	77.1	4,233	19.0
1978	53,700	77.5	4,749	19.2
1979	59,961	80.9	5,596	20.7
1980	68,113	84.3	6,836	22.5
1981 ^a	72,765	85.8	7,870	23.8
1982	80,253	85.4	9,545	23.9
1983	87,436	82.7	10,885	22.9
1984	88,594	83.7	11,216	24.2
1985	77,965	84.6	10,059	25.9
1986	87,121	85.0	10,757	26.9
1987	83,116	82.4	10,258	24.7
1988	76,503	86.4	9,005	25.0
1989	74,947	90.1	8,971	25.0
1990	77,746	90.4	8,789	25.3
1991	77,520	91.3	7,884	23.1
1992	66,403	82.9	6,215	18.5
1993	51,080	86.5	4,267	16.5
1994	39,364	86.4	3,255	16.3
1995	29,975	83.4	2,543	15.4
1996	22,819	84.4	1,952	15.8
1997	18,615	84.4	1,650	16.4
1998	15,172	82.3	1,382	17.1
1999	13,834	81.3	1,316	17.7
2000	12,755	78.6	1,287	18.1
2001	12,085	76.7	1,252	18.2
2002	11,352	79.8	1,107	17.2
2003	11,100	82.1	1,066	15.9
2004	10,016	83.0	1,009	16.3
2005	9,589	82.2	1,000	17.4
2006	8,439	85.1	894	18.8
2007	7,378	88.4	790	18.2
2008	6,926	88.1	774	18.7
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.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2007
Census division and state or area	1993			2000			2007
Census division and state or area	Services (thousands)	Allowed charges (thousands of dollars)	Program payments (thousands of dollars)	Services (thousands)	Allowed charges (thousands of dollars)	Program payments (thousands of dollars)	Services (thousands)	Allowed charges (thousands of dollars)	Program payments (thousands of dollars)
Total
All areas	1,062,047	46,155,237	35,206,101	1,247,483	66,911,902	51,456,747	1,766,037	110,633,862	85,628,319
United States	1,050,605	45,677,059	34,838,562	1,229,583	66,047,753	50,790,939	1,755,958	110,102,491	85,214,505
New England	57,475	2,532,989	1,923,891	60,701	3,357,803	2,562,793	86,827	5,396,676	4,140,925
Connecticut	14,971	688,632	523,801	16,024	908,981	696,770	25,114	1,620,344	1,251,232
Maine	5,093	203,657	152,933	6,725	357,616	272,731	8,549	516,759	393,925
Massachusetts	26,993	1,216,000	927,157	26,099	1,464,973	1,117,345	37,721	2,323,207	1,781,135
New Hampshire	3,712	151,558	113,589	5,018	264,412	200,026	6,939	445,265	339,649
Rhode Island	5,089	200,132	152,442	4,512	227,420	175,093	5,382	298,533	229,616
Vermont	1,617	73,011	53,968	2,323	134,403	100,828	3,122	192,568	145,368
Middle Atlantic	190,966	8,727,545	6,679,025	198,796	11,114,019	8,582,935	267,141	16,931,272	13,158,230
New Jersey	39,741	1,795,252	1,374,199	46,582	2,706,642	2,098,689	70,743	4,597,763	3,589,576
New York	84,011	3,869,484	2,968,599	94,073	5,222,652	4,031,686	126,158	7,870,626	6,119,535
Pennsylvania	67,214	3,062,810	2,336,227	58,141	3,184,725	2,452,560	70,240	4,462,883	3,449,120
East North Central	178,252	7,526,281	5,711,398	202,748	10,835,911	8,301,058	284,913	17,791,169	13,713,511
Illinois	43,382	1,995,230	1,518,069	50,279	2,722,188	2,087,286	77,173	4,873,731	3,761,161
Indiana	19,724	855,441	642,446	27,376	1,418,457	1,079,378	37,991	2,365,295	1,818,354
Michigan	48,483	1,916,709	1,468,007	50,326	2,823,614	2,173,760	68,046	4,449,634	3,439,132
Ohio	47,701	2,011,679	1,522,281	50,755	2,722,161	2,085,982	73,449	4,502,074	3,470,584
Wisconsin	18,962	747,222	560,596	24,012	1,149,491	874,652	28,253	1,600,434	1,224,280
West North Central	69,790	2,693,967	2,024,254	86,209	4,213,384	3,209,083	111,501	6,601,820	5,072,717
Iowa	13,006	457,750	342,045	15,717	732,727	556,426	17,670	1,023,805	782,147
Kansas	10,888	451,677	342,214	13,030	671,147	514,252	17,919	1,077,062	830,040
Minnesota	11,608	438,052	323,989	16,548	798,015	603,082	19,766	1,179,796	902,977
Missouri	22,543	914,332	693,436	25,365	1,300,857	996,024	36,711	2,198,358	1,695,363
Nebraska	6,294	233,733	174,219	8,226	388,700	294,564	10,894	644,915	495,625
North Dakota	2,595	96,467	72,033	3,349	149,240	113,542	3,745	222,185	170,596
South Dakota	2,856	101,957	76,316	3,974	172,698	131,194	4,797	255,700	195,970
South Atlantic	216,862	9,345,787	7,164,358	270,430	14,646,480	11,291,572	400,088	25,184,071	19,539,754
Delaware	3,037	137,176	104,482	4,302	244,628	188,488	7,004	451,755	349,484
District of Columbia	2,620	121,120	93,475	2,346	136,917	105,493	2,768	193,095	150,129
Florida	96,578	4,399,081	3,410,771	105,141	6,100,419	4,747,090	156,670	10,279,039	8,039,406
Georgia	25,860	1,058,968	807,700	32,915	1,725,056	1,323,041	49,583	3,106,217	2,401,776
Maryland	18,896	883,554	679,402	22,693	1,316,285	1,014,698	33,635	2,298,130	1,780,312
North Carolina	26,228	1,014,093	763,647	40,027	1,960,603	1,494,488	60,115	3,482,203	2,684,136
South Carolina	13,834	515,359	386,450	21,862	1,117,181	855,190	32,461	1,947,381	1,503,267
Virginia	22,218	890,532	672,647	30,380	1,517,689	1,159,960	44,128	2,624,103	2,015,881
West Virginia	7,592	325,904	245,784	10,764	527,703	403,124	13,723	802,149	615,363
East South Central	70,461	2,797,568	2,129,747	91,596	4,658,756	3,566,213	130,337	7,617,991	5,875,796
Alabama	19,916	810,199	618,658	24,361	1,286,579	988,420	34,191	2,045,731	1,579,215
Kentucky	16,959	662,058	503,342	22,036	1,062,201	812,037	31,862	1,823,590	1,404,854
Mississippi	11,214	449,002	340,330	14,913	776,595	595,267	20,905	1,250,922	966,719
Tennessee	22,372	876,309	667,417	30,286	1,533,381	1,170,489	43,379	2,497,749	1,925,008
West South Central	104,249	4,415,507	3,375,452	134,444	6,928,068	5,349,132	202,608	12,375,455	9,601,509
Arkansas	12,311	487,744	367,896	15,708	781,724	599,631	21,926	1,273,517	982,884
Louisiana	17,967	798,002	610,958	19,622	1,058,214	816,817	25,658	1,607,974	1,243,534
Oklahoma	13,387	538,757	408,622	15,874	845,762	649,096	22,877	1,399,649	1,079,576
Texas	60,584	2,591,004	1,987,977	83,240	4,242,368	3,283,588	132,147	8,094,315	6,295,515
Mountain	43,230	1,899,807	1,443,957	53,859	2,986,527	2,286,851	82,725	5,501,547	4,248,470
Arizona	14,630	641,234	493,319	16,122	897,890	694,194	26,995	1,784,087	1,387,721
Colorado	9,017	368,183	280,001	10,021	545,066	417,340	16,553	1,093,041	844,761
Idaho	3,187	133,188	100,116	4,382	232,051	176,337	5,792	346,941	265,120
Montana	2,737	122,992	91,713	3,944	219,874	167,290	4,830	307,314	235,133
Nevada	4,744	239,310	183,265	6,605	374,374	287,238	10,607	754,490	584,198
New Mexico	4,111	178,573	134,253	5,218	293,417	224,310	7,909	534,962	411,616
Utah	3,580	158,473	117,886	5,657	320,886	241,885	7,455	507,813	387,447
Wyoming	1,224	57,853	43,405	1,910	102,968	78,257	2,584	172,899	132,475
Pacific	119,320	5,737,609	4,386,479	130,801	7,306,805	5,641,301	189,819	12,702,488	9,863,592
Alaska	599	30,305	22,675	964	60,128	45,822	1,715	118,811	90,953
California	91,760	4,561,912	3,504,741	99,393	5,621,663	4,358,871	143,519	9,746,583	7,593,605
Hawaii	2,517	112,138	83,062	3,642	180,404	134,791	4,601	254,698	192,932
Oregon	8,461	362,350	271,415	9,002	487,346	371,215	11,814	785,639	602,482
Washington	15,982	670,904	504,586	17,800	957,265	730,602	28,170	1,796,757	1,383,620
Outlying areas ^a	11,442	478,177	367,538	17,900	864,149	665,808	10,079	531,372	413,814
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2007
Census division and state or area	1991		2000		2007
Census division and state or area	Persons served (thousands)	Program payments (millions of dollars)	Persons served (thousands)	Program payments (millions of dollars)	Persons served (thousands)	Program payments (millions of dollars)
Total
All areas	17,176	9,433	21,537	16,732	24,153	37,255
United States	17,040	9,386	21,355	16,620	24,074	37,118
New England	1,060	587	1,237	937	1,486	2,329
Connecticut	233	142	274	225	335	523
Maine	124	45	168	117	198	306
Massachusetts	493	297	525	410	630	994
New Hampshire	80	37	120	79	157	263
Rhode Island	79	46	77	55	78	96
Vermont	51	21	74	52	89	147
Middle Atlantic	2,850	1,500	3,055	2,511	3,047	4,545
New Jersey	480	323	590	519	654	1,094
New York	1,163	602	1,348	1,249	1,293	1,971
Pennsylvania	1,207	575	1,118	743	1,100	1,480
East North Central	3,308	1,685	4,142	3,034	4,522	6,808
Illinois	834	407	1,015	725	1,191	1,786
Indiana	431	223	587	400	644	957
Michigan	754	393	1,003	807	1,046	1,625
Ohio	876	501	1,037	755	1,139	1,650
Wisconsin	413	161	500	348	501	789
West North Central	1,447	668	1,888	1,317	2,019	3,133
Iowa	280	120	366	254	367	558
Kansas	206	94	261	187	271	438
Minnesota	283	129	420	254	426	616
Missouri	442	214	520	384	603	945
Nebraska	125	62	174	130	190	310
North Dakota	52	24	69	48	79	126
South Dakota	60	24	77	60	84	139
South Atlantic	3,094	1,750	4,244	3,383	4,887	7,920
Delaware	47	19	68	57	88	130
District of Columbia	40	50	38	54	42	101
Florida	1,012	543	1,285	932	1,468	2,381
Georgia	401	243	571	465	697	1,094
Maryland	270	227	324	459	385	944
North Carolina	484	255	720	543	811	1,307
South Carolina	248	118	404	282	469	662
Virginia	407	226	590	426	664	957
West Virginia	185	69	245	164	264	343
East South Central	1,151	538	1,635	1,102	1,821	2,516
Alabama	308	155	424	261	494	631
Kentucky	284	126	399	228	458	638
Mississippi	192	92	292	254	320	521
Tennessee	366	165	520	360	549	725
West South Central	1,522	963	2,107	1,848	2,503	4,042
Arkansas	195	86	267	180	299	401
Louisiana	273	229	339	360	386	686
Oklahoma	218	105	294	210	347	452
Texas	836	542	1,206	1,098	1,471	2,503
Mountain	792	387	1,047	768	1,259	1,843
Arizona	201	180	233	169	291	421
Colorado	187	93	217	178	285	397
Idaho	75	29	108	74	119	189
Montana	66	4	101	64	110	172
Nevada	55	28	75	62	108	166
New Mexico	90	48	125	97	153	230
Utah	91	3	146	91	140	196
Wyoming	27	2	43	33	53	72
Pacific	1,816	1,308	2,000	1,720	2,531	3,984
Alaska	14	10	26	29	36	68
California	1,295	1,011	1,346	1,200	1,703	2,751
Hawaii	37	30	58	44	66	104
Oregon	195	91	225	143	259	367
Washington	275	166	345	303	467	694
Outlying areas ^a	136	47	182	112	79	137
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
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 1991–2009
State or area	1991	1995	2000	2003	2004	2005	2006	2007	2008	2009
All areas	3,640,121	4,705,625	5,425,048	6,145,589	6,305,467	6,577,577	6,885,326	7,082,006	7,292,444	7,434,151
Alabama	97,601	116,916	136,860	162,912	164,499	169,460	175,134	179,542	183,860	181,216
Alaska	4,539	6,193	8,486	10,008	10,318	10,748	11,465	11,904	12,218	12,393
Arizona	28,650	44,236	57,712	91,782	95,804	110,977	116,065	121,455	126,518	131,581
Arkansas	64,996	77,660	79,606	86,597	86,181	89,372	96,906	99,214	101,893	104,825
California	646,108	747,814	818,846	950,503	977,676	1,012,804	1,047,842	1,078,076	1,120,069	1,077,652
Colorado	36,470	46,660	55,325	59,114	61,140	61,294	64,505	68,264	72,451	75,845
Connecticut	23,535	48,047	53,141	65,223	66,664	66,191	66,968	67,876	70,682	73,426
Delaware	4,499	6,645	10,737	15,224	16,081	17,104	19,534	19,821	20,628	21,317
District of Columbia	12,791	14,152	14,233	15,079	15,586	15,246	15,365	15,584	16,023	17,680
Florida	196,992	271,430	342,109	389,599	406,006	431,764	459,146	470,337	490,437	519,540
Georgia	128,976	160,380	176,596	193,807	199,524	205,476	212,257	217,562	221,444	226,220
Hawaii	11,529	16,695	20,326	22,904	22,988	23,703	26,040	25,862	26,601	27,436
Idaho	9,127	12,931	17,081	21,255	22,291	23,482	24,628	26,030	26,744	28,039
Illinois	94,434	137,571	155,743	175,822	189,044	206,014	215,631	222,728	233,211	242,050
Indiana	60,297	76,460	87,543	102,654	105,011	109,669	114,933	120,079	120,825	124,312
Iowa	41,170	48,517	51,976	56,920	58,023	60,458	63,221	66,022	68,782	70,624
Kansas	26,960	34,708	41,217	44,602	46,175	47,707	49,483	50,732	51,829	53,624
Kentucky	76,456	97,978	117,697	126,690	126,343	126,468	134,469	137,602	140,970	143,692
Louisiana	87,570	112,090	117,179	127,340	132,498	139,802	140,291	141,009	148,875	153,719
Maine	22,176	29,453	36,946	42,269	43,800	46,510	52,560	64,164	78,157	83,374
Maryland	48,028	58,865	65,372	73,994	75,366	79,234	83,078	85,824	89,624	93,682
Massachusetts	89,163	125,859	152,587	167,681	170,689	178,691	188,576	191,171	195,461	196,817
Michigan	91,340	123,948	145,172	158,998	161,519	170,044	180,235	185,626	190,827	196,551
Minnesota	39,366	52,192	63,607	75,080	77,499	79,428	81,353	83,420	85,356	88,149
Mississippi	90,530	108,577	107,495	131,706	133,337	135,023	137,715	136,096	137,874	132,099
Missouri	55,116	72,659	88,343	99,127	103,449	109,561	110,734	113,722	117,954	122,450
Montana	10,058	11,031	12,828	13,889	13,917	14,455	15,097	15,456	15,811	16,170
Nebraska	11,358	16,146	20,520	22,922	23,082	24,210	25,243	25,640	27,030	27,638
Nevada	8,657	14,227	19,155	24,587	26,977	27,408	28,639	30,319	32,197	32,764
New Hampshire	3,807	5,405	7,434	10,120	10,732	11,584	12,597	13,454	14,669	15,872
New Jersey	95,795	122,923	146,705	155,377	153,231	159,110	169,804	170,280	170,807	175,716
New Mexico	22,246	29,855	37,330	44,534	44,642	49,333	52,078	53,757	56,797	59,163
New York	255,952	325,882	369,479	432,681	448,373	465,068	487,736	500,099	489,668	508,461
North Carolina	117,656	186,328	223,402	240,422	241,543	251,739	258,981	261,690	266,009	272,691
North Dakota	4,639	5,560	5,908	6,541	6,560	6,757	7,185	7,610	7,892	8,058
Ohio	112,598	164,044	171,139	191,295	195,792	204,905	223,726	234,958	247,445	258,318
Oklahoma	51,457	60,080	67,413	70,761	72,758	75,903	80,536	82,671	82,920	83,382
Oregon	28,537	43,642	59,169	68,421	69,610	70,927	72,394	75,113	78,272	81,990
Pennsylvania	127,519	162,788	206,468	229,814	232,885	242,552	258,675	268,833	274,566	284,189
Rhode Island	10,585	15,517	19,787	25,146	25,361	26,311	27,002	27,508	27,860	28,064
South Carolina	78,701	95,970	112,232	117,997	118,393	118,843	121,469	124,502	126,074	126,591
South Dakota	9,399	12,346	13,146	14,231	14,045	14,534	15,176	15,407	15,613	15,824
Tennessee	116,861	148,391	182,342	203,567	208,678	218,894	228,849	232,611	236,854	241,225
Texas	234,169	314,991	360,191	410,248	423,560	440,938	457,346	473,962	489,552	501,502
Utah	10,263	13,506	16,231	18,548	19,361	21,787	24,114	24,775	25,459	26,794
Vermont	8,223	12,428	13,754	15,016	15,079	15,509	20,857	21,831	22,078	22,212
Virginia	77,898	102,964	113,259	120,711	124,996	131,083	137,991	141,569	145,896	149,316
Washington	54,774	71,531	97,390	105,516	108,780	113,233	119,180	123,471	127,450	132,958
West Virginia	28,086	39,720	46,305	50,008	51,365	54,200	57,688	59,576	61,749	63,037
Wisconsin	67,516	75,247	74,101	78,124	79,889	83,383	85,661	87,901	90,928	93,984
Wyoming	3,505	5,265	6,444	7,422	7,454	7,749	8,015	8,135	8,458	8,736
Outlying areas
Guam	443	669	417	339	375	409	647	633	537	645
Northern Mariana Islands	273	314	342	358	340	358	354	373	381	385
U.S. Virgin Islands	727	219	204	194	178	165	152	150	159	153
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, July 1, 2007
Census division and state or area	Total Part D and RDS enrollees	Medicare Part D			RDS ^a
Census division and state or area	Total Part D and RDS enrollees	Total	Stand-alone prescription drug plan (PDP)	Medicare Advantage plan offering Part D coverage	RDS ^a
Total
All areas	31,486,978	24,477,276	17,093,442	7,383,834	7,009,702
United States	31,047,816	24,067,358	17,035,399	7,031,959	6,980,458
New England	1,618,683	1,212,522	934,488	278,034	406,161
Connecticut	397,282	280,383	226,871	53,512	116,899
Maine	160,674	136,084	132,742	3,342	24,590
Massachusetts	735,865	539,887	379,618	160,269	195,978
New Hampshire	126,641	88,834	84,582	4,252	37,807
Rhode Island	125,854	113,066	56,991	56,075	12,788
Vermont	72,367	54,268	53,684	584	18,099
Middle Atlantic	4,618,020	3,420,971	2,178,758	1,242,213	1,197,049
New Jersey	918,147	629,950	526,856	103,094	288,197
New York	2,103,546	1,520,171	972,920	547,251	583,375
Pennsylvania	1,596,327	1,270,850	678,982	591,868	325,477
East North Central	5,089,282	3,386,127	2,659,240	726,887	1,703,155
Illinois	1,291,510	935,831	835,639	100,192	355,679
Indiana	676,799	474,806	437,615	37,191	201,993
Michigan	1,185,525	711,531	499,970	211,561	473,994
Ohio	1,384,083	854,454	576,122	278,332	529,629
Wisconsin	551,365	409,505	309,894	99,611	141,860
West North Central	2,247,760	1,915,088	1,519,353	395,735	332,672
Iowa	377,273	320,445	287,837	32,608	56,828
Kansas	274,680	241,316	216,514	24,802	33,364
Minnesota	552,399	470,898	301,931	168,967	81,501
Missouri	680,589	556,831	417,159	139,672	123,758
Nebraska	194,176	168,887	150,246	18,641	25,289
North Dakota	77,932	72,877	69,235	3,642	5,055
South Dakota	90,711	83,834	76,431	7,403	6,877
South Atlantic	5,949,245	4,624,891	3,425,756	1,199,135	1,324,354
Delaware	99,653	65,310	63,008	2,302	34,343
District of Columbia	37,046	32,848	27,327	5,521	4,198
Florida	2,225,464	1,748,430	1,002,234	746,196	477,034
Georgia	761,676	629,399	542,186	87,213	132,277
Maryland	448,865	295,735	255,520	40,215	153,130
North Carolina	992,289	768,815	624,788	144,027	223,474
South Carolina	479,991	360,048	307,649	52,399	119,943
Virginia	633,129	510,578	441,295	69,283	122,551
West Virginia	271,132	213,728	161,749	51,979	57,404
East South Central	2,111,896	1,698,032	1,392,541	305,491	413,864
Alabama	560,208	431,044	327,926	103,118	129,164
Kentucky	513,638	383,304	339,082	44,222	130,334
Mississippi	324,378	293,841	279,846	13,995	30,537
Tennessee	713,672	589,843	445,687	144,156	123,829
West South Central	3,068,460	2,443,539	1,913,493	530,046	624,921
Arkansas	339,893	287,445	251,055	36,390	52,448
Louisiana	461,705	369,584	273,324	96,260	92,121
Oklahoma	374,479	320,591	266,684	53,907	53,888
Texas	1,892,383	1,465,919	1,122,430	343,489	426,464
Mountain	1,852,822	1,501,714	839,975	661,739	351,108
Arizona	600,145	490,580	211,132	279,448	109,565
Colorado	393,784	315,158	159,952	155,206	78,626
Idaho	137,061	112,497	86,007	26,490	24,564
Montana	101,836	86,403	74,344	12,059	15,433
Nevada	214,175	171,743	79,834	91,909	42,432
New Mexico	194,569	154,537	96,679	57,858	40,032
Utah	163,881	131,289	94,782	36,507	32,592
Wyoming	47,371	39,507	37,245	2,262	7,864
Pacific	4,491,648	3,864,474	2,171,795	1,692,679	627,174
Alaska	36,418	22,525	22,180	345	13,893
California	3,372,080	2,933,560	1,553,567	1,379,993	438,520
Hawaii	128,077	119,713	60,883	58,830	8,364
Oregon	397,366	349,047	198,705	150,342	48,319
Washington	557,707	439,629	336,460	103,169	118,078
Outlying areas ^b	439,162	409,918	58,043	351,875	29,244
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes 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, 2007
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
Census division and state or area ^a	Total Medicare enrollees	Total	Full low-income subsidy ^d	Partial low-income subsidy ^e	No low-income subsidy	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
All areas	44,263,111	24,477,276	9,104,834	412,860	14,959,582	7,009,702	5,722,328	7,053,805
United States	43,259,280	24,067,358	9,089,677	412,607	14,565,074	6,980,458	5,654,472	6,556,992
New England	2,261,294	1,212,522	512,480	18,429	681,613	406,161	283,597	359,014
Connecticut	537,064	280,383	98,704	3,355	178,324	116,899	62,004	77,778
Maine	246,571	136,084	80,127	888	55,069	24,590	39,401	46,496
Massachusetts	996,741	539,887	235,464	9,126	295,297	195,978	108,780	152,096
New Hampshire	204,313	88,834	32,077	2,189	54,568	37,807	34,386	43,286
Rhode Island	175,012	113,066	39,550	2,202	71,314	12,788	24,995	24,163
Vermont	101,593	54,268	26,558	669	27,041	18,099	14,031	15,195
Middle Atlantic	6,281,289	3,420,971	1,302,795	53,440	2,064,736	1,197,049	690,383	972,886
New Jersey	1,257,125	629,950	213,931	12,968	403,051	288,197	138,639	200,339
New York	2,840,560	1,520,171	709,414	19,683	791,074	583,375	285,665	451,349
Pennsylvania	2,183,604	1,270,850	379,450	20,789	870,611	325,477	266,079	321,198
East North Central	6,881,981	3,386,127	1,205,475	61,550	2,119,102	1,703,155	705,681	1,087,018
Illinois	1,740,751	935,831	338,064	17,208	580,559	355,679	183,620	265,621
Indiana	940,825	474,806	163,231	10,990	300,585	201,993	114,885	149,141
Michigan	1,540,827	711,531	259,462	13,901	438,168	473,994	126,740	228,562
Ohio	1,805,235	854,454	307,136	15,881	531,437	529,629	179,075	242,077
Wisconsin	854,343	409,505	137,582	3,570	268,353	141,860	101,361	201,617
West North Central	3,089,440	1,915,088	534,402	30,347	1,350,339	332,672	428,828	412,852
Iowa	500,056	320,445	78,791	4,949	236,705	56,828	65,607	57,176
Kansas	411,660	241,316	64,402	4,373	172,541	33,364	67,082	69,898
Minnesota	729,147	470,898	122,833	5,390	342,675	81,501	85,727	91,021
Missouri	946,284	556,831	188,980	10,051	357,800	123,758	129,237	136,458
Nebraska	267,588	168,887	41,971	2,702	124,214	25,289	42,074	31,338
North Dakota	105,324	72,877	16,552	1,433	54,892	5,055	15,677	11,715
South Dakota	129,381	83,834	20,873	1,449	61,512	6,877	23,424	15,246
South Atlantic	8,644,415	4,624,891	1,768,928	94,412	2,761,551	1,324,354	1,362,693	1,332,477
Delaware	136,206	65,310	23,191	1,173	40,946	34,343	18,050	18,503
District of Columbia	74,085	32,848	20,420	416	12,012	4,198	19,354	17,685
Florida	3,132,634	1,748,430	571,452	24,262	1,152,716	477,034	447,291	459,879
Georgia	1,110,510	629,399	277,930	13,629	337,840	132,277	172,997	175,837
Maryland	723,302	295,735	116,246	6,715	172,774	153,130	140,540	133,897
North Carolina	1,358,548	768,815	324,530	20,500	423,785	223,474	177,110	189,149
South Carolina	697,189	360,048	163,508	9,925	186,615	119,943	116,730	100,468
Virginia	1,044,603	510,578	189,369	12,474	308,735	122,551	223,016	188,458
West Virginia	367,338	213,728	82,282	5,318	126,128	57,404	47,605	48,601
East South Central	2,944,432	1,698,032	828,189	39,749	830,094	413,864	421,354	411,182
Alabama	789,250	431,044	212,728	10,446	207,870	129,164	126,524	102,518
Kentucky	710,977	383,304	183,807	10,971	188,526	130,334	90,659	106,680
Mississippi	469,402	293,841	157,699	5,710	130,432	30,537	75,604	69,420
Tennessee	974,803	589,843	273,955	12,622	303,266	123,829	128,567	132,564
West South Central	4,409,142	2,443,539	1,072,807	55,499	1,315,233	624,921	652,920	687,762
Arkansas	496,335	287,445	126,950	7,601	152,894	52,448	84,132	72,310
Louisiana	639,499	369,584	179,826	8,199	181,559	92,121	75,925	101,869
Oklahoma	565,079	320,591	116,842	6,923	196,826	53,888	93,201	97,399
Texas	2,708,229	1,465,919	649,189	32,776	783,954	426,464	399,662	416,184
Mountain	2,691,896	1,501,714	443,692	22,802	1,035,220	351,108	425,388	413,686
Arizona	840,527	490,580	147,039	5,848	337,693	109,565	122,131	118,251
Colorado	558,222	315,158	87,889	4,661	222,608	78,626	84,666	79,772
Idaho	206,570	112,497	33,165	2,275	77,057	24,564	33,606	35,903
Montana	155,753	86,403	23,762	1,930	60,711	15,433	26,256	27,661
Nevada	317,741	171,743	44,640	2,650	124,453	42,432	54,271	49,295
New Mexico	284,910	154,537	64,339	2,771	87,427	40,032	44,884	45,457
Utah	254,060	131,289	32,534	1,944	96,811	32,592	45,648	44,531
Wyoming	74,113	39,507	10,324	723	28,460	7,864	13,926	12,816
Pacific	6,055,391	3,864,474	1,420,909	36,379	2,407,186	627,174	683,628	880,115
Alaska	56,803	22,525	14,003	321	8,201	13,893	9,828	10,557
California	4,368,858	2,933,560	1,137,148	22,907	1,773,505	438,520	424,438	572,340
Hawaii	189,385	119,713	33,979	1,495	84,239	8,364	30,984	30,324
Oregon	566,960	349,047	90,327	5,420	253,300	48,319	77,377	92,217
Washington	873,385	439,629	145,452	6,236	287,941	118,078	141,001	174,677
Outlying areas ^f	1,003,831	409,918	15,157	253	394,508	29,244	67,856	496,813
SOURCE: Centers for Medicare & Medicaid Services.
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. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

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