Annual Statistical Supplement, 2010 - 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 1990–2008
Type of coverage and service	1990	1995	2000	2005	2007	2008
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	34,203	37,535	39,632	42,500	44,263	45,412
Hospital Insurance	33,719	37,135	39,211	42,129	43,910	45,067
Supplementary Medical Insurance	32,629	35,685	37,369	39,730	41,109	42,020
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	32,740	36,685	35,490	35,320
Hospital Insurance	--	--	32,329	36,318	35,141	34,982
Supplementary Medical Insurance	--	--	30,478	33,916	32,338	31,929
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	27,099	30,423	29,583	33,506	32,406	32,059
Hospital Insurance	7,036	8,036	7,325	8,307	7,952	7,843
Inpatient hospital	6,543	6,964	6,917	7,710	7,254	7,097
Skilled nursing services	638	1,233	1,468	1,847	1,828	1,841
Home health services ^b	1,936	3,427	1,444	1,752	1,705	1,705
Hospice services	--	--	541	871	995	1,048
Supplementary Medical Insurance	26,951	30,249	29,313	33,201	32,040	31,663
Physicians' and other medical services	26,350	26,539	28,763	32,709	31,481	31,114
Outpatient services	15,511	19,709	21,029	24,423	23,587	23,323
Home health services ^b	38	41	1,190	1,370	1,553	1,614
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	792	811	904	913	913	908
Hospital Insurance	209	216	227	229	226	224
Inpatient hospital	194	188	214	212	206	203
Skilled nursing services	19	33	45	51	52	53
Home health services ^b	57	92	45	48	49	49
Hospice services	--	--	17	24	28	30
Supplementary Medical Insurance	826	848	962	979	991	992
Physicians' and other medical services	808	744	944	964	974	974
Outpatient services	475	552	690	720	729	730
Home health services ^b	1	1	39	40	48	51
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	101,419	158,980	174,261	274,143	288,504	301,136
Hospital Insurance	62,347	101,835	101,663	149,392	155,785	162,370
Inpatient hospital	56,716	78,944	85,197	116,647	116,922	120,251
Skilled nursing services	1,971	7,799	10,621	18,964	22,261	24,360
Home health services ^b	3,660	15,092	2,918	5,916	6,275	6,629
Hospice services	--	--	2,927	7,864	10,327	11,130
Supplementary Medical Insurance	39,072	57,145	72,599	124,752	132,719	138,766
Physicians' and other medical services	30,222	41,617	51,474	83,838	85,694	88,155
Outpatient services	8,773	15,328	16,787	33,931	37,560	40,140
Home health services ^b	78	200	4,338	6,982	9,465	10,472
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,743	5,226	5,891	8,182	8,903	9,393
Hospital Insurance	8,862	12,672	13,878	17,984	19,592	20,704
Inpatient hospital	8,668	11,336	12,318	15,130	16,118	16,945
Skilled nursing services	3,092	6,325	7,235	10,267	12,176	13,231
Home health services ^b	1,890	4,403	2,021	3,377	3,680	3,889
Hospice services	--	--	5,409	9,027	10,378	10,620
Supplementary Medical Insurance	1,450	1,889	2,477	3,757	4,142	4,383
Physicians' and other medical services	1,147	1,409	1,709	2,563	2,722	2,833
Outpatient services	566	778	798	1,389	1,592	1,721
Home health services ^b	2,031	4,837	3,644	5,098	6,095	6,487
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	2,965	4,236	5,323	7,473	8,129	8,526
Hospital Insurance	1,849	2,742	3,145	4,113	4,433	4,642
Inpatient hospital	1,682	2,126	2,635	3,212	3,327	3,438
Skilled nursing services	58	210	329	522	633	696
Home health services ^b	109	406	90	163	179	189
Hospice services	--	--	91	217	294	318
Supplementary Medical Insurance	1,197	1,601	2,382	3,678	4,104	4,346
Physicians' and other medical services	926	1,166	1,689	2,472	2,650	2,761
Outpatient services	269	430	551	1,000	1,162	1,257
Home health services ^b	2	6	142	206	293	328
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 1990–2008
Type of coverage and service	1990	1995	2000	2005	2007	2008
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	30,948	33,142	34,261	35,777	36,966	37,896
Hospital Insurance	30,464	32,742	33,841	35,407	36,613	37,552
Supplementary Medical Insurance	29,685	31,742	32,602	33,780	34,656	35,364
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	27,833	30,399	29,172	28,961
Hospital Insurance	--	--	27,422	30,033	28,824	28,624
Supplementary Medical Insurance	--	--	26,174	28,402	26,864	26,430
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	24,809	27,379	25,486	28,071	26,874	26,500
Hospital Insurance	6,367	7,147	6,361	7,016	6,664	6,559
Inpatient hospital	5,906	6,148	5,975	6,455	6,009	5,858
Skilled nursing services	615	1,186	1,390	1,719	1,692	1,703
Home health services ^b	1,818	3,185	1,325	1,574	1,518	1,514
Hospice services	--	--	514	825	941	995
Supplementary Medical Insurance	24,687	27,234	25,256	27,816	26,569	26,161
Physicians' and other medical services	24,193	26,621	24,846	27,468	26,177	25,779
Outpatient services	14,055	17,597	18,159	20,436	19,523	19,197
Home health services ^b	38	42	1,081	1,214	1,365	1,409
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	802	826	916	923	921	915
Hospital Insurance	209	218	232	234	231	229
Inpatient hospital	194	188	218	215	208	205
Skilled nursing services	21	36	51	57	59	59
Home health services ^b	60	97	48	52	53	53
Hospice services	--	--	19	27	33	35
Supplementary Medical Insurance	832	858	965	979	989	990
Physicians' and other medical services	815	839	949	967	974	975
Outpatient services	474	554	694	720	727	726
Home health services ^b	1	1	41	43	51	53
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	88,778	138,948	148,488	227,594	237,806	247,118
Hospital Insurance	54,244	89,631	87,549	125,993	130,478	135,473
Inpatient hospital	48,952	68,213	72,041	95,557	94,442	96,462
Skilled nursing services	1,886	7,504	10,066	17,666	20,628	22,519
Home health services ^b	3,406	13,914	2,679	5,333	5,621	5,927
Hospice services	--	--	2,763	7,436	9,786	10,565
Supplementary Medical Insurance	34,533	49,317	60,939	101,601	107,329	111,646
Physicians' and other medical services	27,379	37,069	44,506	70,111	71,349	72,967
Outpatient services	7,077	12,045	12,588	25,385	27,779	29,659
Home health services ^b	78	203	3,845	6,106	8,201	9,020
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,578	5,075	5,826	8,108	8,849	9,326
Hospital Insurance	8,520	12,542	13,763	17,958	19,580	20,656
Inpatient hospital	8,289	11,096	12,057	14,804	15,716	16,468
Skilled nursing services	3,068	6,325	7,242	10,277	12,190	13,223
Home health services ^b	1,874	4,368	2,022	3,388	3,702	3,914
Hospice services	--	--	5,375	9,015	10,398	10,623
Supplementary Medical Insurance	1,399	1,811	2,413	3,653	4,040	4,268
Physicians' and other medical services	1,132	1,392	1,791	2,552	2,726	2,831
Outpatient services	503	684	693	1,242	1,423	1,545
Home health services ^b	2,033	4,862	3,557	5,030	6,009	6,401
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	2,869	4,193	5,335	7,487	8,152	8,533
Hospital Insurance	1,781	2,738	3,193	4,195	4,527	4,733
Inpatient hospital	1,607	2,083	2,627	3,182	3,277	3,370
Skilled nursing services	62	229	367	588	716	787
Home health services ^b	112	425	98	178	195	207
Hospice services	--	--	101	248	340	369
Supplementary Medical Insurance	1,163	1,554	2,328	3,577	3,995	4,224
Physicians' and other medical services	922	1,168	1,700	2,469	2,656	2,761
Outpatient services	238	379	481	894	1,034	1,122
Home health services ^b	3	6	147	215	305	341
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.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 1990–2008
Type of coverage and service	1990	1995	2000	2005	2007	2008
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	3,255	4,393	5,371	6,723	7,297	7,516
Hospital Insurance	3,255	4,393	5,370	6,722	7,297	7,515
Supplementary Medical Insurance	2,943	3,942	4,768	5,951	6,453	6,655
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	4,907	6,286	6,318	6,359
Hospital Insurance	--	--	4,907	6,285	6,317	6,358
Supplementary Medical Insurance	--	--	4,304	5,514	5,474	5,498
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	2,390	3,333	4,096	5,436	5,531	5,560
Hospital Insurance	680	933	964	1,291	1,288	1,284
Inpatient hospital	644	844	942	1,255	1,245	1,239
Skilled nursing services	23	54	78	128	136	138
Home health services ^b	122	272	119	178	187	191
Hospice services	--	--	27	46	54	54
Supplementary Medical Insurance	2,365	3,299	4,057	5,384	5,471	5,502
Physicians' and other medical services	2,249	3,184	3,917	5,241	5,305	5,335
Outpatient services	1,496	2,281	2,870	3,987	4,064	4,126
Home health services ^b	c	c	110	156	188	205
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	734	759	835	865	875	874
Hospital Insurance	209	212	196	205	204	202
Inpatient hospital	198	192	192	200	197	195
Skilled nursing services	7	12	16	20	22	22
Home health services ^b	38	62	24	28	30	30
Hospice services	--	--	6	7	9	8
Supplementary Medical Insurance	804	837	943	976	999	1,001
Physicians' and other medical services	764	808	910	950	969	970
Outpatient services	508	579	667	723	742	750
Home health services ^b	c	c	26	28	34	37
	Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance	11,239	21,024	25,773	46,550	50,697	54,018
Hospital Insurance	6,694	12,752	14,114	23,399	25,307	26,897
Inpatient hospital	6,346	11,079	13,156	21,091	22,479	23,788
Skilled nursing services	85	374	555	1,297	1,633	1,841
Home health services ^b	264	1,300	239	583	653	703
Hospice services	--	--	164	428	541	566
Supplementary Medical Insurance	4,545	8,272	11,660	23,151	25,390	27,121
Physicians' and other medical services	2,831	4,888	6,968	13,727	14,345	15,187
Outpatient services	1,714	3,384	4,198	8,547	9,782	10,481
Home health services ^b	c	c	493	877	1,264	1,452
	Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	4,703	6,308	6,292	8,563	9,166	9,717
Hospital Insurance	9,847	13,666	14,641	18,124	19,651	20,950
Inpatient hospital	9,849	13,126	13,966	16,808	18,058	19,201
Skilled nursing services	3,702	6,959	7,115	10,127	11,999	13,328
Home health services ^b	2,156	4,777	2,008	3,280	3,495	3,686
Hospice services	--	--	6,074	9,223	10,036	10,561
Supplementary Medical Insurance	1,922	2,507	2,874	4,229	4,641	4,929
Physicians' and other medical services	1,259	1,535	1,779	2,619	2,704	2,847
Outpatient services	1,146	1,483	1,463	2,144	2,407	2,540
Home health services ^b	c	c	4,482	5,631	6,720	7,084
	Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance	3,453	4,786	5,252	7,405	8,024	8,495
Hospital Insurance	2,057	2,903	2,876	3,723	4,006	4,230
Inpatient hospital	1,950	2,522	2,681	3,356	3,558	3,741
Skilled nursing services	26	85	113	206	259	290
Home health services ^b	81	296	49	93	103	111
Hospice services	--	--	33	68	86	89
Supplementary Medical Insurance	1,544	2,098	2,709	4,199	4,638	4,933
Physicians' and other medical services	962	1,240	1,619	2,489	2,621	2,762
Outpatient services	582	858	975	1,550	1,787	1,906
Home health services ^b	c	c	115	159	231	264
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. 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, 1990–2009, selected years (in thousands)
Census division and state or area	1990			2000			2008			2009
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	37,896	28,961	8,935	38,765	28,925	9,840
United States ^a	30,341	29,657	684	33,540	27,137	6,403	37,053	28,405	8,648	37,899	28,365	9,534
New England	1,733	1,719	15	1,836	1,449	387	1,925	1,586	339	1,961	1,577	384
Connecticut	436	434	2	457	356	101	474	401	73	482	394	88
Maine	165	165	b	180	178	2	200	187	13	205	179	26
Massachusetts	795	786	9	828	601	227	845	663	182	860	667	193
New Hampshire	126	126	b	147	145	2	174	164	10	178	164	14
Rhode Island	145	141	3	148	94	54	146	88	58	147	88	59
Vermont	67	67	b	76	76	b	86	83	3	89	84	4
Middle Atlantic	5,082	4,945	137	5,263	4,078	1,186	5,421	3,879	1,542	5,489	3,819	1,670
New Jersey	1,006	977	29	1,067	905	162	1,112	991	122	1,129	986	144
New York	2,279	2,199	80	2,334	1,871	463	2,429	1,724	705	2,462	1,696	766
Pennsylvania	1,798	1,769	29	1,863	1,302	561	1,880	1,164	716	1,898	1,137	761
East North Central	5,223	5,153	70	5,541	4,948	593	5,907	4,709	1,198	6,001	4,645	1,356
Illinois	1,401	1,377	24	1,435	1,263	172	1,514	1,369	145	1,539	1,380	160
Indiana	685	673	12	735	703	32	800	691	109	814	681	133
Michigan	1,101	1,100	1	1,201	1,128	73	1,298	978	320	1,321	945	376
Ohio	1,387	1,364	22	1,478	1,206	272	1,550	1,122	427	1,568	1,108	460
Wisconsin	649	639	10	693	649	43	746	549	197	759	531	227
West North Central	2,423	2,350	74	2,518	2,252	266	2,669	2,130	539	2,712	2,114	598
Iowa	422	412	10	426	410	16	438	384	55	442	382	61
Kansas	337	333	5	347	319	28	356	322	35	362	320	42
Minnesota	544	500	44	582	496	86	645	401	244	659	387	272
Missouri	706	692	14	736	612	124	786	627	159	800	623	177
Nebraska	221	220	1	227	217	10	234	207	27	238	209	29
North Dakota	91	91	1	93	92	1	93	86	7	94	86	8
South Dakota	102	102	b	106	106	1	115	103	12	117	108	9
South Atlantic	5,534	5,473	61	6,430	5,510	920	7,394	6,002	1,392	7,598	6,035	1,563
Delaware	80	80	b	98	93	5	118	113	5	121	115	6
District of Columbia	71	68	2	65	59	6	63	56	7	64	57	7
Florida	2,174	2,158	15	2,507	1,815	692	2,778	2,012	766	2,844	2,004	840
Georgia	636	635	b	752	702	50	922	799	123	956	805	151
Maryland	496	492	4	571	504	67	640	593	47	657	605	52
North Carolina	786	785	2	941	897	44	1,122	932	191	1,157	941	216
South Carolina	383	383	b	464	463	2	574	499	75	595	506	88
Virginia	645	636	9	762	730	32	895	788	107	922	795	127
West Virginia	264	236	28	270	247	23	281	210	71	283	208	75
East South Central	1,886	1,868	18	2,061	1,930	131	2,313	1,915	398	2,362	1,902	461
Alabama	508	503	4	558	507	51	616	499	116	628	488	139
Kentucky	459	448	11	491	460	31	546	466	79	556	465	90
Mississippi	313	313	b	330	325	5	359	329	31	366	330	36
Tennessee	607	604	3	682	638	44	792	621	171	813	618	195
West South Central	2,879	2,875	4	3,276	2,754	522	3,722	3,085	638	3,827	3,105	722
Arkansas	343	342	1	359	342	17	391	345	46	399	345	54
Louisiana	460	460	b	497	404	93	518	402	116	529	396	133
Oklahoma	412	411	1	438	388	50	471	405	67	481	407	74
Texas	1,665	1,662	2	1,982	1,620	362	2,341	1,933	408	2,418	1,957	462
Mountain	1,489	1,452	38	1,914	1,400	514	2,362	1,642	720	2,447	1,660	786
Arizona	456	436	19	596	371	225	735	471	264	762	483	279
Colorado	324	312	11	403	253	151	495	327	169	515	333	182
Idaho	121	121	1	145	129	16	180	133	47	186	131	55
Montana	106	105	b	119	118	b	137	115	21	140	115	26
Nevada	128	127	1	212	139	73	281	191	90	293	198	95
New Mexico	160	158	2	200	159	41	241	181	60	249	182	67
Utah	147	145	2	183	176	7	227	161	65	235	156	78
Wyoming	47	47	b	57	56	2	65	62	4	67	63	4
Pacific	4,081	3,813	267	4,692	2,808	1,884	5,335	3,452	1,883	5,497	3,503	1,994
Alaska	22	22	b	35	35	b	49	48	b	51	50	1
California	2,989	2,750	239	3,430	1,947	1,483	3,855	2,434	1,420	3,964	2,479	1,485
Hawaii	118	114	4	151	98	53	173	104	69	178	103	75
Oregon	390	371	19	433	260	173	498	287	211	513	288	225
Washington	562	556	6	643	468	175	760	579	181	790	583	208
Unknown	10	10	b	9	8	1	4	4	b	4	3	b
Outlying areas
Puerto Rico	337	337	b	401	400	1	478	195	283	492	188	303
U.S. Virgin Islands	6	6	b	9	9	b	13	13	b	14	13	b
Other	b	b	b	9	9	b	13	13	b	14	13	b
Foreign countries	255	254	b	288	285	3	339	336	3	348	345	3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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, 1990–2009, selected years (in thousands)
Census division and state or area	1990			2000			2008			2009
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	7,516	6,359	1,157	7,755	6,435	1,321
United States ^a	3,154	3,132	22	5,219	4,759	459	7,336	6,271	1,065	7,573	6,350	1,223
New England	156	156	b	284	265	19	390	368	22	401	376	25
Connecticut	33	33	b	57	53	4	75	69	6	76	69	7
Maine	18	18	b	36	36	b	53	52	1	54	52	2
Massachusetts	72	72	b	131	120	11	174	166	7	179	171	8
New Hampshire	11	11	b	23	23	b	38	37	1	39	38	2
Rhode Island	14	14	b	24	20	4	32	26	6	33	27	6
Vermont	7	7	b	13	13	b	19	18	b	19	19	b
Middle Atlantic	474	470	4	729	655	73	974	783	190	1,004	792	212
New Jersey	86	85	1	133	124	9	170	158	12	175	159	16
New York	230	228	2	366	334	31	462	385	77	475	386	90
Pennsylvania	158	157	1	230	197	33	341	241	101	354	248	106
East North Central	562	560	2	823	773	50	1,126	1,013	113	1,167	1,034	134
Illinois	132	132	1	195	180	15	260	241	19	267	246	21
Indiana	77	76	1	117	114	3	165	150	14	171	153	19
Michigan	132	132	b	200	193	7	282	256	26	293	261	32
Ohio	156	155	1	221	199	23	291	254	37	302	259	43
Wisconsin	64	64	b	90	88	2	128	112	16	133	115	19
West North Central	212	210	2	339	324	14	480	436	45	495	443	52
Iowa	34	34	b	50	49	1	68	63	5	69	64	6
Kansas	26	26	b	43	42	2	62	58	4	64	59	5
Minnesota	44	44	b	72	70	1	104	92	12	108	94	14
Missouri	75	75	1	124	115	10	180	162	18	185	164	22
Nebraska	16	16	b	26	26	1	37	34	3	38	34	4
North Dakota	7	7	b	10	10	b	13	12	1	14	13	1
South Dakota	8	8	b	13	13	b	17	16	1	17	16	1
South Atlantic	608	604	4	1,082	998	84	1,511	1,281	230	1,555	1,291	263
Delaware	8	8	b	15	14	b	23	22	1	24	23	1
District of Columbia	7	7	b	10	9	b	12	11	1	12	12	1
Florida	165	165	1	316	253	63	434	332	102	445	333	112
Georgia	96	96	b	167	161	6	230	205	26	238	207	31
Maryland	46	46	b	75	70	5	104	98	6	108	101	7
North Carolina	106	106	b	195	191	4	282	247	36	291	250	41
South Carolina	59	59	b	105	105	b	149	128	21	154	129	25
Virginia	77	76	1	133	130	3	184	159	25	188	158	30
West Virginia	44	41	3	67	64	3	92	80	12	94	79	14
East South Central	287	286	1	498	482	16	708	607	101	728	607	121
Alabama	74	74	b	128	119	9	194	157	37	200	156	44
Kentucky	75	74	1	132	128	4	183	162	20	188	163	24
Mississippi	53	53	b	89	88	b	120	110	10	122	111	11
Tennessee	85	85	b	149	146	3	212	178	34	218	176	42
West South Central	317	317	b	541	492	50	823	711	112	857	722	134
Arkansas	48	48	b	80	78	2	117	101	16	122	103	19
Louisiana	71	71	b	104	92	12	138	120	18	142	121	21
Oklahoma	39	39	b	70	65	4	107	96	11	111	98	13
Texas	159	159	b	288	256	31	461	393	67	482	401	81
Mountain	148	147	1	286	240	46	426	327	99	440	332	108
Arizona	43	42	b	85	62	24	134	86	49	138	86	51
Colorado	34	34	1	65	53	11	84	67	17	87	68	19
Idaho	11	11	b	21	20	1	34	28	6	35	29	7
Montana	12	12	b	18	18	b	24	21	3	25	21	3
Nevada	13	13	b	31	24	7	49	39	10	50	40	10
New Mexico	19	19	b	34	31	3	53	46	7	55	47	9
Utah	13	13	b	24	23	b	38	31	7	39	31	9
Wyoming	4	4	b	8	8	b	11	10	b	11	10	1
Pacific	389	381	7	636	529	107	898	744	154	926	753	172
Alaska	3	3	b	7	7	b	11	11	b	11	11	b
California	290	283	7	464	378	86	637	528	109	655	534	121
Hawaii	9	9	b	15	14	1	21	18	3	22	18	4
Oregon	34	33	1	58	46	11	86	62	24	89	63	26
Washington	53	53	b	93	84	9	143	126	17	148	127	21
Unknown	2	2	b	1	1	b	b	b	b	b	b	b
Outlying areas
Puerto Rico	92	92	b	136	136	b	159	67	92	162	64	97
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. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
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, 1990–2009, selected years (in thousands)
Census division and state or area	1990			2000			2008			2009
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	45,412	35,320	10,092	46,521	35,360	11,161
United States ^a	33,494	32,789	706	38,759	31,896	6,863	44,389	34,676	9,713	45,471	34,714	10,757
New England	1,889	1,874	15	2,120	1,714	405	2,315	1,954	361	2,362	1,953	409
Connecticut	469	467	2	514	409	105	549	470	79	558	463	95
Maine	183	183	b	217	214	2	253	239	14	259	231	28
Massachusetts	867	858	9	958	721	237	1,019	830	189	1,039	838	201
New Hampshire	137	137	b	170	167	3	212	201	11	217	202	16
Rhode Island	159	155	3	172	114	58	178	114	64	180	115	65
Vermont	75	74	b	89	89	b	105	102	3	108	103	5
Middle Atlantic	5,556	5,415	141	5,992	4,733	1,259	6,395	4,663	1,732	6,493	4,610	1,882
New Jersey	1,092	1,062	30	1,200	1,029	170	1,283	1,149	134	1,304	1,144	160
New York	2,508	2,427	82	2,699	2,206	494	2,891	2,109	782	2,937	2,082	855
Pennsylvania	1,956	1,926	30	2,093	1,498	595	2,221	1,405	816	2,252	1,385	867
East North Central	5,784	5,713	72	6,364	5,722	643	7,033	5,722	1,311	7,168	5,679	1,489
Illinois	1,534	1,509	24	1,630	1,443	187	1,775	1,610	164	1,806	1,626	181
Indiana	762	749	13	852	816	35	964	841	123	985	834	151
Michigan	1,233	1,231	1	1,401	1,320	80	1,580	1,234	346	1,615	1,206	408
Ohio	1,543	1,520	23	1,699	1,405	295	1,841	1,376	465	1,870	1,367	503
Wisconsin	714	703	10	783	737	46	874	661	213	892	646	246
West North Central	2,635	2,560	75	2,857	2,576	281	3,149	2,566	584	3,207	2,557	650
Iowa	457	446	11	476	459	17	506	446	60	512	445	67
Kansas	363	359	5	390	360	30	418	379	39	425	379	47
Minnesota	588	544	44	654	566	88	749	493	256	767	481	286
Missouri	781	767	14	861	727	133	966	789	177	985	786	199
Nebraska	237	237	1	253	243	11	271	241	31	276	243	33
North Dakota	98	98	1	103	102	1	107	98	8	108	99	9
South Dakota	110	110	b	119	119	1	132	119	13	134	124	10
South Atlantic	6,142	6,077	65	7,512	6,508	1,004	8,905	7,283	1,622	9,153	7,326	1,826
Delaware	88	88	b	112	107	5	141	135	6	145	138	7
District of Columbia	78	75	3	75	68	7	75	68	8	77	69	8
Florida	2,339	2,323	16	2,823	2,068	754	3,212	2,344	868	3,289	2,337	952
Georgia	732	731	b	918	863	56	1,153	1,004	149	1,194	1,012	182
Maryland	541	538	4	646	574	72	745	691	54	764	705	59
North Carolina	892	890	2	1,136	1,088	48	1,405	1,178	226	1,448	1,191	257
South Carolina	442	441	b	570	568	2	724	627	97	749	635	114
Virginia	722	712	10	895	860	35	1,079	947	132	1,110	953	157
West Virginia	308	277	30	337	312	26	373	290	83	377	287	90
East South Central	2,173	2,153	20	2,559	2,411	147	3,021	2,523	498	3,090	2,509	582
Alabama	582	577	5	686	626	60	809	656	153	828	645	183
Kentucky	534	521	12	623	588	35	728	629	100	743	629	115
Mississippi	366	366	b	419	413	6	479	438	41	488	441	47
Tennessee	692	689	3	831	784	47	1,004	799	205	1,031	794	237
West South Central	3,196	3,192	5	3,817	3,246	571	4,545	3,795	750	4,683	3,827	856
Arkansas	391	390	1	439	420	19	509	446	62	520	448	73
Louisiana	531	531	b	601	496	105	656	522	134	671	518	154
Oklahoma	451	450	1	508	453	54	578	501	78	592	505	87
Texas	1,824	1,821	2	2,269	1,876	393	2,802	2,326	476	2,900	2,357	543
Mountain	1,637	1,599	39	2,200	1,640	560	2,788	1,970	819	2,887	1,992	895
Arizona	498	478	20	681	433	248	870	557	313	899	569	331
Colorado	358	346	12	468	306	162	579	393	186	602	401	201
Idaho	132	131	1	166	149	17	214	161	53	222	160	62
Montana	117	117	b	137	136	1	160	136	24	165	136	29
Nevada	141	140	1	243	163	80	330	230	100	343	238	105
New Mexico	179	177	2	234	190	44	294	227	67	304	229	75
Utah	160	157	2	206	199	7	264	192	72	274	187	87
Wyoming	52	51	b	65	64	2	76	72	4	78	73	5
Pacific	4,469	4,195	275	5,328	3,337	1,991	6,233	4,197	2,036	6,423	4,256	2,167
Alaska	25	25	b	42	42	b	60	59	1	63	62	1
California	3,279	3,033	245	3,894	2,325	1,569	4,492	2,962	1,530	4,620	3,013	1,606
Hawaii	127	123	4	165	111	54	194	122	72	200	121	80
Oregon	424	404	19	491	307	184	584	349	235	602	351	251
Washington	615	609	6	736	553	183	903	704	199	938	710	228
Unknown	12	12	b	10	9	1	4	4	b	4	4	b
Outlying areas
Puerto Rico	429	429	b	537	536	1	637	262	375	653	253	401
U.S. Virgin Islands	7	7	b	10	10	b	15	14	b	15	15	b
Other	b	b	b	11	11	b	16	16	b	17	16	b
Foreign countries	269	268	b	303	300	3	355	352	3	364	361	3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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, 1990–2009, selected years (in thousands)
Age, sex, and race	1990			2000			2009
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	38,765	28,925	9,840
Age
65–69	9,690	9,514	176	9,166	7,360	1,806	11,669	8,803	2,866
70–74	7,951	7,752	200	8,609	6,878	1,731	8,937	6,533	2,405
75–79	6,058	5,904	155	7,284	5,902	1,381	7,121	5,167	1,954
80–84	3,957	3,864	93	4,868	4,010	859	5,593	4,169	1,424
85 or older	3,282	3,221	61	4,320	3,690	630	5,445	4,254	1,191
Sex
Men	12,412	12,132	280	14,109	11,421	2,688	16,715	12,545	4,170
Women	18,528	18,123	404	20,138	16,419	3,719	22,050	16,380	5,670
Race
White	26,847	26,251	596	29,752	24,251	5,502	32,963	24,805	8,158
Black	--	--	--	2,720	2,204	516	3,230	2,267	962
All other races ^a	3,113	3,050	63	1,682	1,305	377	2,508	1,797	712
American Indian or Alaska Native	--	--	--	42	39	3	138	120	18
Asian or Pacific Islander	--	--	--	494	386	108	806	610	196
Hispanic	--	--	--	710	555	155	855	572	284
Other	--	--	--	436	324	112	709	495	214
Unknown	979	953	26	92	81	12	64	56	8
	Hospital Insurance
Total	30,455	29,778	678	33,827	27,429	6,398	38,440	28,607	9,833
Age
65–69	9,560	9,386	174	9,074	7,269	1,804	11,591	8,728	2,864
70–74	7,829	7,631	198	8,505	6,776	1,729	8,865	6,462	2,403
75–79	5,947	5,793	153	7,188	5,809	1,379	7,058	5,105	1,953
80–84	3,872	3,780	92	4,805	3,947	857	5,539	4,116	1,423
85 or older	3,248	3,188	60	4,256	3,627	629	5,386	4,196	1,190
Sex
Men	12,276	11,998	278	13,976	11,291	2,685	16,609	12,442	4,167
Women	18,179	17,779	400	19,851	16,138	3,713	21,831	16,165	5,666
Race
White	26,583	25,991	592	29,565	24,068	5,497	32,833	24,680	8,153
Black	--	--	--	2,668	2,153	515	3,190	2,229	961
All other races ^a	2,930	2,870	60	1,508	1,133	374	2,357	1,646	711
American Indian or Alaska Native	--	--	--	40	37	3	135	117	18
Asian or Pacific Islander	--	--	--	406	300	106	726	530	196
Hispanic	--	--	--	656	502	154	808	524	283
Other	--	--	--	405	294	111	689	476	213
Unknown	942	916	26	87	75	12	59	52	8
	Supplementary Medical Insurance
Total	29,678	28,993	684	32,585	26,178	6,407	36,061	26,221	9,840
Age
65–69	9,003	8,827	176	8,330	6,525	1,806	10,062	7,196	2,866
70–74	7,740	7,540	200	8,256	6,525	1,731	8,457	6,053	2,404
75–79	5,942	5,787	155	7,087	5,705	1,381	6,878	4,924	1,954
80–84	3,879	3,786	93	4,780	3,922	859	5,455	4,030	1,424
85 or older	3,114	3,054	61	4,131	3,501	630	5,208	4,017	1,191
Sex
Men	11,754	11,474	280	13,203	10,515	2,688	15,220	11,050	4,169
Women	17,923	17,519	404	19,382	15,663	3,719	20,841	15,171	5,670
Race
White	25,842	25,247	596	28,428	22,927	5,502	30,817	22,659	8,158
Black	--	--	--	2,543	2,027	516	2,973	2,011	962
All other races ^a	2,909	2,846	63	1,542	1,164	377	2,230	1,518	712
American Indian or Alaska Native	--	--	--	39	36	3	124	106	18
Asian or Pacific Islander	--	--	--	470	362	108	731	534	196
Hispanic	--	--	--	665	510	155	776	493	284
Other	--	--	--	368	257	112	599	385	214
Unknown	927	900	26	71	60	12	40	33	8
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components. -- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, black enrollees are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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, 1990–2009, selected years (in thousands)
Age, sex, and race	1990			2000			2009
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	7,755	6,435	1,321
Age
Under 35	483	482	1	522	505	18	679	620	59
35–44	655	652	3	1,130	1,068	62	1,158	1,015	143
45–54	741	737	4	1,627	1,501	126	2,417	2,035	382
55–64	1,381	1,367	13	2,094	1,840	254	3,501	2,764	737
Sex
Men	2,045	2,032	14	3,017	2,772	245	4,063	3,422	641
Women	1,215	1,207	8	2,356	2,141	215	3,692	3,012	680
Race
White	2,485	2,467	18	3,994	3,641	353	5,626	4,675	951
Black	--	--	--	1,008	933	74	1,498	1,250	247
All other races ^a	713	710	3	356	327	32	614	494	120
American Indian or Alaska Native	--	--	--	23	22	1	64	59	5
Asian or Pacific Islander	--	--	--	41	38	4	93	79	14
Hispanic	--	--	--	201	182	19	313	241	72
Other	--	--	--	90	83	7	145	115	29
Unknown	62	62	1	15	14	1	17	15	2
	Hospital Insurance
Total	3,260	3,238	22	5,372	4,913	460	7,755	6,434	1,321
Age
Under 35	483	482	1	522	504	18	679	620	59
35–44	655	652	3	1,129	1,068	62	1,157	1,015	143
45–54	741	737	4	1,627	1,501	126	2,417	2,035	382
55–64	1,381	1,367	13	2,093	1,840	254	3,501	2,764	737
Sex
Men	2,045	2,032	14	3,017	2,772	245	4,063	3,422	641
Women	1,215	1,206	8	2,356	2,141	215	3,692	3,012	680
Race
White	2,485	2,467	18	3,994	3,641	353	5,626	4,675	951
Black	--	--	--	1,008	933	74	1,498	1,250	247
All other races ^a	713	710	3	356	325	31	614	494	120
American Indian or Alaska Native	--	--	--	23	22	1	64	59	5
Asian or Pacific Islander	--	--	--	41	38	4	93	79	14
Hispanic	--	--	--	201	182	19	313	241	72
Other	--	--	--	90	83	7	145	115	29
Unknown	62	61	1	15	14	1	17	15	2
	Supplementary Medical Insurance
Total	2,948	2,926	22	4,775	4,315	460	6,900	5,579	1,321
Age
Under 35	442	440	1	467	449	18	615	556	59
35–44	587	584	3	998	937	62	1,025	882	143
45–54	666	662	4	1,422	1,296	126	2,144	1,762	382
55–64	1,253	1,240	13	1,887	1,633	254	3,116	2,379	737
Sex
Men	1,836	1,822	14	2,667	2,423	245	3,571	2,930	641
Women	1,112	1,104	8	2,107	1,892	215	3,329	2,649	680
Race
White	2,241	2,222	18	3,539	3,186	353	4,986	4,035	951
Black	--	--	--	918	843	74	1,360	1,113	247
All other races ^a	651	648	3	305	274	31	540	419	120
American Indian or Alaska Native	--	--	--	21	20	1	57	52	5
Asian or Pacific Islander	--	--	--	36	33	4	81	67	14
Hispanic	--	--	--	176	157	19	278	206	72
Other	--	--	--	71	64	7	123	94	29
Unknown	57	56	1	13	12	1	14	12	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, black enrollees are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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 1990–2008
Census division and state or area	1990			2000			2008
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	121,005	16,872,735	139
United States	69,645	3,687,770	53	87,641	6,995,748	80	119,338	16,611,443	139
New England	4,716	243,462	52	6,953	511,226	74	6,113	905,099	148
Connecticut	1,062	56,806	53	1,696	120,602	71	1,646	218,797	133
Maine	380	19,900	52	664	47,095	71	447	70,191	157
Massachusetts	2,403	121,472	51	3,328	253,132	76	2,969	461,500	155
New Hampshire	292	15,274	52	504	36,257	72	474	71,625	151
Rhode Island	315	17,537	56	393	32,720	83	288	45,295	157
Vermont	264	12,473	47	368	21,418	58	290	37,691	130
Middle Atlantic	8,570	504,379	59	12,446	1,066,579	86	11,473	1,677,099	146
New Jersey	1,435	71,239	50	2,274	203,145	89	2,153	372,272	173
New York	2,867	193,812	68	5,983	510,094	85	6,019	787,012	131
Pennsylvania	4,269	239,329	56	4,190	353,341	84	3,301	517,815	157
East North Central	8,864	488,161	55	11,615	996,673	86	14,902	2,516,269	169
Illinois	2,695	152,406	57	3,112	278,001	89	4,914	912,423	186
Indiana	1,112	56,613	51	1,464	112,768	77	1,773	257,446	145
Michigan	2,157	128,251	59	3,436	311,343	91	4,066	738,860	182
Ohio	2,082	108,602	52	2,713	223,430	82	3,365	487,201	145
Wisconsin	817	42,289	52	891	71,131	80	784	120,338	153
West North Central	3,591	182,775	51	3,884	297,355	77	3,878	579,567	149
Iowa	490	20,609	42	602	39,847	66	562	70,354	125
Kansas	463	22,023	49	515	38,056	74	624	89,810	144
Minnesota	380	20,168	53	525	40,350	77	645	104,490	162
Missouri	1,809	96,011	53	1,651	134,144	81	1,572	243,656	155
Nebraska	283	15,169	54	318	25,063	79	307	48,148	157
North Dakota	104	4,979	48	140	9,814	70	87	10,814	124
South Dakota	71	3,816	54	134	10,083	75	80	12,296	154
South Atlantic	15,504	792,155	51	17,603	1,434,967	82	32,075	3,863,430	120
Delaware	195	9,033	46	222	18,759	85	242	38,687	160
District of Columbia	129	8,552	66	154	13,859	90	143	25,782	180
Florida	7,513	371,331	49	7,032	576,519	82	22,375	2,249,254	101
Georgia	2,647	120,132	45	2,568	197,327	77	2,420	381,209	158
Maryland	863	52,659	61	1,046	95,980	92	1,003	190,049	189
North Carolina	1,659	93,205	56	2,533	209,226	83	2,231	384,524	172
South Carolina	694	41,712	60	1,412	118,278	84	1,170	206,769	177
Virginia	1,277	70,498	55	2,030	157,804	78	2,055	318,649	155
West Virginia	528	25,033	47	606	47,215	78	435	68,507	157
East South Central	11,432	501,015	44	10,424	708,458	68	9,025	1,323,701	147
Alabama	2,792	111,655	40	2,466	163,019	66	2,169	313,186	144
Kentucky	1,202	56,717	47	1,916	135,941	71	1,659	247,880	149
Mississippi	2,777	108,559	39	2,514	159,346	63	1,969	289,930	147
Tennessee	4,661	224,084	48	3,529	250,152	71	3,228	472,705	146
West South Central	9,063	445,067	49	15,305	1,062,985	69	28,854	3,633,415	126
Arkansas	1,072	47,907	45	1,103	70,205	64	1,219	142,521	117
Louisiana	2,286	106,074	46	4,081	261,901	64	3,909	510,288	131
Oklahoma	1,153	57,990	50	2,354	149,916	64	3,513	402,956	115
Texas	4,553	233,095	51	7,767	580,964	75	20,213	2,577,650	128
Mountain	2,485	139,038	56	3,188	257,608	81	4,063	597,406	147
Arizona	568	33,529	59	497	43,124	87	610	107,677	177
Colorado	595	35,779	60	725	59,239	82	745	115,333	155
Idaho	153	8,904	58	258	22,771	88	324	46,172	143
Montana	195	9,825	50	208	16,200	78	138	21,816	158
Nevada	218	13,279	61	309	27,152	88	660	111,153	168
New Mexico	256	13,328	52	390	30,327	78	528	75,967	144
Utah	447	21,573	48	680	50,606	74	971	107,024	110
Wyoming	53	2,820	53	120	8,190	68	86	12,264	143
Pacific	5,419	391,717	72	6,222	659,896	106	8,955	1,515,458	169
Alaska	14	1,404	100	39	5,145	132	50	9,822	196
California	4,237	310,835	73	5,031	529,250	105	7,735	1,264,901	164
Hawaii	57	4,241	74	84	8,980	107	52	11,643	224
Oregon	417	29,872	72	399	45,225	113	373	75,502	202
Washington	693	45,365	65	669	71,296	107	744	153,589	206
Outlying areas ^a	622	25,882	42	2,926	220,210	75	1,666	261,292	157
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 1990–2008
Census division and state or area	1990				2000				2008
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	11,820,795	5.6	110,231,605	9,390
United States	10,421,685	8.8	53,502,918	5,312	11,574,200	6.0	80,769,047	7,019	11,768,400	5.6	109,951,780	9,408
New England	561,265	10.0	3,097,017	5,702	563,305	5.8	4,365,878	7,797	628,540	5.6	6,245,111	10,005
Connecticut	117,230	10.4	719,274	6,366	125,295	6.2	1,097,034	8,807	157,745	5.8	1,733,915	11,099
Maine	54,695	9.3	239,915	4,477	69,740	5.6	434,302	6,239	63,270	5.4	563,028	8,929
Massachusetts	281,780	10.0	1,598,356	5,878	257,720	5.7	2,035,018	7,952	298,045	5.4	2,835,637	9,576
New Hampshire	39,640	9.2	190,737	4,917	46,970	5.6	334,202	7,167	51,125	5.7	503,884	9,896
Rhode Island	47,060	10.0	251,050	5,514	37,325	6.2	276,771	7,449	37,465	5.9	358,944	9,670
Vermont	20,860	9.7	97,686	4,793	26,255	5.7	188,547	7,237	20,890	5.4	249,700	12,014
Middle Atlantic	1,779,975	11.4	10,484,595	6,030	1,747,960	7.3	14,864,554	8,569	1,726,980	6.4	17,961,610	10,495
New Jersey	353,960	11.7	1,933,841	5,606	380,730	7.5	3,384,886	8,983	421,400	6.2	4,330,623	10,360
New York	729,465	13.1	4,888,241	6,884	750,130	8.2	7,155,309	9,625	762,235	7.1	8,983,327	11,903
Pennsylvania	696,550	9.5	3,662,512	5,358	617,100	6.1	4,324,358	7,036	543,345	5.7	4,647,659	8,627
East North Central	1,890,545	8.6	10,017,401	5,413	2,118,675	5.7	14,097,236	6,693	2,113,660	5.4	18,815,769	8,970
Illinois	509,075	8.9	2,670,430	5,410	580,250	5.7	3,840,706	6,672	628,045	5.4	5,545,788	8,934
Indiana	254,105	8.3	1,198,667	4,837	291,380	5.7	1,796,295	6,198	286,185	5.4	2,479,282	8,696
Michigan	376,545	8.9	2,199,988	5,925	468,095	6.1	3,473,727	7,459	473,230	5.6	4,553,755	9,669
Ohio	534,035	8.6	2,920,387	5,567	538,445	5.6	3,466,013	6,471	528,515	5.3	4,438,224	8,465
Wisconsin	216,785	7.7	1,027,929	4,817	240,505	5.4	1,520,493	6,352	197,685	5.1	1,798,718	9,155
West North Central	841,935	7.8	3,804,644	4,683	925,865	5.4	5,759,187	6,250	829,560	5.2	7,132,069	8,635
Iowa	145,360	8.1	635,397	4,440	164,590	5.4	959,210	5,844	126,850	5.2	1,057,449	8,373
Kansas	124,065	7.7	542,828	4,516	134,585	5.5	806,523	6,005	120,655	5.3	986,614	8,212
Minnesota	165,095	6.7	764,017	5,052	193,910	5.0	1,256,854	6,545	169,740	4.9	1,587,133	9,389
Missouri	266,625	8.6	1,270,319	4,872	281,505	5.7	1,810,063	6,460	286,795	5.4	2,402,264	8,421
Nebraska	69,875	7.6	300,070	4,434	76,015	5.2	506,171	6,686	68,700	5.2	606,681	8,860
North Dakota	33,230	7.2	141,966	4,368	33,640	5.1	193,994	5,793	26,190	5.2	231,174	8,844
South Dakota	37,685	7.2	150,047	4,058	41,620	5.2	226,370	5,454	30,630	5.0	260,751	8,527
South Atlantic	1,848,195	8.8	8,906,934	5,000	2,403,790	6.0	15,911,326	6,655	2,509,545	5.6	22,659,731	9,083
Delaware	27,260	9.3	149,857	5,599	36,845	6.4	275,714	7,513	45,390	6.2	484,918	10,716
District of Columbia	24,410	11.6	183,855	7,754	26,940	7.9	269,614	10,121	26,000	6.9	310,431	12,074
Florida	596,765	8.6	3,014,347	5,323	754,145	5.8	5,004,157	6,675	828,790	5.7	7,065,474	8,562
Georgia	269,315	7.9	1,143,257	4,373	320,335	5.8	2,061,225	6,469	324,865	5.6	2,854,324	8,827
Maryland	183,820	9.4	1,092,833	6,056	217,605	5.8	1,773,771	8,190	277,000	5.1	3,159,275	11,480
North Carolina	267,020	9.6	1,215,983	4,703	396,985	6.0	2,467,636	6,251	391,220	5.5	3,513,071	9,051
South Carolina	120,540	9.4	540,954	4,655	214,540	6.2	1,390,229	6,504	204,300	5.9	1,843,524	9,121
Virginia	245,065	8.9	1,102,096	4,627	300,785	6.1	1,896,484	6,338	305,500	5.6	2,553,309	8,403
West Virginia	114,000	8.2	463,751	4,217	135,610	5.8	772,492	5,724	106,480	5.8	875,402	8,273
East South Central	827,120	8.2	3,345,751	4,156	1,013,885	5.8	5,704,817	5,652	980,600	5.5	7,752,876	7,947
Alabama	228,580	8.1	959,825	4,308	274,470	5.5	1,492,353	5,454	268,195	5.4	1,959,094	7,354
Kentucky	201,625	8.3	831,981	4,255	244,210	5.6	1,362,272	5,614	235,830	5.5	2,000,708	8,524
Mississippi	145,900	7.8	501,880	3,522	191,685	6.4	1,013,536	5,310	173,935	5.9	1,374,487	7,933
Tennessee	251,015	8.3	1,052,065	4,307	303,520	5.9	1,836,655	6,078	302,640	5.4	2,418,587	8,031
West South Central	1,103,155	8.1	5,139,839	4,772	1,298,505	5.9	8,215,049	6,357	1,342,605	5.6	11,462,316	8,601
Arkansas	145,225	8.1	556,377	3,918	163,480	5.9	872,811	5,364	154,335	5.5	1,238,634	8,048
Louisiana	206,510	7.9	968,667	4,791	226,020	5.9	1,408,934	6,263	200,490	5.7	1,614,241	8,122
Oklahoma	162,505	8.0	700,390	4,403	187,220	5.8	1,069,986	5,730	190,505	5.3	1,509,975	7,957
Texas	588,915	8.2	2,914,405	5,079	721,785	5.9	4,863,318	6,774	797,275	5.6	7,099,465	8,983
Mountain	445,395	7.0	2,152,663	5,100	488,870	5.0	3,196,062	6,569	529,330	5.0	4,907,896	9,313
Arizona	135,340	7.0	711,071	5,601	131,325	5.0	866,364	6,642	163,470	5.0	1,580,945	9,712
Colorado	93,400	7.3	460,034	5,251	92,655	5.0	625,753	6,788	109,275	4.9	975,819	8,971
Idaho	34,290	6.2	146,967	4,382	47,780	4.6	290,241	6,102	33,925	4.8	315,124	9,314
Montana	39,820	6.6	164,698	4,230	44,270	4.8	258,894	5,850	33,790	4.7	282,156	8,371
Nevada	34,890	8.1	201,288	6,349	46,945	6.0	349,025	7,473	67,080	5.8	660,828	9,909
New Mexico	52,435	6.8	208,909	4,235	53,130	5.2	327,251	6,196	58,225	5.1	520,577	9,009
Utah	37,740	6.3	181,133	4,928	50,715	4.8	336,745	6,661	44,870	4.6	402,402	8,991
Wyoming	17,480	6.7	78,563	4,561	22,050	5.0	141,785	6,442	18,695	4.8	170,043	9,103
Pacific	1,124,100	7.2	6,554,074	6,290	1,013,345	5.8	8,654,933	8,599	1,107,580	5.6	13,014,397	11,850
Alaska	6,590	7.7	43,028	6,912	12,715	5.8	120,546	9,682	13,530	5.7	186,766	13,881
California	826,685	7.3	5,117,872	6,574	731,050	6.0	6,543,541	9,015	818,050	5.8	9,980,284	12,322
Hawaii	25,665	10.1	121,606	6,416	25,510	8.0	213,726	8,431	24,360	6.9	285,762	11,803
Oregon	104,300	6.2	474,125	5,211	92,985	4.6	624,464	6,741	77,295	4.9	760,570	9,876
Washington	160,860	6.7	797,442	5,414	151,085	4.9	1,152,655	7,672	174,345	4.9	1,801,013	10,372
Outlying areas ^c	100,240	7.8	205,369	2,091	145,760	6.8	461,482	3,187	52,395	7.2	279,825	5,452
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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 1990–2008
Census division and state or area	1990			2000			2008
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	2,561,073	24,329,013	9,508
United States	736,466	1,824,011	2,509	1,932,134	10,635,515	5,514	2,559,144	24,316,008	9,510
New England	30,180	69,422	2,321	137,383	849,428	6,194	178,135	1,792,619	10,067
Connecticut	10,912	26,387	2,423	34,452	254,218	7,387	49,154	521,426	10,611
Maine	1,377	5,178	3,763	13,391	66,702	4,983	17,193	153,228	8,914
Massachusetts	11,733	26,107	2,267	64,946	389,016	6,003	80,473	817,151	10,160
New Hampshire	1,443	2,803	1,953	10,243	59,904	5,859	15,397	153,956	10,002
Rhode Island	3,685	7,472	2,037	9,452	54,095	5,757	9,656	85,360	8,844
Vermont	1,030	1,476	1,437	4,899	25,492	5,207	6,262	61,499	9,823
Middle Atlantic	97,503	254,554	2,642	290,974	1,937,835	6,677	392,309	3,757,908	9,584
New Jersey	10,725	27,797	2,599	68,638	412,488	6,014	114,836	1,142,205	9,947
New York	37,454	95,175	2,587	110,292	931,412	8,465	152,367	1,526,429	10,023
Pennsylvania	49,324	131,582	2,692	112,044	593,935	5,322	125,106	1,089,274	8,714
East North Central	142,252	323,800	2,305	374,369	2,014,281	5,382	494,798	4,679,269	9,469
Illinois	40,758	117,390	2,902	104,203	515,307	4,946	149,286	1,357,106	9,100
Indiana	22,093	61,858	2,844	59,020	330,466	5,600	73,004	734,821	10,078
Michigan	27,324	46,583	1,730	57,347	374,014	6,526	83,060	813,898	9,824
Ohio	33,115	61,462	1,894	107,475	555,817	5,173	136,537	1,238,838	9,078
Wisconsin	18,962	36,507	1,935	46,324	238,678	5,153	52,911	534,605	10,120
West North Central	95,732	209,517	2,206	190,486	756,598	3,973	229,029	1,812,944	7,929
Iowa	13,613	33,630	2,483	33,702	110,449	3,277	41,856	281,516	6,733
Kansas	12,712	24,259	1,919	27,334	99,927	3,657	33,809	277,662	8,222
Minnesota	28,729	54,696	1,926	42,888	199,933	4,662	46,286	386,971	8,367
Missouri	26,942	74,044	2,764	50,515	216,975	4,297	65,490	532,416	8,162
Nebraska	6,988	14,623	2,100	18,766	71,141	3,793	23,039	198,681	8,627
North Dakota	4,203	4,823	1,177	7,790	23,998	3,081	8,486	55,745	6,569
South Dakota	2,545	3,441	1,356	9,491	34,175	3,603	10,063	79,953	7,945
South Atlantic	97,746	221,593	2,304	351,271	1,962,427	5,597	491,773	4,677,432	9,516
Delaware	1,136	2,298	2,057	4,938	31,158	6,319	8,871	89,152	10,051
District of Columbia	1,118	3,635	3,283	3,745	23,113	6,175	4,961	48,480	9,814
Florida	46,617	114,361	2,504	139,057	813,328	5,866	183,236	1,881,910	10,273
Georgia	12,065	21,913	1,836	36,847	195,450	5,309	52,880	477,969	9,047
Maryland	8,450	19,625	2,344	38,562	194,644	5,065	57,074	510,819	8,952
North Carolina	12,138	21,391	1,776	50,008	270,927	5,422	70,946	648,285	9,148
South Carolina	4,787	9,645	2,127	24,069	130,669	5,430	31,988	309,480	9,677
Virginia	7,393	17,995	2,443	36,536	217,418	5,952	62,817	554,898	8,835
West Virginia	4,042	10,731	2,679	17,509	85,720	4,897	19,000	156,440	8,236
East South Central	41,228	74,764	1,842	131,017	665,240	5,081	176,656	1,551,848	8,789
Alabama	11,934	20,172	1,716	29,268	164,159	5,614	42,005	347,039	8,267
Kentucky	9,029	20,697	2,319	35,891	167,196	4,659	47,095	399,276	8,489
Mississippi	5,850	7,897	1,381	20,560	95,372	4,648	30,180	279,944	9,279
Tennessee	14,415	25,998	1,833	45,298	238,514	5,267	57,376	525,589	9,162
West South Central	62,302	173,258	2,809	183,161	869,345	4,757	256,821	2,261,095	8,809
Arkansas	6,254	13,455	2,167	22,862	83,236	3,644	30,202	211,870	7,019
Louisiana	12,244	42,336	3,488	27,165	120,360	4,433	37,966	310,206	8,177
Oklahoma	7,065	20,642	2,928	26,004	105,867	4,072	31,657	233,741	7,387
Texas	36,739	96,824	2,669	107,130	559,882	5,245	156,996	1,505,279	9,594
Mountain	43,063	105,189	2,467	87,157	435,051	5,004	103,264	989,629	9,599
Arizona	12,521	30,667	2,463	20,256	95,244	4,742	23,248	203,548	8,765
Colorado	10,220	29,480	2,928	18,993	99,687	5,256	26,689	267,566	10,052
Idaho	3,569	6,819	1,918	10,396	50,995	4,909	9,185	88,738	9,686
Montana	4,483	6,780	1,527	9,410	36,201	3,847	9,608	77,168	8,034
Nevada	2,173	7,202	3,328	6,348	37,209	5,867	9,655	114,768	11,893
New Mexico	2,494	7,687	3,250	6,130	31,929	5,213	8,578	85,275	9,969
Utah	6,081	14,452	2,378	11,672	65,662	5,627	11,491	111,077	9,671
Wyoming	1,522	2,102	1,388	3,952	18,123	4,586	4,810	41,489	8,644
Pacific	126,460	391,915	3,155	186,316	1,145,310	6,174	236,359	2,793,264	11,832
Alaska	320	1,182	3,705	991	6,406	6,477	1,184	15,558	13,151
California	101,886	325,664	3,234	137,485	875,847	6,395	176,984	2,161,634	12,222
Hawaii	1,122	3,421	3,831	2,173	14,886	6,898	3,475	38,651	11,335
Oregon	8,869	26,399	3,111	13,964	67,421	4,844	15,282	151,343	9,913
Washington	14,263	35,249	2,551	31,703	180,749	5,742	39,434	426,079	10,823
Outlying areas ^c	1,234	3,179	2,593	3,993	15,760	3,948	1,929	13,005	6,745
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services. Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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 1993–2008
Census division and state or area	1993				2000				2008
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	1,054,722	74,016,860	11,195,809	10,662
United States	207,660	11,808,826	1,184,752	5,709	529,745	25,646,822	2,903,200	5,482	1,044,829	72,821,043	11,082,232	10,654
New England	9,423	478,589	51,507	5,468	20,642	799,522	104,817	5,078	46,844	2,745,484	460,256	9,862
Connecticut	2,083	78,816	12,535	6,024	5,425	197,854	31,872	5,875	10,591	505,731	100,557	9,518
Maine	477	26,596	2,250	4,717	1,135	49,657	4,977	4,386	4,873	308,828	45,791	9,412
Massachusetts	4,951	272,647	27,718	5,601	9,906	381,853	47,884	4,834	20,766	1,308,325	211,976	10,250
New Hampshire	604	31,383	2,787	4,615	1,679	77,363	8,824	5,256	4,385	246,507	39,628	9,077
Rhode Island	887	49,247	4,514	5,090	1,758	61,325	7,978	4,538	4,822	295,699	50,162	10,475
Vermont	421	19,900	1,702	4,044	739	31,470	3,279	4,438	1,407	80,394	12,139	8,640
Middle Atlantic	24,505	1,233,263	126,915	5,186	63,096	2,697,689	333,959	5,293	121,578	7,444,325	1,182,916	9,766
New Jersey	5,933	309,909	29,758	5,017	13,067	560,846	67,535	5,169	27,481	1,649,138	278,862	10,183
New York	11,400	576,724	63,460	5,567	23,214	1,008,086	135,580	5,841	38,007	2,079,802	358,425	9,473
Pennsylvania	7,172	346,630	33,696	4,717	26,815	1,128,757	130,843	4,880	56,090	3,715,385	545,629	9,760
East North Central	37,377	2,061,004	207,056	5,541	93,025	4,154,816	464,650	4,996	171,472	10,725,988	1,624,904	9,520
Illinois	10,856	630,851	66,465	6,123	24,067	1,071,673	121,113	5,033	39,273	2,236,055	352,542	9,012
Indiana	1,708	101,725	9,310	5,454	9,984	484,813	51,390	5,149	22,255	1,479,591	211,988	9,573
Michigan	9,984	521,346	52,695	5,279	22,873	1,017,365	115,791	5,063	40,167	2,425,404	364,816	9,121
Ohio	10,981	596,101	59,575	5,427	27,228	1,159,156	132,377	4,863	49,833	3,226,162	490,227	9,889
Wisconsin	3,848	210,981	19,008	4,943	8,873	421,809	43,977	4,959	19,944	1,358,776	205,330	10,348
West North Central	14,164	865,934	80,074	5,659	36,720	1,748,289	176,312	4,804	77,037	5,017,325	700,941	9,128
Iowa	2,545	165,177	15,656	6,162	6,460	298,008	30,383	4,705	15,218	913,623	132,137	8,704
Kansas	2,190	144,153	13,161	6,021	5,550	267,095	26,068	4,708	11,855	816,806	112,185	9,504
Minnesota	3,303	185,954	18,338	5,555	8,175	402,271	45,222	5,532	15,208	905,619	136,387	9,010
Missouri	4,411	272,688	24,401	5,537	11,678	554,407	52,819	4,524	24,651	1,820,509	242,808	9,874
Nebraska	871	50,606	4,178	4,797	2,982	142,942	13,829	4,638	6,326	347,314	48,243	7,643
North Dakota	479	27,677	2,498	5,216	1,023	42,601	4,151	4,058	1,677	102,010	12,816	7,684
South Dakota	365	19,679	1,839	5,055	852	40,965	3,838	4,505	2,102	111,444	16,362	7,807
South Atlantic	48,947	2,962,460	289,612	5,921	112,303	5,663,896	656,729	5,851	227,830	16,696,244	2,619,243	11,546
Delaware	699	37,634	3,367	4,818	1,550	78,705	8,819	5,690	4,130	335,978	52,457	12,711
District of Columbia	283	13,467	1,381	4,899	614	29,755	3,866	6,297	1,231	83,937	13,934	11,375
Florida	28,465	1,677,775	170,767	6,001	56,248	2,819,511	350,229	6,229	96,262	7,048,713	1,204,362	12,566
Georgia	3,526	178,394	15,480	4,392	13,658	723,558	77,534	5,683	31,624	2,375,152	354,005	11,255
Maryland	2,792	136,154	13,277	4,771	7,638	298,523	34,343	4,496	14,233	761,402	120,876	8,517
North Carolina	7,111	541,896	49,572	6,972	13,198	717,297	77,961	5,913	32,147	2,358,641	345,206	10,776
South Carolina	2,181	146,669	13,105	6,009	6,552	345,769	34,999	5,345	19,452	1,708,932	244,260	12,625
Virginia	2,240	128,588	13,190	5,910	9,397	467,386	51,049	5,434	21,380	1,473,916	209,362	9,835
West Virginia	1,650	101,883	9,468	5,770	3,448	183,392	17,926	5,199	7,371	549,573	74,777	10,195
East South Central	11,117	769,046	71,474	6,432	32,995	2,126,137	208,855	6,332	74,368	6,405,320	851,127	11,510
Alabama	2,914	171,404	15,094	5,182	11,421	838,025	79,080	6,925	25,832	2,657,562	339,259	13,201
Kentucky	4,851	399,811	37,024	7,634	8,047	443,176	45,727	5,684	13,140	795,294	112,993	8,641
Mississippi	1,153	70,260	6,449	5,598	5,693	467,035	45,142	7,931	14,382	1,581,129	201,291	14,111
Tennessee	2,199	127,571	12,905	5,872	7,834	377,901	38,903	4,971	21,014	1,371,335	197,582	9,452
West South Central	21,336	1,299,331	122,741	5,754	62,010	3,558,642	364,302	5,876	121,982	9,731,645	1,352,036	11,135
Arkansas	1,975	124,494	10,723	5,430	5,281	323,207	30,097	5,700	10,324	661,395	93,058	9,056
Louisiana	1,991	97,592	8,831	4,436	7,154	350,795	36,690	5,130	16,937	1,326,621	174,646	10,364
Oklahoma	2,019	105,462	9,731	4,820	10,423	755,349	69,813	6,699	18,955	1,875,304	235,227	12,473
Texas	15,351	971,783	93,455	6,089	39,152	2,129,291	227,700	5,817	75,766	5,868,325	849,104	11,256
Mountain	12,453	624,739	66,336	5,330	38,491	1,806,545	212,559	5,523	77,847	6,107,308	940,034	12,132
Arizona	5,123	229,256	27,722	5,411	15,509	732,768	91,111	5,875	29,580	2,474,796	397,848	13,509
Colorado	3,250	160,173	16,126	4,970	8,840	344,737	41,239	4,666	15,010	990,172	159,231	10,660
Idaho	838	50,527	4,407	5,260	1,940	101,328	9,991	5,150	5,084	444,874	60,188	11,888
Montana	585	35,506	3,157	5,406	1,405	78,669	7,783	5,540	3,052	198,408	26,866	8,841
Nevada	958	58,400	6,536	6,823	3,637	144,309	20,034	6,301	7,578	464,621	81,634	10,820
New Mexico	1,348	74,578	6,969	5,174	3,838	236,349	24,181	5,589	7,689	643,948	91,225	11,930
Utah	263	11,506	979	3,740	2,805	143,233	15,676	4,914	8,878	835,996	115,107	13,039
Wyoming	88	4,793	437	4,971	517	25,152	2,540	4,943	976	54,493	7,932	8,152
Pacific	28,338	1,514,460	169,033	5,969	70,463	3,091,286	381,013	5,409	125,871	7,947,404	1,350,770	10,783
Alaska	16	895	87	5,476	103	4,269	513	4,988	495	26,615	4,234	8,678
California	20,316	1,080,047	119,651	5,896	50,116	2,208,522	279,037	5,571	87,548	5,608,689	979,340	11,238
Hawaii	619	27,282	2,906	4,695	1,406	56,188	7,626	5,428	2,506	142,729	24,957	10,104
Oregon	3,365	185,088	17,102	5,083	8,915	387,697	42,557	4,773	16,062	995,296	153,491	9,601
Washington	4,022	221,148	29,285	7,281	9,923	434,610	51,278	5,168	19,260	1,174,075	188,746	9,844
Outlying areas ^a	7,429	840,663	65,662	8,839	4,663	310,894	22,619	4,851	9,893	1,195,817	113,577	11,571
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, 1969–2009
Year	Total number of claims (thousands)	Net assignment rate ^a (percent)
1969	37,542	61.5
1970	42,148	60.8
1971	46,572	58.5
1972	51,041	54.9
1973	57,007	52.7
1974	68,307	51.9
1975	79,980	51.8
1976	91,624	50.5
1977	105,339	50.5
1978	117,886	50.6
1979	132,098	51.3
1980	150,048	51.5
1981	167,154	52.3
1982	182,440	53.0
1983	204,122	53.9
1984	238,362	59.0
1985	279,559	68.5
1986	306,714	68.0
1987	346,551	73.1
1988	386,763	77.3
1989	421,305	79.7
1990	474,226	81.1
1991	517,123	83.1
1992	554,619	86.2
1993	583,863	90.1
1994	622,514	92.8
1995	647,855	94.7
1996	678,030	95.9
1997	688,891	96.7
1998	697,523	97.3
1999	703,227	97.6
2000	720,493	97.9
2001	766,758	98.1
2002	821,993	98.4
2003	860,746	98.5
2004	922,197	98.7
2005	951,551	98.9
2006	944,072	99.0
2007	951,072	99.1
2008	979,324	99.2
2009	974,680	99.2
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, 1971–2009
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
2009	867,878	93.0	291,065	59.3
	Unassigned claims
1971	17,955	57.6	1,348	12.5
1972	21,286	59.3	1,608	12.0
1973	24,691	66.4	1,886	12.6
1974	30,492	72.7	2,401	14.7
1975	36,182	77.4	2,973	17.7
1976	42,100	78.9	3,591	19.8
1977	48,619	77.1	4,233	19.0
1978	53,700	77.5	4,749	19.2
1979	59,961	80.9	5,596	20.7
1980	68,113	84.3	6,836	22.5
1981 ^a	72,765	85.8	7,870	23.8
1982	80,253	85.4	9,545	23.9
1983	87,436	82.7	10,885	22.9
1984	88,594	83.7	11,216	24.2
1985	77,965	84.6	10,059	25.9
1986	87,121	85.0	10,757	26.9
1987	83,116	82.4	10,258	24.7
1988	76,503	86.4	9,005	25.0
1989	74,947	90.1	8,971	25.0
1990	77,746	90.4	8,789	25.3
1991	77,520	91.3	7,884	23.1
1992	66,403	82.9	6,215	18.5
1993	51,080	86.5	4,267	16.5
1994	39,364	86.4	3,255	16.3
1995	29,975	83.4	2,543	15.4
1996	22,819	84.4	1,952	15.8
1997	18,615	84.4	1,650	16.4
1998	15,172	82.3	1,382	17.1
1999	13,834	81.3	1,316	17.7
2000	12,755	78.6	1,287	18.1
2001	12,085	76.7	1,252	18.2
2002	11,352	79.8	1,107	17.2
2003	11,100	82.1	1,066	15.9
2004	10,016	83.0	1,009	16.3
2005	9,589	82.2	1,000	17.4
2006	8,439	85.1	894	18.8
2007	7,378	88.4	790	18.2
2008	6,926	88.1	774	18.7
2009	6,677	88.0	746	19.1
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 1993–2008
Census division and state or area	1993			2000			2008
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	1,798,520	113,804,294	88,112,583
United States	1,050,605	45,677,059	34,838,562	1,229,583	66,047,753	50,790,939	1,788,829	113,265,972	87,692,856
New England	57,475	2,532,989	1,923,891	60,701	3,357,803	2,562,793	88,428	5,584,305	4,288,238
Connecticut	14,971	688,632	523,801	16,024	908,981	696,770	25,019	1,647,584	1,274,194
Maine	5,093	203,657	152,933	6,725	357,616	272,731	8,517	526,683	401,522
Massachusetts	26,993	1,216,000	927,157	26,099	1,464,973	1,117,345	39,038	2,408,763	1,847,246
New Hampshire	3,712	151,558	113,589	5,018	264,412	200,026	7,119	475,844	363,699
Rhode Island	5,089	200,132	152,442	4,512	227,420	175,093	5,528	325,323	250,872
Vermont	1,617	73,011	53,968	2,323	134,403	100,828	3,206	200,107	150,707
Middle Atlantic	190,966	8,727,545	6,679,025	198,796	11,114,019	8,582,935	273,429	17,391,705	13,521,603
New Jersey	39,741	1,795,252	1,374,199	46,582	2,706,642	2,098,689	75,275	4,904,212	3,831,590
New York	84,011	3,869,484	2,968,599	94,073	5,222,652	4,031,686	128,201	8,010,115	6,231,676
Pennsylvania	67,214	3,062,810	2,336,227	58,141	3,184,725	2,452,560	69,953	4,477,378	3,458,336
East North Central	178,252	7,526,281	5,711,398	202,748	10,835,911	8,301,058	281,283	17,828,103	13,743,026
Illinois	43,382	1,995,230	1,518,069	50,279	2,722,188	2,087,286	79,362	5,115,595	3,943,757
Indiana	19,724	855,441	642,446	27,376	1,418,457	1,079,378	38,995	2,450,856	1,885,836
Michigan	48,483	1,916,709	1,468,007	50,326	2,823,614	2,173,760	65,723	4,315,761	3,336,254
Ohio	47,701	2,011,679	1,522,281	50,755	2,722,161	2,085,982	69,582	4,328,609	3,341,038
Wisconsin	18,962	747,222	560,596	24,012	1,149,491	874,652	27,621	1,617,282	1,236,140
West North Central	69,790	2,693,967	2,024,254	86,209	4,213,384	3,209,083	111,818	6,704,905	5,151,244
Iowa	13,006	457,750	342,045	15,717	732,727	556,426	18,341	1,068,590	816,190
Kansas	10,888	451,677	342,214	13,030	671,147	514,252	18,212	1,104,865	851,817
Minnesota	11,608	438,052	323,989	16,548	798,015	603,082	19,195	1,165,810	892,480
Missouri	22,543	914,332	693,436	25,365	1,300,857	996,024	36,574	2,224,452	1,714,680
Nebraska	6,294	233,733	174,219	8,226	388,700	294,564	10,889	642,931	493,731
North Dakota	2,595	96,467	72,033	3,349	149,240	113,542	3,834	226,984	174,254
South Dakota	2,856	101,957	76,316	3,974	172,698	131,194	4,774	271,272	208,092
South Atlantic	216,862	9,345,787	7,164,358	270,430	14,646,480	11,291,572	411,760	26,119,179	20,270,939
Delaware	3,037	137,176	104,482	4,302	244,628	188,488	7,559	487,695	377,909
District of Columbia	2,620	121,120	93,475	2,346	136,917	105,493	2,810	203,319	158,192
Florida	96,578	4,399,081	3,410,771	105,141	6,100,419	4,747,090	160,517	10,660,842	8,337,649
Georgia	25,860	1,058,968	807,700	32,915	1,725,056	1,323,041	51,911	3,226,569	2,491,831
Maryland	18,896	883,554	679,402	22,693	1,316,285	1,014,698	35,170	2,396,542	1,857,549
North Carolina	26,228	1,014,093	763,647	40,027	1,960,603	1,494,488	61,791	3,615,222	2,786,246
South Carolina	13,834	515,359	386,450	21,862	1,117,181	855,190	33,353	2,016,571	1,557,922
Virginia	22,218	890,532	672,647	30,380	1,517,689	1,159,960	45,547	2,734,740	2,105,090
West Virginia	7,592	325,904	245,784	10,764	527,703	403,124	13,102	777,680	598,551
East South Central	70,461	2,797,568	2,129,747	91,596	4,658,756	3,566,213	134,315	7,895,778	6,097,524
Alabama	19,916	810,199	618,658	24,361	1,286,579	988,420	34,658	2,107,429	1,629,037
Kentucky	16,959	662,058	503,342	22,036	1,062,201	812,037	32,865	1,893,975	1,463,300
Mississippi	11,214	449,002	340,330	14,913	776,595	595,267	21,852	1,303,769	1,006,619
Tennessee	22,372	876,309	667,417	30,286	1,533,381	1,170,489	44,940	2,590,605	1,998,568
West South Central	104,249	4,415,507	3,375,452	134,444	6,928,068	5,349,132	206,384	12,687,707	9,842,891
Arkansas	12,311	487,744	367,896	15,708	781,724	599,631	22,005	1,282,945	990,511
Louisiana	17,967	798,002	610,958	19,622	1,058,214	816,817	26,084	1,649,042	1,275,957
Oklahoma	13,387	538,757	408,622	15,874	845,762	649,096	23,737	1,472,732	1,135,019
Texas	60,584	2,591,004	1,987,977	83,240	4,242,368	3,283,588	134,559	8,282,988	6,441,404
Mountain	43,230	1,899,807	1,443,957	53,859	2,986,527	2,286,851	85,518	5,759,390	4,445,806
Arizona	14,630	641,234	493,319	16,122	897,890	694,194	28,362	1,869,126	1,454,695
Colorado	9,017	368,183	280,001	10,021	545,066	417,340	17,050	1,150,648	889,327
Idaho	3,187	133,188	100,116	4,382	232,051	176,337	5,791	359,942	274,736
Montana	2,737	122,992	91,713	3,944	219,874	167,290	4,711	310,915	237,390
Nevada	4,744	239,310	183,265	6,605	374,374	287,238	11,278	817,956	631,208
New Mexico	4,111	178,573	134,253	5,218	293,417	224,310	8,172	567,034	436,457
Utah	3,580	158,473	117,886	5,657	320,886	241,885	7,525	504,548	384,742
Wyoming	1,224	57,853	43,405	1,910	102,968	78,257	2,628	179,221	137,251
Pacific	119,320	5,737,609	4,386,479	130,801	7,306,805	5,641,301	195,894	13,294,900	10,331,585
Alaska	599	30,305	22,675	964	60,128	45,822	1,815	137,035	105,380
California	91,760	4,561,912	3,504,741	99,393	5,621,663	4,358,871	149,080	10,258,028	8,000,363
Hawaii	2,517	112,138	83,062	3,642	180,404	134,791	4,796	268,570	203,479
Oregon	8,461	362,350	271,415	9,002	487,346	371,215	11,884	794,582	609,008
Washington	15,982	670,904	504,586	17,800	957,265	730,602	28,319	1,836,685	1,413,356
Outlying areas ^a	11,442	478,177	367,538	17,900	864,149	665,808	9,690	538,322	419,727
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or 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 1991–2008
Census division and state or area	1991		2000		2008
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	24,000	39,705
United States	17,040	9,386	21,355	16,620	23,927	39,557
New England	1,060	587	1,237	937	1,493	2,522
Connecticut	233	142	274	225	326	540
Maine	124	45	168	117	199	333
Massachusetts	493	297	525	410	641	1,087
New Hampshire	80	37	120	79	158	291
Rhode Island	79	46	77	55	78	111
Vermont	51	21	74	52	90	160
Middle Atlantic	2,850	1,500	3,055	2,511	3,022	4,815
New Jersey	480	323	590	519	658	1,183
New York	1,163	602	1,348	1,249	1,274	2,082
Pennsylvania	1,207	575	1,118	743	1,090	1,551
East North Central	3,308	1,685	4,142	3,034	4,385	7,038
Illinois	834	407	1,015	725	1,208	1,910
Indiana	431	223	587	400	650	1,039
Michigan	754	393	1,003	807	988	1,597
Ohio	876	501	1,037	755	1,057	1,673
Wisconsin	413	161	500	348	482	820
West North Central	1,447	668	1,888	1,317	2,020	3,371
Iowa	280	120	366	254	368	598
Kansas	206	94	261	187	271	478
Minnesota	283	129	420	254	421	661
Missouri	442	214	520	384	605	1,010
Nebraska	125	62	174	130	190	333
North Dakota	52	24	69	48	82	147
South Dakota	60	24	77	60	84	145
South Atlantic	3,094	1,750	4,244	3,383	4,870	8,480
Delaware	47	19	68	57	91	156
District of Columbia	40	50	38	54	42	106
Florida	1,012	543	1,285	932	1,462	2,576
Georgia	401	243	571	465	698	1,166
Maryland	270	227	324	459	391	1,048
North Carolina	484	255	720	543	812	1,371
South Carolina	248	118	404	282	468	701
Virginia	407	226	590	426	665	1,009
West Virginia	185	69	245	164	240	348
East South Central	1,151	538	1,635	1,102	1,823	2,701
Alabama	308	155	424	261	483	648
Kentucky	284	126	399	228	467	699
Mississippi	192	92	292	254	325	571
Tennessee	366	165	520	360	549	782
West South Central	1,522	963	2,107	1,848	2,506	4,331
Arkansas	195	86	267	180	299	419
Louisiana	273	229	339	360	383	723
Oklahoma	218	105	294	210	351	486
Texas	836	542	1,206	1,098	1,473	2,703
Mountain	792	387	1,047	768	1,266	1,980
Arizona	201	180	233	169	296	468
Colorado	187	93	217	178	283	428
Idaho	75	29	108	74	118	205
Montana	66	4	101	64	111	182
Nevada	55	28	75	62	112	177
New Mexico	90	48	125	97	156	235
Utah	91	3	146	91	136	205
Wyoming	27	2	43	33	54	80
Pacific	1,816	1,308	2,000	1,720	2,542	4,319
Alaska	14	10	26	29	39	75
California	1,295	1,011	1,346	1,200	1,729	3,020
Hawaii	37	30	58	44	66	113
Oregon	195	91	225	143	244	353
Washington	275	166	345	303	465	757
Outlying areas ^a	136	47	182	112	74	147
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2010
State or area	1991	1995	2000	2004	2005	2006	2007	2008	2009	2010
All areas	3,640,121	4,705,625	5,425,048	6,305,467	6,577,577	6,885,326	7,082,006	7,292,444	7,434,151	7,703,292
Alabama	97,601	116,916	136,860	164,499	169,460	175,134	179,542	183,860	181,216	179,668
Alaska	4,539	6,193	8,486	10,318	10,748	11,465	11,904	12,218	12,393	12,908
Arizona	28,650	44,236	57,712	95,804	110,977	116,065	121,455	126,518	131,581	140,079
Arkansas	64,996	77,660	79,606	86,181	89,372	96,906	99,214	101,893	104,825	106,343
California	646,108	747,814	818,846	977,676	1,012,804	1,047,842	1,078,076	1,120,069	1,077,652	1,103,853
Colorado	36,470	46,660	55,325	61,140	61,294	64,505	68,264	72,451	75,845	79,980
Connecticut	23,535	48,047	53,141	66,664	66,191	66,968	67,876	70,682	73,426	94,154
Delaware	4,499	6,645	10,737	16,081	17,104	19,534	19,821	20,628	21,317	22,060
District of Columbia	12,791	14,152	14,233	15,586	15,246	15,365	15,584	16,023	17,680	20,102
Florida	196,992	271,430	342,109	406,006	431,764	459,146	470,337	490,437	519,540	553,625
Georgia	128,976	160,380	176,596	199,524	205,476	212,257	217,562	221,444	226,220	233,528
Hawaii	11,529	16,695	20,326	22,988	23,703	26,040	25,862	26,601	27,436	28,864
Idaho	9,127	12,931	17,081	22,291	23,482	24,628	26,030	26,744	28,039	28,945
Illinois	94,434	137,571	155,743	189,044	206,014	215,631	222,728	233,211	242,050	255,529
Indiana	60,297	76,460	87,543	105,011	109,669	114,933	120,079	120,825	124,312	133,816
Iowa	41,170	48,517	51,976	58,023	60,458	63,221	66,022	68,782	70,624	72,562
Kansas	26,960	34,708	41,217	46,175	47,707	49,483	50,732	51,829	53,624	56,096
Kentucky	76,456	97,978	117,697	126,343	126,468	134,469	137,602	140,970	143,692	148,188
Louisiana	87,570	112,090	117,179	132,498	139,802	140,291	141,009	148,875	153,719	158,370
Maine	22,176	29,453	36,946	43,800	46,510	52,560	64,164	78,157	83,374	84,602
Maryland	48,028	58,865	65,372	75,366	79,234	83,078	85,824	89,624	93,682	98,268
Massachusetts	89,163	125,859	152,587	170,689	178,691	188,576	191,171	195,461	196,817	199,370
Michigan	91,340	123,948	145,172	161,519	170,044	180,235	185,626	190,827	196,551	205,521
Minnesota	39,366	52,192	63,607	77,499	79,428	81,353	83,420	85,356	88,149	91,630
Mississippi	90,530	108,577	107,495	133,337	135,023	137,715	136,096	137,874	132,099	136,915
Missouri	55,116	72,659	88,343	103,449	109,561	110,734	113,722	117,954	122,450	126,577
Montana	10,058	11,031	12,828	13,917	14,455	15,097	15,456	15,811	16,170	17,587
Nebraska	11,358	16,146	20,520	23,082	24,210	25,243	25,640	27,030	27,638	34,020
Nevada	8,657	14,227	19,155	26,977	27,408	28,639	30,319	32,197	32,764	35,035
New Hampshire	3,807	5,405	7,434	10,732	11,584	12,597	13,454	14,669	15,872	17,381
New Jersey	95,795	122,923	146,705	153,231	159,110	169,804	170,280	170,807	175,716	179,273
New Mexico	22,246	29,855	37,330	44,642	49,333	52,078	53,757	56,797	59,163	62,640
New York	255,952	325,882	369,479	448,373	465,068	487,736	500,099	489,668	508,461	531,060
North Carolina	117,656	186,328	223,402	241,543	251,739	258,981	261,690	266,009	272,691	278,325
North Dakota	4,639	5,560	5,908	6,560	6,757	7,185	7,610	7,892	8,058	8,464
Ohio	112,598	164,044	171,139	195,792	204,905	223,726	234,958	247,445	258,318	273,167
Oklahoma	51,457	60,080	67,413	72,758	75,903	80,536	82,671	82,920	83,382	86,586
Oregon	28,537	43,642	59,169	69,610	70,927	72,394	75,113	78,272	81,990	87,068
Pennsylvania	127,519	162,788	206,468	232,885	242,552	258,675	268,833	274,566	284,189	295,984
Rhode Island	10,585	15,517	19,787	25,361	26,311	27,002	27,508	27,860	28,064	28,782
South Carolina	78,701	95,970	112,232	118,393	118,843	121,469	124,502	126,074	126,591	129,489
South Dakota	9,399	12,346	13,146	14,045	14,534	15,176	15,407	15,613	15,824	16,148
Tennessee	116,861	148,391	182,342	208,678	218,894	228,849	232,611	236,854	241,225	215,868
Texas	234,169	314,991	360,191	423,560	440,938	457,346	473,962	489,552	501,502	514,153
Utah	10,263	13,506	16,231	19,361	21,787	24,114	24,775	25,459	26,794	27,064
Vermont	8,223	12,428	13,754	15,079	15,509	20,857	21,831	22,078	22,212	22,798
Virginia	77,898	102,964	113,259	124,996	131,083	137,991	141,569	145,896	149,316	155,647
Washington	54,774	71,531	97,390	108,780	113,233	119,180	123,471	127,450	132,958	143,398
West Virginia	28,086	39,720	46,305	51,365	54,200	57,688	59,576	61,749	63,037	65,324
Wisconsin	67,516	75,247	74,101	79,889	83,383	85,661	87,901	90,928	93,984	96,201
Wyoming	3,505	5,265	6,444	7,454	7,749	8,015	8,135	8,458	8,736	9,087
Outlying areas
Guam	443	669	417	375	409	647	633	537	645	693
Northern Mariana Islands	273	314	342	340	358	354	373	381	385	394
U.S. Virgin Islands	727	219	204	178	165	152	150	159	153	103
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, 2008
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	32,500,509	25,844,675	17,393,807	8,450,868	6,655,834
United States	32,048,011	25,415,765	17,337,420	8,078,345	6,632,246
New England	1,669,686	1,282,502	960,048	322,454	387,184
Connecticut	405,233	294,228	221,709	72,519	111,005
Maine	175,701	145,618	136,320	9,298	30,083
Massachusetts	758,461	572,817	398,169	174,648	185,644
New Hampshire	127,112	96,396	89,500	6,896	30,716
Rhode Island	129,048	116,530	58,428	58,102	12,518
Vermont	74,131	56,913	55,922	991	17,218
Middle Atlantic	4,755,025	3,638,473	2,214,118	1,424,355	1,116,552
New Jersey	934,078	653,504	538,054	115,450	280,574
New York	2,175,708	1,635,221	977,758	657,463	540,487
Pennsylvania	1,645,239	1,349,748	698,306	651,442	295,491
East North Central	5,219,755	3,604,317	2,711,739	892,578	1,615,438
Illinois	1,310,145	968,693	850,555	118,138	341,452
Indiana	698,878	505,461	445,315	60,146	193,417
Michigan	1,214,793	780,552	508,594	271,958	434,241
Ohio	1,417,976	907,066	589,647	317,419	510,910
Wisconsin	577,963	442,545	317,628	124,917	135,418
West North Central	2,305,542	1,994,958	1,527,286	467,672	310,584
Iowa	382,961	331,143	289,988	41,155	51,818
Kansas	281,360	250,364	219,991	30,373	30,996
Minnesota	573,228	497,684	298,172	199,512	75,544
Missouri	699,248	581,668	423,272	158,396	117,580
Nebraska	196,950	173,529	151,205	22,324	23,421
North Dakota	78,847	74,264	69,605	4,659	4,583
South Dakota	92,948	86,306	75,053	11,253	6,642
South Atlantic	6,174,753	4,895,133	3,504,427	1,390,706	1,279,620
Delaware	102,908	69,025	65,320	3,705	33,883
District of Columbia	38,318	34,256	27,423	6,833	4,062
Florida	2,298,224	1,847,931	1,020,515	827,416	450,293
Georgia	790,933	665,620	552,899	112,721	125,313
Maryland	463,251	318,178	270,466	47,712	145,073
North Carolina	1,040,550	814,013	636,629	177,384	226,537
South Carolina	502,350	382,413	311,904	70,509	119,937
Virginia	662,428	542,150	454,298	87,852	120,278
West Virginia	275,791	221,547	164,973	56,574	54,244
East South Central	2,178,300	1,795,465	1,396,117	399,348	382,835
Alabama	578,941	465,190	325,226	139,964	113,751
Kentucky	530,082	401,920	343,962	57,958	128,162
Mississippi	333,405	303,853	279,816	24,037	29,552
Tennessee	735,872	624,502	447,113	177,389	111,370
West South Central	3,186,757	2,577,620	1,938,210	639,410	609,137
Arkansas	351,276	301,091	254,374	46,717	50,185
Louisiana	478,784	392,998	275,735	117,263	85,786
Oklahoma	384,733	333,990	270,999	62,991	50,743
Texas	1,971,964	1,549,541	1,137,102	412,439	422,423
Mountain	1,917,723	1,601,391	873,553	727,838	316,332
Arizona	621,563	519,347	220,634	298,713	102,216
Colorado	410,000	333,402	166,881	166,521	76,598
Idaho	143,019	119,519	85,009	34,510	23,500
Montana	105,686	90,264	74,418	15,846	15,422
Nevada	215,189	179,405	83,871	95,534	35,784
New Mexico	201,826	177,925	115,974	61,951	23,901
Utah	171,820	140,614	88,634	51,980	31,206
Wyoming	48,620	40,915	38,132	2,783	7,705
Pacific	4,640,470	4,025,906	2,211,922	1,813,984	614,564
Alaska	38,319	23,600	23,156	444	14,719
California	3,476,556	3,049,591	1,600,656	1,448,935	426,965
Hawaii	132,619	124,988	62,963	62,025	7,631
Oregon	412,067	365,866	185,845	180,021	46,201
Washington	580,909	461,861	339,302	122,559	119,048
Outlying areas ^b	452,498	428,910	56,387	372,523	23,588
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2008
Census division and state or area	Total Medicare enrollees	Medicare Part D				Retiree drug subsidy (RDS) ^a	Other creditable coverage ^b (no Part D plan or RDS)	No Part D plan, RDS, or other creditable coverage
Census division and state or area	Total Medicare enrollees	Total	Full low-income subsidy ^c	Partial low-income subsidy ^d	No low-income subsidy	Retiree drug subsidy (RDS) ^a	Other creditable coverage ^b (no Part D plan or RDS)	No Part D plan, RDS, or other creditable coverage
Total
All areas	45,411,883	25,844,675	9,329,300	404,169	16,111,206	6,655,834	5,930,894	6,980,480
United States	44,384,954	25,415,765	9,313,202	403,846	15,698,717	6,632,246	5,864,381	6,472,562
New England	2,315,028	1,282,502	529,437	16,924	736,141	387,184	289,326	356,016
Connecticut	548,703	294,228	101,594	2,833	189,801	111,005	63,400	80,070
Maine	253,188	145,618	84,625	674	60,319	30,083	36,188	41,299
Massachusetts	1,018,689	572,817	242,885	8,557	321,375	185,644	114,089	146,139
New Hampshire	211,657	96,396	33,486	2,027	60,883	30,716	34,909	49,636
Rhode Island	177,874	116,530	40,182	2,080	74,268	12,518	26,122	22,704
Vermont	104,917	56,913	26,665	753	29,495	17,218	14,618	16,168
Middle Atlantic	6,395,097	3,638,473	1,338,752	53,781	2,245,940	1,116,552	692,242	947,830
New Jersey	1,282,636	653,504	216,257	11,635	425,612	280,574	144,703	203,855
New York	2,891,085	1,635,221	731,600	21,480	882,141	540,487	278,934	436,443
Pennsylvania	2,221,376	1,349,748	390,895	20,666	938,187	295,491	268,605	307,532
East North Central	7,032,922	3,604,317	1,227,708	61,182	2,315,427	1,615,438	734,578	1,078,589
Illinois	1,774,555	968,693	336,710	17,951	614,032	341,452	193,527	270,883
Indiana	964,240	505,461	167,293	10,530	327,638	193,417	118,826	146,536
Michigan	1,579,631	780,552	266,791	14,007	499,754	434,241	131,932	232,906
Ohio	1,840,714	907,066	316,278	15,211	575,577	510,910	186,900	235,838
Wisconsin	873,782	442,545	140,636	3,483	298,426	135,418	103,393	192,426
West North Central	3,149,354	1,994,958	543,201	28,429	1,423,328	310,584	442,602	401,210
Iowa	506,152	331,143	80,012	4,417	246,714	51,818	67,645	55,546
Kansas	417,996	250,364	65,589	4,177	180,598	30,996	68,353	68,283
Minnesota	749,065	497,684	126,114	5,166	366,404	75,544	88,602	87,235
Missouri	966,061	581,668	191,552	9,631	380,485	117,580	134,170	132,643
Nebraska	271,368	173,529	42,434	2,500	128,595	23,421	43,057	31,361
North Dakota	106,666	74,264	16,575	1,249	56,440	4,583	16,439	11,380
South Dakota	132,046	86,306	20,925	1,289	64,092	6,642	24,336	14,762
South Atlantic	8,905,146	4,895,133	1,812,687	91,338	2,991,108	1,279,620	1,430,591	1,299,802
Delaware	141,080	69,025	23,894	1,156	43,975	33,883	18,833	19,339
District of Columbia	75,125	34,256	21,062	380	12,814	4,062	21,015	15,792
Florida	3,211,813	1,847,931	593,655	23,728	1,230,548	450,293	464,848	448,741
Georgia	1,152,522	665,620	281,933	13,009	370,678	125,313	182,595	178,994
Maryland	744,564	318,178	118,898	6,351	192,929	145,073	151,906	129,407
North Carolina	1,404,787	814,013	330,176	19,857	463,980	226,537	184,482	179,755
South Carolina	723,726	382,413	165,498	9,894	207,021	119,937	120,232	101,144
Virginia	1,078,534	542,150	193,291	11,878	336,981	120,278	236,564	179,542
West Virginia	372,995	221,547	84,280	5,085	132,182	54,244	50,116	47,088
East South Central	3,020,818	1,795,465	840,038	39,480	915,947	382,835	436,383	406,135
Alabama	809,193	465,190	216,614	10,434	238,142	113,751	130,823	99,429
Kentucky	728,218	401,920	187,295	10,438	204,187	128,162	94,322	103,814
Mississippi	479,231	303,853	157,566	6,011	140,276	29,552	77,748	68,078
Tennessee	1,004,176	624,502	278,563	12,597	333,342	111,370	133,490	134,814
West South Central	4,545,487	2,577,620	1,100,004	54,295	1,423,321	609,137	679,347	679,383
Arkansas	508,767	301,091	128,530	7,167	165,394	50,185	85,878	71,613
Louisiana	656,392	392,998	183,592	8,280	201,126	85,786	77,099	100,509
Oklahoma	578,488	333,990	119,307	6,683	208,000	50,743	99,331	94,424
Texas	2,801,840	1,549,541	668,575	32,165	848,801	422,423	417,039	412,837
Mountain	2,788,081	1,601,391	458,141	22,148	1,121,102	316,332	449,395	420,963
Arizona	869,591	519,347	152,191	5,612	361,544	102,216	128,431	119,597
Colorado	579,322	333,402	90,687	4,575	238,140	76,598	89,513	79,809
Idaho	214,247	119,519	34,166	2,127	83,226	23,500	35,328	35,900
Montana	160,441	90,264	24,220	1,878	64,166	15,422	27,426	27,329
Nevada	330,003	179,405	46,295	2,707	130,403	35,784	56,995	57,819
New Mexico	294,269	177,925	66,378	2,740	108,807	23,901	47,616	44,827
Utah	264,086	140,614	33,692	1,850	105,072	31,206	49,631	42,635
Wyoming	76,122	40,915	10,512	659	29,744	7,705	14,455	13,047
Pacific	6,233,021	4,025,906	1,463,234	36,269	2,526,403	614,564	709,917	882,634
Alaska	59,781	23,600	14,282	281	9,037	14,719	10,472	10,990
California	4,491,586	3,049,591	1,171,742	23,337	1,854,512	426,965	441,983	573,047
Hawaii	194,183	124,988	34,862	1,393	88,733	7,631	32,614	28,950
Oregon	584,222	365,866	93,170	5,236	267,460	46,201	81,111	91,044
Washington	903,249	461,861	149,178	6,022	306,661	119,048	143,737	178,603
Outlying areas ^e	1,026,929	428,910	16,098	323	412,489	23,588	66,513	507,918
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
c. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
d. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.

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