Annual Statistical Supplement, 2009

 

Health Care Programs

Medicare

Enrollment, Utilization, and Reimbursement

Table 8.B0 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Total persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007
Type of coverage and service 1990 1995 2000 2005 2006 2007
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 43,339 44,263
Hospital Insurance 33,719 37,135 39,211 42,129 42,975 43,910
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 40,398 41,109
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,847 35,490
Hospital Insurance -- -- 32,329 36,318 35,488 35,141
Supplementary Medical Insurance -- -- 30,478 33,916 32,908 32,338
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 33,063 32,406
Hospital Insurance 7,036 8,036 7,325 8,307 8,120 7,952
Inpatient hospital 6,543 6,964 6,917 7,710 7,467 7,254
Skilled nursing services 638 1,233 1,468 1,847 1,838 1,828
Home health services b 1,936 3,427 1,444 1,752 1,714 1,705
Hospice services -- -- 541 871 939 995
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 32,732 32,040
Physicians' and other medical services 26,350 26,539 28,763 32,709 32,205 31,481
Outpatient services 15,511 19,709 21,029 24,423 24,010 23,587
Home health services b 38 41 1,190 1,370 1,460 1,553
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 922 913
Hospital Insurance 209 216 227 229 229 226
Inpatient hospital 194 188 214 212 210 206
Skilled nursing services 19 33 45 51 52 52
Home health services b 57 92 45 48 48 49
Hospice services -- -- 17 24 26 28
Supplementary Medical Insurance 826 848 962 979 995 991
Physicians' and other medical services 808 744 944 964 979 974
Outpatient services 475 552 690 720 730 729
Home health services b 1 1 39 40 44 48
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 280,672 288,504
Hospital Insurance 62,347 101,835 101,663 149,392 151,917 155,785
Inpatient hospital 56,716 78,944 85,197 116,647 116,350 116,922
Skilled nursing services 1,971 7,799 10,621 18,964 20,387 22,261
Home health services  b 3,660 15,092 2,918 5,916 5,979 6,275
Hospice services -- -- 2,927 7,864 9,201 10,327
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 128,755 132,719
Physicians' and other medical services 30,222 41,617 51,474 83,838 85,305 85,694
Outpatient services 8,773 15,328 16,787 33,931 35,411 37,560
Home health services b 78 200 4,338 6,982 8,039 9,465
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 8,489 8,903
Hospital Insurance 8,862 12,672 13,878 17,984 18,709 19,592
Inpatient hospital 8,668 11,336 12,318 15,130 15,581 16,118
Skilled nursing services 3,092 6,325 7,235 10,267 11,093 12,176
Home health services b 1,890 4,403 2,021 3,377 3,489 3,680
Hospice services -- -- 5,409 9,027 9,796 10,378
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 3,634 4,142
Physicians' and other medical services 1,147 1,409 1,709 2,563 2,649 2,722
Outpatient services 566 778 798 1,389 1,475 1,592
Home health services b 2,031 4,837 3,644 5,098 5,508 6,095
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 7,830 8,129
Hospital Insurance 1,849 2,742 3,145 4,113 4,281 4,433
Inpatient hospital 1,682 2,126 2,635 3,212 3,279 3,327
Skilled nursing services 58 210 329 522 574 633
Home health services b 109 406 90 163 168 179
Hospice services -- -- 91 217 259 294
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 3,913 4,104
Physicians' and other medical services 926 1,166 1,689 2,472 2,592 2,650
Outpatient services 269 430 551 1,000 1,076 1,162
Home health services  b 2 6 142 206 244 293
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007
Type of coverage and service 1990 1995 2000 2005 2006 2007
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 36,317 36,966
Hospital Insurance 30,464 32,742 33,841 35,407 35,953 36,613
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 34,183 34,656
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 29,622 29,172
Hospital Insurance -- -- 27,422 30,033 29,263 28,824
Supplementary Medical Insurance -- -- 26,174 28,402 27,490 26,864
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 27,603 26,874
Hospital Insurance 6,367 7,147 6,361 7,016 6,843 6,664
Inpatient hospital 5,906 6,148 5,975 6,455 6,230 6,009
Skilled nursing services 615 1,186 1,390 1,719 1,707 1,692
Home health services b 1,818 3,185 1,325 1,574 1,539 1,518
Hospice services -- -- 514 825 890 941
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 27,326 26,569
Physicians' and other medical services 24,193 26,621 24,846 27,468 26,952 26,177
Outpatient services 14,055 17,597 18,159 20,436 20,009 19,523
Home health services b 38 42 1,081 1,214 1,291 1,365
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 932 921
Hospital Insurance 209 218 232 234 234 231
Inpatient hospital 194 c 188 218 215 213 208
Skilled nursing services 21 36 51 57 58 59
Home health services b 60 97 48 52 53 53
Hospice services -- -- 19 27 30 33
Supplementary Medical Insurance 832 858 965 979 994 989
Physicians' and other medical services 815 839 949 967 980 974
Outpatient services 474 554 694 720 728 727
Home health services b 1 1 41 43 47 51
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 232,468 237,806
Hospital Insurance 54,244 89,631 87,549 125,993 127,855 130,478
Inpatient hospital 48,952 68,213 72,041 95,557 94,767 94,442
Skilled nursing services 1,886 7,504 10,066 17,666 18,978 20,628
Home health services  b 3,406 13,914 2,679 5,333 5,396 5,621
Hospice services -- -- 2,763 7,436 8,714 9,786
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 104,613 107,329
Physicians' and other medical services 27,379 37,069 44,506 70,111 71,342 71,349
Outpatient services 7,077 12,045 12,588 25,385 26,258 27,779
Home health services b 78 203 3,845 6,106 7,013 8,201
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 8,422 8,849
Hospital Insurance 8,520 12,542 13,763 17,958 18,684 19,580
Inpatient hospital 8,289 11,096 12,057 14,804 15,212 15,716
Skilled nursing services 3,068 6,325 7,242 10,277 11,118 12,190
Home health services b 1,874 4,368 2,022 3,388 3,507 3,702
Hospice services -- -- 5,375 9,015 9,791 10,398
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 3,828 4,040
Physicians' and other medical services 1,132 1,392 1,791 2,552 2,647 2,726
Outpatient services 503 684 693 1,242 1,312 1,423
Home health services b 2,033 4,862 3,557 5,030 5,433 6,009
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 7,848 8,152
Hospital Insurance 1,781 2,738 3,193 4,195 4,369 4,527
Inpatient hospital 1,607 2,083 2,627 3,182 3,238 3,277
Skilled nursing services 62 229 367 588 649 716
Home health services b 112 425 98 178 184 195
Hospice services -- -- 101 248 298 340
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 3,805 3,995
Physicians' and other medical services 922 1,168 1,700 2,469 2,595 2,656
Outpatient services 238 379 481 894 955 1,034
Home health services b 3 6 147 215 255 305
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Revised data.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007
Type of coverage and service 1990 1995 2000 2005 2006 2007
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 7,022 7,297
Hospital Insurance 3,255 4,393 5,370 6,722 7,022 7,297
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 6,215 6,453
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,225 6,318
Hospital Insurance -- -- 4,907 6,285 6,225 6,317
Supplementary Medical Insurance -- -- 4,304 5,514 5,418 5,474
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,461 5,531
Hospital Insurance 680 933 964 1,291 1,277 b 1,288
Inpatient hospital 644 844 942 1,255 1,237 1,245
Skilled nursing services 23 54 78 128 131 136
Home health services c 122 272 119 178 175 187
Hospice services -- -- 27 46 49 54
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,406 5,471
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,254 5,305
Outpatient services 1,496 2,281 2,870 3,987 4,001 4,064
Home health services c d d 110 156 169 188
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 877 875
Hospital Insurance 209 212 196 205 197 204
Inpatient hospital 198 192 192 200 199 197
Skilled nursing services 7 12 16 20 21 22
Home health services c 38 62 24 28 28 30
Hospice services -- -- 6 7 8 9
Supplementary Medical Insurance 804 837 943 976 998 999
Physicians' and other medical services 764 808 910 950 970 969
Outpatient services 508 579 667 723 738 742
Home health services c d d 26 28 31 34
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 48,204 50,697
Hospital Insurance 6,694 12,752 14,114 23,399 24,061 25,307
Inpatient hospital 6,346 11,079 13,156 21,091 21,582 22,479
Skilled nursing services 85 374 555 1,297 1,409 1,633
Home health services c 264 1,300 239 583 583 653
Hospice services -- -- 164 428 487 541
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 24,142 25,390
Physicians' and other medical services 2,831 4,888 6,968 13,727 13,963 14,345
Outpatient services 1,714 3,384 4,198 8,547 9,153 9,782
Home health services c d d 493 877 1,026 1,264
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 8,826 9,166
Hospital Insurance 9,847 13,666 14,641 18,124 18,841 19,651
Inpatient hospital 9,849 13,126 13,966 16,808 17,442 18,058
Skilled nursing services 3,702 6,959 7,115 10,127 10,757 11,999
Home health services c 2,156 4,777 2,008 3,280 3,327 3,495
Hospice services -- -- 6,074 9,223 9,882 10,036
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 4,466 4,641
Physicians' and other medical services 1,259 1,535 1,779 2,619 2,658 2,704
Outpatient services 1,146 1,483 1,463 2,144 2,288 2,407
Home health services c d d 4,482 5,631 6,077 6,720
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 7,744 8,024
Hospital Insurance 2,057 2,903 2,876 3,723 3,865 4,006
Inpatient hospital 1,950 2,522 2,681 3,356 3,467 3,558
Skilled nursing services 26 85 113 206 226 259
Home health services c 81 296 49 93 94 103
Hospice services -- -- 33 68 78 86
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 4,456 4,638
Physicians' and other medical services 962 1,240 1,619 2,489 2,577 2,621
Outpatient services 582 858 975 1,550 1,689 1,787
Home health services c d d 115 159 189 231
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. Revised data.
c. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
d. Sample population too small to yield valid calculated results.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area 1990 2000 2007 2008
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 30,939 30,255 684 34,247 27,840 6,407 36,966 29,172 7,794 37,896 28,961 8,935
United States a 30,341 29,657 684 33,540 27,137 6,403 36,145 28,619 7,526 37,053 28,405 8,648
New England 1,733 1,719 15 1,836 1,449 387 1,883 1,592 290 1,925 1,586 339
Connecticut 436 434 2 457 356 101 464 411 53 474 401 73
Maine 165 165 b 180 178 2 195 189 6 200 187 13
Massachusetts 795 786 9 828 601 227 828 660 168 845 663 182
New Hampshire 126 126 b 147 145 2 168 162 6 174 164 10
Rhode Island 145 141 3 148 94 54 144 87 56 146 88 58
Vermont 67 67 b 76 76 b 84 82 2 86 83 3
Middle Atlantic 5,082 4,945 137 5,263 4,078 1,186 5,335 3,973 1,362 5,421 3,879 1,542
New Jersey 1,006 977 29 1,067 905 162 1,090 982 109 1,112 991 122
New York 2,279 2,199 80 2,334 1,871 463 2,390 1,761 630 2,429 1,724 705
Pennsylvania 1,798 1,769 29 1,863 1,302 561 1,855 1,231 624 1,880 1,164 716
East North Central 5,223 5,153 70 5,541 4,948 593 5,791 4,900 891 5,907 4,709 1,198
Illinois 1,401 1,377 24 1,435 1,263 172 1,486 1,357 129 1,514 1,369 145
Indiana 685 673 12 735 703 32 782 698 84 800 691 109
Michigan 1,101 1,100 1 1,201 1,128 73 1,268 1,046 222 1,298 978 320
Ohio 1,387 1,364 22 1,478 1,206 272 1,523 1,230 293 1,550 1,122 427
Wisconsin 649 639 10 693 649 43 731 568 163 746 549 197
West North Central 2,423 2,350 74 2,518 2,252 266 2,623 2,154 469 2,669 2,130 539
Iowa 422 412 10 426 410 16 434 381 53 438 384 55
Kansas 337 333 5 347 319 28 352 323 29 356 322 35
Minnesota 544 500 44 582 496 86 629 419 210 645 401 244
Missouri 706 692 14 736 612 124 771 631 140 786 627 159
Nebraska 221 220 1 227 217 10 232 209 23 234 207 27
North Dakota 91 91 1 93 92 1 93 86 6 93 86 7
South Dakota 102 102 b 106 106 1 113 105 8 115 103 12
South Atlantic 5,534 5,473 61 6,430 5,510 920 7,170 5,966 1,203 7,394 6,002 1,392
Delaware 80 80 b 98 93 5 114 110 3 118 113 5
District of Columbia 71 68 2 65 59 6 63 57 6 63 56 7
Florida 2,174 2,158 15 2,507 1,815 692 2,706 2,017 690 2,778 2,012 766
Georgia 636 635 b 752 702 50 887 788 99 922 799 123
Maryland 496 492 4 571 504 67 622 583 39 640 593 47
North Carolina 786 785 2 941 897 44 1,084 920 164 1,122 932 191
South Carolina 383 383 b 464 463 2 551 496 55 574 499 75
Virginia 645 636 9 762 730 32 865 782 84 895 788 107
West Virginia 264 236 28 270 247 23 277 214 63 281 210 71
East South Central 1,886 1,868 18 2,061 1,930 131 2,255 1,930 325 2,313 1,915 398
Alabama 508 503 4 558 507 51 601 514 88 616 499 116
Kentucky 459 448 11 491 460 31 533 469 65 546 466 79
Mississippi 313 313 b 330 325 5 352 326 26 359 329 31
Tennessee 607 604 3 682 638 44 769 622 146 792 621 171
West South Central 2,879 2,875 4 3,276 2,754 522 3,622 3,078 544 3,722 3,085 638
Arkansas 343 342 1 359 342 17 383 345 38 391 345 46
Louisiana 460 460 b 497 404 93 507 409 98 518 402 116
Oklahoma 412 411 1 438 388 50 463 403 60 471 405 67
Texas 1,665 1,662 2 1,982 1,620 362 2,269 1,920 349 2,341 1,933 408
Mountain 1,489 1,452 38 1,914 1,400 514 2,279 1,625 654 2,362 1,642 720
Arizona 456 436 19 596 371 225 709 463 247 735 471 264
Colorado 324 312 11 403 253 151 477 320 157 495 327 169
Idaho 121 121 1 145 129 16 174 135 39 180 133 47
Montana 106 105 b 119 118 b 133 116 17 137 115 21
Nevada 128 127 1 212 139 73 270 185 85 281 191 90
New Mexico 160 158 2 200 159 41 234 179 55 241 181 60
Utah 147 145 2 183 176 7 218 167 51 227 161 65
Wyoming 47 47 b 57 56 2 64 61 3 65 62 4
Pacific 4,081 3,813 267 4,692 2,808 1,884 5,183 3,397 1,786 5,335 3,452 1,883
Alaska 22 22 b 35 35 b 46 46 b 49 48 b
California 2,989 2,750 239 3,430 1,947 1,483 3,750 2,389 1,360 3,855 2,434 1,420
Hawaii 118 114 4 151 98 53 168 103 66 173 104 69
Oregon 390 371 19 433 260 173 484 283 201 498 287 211
Washington 562 556 6 643 468 175 735 576 159 760 579 181
Unknown 10 10 b 9 8 1 4 4 b 4 4 b
Outlying areas
Puerto Rico 337 337 b 401 400 1 466 201 265 478 195 283
U.S. Virgin Islands 6 6 b 9 9 b 12 12 b 13 13 b
Other b b b 9 9 b 13 13 b 13 13 b
Foreign countries 255 254 b 288 285 3 331 328 3 339 336 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area 1990 2000 2007 2008
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 3,260 3,238 22 5,373 4,913 460 7,297 6,318 979 7,516 6,359 1,157
United States a 3,154 3,132 22 5,219 4,759 459 7,120 6,228 892 7,336 6,271 1,065
New England 156 156 b 284 265 19 379 362 17 390 368 22
Connecticut 33 33 b 57 53 4 73 69 4 75 69 6
Maine 18 18 b 36 36 b 51 51 1 53 52 1
Massachusetts 72 72 b 131 120 11 169 162 6 174 166 7
New Hampshire 11 11 b 23 23 b 36 35 1 38 37 1
Rhode Island 14 14 b 24 20 4 31 26 5 32 26 6
Vermont 7 7 b 13 13 b 18 18 b 19 18 b
Middle Atlantic 474 470 4 729 655 73 946 780 166 974 783 190
New Jersey 86 85 1 133 124 9 167 156 10 170 158 12
New York 230 228 2 366 334 31 450 387 63 462 385 77
Pennsylvania 158 157 1 230 197 33 329 237 92 341 241 101
East North Central 562 560 2 823 773 50 1,091 1,006 85 1,126 1,013 113
Illinois 132 132 1 195 180 15 255 239 16 260 241 19
Indiana 77 76 1 117 114 3 159 148 11 165 150 14
Michigan 132 132 b 200 193 7 272 256 17 282 256 26
Ohio 156 155 1 221 199 23 282 252 30 291 254 37
Wisconsin 64 64 b 90 88 2 124 111 13 128 112 16
West North Central 212 210 2 339 324 14 466 429 37 480 436 45
Iowa 34 34 b 50 49 1 66 61 5 68 63 5
Kansas 26 26 b 43 42 2 60 56 3 62 58 4
Minnesota 44 44 b 72 70 1 100 91 10 104 92 12
Missouri 75 75 1 124 115 10 175 160 15 180 162 18
Nebraska 16 16 b 26 26 1 36 33 3 37 34 3
North Dakota 7 7 b 10 10 b 13 12 1 13 12 1
South Dakota 8 8 b 13 13 b 16 16 1 17 16 1
South Atlantic 608 604 4 1,082 998 84 1,475 1,285 190 1,511 1,281 230
Delaware 8 8 b 15 14 b 23 22 1 23 22 1
District of Columbia 7 7 b 10 9 b 12 11 b 12 11 1
Florida 165 165 1 316 253 63 426 340 86 434 332 102
Georgia 96 96 b 167 161 6 223 203 20 230 205 26
Maryland 46 46 b 75 70 5 101 96 5 104 98 6
North Carolina 106 106 b 195 191 4 275 244 31 282 247 36
South Carolina 59 59 b 105 105 b 146 130 16 149 128 21
Virginia 77 76 1 133 130 3 179 159 20 184 159 25
West Virginia 44 41 3 67 64 3 90 80 11 92 80 12
East South Central 287 286 1 498 482 16 689 607 82 708 607 101
Alabama 74 74 b 128 119 9 188 158 30 194 157 37
Kentucky 75 74 1 132 128 4 178 161 17 183 162 20
Mississippi 53 53 b 89 88 b 117 110 8 120 110 10
Tennessee 85 85 b 149 146 3 206 179 27 212 178 34
West South Central 317 317 b 541 492 50 787 698 89 823 711 112
Arkansas 48 48 b 80 78 2 113 101 12 117 101 16
Louisiana 71 71 b 104 92 12 133 118 15 138 120 18
Oklahoma 39 39 b 70 65 4 102 93 9 107 96 11
Texas 159 159 b 288 256 31 439 386 54 461 393 67
Mountain 148 147 1 286 240 46 413 324 89 426 327 99
Arizona 43 42 b 85 62 24 131 87 45 134 86 49
Colorado 34 34 1 65 53 11 81 66 16 84 67 17
Idaho 11 11 b 21 20 1 33 28 5 34 28 6
Montana 12 12 b 18 18 b 23 21 2 24 21 3
Nevada 13 13 b 31 24 7 48 38 9 49 39 10
New Mexico 19 19 b 34 31 3 51 44 6 53 46 7
Utah 13 13 b 24 23 b 36 30 5 38 31 7
Wyoming 4 4 b 8 8 b 10 10 b 11 10 b
Pacific 389 381 7 636 529 107 872 736 136 898 744 154
Alaska 3 3 b 7 7 b 11 11 b 11 11 b
California 290 283 7 464 378 86 619 522 97 637 528 109
Hawaii 9 9 b 15 14 1 21 18 3 21 18 3
Oregon 34 33 1 58 46 11 83 60 23 86 62 24
Washington 53 53 b 93 84 9 138 124 14 143 126 17
Unknown 2 2 b 1 1 b 1 1 b b b b
Outlying areas
Puerto Rico 92 92 b 136 136 b 157 70 87 159 67 92
U.S. Virgin Islands 1 1 b 1 1 b 2 2 b 2 2 b
Other b b b 2 2 b 3 3 b 3 3 b
Foreign countries 14 14 b 15 15 b 16 16 b 16 16 b
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)
Census division and state or area 1990 2000 2007 2008
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 34,200 33,493 706 39,620 32,753 6,867 44,263 35,490 8,773 45,412 35,320 10,092
United States a 33,494 32,789 706 38,759 31,896 6,863 43,264 34,847 8,417 44,389 34,676 9,713
New England 1,889 1,874 15 2,120 1,714 405 2,261 1,954 308 2,315 1,954 361
Connecticut 469 467 2 514 409 105 537 480 57 549 470 79
Maine 183 183 b 217 214 2 247 240 7 253 239 14
Massachusetts 867 858 9 958 721 237 997 823 174 1,019 830 189
New Hampshire 137 137 b 170 167 3 204 198 7 212 201 11
Rhode Island 159 155 3 172 114 58 175 114 61 178 114 64
Vermont 75 74 b 89 89 b 102 100 2 105 102 3
Middle Atlantic 5,556 5,415 141 5,992 4,733 1,259 6,281 4,753 1,528 6,395 4,663 1,732
New Jersey 1,092 1,062 30 1,200 1,029 170 1,257 1,138 119 1,283 1,149 134
New York 2,508 2,427 82 2,699 2,206 494 2,841 2,148 693 2,891 2,109 782
Pennsylvania 1,956 1,926 30 2,093 1,498 595 2,184 1,468 716 2,221 1,405 816
East North Central 5,784 5,713 72 6,364 5,722 643 6,882 5,906 976 7,033 5,722 1,311
Illinois 1,534 1,509 24 1,630 1,443 187 1,741 1,596 145 1,775 1,610 164
Indiana 762 749 13 852 816 35 941 846 95 964 841 123
Michigan 1,233 1,231 1 1,401 1,320 80 1,541 1,302 239 1,580 1,234 346
Ohio 1,543 1,520 23 1,699 1,405 295 1,805 1,482 323 1,841 1,376 465
Wisconsin 714 703 10 783 737 46 854 679 175 874 661 213
West North Central 2,635 2,560 75 2,857 2,576 281 3,089 2,583 506 3,149 2,566 584
Iowa 457 446 11 476 459 17 500 442 58 506 446 60
Kansas 363 359 5 390 360 30 412 380 32 418 379 39
Minnesota 588 544 44 654 566 88 729 510 219 749 493 256
Missouri 781 767 14 861 727 133 946 791 156 966 789 177
Nebraska 237 237 1 253 243 11 268 242 26 271 241 31
North Dakota 98 98 1 103 102 1 105 98 7 107 98 8
South Dakota 110 110 b 119 119 1 129 121 8 132 119 13
South Atlantic 6,142 6,077 65 7,512 6,508 1,004 8,644 7,251 1,393 8,905 7,283 1,622
Delaware 88 88 b 112 107 5 136 132 4 141 135 6
District of Columbia 78 75 3 75 68 7 74 68 6 75 68 8
Florida 2,339 2,323 16 2,823 2,068 754 3,133 2,356 776 3,212 2,344 868
Georgia 732 731 b 918 863 56 1,111 992 119 1,153 1,004 149
Maryland 541 538 4 646 574 72 723 679 44 745 691 54
North Carolina 892 890 2 1,136 1,088 48 1,359 1,164 195 1,405 1,178 226
South Carolina 442 441 b 570 568 2 697 626 71 724 627 97
Virginia 722 712 10 895 860 35 1,045 941 104 1,079 947 132
West Virginia 308 277 30 337 312 26 367 293 74 373 290 83
East South Central 2,173 2,153 20 2,559 2,411 147 2,944 2,538 407 3,021 2,523 498
Alabama 582 577 5 686 626 60 789 672 118 809 656 153
Kentucky 534 521 12 623 588 35 711 629 82 728 629 100
Mississippi 366 366 b 419 413 6 469 435 34 479 438 41
Tennessee 692 689 3 831 784 47 975 802 173 1,004 799 205
West South Central 3,196 3,192 5 3,817 3,246 571 4,409 3,776 633 4,545 3,795 750
Arkansas 391 390 1 439 420 19 496 447 50 509 446 62
Louisiana 531 531 b 601 496 105 639 527 113 656 522 134
Oklahoma 451 450 1 508 453 54 565 497 69 578 501 78
Texas 1,824 1,821 2 2,269 1,876 393 2,708 2,306 402 2,802 2,326 476
Mountain 1,637 1,599 39 2,200 1,640 560 2,692 1,949 743 2,788 1,970 819
Arizona 498 478 20 681 433 248 841 549 291 870 557 313
Colorado 358 346 12 468 306 162 558 386 173 579 393 186
Idaho 132 131 1 166 149 17 207 163 44 214 161 53
Montana 117 117 b 137 136 1 156 137 19 160 136 24
Nevada 141 140 1 243 163 80 318 223 95 330 230 100
New Mexico 179 177 2 234 190 44 285 223 62 294 227 67
Utah 160 157 2 206 199 7 254 197 57 264 192 72
Wyoming 52 51 b 65 64 2 74 71 3 76 72 4
Pacific 4,469 4,195 275 5,328 3,337 1,991 6,055 4,133 1,923 6,233 4,197 2,036
Alaska 25 25 b 42 42 b 57 56 b 60 59 1
California 3,279 3,033 245 3,894 2,325 1,569 4,369 2,912 1,457 4,492 2,962 1,530
Hawaii 127 123 4 165 111 54 189 121 68 194 122 72
Oregon 424 404 19 491 307 184 567 343 224 584 349 235
Washington 615 609 6 736 553 183 873 700 173 903 704 199
Unknown 12 12 b 10 9 1 5 4 b 4 4 b
Outlying areas
Puerto Rico 429 429 b 537 536 1 623 271 352 637 262 375
U.S. Virgin Islands 7 7 b 10 10 b 14 14 b 15 14 b
Other b b b 11 11 b 16 15 b 16 16 b
Foreign countries 269 268 b 303 300 3 347 344 3 355 352 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.
b. Fewer than 500 beneficiaries.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2008, selected years (in thousands)
Age, sex, and race 1990 2000 2008
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 30,939 30,255 684 34,247 27,840 6,407 37,896 28,961 8,935
Age
65–69 9,690 9,514 176 9,166 7,360 1,806 11,190 8,670 2,521
70–74 7,951 7,752 200 8,609 6,878 1,731 8,694 6,512 2,182
75–79 6,058 5,904 155 7,284 5,902 1,381 7,154 5,326 1,827
80–84 3,957 3,864 93 4,868 4,010 859 5,590 4,266 1,325
85 or older 3,282 3,221 61 4,320 3,690 630 5,268 4,187 1,080
Sex
Men 12,412 12,132 280 14,109 11,421 2,688 16,254 12,497 3,757
Women 18,528 18,123 404 20,138 16,419 3,719 21,642 16,464 5,177
Race
White 26,847 26,251 596 29,752 24,251 5,502 32,303 24,915 7,388
Black -- -- -- 2,720 2,204 516 3,142 2,251 892
All other races a 3,113 3,050 63 1,682 1,305 377 2,395 1,747 649
American Indian or Alaska Native -- -- -- 42 39 3 134 118 16
Asian or Pacific Islander -- -- -- 494 386 108 761 588 173
Hispanic -- -- -- 710 555 155 828 561 268
Other -- -- -- 436 324 112 672 480 192
Unknown 979 953 26 92 81 12 55 48 7
Hospital Insurance
Total 30,455 29,778 678 33,827 27,429 6,398 37,552 28,624 8,928
Age
65–69 9,560 9,386 174 9,074 7,269 1,804 11,105 8,586 2,519
70–74 7,829 7,631 198 8,505 6,776 1,729 8,619 6,438 2,180
75–79 5,947 5,793 153 7,188 5,809 1,379 7,087 5,261 1,826
80–84 3,872 3,780 92 4,805 3,947 857 5,533 4,210 1,323
85 or older 3,248 3,188 60 4,256 3,627 629 5,208 4,129 1,079
Sex
Men 12,276 11,998 278 13,976 11,291 2,685 16,142 12,387 3,755
Women 18,179 17,779 400 19,851 16,138 3,713 21,410 16,236 5,173
Race
White 26,583 25,991 592 29,565 24,068 5,497 32,166 24,783 7,383
Black -- -- -- 2,668 2,153 515 3,100 2,209 890
All other races a 2,930 2,870 60 1,508 1,133 374 2,234 1,586 648
American Indian or Alaska Native -- -- -- 40 37 3 130 114 16
Asian or Pacific Islander -- -- -- 406 300 106 676 504 173
Hispanic -- -- -- 656 502 154 778 511 267
Other -- -- -- 405 294 111 649 458 191
Unknown 942 916 26 87 75 12 52 45 7
Supplementary Medical Insurance
Total 29,678 28,993 684 32,585 26,178 6,407 35,364 26,430 8,934
Age
65–69 9,003 8,827 176 8,330 6,525 1,806 9,713 7,193 2,521
70–74 7,740 7,540 200 8,256 6,525 1,731 8,240 6,058 2,181
75–79 5,942 5,787 155 7,087 5,705 1,381 6,918 5,091 1,827
80–84 3,879 3,786 93 4,780 3,922 859 5,454 4,129 1,325
85 or older 3,114 3,054 61 4,131 3,501 630 5,039 3,959 1,080
Sex
Men 11,754 11,474 280 13,203 10,515 2,688 14,855 11,098 3,757
Women 17,923 17,519 404 19,382 15,663 3,719 20,509 15,332 5,177
Race
White 25,842 25,247 596 28,428 22,927 5,502 30,294 22,907 7,387
Black -- -- -- 2,543 2,027 516 2,900 2,009 891
All other races a 2,909 2,846 63 1,542 1,164 377 2,136 1,487 648
American Indian or Alaska Native -- -- -- 39 36 3 120 104 16
Asian or Pacific Islander -- -- -- 470 362 108 695 522 173
Hispanic -- -- -- 665 510 155 756 488 268
Other -- -- -- 368 257 112 565 373 192
Unknown 927 900 26 71 60 12 35 28 7
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, blacks are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2008, selected years (in thousands)
Age, sex, and race 1990 2000 2008
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 3,260 3,238 22 5,373 4,913 460 7,516 6,359 1,157
Age
Under 35 483 482 1 522 505 18 656 604 53
35–44 655 652 3 1,130 1,068 62 1,169 1,039 130
45–54 741 737 4 1,627 1,501 126 2,352 2,018 334
55–64 1,381 1,367 13 2,094 1,840 254 3,338 2,698 641
Sex
Men 2,045 2,032 14 3,017 2,772 245 3,957 3,393 564
Women 1,215 1,207 8 2,356 2,141 215 3,559 2,966 593
Race
White 2,485 2,467 18 3,994 3,641 353 5,475 4,640 835
Black -- -- -- 1,008 933 74 1,442 1,226 216
All other races a 713 710 3 356 327 32 583 478 105
American Indian or Alaska Native -- -- -- 23 22 1 61 56 4
Asian or Pacific Islander -- -- -- 41 38 4 86 75 11
Hispanic -- -- -- 201 182 19 293 229 64
Other -- -- -- 90 83 7 144 118 26
Unknown 62 62 1 15 14 1 15 14 2
Hospital Insurance
Total 3,260 3,238 22 5,372 4,913 460 7,515 6,358 1,157
Age
Under 35 483 482 1 522 504 18 656 603 53
35–44 655 652 3 1,129 1,068 62 1,169 1,039 130
45–54 741 737 4 1,627 1,501 126 2,352 2,018 334
55–64 1,381 1,367 13 2,093 1,840 254 3,338 2,697 641
Sex
Men 2,045 2,032 14 3,017 2,772 245 3,957 3,393 564
Women 1,215 1,206 8 2,356 2,141 215 3,558 2,966 593
Race
White 2,485 2,467 18 3,994 3,641 353 5,475 4,640 835
Black -- -- -- 1,008 933 74 1,442 1,226 216
All other races a 713 710 3 356 325 31 583 478 105
American Indian or Alaska Native -- -- -- 23 22 1 61 56 4
Asian or Pacific Islander -- -- -- 41 38 4 86 75 11
Hispanic -- -- -- 201 182 19 293 229 64
Other -- -- -- 90 83 7 144 118 26
Unknown 62 61 1 15 14 1 15 14 2
Supplementary Medical Insurance
Total 2,948 2,926 22 4,775 4,315 460 6,655 5,498 1,157
Age
Under 35 442 440 1 467 449 18 592 539 53
35–44 587 584 3 998 937 62 1,030 900 130
45–54 666 662 4 1,422 1,296 126 2,072 1,739 334
55–64 1,253 1,240 13 1,887 1,633 254 2,961 2,321 640
Sex
Men 1,836 1,822 14 2,667 2,423 245 3,466 2,902 564
Women 1,112 1,104 8 2,107 1,892 215 3,189 2,597 593
Race
White 2,241 2,222 18 3,539 3,186 353 4,831 3,996 835
Black -- -- -- 918 843 74 1,304 1,088 216
All other races a 651 648 3 305 274 31 508 403 105
American Indian or Alaska Native -- -- -- 21 20 1 54 50 4
Asian or Pacific Islander -- -- -- 36 33 4 75 64 11
Hispanic -- -- -- 176 157 19 259 195 64
Other -- -- -- 71 64 7 119 94 26
Unknown 57 56 1 13 12 1 13 11 2
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, blacks are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area 1990 2000 2007
Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars)
Total
All areas 70,268 3,713,652 53 90,566 7,215,958 80 114,654 15,565,441 136
United States 69,645 3,687,770 53 87,641 6,995,748 80 113,044 15,324,031 136
New England 4,716 243,462 52 6,953 511,226 74 6,262 859,056 137
Connecticut 1,062 56,806 53 1,696 120,602 71 1,675 214,685 128
Maine 380 19,900 52 664 47,095 71 468 66,079 141
Massachusetts 2,403 121,472 51 3,328 253,132 76 3,055 433,113 142
New Hampshire 292 15,274 52 504 36,257 72 480 67,646 141
Rhode Island 315 17,537 56 393 32,720 83 265 39,669 150
Vermont 264 12,473 47 368 21,418 58 318 37,863 119
Middle Atlantic 8,570 504,379 59 12,446 1,066,579 86 11,567 1,608,234 139
New Jersey 1,435 71,239 50 2,274 203,145 89 2,057 338,844 165
New York 2,867 193,812 68 5,983 510,094 85 6,140 760,625 124
Pennsylvania 4,269 239,329 56 4,190 353,341 84 3,370 508,766 151
East North Central 8,864 488,161 55 11,615 996,673 86 14,237 2,285,740 161
Illinois 2,695 152,406 57 3,112 278,001 89 4,403 805,178 183
Indiana 1,112 56,613 51 1,464 112,768 77 1,730 235,224 136
Michigan 2,157 128,251 59 3,436 311,343 91 3,799 654,804 172
Ohio 2,082 108,602 52 2,713 223,430 82 3,497 474,389 136
Wisconsin 817 42,289 52 891 71,131 80 808 116,145 144
West North Central 3,591 182,775 51 3,884 297,355 77 3,744 533,936 143
Iowa 490 20,609 42 602 39,847 66 529 63,752 121
Kansas 463 22,023 49 515 38,056 74 598 81,903 137
Minnesota 380 20,168 53 525 40,350 77 617 94,632 153
Missouri 1,809 96,011 53 1,651 134,144 81 1,543 227,727 148
Nebraska 283 15,169 54 318 25,063 79 277 41,766 151
North Dakota 104 4,979 48 140 9,814 70 90 10,966 122
South Dakota 71 3,816 54 134 10,083 75 89 13,190 148
South Atlantic 15,504 792,155 51 17,603 1,434,967 82 29,258 3,413,145 117
Delaware 195 9,033 46 222 18,759 85 222 35,154 158
District of Columbia 129 8,552 66 154 13,859 90 132 22,277 169
Florida 7,513 371,331 49 7,032 576,519 82 19,872 1,942,601 98
Georgia 2,647 120,132 45 2,568 197,327 77 2,267 339,306 150
Maryland 863 52,659 61 1,046 95,980 92 969 168,947 174
North Carolina 1,659 93,205 56 2,533 209,226 83 2,227 354,324 159
South Carolina 694 41,712 60 1,412 118,278 84 1,149 190,391 166
Virginia 1,277 70,498 55 2,030 157,804 78 1,975 292,241 148
West Virginia 528 25,033 47 606 47,215 78 445 67,904 153
East South Central 11,432 501,015 44 10,424 708,458 68 8,795 1,209,809 138
Alabama 2,792 111,655 40 2,466 163,019 66 2,171 291,476 134
Kentucky 1,202 56,717 47 1,916 135,941 71 1,631 226,142 139
Mississippi 2,777 108,559 39 2,514 159,346 63 1,894 258,444 136
Tennessee 4,661 224,084 48 3,529 250,152 71 3,099 433,747 140
West South Central 9,063 445,067 49 15,305 1,062,985 69 27,091 3,447,276 127
Arkansas 1,072 47,907 45 1,103 70,205 64 1,207 134,319 111
Louisiana 2,286 106,074 46 4,081 261,901 64 4,022 505,251 126
Oklahoma 1,153 57,990 50 2,354 149,916 64 3,284 367,513 112
Texas 4,553 233,095 51 7,767 580,964 75 18,579 2,440,193 131
Mountain 2,485 139,038 56 3,188 257,608 81 3,740 530,145 142
Arizona 568 33,529 59 497 43,124 87 549 93,886 171
Colorado 595 35,779 60 725 59,239 82 714 106,850 150
Idaho 153 8,904 58 258 22,771 88 316 42,783 135
Montana 195 9,825 50 208 16,200 78 144 21,398 149
Nevada 218 13,279 61 309 27,152 88 552 93,031 169
New Mexico 256 13,328 52 390 30,327 78 493 67,047 136
Utah 447 21,573 48 680 50,606 74 887 94,012 106
Wyoming 53 2,820 53 120 8,190 68 85 11,137 131
Pacific 5,419 391,717 72 6,222 659,896 106 8,351 1,436,690 172
Alaska 14 1,404 100 39 5,145 132 52 9,314 179
California 4,237 310,835 73 5,031 529,250 105 7,106 1,195,764 168
Hawaii 57 4,241 74 84 8,980 107 55 11,234 204
Oregon 417 29,872 72 399 45,225 113 394 74,425 189
Washington 693 45,365 65 669 71,296 107 743 145,953 196
Outlying areas a 622 25,882 42 2,926 220,210 75 1,610 241,410 150
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are now associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of covered care per discharge, and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area 1990 2000 2007
Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b
Total
All areas 10,521,925 8.8 53,708,287 5,281 11,719,960 6.0 81,230,259 6,971 12,036,270 5.7 106,783,834 8,926
United States 10,421,685 8.8 53,502,918 5,312 11,574,200 6.0 80,769,047 7,019 11,979,420 5.6 106,495,119 8,943
New England 561,265 10.0 3,097,017 5,702 563,305 5.8 4,365,878 7,797 635,500 5.6 6,026,737 9,545
Connecticut 117,230 10.4 719,274 6,366 125,295 6.2 1,097,034 8,807 162,780 5.9 1,694,897 10,484
Maine 54,695 9.3 239,915 4,477 69,740 5.6 434,302 6,239 65,095 5.3 563,523 8,686
Massachusetts 281,780 10.0 1,598,356 5,878 257,720 5.7 2,035,018 7,952 298,860 5.4 2,726,202 9,188
New Hampshire 39,640 9.2 190,737 4,917 46,970 5.6 334,202 7,167 50,025 5.8 470,370 9,437
Rhode Island 47,060 10.0 251,050 5,514 37,325 6.2 276,771 7,449 37,770 6.0 338,215 9,021
Vermont 20,860 9.7 97,686 4,793 26,255 5.7 188,547 7,237 20,970 5.5 233,528 11,208
Middle Atlantic 1,779,975 11.4 10,484,595 6,030 1,747,960 7.3 14,864,554 8,569 1,765,960 6.5 17,555,969 10,017
New Jersey 353,960 11.7 1,933,841 5,606 380,730 7.5 3,384,886 8,983 422,510 6.4 4,203,659 10,051
New York 729,465 13.1 4,888,241 6,884 750,130 8.2 7,155,309 9,625 778,880 7.1 8,690,626 11,255
Pennsylvania 696,550 9.5 3,662,512 5,358 617,100 6.1 4,324,358 7,036 564,570 5.7 4,661,683 8,293
East North Central 1,890,545 8.6 10,017,401 5,413 2,118,675 5.7 14,097,236 6,693 2,185,100 5.4 18,552,896 8,546
Illinois 509,075 8.9 2,670,430 5,410 580,250 5.7 3,840,706 6,672 631,065 5.4 5,295,433 8,479
Indiana 254,105 8.3 1,198,667 4,837 291,380 5.7 1,796,295 6,198 284,375 5.4 2,351,122 8,305
Michigan 376,545 8.9 2,199,988 5,925 468,095 6.1 3,473,727 7,459 492,265 5.6 4,498,137 9,195
Ohio 534,035 8.6 2,920,387 5,567 538,445 5.6 3,466,013 6,471 571,565 5.3 4,593,287 8,071
Wisconsin 216,785 7.7 1,027,929 4,817 240,505 5.4 1,520,493 6,352 205,830 5.0 1,814,915 8,850
West North Central 841,935 7.8 3,804,644 4,683 925,865 5.4 5,759,187 6,250 849,280 5.2 6,931,783 8,199
Iowa 145,360 8.1 635,397 4,440 164,590 5.4 959,210 5,844 129,115 5.2 1,036,128 8,085
Kansas 124,065 7.7 542,828 4,516 134,585 5.5 806,523 6,005 122,155 5.3 947,278 7,780
Minnesota 165,095 6.7 764,017 5,052 193,910 5.0 1,256,854 6,545 174,610 4.8 1,527,777 8,784
Missouri 266,625 8.6 1,270,319 4,872 281,505 5.7 1,810,063 6,460 297,865 5.4 2,365,458 7,982
Nebraska 69,875 7.6 300,070 4,434 76,015 5.2 506,171 6,686 68,280 5.3 593,303 8,705
North Dakota 33,230 7.2 141,966 4,368 33,640 5.1 193,994 5,793 25,840 5.0 206,868 8,037
South Dakota 37,685 7.2 150,047 4,058 41,620 5.2 226,370 5,454 31,415 5.1 254,968 8,143
South Atlantic 1,848,195 8.8 8,906,934 5,000 2,403,790 6.0 15,911,326 6,655 2,550,520 5.7 21,898,478 8,630
Delaware 27,260 9.3 149,857 5,599 36,845 6.4 275,714 7,513 45,840 6.1 440,650 9,646
District of Columbia 24,410 11.6 183,855 7,754 26,940 7.9 269,614 10,121 25,440 6.7 293,370 11,742
Florida 596,765 8.6 3,014,347 5,323 754,145 5.8 5,004,157 6,675 840,225 5.7 6,813,389 8,150
Georgia 269,315 7.9 1,143,257 4,373 320,335 5.8 2,061,225 6,469 331,470 5.6 2,823,835 8,559
Maryland 183,820 9.4 1,092,833 6,056 217,605 5.8 1,773,771 8,190 270,235 5.2 2,972,345 11,070
North Carolina 267,020 9.6 1,215,983 4,703 396,985 6.0 2,467,636 6,251 401,395 5.6 3,434,805 8,582
South Carolina 120,540 9.4 540,954 4,655 214,540 6.2 1,390,229 6,504 211,645 6.0 1,790,838 8,514
Virginia 245,065 8.9 1,102,096 4,627 300,785 6.1 1,896,484 6,338 306,385 5.6 2,421,931 7,951
West Virginia 114,000 8.2 463,751 4,217 135,610 5.8 772,492 5,724 117,885 5.6 907,312 7,743
East South Central 827,120 8.2 3,345,751 4,156 1,013,885 5.8 5,704,817 5,652 986,335 5.6 7,486,032 7,624
Alabama 228,580 8.1 959,825 4,308 274,470 5.5 1,492,353 5,454 275,210 5.4 1,927,638 7,049
Kentucky 201,625 8.3 831,981 4,255 244,210 5.6 1,362,272 5,614 232,495 5.5 1,860,726 8,040
Mississippi 145,900 7.8 501,880 3,522 191,685 6.4 1,013,536 5,310 172,120 5.9 1,312,773 7,648
Tennessee 251,015 8.3 1,052,065 4,307 303,520 5.9 1,836,655 6,078 306,510 5.6 2,384,894 7,809
West South Central 1,103,155 8.1 5,139,839 4,772 1,298,505 5.9 8,215,049 6,357 1,369,850 5.6 11,293,773 8,286
Arkansas 145,225 8.1 556,377 3,918 163,480 5.9 872,811 5,364 155,760 5.5 1,235,074 7,946
Louisiana 206,510 7.9 968,667 4,791 226,020 5.9 1,408,934 6,263 203,905 5.7 1,587,272 7,831
Oklahoma 162,505 8.0 700,390 4,403 187,220 5.8 1,069,986 5,730 194,215 5.4 1,485,824 7,682
Texas 588,915 8.2 2,914,405 5,079 721,785 5.9 4,863,318 6,774 815,970 5.6 6,985,601 8,609
Mountain 445,395 7.0 2,152,663 5,100 488,870 5.0 3,196,062 6,569 534,845 5.0 4,712,102 8,845
Arizona 135,340 7.0 711,071 5,601 131,325 5.0 866,364 6,642 162,215 5.0 1,508,868 9,346
Colorado 93,400 7.3 460,034 5,251 92,655 5.0 625,753 6,788 111,955 4.9 944,525 8,465
Idaho 34,290 6.2 146,967 4,382 47,780 4.6 290,241 6,102 35,560 4.6 302,910 8,557
Montana 39,820 6.6 164,698 4,230 44,270 4.8 258,894 5,850 35,540 4.7 276,162 7,784
Nevada 34,890 8.1 201,288 6,349 46,945 6.0 349,025 7,473 63,095 5.8 590,724 9,420
New Mexico 52,435 6.8 208,909 4,235 53,130 5.2 327,251 6,196 57,670 5.0 491,981 8,554
Utah 37,740 6.3 181,133 4,928 50,715 4.8 336,745 6,661 49,800 4.7 430,191 8,657
Wyoming 17,480 6.7 78,563 4,561 22,050 5.0 141,785 6,442 19,010 4.8 166,739 8,806
Pacific 1,124,100 7.2 6,554,074 6,290 1,013,345 5.8 8,654,933 8,599 1,102,030 5.7 12,037,346 11,016
Alaska 6,590 7.7 43,028 6,912 12,715 5.8 120,546 9,682 13,610 5.6 167,412 12,369
California 826,685 7.3 5,117,872 6,574 731,050 6.0 6,543,541 9,015 807,665 5.8 9,126,518 11,414
Hawaii 25,665 10.1 121,606 6,416 25,510 8.0 213,726 8,431 24,975 7.5 260,959 10,546
Oregon 104,300 6.2 474,125 5,211 92,985 4.6 624,464 6,741 84,145 4.9 799,912 9,544
Washington 160,860 6.7 797,442 5,414 151,085 4.9 1,152,655 7,672 171,635 4.9 1,682,543 9,836
Outlying areas c 100,240 7.8 205,369 2,091 145,760 6.8 461,482 3,187 56,850 7.3 288,714 5,208
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2007
Census division and state or area 1990 2000 2007
Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b
Total
All areas 737,700 1,827,190 2,509 1,936,127 10,651,274 5,511 2,533,016 22,189,390 8,766
United States 736,466 1,824,011 2,509 1,932,134 10,635,515 5,514 2,530,913 22,176,059 8,768
New England 30,180 69,422 2,321 137,383 849,428 6,194 176,482 1,670,063 9,465
Connecticut 10,912 26,387 2,423 34,452 254,218 7,387 48,923 496,392 10,148
Maine 1,377 5,178 3,763 13,391 66,702 4,983 16,964 141,154 8,321
Massachusetts 11,733 26,107 2,267 64,946 389,016 6,003 79,791 754,865 9,461
New Hampshire 1,443 2,803 1,953 10,243 59,904 5,859 14,908 139,830 9,388
Rhode Island 3,685 7,472 2,037 9,452 54,095 5,757 9,731 80,800 8,305
Vermont 1,030 1,476 1,437 4,899 25,492 5,207 6,165 57,021 9,249
Middle Atlantic 97,503 254,554 2,642 290,974 1,937,835 6,677 389,225 3,445,713 8,855
New Jersey 10,725 27,797 2,599 68,638 412,488 6,014 111,773 1,028,103 9,199
New York 37,454 95,175 2,587 110,292 931,412 8,465 150,922 1,410,657 9,348
Pennsylvania 49,324 131,582 2,692 112,044 593,935 5,322 126,530 1,006,952 7,963
East North Central 142,252 323,800 2,305 374,369 2,014,281 5,382 499,732 4,362,645 8,741
Illinois 40,758 117,390 2,902 104,203 515,307 4,946 146,036 1,216,870 8,341
Indiana 22,093 61,858 2,844 59,020 330,466 5,600 69,890 653,971 9,371
Michigan 27,324 46,583 1,730 57,347 374,014 6,526 83,186 770,880 9,302
Ohio 33,115 61,462 1,894 107,475 555,817 5,173 147,404 1,227,266 8,326
Wisconsin 18,962 36,507 1,935 46,324 238,678 5,153 53,216 493,658 9,286
West North Central 95,732 209,517 2,206 190,486 756,598 3,973 226,116 1,653,388 7,318
Iowa 13,613 33,630 2,483 33,702 110,449 3,277 40,355 248,465 6,160
Kansas 12,712 24,259 1,919 27,334 99,927 3,657 32,995 246,276 7,470
Minnesota 28,729 54,696 1,926 42,888 199,933 4,662 46,143 359,815 7,799
Missouri 26,942 74,044 2,764 50,515 216,975 4,297 65,475 496,230 7,589
Nebraska 6,988 14,623 2,100 18,766 71,141 3,793 22,229 177,132 7,983
North Dakota 4,203 4,823 1,177 7,790 23,998 3,081 8,575 52,045 6,071
South Dakota 2,545 3,441 1,356 9,491 34,175 3,603 10,344 73,425 7,098
South Atlantic 97,746 221,593 2,304 351,271 1,962,427 5,597 483,353 4,268,105 8,832
Delaware 1,136 2,298 2,057 4,938 31,158 6,319 8,211 70,881 8,634
District of Columbia 1,118 3,635 3,283 3,745 23,113 6,175 5,008 46,104 9,252
Florida 46,617 114,361 2,504 139,057 813,328 5,866 181,463 1,727,208 9,519
Georgia 12,065 21,913 1,836 36,847 195,450 5,309 51,753 425,352 8,222
Maryland 8,450 19,625 2,344 38,562 194,644 5,065 55,184 452,782 8,208
North Carolina 12,138 21,391 1,776 50,008 270,927 5,422 70,381 600,047 8,526
South Carolina 4,787 9,645 2,127 24,069 130,669 5,430 31,461 286,649 9,113
Virginia 7,393 17,995 2,443 36,536 217,418 5,952 60,563 509,075 8,408
West Virginia 4,042 10,731 2,679 17,509 85,720 4,897 19,329 150,007 7,762
East South Central 41,228 74,764 1,842 131,017 665,240 5,081 172,750 1,420,212 8,223
Alabama 11,934 20,172 1,716 29,268 164,159 5,614 41,310 322,935 7,821
Kentucky 9,029 20,697 2,319 35,891 167,196 4,659 45,777 361,934 7,907
Mississippi 5,850 7,897 1,381 20,560 95,372 4,648 29,125 248,482 8,534
Tennessee 14,415 25,998 1,833 45,298 238,514 5,267 56,538 486,862 8,613
West South Central 62,302 173,258 2,809 183,161 869,345 4,757 249,150 2,004,239 8,053
Arkansas 6,254 13,455 2,167 22,862 83,236 3,644 29,890 191,514 6,412
Louisiana 12,244 42,336 3,488 27,165 120,360 4,433 35,595 270,142 7,594
Oklahoma 7,065 20,642 2,928 26,004 105,867 4,072 30,939 212,886 6,886
Texas 36,739 96,824 2,669 107,130 559,882 5,245 152,726 1,329,697 8,718
Mountain 43,063 105,189 2,467 87,157 435,051 5,004 101,600 890,290 8,773
Arizona 12,521 30,667 2,463 20,256 95,244 4,742 22,784 184,070 8,082
Colorado 10,220 29,480 2,928 18,993 99,687 5,256 25,627 237,423 9,296
Idaho 3,569 6,819 1,918 10,396 50,995 4,909 9,504 86,375 9,093
Montana 4,483 6,780 1,527 9,410 36,201 3,847 9,850 70,772 7,186
Nevada 2,173 7,202 3,328 6,348 37,209 5,867 8,649 96,696 11,187
New Mexico 2,494 7,687 3,250 6,130 31,929 5,213 8,247 69,076 8,381
Utah 6,081 14,452 2,378 11,672 65,662 5,627 12,127 107,154 8,837
Wyoming 1,522 2,102 1,388 3,952 18,123 4,586 4,812 38,725 8,064
Pacific 126,460 391,915 3,155 186,316 1,145,310 6,174 232,505 2,461,404 10,591
Alaska 320 1,182 3,705 991 6,406 6,477 1,111 14,457 13,024
California 101,886 325,664 3,234 137,485 875,847 6,395 172,382 1,880,961 10,916
Hawaii 1,122 3,421 3,831 2,173 14,886 6,898 3,197 31,319 9,796
Oregon 8,869 26,399 3,111 13,964 67,421 4,844 16,552 146,935 8,878
Washington 14,263 35,249 2,551 31,703 180,749 5,742 39,263 387,731 9,881
Outlying areas c 1,234 3,179 2,593 3,993 15,760 3,948 2,103 13,331 6,348
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. Includes only covered admission bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2007
Census division and state or area 1993 2000 2007
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars)
Total
All areas 215,089 12,649,489 1,250,415 5,817 534,408 25,957,716 2,925,819 5,476 999,803 70,551,721 10,343,319 10,385
United States 207,660 11,808,826 1,184,752 5,709 529,745 25,646,822 2,903,200 5,482 990,671 69,543,543 10,248,702 10,384
New England 9,423 478,589 51,507 5,468 20,642 799,522 104,817 5,078 44,195 2,620,368 430,634 9,769
Connecticut 2,083 78,816 12,535 6,024 5,425 197,854 31,872 5,875 10,044 465,070 91,170 9,096
Maine 477 26,596 2,250 4,717 1,135 49,657 4,977 4,386 4,287 279,116 40,467 9,457
Massachusetts 4,951 272,647 27,718 5,601 9,906 381,853 47,884 4,834 19,914 1,290,134 204,902 10,315
New Hampshire 604 31,383 2,787 4,615 1,679 77,363 8,824 5,256 4,147 229,057 36,605 8,848
Rhode Island 887 49,247 4,514 5,090 1,758 61,325 7,978 4,538 4,465 276,161 45,806 10,307
Vermont 421 19,900 1,702 4,044 739 31,470 3,279 4,438 1,338 80,830 11,681 8,744
Middle Atlantic 24,505 1,233,263 126,915 5,186 63,096 2,697,689 333,959 5,293 114,375 6,856,322 1,067,072 9,367
New Jersey 5,933 309,909 29,758 5,017 13,067 560,846 67,535 5,169 25,715 1,469,874 243,616 9,523
New York 11,400 576,724 63,460 5,567 23,214 1,008,086 135,580 5,841 36,428 2,000,440 334,855 9,234
Pennsylvania 7,172 346,630 33,696 4,717 26,815 1,128,757 130,843 4,880 52,232 3,386,008 488,600 9,383
East North Central 37,377 2,061,004 207,056 5,541 93,025 4,154,816 464,650 4,996 161,282 10,059,888 1,476,739 9,191
Illinois 10,856 630,851 66,465 6,123 24,067 1,071,673 121,113 5,033 37,532 2,183,144 332,672 8,895
Indiana 1,708 101,725 9,310 5,454 9,984 484,813 51,390 5,149 20,514 1,338,806 187,214 9,169
Michigan 9,984 521,346 52,695 5,279 22,873 1,017,365 115,791 5,063 38,041 2,262,881 328,144 8,657
Ohio 10,981 596,101 59,575 5,427 27,228 1,159,156 132,377 4,863 46,722 3,050,654 450,339 9,674
Wisconsin 3,848 210,981 19,008 4,943 8,873 421,809 43,977 4,959 18,473 1,224,403 178,369 9,699
West North Central 14,164 865,934 80,074 5,659 36,720 1,748,289 176,312 4,804 71,980 4,780,179 644,730 8,984
Iowa 2,545 165,177 15,656 6,162 6,460 298,008 30,383 4,705 14,078 848,300 119,200 8,489
Kansas 2,190 144,153 13,161 6,021 5,550 267,095 26,068 4,708 11,698 845,850 112,421 9,651
Minnesota 3,303 185,954 18,338 5,555 8,175 402,271 45,222 5,532 14,029 844,473 124,016 8,869
Missouri 4,411 272,688 24,401 5,537 11,678 554,407 52,819 4,524 22,909 1,706,393 218,688 9,574
Nebraska 871 50,606 4,178 4,797 2,982 142,942 13,829 4,638 5,741 326,188 43,504 7,592
North Dakota 479 27,677 2,498 5,216 1,023 42,601 4,151 4,058 1,643 108,248 13,171 8,041
South Dakota 365 19,679 1,839 5,055 852 40,965 3,838 4,505 1,882 100,727 13,726 7,301
South Atlantic 48,947 2,962,460 289,612 5,921 112,303 5,663,896 656,729 5,851 213,956 15,801,139 2,402,115 11,260
Delaware 699 37,634 3,367 4,818 1,550 78,705 8,819 5,690 3,755 280,167 42,337 11,290
District of Columbia 283 13,467 1,381 4,899 614 29,755 3,866 6,297 1,055 70,582 11,642 11,046
Florida 28,465 1,677,775 170,767 6,001 56,248 2,819,511 350,229 6,229 92,289 6,810,570 1,126,306 12,230
Georgia 3,526 178,394 15,480 4,392 13,658 723,558 77,534 5,683 28,679 2,178,059 316,628 11,101
Maryland 2,792 136,154 13,277 4,771 7,638 298,523 34,343 4,496 13,222 703,326 107,588 8,157
North Carolina 7,111 541,896 49,572 6,972 13,198 717,297 77,961 5,913 31,061 2,385,721 335,520 10,834
South Carolina 2,181 146,669 13,105 6,009 6,552 345,769 34,999 5,345 17,151 1,517,316 208,733 12,216
Virginia 2,240 128,588 13,190 5,910 9,397 467,386 51,049 5,434 19,904 1,342,523 185,471 9,350
West Virginia 1,650 101,883 9,468 5,770 3,448 183,392 17,926 5,199 6,840 512,875 67,885 9,957
East South Central 11,117 769,046 71,474 6,432 32,995 2,126,137 208,855 6,332 72,920 6,519,185 840,699 11,585
Alabama 2,914 171,404 15,094 5,182 11,421 838,025 79,080 6,925 26,108 2,775,182 345,601 13,305
Kentucky 4,851 399,811 37,024 7,634 8,047 443,176 45,727 5,684 12,261 738,534 100,848 8,257
Mississippi 1,153 70,260 6,449 5,598 5,693 467,035 45,142 7,931 14,866 1,687,818 206,918 14,015
Tennessee 2,199 127,571 12,905 5,872 7,834 377,901 38,903 4,971 19,685 1,317,651 187,331 9,549
West South Central 21,336 1,299,331 122,741 5,754 62,010 3,558,642 364,302 5,876 117,297 9,546,813 1,289,753 11,043
Arkansas 1,975 124,494 10,723 5,430 5,281 323,207 30,097 5,700 10,112 699,958 94,722 9,402
Louisiana 1,991 97,592 8,831 4,436 7,154 350,795 36,690 5,130 15,600 1,230,431 158,190 10,190
Oklahoma 2,019 105,462 9,731 4,820 10,423 755,349 69,813 6,699 19,374 2,071,031 253,712 13,174
Texas 15,351 971,783 93,455 6,089 39,152 2,129,291 227,700 5,817 72,211 5,545,393 783,127 10,886
Mountain 12,453 624,739 66,336 5,330 38,491 1,806,545 212,559 5,523 74,718 5,898,439 878,195 11,800
Arizona 5,123 229,256 27,722 5,411 15,509 732,768 91,111 5,875 28,775 2,446,610 381,788 13,324
Colorado 3,250 160,173 16,126 4,970 8,840 344,737 41,239 4,666 14,346 925,155 142,576 9,968
Idaho 838 50,527 4,407 5,260 1,940 101,328 9,991 5,150 4,734 409,115 53,013 11,239
Montana 585 35,506 3,157 5,406 1,405 78,669 7,783 5,540 2,967 200,822 26,812 9,052
Nevada 958 58,400 6,536 6,823 3,637 144,309 20,034 6,301 7,040 433,525 73,284 10,444
New Mexico 1,348 74,578 6,969 5,174 3,838 236,349 24,181 5,589 7,404 625,432 85,964 11,675
Utah 263 11,506 979 3,740 2,805 143,233 15,676 4,914 8,531 805,430 107,428 12,652
Wyoming 88 4,793 437 4,971 517 25,152 2,540 4,943 921 52,350 7,327 8,017
Pacific 28,338 1,514,460 169,033 5,969 70,463 3,091,286 381,013 5,409 119,948 7,461,210 1,218,761 10,208
Alaska 16 895 87 5,476 103 4,269 513 4,988 513 30,524 4,742 9,299
California 20,316 1,080,047 119,651 5,896 50,116 2,208,522 279,037 5,571 83,732 5,256,348 880,764 10,571
Hawaii 619 27,282 2,906 4,695 1,406 56,188 7,626 5,428 2,202 123,021 20,649 9,503
Oregon 3,365 185,088 17,102 5,083 8,915 387,697 42,557 4,773 15,229 938,414 139,079 9,157
Washington 4,022 221,148 29,285 7,281 9,923 434,610 51,278 5,168 18,272 1,112,903 173,524 9,535
Outlying areas a 7,429 840,663 65,662 8,839 4,663 310,894 22,619 4,851 9,132 1,008,178 94,617 10,448
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ sightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2008
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2008
Year Claims approved Charges before reduction
Number (thousands) Percentage reduced Amount (millions of dollars) Percentage reduced
Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
2003 759,783 88.9 189,920 52.0
2004 781,000 89.8 208,027 52.9
2005 846,093 87.2 236,430 52.0
2006 837,332 92.0 246,608 55.1
2007 822,902 93.4 253,248 58.1
2008 851,335 92.9 279,428 58.7
Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2007
Census division and state or area 1993 2000 2007
Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars)
Total
All areas 1,062,047 46,155,237 35,206,101 1,247,483 66,911,902 51,456,747 1,766,037 110,633,862 85,628,319
United States 1,050,605 45,677,059 34,838,562 1,229,583 66,047,753 50,790,939 1,755,958 110,102,491 85,214,505
New England 57,475 2,532,989 1,923,891 60,701 3,357,803 2,562,793 86,827 5,396,676 4,140,925
Connecticut 14,971 688,632 523,801 16,024 908,981 696,770 25,114 1,620,344 1,251,232
Maine 5,093 203,657 152,933 6,725 357,616 272,731 8,549 516,759 393,925
Massachusetts 26,993 1,216,000 927,157 26,099 1,464,973 1,117,345 37,721 2,323,207 1,781,135
New Hampshire 3,712 151,558 113,589 5,018 264,412 200,026 6,939 445,265 339,649
Rhode Island 5,089 200,132 152,442 4,512 227,420 175,093 5,382 298,533 229,616
Vermont 1,617 73,011 53,968 2,323 134,403 100,828 3,122 192,568 145,368
Middle Atlantic 190,966 8,727,545 6,679,025 198,796 11,114,019 8,582,935 267,141 16,931,272 13,158,230
New Jersey 39,741 1,795,252 1,374,199 46,582 2,706,642 2,098,689 70,743 4,597,763 3,589,576
New York 84,011 3,869,484 2,968,599 94,073 5,222,652 4,031,686 126,158 7,870,626 6,119,535
Pennsylvania 67,214 3,062,810 2,336,227 58,141 3,184,725 2,452,560 70,240 4,462,883 3,449,120
East North Central 178,252 7,526,281 5,711,398 202,748 10,835,911 8,301,058 284,913 17,791,169 13,713,511
Illinois 43,382 1,995,230 1,518,069 50,279 2,722,188 2,087,286 77,173 4,873,731 3,761,161
Indiana 19,724 855,441 642,446 27,376 1,418,457 1,079,378 37,991 2,365,295 1,818,354
Michigan 48,483 1,916,709 1,468,007 50,326 2,823,614 2,173,760 68,046 4,449,634 3,439,132
Ohio 47,701 2,011,679 1,522,281 50,755 2,722,161 2,085,982 73,449 4,502,074 3,470,584
Wisconsin 18,962 747,222 560,596 24,012 1,149,491 874,652 28,253 1,600,434 1,224,280
West North Central 69,790 2,693,967 2,024,254 86,209 4,213,384 3,209,083 111,501 6,601,820 5,072,717
Iowa 13,006 457,750 342,045 15,717 732,727 556,426 17,670 1,023,805 782,147
Kansas 10,888 451,677 342,214 13,030 671,147 514,252 17,919 1,077,062 830,040
Minnesota 11,608 438,052 323,989 16,548 798,015 603,082 19,766 1,179,796 902,977
Missouri 22,543 914,332 693,436 25,365 1,300,857 996,024 36,711 2,198,358 1,695,363
Nebraska 6,294 233,733 174,219 8,226 388,700 294,564 10,894 644,915 495,625
North Dakota 2,595 96,467 72,033 3,349 149,240 113,542 3,745 222,185 170,596
South Dakota 2,856 101,957 76,316 3,974 172,698 131,194 4,797 255,700 195,970
South Atlantic 216,862 9,345,787 7,164,358 270,430 14,646,480 11,291,572 400,088 25,184,071 19,539,754
Delaware 3,037 137,176 104,482 4,302 244,628 188,488 7,004 451,755 349,484
District of Columbia 2,620 121,120 93,475 2,346 136,917 105,493 2,768 193,095 150,129
Florida 96,578 4,399,081 3,410,771 105,141 6,100,419 4,747,090 156,670 10,279,039 8,039,406
Georgia 25,860 1,058,968 807,700 32,915 1,725,056 1,323,041 49,583 3,106,217 2,401,776
Maryland 18,896 883,554 679,402 22,693 1,316,285 1,014,698 33,635 2,298,130 1,780,312
North Carolina 26,228 1,014,093 763,647 40,027 1,960,603 1,494,488 60,115 3,482,203 2,684,136
South Carolina 13,834 515,359 386,450 21,862 1,117,181 855,190 32,461 1,947,381 1,503,267
Virginia 22,218 890,532 672,647 30,380 1,517,689 1,159,960 44,128 2,624,103 2,015,881
West Virginia 7,592 325,904 245,784 10,764 527,703 403,124 13,723 802,149 615,363
East South Central 70,461 2,797,568 2,129,747 91,596 4,658,756 3,566,213 130,337 7,617,991 5,875,796
Alabama 19,916 810,199 618,658 24,361 1,286,579 988,420 34,191 2,045,731 1,579,215
Kentucky 16,959 662,058 503,342 22,036 1,062,201 812,037 31,862 1,823,590 1,404,854
Mississippi 11,214 449,002 340,330 14,913 776,595 595,267 20,905 1,250,922 966,719
Tennessee 22,372 876,309 667,417 30,286 1,533,381 1,170,489 43,379 2,497,749 1,925,008
West South Central 104,249 4,415,507 3,375,452 134,444 6,928,068 5,349,132 202,608 12,375,455 9,601,509
Arkansas 12,311 487,744 367,896 15,708 781,724 599,631 21,926 1,273,517 982,884
Louisiana 17,967 798,002 610,958 19,622 1,058,214 816,817 25,658 1,607,974 1,243,534
Oklahoma 13,387 538,757 408,622 15,874 845,762 649,096 22,877 1,399,649 1,079,576
Texas 60,584 2,591,004 1,987,977 83,240 4,242,368 3,283,588 132,147 8,094,315 6,295,515
Mountain 43,230 1,899,807 1,443,957 53,859 2,986,527 2,286,851 82,725 5,501,547 4,248,470
Arizona 14,630 641,234 493,319 16,122 897,890 694,194 26,995 1,784,087 1,387,721
Colorado 9,017 368,183 280,001 10,021 545,066 417,340 16,553 1,093,041 844,761
Idaho 3,187 133,188 100,116 4,382 232,051 176,337 5,792 346,941 265,120
Montana 2,737 122,992 91,713 3,944 219,874 167,290 4,830 307,314 235,133
Nevada 4,744 239,310 183,265 6,605 374,374 287,238 10,607 754,490 584,198
New Mexico 4,111 178,573 134,253 5,218 293,417 224,310 7,909 534,962 411,616
Utah 3,580 158,473 117,886 5,657 320,886 241,885 7,455 507,813 387,447
Wyoming 1,224 57,853 43,405 1,910 102,968 78,257 2,584 172,899 132,475
Pacific 119,320 5,737,609 4,386,479 130,801 7,306,805 5,641,301 189,819 12,702,488 9,863,592
Alaska 599 30,305 22,675 964 60,128 45,822 1,715 118,811 90,953
California 91,760 4,561,912 3,504,741 99,393 5,621,663 4,358,871 143,519 9,746,583 7,593,605
Hawaii 2,517 112,138 83,062 3,642 180,404 134,791 4,601 254,698 192,932
Oregon 8,461 362,350 271,415 9,002 487,346 371,215 11,814 785,639 602,482
Washington 15,982 670,904 504,586 17,800 957,265 730,602 28,170 1,796,757 1,383,620
Outlying areas a 11,442 478,177 367,538 17,900 864,149 665,808 10,079 531,372 413,814
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2007
Census division and state or area 1991 2000 2007
Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars)
Total
All areas 17,176 9,433 21,537 16,732 24,153 37,255
United States 17,040 9,386 21,355 16,620 24,074 37,118
New England 1,060 587 1,237 937 1,486 2,329
Connecticut 233 142 274 225 335 523
Maine 124 45 168 117 198 306
Massachusetts 493 297 525 410 630 994
New Hampshire 80 37 120 79 157 263
Rhode Island 79 46 77 55 78 96
Vermont 51 21 74 52 89 147
Middle Atlantic 2,850 1,500 3,055 2,511 3,047 4,545
New Jersey 480 323 590 519 654 1,094
New York 1,163 602 1,348 1,249 1,293 1,971
Pennsylvania 1,207 575 1,118 743 1,100 1,480
East North Central 3,308 1,685 4,142 3,034 4,522 6,808
Illinois 834 407 1,015 725 1,191 1,786
Indiana 431 223 587 400 644 957
Michigan 754 393 1,003 807 1,046 1,625
Ohio 876 501 1,037 755 1,139 1,650
Wisconsin 413 161 500 348 501 789
West North Central 1,447 668 1,888 1,317 2,019 3,133
Iowa 280 120 366 254 367 558
Kansas 206 94 261 187 271 438
Minnesota 283 129 420 254 426 616
Missouri 442 214 520 384 603 945
Nebraska 125 62 174 130 190 310
North Dakota 52 24 69 48 79 126
South Dakota 60 24 77 60 84 139
South Atlantic 3,094 1,750 4,244 3,383 4,887 7,920
Delaware 47 19 68 57 88 130
District of Columbia 40 50 38 54 42 101
Florida 1,012 543 1,285 932 1,468 2,381
Georgia 401 243 571 465 697 1,094
Maryland 270 227 324 459 385 944
North Carolina 484 255 720 543 811 1,307
South Carolina 248 118 404 282 469 662
Virginia 407 226 590 426 664 957
West Virginia 185 69 245 164 264 343
East South Central 1,151 538 1,635 1,102 1,821 2,516
Alabama 308 155 424 261 494 631
Kentucky 284 126 399 228 458 638
Mississippi 192 92 292 254 320 521
Tennessee 366 165 520 360 549 725
West South Central 1,522 963 2,107 1,848 2,503 4,042
Arkansas 195 86 267 180 299 401
Louisiana 273 229 339 360 386 686
Oklahoma 218 105 294 210 347 452
Texas 836 542 1,206 1,098 1,471 2,503
Mountain 792 387 1,047 768 1,259 1,843
Arizona 201 180 233 169 291 421
Colorado 187 93 217 178 285 397
Idaho 75 29 108 74 119 189
Montana 66 4 101 64 110 172
Nevada 55 28 75 62 108 166
New Mexico 90 48 125 97 153 230
Utah 91 3 146 91 140 196
Wyoming 27 2 43 33 53 72
Pacific 1,816 1,308 2,000 1,720 2,531 3,984
Alaska 14 10 26 29 36 68
California 1,295 1,011 1,346 1,200 1,703 2,751
Hawaii 37 30 58 44 66 104
Oregon 195 91 225 143 259 367
Washington 275 166 345 303 467 694
Outlying areas a 136 47 182 112 79 137
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2009
State or area 1991 1995 2000 2003 2004 2005 2006 2007 2008 2009
All areas 3,640,121 4,705,625 5,425,048 6,145,589 6,305,467 6,577,577 6,885,326 7,082,006 7,292,444 7,434,151
Alabama 97,601 116,916 136,860 162,912 164,499 169,460 175,134 179,542 183,860 181,216
Alaska 4,539 6,193 8,486 10,008 10,318 10,748 11,465 11,904 12,218 12,393
Arizona 28,650 44,236 57,712 91,782 95,804 110,977 116,065 121,455 126,518 131,581
Arkansas 64,996 77,660 79,606 86,597 86,181 89,372 96,906 99,214 101,893 104,825
California 646,108 747,814 818,846 950,503 977,676 1,012,804 1,047,842 1,078,076 1,120,069 1,077,652
Colorado 36,470 46,660 55,325 59,114 61,140 61,294 64,505 68,264 72,451 75,845
Connecticut 23,535 48,047 53,141 65,223 66,664 66,191 66,968 67,876 70,682 73,426
Delaware 4,499 6,645 10,737 15,224 16,081 17,104 19,534 19,821 20,628 21,317
District of Columbia 12,791 14,152 14,233 15,079 15,586 15,246 15,365 15,584 16,023 17,680
Florida 196,992 271,430 342,109 389,599 406,006 431,764 459,146 470,337 490,437 519,540
Georgia 128,976 160,380 176,596 193,807 199,524 205,476 212,257 217,562 221,444 226,220
Hawaii 11,529 16,695 20,326 22,904 22,988 23,703 26,040 25,862 26,601 27,436
Idaho 9,127 12,931 17,081 21,255 22,291 23,482 24,628 26,030 26,744 28,039
Illinois 94,434 137,571 155,743 175,822 189,044 206,014 215,631 222,728 233,211 242,050
Indiana 60,297 76,460 87,543 102,654 105,011 109,669 114,933 120,079 120,825 124,312
Iowa 41,170 48,517 51,976 56,920 58,023 60,458 63,221 66,022 68,782 70,624
Kansas 26,960 34,708 41,217 44,602 46,175 47,707 49,483 50,732 51,829 53,624
Kentucky 76,456 97,978 117,697 126,690 126,343 126,468 134,469 137,602 140,970 143,692
Louisiana 87,570 112,090 117,179 127,340 132,498 139,802 140,291 141,009 148,875 153,719
Maine 22,176 29,453 36,946 42,269 43,800 46,510 52,560 64,164 78,157 83,374
Maryland 48,028 58,865 65,372 73,994 75,366 79,234 83,078 85,824 89,624 93,682
Massachusetts 89,163 125,859 152,587 167,681 170,689 178,691 188,576 191,171 195,461 196,817
Michigan 91,340 123,948 145,172 158,998 161,519 170,044 180,235 185,626 190,827 196,551
Minnesota 39,366 52,192 63,607 75,080 77,499 79,428 81,353 83,420 85,356 88,149
Mississippi 90,530 108,577 107,495 131,706 133,337 135,023 137,715 136,096 137,874 132,099
Missouri 55,116 72,659 88,343 99,127 103,449 109,561 110,734 113,722 117,954 122,450
Montana 10,058 11,031 12,828 13,889 13,917 14,455 15,097 15,456 15,811 16,170
Nebraska 11,358 16,146 20,520 22,922 23,082 24,210 25,243 25,640 27,030 27,638
Nevada 8,657 14,227 19,155 24,587 26,977 27,408 28,639 30,319 32,197 32,764
New Hampshire 3,807 5,405 7,434 10,120 10,732 11,584 12,597 13,454 14,669 15,872
New Jersey 95,795 122,923 146,705 155,377 153,231 159,110 169,804 170,280 170,807 175,716
New Mexico 22,246 29,855 37,330 44,534 44,642 49,333 52,078 53,757 56,797 59,163
New York 255,952 325,882 369,479 432,681 448,373 465,068 487,736 500,099 489,668 508,461
North Carolina 117,656 186,328 223,402 240,422 241,543 251,739 258,981 261,690 266,009 272,691
North Dakota 4,639 5,560 5,908 6,541 6,560 6,757 7,185 7,610 7,892 8,058
Ohio 112,598 164,044 171,139 191,295 195,792 204,905 223,726 234,958 247,445 258,318
Oklahoma 51,457 60,080 67,413 70,761 72,758 75,903 80,536 82,671 82,920 83,382
Oregon 28,537 43,642 59,169 68,421 69,610 70,927 72,394 75,113 78,272 81,990
Pennsylvania 127,519 162,788 206,468 229,814 232,885 242,552 258,675 268,833 274,566 284,189
Rhode Island 10,585 15,517 19,787 25,146 25,361 26,311 27,002 27,508 27,860 28,064
South Carolina 78,701 95,970 112,232 117,997 118,393 118,843 121,469 124,502 126,074 126,591
South Dakota 9,399 12,346 13,146 14,231 14,045 14,534 15,176 15,407 15,613 15,824
Tennessee 116,861 148,391 182,342 203,567 208,678 218,894 228,849 232,611 236,854 241,225
Texas 234,169 314,991 360,191 410,248 423,560 440,938 457,346 473,962 489,552 501,502
Utah 10,263 13,506 16,231 18,548 19,361 21,787 24,114 24,775 25,459 26,794
Vermont 8,223 12,428 13,754 15,016 15,079 15,509 20,857 21,831 22,078 22,212
Virginia 77,898 102,964 113,259 120,711 124,996 131,083 137,991 141,569 145,896 149,316
Washington 54,774 71,531 97,390 105,516 108,780 113,233 119,180 123,471 127,450 132,958
West Virginia 28,086 39,720 46,305 50,008 51,365 54,200 57,688 59,576 61,749 63,037
Wisconsin 67,516 75,247 74,101 78,124 79,889 83,383 85,661 87,901 90,928 93,984
Wyoming 3,505 5,265 6,444 7,422 7,454 7,749 8,015 8,135 8,458 8,736
Outlying areas
Guam 443 669 417 339 375 409 647 633 537 645
Northern Mariana Islands 273 314 342 358 340 358 354 373 381 385
U.S. Virgin Islands 727 219 204 194 178 165 152 150 159 153
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2007
Census division and state or area Total Part D and RDS enrollees Medicare Part D RDS a
Total Stand-alone prescription drug plan (PDP) Medicare Advantage plan offering Part D coverage
Total
All areas 31,486,978 24,477,276 17,093,442 7,383,834 7,009,702
United States 31,047,816 24,067,358 17,035,399 7,031,959 6,980,458
New England 1,618,683 1,212,522 934,488 278,034 406,161
Connecticut 397,282 280,383 226,871 53,512 116,899
Maine 160,674 136,084 132,742 3,342 24,590
Massachusetts 735,865 539,887 379,618 160,269 195,978
New Hampshire 126,641 88,834 84,582 4,252 37,807
Rhode Island 125,854 113,066 56,991 56,075 12,788
Vermont 72,367 54,268 53,684 584 18,099
Middle Atlantic 4,618,020 3,420,971 2,178,758 1,242,213 1,197,049
New Jersey 918,147 629,950 526,856 103,094 288,197
New York 2,103,546 1,520,171 972,920 547,251 583,375
Pennsylvania 1,596,327 1,270,850 678,982 591,868 325,477
East North Central 5,089,282 3,386,127 2,659,240 726,887 1,703,155
Illinois 1,291,510 935,831 835,639 100,192 355,679
Indiana 676,799 474,806 437,615 37,191 201,993
Michigan 1,185,525 711,531 499,970 211,561 473,994
Ohio 1,384,083 854,454 576,122 278,332 529,629
Wisconsin 551,365 409,505 309,894 99,611 141,860
West North Central 2,247,760 1,915,088 1,519,353 395,735 332,672
Iowa 377,273 320,445 287,837 32,608 56,828
Kansas 274,680 241,316 216,514 24,802 33,364
Minnesota 552,399 470,898 301,931 168,967 81,501
Missouri 680,589 556,831 417,159 139,672 123,758
Nebraska 194,176 168,887 150,246 18,641 25,289
North Dakota 77,932 72,877 69,235 3,642 5,055
South Dakota 90,711 83,834 76,431 7,403 6,877
South Atlantic 5,949,245 4,624,891 3,425,756 1,199,135 1,324,354
Delaware 99,653 65,310 63,008 2,302 34,343
District of Columbia 37,046 32,848 27,327 5,521 4,198
Florida 2,225,464 1,748,430 1,002,234 746,196 477,034
Georgia 761,676 629,399 542,186 87,213 132,277
Maryland 448,865 295,735 255,520 40,215 153,130
North Carolina 992,289 768,815 624,788 144,027 223,474
South Carolina 479,991 360,048 307,649 52,399 119,943
Virginia 633,129 510,578 441,295 69,283 122,551
West Virginia 271,132 213,728 161,749 51,979 57,404
East South Central 2,111,896 1,698,032 1,392,541 305,491 413,864
Alabama 560,208 431,044 327,926 103,118 129,164
Kentucky 513,638 383,304 339,082 44,222 130,334
Mississippi 324,378 293,841 279,846 13,995 30,537
Tennessee 713,672 589,843 445,687 144,156 123,829
West South Central 3,068,460 2,443,539 1,913,493 530,046 624,921
Arkansas 339,893 287,445 251,055 36,390 52,448
Louisiana 461,705 369,584 273,324 96,260 92,121
Oklahoma 374,479 320,591 266,684 53,907 53,888
Texas 1,892,383 1,465,919 1,122,430 343,489 426,464
Mountain 1,852,822 1,501,714 839,975 661,739 351,108
Arizona 600,145 490,580 211,132 279,448 109,565
Colorado 393,784 315,158 159,952 155,206 78,626
Idaho 137,061 112,497 86,007 26,490 24,564
Montana 101,836 86,403 74,344 12,059 15,433
Nevada 214,175 171,743 79,834 91,909 42,432
New Mexico 194,569 154,537 96,679 57,858 40,032
Utah 163,881 131,289 94,782 36,507 32,592
Wyoming 47,371 39,507 37,245 2,262 7,864
Pacific 4,491,648 3,864,474 2,171,795 1,692,679 627,174
Alaska 36,418 22,525 22,180 345 13,893
California 3,372,080 2,933,560 1,553,567 1,379,993 438,520
Hawaii 128,077 119,713 60,883 58,830 8,364
Oregon 397,366 349,047 198,705 150,342 48,319
Washington 557,707 439,629 336,460 103,169 118,078
Outlying areas b 439,162 409,918 58,043 351,875 29,244
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2007
Census division and state or area a Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDSb Other creditable coverage c (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low-income subsidy d Partial low-income subsidy e No low-income subsidy
Total
All areas 44,263,111 24,477,276 9,104,834 412,860 14,959,582 7,009,702 5,722,328 7,053,805
United States 43,259,280 24,067,358 9,089,677 412,607 14,565,074 6,980,458 5,654,472 6,556,992
New England 2,261,294 1,212,522 512,480 18,429 681,613 406,161 283,597 359,014
Connecticut 537,064 280,383 98,704 3,355 178,324 116,899 62,004 77,778
Maine 246,571 136,084 80,127 888 55,069 24,590 39,401 46,496
Massachusetts 996,741 539,887 235,464 9,126 295,297 195,978 108,780 152,096
New Hampshire 204,313 88,834 32,077 2,189 54,568 37,807 34,386 43,286
Rhode Island 175,012 113,066 39,550 2,202 71,314 12,788 24,995 24,163
Vermont 101,593 54,268 26,558 669 27,041 18,099 14,031 15,195
Middle Atlantic 6,281,289 3,420,971 1,302,795 53,440 2,064,736 1,197,049 690,383 972,886
New Jersey 1,257,125 629,950 213,931 12,968 403,051 288,197 138,639 200,339
New York 2,840,560 1,520,171 709,414 19,683 791,074 583,375 285,665 451,349
Pennsylvania 2,183,604 1,270,850 379,450 20,789 870,611 325,477 266,079 321,198
East North Central 6,881,981 3,386,127 1,205,475 61,550 2,119,102 1,703,155 705,681 1,087,018
Illinois 1,740,751 935,831 338,064 17,208 580,559 355,679 183,620 265,621
Indiana 940,825 474,806 163,231 10,990 300,585 201,993 114,885 149,141
Michigan 1,540,827 711,531 259,462 13,901 438,168 473,994 126,740 228,562
Ohio 1,805,235 854,454 307,136 15,881 531,437 529,629 179,075 242,077
Wisconsin 854,343 409,505 137,582 3,570 268,353 141,860 101,361 201,617
West North Central 3,089,440 1,915,088 534,402 30,347 1,350,339 332,672 428,828 412,852
Iowa 500,056 320,445 78,791 4,949 236,705 56,828 65,607 57,176
Kansas 411,660 241,316 64,402 4,373 172,541 33,364 67,082 69,898
Minnesota 729,147 470,898 122,833 5,390 342,675 81,501 85,727 91,021
Missouri 946,284 556,831 188,980 10,051 357,800 123,758 129,237 136,458
Nebraska 267,588 168,887 41,971 2,702 124,214 25,289 42,074 31,338
North Dakota 105,324 72,877 16,552 1,433 54,892 5,055 15,677 11,715
South Dakota 129,381 83,834 20,873 1,449 61,512 6,877 23,424 15,246
South Atlantic 8,644,415 4,624,891 1,768,928 94,412 2,761,551 1,324,354 1,362,693 1,332,477
Delaware 136,206 65,310 23,191 1,173 40,946 34,343 18,050 18,503
District of Columbia 74,085 32,848 20,420 416 12,012 4,198 19,354 17,685
Florida 3,132,634 1,748,430 571,452 24,262 1,152,716 477,034 447,291 459,879
Georgia 1,110,510 629,399 277,930 13,629 337,840 132,277 172,997 175,837
Maryland 723,302 295,735 116,246 6,715 172,774 153,130 140,540 133,897
North Carolina 1,358,548 768,815 324,530 20,500 423,785 223,474 177,110 189,149
South Carolina 697,189 360,048 163,508 9,925 186,615 119,943 116,730 100,468
Virginia 1,044,603 510,578 189,369 12,474 308,735 122,551 223,016 188,458
West Virginia 367,338 213,728 82,282 5,318 126,128 57,404 47,605 48,601
East South Central 2,944,432 1,698,032 828,189 39,749 830,094 413,864 421,354 411,182
Alabama 789,250 431,044 212,728 10,446 207,870 129,164 126,524 102,518
Kentucky 710,977 383,304 183,807 10,971 188,526 130,334 90,659 106,680
Mississippi 469,402 293,841 157,699 5,710 130,432 30,537 75,604 69,420
Tennessee 974,803 589,843 273,955 12,622 303,266 123,829 128,567 132,564
West South Central 4,409,142 2,443,539 1,072,807 55,499 1,315,233 624,921 652,920 687,762
Arkansas 496,335 287,445 126,950 7,601 152,894 52,448 84,132 72,310
Louisiana 639,499 369,584 179,826 8,199 181,559 92,121 75,925 101,869
Oklahoma 565,079 320,591 116,842 6,923 196,826 53,888 93,201 97,399
Texas 2,708,229 1,465,919 649,189 32,776 783,954 426,464 399,662 416,184
Mountain 2,691,896 1,501,714 443,692 22,802 1,035,220 351,108 425,388 413,686
Arizona 840,527 490,580 147,039 5,848 337,693 109,565 122,131 118,251
Colorado 558,222 315,158 87,889 4,661 222,608 78,626 84,666 79,772
Idaho 206,570 112,497 33,165 2,275 77,057 24,564 33,606 35,903
Montana 155,753 86,403 23,762 1,930 60,711 15,433 26,256 27,661
Nevada 317,741 171,743 44,640 2,650 124,453 42,432 54,271 49,295
New Mexico 284,910 154,537 64,339 2,771 87,427 40,032 44,884 45,457
Utah 254,060 131,289 32,534 1,944 96,811 32,592 45,648 44,531
Wyoming 74,113 39,507 10,324 723 28,460 7,864 13,926 12,816
Pacific 6,055,391 3,864,474 1,420,909 36,379 2,407,186 627,174 683,628 880,115
Alaska 56,803 22,525 14,003 321 8,201 13,893 9,828 10,557
California 4,368,858 2,933,560 1,137,148 22,907 1,773,505 438,520 424,438 572,340
Hawaii 189,385 119,713 33,979 1,495 84,239 8,364 30,984 30,324
Oregon 566,960 349,047 90,327 5,420 253,300 48,319 77,377 92,217
Washington 873,385 439,629 145,452 6,236 287,941 118,078 141,001 174,677
Outlying areas f 1,003,831 409,918 15,157 253 394,508 29,244 67,856 496,813
SOURCE: Centers for Medicare & Medicaid Services.
a. Based on the residence of the beneficiary.
b. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
c. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
d. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
e. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
f. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.