Annual Statistical Supplement, 2003

 

Health Care Programs

Medicare

Enrollment, Utilization, and Reimbursement

Table 8.B1 Hospital Insurance and/or Supplementary Medical Insurance: Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1967–1998
Type of coverage and service 1967 1975 1980 1990 1996 1997 1998 Average annual
rate change
(percent),
1967–1998
Persons enrolled (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 19,521 22,790 25,515 30,948 33,424 33,630 33,802 1.9
Hospital Insurance 19,494 22,472 25,104 30,464 33,022 33,237 33,410 1.9
Supplementary Medical Insurance 17,893 21,945 24,680 29,685 31,984 32,164 32,308 2.1
Persons served (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 7,154 12,032 16,271 24,809 27,263 26,587 25,931 4.5
Hospital Insurance 3,960 4,963 6,024 6,367 7,139 7,360 6,840 1.9
Inpatient hospital 3,601 4,913 5,951 5,906 6,091 6,220 6,074 1.8
Skilled nursing services 354 260 248 615 1,321 1,442 1,443 5.0
Home health services a 126 329 675 1,818 3,290 3,483 2,641 b 11.1
Supplementary Medical Insurance 6,523 11,762 16,099 24,687 27,113 26,237 25,605 4.8
Physicians' and other medical services 6,415 11,396 15,627 24,193 26,432 25,707 25,083 4.8
Outpatient services 1,511 3,768 6,629 14,055 17,875 18,093 18,150 9.0
Home health services a 118 161 302 38 45 47 1,339 8.7
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 367 528 638 802 816 791 767 2.6
Hospital Insurance 203 221 240 209 216 221 205 0
Inpatient hospital 185 219 237 194 185 187 182 -0.1
Skilled nursing services 18 12 10 21 40 43 43 3.0
Home health services a 7 15 27 60 100 105 79 b 8.7
Supplementary Medical Insurance 365 536 652 832 848 816 793 2.7
Physicians' and other medical services 359 519 633 815 826 799 776 2.7
Outpatient services 77 172 269 474 559 563 562 7.1
Home health services a 7 7 12 1 1 2 41 6.3
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,239 12,689 29,134 88,778 145,322 152,772 146,355 13.0
Hospital Insurance 2,967 9,209 20,353 54,244 95,404 101,027 90,511 12.5
Inpatient hospital 2,659 8,840 19,583 48,952 71,191 73,237 71,899 12.0
Skilled nursing services 274 233 331 1,886 9,157 10,831 11,074 13.6
Home health services a 26 136 440 3,406 15,056 16,960 7,538 b 24.5
Supplementary Medical Insurance 1,272 3,481 8,871 34,533 49,918 51,744 55,844 13.9
Physicians' and other medical services 1,224 3,050 7,361 27,379 36,865 38,206 38,685 12.6
Outpatient services 38 374 1,261 7,077 12,838 13,319 12,972 22.2
Home health services a 17 56 159 78 215 219 4,187 20.9
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 592 1,055 1,791 3,578 5,330 5,746 5,644 8.1
Hospital Insurance 749 1,855 3,379 8,520 13,363 13,726 13,233 10.4
Inpatient hospital 738 1,799 3,291 8,289 11,688 11,774 11,837 10.0
Skilled nursing services 774 896 1,336 3,068 6,931 7,511 7,675 8.2
Home health services a 204 413 652 1,874 4,577 4,869 2,855 b 9.5
Supplementary Medical Insurance 195 296 545 1,399 1,841 1,972 2,181 8.7
Physicians' and other medical services 191 268 471 1,132 1,395 1,486 1,542 7.5
Outpatient services 25 99 190 503 718 736 715 12.3
Home health services a 145 347 526 2,033 4,815 4,606 3,126 11.2
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 217 557 1,142 2,869 4,348 4,543 4,330 10.9
Hospital Insurance 152 410 811 1,781 2,899 3,040 2,709 10.4
Inpatient hospital 137 394 780 1,607 2,156 2,203 2,152 10.0
Skilled nursing services 14 11 13 62 277 326 331 11.5
Home health services a 1 6 18 112 456 510 226 b 23.5
Supplementary Medical Insurance 71 159 356 1,163 1,561 1,609 1,728 11.6
Physicians' and other medical services 69 139 298 922 1,153 1,188 1,197 10.3
Outpatient services 2 17 51 238 401 414 402 20.1
Home health services a 1 2 6 3 7 7 130 18.3
a. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
b. Hospice utilization is combined in the Part A home health services.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for persons enrolled as of July 1 are 100 percent and include Health Maintenance Organization (HMO) beneficiaries. Calendar year utilization for persons served and amounts reimbursed are inflated to represent 100 percent and exclude HMO services.
CONTACT: Medicarestats@cms.hhs.gov for further information.
Table 8.B2 Hospital Insurance and/or Supplementary Medical Insurance: Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1974–1998
Type of coverage and service 1974 1975 1980 1990 1996 1997 1998 Average annual
rate change
(percent),
1974–1998
Persons enrolled (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 1,928 2,168 3,171 3,255 4,640 4,815 5,023 4.4
Hospital Insurance 1,928 2,168 3,171 3,255 4,640 4,815 5,023 4.4
Supplementary Medical Insurance 1,745 1,959 2,883 2,943 4,155 4,296 4,472 4.4
Persons served (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 792 975 2,287 2,390 3,476 3,547 3,641 7.2
Hospital Insurance 400 475 659 680 964 986 961 4.1
Inpatient hospital 397 472 628 644 868 887 899 3.8
Skilled nursing services 8 8 23 23 63 73 75 10.7
Home health services a 15 22 105 122 293 304 225 b 13.1
Supplementary Medical Insurance 740 924 2,263 2,365 3,442 3,499 3,596 7.5
Physicians' and other medical services 691 865 2,159 2,249 3,315 3,363 3,452 7.6
Outpatient services 296 399 1,415 1,496 2,407 2,510 2,619 10.4
Home health services a 9 13 c c c c 131 12.9
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 411 450 721 734 749 737 725 2.6
Hospital Insurance 208 219 208 209 208 205 191 -0.4
Inpatient hospital 206 218 198 198 187 184 179 -0.6
Skilled nursing services 4 4 7 7 14 15 15 6.2
Home health services a 8 10 33 38 63 63 49 b 8.6
Supplementary Medical Insurance 424 471 785 804 828 814 804 3.0
Physicians' and other medical services 396 442 749 764 798 783 772 3.1
Outpatient services 170 204 491 508 579 584 586 5.8
Home health services a 5 7 c c c c 29 8.3
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 1,049 1,509 10,364 11,239 22,647 23,796 23,855 15.3
Hospital Insurance 694 987 6,253 6,694 13,790 14,383 13,624 14.5
Inpatient hospital 681 968 5,936 6,346 11,848 12,177 12,342 14.1
Skilled nursing services 7 9 143 85 464 564 603 22.5
Home health services a 6 10 173 264 1,478 1,641 678 b 28.4
Supplementary Medical Insurance 355 522 4,111 4,545 8,858 9,414 10,231 16.5
Physicians' and other medical services 206 295 2,623 2,831 5,125 5,474 5,749 16.3
Outpatient services 145 221 1,488 1,714 3,733 3,940 3,994 16.3
Home health services a 3 5 c c c c 488 c
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 1,324 1,548 4,531 4,703 6,515 6,710 6,552 7.5
Hospital Insurance 1,735 2,077 9,482 9,847 14,306 14,582 14,170 10.0
Inpatient hospital 1,714 2,051 9,455 9,849 13,649 13,731 13,722 9.9
Skilled nursing services 936 1,049 6,107 3,702 7,336 7,785 8,066 10.3
Home health services a 399 478 1,645 2,156 5,052 5,395 3,014 b 9.6
Supplementary Medical Insurance 479 565 1,817 1,922 2,574 2,691 2,845 8.4
Physicians' and other medical services 298 341 1,215 1,259 1,546 1,628 1,666 8.1
Outpatient services 490 554 1,051 1,146 1,551 1,569 1,525 5.3
Home health services a 345 420 230 517 1,235 1,046 3,732 11.4
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 544 696 3,268 3,453 4,881 4,942 4,749 10.4
Hospital Insurance 360 455 1,972 2,057 2,972 2,987 2,712 9.6
Inpatient hospital 353 446 1,872 1,950 2,553 2,529 2,457 9.2
Skilled nursing services 4 4 45 26 100 117 120 16.7
Home health services a 3 5 55 81 319 341 135 b 18.9
Supplementary Medical Insurance 208 266 1,426 1,544 2,132 2,191 2,288 11.5
Physicians' and other medical services 118 151 910 962 1,233 1,247 1,285 11.5
Outpatient services 83 113 516 582 898 917 893 11.4
Home health services a 2 3 c c c c 109 19.9
a. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
b. Hospice utilization is combined in the Part A home health services.
c. Sample population too small to yield valid calculated results.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for persons enrolled as of July 1 are 100 percent and include Health Maintenance Organization (HMO) beneficiaries. Calendar year utilization for persons served and amounts reimbursed are inflated to represent 100 percent and exclude HMO services.
CONTACT: Medicarestats@cms.hhs.gov for further information.
Table 8.B3a Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees aged 65 or older, by census division and state or other area, July 1, 1980–2002, selected years (in thousands)
Census division and state or area 1980 1990 1995 1998 1999 2000 2001 2002
Total
All areas 25,515 30,948 33,142 33,802 33,929 34,253 34,462 34,679
United States a 25,027 30,350 32,492 33,120 33,240 33,549 33,743 33,947
New England 1,506 1,734 1,816 1,827 1,829 1,838 1,837 1,836
Connecticut 362 436 455 456 456 458 457 456
Maine 142 165 174 178 179 180 182 183
Massachusetts 715 795 825 827 826 829 827 824
New Hampshire 103 126 139 143 145 147 148 150
Rhode Island 125 145 149 148 148 148 147 146
Vermont 59 68 72 74 75 76 76 77
Middle Atlantic 4,496 5,084 5,267 5,259 5,264 5,282 5,277 5,276
New Jersey 851 1,006 1,058 1,064 1,065 1,070 1,070 1,071
New York 2,128 2,280 2,328 2,320 2,334 2,347 2,351 2,356
Pennsylvania 1,516 1,798 1,881 1,874 1,865 1,865 1,856 1,849
East North Central 4,462 5,224 5,500 5,527 5,526 5,552 5,560 5,567
Illinois 1,238 1,401 1,446 1,440 1,437 1,440 1,440 1,439
Indiana 579 685 725 732 732 736 738 740
Michigan 916 1,101 1,177 1,191 1,194 1,203 1,207 1,210
Ohio 1,162 1,387 1,471 1,476 1,474 1,480 1,480 1,480
Wisconsin 567 650 683 689 689 693 695 698
West North Central 2,186 2,424 2,510 2,515 2,513 2,519 2,522 2,523
Iowa 387 422 432 429 427 427 426 425
Kansas 304 337 348 348 347 347 346 345
Minnesota 479 544 570 577 579 583 586 590
Missouri 639 706 733 735 734 736 737 737
Nebraska 205 221 228 227 227 227 227 227
North Dakota 81 91 94 93 93 93 93 92
South Dakota 91 102 106 106 106 106 107 107
South Atlantic 4,179 5,536 6,091 6,307 6,330 6,410 6,474 6,542
Delaware 59 80 90 95 96 97 99 100
District of Columbia 71 71 70 67 66 66 65 64
Florida 1,579 2,174 2,396 2,477 2,473 2,493 2,511 2,531
Georgia 499 636 700 730 736 750 760 771
Maryland 381 496 542 559 562 570 576 582
North Carolina 588 786 878 917 925 939 952 965
South Carolina 279 383 428 449 454 463 470 477
Virginia 490 645 714 742 748 761 771 782
West Virginia 233 264 274 272 270 271 270 270
East South Central 1,613 1,887 2,000 2,035 2,041 2,060 2,072 2,084
Alabama 428 508 541 551 553 558 561 564
Kentucky 402 459 482 487 488 491 492 494
Mississippi 280 313 325 328 328 330 331 333
Tennessee 503 607 652 669 672 681 688 693
West South Central 2,363 2,880 3,120 3,211 3,232 3,274 3,299 3,328
Arkansas 303 343 356 357 358 359 359 360
Louisiana 380 460 488 495 495 498 498 500
Oklahoma 361 412 432 435 436 438 439 440
Texas 1,318 1,665 1,845 1,924 1,943 1,979 2,003 2,028
Mountain 1,043 1,490 1,726 1,839 1,863 1,906 1,944 1,983
Arizona 295 456 536 573 577 591 602 614
Colorado 244 324 367 389 395 403 410 416
Idaho 95 121 134 140 142 144 147 150
Montana 85 106 114 117 118 119 120 121
Nevada 65 128 172 195 200 209 218 227
New Mexico 114 160 182 193 196 200 203 207
Utah 108 147 168 176 178 183 186 189
Wyoming 38 47 54 56 57 57 58 59
Pacific 3,157 4,082 4,444 4,586 4,630 4,697 4,747 4,798
Alaska 11 22 28 32 33 35 36 38
California 2,346 2,990 3,241 3,348 3,385 3,436 3,474 3,509
Hawaii 74 118 138 146 148 151 153 155
Oregon 300 390 422 428 429 432 435 440
Washington 426 562 614 632 635 643 649 656
Unknown 22 10 18 14 12 11 11 10
Outlying areas 270 344 383 404 404 420 430 439
Puerto Rico 263 337 367 387 393 401 410 418
Virgin Islands 4 6 8 8 9 9 10 10
Other 3 1 8 9 2 10 10 11
Foreign countries 217 254 268 277 280 284 289 293
a. Represents beneficiaries of 50 states, District of Columbia, and those with unknown residence.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: . . . = not available.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B3b Hospital Insurance and/or Supplementary Medical Insurance: Number of disabled enrollees, by census division and state or other area, July 1, 1980–2002, selected years (in thousands)
Census division and state or area 1980 1990 1995 1998 1999 2000 2001 2002
Total
All areas 2,963 3,255 4,393 5,023 5,212 5,367 5,563 5,810
United States a 2,863 3,148 4,266 4,878 5,062 5,208 5,406 5,647
New England 141 156 228 266 277 285 295 307
Connecticut 31 33 47 54 56 58 59 62
Maine 16 18 27 33 35 36 38 40
Massachusetts 64 72 108 124 128 131 135 139
New Hampshire 9 11 17 21 22 23 24 26
Rhode Island 14 14 19 22 23 24 25 26
Vermont 7 7 10 12 13 13 14 14
Middle Atlantic 493 473 603 685 713 731 755 784
New Jersey 91 86 110 124 130 133 138 142
New York 237 229 302 346 360 368 378 391
Pennsylvania 165 158 190 215 223 230 239 251
East North Central 486 561 715 782 807 823 845 877
Illinois 113 132 172 186 192 195 200 207
Indiana 63 77 99 109 113 117 120 125
Michigan 118 132 170 188 195 200 207 216
Ohio 141 156 196 213 219 221 226 233
Wisconsin 50 64 79 86 88 90 92 96
West North Central 180 211 280 317 328 338 351 370
Iowa 29 34 43 47 49 50 52 54
Kansas 22 26 35 41 42 43 45 47
Minnesota 35 44 60 67 69 72 74 78
Missouri 67 75 100 115 120 124 130 137
Nebraska 14 16 22 24 25 26 27 29
North Dakota 6 7 9 10 10 10 10 11
South Dakota 7 8 11 12 13 13 13 14
South Atlantic 545 607 834 990 1,034 1,075 1,125 1,179
Delaware 7 8 11 13 14 15 15 16
District of Columbia 8 7 8 9 9 10 10 10
Florida 147 165 232 284 298 311 328 345
Georgia 88 96 134 155 161 166 173 180
Maryland 41 46 60 69 72 75 78 82
North Carolina 91 106 149 178 186 194 203 214
South Carolina 51 59 81 96 101 105 110 115
Virginia 68 77 105 122 128 132 138 144
West Virginia 43 44 55 63 65 67 70 73
East South Central 246 287 397 462 480 495 518 543
Alabama 63 74 101 118 123 127 134 142
Kentucky 62 75 105 123 128 132 137 143
Mississippi 46 53 72 83 86 88 92 96
Tennessee 76 85 119 138 143 148 155 162
West South Central 288 317 452 514 528 539 559 584
Arkansas 45 48 67 76 78 80 83 86
Louisiana 63 71 93 101 103 104 107 112
Oklahoma 41 39 56 65 67 69 72 75
Texas 139 159 236 272 280 286 297 311
Mountain 112 148 228 267 276 284 295 312
Arizona 34 42 66 78 81 84 89 95
Colorado 24 34 54 62 64 65 66 68
Idaho 9 11 16 19 20 21 22 23
Montana 9 12 16 17 18 18 18 19
Nevada 8 13 22 28 29 30 32 35
New Mexico 15 19 28 32 33 34 35 37
Utah 9 13 20 22 23 24 25 26
Wyoming 3 4 7 8 8 8 8 9
Pacific 367 388 529 593 618 637 662 692
Alaska 2 3 5 6 7 7 8 8
California 284 289 392 435 452 465 481 500
Hawaii 7 9 11 13 15 15 15 17
Oregon 31 34 47 53 55 57 61 64
Washington 43 53 74 86 90 93 97 103
Unknown 4 2 1 1 1 1 1 2
Outlying areas 88 93 112 130 134 139 142 147
Puerto Rico 88 92 110 127 132 136 139 144
Virgin Islands . . . 1 1 1 1 1 1 1
Other . . . . . . . . . 2 1 2 2 2
Foreign countries 12 14 14 15 14 14 15 15
a. Represents beneficiaries of 50 states, District of Columbia, and those with unknown residence.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: . . . = not available.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B4 Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1980–2002, selected years (in thousands)
Age, sex, and race 1980 1985 1990 1995 1999 2000 2001 2002
Hospital Insurance and/or Supplementary Medical Insurance
Total 25,515 28,176 30,948 33,142 33,929 34,253 34,463 34,680
Age
65–69 8,459 8,956 9,695 9,517 9,077 9,167 9,201 9,274
70–74 6,756 7,441 7,951 8,756 8,656 8,609 8,564 8,480
75–79 4,809 5,453 6,058 6,563 7,232 7,285 7,285 7,292
80–84 3,081 3,463 3,957 4,470 4,735 4,870 5,022 5,173
85 or older 2,410 2,861 3,286 3,837 4,229 4,322 4,391 4,461
Sex
Men 10,268 11,282 12,416 13,434 13,900 14,112 14,263 14,418
Women 15,247 16,894 18,532 19,708 20,029 20,141 20,199 20,261
Race
White 22,534 24,745 26,855 29,011 29,311 29,757 29,883 29,974
All other races 2,257 2,585 3,114 3,253 4,431 4,403 4,495 4,627
Unknown 724 846 979 878 187 92 85 78
Hospital Insurance
Total 25,104 27,683 30,464 32,742 33,516 33,833 34,044 34,257
Age
65–69 8,302 8,818 9,565 9,411 8,984 9,074 9,111 9,183
70–74 6,592 7,292 7,829 8,652 8,552 8,505 8,462 8,380
75–79 4,731 5,315 5,947 6,483 7,138 7,189 7,189 7,196
80–84 3,072 3,403 3,872 4,409 4,674 4,806 4,956 5,103
85 or older 2,407 2,854 3,252 3,787 4,168 4,259 4,326 4,395
Sex
Men 10,156 11,146 12,280 13,310 13,770 13,979 14,130 14,284
Women 14,948 16,536 18,184 19,431 19,746 19,854 19,914 19,974
Race
White 22,244 24,424 26,591 28,822 29,131 29,570 29,700 29,792
All other races 2,160 2,444 2,931 3,127 4,206 4,176 4,264 4,392
Unknown 699 815 942 792 179 87 80 73
Supplementary Medical Insurance
Total 24,680 27,311 29,686 31,742 32,403 32,590 32,749 32,934
Age
65–69 8,156 8,607 9,008 8,830 8,349 8,330 8,340 8,401
70–74 6,570 7,277 7,740 8,430 8,315 8,256 8,200 8,107
75–79 4,684 5,333 5,942 6,431 7,043 7,088 7,083 7,090
80–84 2,981 3,381 3,879 4,392 4,651 4,782 4,926 5,068
85 or older 2,289 2,712 3,118 3,659 4,042 4,134 4,200 4,268
Sex
Men 9,868 10,852 11,758 12,694 13,079 13,205 13,328 13,466
Women 14,813 16,459 17,927 19,048 19,324 19,384 19,420 19,468
Race
White 21,876 24,060 25,849 27,899 28,115 28,432 28,519 28,592
All other races 2,114 2,441 2,910 3,028 4,126 4,086 4,166 4,285
Unknown 691 810 927 815 162 71 64 58
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B5 Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees under age 65 who are disabled or have end stage renal disease, by program, age, sex, and race, July 1, 1980–2002, selected years
Age, sex, and race 1980 1990 2000 2001 2002
All
disabled
End stage
renal
disease
only
All
disabled
End stage
renal
disease
only
All
disabled
End stage
renal
disease
only
All
disabled
End stage
renal
disease
only
All
disabled
End stage
renal
disease
only
Hospital Insurance and/or Supplementary Medical Insurance
Total 2,963,175 28,334 3,255,007 64,692 5,367,151 73,890 5,563,259 75,996 5,809,611 79,353
Age
Under 35 371,204 8,773 483,265 16,603 522,321 13,255 520,612 13,535 532,378 13,661
35–44 369,460 5,188 654,957 14,159 1,129,288 15,084 1,137,221 15,125 1,145,800 15,363
45–54 657,486 6,977 741,200 15,800 1,627,238 22,647 1,727,392 23,511 1,797,665 24,287
55–64 1,565,025 7,396 1,375,585 18,130 2,088,304 22,904 2,178,034 23,825 2,333,768 26,042
Sex
Men 1,870,558 14,547 2,042,944 33,647 3,014,107 40,062 3,089,887 40,989 3,194,079 43,239
Women 1,092,617 13,787 1,212,063 31,045 2,353,044 33,828 2,473,372 35,007 2,615,532 36,114
Race
White 2,422,253 19,232 2,480,767 35,638 3,989,357 35,636 4,131,665 36,574 4,301,138 37,556
All other races 486,677 7,907 712,315 26,477 1,362,457 37,820 1,417,379 39,120 1,494,904 41,566
Unknown 54,245 1,195 61,925 2,577 15,337 434 14,215 302 13,569 231
Hospital Insurance
Total 2,963,156 28,334 3,254,983 64,677 5,366,598 73,890 5,562,860 75,996 5,809,174 79,353
Age
Under 35 371,199 8,773 483,262 16,601 522,123 13,255 520,537 13,535 532,284 13,661
35–44 369,458 5,188 654,953 14,157 1,129,170 15,084 1,137,135 15,125 1,145,693 15,363
45–54 657,483 6,977 741,193 15,794 1,627,107 22,647 1,727,260 23,511 1,797,555 24,287
55–64 1,565,016 7,396 1,375,575 18,125 2,088,198 22,904 2,177,928 23,825 2,333,642 26,042
Sex
Men 1,870,543 14,547 2,042,929 33,639 3,013,803 40,062 3,089,659 40,989 3,193,844 43,239
Women 1,092,613 13,787 1,212,054 31,038 2,352,795 33,828 2,473,201 35,007 2,615,330 36,114
Race
White 2,422,239 19,232 2,480,754 35,631 3,988,957 35,636 4,131,393 36,574 4,300,844 37,556
All other races 486,672 7,907 712,304 26,469 1,362,305 37,820 1,417,253 39,120 1,494,763 41,566
Unknown 54,245 1,195 61,925 2,577 15,336 434 14,214 302 13,567 231
Supplementary Medical Insurance
Total 2,719,226 27,046 2,943,480 58,912 4,769,804 68,800 4,936,567 70,236 5,144,421 73,285
Age
Under 35 339,665 8,294 441,640 14,782 466,869 12,159 465,433 12,378 474,464 12,429
35–44 337,146 4,963 586,537 12,567 998,230 13,783 1,003,828 13,669 1,007,411 13,866
45–54 596,287 6,683 666,257 14,559 1,421,904 20,961 1,507,642 21,582 1,568,114 22,343
55–64 1,446,128 7,106 1,249,046 17,004 1,882,801 21,897 1,959,664 22,607 2,094,432 24,647
Sex
Men 1,694,569 13,887 1,833,959 30,338 2,665,252 37,037 2,728,496 37,549 2,813,277 39,551
Women 1,024,657 13,159 1,109,521 28,574 2,104,552 31,763 2,208,071 32,687 2,331,144 33,734
Race
White 2,218,176 18,458 2,236,781 32,347 3,535,008 33,154 3,655,778 33,766 3,799,460 34,747
All other races 449,753 7,446 650,121 24,240 1,221,836 35,256 1,268,477 36,195 1,333,260 38,324
Unknown 51,297 1,142 56,578 2,325 12,960 390 12,312 275 11,701 214
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B8a Hospital Insurance: Average covered charge per covered day of care in short-stay hospitals, by census division and state or other area, selected years 1990–2002 (in dollars)
Census division and state or area a 1990 1995 1997 1998 1999 2000 2001 2002 b
Total
All areas c 1,090 1,908 2,235 2,370 2,533 2,762 3,080 3,574
United States d 1,081 1,920 2,252 2,388 2,554 2,787 3,108 3,608
New England 988 1,763 2,050 2,149 2,284 2,436 2,610 2,862
Connecticut 1,177 2,013 2,336 2,442 2,522 2,608 2,726 3,014
Maine 927 1,645 1,949 2,005 2,140 2,328 2,489 2,763
Massachusetts 942 1,705 1,975 2,091 2,251 2,429 2,598 2,797
New Hampshire 1,022 1,699 2,010 2,061 2,269 2,480 2,696 3,027
Rhode Island 851 1,638 1,923 2,046 2,172 2,316 2,654 2,967
Vermont 923 1,580 1,817 1,849 1,945 1,995 2,145 2,356
Middle Atlantic 943 1,704 2,082 2,272 2,480 2,743 3,169 3,925
New Jersey 725 1,865 2,458 2,726 3,154 3,757 4,767 6,157
New York 836 1,366 1,702 1,843 1,971 2,116 2,328 2,817
Pennsylvania 1,236 2,109 2,402 2,628 2,806 3,003 3,334 3,979
East North Central 1,097 1,866 2,146 2,225 2,377 2,550 2,786 3,135
Illinois 1,202 2,126 2,476 2,614 2,806 3,017 3,282 3,645
Indiana 997 1,713 1,950 2,006 2,108 2,271 2,466 2,731
Michigan 1,193 1,881 2,124 2,178 2,292 2,451 2,626 2,925
Ohio 1,030 1,730 1,985 2,050 2,233 2,360 2,605 2,995
Wisconsin 933 1,690 1,994 2,081 2,201 2,424 2,744 3,154
West North Central 1,052 1,831 2,111 2,235 2,400 2,638 2,924 3,305
Iowa 902 1,573 1,821 1,831 1,953 2,124 2,346 2,663
Kansas 1,093 1,957 2,212 2,203 2,377 2,589 2,851 3,225
Minnesota 1,132 1,938 2,243 2,457 2,651 2,913 3,217 3,666
Missouri 1,108 1,922 2,218 2,381 2,551 2,783 3,074 3,385
Nebraska 1,043 1,850 2,167 2,386 2,600 3,007 3,418 4,031
North Dakota 937 1,509 1,776 1,898 2,024 2,180 2,376 2,663
South Dakota 915 1,518 1,760 1,806 1,919 2,167 2,424 2,870
South Atlantic 1,106 1,876 2,154 2,277 2,430 2,637 2,921 3,337
Delaware 1,191 1,831 1,889 1,926 1,948 1,971 2,147 2,384
District of Columbia 1,374 2,129 2,417 3,061 3,178 3,331 3,544 3,829
Florida 1,360 2,351 2,730 2,902 3,147 3,439 3,832 4,406
Georgia 1,081 1,744 2,020 2,144 2,323 2,527 2,763 3,101
Maryland 813 1,365 1,618 1,527 1,565 1,608 1,708 1,859
North Carolina 932 1,603 1,799 1,896 2,004 2,175 2,404 2,672
South Carolina 1,021 1,818 2,087 2,185 2,362 2,611 2,935 3,368
Virginia 1,022 1,732 2,010 2,115 2,257 2,432 2,674 3,082
West Virginia 1,009 1,472 1,654 1,620 1,681 1,821 1,978 2,193
East South Central 1,019 1,718 1,983 2,077 2,248 2,451 2,668 3,016
Alabama 1,176 2,054 2,402 2,499 2,677 2,914 3,204 3,612
Kentucky 967 1,630 1,901 1,972 2,093 2,269 2,448 2,751
Mississippi 865 1,437 1,655 1,678 1,852 2,017 2,214 2,504
Tennessee 1,012 1,662 1,905 2,062 2,262 2,479 2,675 3,031
West South Central 1,138 1,937 2,234 2,344 2,520 2,767 3,094 3,539
Arkansas 923 1,511 1,744 1,776 1,974 2,194 2,468 2,773
Louisiana 1,180 1,926 2,179 2,275 2,451 2,724 3,019 3,369
Oklahoma 997 1,620 1,892 1,988 2,146 2,335 2,559 2,841
Texas 1,212 2,118 2,450 2,573 2,749 3,008 3,366 3,890
Mountain 1,350 2,321 2,743 2,878 3,016 3,279 3,639 4,090
Arizona 1,442 2,617 3,164 3,382 3,537 3,885 4,237 4,663
Colorado 1,308 2,240 2,504 2,673 3,047 3,392 3,812 4,329
Idaho 1,140 1,951 2,303 2,201 2,328 2,471 2,725 2,997
Montana 1,036 1,742 1,907 1,947 2,046 2,233 2,501 2,756
Nevada 2,031 3,253 3,858 4,017 3,973 4,320 4,773 5,418
New Mexico 1,140 1,913 2,302 2,254 2,410 2,533 2,814 3,149
Utah 1,283 2,069 2,433 2,556 2,721 2,871 3,111 3,375
Wyoming 1,094 1,985 2,269 2,122 2,257 2,373 2,621 2,911
Pacific 1,651 2,877 3,339 3,574 3,818 4,228 4,759 5,648
Alaska 1,470 2,385 2,695 2,701 2,817 3,144 3,390 3,757
California 1,794 3,156 3,679 3,931 4,228 4,701 5,324 6,363
Hawaii 1,224 2,319 2,599 2,803 2,941 2,991 3,138 3,440
Oregon 1,275 1,987 2,290 2,358 2,481 2,717 2,980 3,245
Washington 1,162 1,924 2,146 2,237 2,448 2,708 3,008 3,455
Outlying areas 510 739 842 832 894 947 990 1,055
Puerto Rico 505 736 837 831 893 946 988 1,050
Virgin Islands 746 843 1,068 870 922 1,007 1,112 1,372
a. Geographic distribution reflects the beneficiaries' area of residence.
b. Preliminary data.
c. Excludes claims for persons residing in foreign countries.
d. Includes claims for persons whose place of residence is unknown.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data from 1990–2002 are based on bills incurred in each year and recorded before June 27, 2003. Includes data for services rendered to both aged and disabled persons.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B8b Hospital Insurance: Average covered charge per covered day of care in skilled nursing facilities, by census division and state or other area, selected years 1975–2002 (in dollars)
Census division and state or area a 1975 1980 1990 1995 1999 2000 2001 2002 b
Total
All areas c 43 70 193 402 424 413 463 476
United States d 43 70 193 402 424 413 463 476
New England 50 77 172 347 395 391 440 461
Connecticut 35 51 165 314 364 362 400 429
Maine 52 100 274 308 361 387 416 441
Massachusetts 63 98 181 380 437 425 484 495
New Hampshire 41 86 218 412 386 392 439 472
Rhode Island 43 59 129 265 341 343 379 406
Vermont 38 62 155 266 330 330 362 393
Middle Atlantic 50 73 168 308 378 378 440 468
New Jersey 45 81 164 344 393 392 457 505
New York 61 80 168 240 325 337 378 404
Pennsylvania 40 65 170 373 443 430 505 522
East North Central 40 68 167 358 413 405 457 465
Illinois 37 77 215 421 493 493 526 533
Indiana 35 60 180 399 414 393 449 444
Michigan 45 60 130 270 357 357 398 405
Ohio 41 69 157 375 422 410 465 476
Wisconsin 35 64 149 315 320 319 359 373
West North Central 45 82 194 367 421 414 463 484
Iowa 46 84 269 406 443 440 503 539
Kansas 39 66 255 461 504 492 509 508
Minnesota 46 94 125 245 273 279 314 364
Missouri 47 95 263 465 547 531 572 563
Nebraska 41 71 205 338 413 426 479 504
North Dakota 43 49 118 221 330 343 393 414
South Dakota 33 61 160 270 286 285 352 380
South Atlantic 34 59 168 396 387 368 402 410
Delaware 31 50 132 328 327 317 352 380
District of Columbia 34 64 193 389 443 397 429 483
Florida 34 59 195 488 445 414 425 422
Georgia 34 71 146 346 344 320 359 385
Maryland 37 56 141 347 389 378 404 417
North Carolina 31 52 132 283 315 310 356 368
South Carolina 26 46 159 337 358 342 396 414
Virginia 42 68 168 331 350 347 386 399
West Virginia 36 64 171 364 417 400 465 466
East South Central 37 56 154 358 381 374 431 439
Alabama 33 38 143 353 346 335 381 400
Kentucky 36 58 151 352 381 381 440 431
Mississippi 45 105 160 377 425 409 509 522
Tennessee 41 70 162 358 390 383 425 435
West South Central 45 94 267 539 545 509 564 549
Arkansas 44 84 238 372 456 441 515 570
Louisiana 43 83 374 683 725 646 726 684
Oklahoma 60 145 312 563 537 538 597 588
Texas 43 78 238 542 527 485 532 512
Mountain 38 64 226 486 463 442 467 462
Arizona 41 71 236 549 532 493 496 450
Colorado 42 73 266 538 480 459 493 490
Idaho 27 46 152 381 373 355 410 419
Montana 30 44 123 291 354 351 378 406
Nevada 37 66 232 569 558 577 568 469
New Mexico 57 122 267 488 528 497 530 545
Utah 36 75 266 473 425 409 431 462
Wyoming 36 49 208 379 392 381 401 442
Pacific 45 81 269 576 550 542 583 614
Alaska 68 115 283 437 760 723 797 759
California 46 87 287 629 603 594 644 683
Hawaii 49 83 217 467 434 454 528 541
Oregon 40 63 207 421 376 372 374 388
Washington 34 62 196 412 379 381 405 420
Outlying areas
Puerto Rico 51 97 202 261 344 383 353 354
Virgin Islands 43 104 171 370 315 420 476 767
a. Geographic distribution reflects the beneficiaries' area of residence.
b. Preliminary data.
c. Excludes claims for persons residing in foreign countries.
d. Includes claims for persons whose place of residence is unknown.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for 1975 and 1980 are based on bills approved in each year and recorded in the Centers for Medicare & Medicaid Services before December 29, 1995. Data from 1990–2002 are based on bills incurred in each year and recorded before June 27, 2003. Includes data for services rendered to both aged and disabled persons.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B8.1 Hospital Insurance: Short-stay hospital discharges, by state or other area, selected fiscal years 1990–2002
State or area 1990 1994 1995 1996 1997 1998 1999 2000 2001 2002
All areas 10,472,587 11,503,279 11,680,874 11,749,394 11,952,088 11,912,079 11,659,885 11,778,705 12,192,174 12,499,749
Alabama 226,359 252,428 255,013 258,908 265,029 266,603 266,541 274,518 282,999 291,991
Alaska 6,491 7,954 8,635 9,593 9,917 10,633 11,031 11,684 11,748 11,794
Arizona 140,069 134,786 139,564 146,446 150,597 150,190 128,363 135,143 144,989 156,302
Arkansas 143,363 152,452 152,516 154,626 157,920 160,379 160,880 164,310 166,445 170,102
California 834,829 879,227 875,926 889,323 901,018 921,068 780,295 740,564 756,629 801,758
Colorado 98,262 104,733 105,216 102,450 103,735 97,479 100,648 101,486 101,258 107,180
Connecticut 114,938 138,988 141,765 141,031 143,071 133,672 125,115 124,951 135,169 148,864
Delaware 26,125 30,322 30,336 30,051 30,632 30,738 33,287 34,049 36,386 36,541
District of Columbia 36,062 39,306 39,526 38,661 38,508 38,661 38,693 39,112 40,138 39,389
Florida 579,368 734,297 742,862 739,066 743,556 758,714 736,958 765,130 823,957 869,777
Georgia 274,957 312,133 316,301 323,093 327,839 320,774 311,998 324,286 334,599 338,687
Hawaii 26,340 31,077 32,526 32,939 34,795 33,331 26,347 26,146 26,343 26,932
Idaho 31,559 35,923 36,327 39,236 41,066 42,451 43,353 44,027 43,272 40,996
Illinois 460,926 531,390 533,238 524,936 538,476 531,184 539,314 556,122 578,327 601,373
Indiana 254,404 278,602 276,601 278,303 287,615 289,743 289,693 297,851 306,202 304,034
Iowa 141,191 146,352 146,448 148,724 151,815 154,152 155,497 159,451 162,466 156,854
Kansas 117,017 121,106 120,593 122,917 125,481 127,045 126,920 128,024 129,973 129,334
Kentucky 199,042 219,042 222,162 224,322 231,081 231,352 237,553 243,886 252,454 257,205
Louisiana 213,819 228,770 234,663 235,574 237,390 232,942 223,794 237,154 243,724 248,183
Maine 54,963 62,904 63,013 64,361 66,278 67,895 68,128 69,030 68,547 66,705
Maryland 179,835 206,778 214,989 211,265 204,988 195,489 199,012 208,038 234,162 244,595
Massachusetts 286,332 314,727 310,455 299,734 293,217 280,333 268,179 263,152 271,657 275,984
Michigan 366,349 416,096 435,455 443,753 457,401 456,972 452,461 452,367 468,675 497,195
Minnesota 170,808 175,255 178,018 181,315 187,164 192,488 194,935 200,918 209,469 210,382
Mississippi 142,662 157,119 162,934 170,698 181,599 185,149 181,575 183,952 185,626 182,535
Missouri 281,059 292,107 298,509 298,805 299,996 297,554 293,724 300,576 315,642 317,278
Montana 40,505 40,361 40,770 40,831 41,542 41,854 42,343 44,208 45,697 42,880
Nebraska 69,299 68,982 70,113 72,975 75,630 77,188 76,841 76,960 74,217 71,921
Nevada 37,478 47,397 49,254 52,175 54,509 55,150 48,369 49,613 51,836 56,622
New Hampshire 39,103 41,737 42,746 43,834 44,758 42,918 42,054 45,712 48,206 46,282
New Jersey 338,509 377,524 385,145 375,353 371,173 364,034 373,224 372,063 374,250 389,938
New Mexico 50,391 47,576 50,334 49,758 53,329 52,913 51,459 51,085 51,396 51,469
New York 723,060 779,941 797,453 796,965 798,611 787,116 777,269 750,793 761,352 771,835
North Carolina 267,370 312,494 336,173 353,297 369,667 385,533 395,004 406,700 413,429 418,725
North Dakota 37,543 37,344 37,014 36,807 38,272 38,332 38,847 39,672 38,764 34,707
Ohio 527,006 557,927 562,234 565,237 562,603 541,958 533,499 536,335 550,989 559,223
Oklahoma 155,100 154,360 156,239 158,966 163,842 166,068 170,592 176,021 179,543 182,998
Oregon 106,164 106,454 105,878 106,901 111,656 111,028 100,569 91,806 98,854 102,568
Pennsylvania 685,403 768,866 766,535 731,542 728,572 692,290 664,002 634,802 649,458 656,105
Rhode Island 46,578 49,186 49,740 50,739 50,498 46,484 39,625 38,489 39,658 40,229
South Carolina 112,232 148,028 156,060 163,200 171,889 184,188 194,344 204,038 213,513 216,412
South Dakota 38,175 41,963 41,714 42,916 44,101 44,350 44,846 45,239 45,202 43,134
Tennessee 290,371 304,007 310,335 318,600 324,380 324,831 318,793 327,423 341,212 344,524
Texas 603,621 650,174 671,734 689,627 721,006 732,255 725,166 742,628 798,667 843,945
Utah 39,963 42,199 43,819 45,418 44,513 45,698 48,898 53,003 55,207 56,244
Vermont 20,251 22,239 22,815 23,001 23,456 22,585 23,133 24,014 24,778 22,658
Virginia 240,165 267,259 271,620 274,285 285,721 286,752 289,195 295,790 305,346 310,602
Washington 157,942 163,092 157,146 160,146 158,264 152,867 148,620 153,660 162,197 166,846
West Virginia 111,305 122,868 124,293 125,954 131,334 131,473 134,483 134,585 135,458 132,356
Wisconsin 217,727 225,486 227,774 226,898 232,721 233,103 233,432 238,572 240,711 243,774
Wyoming 15,255 15,505 16,009 15,912 16,557 17,256 17,429 18,764 18,932 18,044
Outlying areas
Puerto Rico 93,436 104,129 111,950 115,410 120,547 123,752 130,209 137,315 138,713 139,682
Virgin Islands 528 1,156 1,374 1,234 1,402 1,569 1,511 1,552 1,468 1,571
Unknown 978 1,151 1,012 1,283 1,351 1,543 1,835 1,936 2,265 2,485
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Discharge data for fiscal year 2002 are finals as of June 2003.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B9 Supplementary Medical Insurance: Number of reimbursed bills, charges, and amount reimbursed, by type of beneficiary and type of service, for claims incurred 1994–2002 (in thousands)
Year a All
services b
Physicians' services Outpatient
hospital
services
Independent
laboratory
services
Home
health
services c
All
other
services
Total Surgical d Medical d
Persons aged 65 or older
Number of bills
1994 554,498 397,244 42,750 354,494 44,476 52,813 178 59,787
1995 578,104 406,868 44,896 361,972 48,063 53,175 213 69,785
1996 590,301 411,789 46,171 365,618 50,578 52,417 248 75,269
1997 600,228 418,826 46,517 372,309 52,364 49,917 245 78,876
1998 611,356 427,891 46,273 381,618 52,807 42,715 4,632 83,311
1999 486,296 e 429,299 45,496 383,803 51,498 e 5,499 e
2000 f f f f f f f f
2001 f f f f f f f f
2002 f f f f f f f f
Allowed charges g (dollars)
1994 76,875,482 37,701,474 12,860,574 24,840,900 28,538,228 1,848,456 220,822 8,566,502
1995 84,328,704 39,754,448 13,734,400 26,020,048 31,785,119 1,802,713 288,772 10,697,652
1996 88,174,598 39,483,559 13,164,645 26,318,914 34,958,448 1,634,475 319,929 11,778,187
1997 92,894,015 40,447,161 12,953,314 27,493,847 37,668,251 1,490,474 334,869 12,953,260
1998 101,819,407 41,696,171 12,061,669 29,634,502 38,740,973 1,333,194 6,045,120 14,003,949
1999 105,589,310 43,717,804 12,080,067 31,637,737 40,227,089 1,264,394 6,872,349 13,507,674
2000 114,337,594 48,261,747 12,358,986 35,902,761 44,189,797 1,583,229 5,543,211 14,759,610
2001 129,980,430 54,014,704 13,091,543 40,923,161 52,761,260 1,857,662 4,136,025 17,210,779
2002 149,930,352 57,749,310 f f 66,207,087 2,064,971 4,199,501 19,709,483
Amount reimbursed h (dollars)
1994 45,850,387 29,552,074 10,141,120 19,410,954 9,222,121 1,796,306 158,492 5,121,394
1995 49,728,171 31,117,478 10,833,812 20,283,666 10,090,501 1,751,376 206,777 6,562,039
1996 50,800,071 30,914,594 10,381,197 20,533,397 10,732,262 1,583,843 228,437 7,340,935
1997 52,435,319 31,683,366 10,218,613 21,464,753 11,207,888 1,440,441 234,163 7,869,461
1998 56,693,998 32,661,901 9,517,777 23,144,124 10,685,161 1,278,717 4,257,967 7,810,252
1999 58,192,937 34,381,359 9,523,625 24,857,734 10,361,754 1,209,255 4,835,797 7,404,772
2000 62,241,066 37,909,401 9,743,222 28,166,179 10,670,262 1,502,707 4,171,347 7,987,349
2001 70,385,889 42,472,068 10,351,499 32,120,569 12,919,556 1,757,857 4,021,665 9,214,743
2002 76,141,592 45,424,055 f f 14,452,834 1,950,224 4,162,533 10,151,946
Disabled beneficiaries
Number of bills
1994 70,089 46,364 3,859 42,505 10,107 6,753 . . . 6,865
1995 77,224 49,829 4,261 45,568 11,152 7,758 . . . 8,485
1996 82,908 53,010 4,594 48,416 12,068 8,193 1 9,636
1997 86,071 55,260 4,773 50,487 12,415 8,073 . . . 10,323
1998 89,890 58,244 4,991 53,253 12,639 6,776 475 11,756
1999 72,288 e 59,281 5,042 54,239 12,413 e 594 e
2000 f f f f f f f f
2001 f f f f f f f f
2002 f f f f f f f f
Allowed charges g (dollars)
1994 12,561,816 4,659,625 1,231,332 3,428,293 6,543,340 247,559 63 1,111,150
1995 14,392,687 5,005,244 1,392,181 3,612,063 7,691,605 280,673 79 1,414,965
1996 15,902,091 5,168,502 1,401,285 3,767,217 8,682,045 284,031 194 1,767,319
1997 17,061,775 5,399,169 1,409,583 3,989,586 9,394,475 281,459 575 1,986,097
1998 18,737,289 5,822,296 1,401,045 4,421,251 9,549,910 252,465 720,689 2,391,848
1999 20,003,515 6,266,038 1,453,807 5,582,913 10,121,499 245,492 866,332 2,504,154
2000 22,047,473 7,109,711 1,526,798 5,582,913 11,110,741 294,630 727,045 2,805,346
2001 25,468,692 8,015,022 1,631,945 6,383,077 13,252,005 342,157 552,115 3,307,393
2002 31,619,114 8,926,451 f f 17,917,360 388,208 575,152 3,811,943
Amount reimbursed h (dollars)
1994 7,458,953 3,547,187 959,659 2,587,528 2,887,030 242,791 46 781,899
1995 8,408,282 3,791,215 1,088,310 2,702,905 3,331,655 275,955 52 1,009,405
1996 9,099,676 3,908,937 1,095,977 2,812,960 3,652,723 278,816 142 1,259,058
1997 9,592,425 4,093,502 1,103,074 2,990,428 3,839,608 276,057 454 1,382,804
1998 10,440,004 4,405,354 1,095,140 3,310,214 3,777,451 246,335 496,832 1,514,032
1999 10,973,643 4,756,445 1,135,375 3,621,070 3,839,608 239,162 594,438 1,544,304
2000 11,907,520 5,396,707 1,192,908 4,203,799 4,003,490 286,553 527,188 1,693,582
2001 13,592,627 6,101,360 1,278,008 4,823,352 4,711,742 332,261 484,440 1,962,824
2002 15,152,250 6,805,803 f f 5,255,021 376,979 515,790 2,198,657
a. Period for which the claim was incurred.
b. Included in total, but not shown separately, are some bills and charges for which type of service is unknown.
c. Due to Balanced Budget Act provisions, beginning in 1998 Part A now has a 100-visit limit and additional home health services will be billed under Part B.
d. Where both medical and surgical charges are included on a single bill, the highest-priced service is the determining factor in classifying the bill.
e. Data not available due to programmatic problems. Total for all services excluded independent laboratory services and all other services.
f. Data are no longer available.
g. Includes physician or supplier allowed charges as determined by the carrier and amounts actually billed by providers for outpatient hospital and home health services.
h. Amount reimbursed to or on behalf of the beneficiary—generally 80 percent of the allowed charges, once the beneficiary has satisfied the deductible in the current year. Some radiology and pathology services are reimbursed at a 100 percent rate, regardless of the beneficiary's deductible status.
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes only bills for which reimbursements were made by carriers or intermediaries and recorded in Centers for Medicare & Medicaid Services records before March 28, 2003.
. . . = less than 1,000.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B10 Supplementary Medical Insurance: Claims received by carriers and assignment rates, 1969–2002
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 821,992 98.4
a. Represents the number of assigned claims as a percentage of claims received.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B11 Supplementary Medical Insurance: Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2002
Year Claims approved Charges before reduction
Number
(thousands)
Percentage
reduced
Amount
(millions
of dollars)
Percentage
reduced
Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
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
a. Excludes Texas Blue-Shield plan for July–December 1981.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.
Table 8.B12 Supplementary Medical Insurance: State buy-ins, by state or other area, selected years 1991-2003
State or area 1991 1995 1996 1997 1998 1999 2000 2001 2002 2003
All areas 3,640,121 4,705,625 4,914,789 5,008,860 5,109,228 5,273,573 5,425,048 5,615,326 5,810,613 6,145,589
Alabama 97,601 116,916 120,399 122,720 121,990 128,875 136,860 141,436 144,603 162,912
Alaska 4,539 6,193 6,659 6,835 7,093 7,799 8,486 8,832 9,324 10,008
Arizona 28,650 44,236 47,393 49,213 51,141 53,450 57,712 61,989 74,678 91,782
Arkansas 64,996 77,660 79,549 79,176 78,514 79,508 79,606 80,231 82,040 86,597
California 646,108 747,814 768,907 769,335 776,832 793,510 818,846 848,361 892,260 950,503
Colorado 36,470 46,660 49,561 50,749 52,175 53,964 55,325 56,934 57,987 59,114
Connecticut 23,535 48,047 50,226 50,668 51,335 52,134 53,141 55,933 60,083 65,223
Delaware 4,499 6,645 7,735 8,446 8,900 8,231 10,737 12,094 13,252 15,224
District of Columbia 12,791 14,152 14,195 14,482 14,582 13,181 14,233 14,621 15,065 15,079
Florida 196,992 271,430 290,838 304,791 313,744 324,172 342,109 358,642 369,092 389,599
Georgia 128,976 160,380 165,210 168,267 171,047 171,638 176,596 181,312 186,466 193,807
Hawaii 11,529 16,695 17,905 18,751 19,226 19,962 20,326 21,090 21,748 22,904
Idaho 9,127 12,931 13,835 14,296 14,909 15,868 17,081 18,550 19,725 21,255
Illinois 94,434 137,571 144,330 144,684 145,976 149,850 155,743 161,141 163,368 175,822
Indiana 60,297 76,460 75,930 76,846 81,184 82,901 87,543 91,311 95,553 102,654
Iowa 41,170 48,517 50,031 49,344 49,844 50,954 51,976 52,891 54,536 56,920
Kansas 26,960 34,708 37,064 37,486 39,008 40,365 41,217 42,126 43,123 44,602
Kentucky 76,456 97,978 103,705 105,188 106,537 111,789 117,697 118,641 122,096 126,690
Louisiana 87,570 112,090 114,917 114,482 115,031 116,602 117,179 117,867 120,478 127,340
Maine 22,176 29,453 31,063 32,168 33,006 35,211 36,946 38,161 39,575 42,269
Maryland 48,028 58,865 59,882 59,745 61,669 64,086 65,372 68,010 70,224 73,994
Massachusetts 89,163 125,859 132,575 132,874 138,796 143,779 152,587 160,198 164,510 167,681
Michigan 91,340 123,948 131,263 130,682 135,769 139,411 145,172 148,760 152,758 158,998
Minnesota 39,366 52,192 55,989 56,486 57,559 59,926 63,607 66,874 70,873 75,080
Mississippi 90,530 108,577 104,036 106,461 106,336 107,176 107,495 116,503 125,832 131,706
Missouri 55,116 72,659 76,883 79,847 81,841 85,329 88,343 91,244 93,512 99,127
Montana 10,058 11,031 11,638 11,825 11,882 12,274 12,828 13,120 13,359 13,889
Nebraska 11,358 16,146 16,986 17,321 18,029 19,064 20,520 21,121 22,120 22,922
Nevada 8,657 14,227 15,711 16,435 17,191 18,322 19,155 20,709 22,207 24,587
New Hampshire 3,807 5,405 5,878 6,119 6,295 6,875 7,434 8,866 9,231 10,120
New Jersey 95,795 122,923 131,292 135,109 137,598 143,024 146,705 149,303 151,644 155,377
New Mexico 22,246 29,855 32,346 33,472 34,411 36,023 37,330 39,275 41,263 44,534
New York 255,952 325,882 342,539 352,129 363,331 372,824 369,479 395,830 409,388 432,681
North Carolina 117,656 186,328 197,039 204,551 210,388 216,563 223,402 228,997 233,229 240,422
North Dakota 4,639 5,560 5,751 5,684 5,612 5,758 5,908 6,275 6,317 6,541
Ohio 112,598 164,044 172,316 178,365 180,172 181,407 171,139 176,602 182,821 191,295
Oklahoma 51,457 60,080 61,723 62,965 63,142 66,115 67,413 67,787 68,905 70,761
Oregon 28,537 43,642 47,600 49,553 51,392 55,896 59,169 62,910 66,255 68,421
Pennsylvania 127,519 162,788 170,790 173,142 179,295 198,492 206,468 215,351 218,691 229,814
Rhode Island 10,585 15,517 16,780 17,321 17,729 18,513 19,787 21,620 22,928 25,146
South Carolina 78,701 95,970 98,817 101,455 104,111 110,032 112,232 116,288 118,635 117,997
South Dakota 9,399 12,346 12,661 12,778 12,791 13,112 13,146 13,237 13,542 14,231
Tennessee 116,861 148,391 157,602 164,010 171,653 178,707 182,342 184,570 187,438 203,567
Texas 234,169 314,991 327,827 336,801 339,648 350,959 360,191 370,598 380,954 410,248
Utah 10,263 13,506 14,387 14,589 14,900 15,569 16,231 16,712 17,497 18,548
Vermont 8,223 12,428 12,863 13,048 13,197 13,598 13,754 14,296 14,650 15,016
Virginia 77,898 102,964 107,457 108,365 108,427 111,404 113,259 113,898 116,496 120,711
Washington 54,774 71,531 76,885 83,128 89,419 91,976 97,390 94,852 99,552 105,516
West Virginia 28,086 39,720 42,377 43,572 43,019 45,406 46,305 47,774 47,547 50,008
Wisconsin 67,516 75,247 78,661 76,109 74,429 74,681 74,101 73,875 75,179 78,124
Wyoming 3,505 5,265 5,548 5,781 5,963 6,183 6,444 6,746 7,087 7,422
Outlying areas
Guam 443 669 710 682 650 583 417 385 339 339
Northern Mariana Islands 273 314 318 322 311 335 342 367 372 358
Virgin Islands 727 219 205 207 199 207 204 210 206 194
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Medicarestats@cms.hhs.gov.