Annual Statistical Supplement, 2012 - 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 1990–2010
Type of coverage and service	1990	1995	2000	2005	2009	2010
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	34,203	37,535	39,632	42,500	46,521	47,664
Hospital Insurance	33,719	37,135	39,211	42,129	46,195	47,316
Supplementary Medical Insurance	32,629	35,685	37,369	39,730	42,960	43,954
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	32,740	36,685	35,360	35,910
Hospital Insurance	--	--	32,329	36,318	35,041	35,572
Supplementary Medical Insurance	--	--	30,478	33,916	31,800	32,200
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	27,099	30,423	29,583	33,506	31,922	32,866
Hospital Insurance	7,036	8,036	7,325	8,307	7,722	8,267
Inpatient hospital	6,543	6,964	6,917	7,710	6,942	7,485
Skilled nursing services	638	1,233	1,468	1,847	1,808	1,839
Home health services ^b	1,936	3,427	1,444	1,752	1,710	1,722
Hospice services	--	--	541	871	1,085	1,157
Supplementary Medical Insurance	26,951	30,249	29,313	33,201	31,473	31,923
Physicians' and other medical services	26,350	26,539	28,763	32,709	30,971	31,415
Outpatient services	15,511	19,709	21,029	24,423	23,303	23,667
Home health services ^b	38	41	1,190	1,370	1,746	1,883
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	792	811	904	913	903	915
Hospital Insurance	209	216	227	229	220	232
Inpatient hospital	194	188	214	212	198	210
Skilled nursing services	19	33	45	51	52	52
Home health services ^b	57	92	45	48	49	48
Hospice services	--	--	17	24	31	33
Supplementary Medical Insurance	826	848	962	979	990	991
Physicians' and other medical services	808	744	944	964	974	976
Outpatient services	475	552	690	720	733	735
Home health services ^b	1	1	39	40	55	58
	Amount reimbursed (millions of dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	101,419	158,980	174,261	274,143	318,009	331,129
Hospital Insurance	62,347	101,835	101,663	149,392	170,331	176,224
Inpatient hospital	56,716	78,944	85,197	116,647	125,662	128,728
Skilled nursing services	1,971	7,799	10,621	18,964	25,580	27,258
Home health services ^b	3,660	15,092	2,918	5,916	6,992	7,252
Hospice services	--	--	2,927	7,864	12,097	12,986
Supplementary Medical Insurance	39,072	57,145	72,599	124,752	147,677	154,906
Physicians' and other medical services	30,222	41,617	51,474	83,838	91,174	95,087
Outpatient services	8,773	15,328	16,787	33,931	44,596	47,573
Home health services ^b	78	200	4,338	6,982	11,908	12,245
	Amount reimbursed per person served (dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	3,743	5,226	5,891	8,182	9,962	10,075
Hospital Insurance	8,862	12,672	13,878	17,984	22,059	21,315
Inpatient hospital	8,668	11,336	12,318	15,130	18,101	17,197
Skilled nursing services	3,092	6,325	7,235	10,267	14,146	14,820
Home health services ^b	1,890	4,403	2,021	3,377	4,090	4,211
Hospice services	--	--	5,409	9,027	11,146	11,220
Supplementary Medical Insurance	1,450	1,889	2,477	3,757	4,692	4,853
Physicians' and other medical services	1,147	1,409	1,709	2,563	2,944	3,027
Outpatient services	566	778	798	1,389	1,914	2,010
Home health services ^b	2,031	4,837	3,644	5,098	6,822	6,504
	Amount reimbursed per enrollee (dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	2,965	4,236	5,323	7,473	8,993	9,221
Hospital Insurance	1,849	2,742	3,145	4,113	4,861	4,954
Inpatient hospital	1,682	2,126	2,635	3,212	3,586	3,619
Skilled nursing services	58	210	329	522	730	766
Home health services ^b	109	406	90	163	200	204
Hospice services	--	--	91	217	345	365
Supplementary Medical Insurance	1,197	1,601	2,382	3,678	4,644	4,811
Physicians' and other medical services	926	1,166	1,689	2,472	2,867	2,953
Outpatient services	269	430	551	1,000	1,402	1,477
Home health services ^b	2	6	142	206	374	380
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. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2010
Type of coverage and service	1990	1995	2000	2005	2009	2010
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	30,948	33,142	34,261	35,777	38,765	39,631
Hospital Insurance	30,464	32,742	33,841	35,407	38,440	39,283
Supplementary Medical Insurance	29,685	31,742	32,602	33,780	36,061	36,768
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	27,833	30,399	28,925	29,291
Hospital Insurance	--	--	27,422	30,033	28,607	28,954
Supplementary Medical Insurance	--	--	26,174	28,402	26,221	26,429
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	24,809	27,379	25,486	28,071	26,250	26,927
Hospital Insurance	6,367	7,147	6,361	7,016	6,409	6,857
Inpatient hospital	5,906	6,148	5,975	6,455	5,677	6,123
Skilled nursing services	615	1,186	1,390	1,719	1,662	1,683
Home health services ^b	1,818	3,185	1,325	1,574	1,509	1,508
Hospice services	--	--	514	825	1,027	1,096
Supplementary Medical Insurance	24,687	27,234	25,256	27,816	25,866	26,113
Physicians' and other medical services	24,193	26,621	24,846	27,468	25,519	25,764
Outpatient services	14,055	17,597	18,159	20,436	19,062	19,248
Home health services ^b	38	42	1,081	1,214	1,515	1,624
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	802	826	916	923	908	919
Hospital Insurance	209	218	232	234	224	237
Inpatient hospital	194	188	218	215	198	211
Skilled nursing services	21	36	51	57	58	58
Home health services ^b	60	97	48	52	53	52
Hospice services	--	--	19	27	36	38
Supplementary Medical Insurance	832	858	965	979	986	988
Physicians' and other medical services	815	839	949	967	973	975
Outpatient services	474	554	694	720	727	728
Home health services ^b	1	1	41	43	58	61
	Amount reimbursed (millions of dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	88,778	138,948	148,488	227,594	258,546	267,696
Hospital Insurance	54,244	89,631	87,549	125,993	140,673	144,671
Inpatient hospital	48,952	68,213	72,041	95,557	99,460	101,060
Skilled nursing services	1,886	7,504	10,066	17,666	23,530	24,887
Home health services ^b	3,406	13,914	2,679	5,333	6,219	6,399
Hospice services	--	--	2,763	7,436	11,464	12,325
Supplementary Medical Insurance	34,533	49,317	60,939	101,601	117,874	123,025
Physicians' and other medical services	27,379	37,069	44,506	70,111	74,780	77,559
Outpatient services	7,077	12,045	12,588	25,385	32,878	34,975
Home health services ^b	78	203	3,845	6,106	10,216	10,490
	Amount reimbursed per person served (dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	3,578	5,075	5,826	8,108	9,849	9,942
Hospital Insurance	8,520	12,542	13,763	17,958	21,951	21,097
Inpatient hospital	8,289	11,096	12,057	14,804	17,521	16,504
Skilled nursing services	3,068	6,325	7,242	10,277	14,155	14,791
Home health services ^b	1,874	4,368	2,022	3,388	4,120	4,244
Hospice services	--	--	5,375	9,015	11,157	11,250
Supplementary Medical Insurance	1,399	1,811	2,413	3,653	4,557	4,711
Physicians' and other medical services	1,132	1,392	1,791	2,552	2,930	3,010
Outpatient services	503	684	693	1,242	1,725	1,817
Home health services ^b	2,033	4,862	3,557	5,030	6,742	6,458
	Amount reimbursed per enrollee (dollars) ^c
Hospital Insurance and/or Supplementary Medical Insurance	2,869	4,193	5,335	7,487	8,938	9,139
Hospital Insurance	1,781	2,738	3,193	4,195	4,917	4,997
Inpatient hospital	1,607	2,083	2,627	3,182	3,477	3,490
Skilled nursing services	62	229	367	588	823	860
Home health services ^b	112	425	98	178	217	221
Hospice services	--	--	101	248	401	426
Supplementary Medical Insurance	1,163	1,554	2,328	3,577	4,495	4,655
Physicians' and other medical services	922	1,168	1,700	2,469	2,852	2,935
Outpatient services	238	379	481	894	1,254	1,323
Home health services ^b	3	6	147	215	390	397
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. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2010
Type of coverage and service	1990	1995	2000	2005	2009	2010
	Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	3,255	4,393	5,371	6,723	7,755	8,033
Hospital Insurance	3,255	4,393	5,370	6,722	7,755	8,032
Supplementary Medical Insurance	2,943	3,942	4,768	5,951	6,900	7,185
	Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance	--	--	4,907	6,286	6,435	6,619
Hospital Insurance	--	--	4,907	6,285	6,434	6,619
Supplementary Medical Insurance	--	--	4,304	5,514	5,579	5,772
	Persons served (thousands) ^a
Hospital Insurance and/or Supplementary Medical Insurance	2,390	3,333	4,096	5,436	5,672	5,939
Hospital Insurance	680	933	964	1,291	1,313	1,410
Inpatient hospital	644	844	942	1,255	1,266	1,362
Skilled nursing services	23	54	78	128	146	157
Home health services ^b	122	272	119	178	200	215
Hospice services	--	--	27	46	58	62
Supplementary Medical Insurance	2,365	3,299	4,057	5,384	5,607	5,809
Physicians' and other medical services	2,249	3,184	3,917	5,241	5,451	5,651
Outpatient services	1,496	2,281	2,870	3,987	4,241	4,419
Home health services ^b	c	c	110	156	230	258
	Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance	734	759	835	865	881	897
Hospital Insurance	209	212	196	205	204	213
Inpatient hospital	198	192	192	200	197	206
Skilled nursing services	7	12	16	20	23	24
Home health services ^b	38	62	24	28	31	32
Hospice services	--	--	6	7	9	9
Supplementary Medical Insurance	804	837	943	976	1,005	1,007
Physicians' and other medical services	764	808	910	950	977	979
Outpatient services	508	579	667	723	760	766
Home health services ^b	c	c	26	28	41	45
	Amount reimbursed (millions of dollars) ^d
Hospital Insurance and/or Supplementary Medical Insurance	11,239	21,024	25,773	46,550	59,462	63,434
Hospital Insurance	6,694	12,752	14,114	23,399	29,659	31,553
Inpatient hospital	6,346	11,079	13,156	21,091	26,202	27,668
Skilled nursing services	85	374	555	1,297	2,050	2,371
Home health services ^b	264	1,300	239	583	773	853
Hospice services	--	--	164	428	633	661
Supplementary Medical Insurance	4,545	8,272	11,660	23,151	29,804	31,881
Physicians' and other medical services	2,831	4,888	6,968	13,727	16,394	17,528
Outpatient services	1,714	3,384	4,198	8,547	11,717	12,598
Home health services ^b	c	c	493	877	1,692	1,755
	Amount reimbursed per person served (dollars) ^d
Hospital Insurance and/or Supplementary Medical Insurance	4,703	6,308	6,292	8,563	10,484	10,680
Hospital Insurance	9,847	13,666	14,641	18,124	22,588	22,377
Inpatient hospital	9,849	13,126	13,966	16,808	20,698	20,315
Skilled nursing services	3,702	6,959	7,115	10,127	14,046	15,130
Home health services ^b	2,156	4,777	2,008	3,280	3,859	3,975
Hospice services	--	--	6,074	9,223	10,947	10,683
Supplementary Medical Insurance	1,922	2,507	2,874	4,229	5,315	5,488
Physicians' and other medical services	1,259	1,535	1,779	2,619	3,007	3,102
Outpatient services	1,146	1,483	1,463	2,144	2,763	2,851
Home health services ^b	c	c	4,482	5,631	7,342	6,789
	Amount reimbursed per enrollee (dollars) ^d
Hospital Insurance and/or Supplementary Medical Insurance	3,453	4,786	5,252	7,405	9,241	9,583
Hospital Insurance	2,057	2,903	2,876	3,723	4,610	4,767
Inpatient hospital	1,950	2,522	2,681	3,356	4,072	4,180
Skilled nursing services	26	85	113	206	319	358
Home health services ^b	81	296	49	93	120	129
Hospice services	--	--	33	68	98	100
Supplementary Medical Insurance	1,544	2,098	2,709	4,199	5,342	5,524
Physicians' and other medical services	962	1,240	1,619	2,489	2,938	3,037
Outpatient services	582	858	975	1,550	2,100	2,183
Home health services ^b	c	c	115	159	303	304
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.
d. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area	1990			2000			2010			2011
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	39,631	29,291	10,340	40,474	29,627	10,847
United States ^a	30,341	29,657	684	33,540	27,137	6,403	38,742	28,736	10,006	39,559	29,067	10,492
New England	1,733	1,719	15	1,836	1,449	387	1,996	1,595	401	2,030	1,629	401
Connecticut	436	434	2	457	356	101	489	393	96	496	392	104
Maine	165	165	b	180	178	2	209	178	31	213	178	35
Massachusetts	795	786	9	828	601	227	875	679	196	891	706	184
New Hampshire	126	126	b	147	145	2	183	167	16	186	173	13
Rhode Island	145	141	3	148	94	54	149	91	58	151	92	59
Vermont	67	67	b	76	76	b	91	87	5	93	87	6
Middle Atlantic	5,082	4,945	137	5,263	4,078	1,186	5,560	3,841	1,720	5,629	3,867	1,763
New Jersey	1,006	977	29	1,067	905	162	1,146	997	149	1,164	1,008	157
New York	2,279	2,199	80	2,334	1,871	463	2,499	1,693	806	2,536	1,699	837
Pennsylvania	1,798	1,769	29	1,863	1,302	561	1,915	1,151	764	1,929	1,160	769
East North Central	5,223	5,153	70	5,541	4,948	593	6,092	4,721	1,370	6,177	4,644	1,533
Illinois	1,401	1,377	24	1,435	1,263	172	1,564	1,406	158	1,586	1,433	153
Indiana	685	673	12	735	703	32	827	684	143	839	684	155
Michigan	1,101	1,100	1	1,201	1,128	73	1,344	1,103	240	1,365	997	368
Ohio	1,387	1,364	22	1,478	1,206	272	1,586	1,002	583	1,603	1,004	599
Wisconsin	649	639	10	693	649	43	771	526	246	784	527	258
West North Central	2,423	2,350	74	2,518	2,252	266	2,753	2,101	652	2,786	2,093	693
Iowa	422	412	10	426	410	16	446	384	62	449	387	62
Kansas	337	333	5	347	319	28	366	324	42	370	325	45
Minnesota	544	500	44	582	496	86	674	361	312	686	345	341
Missouri	706	692	14	736	612	124	812	625	187	822	629	193
Nebraska	221	220	1	227	217	10	240	211	29	242	214	28
North Dakota	91	91	1	93	92	1	95	87	8	96	85	11
South Dakota	102	102	b	106	106	1	119	109	10	120	107	13
South Atlantic	5,534	5,473	61	6,430	5,510	920	7,802	6,087	1,715	8,009	6,197	1,811
Delaware	80	80	b	98	93	5	124	120	5	128	123	5
District of Columbia	71	68	2	65	59	6	65	58	7	66	59	7
Florida	2,174	2,158	15	2,507	1,815	692	2,911	2,015	896	2,983	2,019	964
Georgia	636	635	b	752	702	50	990	766	224	1,023	782	241
Maryland	496	492	4	571	504	67	673	617	56	689	631	58
North Carolina	786	785	2	941	897	44	1,190	968	222	1,223	996	227
South Carolina	383	383	b	464	463	2	615	519	97	635	534	101
Virginia	645	636	9	762	730	32	947	812	135	973	839	134
West Virginia	264	236	28	270	247	23	286	213	74	289	215	74
East South Central	1,886	1,868	18	2,061	1,930	131	2,410	1,933	477	2,455	1,965	489
Alabama	508	503	4	558	507	51	639	505	134	649	518	131
Kentucky	459	448	11	491	460	31	566	470	97	576	472	103
Mississippi	313	313	b	330	325	5	372	336	36	378	341	37
Tennessee	607	604	3	682	638	44	833	623	210	851	633	218
West South Central	2,879	2,875	4	3,276	2,754	522	3,930	3,160	770	4,027	3,225	802
Arkansas	343	342	1	359	342	17	406	350	56	411	353	58
Louisiana	460	460	b	497	404	93	539	399	140	549	406	143
Oklahoma	412	411	1	438	388	50	488	412	77	495	417	77
Texas	1,665	1,662	2	1,982	1,620	362	2,497	2,000	497	2,572	2,049	524
Mountain	1,489	1,452	38	1,914	1,400	514	2,530	1,715	815	2,612	1,773	838
Arizona	456	436	19	596	371	225	788	506	282	814	524	290
Colorado	324	312	11	403	253	151	535	345	189	555	359	196
Idaho	121	121	1	145	129	16	193	133	60	198	138	60
Montana	106	105	b	119	118	b	144	117	27	147	124	23
Nevada	128	127	1	212	139	73	304	206	98	316	214	102
New Mexico	160	158	2	200	159	41	256	187	69	263	189	74
Utah	147	145	2	183	176	7	242	157	85	249	160	89
Wyoming	47	47	b	57	56	2	69	64	5	70	66	4
Pacific	4,081	3,813	267	4,692	2,808	1,884	5,665	3,580	2,085	5,831	3,670	2,162
Alaska	22	22	b	35	35	b	54	53	1	56	56	1
California	2,989	2,750	239	3,430	1,947	1,483	4,081	2,528	1,552	4,200	2,584	1,616
Hawaii	118	114	4	151	98	53	184	104	80	189	105	84
Oregon	390	371	19	433	260	173	527	297	231	542	311	231
Washington	562	556	6	643	468	175	818	598	221	844	614	230
Unknown	10	10	b	9	8	1	3	3	b	3	3	b
Outlying areas
Puerto Rico	337	337	b	401	400	1	506	175	331	520	169	351
U.S. Virgin Islands	6	6	b	9	9	b	14	14	b	15	15	b
Other	b	b	b	9	9	b	14	14	b	15	15	b
Foreign countries	255	254	b	288	285	3	355	352	3	365	362	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 statistics@ssa.gov.

Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area	1990			2000			2010			2011
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	8,033	6,619	1,414	8,375	6,831	1,544
United States ^a	3,154	3,132	22	5,219	4,759	459	7,847	6,540	1,307	8,185	6,753	1,432
New England	156	156	b	284	265	19	415	390	25	431	404	27
Connecticut	33	33	b	57	53	4	78	70	8	81	72	9
Maine	18	18	b	36	36	b	56	54	2	58	55	3
Massachusetts	72	72	b	131	120	11	186	179	7	194	187	8
New Hampshire	11	11	b	23	23	b	41	39	2	43	41	2
Rhode Island	14	14	b	24	20	4	34	29	5	35	30	5
Vermont	7	7	b	13	13	b	20	20	b	21	21	b
Middle Atlantic	474	470	4	729	655	73	1,039	819	220	1,076	841	235
New Jersey	86	85	1	133	124	9	181	163	18	187	167	20
New York	230	228	2	366	334	31	490	392	98	505	400	105
Pennsylvania	158	157	1	230	197	33	368	264	104	383	274	110
East North Central	562	560	2	823	773	50	1,216	1,080	136	1,276	1,117	159
Illinois	132	132	1	195	180	15	276	256	20	286	266	20
Indiana	77	76	1	117	114	3	179	158	21	188	164	24
Michigan	132	132	b	200	193	7	307	279	29	324	285	39
Ohio	156	155	1	221	199	23	315	269	46	331	279	52
Wisconsin	64	64	b	90	88	2	139	118	21	147	123	24
West North Central	212	210	2	339	324	14	513	456	57	533	472	61
Iowa	34	34	b	50	49	1	71	66	6	74	67	6
Kansas	26	26	b	43	42	2	66	61	5	69	64	5
Minnesota	44	44	b	72	70	1	112	97	15	117	101	16
Missouri	75	75	1	124	115	10	192	168	24	201	174	27
Nebraska	16	16	b	26	26	1	39	35	4	40	36	5
North Dakota	7	7	b	10	10	b	14	13	1	14	13	1
South Dakota	8	8	b	13	13	b	18	17	1	18	17	1
South Atlantic	608	604	4	1,082	998	84	1,606	1,325	281	1,677	1,369	308
Delaware	8	8	b	15	14	b	25	24	1	26	25	1
District of Columbia	7	7	b	10	9	b	13	12	1	14	13	1
Florida	165	165	1	316	253	63	463	343	120	489	355	133
Georgia	96	96	b	167	161	6	246	207	38	258	215	43
Maryland	46	46	b	75	70	5	112	104	8	118	110	8
North Carolina	106	106	b	195	191	4	300	258	42	310	265	46
South Carolina	59	59	b	105	105	b	159	131	27	165	135	30
Virginia	77	76	1	133	130	3	194	162	31	200	167	33
West Virginia	44	41	3	67	64	3	95	82	13	97	84	13
East South Central	287	286	1	498	482	16	750	616	134	779	634	145
Alabama	74	74	b	128	119	9	206	159	47	215	168	47
Kentucky	75	74	1	132	128	4	193	167	26	201	173	28
Mississippi	53	53	b	89	88	b	125	113	12	129	116	13
Tennessee	85	85	b	149	146	3	225	175	50	235	178	57
West South Central	317	317	b	541	492	50	892	743	149	936	774	163
Arkansas	48	48	b	80	78	2	126	106	20	131	109	22
Louisiana	71	71	b	104	92	12	147	124	23	153	128	25
Oklahoma	39	39	b	70	65	4	115	101	14	120	105	15
Texas	159	159	b	288	256	31	504	412	92	532	431	101
Mountain	148	147	1	286	240	46	457	342	115	480	356	124
Arizona	43	42	b	85	62	24	142	88	54	148	90	58
Colorado	34	34	1	65	53	11	90	70	20	95	74	21
Idaho	11	11	b	21	20	1	37	30	7	39	31	8
Montana	12	12	b	18	18	b	26	22	3	27	24	3
Nevada	13	13	b	31	24	7	53	42	10	56	45	11
New Mexico	19	19	b	34	31	3	57	48	9	60	50	10
Utah	13	13	b	24	23	b	41	31	10	43	32	12
Wyoming	4	4	b	8	8	b	11	11	1	12	11	1
Pacific	389	381	7	636	529	107	958	769	189	996	787	209
Alaska	3	3	b	7	7	b	12	12	b	12	12	b
California	290	283	7	464	378	86	676	544	133	701	554	147
Hawaii	9	9	b	15	14	1	22	17	6	23	17	7
Oregon	34	33	1	58	46	11	94	66	27	99	70	28
Washington	53	53	b	93	84	9	154	131	23	161	134	27
Unknown	2	2	b	1	1	b	b	b	b	b	b	b
Outlying areas
Puerto Rico	92	92	b	136	136	b	164	58	107	168	56	112
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	17	16	b	17	17	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 statistics@ssa.gov.

Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2011, selected years (in thousands)
Census division and state or area	1990			2000			2010			2011
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	47,664	35,910	11,754	48,849	36,458	12,391
United States ^a	33,494	32,789	706	38,759	31,896	6,863	46,588	35,276	11,313	47,744	35,821	11,924
New England	1,889	1,874	15	2,120	1,714	405	2,411	1,985	427	2,461	2,034	428
Connecticut	469	467	2	514	409	105	568	463	104	577	464	113
Maine	183	183	b	217	214	2	265	231	33	271	234	37
Massachusetts	867	858	9	958	721	237	1,061	858	203	1,085	893	192
New Hampshire	137	137	b	170	167	3	223	206	18	229	214	15
Rhode Island	159	155	3	172	114	58	183	120	63	186	122	64
Vermont	75	74	b	89	89	b	112	107	5	115	108	7
Middle Atlantic	5,556	5,415	141	5,992	4,733	1,259	6,599	4,659	1,939	6,705	4,707	1,998
New Jersey	1,092	1,062	30	1,200	1,029	170	1,327	1,160	167	1,352	1,175	177
New York	2,508	2,427	82	2,699	2,206	494	2,988	2,085	904	3,041	2,099	942
Pennsylvania	1,956	1,926	30	2,093	1,498	595	2,283	1,415	869	2,312	1,433	879
East North Central	5,784	5,713	72	6,364	5,722	643	7,308	5,801	1,506	7,453	5,761	1,692
Illinois	1,534	1,509	24	1,630	1,443	187	1,839	1,662	178	1,872	1,699	173
Indiana	762	749	13	852	816	35	1,006	842	164	1,027	848	179
Michigan	1,233	1,231	1	1,401	1,320	80	1,651	1,382	269	1,689	1,282	408
Ohio	1,543	1,520	23	1,699	1,405	295	1,901	1,271	629	1,934	1,283	651
Wisconsin	714	703	10	783	737	46	911	644	267	931	650	281
West North Central	2,635	2,560	75	2,857	2,576	281	3,265	2,557	709	3,319	2,565	754
Iowa	457	446	11	476	459	17	517	449	68	523	455	68
Kansas	363	359	5	390	360	30	433	385	48	439	389	50
Minnesota	588	544	44	654	566	88	786	458	328	804	446	357
Missouri	781	767	14	861	727	133	1,004	793	211	1,022	802	220
Nebraska	237	237	1	253	243	11	279	246	34	283	250	33
North Dakota	98	98	1	103	102	1	109	100	9	110	98	12
South Dakota	110	110	b	119	119	1	137	125	11	139	124	14
South Atlantic	6,142	6,077	65	7,512	6,508	1,004	9,408	7,412	1,997	9,685	7,566	2,119
Delaware	88	88	b	112	107	5	149	144	6	154	148	6
District of Columbia	78	75	3	75	68	7	78	70	8	80	72	8
Florida	2,339	2,323	16	2,823	2,068	754	3,375	2,359	1,016	3,472	2,374	1,097
Georgia	732	731	b	918	863	56	1,236	973	262	1,281	997	284
Maryland	541	538	4	646	574	72	785	721	64	807	741	66
North Carolina	892	890	2	1,136	1,088	48	1,490	1,225	265	1,533	1,261	273
South Carolina	442	441	b	570	568	2	774	650	124	799	669	131
Virginia	722	712	10	895	860	35	1,141	974	166	1,173	1,006	167
West Virginia	308	277	30	337	312	26	382	295	87	386	299	87
East South Central	2,173	2,153	20	2,559	2,411	147	3,160	2,549	611	3,234	2,600	635
Alabama	582	577	5	686	626	60	845	664	181	864	686	178
Kentucky	534	521	12	623	588	35	760	637	123	777	645	132
Mississippi	366	366	b	419	413	6	497	450	48	507	457	49
Tennessee	692	689	3	831	784	47	1,058	798	260	1,086	811	275
West South Central	3,196	3,192	5	3,817	3,246	571	4,823	3,903	919	4,964	3,999	965
Arkansas	391	390	1	439	420	19	531	456	76	542	462	80
Louisiana	531	531	b	601	496	105	687	524	163	703	535	168
Oklahoma	451	450	1	508	453	54	603	512	91	615	523	92
Texas	1,824	1,821	2	2,269	1,876	393	3,001	2,412	589	3,104	2,480	624
Mountain	1,637	1,599	39	2,200	1,640	560	2,987	2,057	930	3,092	2,129	963
Arizona	498	478	20	681	433	248	930	594	336	962	614	349
Colorado	358	346	12	468	306	162	625	415	209	650	433	217
Idaho	132	131	1	166	149	17	230	163	67	238	170	68
Montana	117	117	b	137	136	1	170	139	30	174	148	26
Nevada	141	140	1	243	163	80	357	249	108	372	258	114
New Mexico	179	177	2	234	190	44	313	235	79	322	238	84
Utah	160	157	2	206	199	7	283	188	96	292	192	101
Wyoming	52	51	b	65	64	2	80	75	5	82	77	5
Pacific	4,469	4,195	275	5,328	3,337	1,991	6,623	4,349	2,274	6,828	4,457	2,371
Alaska	25	25	b	42	42	b	66	65	1	69	68	1
California	3,279	3,033	245	3,894	2,325	1,569	4,757	3,072	1,685	4,901	3,138	1,763
Hawaii	127	123	4	165	111	54	206	121	86	213	122	91
Oregon	424	404	19	491	307	184	621	363	258	640	381	259
Washington	615	609	6	736	553	183	972	728	244	1,005	747	257
Unknown	12	12	b	10	9	1	4	3	b	4	3	b
Outlying areas
Puerto Rico	429	429	b	537	536	1	670	233	438	688	224	464
U.S. Virgin Islands	7	7	b	10	10	b	16	16	b	17	17	b
Other	b	b	b	11	11	b	17	17	b	18	18	b
Foreign countries	269	268	b	303	300	3	372	369	3	382	379	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 statistics@ssa.gov.

Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2011, selected years (in thousands)
Age, sex, and race	1990			2000			2010			2011
Age, sex, and race	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
	Hospital Insurance and/or Supplementary Medical Insurance
Total	30,939	30,255	684	34,247	27,840	6,407	39,631	29,291	10,340	40,474	29,627	10,847
Age
65–69	9,690	9,514	176	9,166	7,360	1,806	12,096	9,046	3,050	12,458	9,274	3,183
70–74	7,951	7,752	200	8,609	6,878	1,731	9,138	6,602	2,536	9,431	6,723	2,709
75–79	6,058	5,904	155	7,284	5,902	1,381	7,169	5,146	2,023	7,230	5,135	2,095
80–84	3,957	3,864	93	4,868	4,010	859	5,617	4,145	1,472	5,627	4,097	1,530
85 or older	3,282	3,221	61	4,320	3,690	630	5,612	4,352	1,259	5,728	4,398	1,330
Sex
Men	12,412	12,132	280	14,109	11,421	2,688	17,167	12,770	4,398	17,615	12,998	4,617
Women	18,528	18,123	404	20,138	16,419	3,719	22,464	16,521	5,943	22,859	16,629	6,230
Race
White	26,847	26,251	596	29,752	24,251	5,502	33,581	25,020	8,561	34,157	25,210	8,946
Black	--	--	--	2,720	2,204	516	3,330	2,332	999	3,424	2,377	1,048
All other races ^a	3,113	3,050	63	1,682	1,305	377	2,624	1,857	767	2,745	1,915	830
American Indian or Alaska Native	--	--	--	42	39	3	143	124	18	147	128	19
Asian or Pacific Islander	--	--	--	494	386	108	848	632	216	891	653	239
Hispanic	--	--	--	710	555	155	884	584	301	917	597	320
Other	--	--	--	436	324	112	749	516	232	790	537	252
Unknown	979	953	26	92	81	12	95	82	13	148	124	24
	Hospital Insurance
Total	30,455	29,778	678	33,827	27,429	6,398	39,283	28,954	10,330	40,136	29,301	10,835
Age
65–69	9,560	9,386	174	9,074	7,269	1,804	12,000	8,954	3,047	12,366	9,187	3,179
70–74	7,829	7,631	198	8,505	6,776	1,729	9,063	6,529	2,534	9,358	6,652	2,706
75–79	5,947	5,793	153	7,188	5,809	1,379	7,106	5,085	2,021	7,169	5,076	2,093
80–84	3,872	3,780	92	4,805	3,947	857	5,564	4,093	1,470	5,576	4,047	1,529
85 or older	3,248	3,188	60	4,256	3,627	629	5,551	4,293	1,258	5,667	4,338	1,329
Sex
Men	12,276	11,998	278	13,976	11,291	2,685	17,054	12,660	4,394	17,505	12,892	4,613
Women	18,179	17,779	400	19,851	16,138	3,713	22,230	16,293	5,936	22,631	16,409	6,222
Race
White	26,583	25,991	592	29,565	24,068	5,497	33,444	24,889	8,554	34,022	25,084	8,938
Black	--	--	--	2,668	2,153	515	3,283	2,287	997	3,379	2,334	1,045
All other races ^a	2,930	2,870	60	1,508	1,133	374	2,469	1,703	766	2,598	1,769	829
American Indian or Alaska Native	--	--	--	40	37	3	140	121	18	143	124	19
Asian or Pacific Islander	--	--	--	406	300	106	769	553	215	814	575	238
Hispanic	--	--	--	656	502	154	837	537	300	870	550	320
Other	--	--	--	405	294	111	724	492	232	771	519	252
Unknown	942	916	26	87	75	12	87	74	13	137	114	23
	Supplementary Medical Insurance
Total	29,678	28,993	684	32,585	26,178	6,407	36,768	26,429	10,340	37,432	26,585	10,847
Age
65–69	9,003	8,827	176	8,330	6,525	1,806	10,382	7,332	3,050	10,630	7,447	3,183
70–74	7,740	7,540	200	8,256	6,525	1,731	8,625	6,089	2,536	8,872	6,163	2,708
75–79	5,942	5,787	155	7,087	5,705	1,381	6,919	4,896	2,023	6,974	4,879	2,095
80–84	3,879	3,786	93	4,780	3,922	859	5,474	4,002	1,472	5,479	3,948	1,530
85 or older	3,114	3,054	61	4,131	3,501	630	5,368	4,109	1,259	5,477	4,147	1,330
Sex
Men	11,754	11,474	280	13,203	10,515	2,688	15,579	11,182	4,397	15,919	11,302	4,617
Women	17,923	17,519	404	19,382	15,663	3,719	21,189	15,247	5,943	21,512	15,283	6,230
Race
White	25,842	25,247	596	28,428	22,927	5,502	31,316	22,755	8,561	31,762	22,816	8,946
Black	--	--	--	2,543	2,027	516	3,061	2,062	998	3,141	2,093	1,047
All other races ^a	2,909	2,846	63	1,542	1,164	377	2,327	1,560	767	2,424	1,594	830
American Indian or Alaska Native	--	--	--	39	36	3	128	109	18	130	112	19
Asian or Pacific Islander	--	--	--	470	362	108	766	550	216	802	563	239
Hispanic	--	--	--	665	510	155	799	498	301	825	505	320
Other	--	--	--	368	257	112	635	402	232	666	414	252
Unknown	927	900	26	71	60	12	64	51	13	105	82	24
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 statistics@ssa.gov.

Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2011, selected years (in thousands)
Age, sex, and race	1990			2000			2010			2011
Age, sex, and race	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care	Total	Fee for service	Managed care
	Hospital Insurance and/or Supplementary Medical Insurance
Total	3,260	3,238	22	5,373	4,913	460	8,033	6,619	1,414	8,375	6,831	1,544
Age
Under 35	483	482	1	522	505	18	711	649	62	754	685	70
35–44	655	652	3	1,130	1,068	62	1,154	1,008	145	1,169	1,014	156
45–54	741	737	4	1,627	1,501	126	2,477	2,075	402	2,534	2,101	432
55–64	1,381	1,367	13	2,094	1,840	254	3,691	2,887	803	3,918	3,032	887
Sex
Men	2,045	2,032	14	3,017	2,772	245	4,193	3,511	682	4,367	3,624	743
Women	1,215	1,207	8	2,356	2,141	215	3,840	3,108	732	4,008	3,207	801
Race
White	2,485	2,467	18	3,994	3,641	353	5,799	4,781	1,019	6,012	4,908	1,104
Black	--	--	--	1,008	933	74	1,560	1,301	259	1,637	1,352	286
All other races ^a	713	710	3	356	327	32	646	513	133	685	537	148
American Indian or Alaska Native	--	--	--	23	22	1	66	61	5	70	64	6
Asian or Pacific Islander	--	--	--	41	38	4	100	84	16	107	89	18
Hispanic	--	--	--	201	182	19	337	257	80	364	273	91
Other	--	--	--	90	83	7	143	111	31	144	111	33
Unknown	62	62	1	15	14	1	28	24	4	41	35	6
	Hospital Insurance
Total	3,260	3,238	22	5,372	4,913	460	8,032	6,619	1,414	8,375	6,831	1,544
Age
Under 35	483	482	1	522	504	18	711	649	62	754	684	70
35–44	655	652	3	1,129	1,068	62	1,154	1,008	145	1,169	1,014	156
45–54	741	737	4	1,627	1,501	126	2,477	2,075	402	2,534	2,101	432
55–64	1,381	1,367	13	2,093	1,840	254	3,690	2,887	803	3,918	3,031	887
Sex
Men	2,045	2,032	14	3,017	2,772	245	4,193	3,511	682	4,367	3,624	743
Women	1,215	1,206	8	2,356	2,141	215	3,840	3,108	732	4,008	3,207	801
Race
White	2,485	2,467	18	3,994	3,641	353	5,799	4,780	1,019	6,012	4,907	1,104
Black	--	--	--	1,008	933	74	1,560	1,301	259	1,637	1,352	286
All other races ^a	713	710	3	356	325	31	646	513	133	685	537	148
American Indian or Alaska Native	--	--	--	23	22	1	66	61	5	70	64	6
Asian or Pacific Islander	--	--	--	41	38	4	100	84	16	107	89	18
Hispanic	--	--	--	201	182	19	337	257	80	364	273	91
Other	--	--	--	90	83	7	143	111	31	144	111	33
Unknown	62	61	1	15	14	1	28	24	4	41	35	6
	Supplementary Medical Insurance
Total	2,948	2,926	22	4,775	4,315	460	7,185	5,772	1,413	7,512	5,968	1,544
Age
Under 35	442	440	1	467	449	18	647	585	62	687	618	70
35–44	587	584	3	998	937	62	1,028	883	145	1,045	890	156
45–54	666	662	4	1,422	1,296	126	2,211	1,808	402	2,269	1,836	432
55–64	1,253	1,240	13	1,887	1,633	254	3,299	2,496	803	3,511	2,624	887
Sex
Men	1,836	1,822	14	2,667	2,423	245	3,701	3,019	682	3,862	3,120	743
Women	1,112	1,104	8	2,107	1,892	215	3,485	2,753	732	3,650	2,849	801
Race
White	2,241	2,222	18	3,539	3,186	353	5,167	4,149	1,018	5,373	4,269	1,104
Black	--	--	--	918	843	74	1,423	1,165	259	1,497	1,211	286
All other races ^a	651	648	3	305	274	31	570	438	133	607	459	148
American Indian or Alaska Native	--	--	--	21	20	1	60	55	5	63	57	6
Asian or Pacific Islander	--	--	--	36	33	4	87	72	16	94	76	18
Hispanic	--	--	--	176	157	19	301	220	80	325	235	91
Other	--	--	--	71	64	7	122	91	31	124	91	33
Unknown	57	56	1	13	12	1	24	20	4	35	29	6
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 statistics@ssa.gov.

Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area	1990			2000			2010
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	126,063	19,407,218	154
United States	69,645	3,687,770	53	87,641	6,995,748	80	124,602	19,168,082	154
New England	4,716	243,462	52	6,953	511,226	74	7,198	1,027,785	143
Connecticut	1,062	56,806	53	1,696	120,602	71	1,900	251,504	132
Maine	380	19,900	52	664	47,095	71	453	75,876	167
Massachusetts	2,403	121,472	51	3,328	253,132	76	3,701	520,842	141
New Hampshire	292	15,274	52	504	36,257	72	521	84,875	163
Rhode Island	315	17,537	56	393	32,720	83	325	54,699	168
Vermont	264	12,473	47	368	21,418	58	297	39,989	135
Middle Atlantic	8,570	504,379	59	12,446	1,066,579	86	12,114	1,815,857	150
New Jersey	1,435	71,239	50	2,274	203,145	89	2,251	405,510	180
New York	2,867	193,812	68	5,983	510,094	85	6,339	829,649	131
Pennsylvania	4,269	239,329	56	4,190	353,341	84	3,524	580,697	165
East North Central	8,864	488,161	55	11,615	996,673	86	18,053	3,158,933	175
Illinois	2,695	152,406	57	3,112	278,001	89	6,483	1,248,999	193
Indiana	1,112	56,613	51	1,464	112,768	77	2,147	330,697	154
Michigan	2,157	128,251	59	3,436	311,343	91	4,772	886,909	186
Ohio	2,082	108,602	52	2,713	223,430	82	3,846	561,021	146
Wisconsin	817	42,289	52	891	71,131	80	805	131,307	163
West North Central	3,591	182,775	51	3,884	297,355	77	4,201	674,453	161
Iowa	490	20,609	42	602	39,847	66	602	83,367	138
Kansas	463	22,023	49	515	38,056	74	691	101,393	147
Minnesota	380	20,168	53	525	40,350	77	673	117,078	174
Missouri	1,809	96,011	53	1,651	134,144	81	1,693	285,034	168
Nebraska	283	15,169	54	318	25,063	79	359	59,337	165
North Dakota	104	4,979	48	140	9,814	70	87	12,226	140
South Dakota	71	3,816	54	134	10,083	75	97	16,019	166
South Atlantic	15,504	792,155	51	17,603	1,434,967	82	27,755	4,147,843	149
Delaware	195	9,033	46	222	18,759	85	265	45,588	172
District of Columbia	129	8,552	66	154	13,859	90	156	28,775	185
Florida	7,513	371,331	49	7,032	576,519	82	16,660	2,207,943	133
Georgia	2,647	120,132	45	2,568	197,327	77	2,734	453,869	166
Maryland	863	52,659	61	1,046	95,980	92	1,192	237,129	199
North Carolina	1,659	93,205	56	2,533	209,226	83	2,550	453,949	178
South Carolina	694	41,712	60	1,412	118,278	84	1,338	243,074	182
Virginia	1,277	70,498	55	2,030	157,804	78	2,322	386,851	167
West Virginia	528	25,033	47	606	47,215	78	539	90,665	168
East South Central	11,432	501,015	44	10,424	708,458	68	10,618	1,654,875	156
Alabama	2,792	111,655	40	2,466	163,019	66	2,486	380,656	153
Kentucky	1,202	56,717	47	1,916	135,941	71	2,005	314,962	157
Mississippi	2,777	108,559	39	2,514	159,346	63	2,425	377,257	156
Tennessee	4,661	224,084	48	3,529	250,152	71	3,702	581,999	157
West South Central	9,063	445,067	49	15,305	1,062,985	69	31,520	4,314,530	137
Arkansas	1,072	47,907	45	1,103	70,205	64	1,356	172,533	127
Louisiana	2,286	106,074	46	4,081	261,901	64	4,238	606,968	143
Oklahoma	1,153	57,990	50	2,354	149,916	64	4,100	522,018	127
Texas	4,553	233,095	51	7,767	580,964	75	21,825	3,012,978	138
Mountain	2,485	139,038	56	3,188	257,608	81	4,600	726,129	158
Arizona	568	33,529	59	497	43,124	87	792	148,499	188
Colorado	595	35,779	60	725	59,239	82	963	152,620	158
Idaho	153	8,904	58	258	22,771	88	331	50,791	153
Montana	195	9,825	50	208	16,200	78	147	24,962	170
Nevada	218	13,279	61	309	27,152	88	755	135,272	179
New Mexico	256	13,328	52	390	30,327	78	568	87,315	154
Utah	447	21,573	48	680	50,606	74	951	112,815	119
Wyoming	53	2,820	53	120	8,190	68	93	13,857	150
Pacific	5,419	391,717	72	6,222	659,896	106	8,543	1,647,677	193
Alaska	14	1,404	100	39	5,145	132	54	11,688	217
California	4,237	310,835	73	5,031	529,250	105	7,168	1,350,065	188
Hawaii	57	4,241	74	84	8,980	107	46	11,042	240
Oregon	417	29,872	72	399	45,225	113	413	89,148	216
Washington	693	45,365	65	669	71,296	107	862	185,733	215
Outlying areas ^a	622	25,882	42	2,926	220,210	75	1,461	239,136	164
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area	1990				2000				2010
Census division and state or area	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b	Total discharges ^a	Days per discharge	Program payments (thousands of dollars)	Program payments per discharge (dollars) ^b
Total
All areas	10,521,925	8.8	53,708,287	5,281	11,719,960	6.0	81,230,259	6,971	12,340,835	5.4	116,852,409	9,588
United States	10,421,685	8.8	53,502,918	5,312	11,574,200	6.0	80,769,047	7,019	12,284,510	5.4	116,558,944	9,608
New England	561,265	10.0	3,097,017	5,702	563,305	5.8	4,365,878	7,797	661,465	5.3	6,721,080	10,273
Connecticut	117,230	10.4	719,274	6,366	125,295	6.2	1,097,034	8,807	165,520	5.6	1,749,223	10,687
Maine	54,695	9.3	239,915	4,477	69,740	5.6	434,302	6,239	59,695	5.1	560,261	9,458
Massachusetts	281,780	10.0	1,598,356	5,878	257,720	5.7	2,035,018	7,952	322,725	5.2	3,232,388	10,133
New Hampshire	39,640	9.2	190,737	4,917	46,970	5.6	334,202	7,167	49,645	5.2	500,856	10,165
Rhode Island	47,060	10.0	251,050	5,514	37,325	6.2	276,771	7,449	42,740	5.9	398,337	9,453
Vermont	20,860	9.7	97,686	4,793	26,255	5.7	188,547	7,237	21,140	5.3	280,014	13,391
Middle Atlantic	1,779,975	11.4	10,484,595	6,030	1,747,960	7.3	14,864,554	8,569	1,852,945	6.2	18,772,529	10,306
New Jersey	353,960	11.7	1,933,841	5,606	380,730	7.5	3,384,886	8,983	423,905	5.9	4,427,211	10,565
New York	729,465	13.1	4,888,241	6,884	750,130	8.2	7,155,309	9,625	828,675	6.7	9,358,190	11,478
Pennsylvania	696,550	9.5	3,662,512	5,358	617,100	6.1	4,324,358	7,036	600,365	5.6	4,987,128	8,494
East North Central	1,890,545	8.6	10,017,401	5,413	2,118,675	5.7	14,097,236	6,693	2,184,505	5.2	19,845,591	9,196
Illinois	509,075	8.9	2,670,430	5,410	580,250	5.7	3,840,706	6,672	624,800	5.2	5,821,547	9,449
Indiana	254,105	8.3	1,198,667	4,837	291,380	5.7	1,796,295	6,198	291,055	5.2	2,607,929	9,037
Michigan	376,545	8.9	2,199,988	5,925	468,095	6.1	3,473,727	7,459	539,100	5.3	5,249,883	9,828
Ohio	534,035	8.6	2,920,387	5,567	538,445	5.6	3,466,013	6,471	536,080	5.1	4,339,817	8,229
Wisconsin	216,785	7.7	1,027,929	4,817	240,505	5.4	1,520,493	6,352	193,470	5.0	1,826,415	9,518
West North Central	841,935	7.8	3,804,644	4,683	925,865	5.4	5,759,187	6,250	839,945	5.0	7,523,433	9,051
Iowa	145,360	8.1	635,397	4,440	164,590	5.4	959,210	5,844	123,715	5.1	1,087,128	8,872
Kansas	124,065	7.7	542,828	4,516	134,585	5.5	806,523	6,005	116,305	5.1	1,024,304	8,896
Minnesota	165,095	6.7	764,017	5,052	193,910	5.0	1,256,854	6,545	178,610	4.6	1,704,060	9,641
Missouri	266,625	8.6	1,270,319	4,872	281,505	5.7	1,810,063	6,460	292,685	5.2	2,503,651	8,647
Nebraska	69,875	7.6	300,070	4,434	76,015	5.2	506,171	6,686	71,475	5.1	665,399	9,393
North Dakota	33,230	7.2	141,966	4,368	33,640	5.1	193,994	5,793	24,650	4.9	229,995	9,434
South Dakota	37,685	7.2	150,047	4,058	41,620	5.2	226,370	5,454	32,505	5.0	308,895	9,635
South Atlantic	1,848,195	8.8	8,906,934	5,000	2,403,790	6.0	15,911,326	6,655	2,588,625	5.4	24,117,041	9,398
Delaware	27,260	9.3	149,857	5,599	36,845	6.4	275,714	7,513	44,690	5.8	496,471	11,167
District of Columbia	24,410	11.6	183,855	7,754	26,940	7.9	269,614	10,121	26,585	6.1	325,339	12,556
Florida	596,765	8.6	3,014,347	5,323	754,145	5.8	5,004,157	6,675	878,690	5.5	7,527,249	8,633
Georgia	269,315	7.9	1,143,257	4,373	320,335	5.8	2,061,225	6,469	322,870	5.4	2,951,001	9,228
Maryland	183,820	9.4	1,092,833	6,056	217,605	5.8	1,773,771	8,190	273,955	5.0	3,231,204	11,916
North Carolina	267,020	9.6	1,215,983	4,703	396,985	6.0	2,467,636	6,251	407,405	5.3	3,893,911	9,654
South Carolina	120,540	9.4	540,954	4,655	214,540	6.2	1,390,229	6,504	213,040	5.6	1,987,028	9,403
Virginia	245,065	8.9	1,102,096	4,627	300,785	6.1	1,896,484	6,338	309,110	5.3	2,759,469	8,994
West Virginia	114,000	8.2	463,751	4,217	135,610	5.8	772,492	5,724	112,280	5.6	945,370	8,483
East South Central	827,120	8.2	3,345,751	4,156	1,013,885	5.8	5,704,817	5,652	963,640	5.4	7,786,714	8,149
Alabama	228,580	8.1	959,825	4,308	274,470	5.5	1,492,353	5,454	253,420	5.3	1,910,245	7,608
Kentucky	201,625	8.3	831,981	4,255	244,210	5.6	1,362,272	5,614	241,895	5.2	2,044,960	8,525
Mississippi	145,900	7.8	501,880	3,522	191,685	6.4	1,013,536	5,310	171,515	5.8	1,448,510	8,517
Tennessee	251,015	8.3	1,052,065	4,307	303,520	5.9	1,836,655	6,078	296,810	5.3	2,382,999	8,092
West South Central	1,103,155	8.1	5,139,839	4,772	1,298,505	5.9	8,215,049	6,357	1,365,910	5.4	12,066,708	8,964
Arkansas	145,225	8.1	556,377	3,918	163,480	5.9	872,811	5,364	152,555	5.2	1,220,475	8,056
Louisiana	206,510	7.9	968,667	4,791	226,020	5.9	1,408,934	6,263	201,110	5.6	1,637,434	8,255
Oklahoma	162,505	8.0	700,390	4,403	187,220	5.8	1,069,986	5,730	191,485	5.2	1,599,516	8,438
Texas	588,915	8.2	2,914,405	5,079	721,785	5.9	4,863,318	6,774	820,760	5.4	7,609,283	9,433
Mountain	445,395	7.0	2,152,663	5,100	488,870	5.0	3,196,062	6,569	580,410	4.8	5,406,084	9,449
Arizona	135,340	7.0	711,071	5,601	131,325	5.0	866,364	6,642	190,090	4.8	1,803,854	9,680
Colorado	93,400	7.3	460,034	5,251	92,655	5.0	625,753	6,788	119,065	4.7	1,070,536	9,052
Idaho	34,290	6.2	146,967	4,382	47,780	4.6	290,241	6,102	34,810	4.4	318,622	9,213
Montana	39,820	6.6	164,698	4,230	44,270	4.8	258,894	5,850	31,240	4.7	283,979	9,244
Nevada	34,890	8.1	201,288	6,349	46,945	6.0	349,025	7,473	78,520	5.5	752,101	9,725
New Mexico	52,435	6.8	208,909	4,235	53,130	5.2	327,251	6,196	61,660	5.0	561,743	9,216
Utah	37,740	6.3	181,133	4,928	50,715	4.8	336,745	6,661	47,455	4.4	416,811	8,925
Wyoming	17,480	6.7	78,563	4,561	22,050	5.0	141,785	6,442	17,570	4.6	198,438	11,517
Pacific	1,124,100	7.2	6,554,074	6,290	1,013,345	5.8	8,654,933	8,599	1,247,065	5.2	14,319,765	11,677
Alaska	6,590	7.7	43,028	6,912	12,715	5.8	120,546	9,682	14,650	5.2	212,259	14,792
California	826,685	7.3	5,117,872	6,574	731,050	6.0	6,543,541	9,015	934,155	5.4	11,046,507	12,052
Hawaii	25,665	10.1	121,606	6,416	25,510	8.0	213,726	8,431	26,115	6.6	309,384	12,022
Oregon	104,300	6.2	474,125	5,211	92,985	4.6	624,464	6,741	87,580	4.6	838,918	9,687
Washington	160,860	6.7	797,442	5,414	151,085	4.9	1,152,655	7,672	184,565	4.7	1,912,697	10,449
Outlying areas ^c	100,240	7.8	205,369	2,091	145,760	6.8	461,482	3,187	56,325	7.2	293,464	5,274
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2010
Census division and state or area	1990			2000			2010
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	2,542,541	27,454,045	10,808
United States	736,466	1,824,011	2,509	1,932,134	10,635,515	5,514	2,540,694	27,439,911	10,811
New England	30,180	69,422	2,321	137,383	849,428	6,194	175,964	1,953,174	11,105
Connecticut	10,912	26,387	2,423	34,452	254,218	7,387	48,443	540,283	11,157
Maine	1,377	5,178	3,763	13,391	66,702	4,983	15,774	156,059	9,899
Massachusetts	11,733	26,107	2,267	64,946	389,016	6,003	80,521	905,645	11,254
New Hampshire	1,443	2,803	1,953	10,243	59,904	5,859	14,791	171,224	11,578
Rhode Island	3,685	7,472	2,037	9,452	54,095	5,757	9,947	107,017	10,765
Vermont	1,030	1,476	1,437	4,899	25,492	5,207	6,488	72,946	11,248
Middle Atlantic	97,503	254,554	2,642	290,974	1,937,835	6,677	380,134	4,171,432	10,982
New Jersey	10,725	27,797	2,599	68,638	412,488	6,014	113,972	1,280,984	11,243
New York	37,454	95,175	2,587	110,292	931,412	8,465	147,187	1,687,582	11,472
Pennsylvania	49,324	131,582	2,692	112,044	593,935	5,322	118,975	1,202,866	10,124
East North Central	142,252	323,800	2,305	374,369	2,014,281	5,382	481,136	5,126,375	10,669
Illinois	40,758	117,390	2,902	104,203	515,307	4,946	147,185	1,559,820	10,603
Indiana	22,093	61,858	2,844	59,020	330,466	5,600	69,921	811,368	11,611
Michigan	27,324	46,583	1,730	57,347	374,014	6,526	93,831	995,036	10,646
Ohio	33,115	61,462	1,894	107,475	555,817	5,173	122,318	1,233,107	10,089
Wisconsin	18,962	36,507	1,935	46,324	238,678	5,153	47,881	527,044	11,022
West North Central	95,732	209,517	2,206	190,486	756,598	3,973	219,843	2,015,228	9,177
Iowa	13,613	33,630	2,483	33,702	110,449	3,277	38,254	319,680	8,368
Kansas	12,712	24,259	1,919	27,334	99,927	3,657	32,862	320,051	9,753
Minnesota	28,729	54,696	1,926	42,888	199,933	4,662	44,978	422,675	9,408
Missouri	26,942	74,044	2,764	50,515	216,975	4,297	62,488	564,750	9,049
Nebraska	6,988	14,623	2,100	18,766	71,141	3,793	22,604	222,826	9,863
North Dakota	4,203	4,823	1,177	7,790	23,998	3,081	8,396	67,273	8,019
South Dakota	2,545	3,441	1,356	9,491	34,175	3,603	10,261	97,973	9,551
South Atlantic	97,746	221,593	2,304	351,271	1,962,427	5,597	501,914	5,359,990	10,685
Delaware	1,136	2,298	2,057	4,938	31,158	6,319	9,137	111,129	12,163
District of Columbia	1,118	3,635	3,283	3,745	23,113	6,175	5,216	61,576	11,812
Florida	46,617	114,361	2,504	139,057	813,328	5,866	187,538	2,156,069	11,501
Georgia	12,065	21,913	1,836	36,847	195,450	5,309	52,699	528,536	10,039
Maryland	8,450	19,625	2,344	38,562	194,644	5,065	56,562	585,864	10,360
North Carolina	12,138	21,391	1,776	50,008	270,927	5,422	73,593	753,582	10,249
South Carolina	4,787	9,645	2,127	24,069	130,669	5,430	34,373	360,369	10,488
Virginia	7,393	17,995	2,443	36,536	217,418	5,952	64,246	634,720	9,886
West Virginia	4,042	10,731	2,679	17,509	85,720	4,897	18,550	168,144	9,080
East South Central	41,228	74,764	1,842	131,017	665,240	5,081	177,560	1,758,671	9,911
Alabama	11,934	20,172	1,716	29,268	164,159	5,614	41,831	371,952	8,899
Kentucky	9,029	20,697	2,319	35,891	167,196	4,659	47,157	450,243	9,552
Mississippi	5,850	7,897	1,381	20,560	95,372	4,648	30,670	332,958	10,865
Tennessee	14,415	25,998	1,833	45,298	238,514	5,267	57,902	603,518	10,428
West South Central	62,302	173,258	2,809	183,161	869,345	4,757	255,317	2,555,424	10,019
Arkansas	6,254	13,455	2,167	22,862	83,236	3,644	29,669	245,575	8,289
Louisiana	12,244	42,336	3,488	27,165	120,360	4,433	35,333	346,586	9,814
Oklahoma	7,065	20,642	2,928	26,004	105,867	4,072	31,116	270,167	8,697
Texas	36,739	96,824	2,669	107,130	559,882	5,245	159,199	1,693,097	10,646
Mountain	43,063	105,189	2,467	87,157	435,051	5,004	105,187	1,128,681	10,743
Arizona	12,521	30,667	2,463	20,256	95,244	4,742	25,381	252,844	9,977
Colorado	10,220	29,480	2,928	18,993	99,687	5,256	26,415	296,144	11,226
Idaho	3,569	6,819	1,918	10,396	50,995	4,909	8,767	92,792	10,593
Montana	4,483	6,780	1,527	9,410	36,201	3,847	8,782	80,925	9,219
Nevada	2,173	7,202	3,328	6,348	37,209	5,867	11,071	143,694	12,991
New Mexico	2,494	7,687	3,250	6,130	31,929	5,213	9,119	94,673	10,405
Utah	6,081	14,452	2,378	11,672	65,662	5,627	11,181	122,528	10,966
Wyoming	1,522	2,102	1,388	3,952	18,123	4,586	4,471	45,080	10,083
Pacific	126,460	391,915	3,155	186,316	1,145,310	6,174	243,639	3,370,936	13,861
Alaska	320	1,182	3,705	991	6,406	6,477	1,229	20,023	16,305
California	101,886	325,664	3,234	137,485	875,847	6,395	184,255	2,639,123	14,341
Hawaii	1,122	3,421	3,831	2,173	14,886	6,898	3,384	44,348	13,608
Oregon	8,869	26,399	3,111	13,964	67,421	4,844	15,143	167,579	11,076
Washington	14,263	35,249	2,551	31,703	180,749	5,742	39,628	499,862	12,634
Outlying areas ^c	1,234	3,179	2,593	3,993	15,760	3,948	1,847	14,134	7,661
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services. Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2010
Census division and state or area	1993				2000				2010
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	1,163,037	81,654,927	12,950,475	11,175
United States	207,660	11,808,826	1,184,752	5,709	529,745	25,646,822	2,903,200	5,482	1,151,358	80,244,133	12,810,641	11,166
New England	9,423	478,589	51,507	5,468	20,642	799,522	104,817	5,078	52,085	3,078,644	537,146	10,338
Connecticut	2,083	78,816	12,535	6,024	5,425	197,854	31,872	5,875	11,416	547,732	109,556	9,613
Maine	477	26,596	2,250	4,717	1,135	49,657	4,977	4,386	5,564	333,326	52,509	9,456
Massachusetts	4,951	272,647	27,718	5,601	9,906	381,853	47,884	4,834	23,516	1,468,601	251,551	10,733
New Hampshire	604	31,383	2,787	4,615	1,679	77,363	8,824	5,256	4,809	287,539	46,943	9,782
Rhode Island	887	49,247	4,514	5,090	1,758	61,325	7,978	4,538	5,225	356,516	63,315	12,134
Vermont	421	19,900	1,702	4,044	739	31,470	3,279	4,438	1,555	84,930	13,272	8,552
Middle Atlantic	24,505	1,233,263	126,915	5,186	63,096	2,697,689	333,959	5,293	132,722	8,262,583	1,359,530	10,277
New Jersey	5,933	309,909	29,758	5,017	13,067	560,846	67,535	5,169	30,884	1,965,196	341,688	11,100
New York	11,400	576,724	63,460	5,567	23,214	1,008,086	135,580	5,841	41,252	2,232,898	397,994	9,682
Pennsylvania	7,172	346,630	33,696	4,717	26,815	1,128,757	130,843	4,880	60,586	4,064,489	619,848	10,262
East North Central	37,377	2,061,004	207,056	5,541	93,025	4,154,816	464,650	4,996	189,675	12,185,738	1,917,277	10,142
Illinois	10,856	630,851	66,465	6,123	24,067	1,071,673	121,113	5,033	42,648	2,536,817	417,839	9,831
Indiana	1,708	101,725	9,310	5,454	9,984	484,813	51,390	5,149	23,846	1,539,234	230,087	9,693
Michigan	9,984	521,346	52,695	5,279	22,873	1,017,365	115,791	5,063	43,979	2,708,169	420,647	9,589
Ohio	10,981	596,101	59,575	5,427	27,228	1,159,156	132,377	4,863	56,207	3,845,723	606,275	10,827
Wisconsin	3,848	210,981	19,008	4,943	8,873	421,809	43,977	4,959	22,995	1,555,795	242,429	10,570
West North Central	14,164	865,934	80,074	5,659	36,720	1,748,289	176,312	4,804	85,257	5,548,987	808,443	9,510
Iowa	2,545	165,177	15,656	6,162	6,460	298,008	30,383	4,705	16,461	1,013,650	149,409	9,109
Kansas	2,190	144,153	13,161	6,021	5,550	267,095	26,068	4,708	12,631	904,768	130,738	10,393
Minnesota	3,303	185,954	18,338	5,555	8,175	402,271	45,222	5,532	17,922	996,562	157,216	8,796
Missouri	4,411	272,688	24,401	5,537	11,678	554,407	52,819	4,524	26,845	1,997,507	280,319	10,468
Nebraska	871	50,606	4,178	4,797	2,982	142,942	13,829	4,638	7,011	398,330	57,620	8,237
North Dakota	479	27,677	2,498	5,216	1,023	42,601	4,151	4,058	1,878	107,110	14,088	7,522
South Dakota	365	19,679	1,839	5,055	852	40,965	3,838	4,505	2,509	131,060	19,052	7,603
South Atlantic	48,947	2,962,460	289,612	5,921	112,303	5,663,896	656,729	5,851	253,063	18,723,650	3,067,189	12,164
Delaware	699	37,634	3,367	4,818	1,550	78,705	8,819	5,690	4,928	475,245	77,511	15,764
District of Columbia	283	13,467	1,381	4,899	614	29,755	3,866	6,297	1,386	98,035	16,654	12,068
Florida	28,465	1,677,775	170,767	6,001	56,248	2,819,511	350,229	6,229	103,806	7,594,127	1,359,349	13,129
Georgia	3,526	178,394	15,480	4,392	13,658	723,558	77,534	5,683	35,789	2,884,282	443,861	12,464
Maryland	2,792	136,154	13,277	4,771	7,638	298,523	34,343	4,496	16,135	910,816	149,059	9,279
North Carolina	7,111	541,896	49,572	6,972	13,198	717,297	77,961	5,913	36,577	2,600,507	407,364	11,179
South Carolina	2,181	146,669	13,105	6,009	6,552	345,769	34,999	5,345	21,965	1,837,036	274,837	12,561
Virginia	2,240	128,588	13,190	5,910	9,397	467,386	51,049	5,434	24,066	1,698,135	251,164	10,481
West Virginia	1,650	101,883	9,468	5,770	3,448	183,392	17,926	5,199	8,411	625,467	87,390	10,472
East South Central	11,117	769,046	71,474	6,432	32,995	2,126,137	208,855	6,332	77,344	6,108,342	858,930	11,155
Alabama	2,914	171,404	15,094	5,182	11,421	838,025	79,080	6,925	25,923	2,396,559	322,869	12,502
Kentucky	4,851	399,811	37,024	7,634	8,047	443,176	45,727	5,684	14,392	899,474	135,399	9,451
Mississippi	1,153	70,260	6,449	5,598	5,693	467,035	45,142	7,931	13,571	1,272,552	171,812	12,749
Tennessee	2,199	127,571	12,905	5,872	7,834	377,901	38,903	4,971	23,458	1,539,757	228,851	9,792
West South Central	21,336	1,299,331	122,741	5,754	62,010	3,558,642	364,302	5,876	134,916	10,937,925	1,599,793	11,901
Arkansas	1,975	124,494	10,723	5,430	5,281	323,207	30,097	5,700	12,333	784,841	115,479	9,399
Louisiana	1,991	97,592	8,831	4,436	7,154	350,795	36,690	5,130	18,486	1,546,444	214,631	11,669
Oklahoma	2,019	105,462	9,731	4,820	10,423	755,349	69,813	6,699	19,362	1,856,218	247,808	12,862
Texas	15,351	971,783	93,455	6,089	39,152	2,129,291	227,700	5,817	84,735	6,750,422	1,021,874	12,096
Mountain	12,453	624,739	66,336	5,330	38,491	1,806,545	212,559	5,523	84,688	6,581,368	1,063,470	12,607
Arizona	5,123	229,256	27,722	5,411	15,509	732,768	91,111	5,875	30,880	2,570,440	435,891	14,173
Colorado	3,250	160,173	16,126	4,970	8,840	344,737	41,239	4,666	16,793	1,165,872	193,049	11,546
Idaho	838	50,527	4,407	5,260	1,940	101,328	9,991	5,150	5,766	455,895	63,624	11,082
Montana	585	35,506	3,157	5,406	1,405	78,669	7,783	5,540	3,582	226,610	32,146	8,997
Nevada	958	58,400	6,536	6,823	3,637	144,309	20,034	6,301	8,950	628,159	114,184	12,801
New Mexico	1,348	74,578	6,969	5,174	3,838	236,349	24,181	5,589	7,910	625,018	93,903	11,906
Utah	263	11,506	979	3,740	2,805	143,233	15,676	4,914	9,588	838,377	119,927	12,563
Wyoming	88	4,793	437	4,971	517	25,152	2,540	4,943	1,219	70,997	10,745	8,873
Pacific	28,338	1,514,460	169,033	5,969	70,463	3,091,286	381,013	5,409	141,608	8,816,896	1,598,863	11,334
Alaska	16	895	87	5,476	103	4,269	513	4,988	550	29,128	4,808	8,855
California	20,316	1,080,047	119,651	5,896	50,116	2,208,522	279,037	5,571	99,267	6,420,966	1,201,190	12,147
Hawaii	619	27,282	2,906	4,695	1,406	56,188	7,626	5,428	3,293	189,763	31,877	9,784
Oregon	3,365	185,088	17,102	5,083	8,915	387,697	42,557	4,773	17,156	987,572	159,935	9,345
Washington	4,022	221,148	29,285	7,281	9,923	434,610	51,278	5,168	21,342	1,189,467	201,053	9,457
Outlying areas ^a	7,429	840,663	65,662	8,839	4,663	310,894	22,619	4,851	11,679	1,410,794	139,834	12,034
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 statistics@ssa.gov.

Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2011
Year	Total number of claims (thousands)	Net assignment rate ^a (percent)
1969	37,542	61.5
1970	42,148	60.8
1971	46,572	58.5
1972	51,041	54.9
1973	57,007	52.7
1974	68,307	51.9
1975	79,980	51.8
1976	91,624	50.5
1977	105,339	50.5
1978	117,886	50.6
1979	132,098	51.3
1980	150,048	51.5
1981	167,154	52.3
1982	182,440	53.0
1983	204,122	53.9
1984	238,362	59.0
1985	279,559	68.5
1986	306,714	68.0
1987	346,551	73.1
1988	386,763	77.3
1989	421,305	79.7
1990	474,226	81.1
1991	517,123	83.1
1992	554,619	86.2
1993	583,863	90.1
1994	622,514	92.8
1995	647,855	94.7
1996	678,030	95.9
1997	688,891	96.7
1998	697,523	97.3
1999	703,227	97.6
2000	720,493	97.9
2001	766,758	98.1
2002	821,993	98.4
2003	860,746	98.5
2004	922,197	98.7
2005	951,551	98.9
2006	944,072	99.0
2007	951,072	99.1
2008	979,324	99.2
2009	974,680	99.2
2010	973,767	99.3
2011	972,115	99.4
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2011
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
2010	872,278	93.7	301,388	59.6
2011	876,669	94.5	312,931	60.0
	Unassigned claims
1971	17,955	57.6	1,348	12.5
1972	21,286	59.3	1,608	12.0
1973	24,691	66.4	1,886	12.6
1974	30,492	72.7	2,401	14.7
1975	36,182	77.4	2,973	17.7
1976	42,100	78.9	3,591	19.8
1977	48,619	77.1	4,233	19.0
1978	53,700	77.5	4,749	19.2
1979	59,961	80.9	5,596	20.7
1980	68,113	84.3	6,836	22.5
1981 ^a	72,765	85.8	7,870	23.8
1982	80,253	85.4	9,545	23.9
1983	87,436	82.7	10,885	22.9
1984	88,594	83.7	11,216	24.2
1985	77,965	84.6	10,059	25.9
1986	87,121	85.0	10,757	26.9
1987	83,116	82.4	10,258	24.7
1988	76,503	86.4	9,005	25.0
1989	74,947	90.1	8,971	25.0
1990	77,746	90.4	8,789	25.3
1991	77,520	91.3	7,884	23.1
1992	66,403	82.9	6,215	18.5
1993	51,080	86.5	4,267	16.5
1994	39,364	86.4	3,255	16.3
1995	29,975	83.4	2,543	15.4
1996	22,819	84.4	1,952	15.8
1997	18,615	84.4	1,650	16.4
1998	15,172	82.3	1,382	17.1
1999	13,834	81.3	1,316	17.7
2000	12,755	78.6	1,287	18.1
2001	12,085	76.7	1,252	18.2
2002	11,352	79.8	1,107	17.2
2003	11,100	82.1	1,066	15.9
2004	10,016	83.0	1,009	16.3
2005	9,589	82.2	1,000	17.4
2006	8,439	85.1	894	18.8
2007	7,378	88.4	790	18.2
2008	6,926	88.1	774	18.7
2009	6,677	88.0	746	19.1
2010	5,905	86.4	669	18.7
2011	5,429	86.5	640	19.9
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2010
Census division and state or area	1993			2000			2010
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	1,857,482	122,904,370	95,036,813
United States	1,050,605	45,677,059	34,838,562	1,229,583	66,047,753	50,790,939	1,850,800	122,520,394	94,740,428
New England	57,475	2,532,989	1,923,891	60,701	3,357,803	2,562,793	90,342	6,068,287	4,647,351
Connecticut	14,971	688,632	523,801	16,024	908,981	696,770	25,105	1,762,062	1,363,383
Maine	5,093	203,657	152,933	6,725	357,616	272,731	8,115	531,761	403,024
Massachusetts	26,993	1,216,000	927,157	26,099	1,464,973	1,117,345	40,600	2,691,594	2,061,972
New Hampshire	3,712	151,558	113,589	5,018	264,412	200,026	7,164	490,694	372,749
Rhode Island	5,089	200,132	152,442	4,512	227,420	175,093	5,949	371,097	279,266
Vermont	1,617	73,011	53,968	2,323	134,403	100,828	3,408	221,079	166,957
Middle Atlantic	190,966	8,727,545	6,679,025	198,796	11,114,019	8,582,935	278,006	18,392,020	14,290,928
New Jersey	39,741	1,795,252	1,374,199	46,582	2,706,642	2,098,689	77,068	5,247,082	4,095,126
New York	84,011	3,869,484	2,968,599	94,073	5,222,652	4,031,686	129,814	8,334,346	6,484,647
Pennsylvania	67,214	3,062,810	2,336,227	58,141	3,184,725	2,452,560	71,123	4,810,591	3,711,155
East North Central	178,252	7,526,281	5,711,398	202,748	10,835,911	8,301,058	287,975	19,244,169	14,818,771
Illinois	43,382	1,995,230	1,518,069	50,279	2,722,188	2,087,286	84,529	5,712,273	4,407,437
Indiana	19,724	855,441	642,446	27,376	1,418,457	1,079,378	38,589	2,574,392	1,976,913
Michigan	48,483	1,916,709	1,468,007	50,326	2,823,614	2,173,760	73,788	5,111,720	3,945,939
Ohio	47,701	2,011,679	1,522,281	50,755	2,722,161	2,085,982	63,723	4,172,156	3,207,844
Wisconsin	18,962	747,222	560,596	24,012	1,149,491	874,652	27,345	1,673,628	1,280,638
West North Central	69,790	2,693,967	2,024,254	86,209	4,213,384	3,209,083	112,402	7,191,572	5,514,064
Iowa	13,006	457,750	342,045	15,717	732,727	556,426	18,674	1,171,379	892,862
Kansas	10,888	451,677	342,214	13,030	671,147	514,252	18,373	1,191,468	917,373
Minnesota	11,608	438,052	323,989	16,548	798,015	603,082	17,699	1,167,440	888,449
Missouri	22,543	914,332	693,436	25,365	1,300,857	996,024	37,499	2,423,369	1,867,892
Nebraska	6,294	233,733	174,219	8,226	388,700	294,564	11,311	705,570	540,950
North Dakota	2,595	96,467	72,033	3,349	149,240	113,542	3,695	230,791	175,728
South Dakota	2,856	101,957	76,316	3,974	172,698	131,194	5,151	301,554	230,810
South Atlantic	216,862	9,345,787	7,164,358	270,430	14,646,480	11,291,572	427,892	28,325,952	21,962,008
Delaware	3,037	137,176	104,482	4,302	244,628	188,488	7,790	525,941	406,709
District of Columbia	2,620	121,120	93,475	2,346	136,917	105,493	3,045	221,389	171,953
Florida	96,578	4,399,081	3,410,771	105,141	6,100,419	4,747,090	163,215	11,277,264	8,814,204
Georgia	25,860	1,058,968	807,700	32,915	1,725,056	1,323,041	53,084	3,430,248	2,645,020
Maryland	18,896	883,554	679,402	22,693	1,316,285	1,014,698	37,456	2,620,309	2,026,685
North Carolina	26,228	1,014,093	763,647	40,027	1,960,603	1,494,488	66,319	4,077,609	3,146,266
South Carolina	13,834	515,359	386,450	21,862	1,117,181	855,190	36,709	2,322,800	1,793,745
Virginia	22,218	890,532	672,647	30,380	1,517,689	1,159,960	46,816	3,006,778	2,309,542
West Virginia	7,592	325,904	245,784	10,764	527,703	403,124	13,458	843,712	647,884
East South Central	70,461	2,797,568	2,129,747	91,596	4,658,756	3,566,213	139,839	8,515,736	6,571,022
Alabama	19,916	810,199	618,658	24,361	1,286,579	988,420	36,838	2,301,906	1,776,842
Kentucky	16,959	662,058	503,342	22,036	1,062,201	812,037	33,228	1,987,997	1,534,928
Mississippi	11,214	449,002	340,330	14,913	776,595	595,267	23,443	1,460,566	1,127,163
Tennessee	22,372	876,309	667,417	30,286	1,533,381	1,170,489	46,330	2,765,268	2,132,088
West South Central	104,249	4,415,507	3,375,452	134,444	6,928,068	5,349,132	215,132	13,860,057	10,739,604
Arkansas	12,311	487,744	367,896	15,708	781,724	599,631	22,596	1,367,704	1,052,012
Louisiana	17,967	798,002	610,958	19,622	1,058,214	816,817	26,474	1,761,717	1,359,082
Oklahoma	13,387	538,757	408,622	15,874	845,762	649,096	24,679	1,567,436	1,205,579
Texas	60,584	2,591,004	1,987,977	83,240	4,242,368	3,283,588	141,384	9,163,200	7,122,931
Mountain	43,230	1,899,807	1,443,957	53,859	2,986,527	2,286,851	91,082	6,347,128	4,884,471
Arizona	14,630	641,234	493,319	16,122	897,890	694,194	31,452	2,147,165	1,663,698
Colorado	9,017	368,183	280,001	10,021	545,066	417,340	17,972	1,261,635	973,064
Idaho	3,187	133,188	100,116	4,382	232,051	176,337	5,830	376,496	286,461
Montana	2,737	122,992	91,713	3,944	219,874	167,290	4,808	333,334	254,196
Nevada	4,744	239,310	183,265	6,605	374,374	287,238	12,490	905,576	698,618
New Mexico	4,111	178,573	134,253	5,218	293,417	224,310	8,385	605,263	463,282
Utah	3,580	158,473	117,886	5,657	320,886	241,885	7,412	524,507	398,090
Wyoming	1,224	57,853	43,405	1,910	102,968	78,257	2,734	193,153	147,061
Pacific	119,320	5,737,609	4,386,479	130,801	7,306,805	5,641,301	208,133	14,575,473	11,312,207
Alaska	599	30,305	22,675	964	60,128	45,822	1,912	166,074	126,829
California	91,760	4,561,912	3,504,741	99,393	5,621,663	4,358,871	159,288	11,263,051	8,777,446
Hawaii	2,517	112,138	83,062	3,642	180,404	134,791	4,721	278,269	209,164
Oregon	8,461	362,350	271,415	9,002	487,346	371,215	12,797	895,534	683,514
Washington	15,982	670,904	504,586	17,800	957,265	730,602	29,416	1,972,544	1,515,255
Outlying areas ^a	11,442	478,177	367,538	17,900	864,149	665,808	6,681	383,976	296,385
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2010
Census division and state or area	1991		2000		2010
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	24,222	46,662
United States	17,040	9,386	21,355	16,620	24,159	46,515
New England	1,060	587	1,237	937	1,513	2,987
Connecticut	233	142	274	225	316	591
Maine	124	45	168	117	193	391
Massachusetts	493	297	525	410	666	1,308
New Hampshire	80	37	120	79	163	349
Rhode Island	79	46	77	55	82	142
Vermont	51	21	74	52	93	205
Middle Atlantic	2,850	1,500	3,055	2,511	2,927	5,388
New Jersey	480	323	590	519	651	1,347
New York	1,163	602	1,348	1,249	1,222	2,251
Pennsylvania	1,207	575	1,118	743	1,054	1,790
East North Central	3,308	1,685	4,142	3,034	4,472	8,340
Illinois	834	407	1,015	725	1,250	2,268
Indiana	431	223	587	400	643	1,187
Michigan	754	393	1,003	807	1,128	2,096
Ohio	876	501	1,037	755	972	1,851
Wisconsin	413	161	500	348	479	938
West North Central	1,447	668	1,888	1,317	2,047	4,098
Iowa	280	120	366	254	366	716
Kansas	206	94	261	187	273	576
Minnesota	283	129	420	254	443	856
Missouri	442	214	520	384	605	1,195
Nebraska	125	62	174	130	189	396
North Dakota	52	24	69	48	82	169
South Dakota	60	24	77	60	88	190
South Atlantic	3,094	1,750	4,244	3,383	4,911	9,630
Delaware	47	19	68	57	99	177
District of Columbia	40	50	38	54	42	115
Florida	1,012	543	1,285	932	1,451	2,713
Georgia	401	243	571	465	679	1,335
Maryland	270	227	324	459	402	1,210
North Carolina	484	255	720	543	843	1,658
South Carolina	248	118	404	282	485	851
Virginia	407	226	590	426	671	1,148
West Virginia	185	69	245	164	239	423
East South Central	1,151	538	1,635	1,102	1,837	3,224
Alabama	308	155	424	261	482	776
Kentucky	284	126	399	228	477	830
Mississippi	192	92	292	254	334	707
Tennessee	366	165	520	360	543	911
West South Central	1,522	963	2,107	1,848	2,567	5,295
Arkansas	195	86	267	180	307	513
Louisiana	273	229	339	360	377	877
Oklahoma	218	105	294	210	360	596
Texas	836	542	1,206	1,098	1,523	3,309
Mountain	792	387	1,047	768	1,295	2,377
Arizona	201	180	233	169	311	584
Colorado	187	93	217	178	288	530
Idaho	75	29	108	74	120	235
Montana	66	4	101	64	113	221
Nevada	55	28	75	62	120	223
New Mexico	90	48	125	97	159	269
Utah	91	3	146	91	128	220
Wyoming	27	2	43	33	56	96
Pacific	1,816	1,308	2,000	1,720	2,589	5,177
Alaska	14	10	26	29	41	91
California	1,295	1,011	1,346	1,200	1,761	3,596
Hawaii	37	30	58	44	63	123
Oregon	195	91	225	143	246	439
Washington	275	166	345	303	478	928
Outlying areas ^a	136	47	182	112	64	146
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology. Totals do not necessarily equal the sum of rounded components. Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2012
State or area	1991	1995	2000	2005	2010	2011	2012
All areas	3,640,121	4,705,625	5,425,048	6,577,577	7,703,292	8,141,455	8,462,197
Alabama	97,601	116,916	136,860	169,460	179,668	188,259	193,339
Alaska	4,539	6,193	8,486	10,748	12,908	13,618	14,452
Arizona	28,650	44,236	57,712	110,977	140,079	148,603	155,930
Arkansas	64,996	77,660	79,606	89,372	106,343	111,043	115,117
California	646,108	747,814	818,846	1,012,804	1,103,853	1,144,369	1,174,838
Colorado	36,470	46,660	55,325	61,294	79,980	83,898	88,953
Connecticut	23,535	48,047	53,141	66,191	94,154	116,167	128,535
Delaware	4,499	6,645	10,737	17,104	22,060	23,312	24,445
District of Columbia	12,791	14,152	14,233	15,246	20,102	22,549	25,312
Florida	196,992	271,430	342,109	431,764	553,625	619,376	661,258
Georgia	128,976	160,380	176,596	205,476	233,528	252,360	266,563
Hawaii	11,529	16,695	20,326	23,703	28,864	29,998	31,682
Idaho	9,127	12,931	17,081	23,482	28,945	30,912	33,523
Illinois	94,434	137,571	155,743	206,014	255,529	272,257	286,124
Indiana	60,297	76,460	87,543	109,669	133,816	141,834	148,737
Iowa	41,170	48,517	51,976	60,458	72,562	74,694	76,947
Kansas	26,960	34,708	41,217	47,707	56,096	59,446	61,362
Kentucky	76,456	97,978	117,697	126,468	148,188	154,983	159,542
Louisiana	87,570	112,090	117,179	139,802	158,370	166,683	174,077
Maine	22,176	29,453	36,946	46,510	84,602	85,237	87,851
Maryland	48,028	58,865	65,372	79,234	98,268	104,892	110,449
Massachusetts	89,163	125,859	152,587	178,691	199,370	207,332	216,120
Michigan	91,340	123,948	145,172	170,044	205,521	217,064	225,275
Minnesota	39,366	52,192	63,607	79,428	91,630	95,704	98,504
Mississippi	90,530	108,577	107,495	135,023	136,915	142,257	146,667
Missouri	55,116	72,659	88,343	109,561	126,577	124,669	126,812
Montana	10,058	11,031	12,828	14,455	17,587	18,420	19,421
Nebraska	11,358	16,146	20,520	24,210	34,020	33,301	33,671
Nevada	8,657	14,227	19,155	27,408	35,035	38,904	42,900
New Hampshire	3,807	5,405	7,434	11,584	17,381	18,906	20,166
New Jersey	95,795	122,923	146,705	159,110	179,273	183,880	186,591
New Mexico	22,246	29,855	37,330	49,333	62,640	65,544	67,557
New York	255,952	325,882	369,479	465,068	531,060	559,720	579,244
North Carolina	117,656	186,328	223,402	251,739	278,325	287,885	296,129
North Dakota	4,639	5,560	5,908	6,757	8,464	8,687	8,700
Ohio	112,598	164,044	171,139	204,905	273,167	288,652	295,842
Oklahoma	51,457	60,080	67,413	75,903	86,586	90,595	93,125
Oregon	28,537	43,642	59,169	70,927	87,068	87,789	93,899
Pennsylvania	127,519	162,788	206,468	242,552	295,984	321,665	332,168
Rhode Island	10,585	15,517	19,787	26,311	28,782	29,906	29,900
South Carolina	78,701	95,970	112,232	118,843	129,489	134,833	140,412
South Dakota	9,399	12,346	13,146	14,534	16,148	16,569	16,882
Tennessee	116,861	148,391	182,342	218,894	215,868	228,105	234,498
Texas	234,169	314,991	360,191	440,938	514,153	547,345	570,944
Utah	10,263	13,506	16,231	21,787	27,064	30,087	31,955
Vermont	8,223	12,428	13,754	15,509	22,798	23,342	23,623
Virginia	77,898	102,964	113,259	131,083	155,647	161,997	168,028
Washington	54,774	71,531	97,390	113,233	143,398	152,270	157,459
West Virginia	28,086	39,720	46,305	54,200	65,324	67,811	69,123
Wisconsin	67,516	75,247	74,101	83,383	96,201	102,942	106,258
Wyoming	3,505	5,265	6,444	7,749	9,087	9,586	9,963
Outlying areas
Guam	443	669	417	409	693	719	795
Northern Mariana Islands	273	314	342	358	394	384	431
U.S. Virgin Islands	727	219	204	165	103	95	99
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2010
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	34,767,226	28,032,753	17,844,486	10,188,267	6,734,473
United States	34,257,024	27,545,506	17,792,414	9,753,092	6,711,518
New England	1,776,637	1,379,944	986,082	393,862	396,693
Connecticut	428,322	312,590	216,043	96,547	115,732
Maine	186,193	165,145	135,144	30,001	21,048
Massachusetts	801,468	610,364	420,237	190,127	191,104
New Hampshire	144,870	106,880	93,486	13,394	37,990
Rhode Island	135,258	123,050	62,759	60,291	12,208
Vermont	80,526	61,915	58,413	3,502	18,611
Middle Atlantic	5,053,555	3,900,681	2,246,936	1,653,745	1,152,874
New Jersey	988,661	693,280	556,572	136,708	295,381
New York	2,328,255	1,773,682	967,329	806,353	554,573
Pennsylvania	1,736,639	1,433,719	723,035	710,684	302,920
East North Central	5,530,310	3,912,630	2,856,562	1,056,068	1,617,680
Illinois	1,377,290	1,019,577	881,238	138,339	357,713
Indiana	748,088	573,337	447,120	126,217	174,751
Michigan	1,292,159	785,077	571,691	213,386	507,082
Ohio	1,486,971	1,043,010	649,215	393,795	443,961
Wisconsin	625,802	491,629	307,298	184,331	134,173
West North Central	2,422,202	2,117,095	1,529,454	587,641	305,107
Iowa	396,121	344,738	293,043	51,695	51,383
Kansas	298,468	268,358	226,948	41,410	30,110
Minnesota	609,128	536,012	282,053	253,959	73,116
Missouri	741,085	625,504	428,022	197,482	115,581
Nebraska	202,553	179,272	151,911	27,361	23,281
North Dakota	79,806	75,128	68,880	6,248	4,678
South Dakota	95,041	88,083	78,597	9,486	6,958
South Atlantic	6,651,552	5,368,500	3,598,220	1,770,280	1,283,052
Delaware	110,644	74,752	70,723	4,029	35,892
District of Columbia	41,764	37,386	29,998	7,388	4,378
Florida	2,476,114	2,032,733	1,063,463	969,270	443,381
Georgia	871,483	744,529	506,739	237,790	126,954
Maryland	492,356	356,912	299,848	57,064	135,444
North Carolina	1,116,578	878,279	650,745	227,534	238,299
South Carolina	544,363	417,174	317,306	99,868	127,189
Virginia	714,404	594,727	461,811	132,916	119,677
West Virginia	283,846	232,008	197,587	34,421	51,838
East South Central	2,305,028	1,954,185	1,424,037	530,148	350,843
Alabama	612,552	478,305	306,110	172,195	134,247
Kentucky	558,296	478,957	396,422	82,535	79,339
Mississippi	348,739	320,200	280,598	39,602	28,539
Tennessee	785,441	676,723	440,907	235,816	108,718
West South Central	3,419,698	2,792,184	1,964,942	827,242	627,514
Arkansas	370,294	320,829	256,370	64,459	49,465
Louisiana	512,450	422,317	271,773	150,544	90,133
Oklahoma	403,133	357,019	279,615	77,404	46,114
Texas	2,133,821	1,692,019	1,157,184	534,835	441,802
Mountain	2,086,107	1,750,381	907,608	842,773	335,726
Arizona	673,712	566,152	244,868	321,284	107,560
Colorado	445,076	364,195	175,346	188,849	80,881
Idaho	155,685	133,676	82,389	51,287	22,009
Montana	112,007	96,260	74,666	21,594	15,747
Nevada	242,882	197,096	92,813	104,283	45,786
New Mexico	216,843	191,755	117,814	73,941	25,088
Utah	189,593	158,329	80,534	77,795	31,264
Wyoming	50,309	42,918	39,178	3,740	7,391
Pacific	5,011,935	4,369,906	2,278,573	2,091,333	642,029
Alaska	41,813	25,041	24,666	375	16,772
California	3,719,766	3,276,712	1,655,498	1,621,214	443,054
Hawaii	143,612	135,717	59,179	76,538	7,895
Oregon	446,865	400,307	185,608	214,699	46,558
Washington	659,879	532,129	353,622	178,507	127,750
Outlying areas ^b	510,202	487,247	52,072	435,175	22,955
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2010
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	47,664,048	28,032,753	9,975,966	429,705	17,627,082	6,734,473	6,187,417	6,709,405
United States	46,584,745	27,545,506	9,960,062	429,291	17,156,153	6,711,518	6,121,054	6,206,667
New England	2,411,206	1,379,944	581,523	16,540	781,881	396,693	295,698	338,871
Connecticut	567,517	312,590	125,401	1,953	185,236	115,732	62,667	76,528
Maine	264,883	165,145	93,130	413	71,602	21,048	36,427	42,263
Massachusetts	1,061,049	610,364	258,566	8,984	342,814	191,104	120,191	139,390
New Hampshire	223,259	106,880	35,650	2,027	69,203	37,990	35,748	42,641
Rhode Island	182,972	123,050	41,491	2,250	79,309	12,208	25,187	22,527
Vermont	111,526	61,915	27,285	913	33,717	18,611	15,478	15,522
Middle Atlantic	6,598,652	3,900,681	1,428,764	60,581	2,411,336	1,152,874	710,168	834,929
New Jersey	1,327,012	693,280	228,076	12,495	452,709	295,381	150,902	187,449
New York	2,988,430	1,773,682	780,529	23,495	969,658	554,573	289,260	370,915
Pennsylvania	2,283,210	1,433,719	420,159	24,591	988,969	302,920	270,006	276,565
East North Central	7,307,860	3,912,630	1,323,842	62,025	2,526,763	1,617,680	764,604	1,012,946
Illinois	1,839,383	1,019,577	360,249	17,613	641,715	357,713	203,178	258,915
Indiana	1,005,734	573,337	181,170	10,483	381,684	174,751	121,943	135,703
Michigan	1,651,222	785,077	290,282	14,072	480,723	507,082	137,106	221,957
Ohio	1,900,576	1,043,010	340,992	16,213	685,805	443,961	193,115	220,490
Wisconsin	910,945	491,629	151,149	3,644	336,836	134,173	109,262	175,881
West North Central	3,265,349	2,117,095	574,188	28,697	1,514,210	305,107	459,102	384,045
Iowa	517,427	344,738	83,693	4,236	256,809	51,383	68,277	53,029
Kansas	432,755	268,358	70,571	4,181	193,606	30,110	71,107	63,180
Minnesota	785,852	536,012	134,017	5,628	396,367	73,116	96,135	80,589
Missouri	1,004,371	625,504	203,040	9,830	412,634	115,581	137,586	125,700
Nebraska	279,073	179,272	44,020	2,418	132,834	23,281	43,889	32,631
North Dakota	109,307	75,128	17,266	1,127	56,735	4,678	16,653	12,848
South Dakota	136,564	88,083	21,581	1,277	65,225	6,958	25,455	16,068
South Atlantic	9,408,316	5,368,500	1,951,161	97,211	3,320,128	1,283,052	1,481,108	1,275,656
Delaware	149,288	74,752	25,341	1,344	48,067	35,892	20,178	18,466
District of Columbia	78,134	37,386	23,972	291	13,123	4,378	19,689	16,681
Florida	3,374,563	2,032,733	662,786	25,764	1,344,183	443,381	471,477	426,972
Georgia	1,235,730	744,529	299,362	14,562	430,605	126,954	193,377	170,870
Maryland	784,770	356,912	129,002	6,397	221,513	135,444	157,294	135,120
North Carolina	1,489,840	878,279	346,392	20,661	511,226	238,299	195,937	177,325
South Carolina	773,702	417,174	172,543	10,747	233,884	127,189	127,272	102,067
Virginia	1,140,524	594,727	204,331	12,151	378,245	119,677	244,510	181,610
West Virginia	381,765	232,008	87,432	5,294	139,282	51,838	51,374	46,545
East South Central	3,160,291	1,954,185	865,224	42,695	1,046,266	350,843	454,569	400,694
Alabama	845,266	478,305	220,965	11,856	245,484	134,247	136,185	96,529
Kentucky	759,956	478,957	195,369	11,104	272,484	79,339	98,529	103,131
Mississippi	497,155	320,200	162,875	6,246	151,079	28,539	78,125	70,291
Tennessee	1,057,914	676,723	286,015	13,489	377,219	108,718	141,730	130,743
West South Central	4,822,624	2,792,184	1,172,335	56,935	1,562,914	627,514	712,183	690,743
Arkansas	531,404	320,829	134,682	7,520	178,627	49,465	88,307	72,803
Louisiana	686,727	422,317	194,225	8,384	219,708	90,133	81,294	92,983
Oklahoma	603,461	357,019	124,885	6,834	225,300	46,114	102,568	97,760
Texas	3,001,032	1,692,019	718,543	34,197	939,279	441,802	440,014	427,197
Mountain	2,987,491	1,750,381	499,127	25,157	1,226,097	335,726	482,065	419,319
Arizona	930,211	566,152	166,972	7,015	392,165	107,560	138,549	117,950
Colorado	624,824	364,195	98,209	5,016	260,970	80,881	97,519	82,229
Idaho	229,797	133,676	37,108	2,144	94,424	22,009	37,311	36,801
Montana	169,503	96,260	26,201	2,125	67,934	15,747	28,919	28,577
Nevada	356,618	197,096	51,487	3,172	142,437	45,786	63,386	50,350
New Mexico	313,427	191,755	71,091	2,982	117,682	25,088	50,940	45,644
Utah	283,032	158,329	36,980	2,066	119,283	31,264	50,132	43,307
Wyoming	80,079	42,918	11,079	637	31,202	7,391	15,309	14,461
Pacific	6,622,956	4,369,906	1,563,898	39,450	2,766,558	642,029	761,557	849,464
Alaska	65,691	25,041	14,987	275	9,779	16,772	11,519	12,359
California	4,757,352	3,276,712	1,242,253	25,711	2,008,748	443,054	477,129	560,457
Hawaii	206,487	135,717	37,187	1,513	97,017	7,895	33,275	29,600
Oregon	621,067	400,307	102,026	5,485	292,796	46,558	84,854	89,348
Washington	972,359	532,129	167,445	6,466	358,218	127,750	154,780	157,700
Outlying areas ^e	1,079,303	487,247	15,904	414	470,929	22,955	66,363	502,738
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
c. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
d. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.

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