Annual Statistical Supplement, 2014

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 1990–2012
Type of coverage and service 1990 1995 2000 2005 2010 2012
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 47,664 50,829
Hospital Insurance 33,719 37,135 39,211 42,129 47,316 50,499
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 43,954 46,588
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,910 37,214
Hospital Insurance -- -- 32,329 36,318 35,572 36,907
Supplementary Medical Insurance -- -- 30,478 33,916 32,200 32,974
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 32,866 33,313
Hospital Insurance 7,036 8,036 7,325 8,307 8,267 7,604
Inpatient hospital 6,543 6,964 6,917 7,710 7,485 6,685
Skilled nursing services 638 1,233 1,468 1,847 1,839 1,840
Home health services b 1,936 3,427 1,444 1,752 1,722 1,703
Hospice services -- -- 541 871 1,157 1,275
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 31,923 32,838
Physicians' and other medical services 26,350 26,539 28,763 32,709 31,415 32,289
Outpatient services 15,511 19,709 21,029 24,423 23,667 24,669
Home health services b 38 41 1,190 1,370 1,883 1,914
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 915 895
Hospital Insurance 209 216 227 229 232 206
Inpatient hospital 194 188 214 212 210 181
Skilled nursing services 19 33 45 51 52 50
Home health services b 57 92 45 48 48 46
Hospice services -- -- 17 24 33 35
Supplementary Medical Insurance 826 848 962 979 991 996
Physicians' and other medical services 808 744 944 964 976 979
Outpatient services 475 552 690 720 735 748
Home health services b 1 1 39 40 58 58
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 331,129 345,423
Hospital Insurance 62,347 101,835 101,663 149,392 176,224 179,091
Inpatient hospital 56,716 78,944 85,197 116,647 128,728 129,734
Skilled nursing services 1,971 7,799 10,621 18,964 27,258 27,532
Home health services b 3,660 15,092 2,918 5,916 7,252 6,770
Hospice services -- -- 2,927 7,864 12,986 15,055
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 154,906 166,333
Physicians' and other medical services 30,222 41,617 51,474 83,838 95,087 99,695
Outpatient services 8,773 15,328 16,787 33,931 47,573 55,300
Home health services b 78 200 4,338 6,982 12,245 11,338
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 10,075 10,369
Hospital Insurance 8,862 12,672 13,878 17,984 21,315 23,554
Inpatient hospital 8,668 11,336 12,318 15,130 17,197 19,406
Skilled nursing services 3,092 6,325 7,235 10,267 14,820 14,960
Home health services b 1,890 4,403 2,021 3,377 4,211 3,976
Hospice services -- -- 5,409 9,027 11,220 11,810
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,853 5,065
Physicians' and other medical services 1,147 1,409 1,709 2,563 3,027 3,088
Outpatient services 566 778 798 1,389 2,010 2,242
Home health services b 2,031 4,837 3,644 5,098 6,504 5,922
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 9,221 9,282
Hospital Insurance 1,849 2,742 3,145 4,113 4,954 4,852
Inpatient hospital 1,682 2,126 2,635 3,212 3,619 3,515
Skilled nursing services 58 210 329 522 766 746
Home health services b 109 406 90 163 204 183
Hospice services -- -- 91 217 365 408
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,811 5,044
Physicians' and other medical services 926 1,166 1,689 2,472 2,953 3,023
Outpatient services 269 430 551 1,000 1,477 1,677
Home health services b 2 6 142 206 380 344
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2012
Type of coverage and service 1990 1995 2000 2005 2010 2012
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 39,631 42,204
Hospital Insurance 30,464 32,742 33,841 35,407 39,283 41,875
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 36,768 38,832
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 29,291 30,340
Hospital Insurance -- -- 27,422 30,033 28,954 30,033
Supplementary Medical Insurance -- -- 26,174 28,402 26,429 26,968
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,927 27,078
Hospital Insurance 6,367 7,147 6,361 7,016 6,857 6,254
Inpatient hospital 5,906 6,148 5,975 6,455 6,123 5,394
Skilled nursing services 615 1,186 1,390 1,719 1,683 1,670
Home health services b 1,818 3,185 1,325 1,574 1,508 1,482
Hospice services -- -- 514 825 1,096 1,204
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 26,113 26,669
Physicians' and other medical services 24,193 26,621 24,846 27,468 25,764 26,292
Outpatient services 14,055 17,597 18,159 20,436 19,248 19,916
Home health services b 38 42 1,081 1,214 1,624 1,646
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 919 892
Hospital Insurance 209 218 232 234 237 208
Inpatient hospital 194 188 218 215 211 180
Skilled nursing services 21 36 51 57 58 56
Home health services b 60 97 48 52 52 49
Hospice services -- -- 19 27 38 40
Supplementary Medical Insurance 832 858 965 979 988 989
Physicians' and other medical services 815 839 949 967 975 975
Outpatient services 474 554 694 720 728 738
Home health services b 1 1 41 43 61 61
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 267,696 277,170
Hospital Insurance 54,244 89,631 87,549 125,993 144,671 146,022
Inpatient hospital 48,952 68,213 72,041 95,557 101,060 100,882
Skilled nursing services 1,886 7,504 10,066 17,666 24,887 24,944
Home health services b 3,406 13,914 2,679 5,333 6,399 5,932
Hospice services -- -- 2,763 7,436 12,325 14,264
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 123,025 131,148
Physicians' and other medical services 27,379 37,069 44,506 70,111 77,559 80,937
Outpatient services 7,077 12,045 12,588 25,385 34,975 40,547
Home health services b 78 203 3,845 6,106 10,490 9,664
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 9,942 10,236
Hospital Insurance 8,520 12,542 13,763 17,958 21,097 23,350
Inpatient hospital 8,289 11,096 12,057 14,804 16,504 18,702
Skilled nursing services 3,068 6,325 7,242 10,277 14,791 14,933
Home health services b 1,874 4,368 2,022 3,388 4,244 4,002
Hospice services -- -- 5,375 9,015 11,250 11,847
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,711 4,918
Physicians' and other medical services 1,132 1,392 1,791 2,552 3,010 3,078
Outpatient services 503 684 693 1,242 1,817 2,036
Home health services b 2,033 4,862 3,557 5,030 6,458 5,873
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 9,139 9,135
Hospital Insurance 1,781 2,738 3,193 4,195 4,997 4,862
Inpatient hospital 1,607 2,083 2,627 3,182 3,490 3,359
Skilled nursing services 62 229 367 588 860 831
Home health services b 112 425 98 178 221 198
Hospice services -- -- 101 248 426 475
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 4,655 4,863
Physicians' and other medical services 922 1,168 1,700 2,469 2,935 3,001
Outpatient services 238 379 481 894 1,323 1,504
Home health services b 3 6 147 215 397 358
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2012
Type of coverage and service 1990 1995 2000 2005 2010 2012
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 8,033 8,624
Hospital Insurance 3,255 4,393 5,370 6,722 8,032 8,624
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 7,185 7,756
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,619 6,874
Hospital Insurance -- -- 4,907 6,285 6,619 6,874
Supplementary Medical Insurance -- -- 4,304 5,514 5,772 6,006
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,939 6,236
Hospital Insurance 680 933 964 1,291 1,410 1,350
Inpatient hospital 644 844 942 1,255 1,362 1,291
Skilled nursing services 23 54 78 128 157 170
Home health services b 122 272 119 178 215 221
Hospice services -- -- 27 46 62 71
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,809 6,168
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,651 5,997
Outpatient services 1,496 2,281 2,870 3,987 4,419 4,753
Home health services b c c 110 156 258 269
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 897 907
Hospital Insurance 209 212 196 205 213 196
Inpatient hospital 198 192 192 200 206 188
Skilled nursing services 7 12 16 20 24 25
Home health services b 38 62 24 28 32 32
Hospice services -- -- 6 7 9 10
Supplementary Medical Insurance 804 837 943 976 1,007 1,027
Physicians' and other medical services 764 808 910 950 979 999
Outpatient services 508 579 667 723 766 791
Home health services b c c 26 28 45 45
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 63,434 68,253
Hospital Insurance 6,694 12,752 14,114 23,399 31,553 33,068
Inpatient hospital 6,346 11,079 13,156 21,091 27,668 28,852
Skilled nursing services 85 374 555 1,297 2,371 2,588
Home health services b 264 1,300 239 583 853 838
Hospice services -- -- 164 428 661 791
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 31,881 35,185
Physicians' and other medical services 2,831 4,888 6,968 13,727 17,528 18,758
Outpatient services 1,714 3,384 4,198 8,547 12,598 14,753
Home health services b c c 493 877 1,755 1,674
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 10,680 10,946
Hospital Insurance 9,847 13,666 14,641 18,124 22,377 24,494
Inpatient hospital 9,849 13,126 13,966 16,808 20,315 22,346
Skilled nursing services 3,702 6,959 7,115 10,127 15,130 15,229
Home health services b 2,156 4,777 2,008 3,280 3,975 3,796
Hospice services -- -- 6,074 9,223 10,683 11,187
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 5,488 5,704
Physicians' and other medical services 1,259 1,535 1,779 2,619 3,102 3,128
Outpatient services 1,146 1,483 1,463 2,144 2,851 3,104
Home health services b c c 4,482 5,631 6,789 6,225
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 9,583 9,929
Hospital Insurance 2,057 2,903 2,876 3,723 4,767 4,811
Inpatient hospital 1,950 2,522 2,681 3,356 4,180 4,198
Skilled nursing services 26 85 113 206 358 376
Home health services b 81 296 49 93 129 122
Hospice services -- -- 33 68 100 115
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 5,524 5,858
Physicians' and other medical services 962 1,240 1,619 2,489 3,037 3,123
Outpatient services 582 858 975 1,550 2,183 2,456
Home health services b c c 115 159 304 279
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Sample population too small to yield valid calculated results.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 2000–2013, selected years (in thousands)
Census division and state or area 2000 2010 2012 2013
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 34,247 27,840 6,407 39,631 29,291 10,340 42,204 30,340 11,864 43,614 30,716 12,897
United States a 33,540 27,137 6,403 38,742 28,736 10,006 41,255 29,769 11,487 42,636 30,135 12,500
New England 1,836 1,449 387 1,996 1,595 401 2,113 1,676 436 2,175 1,707 468
Connecticut 457 356 101 489 393 96 514 395 118 525 395 130
Maine 180 178 2 209 178 31 223 181 42 231 182 49
Massachusetts 828 601 227 875 679 196 926 730 196 954 749 205
New Hampshire 147 145 2 183 167 16 196 184 12 204 190 14
Rhode Island 148 94 54 149 91 58 156 95 61 159 97 62
Vermont 76 76 (F) 91 87 5 98 91 7 102 93 8
Middle Atlantic 5,263 4,078 1,186 5,560 3,841 1,720 5,820 3,934 1,886 5,955 3,961 1,994
New Jersey 1,067 905 162 1,146 997 149 1,206 1,024 181 1,234 1,035 199
New York 2,334 1,871 463 2,499 1,693 806 2,623 1,719 904 2,687 1,727 961
Pennsylvania 1,863 1,302 561 1,915 1,151 764 1,992 1,190 801 2,034 1,200 834
East North Central 5,541 4,948 593 6,092 4,721 1,370 6,405 4,703 1,702 6,576 4,733 1,843
Illinois 1,435 1,263 172 1,564 1,406 158 1,642 1,465 177 1,684 1,489 195
Indiana 735 703 32 827 684 143 870 693 178 894 692 202
Michigan 1,201 1,128 73 1,344 1,103 240 1,418 1,014 404 1,457 1,014 443
Ohio 1,478 1,206 272 1,586 1,002 583 1,661 1,001 660 1,703 1,005 699
Wisconsin 693 649 43 771 526 246 814 530 284 838 533 305
West North Central 2,518 2,252 266 2,753 2,101 652 2,883 2,116 767 2,958 2,128 830
Iowa 426 410 16 446 384 62 462 395 68 472 402 70
Kansas 347 319 28 366 324 42 383 333 50 392 339 53
Minnesota 582 496 86 674 361 312 715 340 375 738 328 410
Missouri 736 612 124 812 625 187 851 638 213 873 642 231
Nebraska 227 217 10 240 211 29 250 219 31 256 225 31
North Dakota 93 92 1 95 87 8 98 85 13 99 85 15
South Dakota 106 106 1 119 109 10 124 107 17 128 108 20
South Atlantic 6,430 5,510 920 7,802 6,087 1,715 8,401 6,373 2,028 8,733 6,503 2,231
Delaware 98 93 5 124 120 5 135 128 7 141 131 10
District of Columbia 65 59 6 65 58 7 68 60 8 70 61 8
Florida 2,507 1,815 692 2,911 2,015 896 3,114 2,040 1,074 3,230 2,055 1,175
Georgia 752 702 50 990 766 224 1,083 809 274 1,134 823 311
Maryland 571 504 67 673 617 56 722 658 63 749 683 66
North Carolina 941 897 44 1,190 968 222 1,288 1,031 257 1,341 1,056 285
South Carolina 464 463 2 615 519 97 671 554 117 702 567 135
Virginia 762 730 32 947 812 135 1,022 872 150 1,061 905 156
West Virginia 270 247 23 286 213 74 299 220 79 307 222 85
East South Central 2,061 1,930 131 2,410 1,933 477 2,557 2,014 543 2,637 2,002 635
Alabama 558 507 51 639 505 134 674 534 140 695 542 152
Kentucky 491 460 31 566 470 97 599 485 114 617 458 160
Mississippi 330 325 5 372 336 36 393 348 44 404 353 50
Tennessee 682 638 44 833 623 210 891 646 244 921 648 273
West South Central 3,276 2,754 522 3,930 3,160 770 4,209 3,280 929 4,363 3,253 1,110
Arkansas 359 342 17 406 350 56 425 359 66 435 360 75
Louisiana 497 404 93 539 399 140 571 415 156 587 421 166
Oklahoma 438 388 50 488 412 77 512 427 84 525 436 88
Texas 1,982 1,620 362 2,497 2,000 497 2,702 2,079 623 2,816 2,036 780
Mountain 1,914 1,400 514 2,530 1,715 815 2,757 1,853 903 2,883 1,937 946
Arizona 596 371 225 788 506 282 858 550 307 897 574 323
Colorado 403 253 151 535 345 189 589 377 212 620 392 228
Idaho 145 129 16 193 133 60 209 143 66 219 149 70
Montana 119 118 (F) 144 117 27 154 129 25 160 134 26
Nevada 212 139 73 304 206 98 336 225 111 354 238 116
New Mexico 200 159 41 256 187 69 275 193 81 285 197 89
Utah 183 176 7 242 157 85 262 168 94 273 181 91
Wyoming 57 56 2 69 64 5 74 69 4 76 73 3
Pacific 4,692 2,808 1,884 5,665 3,580 2,085 6,111 3,820 2,292 6,354 3,911 2,443
Alaska 35 35 (F) 54 53 1 60 60 1 63 63 1
California 3,430 1,947 1,483 4,081 2,528 1,552 4,394 2,702 1,692 4,563 2,756 1,807
Hawaii 151 98 53 184 104 80 197 107 90 205 109 96
Oregon 433 260 173 527 297 231 570 324 246 594 332 262
Washington 643 468 175 818 598 221 890 627 262 929 651 278
Unknown 9 8 1 3 3 (F) 3 3 (F) 3 2 (F)
Outlying areas
Puerto Rico 401 400 1 506 175 331 536 163 373 551 158 392
U.S. Virgin Islands 9 9 (F) 14 14 (F) 16 16 (F) 16 16 (F)
Other 9 9 (F) 14 14 (F) 16 15 (F) 16 16 (F)
Foreign countries 288 285 3 355 352 3 379 375 4 392 388 4
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 2000–2013, selected years (in thousands)
Census division and state or area 2000 2010 2012 2013
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 5,373 4,913 460 8,033 6,619 1,414 8,624 6,874 1,750 8,843 6,871 1,972
United States a 5,219 4,759 459 7,847 6,540 1,307 8,427 6,797 1,629 8,638 6,795 1,843
New England 284 265 19 415 390 25 442 411 30 451 417 34
Connecticut 57 53 4 78 70 8 82 71 11 83 71 12
Maine 36 36 (F) 56 54 2 59 56 3 60 56 4
Massachusetts 131 120 11 186 179 7 199 191 8 204 195 9
New Hampshire 23 23 (F) 41 39 2 44 43 1 46 44 2
Rhode Island 24 20 4 34 29 5 36 30 6 36 30 6
Vermont 13 13 (F) 20 20 (F) 22 21 1 22 21 1
Middle Atlantic 729 655 73 1,039 819 220 1,100 838 262 1,124 838 286
New Jersey 133 124 9 181 163 18 192 164 28 197 163 33
New York 366 334 31 490 392 98 515 397 118 524 394 130
Pennsylvania 230 197 33 368 264 104 393 278 115 403 281 122
East North Central 823 773 50 1,216 1,080 136 1,318 1,228 189 1,354 1,141 213
Illinois 195 180 15 276 256 20 293 269 24 298 270 27
Indiana 117 114 3 179 158 21 194 166 29 200 167 33
Michigan 200 193 7 307 279 29 337 290 47 348 294 53
Ohio 221 199 23 315 269 46 342 279 63 352 283 70
Wisconsin 90 88 2 139 118 21 152 125 27 156 126 30
West North Central 339 324 14 513 456 57 550 479 71 563 483 81
Iowa 50 49 1 71 66 6 75 68 7 77 69 8
Kansas 43 42 2 66 61 5 71 65 6 73 66 7
Minnesota 72 70 1 112 97 15 121 105 17 124 106 18
Missouri 124 115 10 192 168 24 207 175 33 213 174 39
Nebraska 26 26 1 39 35 4 41 36 5 42 36 6
North Dakota 10 10 (F) 14 13 1 15 14 1 15 14 1
South Dakota 13 13 (F) 18 17 1 19 17 1 19 18 2
South Atlantic 1,082 998 84 1,606 1,325 281 1,727 1,372 355 1,774 1,365 409
Delaware 15 14 (F) 25 24 1 26 25 2 27 25 2
District of Columbia 10 9 (F) 13 12 1 14 14 1 15 14 1
Florida 316 253 63 463 343 120 507 352 155 527 349 178
Georgia 167 161 6 246 207 38 268 217 51 277 214 63
Maryland 75 70 5 112 104 8 123 113 10 127 117 10
North Carolina 195 191 4 300 258 42 316 265 51 322 264 58
South Carolina 105 105 (F) 159 131 27 169 134 35 173 130 43
Virginia 133 130 3 194 162 31 205 169 36 208 170 38
West Virginia 67 64 3 95 82 13 98 84 14 97 82 15
East South Central 498 482 16 750 616 134 800 639 162 817 628 189
Alabama 128 119 9 206 159 47 222 169 53 227 169 58
Kentucky 132 128 4 193 167 26 205 179 26 208 175 33
Mississippi 89 88 (F) 125 113 12 131 116 15 133 115 18
Tennessee 149 146 3 225 175 50 242 175 68 249 169 79
West South Central 541 492 50 892 743 149 971 780 190 999 776 222
Arkansas 80 78 2 126 106 20 134 108 26 137 106 31
Louisiana 104 92 12 147 124 23 159 130 29 164 131 32
Oklahoma 70 65 4 115 101 14 124 107 16 126 108 18
Texas 288 256 31 504 412 92 555 436 119 572 431 141
Mountain 286 240 46 457 342 115 497 358 138 511 361 150
Arizona 85 62 24 142 88 54 152 88 64 155 86 69
Colorado 65 53 11 90 70 20 99 76 23 103 77 26
Idaho 21 20 1 37 30 7 41 32 9 42 33 9
Montana 18 18 (F) 26 22 3 28 24 4 28 24 4
Nevada 31 24 7 53 42 10 58 45 13 61 47 14
New Mexico 34 31 3 57 48 9 62 50 12 63 50 13
Utah 24 23 (F) 41 31 10 46 32 14 48 32 15
Wyoming 8 8 (F) 11 11 1 12 11 1 12 12 (F)
Pacific 636 529 107 958 769 189 1,022 790 232 1,045 786 259
Alaska 7 7 (F) 12 12 (F) 13 13 (F) 13 13 (F)
California 464 378 86 676 544 133 717 558 159 731 552 179
Hawaii 15 14 1 22 17 6 24 16 8 24 15 10
Oregon 58 46 11 94 66 27 102 72 30 105 73 32
Washington 93 84 9 154 131 23 166 132 35 171 132 39
Unknown 1 1 (F) (F) (F) (F) (F) (F) (F) (F) (F) (F)
Outlying areas
Puerto Rico 136 136 (F) 164 58 107 175 54 120 181 53 129
U.S. Virgin Islands 1 1 (F) 2 2 (F) 2 2 (F) 2 2 (F)
Other 2 2 (F) 3 3 (F) 3 3 (F) 4 3 (F)
Foreign countries 15 15 (F) 17 16 (F) 17 17 (F) 17 17 (F)
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 2000–2013, selected years (in thousands)
Census division and state or area 2000 2010 2012 2013
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 39,620 32,753 6,867 47,664 35,910 11,754 50,829 37,214 13,614 52,456 37,587 14,869
United States a 38,759 31,896 6,863 46,588 35,276 11,313 49,682 36,566 13,116 51,274 36,931 14,343
New England 2,120 1,714 405 2,411 1,985 427 2,555 2,088 467 2,626 2,124 502
Connecticut 514 409 105 568 463 104 595 466 129 608 466 142
Maine 217 214 2 265 231 33 282 237 45 291 238 53
Massachusetts 958 721 237 1,061 858 203 1,126 921 205 1,158 944 214
New Hampshire 170 167 3 223 206 18 241 227 13 250 234 16
Rhode Island 172 114 58 183 120 63 191 125 67 196 127 69
Vermont 89 89 (F) 112 107 5 120 112 8 124 115 9
Middle Atlantic 5,992 4,733 1,259 6,599 4,659 1,939 6,921 4,772 2,148 7,078 4,799 2,279
New Jersey 1,200 1,029 170 1,327 1,160 167 1,398 1,188 209 1,430 1,198 232
New York 2,699 2,206 494 2,988 2,085 904 3,138 2,116 1,022 3,211 2,120 1,091
Pennsylvania 2,093 1,498 595 2,283 1,415 869 2,385 1,468 917 2,437 1,481 956
East North Central 6,364 5,722 643 7,308 5,801 1,506 7,723 5,831 1,891 7,930 5,874 2,056
Illinois 1,630 1,443 187 1,839 1,662 178 1,935 1,734 200 1,982 1,759 222
Indiana 852 816 35 1,006 842 164 1,065 858 206 1,094 860 234
Michigan 1,401 1,320 80 1,651 1,382 269 1,754 1,303 451 1,805 1,309 496
Ohio 1,699 1,405 295 1,901 1,271 629 2,003 1,280 723 2,055 1,287 768
Wisconsin 783 737 46 911 644 267 966 655 311 994 659 335
West North Central 2,857 2,576 281 3,265 2,557 709 3,433 2,595 837 3,522 2,611 911
Iowa 476 459 17 517 449 68 537 463 75 549 471 78
Kansas 390 360 30 433 385 48 454 398 56 465 405 60
Minnesota 654 566 88 786 458 328 836 444 392 862 434 428
Missouri 861 727 133 1,004 793 211 1,058 812 246 1,086 816 270
Nebraska 253 243 11 279 246 34 291 255 37 298 261 37
North Dakota 103 102 1 109 100 9 112 99 14 114 98 16
South Dakota 119 119 1 137 125 11 143 125 18 147 126 22
South Atlantic 7,512 6,508 1,004 9,408 7,412 1,997 10,128 7,745 2,383 10,507 7,868 2,639
Delaware 112 107 5 149 144 6 161 153 9 168 156 12
District of Columbia 75 68 7 78 70 8 82 74 8 84 75 9
Florida 2,823 2,068 754 3,375 2,359 1,016 3,621 2,392 1,229 3,757 2,404 1,353
Georgia 918 863 56 1,236 973 262 1,351 1,026 325 1,411 1,037 374
Maryland 646 574 72 785 721 64 845 772 73 876 800 76
North Carolina 1,136 1,088 48 1,490 1,225 265 1,604 1,296 308 1,663 1,320 343
South Carolina 570 568 2 774 650 124 840 688 152 875 697 178
Virginia 895 860 35 1,141 974 166 1,227 1,041 186 1,269 1,075 194
West Virginia 337 312 26 382 295 87 397 303 93 404 304 100
East South Central 2,559 2,411 147 3,160 2,549 611 3,357 2,653 705 3,454 2,630 824
Alabama 686 626 60 845 664 181 896 703 193 922 711 211
Kentucky 623 588 35 760 637 123 804 664 140 826 633 193
Mississippi 419 413 6 497 450 48 524 464 60 537 468 68
Tennessee 831 784 47 1,058 798 260 1,133 821 312 1,170 818 352
West South Central 3,817 3,246 571 4,823 3,903 919 5,180 4,060 1,120 5,361 4,029 1,332
Arkansas 439 420 19 531 456 76 559 466 92 572 466 106
Louisiana 601 496 105 687 524 163 729 544 185 751 552 199
Oklahoma 508 453 54 603 512 91 636 535 101 650 544 106
Texas 2,269 1,876 393 3,001 2,412 589 3,256 2,515 742 3,388 2,467 922
Mountain 2,200 1,640 560 2,987 2,057 930 3,252 2,212 1,041 3,395 2,298 1,096
Arizona 681 433 248 930 594 336 1,009 638 371 1,051 660 392
Colorado 468 306 162 625 415 209 688 453 236 722 469 253
Idaho 166 149 17 230 163 67 250 175 75 261 181 79
Montana 137 136 1 170 139 30 182 153 29 188 159 30
Nevada 243 163 80 357 249 108 394 270 124 414 284 130
New Mexico 234 190 44 313 235 79 336 244 93 349 246 102
Utah 206 199 7 283 188 96 307 199 108 320 214 107
Wyoming 65 64 2 80 75 5 86 81 5 89 85 4
Pacific 5,328 3,337 1,991 6,623 4,349 2,274 7,133 4,610 2,523 7,400 4,697 2,703
Alaska 42 42 (F) 66 65 1 73 72 1 76 75 1
California 3,894 2,325 1,569 4,757 3,072 1,685 5,111 3,260 1,851 5,294 3,308 1,986
Hawaii 165 111 54 206 121 86 222 123 99 230 124 106
Oregon 491 307 184 621 363 258 672 396 276 700 406 294
Washington 736 553 183 972 728 244 1,056 759 297 1,100 784 316
Unknown 10 9 1 4 3 (F) 3 3 (F) 3 3 (F)
Outlying areas
Puerto Rico 537 536 1 670 233 438 711 217 493 732 211 521
U.S. Virgin Islands 10 10 (F) 16 16 (F) 17 17 (F) 18 18 (F)
Other 11 11 (F) 17 17 (F) 19 19 (F) 20 19 (F)
Foreign countries 303 300 3 372 369 3 396 392 4 409 405 4
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.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 2000–2013, selected years (in thousands)
Age, sex, and race 2000 2010 2012 2013
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
  Hospital Insurance and/or Supplementary Medical Insurance
Total 34,247 27,840 6,407 39,631 29,291 10,340 42,204 30,340 11,864 43,614 30,716 12,897
Age
65–69 9,166 7,360 1,806 12,096 9,046 3,050 13,566 9,979 3,587 14,121 10,224 3,897
70–74 8,609 6,878 1,731 9,138 6,602 2,536 9,830 6,831 2,999 10,431 7,068 3,363
75–79 7,284 5,902 1,381 7,169 5,146 2,023 7,334 5,108 2,226 7,526 5,135 2,391
80–84 4,868 4,010 859 5,617 4,145 1,472 5,617 4,001 1,616 5,592 3,887 1,704
85 or older 4,320 3,690 630 5,612 4,352 1,259 5,857 4,422 1,435 5,945 4,402 1,543
Sex
Men 14,109 11,421 2,688 17,167 12,770 4,398 18,484 13,413 5,070 19,192 13,680 5,512
Women 20,138 16,419 3,719 22,464 16,521 5,943 23,721 16,927 6,794 24,421 17,036 7,385
Race
White 29,752 24,251 5,502 33,581 25,020 8,561 35,480 25,741 9,739 36,448 25,937 10,512
Black 2,720 2,204 516 3,330 2,332 999 3,576 2,419 1,157 3,728 2,456 1,272
All other races 1,682 1,305 377 2,624 1,857 767 2,900 1,978 922 3,059 2,024 1,035
American Indian or Alaska Native 42 39 3 143 124 18 153 133 21 161 139 22
Asian or Pacific Islander 494 386 108 848 632 216 947 677 270 1,006 694 312
Hispanic 710 555 155 884 584 301 958 607 351 1,003 611 393
Other 436 324 112 749 516 232 842 562 280 888 580 308
Unknown 92 81 12 95 82 13 248 202 46 379 300 78
  Hospital Insurance
Total 33,827 27,429 6,398 39,283 28,954 10,330 41,875 30,033 11,842 43,285 30,411 12,874
Age
65–69 9,074 7,269 1,804 12,000 8,954 3,047 13,478 9,900 3,579 14,030 10,143 3,887
70–74 8,505 6,776 1,729 9,063 6,529 2,534 9,758 6,764 2,994 10,360 7,003 3,357
75–79 7,188 5,809 1,379 7,106 5,085 2,021 7,274 5,051 2,223 7,466 5,079 2,387
80–84 4,805 3,947 857 5,564 4,093 1,470 5,569 3,955 1,614 5,544 3,843 1,702
85 or older 4,256 3,627 629 5,551 4,293 1,258 5,796 4,363 1,433 5,885 4,344 1,540
Sex
Men 13,976 11,291 2,685 17,054 12,660 4,394 18,375 13,313 5,062 19,083 13,580 5,503
Women 19,851 16,138 3,713 22,230 16,293 5,936 23,500 16,720 6,780 24,202 16,831 7,371
Race
White 29,565 24,068 5,497 33,444 24,889 8,554 35,349 25,627 9,722 36,316 25,823 10,493
Black 2,668 2,153 515 3,283 2,287 997 3,532 2,376 1,154 3,683 2,414 1,269
All other races 1,508 1,133 374 2,469 1,703 766 2,761 1,840 921 2,924 1,890 1,034
American Indian or Alaska Native 40 37 3 140 121 18 150 129 20 157 135 22
Asian or Pacific Islander 406 300 106 769 553 215 872 602 270 933 622 311
Hispanic 656 502 154 837 537 300 913 562 351 960 567 393
Other 405 294 111 724 492 232 825 546 279 873 566 308
Unknown 87 75 12 87 74 13 234 189 45 362 284 78
  Supplementary Medical Insurance
Total 32,585 26,178 6,407 36,768 26,429 10,340 38,832 26,968 11,864 40,047 27,150 12,897
Age
65–69 8,330 6,525 1,806 10,382 7,332 3,050 11,477 7,890 3,587 11,930 8,033 3,897
70–74 8,256 6,525 1,731 8,625 6,089 2,536 9,213 6,214 2,999 9,741 6,378 3,363
75–79 7,087 5,705 1,381 6,919 4,896 2,023 7,073 4,846 2,226 7,256 4,865 2,391
80–84 4,780 3,922 859 5,474 4,002 1,472 5,464 3,847 1,616 5,433 3,729 1,704
85 or older 4,131 3,501 630 5,368 4,109 1,259 5,606 4,171 1,435 5,688 4,145 1,543
Sex
Men 13,203 10,515 2,688 15,579 11,182 4,397 16,595 11,525 5,070 17,186 11,674 5,512
Women 19,382 15,663 3,719 21,189 15,247 5,943 22,237 15,443 6,794 22,861 15,476 7,385
Race
White 28,428 22,927 5,502 31,316 22,755 8,561 32,828 23,089 9,739 33,669 23,157 10,512
Black 2,543 2,027 516 3,061 2,062 998 3,271 2,114 1,157 3,405 2,133 1,272
All other races 1,542 1,164 377 2,327 1,560 767 2,550 1,628 922 2,685 1,650 1,035
American Indian or Alaska Native 39 36 3 128 109 18 135 115 21 141 119 22
Asian or Pacific Islander 470 362 108 766 550 216 846 576 270 896 584 312
Hispanic 665 510 155 799 498 301 859 508 351 897 504 393
Other 368 257 112 635 402 232 710 430 280 752 443 308
Unknown 71 60 12 64 51 13 182 137 46 288 210 78
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.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 2000–2013, selected years (in thousands)
Age, sex, and race 2000 2010 2012 2013
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
  Hospital Insurance and/or Supplementary Medical Insurance
Total 5,373 4,913 460 8,033 6,619 1,414 8,624 6,874 1,750 8,843 6,871 1,972
Age
Under 35 522 505 18 711 649 62 782 701 81 795 702 92
35–44 1,130 1,068 62 1,154 1,008 145 1,189 1,013 176 1,201 1,003 198
45–54 1,627 1,501 126 2,477 2,075 402 2,566 2,081 486 2,575 2,037 538
55–64 2,094 1,840 254 3,691 2,887 803 4,087 3,079 1,008 4,273 3,128 1,144
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,492 3,647 845 4,591 3,640 952
Women 2,356 2,141 215 3,840 3,108 732 4,132 3,227 905 4,251 3,231 1,020
Race
White 3,994 3,641 353 5,799 4,781 1,019 6,144 4,908 1,236 6,263 4,888 1,375
Black 1,008 933 74 1,560 1,301 259 1,706 1,371 336 1,763 1,372 391
All other races 356 327 32 646 513 133 721 551 169 752 559 193
American Indian or Alaska Native 23 22 1 66 61 5 72 66 6 75 68 8
Asian or Pacific Islander 41 38 4 100 84 16 115 93 22 121 96 25
Hispanic 201 182 19 337 257 80 394 287 106 421 297 124
Other 90 83 7 143 111 31 140 105 35 135 98 36
Unknown 15 14 1 28 24 4 53 44 10 65 52 13
  Hospital Insurance
Total 5,372 4,913 460 8,032 6,619 1,414 8,624 6,874 1,750 8,842 6,870 1,972
Age
Under 35 522 504 18 711 649 62 782 701 81 795 702 92
35–44 1,129 1,068 62 1,154 1,008 145 1,189 1,013 176 1,201 1,003 198
45–54 1,627 1,501 126 2,477 2,075 402 2,566 2,081 486 2,575 2,037 538
55–64 2,093 1,840 254 3,690 2,887 803 4,087 3,079 1,008 4,272 3,128 1,144
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,491 3,647 845 4,591 3,639 952
Women 2,356 2,141 215 3,840 3,108 732 4,132 3,227 905 4,251 3,231 1,020
Race
White 3,994 3,641 353 5,799 4,780 1,019 6,144 4,908 1,236 6,263 4,888 1,375
Black 1,008 933 74 1,560 1,301 259 1,706 1,370 336 1,763 1,371 391
All other races 356 325 31 646 513 133 720 551 169 752 559 193
American Indian or Alaska Native 23 22 1 66 61 5 72 66 6 75 68 8
Asian or Pacific Islander 41 38 4 100 84 16 115 93 22 121 96 25
Hispanic 201 182 19 337 257 80 394 287 106 421 297 124
Other 90 83 7 143 111 31 140 105 35 135 98 36
Unknown 15 14 1 28 24 4 53 44 10 65 52 13
  Supplementary Medical Insurance
Total 4,775 4,315 460 7,185 5,772 1,413 7,756 6,006 1,750 7,993 6,021 1,972
Age
Under 35 467 449 18 647 585 62 713 632 81 728 635 92
35–44 998 937 62 1,028 883 145 1,066 890 176 1,082 884 198
45–54 1,422 1,296 126 2,211 1,808 402 2,304 1,818 486 2,322 1,784 538
55–64 1,887 1,633 254 3,299 2,496 803 3,674 2,666 1,008 3,861 2,717 1,144
Sex
Men 2,667 2,423 245 3,701 3,019 682 3,983 3,139 845 4,095 3,144 952
Women 2,107 1,892 215 3,485 2,753 732 3,773 2,868 905 3,898 2,877 1,020
Race
White 3,539 3,186 353 5,167 4,149 1,018 5,507 4,271 1,236 5,644 4,269 1,374
Black 918 843 74 1,423 1,165 259 1,563 1,227 336 1,621 1,230 391
All other races 305 274 31 570 438 133 640 471 169 671 478 193
American Indian or Alaska Native 21 20 1 60 55 5 65 59 6 68 61 8
Asian or Pacific Islander 36 33 4 87 72 16 101 79 22 107 81 25
Hispanic 176 157 19 301 220 80 353 247 106 379 255 124
Other 71 64 7 122 91 31 121 86 35 118 81 36
Unknown 13 12 1 24 20 4 46 37 10 57 44 13
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.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
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 90,566 7,215,958 80 126,063 19,407,218 154 117,669 18,025,554 153
United States 87,641 6,995,748 80 124,602 19,168,082 154 115,875 17,736,053 153
New England 6,953 511,226 74 7,198 1,027,785 143 6,842 1,010,679 148
Connecticut 1,696 120,602 71 1,900 251,504 132 1,983 239,865 121
Maine 664 47,095 71 453 75,876 167 438 72,074 165
Massachusetts 3,328 253,132 76 3,701 520,842 141 3,294 519,571 158
New Hampshire 504 36,257 72 521 84,875 163 513 84,622 165
Rhode Island 393 32,720 83 325 54,699 168 341 55,830 164
Vermont 368 21,418 58 297 39,989 135 273 38,716 142
Middle Atlantic 12,446 1,066,579 86 12,114 1,815,857 150 13,081 1,734,966 133
New Jersey 2,274 203,145 89 2,251 405,510 180 2,106 389,490 185
New York 5,983 510,094 85 6,339 829,649 131 7,446 778,258 105
Pennsylvania 4,190 353,341 84 3,524 580,697 165 3,529 567,217 161
East North Central 11,615 996,673 86 18,053 3,158,933 175 16,554 2,763,254 167
Illinois 3,112 278,001 89 6,483 1,248,999 193 6,161 1,124,507 183
Indiana 1,464 112,768 77 2,147 330,697 154 1,982 291,003 147
Michigan 3,436 311,343 91 4,772 886,909 186 3,997 711,927 178
Ohio 2,713 223,430 82 3,846 561,021 146 3,629 507,644 140
Wisconsin 891 71,131 80 805 131,307 163 785 128,173 163
West North Central 3,884 297,355 77 4,201 674,453 161 4,129 655,455 159
Iowa 602 39,847 66 602 83,367 138 611 87,188 143
Kansas 515 38,056 74 691 101,393 147 692 98,038 142
Minnesota 525 40,350 77 673 117,078 174 706 124,147 176
Missouri 1,651 134,144 81 1,693 285,034 168 1,576 259,597 165
Nebraska 318 25,063 79 359 59,337 165 364 59,434 163
North Dakota 140 9,814 70 87 12,226 140 77 10,837 141
South Dakota 134 10,083 75 97 16,019 166 104 16,214 156
South Atlantic 17,603 1,434,967 82 27,755 4,147,843 149 25,548 3,933,037 154
Delaware 222 18,759 85 265 45,588 172 272 46,484 171
District of Columbia 154 13,859 90 156 28,775 185 157 26,922 172
Florida 7,032 576,519 82 16,660 2,207,943 133 14,328 2,091,956 146
Georgia 2,568 197,327 77 2,734 453,869 166 2,636 407,204 154
Maryland 1,046 95,980 92 1,192 237,129 199 1,312 243,049 185
North Carolina 2,533 209,226 83 2,550 453,949 178 2,446 413,906 169
South Carolina 1,412 118,278 84 1,338 243,074 182 1,279 214,536 168
Virginia 2,030 157,804 78 2,322 386,851 167 2,510 394,325 157
West Virginia 606 47,215 78 539 90,665 168 607 94,654 156
East South Central 10,424 708,458 68 10,618 1,654,875 156 9,877 1,454,348 147
Alabama 2,466 163,019 66 2,486 380,656 153 2,395 345,078 144
Kentucky 1,916 135,941 71 2,005 314,962 157 1,978 292,111 148
Mississippi 2,514 159,346 63 2,425 377,257 156 2,282 335,962 147
Tennessee 3,529 250,152 71 3,702 581,999 157 3,222 481,196 149
West South Central 15,305 1,062,985 69 31,520 4,314,530 137 26,547 3,700,932 139
Arkansas 1,103 70,205 64 1,356 172,533 127 1,232 154,334 125
Louisiana 4,081 261,901 64 4,238 606,968 143 3,680 510,049 139
Oklahoma 2,354 149,916 64 4,100 522,018 127 3,591 450,359 125
Texas 7,767 580,964 75 21,825 3,012,978 138 18,044 2,586,190 143
Mountain 3,188 257,608 81 4,600 726,129 158 4,617 706,241 153
Arizona 497 43,124 87 792 148,499 188 827 150,799 182
Colorado 725 59,239 82 963 152,620 158 986 143,787 146
Idaho 258 22,771 88 331 50,791 153 359 52,415 146
Montana 208 16,200 78 147 24,962 170 137 22,361 163
Nevada 309 27,152 88 755 135,272 179 760 133,930 176
New Mexico 390 30,327 78 568 87,315 154 559 83,994 150
Utah 680 50,606 74 951 112,815 119 876 103,647 118
Wyoming 120 8,190 68 93 13,857 150 113 15,308 136
Pacific 6,222 659,896 106 8,543 1,647,677 193 8,680 1,777,141 205
Alaska 39 5,145 132 54 11,688 217 53 11,193 213
California 5,031 529,250 105 7,168 1,350,065 188 7,290 1,487,204 204
Hawaii 84 8,980 107 46 11,042 240 47 10,468 224
Oregon 399 45,225 113 413 89,148 216 442 92,070 208
Washington 669 71,296 107 862 185,733 215 848 176,206 208
Outlying areas a 2,926 220,210 75 1,461 239,136 164 1,794 289,501 161
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
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 11,719,960 6.0 81,230,259 6,971 12,340,835 5.4 116,852,409 9,588 11,179,587 5.3 115,431,744 10,658
United States 11,574,200 6.0 80,769,047 7,019 12,284,510 5.4 116,558,944 9,608 11,136,935 5.3 115,164,858 10,674
New England 563,305 5.8 4,365,878 7,797 661,465 5.3 6,721,080 10,273 600,090 5.3 6,860,333 11,865
Connecticut 125,295 6.2 1,097,034 8,807 165,520 5.6 1,749,223 10,687 145,095 5.8 1,719,003 12,141
Maine 69,740 5.6 434,302 6,239 59,695 5.1 560,261 9,458 54,791 5.1 532,689 10,208
Massachusetts 257,720 5.7 2,035,018 7,952 322,725 5.2 3,232,388 10,133 292,555 5.1 3,409,037 12,106
New Hampshire 46,970 5.6 334,202 7,167 49,645 5.2 500,856 10,165 50,841 5.3 547,340 11,167
Rhode Island 37,325 6.2 276,771 7,449 42,740 5.9 398,337 9,453 35,668 5.5 374,114 11,160
Vermont 26,255 5.7 188,547 7,237 21,140 5.3 280,014 13,391 21,140 5.3 278,150 13,695
Middle Atlantic 1,747,960 7.3 14,864,554 8,569 1,852,945 6.2 18,772,529 10,306 1,559,686 6.1 17,900,020 11,791
New Jersey 380,730 7.5 3,384,886 8,983 423,905 5.9 4,427,211 10,565 377,092 5.8 4,191,214 11,437
New York 750,130 8.2 7,155,309 9,625 828,675 6.7 9,358,190 11,478 688,763 6.7 8,848,694 13,212
Pennsylvania 617,100 6.1 4,324,358 7,036 600,365 5.6 4,987,128 8,494 493,831 5.4 4,860,113 10,084
East North Central 2,118,675 5.7 14,097,236 6,693 2,184,505 5.2 19,845,591 9,196 1,953,635 5.1 19,189,895 10,003
Illinois 580,250 5.7 3,840,706 6,672 624,800 5.2 5,821,547 9,449 583,299 5.1 5,771,072 10,092
Indiana 291,380 5.7 1,796,295 6,198 291,055 5.2 2,607,929 9,037 277,823 5.2 2,623,120 9,611
Michigan 468,095 6.1 3,473,727 7,459 539,100 5.3 5,249,883 9,828 458,852 5.3 4,790,958 10,586
Ohio 538,445 5.6 3,466,013 6,471 536,080 5.1 4,339,817 8,229 457,125 5.0 4,215,516 9,404
Wisconsin 240,505 5.4 1,520,493 6,352 193,470 5.0 1,826,415 9,518 176,536 4.8 1,789,229 10,356
West North Central 925,865 5.4 5,759,187 6,250 839,945 5.0 7,523,433 9,051 777,182 5.0 7,513,844 10,089
Iowa 164,590 5.4 959,210 5,844 123,715 5.1 1,087,128 8,872 116,511 5.0 1,108,526 9,971
Kansas 134,585 5.5 806,523 6,005 116,305 5.1 1,024,304 8,896 109,145 5.1 1,004,967 9,580
Minnesota 193,910 5.0 1,256,854 6,545 178,610 4.6 1,704,060 9,641 167,495 4.7 1,792,426 11,061
Missouri 281,505 5.7 1,810,063 6,460 292,685 5.2 2,503,651 8,647 262,410 5.1 2,398,702 9,568
Nebraska 76,015 5.2 506,171 6,686 71,475 5.1 665,399 9,393 64,247 4.9 629,838 10,170
North Dakota 33,640 5.1 193,994 5,793 24,650 4.9 229,995 9,434 25,293 5.1 255,752 10,894
South Dakota 41,620 5.2 226,370 5,454 32,505 5.0 308,895 9,635 32,081 5.0 323,634 10,600
South Atlantic 2,403,790 6.0 15,911,326 6,655 2,588,625 5.4 24,117,041 9,398 2,434,502 5.3 23,811,102 10,107
Delaware 36,845 6.4 275,714 7,513 44,690 5.8 496,471 11,167 42,483 5.4 481,510 11,620
District of Columbia 26,940 7.9 269,614 10,121 26,585 6.1 325,339 12,556 26,052 6.1 340,741 13,533
Florida 754,145 5.8 5,004,157 6,675 878,690 5.5 7,527,249 8,633 805,716 5.3 7,221,354 9,290
Georgia 320,335 5.8 2,061,225 6,469 322,870 5.4 2,951,001 9,228 303,599 5.3 2,833,550 9,650
Maryland 217,605 5.8 1,773,771 8,190 273,955 5.0 3,231,204 11,916 254,749 5.2 3,278,513 13,209
North Carolina 396,985 6.0 2,467,636 6,251 407,405 5.3 3,893,911 9,654 390,745 5.2 3,888,480 10,292
South Carolina 214,540 6.2 1,390,229 6,504 213,040 5.6 1,987,028 9,403 196,459 5.5 1,916,577 10,075
Virginia 300,785 6.1 1,896,484 6,338 309,110 5.3 2,759,469 8,994 309,558 5.2 2,896,245 9,654
West Virginia 135,610 5.8 772,492 5,724 112,280 5.6 945,370 8,483 105,141 5.3 954,129 9,334
East South Central 1,013,885 5.8 5,704,817 5,652 963,640 5.4 7,786,714 8,149 894,642 5.3 7,635,381 8,807
Alabama 274,470 5.5 1,492,353 5,454 253,420 5.3 1,910,245 7,608 237,685 5.4 1,875,404 8,217
Kentucky 244,210 5.6 1,362,272 5,614 241,895 5.2 2,044,960 8,525 226,789 5.2 2,056,609 9,232
Mississippi 191,685 6.4 1,013,536 5,310 171,515 5.8 1,448,510 8,517 158,506 5.7 1,393,669 9,013
Tennessee 303,520 5.9 1,836,655 6,078 296,810 5.3 2,382,999 8,092 271,662 5.3 2,309,698 8,837
West South Central 1,298,505 5.9 8,215,049 6,357 1,365,910 5.4 12,066,708 8,964 1,274,043 5.3 11,979,419 9,668
Arkansas 163,480 5.9 872,811 5,364 152,555 5.2 1,220,475 8,056 145,651 5.2 1,240,992 8,708
Louisiana 226,020 5.9 1,408,934 6,263 201,110 5.6 1,637,434 8,255 180,704 5.5 1,594,034 9,049
Oklahoma 187,220 5.8 1,069,986 5,730 191,485 5.2 1,599,516 8,438 173,400 5.1 1,553,712 9,211
Texas 721,785 5.9 4,863,318 6,774 820,760 5.4 7,609,283 9,433 774,288 5.3 7,590,681 10,097
Mountain 488,870 5.0 3,196,062 6,569 580,410 4.8 5,406,084 9,449 524,603 4.8 5,540,910 11,021
Arizona 131,325 5.0 866,364 6,642 190,090 4.8 1,803,854 9,680 165,219 4.7 1,766,295 11,201
Colorado 92,655 5.0 625,753 6,788 119,065 4.7 1,070,536 9,052 106,704 4.7 1,110,622 10,716
Idaho 47,780 4.6 290,241 6,102 34,810 4.4 318,622 9,213 33,334 4.5 359,927 11,139
Montana 44,270 4.8 258,894 5,850 31,240 4.7 283,979 9,244 29,817 4.7 296,538 10,621
Nevada 46,945 6.0 349,025 7,473 78,520 5.5 752,101 9,725 71,127 5.7 789,835 11,663
New Mexico 53,130 5.2 327,251 6,196 61,660 5.0 561,743 9,216 54,645 4.9 565,721 10,695
Utah 50,715 4.8 336,745 6,661 47,455 4.4 416,811 8,925 45,928 4.2 438,766 10,089
Wyoming 22,050 5.0 141,785 6,442 17,570 4.6 198,438 11,517 17,829 4.8 213,206 12,489
Pacific 1,013,345 5.8 8,654,933 8,599 1,247,065 5.2 14,319,765 11,677 1,118,552 5.2 14,733,954 13,839
Alaska 12,715 5.8 120,546 9,682 14,650 5.2 212,259 14,792 14,555 5.2 218,453 15,840
California 731,050 6.0 6,543,541 9,015 934,155 5.4 11,046,507 12,052 826,216 5.4 11,355,156 14,526
Hawaii 25,510 8.0 213,726 8,431 26,115 6.6 309,384 12,022 22,416 6.5 293,535 13,667
Oregon 92,985 4.6 624,464 6,741 87,580 4.6 838,918 9,687 78,627 4.5 884,842 11,679
Washington 151,085 4.9 1,152,655 7,672 184,565 4.7 1,912,697 10,449 176,738 4.7 1,981,968 11,527
Outlying areas c 145,760 6.8 461,482 3,187 56,325 7.2 293,464 5,274 42,652 7.3 266,886 6,368
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
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 1,936,127 10,651,274 5,511 2,542,541 27,454,045 10,808 2,509,982 27,632,152 11,019
United States 1,932,134 10,635,515 5,514 2,540,694 27,439,911 10,811 2,508,137 27,617,002 11,021
New England 137,383 849,428 6,194 175,964 1,953,174 11,105 170,169 1,862,245 10,949
Connecticut 34,452 254,218 7,387 48,443 540,283 11,157 45,578 491,618 10,789
Maine 13,391 66,702 4,983 15,774 156,059 9,899 15,399 145,602 9,463
Massachusetts 64,946 389,016 6,003 80,521 905,645 11,254 78,774 872,579 11,084
New Hampshire 10,243 59,904 5,859 14,791 171,224 11,578 14,531 176,565 12,158
Rhode Island 9,452 54,095 5,757 9,947 107,017 10,765 9,368 100,191 10,703
Vermont 4,899 25,492 5,207 6,488 72,946 11,248 6,519 75,690 11,616
Middle Atlantic 290,974 1,937,835 6,677 380,134 4,171,432 10,982 366,732 4,280,055 11,678
New Jersey 68,638 412,488 6,014 113,972 1,280,984 11,243 109,708 1,263,577 11,520
New York 110,292 931,412 8,465 147,187 1,687,582 11,472 142,050 1,836,841 12,941
Pennsylvania 112,044 593,935 5,322 118,975 1,202,866 10,124 114,974 1,179,637 10,269
East North Central 374,369 2,014,281 5,382 481,136 5,126,375 10,669 465,097 5,023,206 10,810
Illinois 104,203 515,307 4,946 147,185 1,559,820 10,603 143,137 1,615,218 11,291
Indiana 59,020 330,466 5,600 69,921 811,368 11,611 68,557 793,276 11,579
Michigan 57,347 374,014 6,526 93,831 995,036 10,646 88,774 925,622 10,435
Ohio 107,475 555,817 5,173 122,318 1,233,107 10,089 118,858 1,192,360 10,048
Wisconsin 46,324 238,678 5,153 47,881 527,044 11,022 45,771 496,731 10,861
West North Central 190,486 756,598 3,973 219,843 2,015,228 9,177 215,096 2,024,099 9,419
Iowa 33,702 110,449 3,277 38,254 319,680 8,368 37,025 329,886 8,915
Kansas 27,334 99,927 3,657 32,862 320,051 9,753 32,144 326,935 10,187
Minnesota 42,888 199,933 4,662 44,978 422,675 9,408 45,641 428,480 9,399
Missouri 50,515 216,975 4,297 62,488 564,750 9,049 60,006 538,461 8,980
Nebraska 18,766 71,141 3,793 22,604 222,826 9,863 22,162 230,742 10,431
North Dakota 7,790 23,998 3,081 8,396 67,273 8,019 8,451 71,537 8,466
South Dakota 9,491 34,175 3,603 10,261 97,973 9,551 9,667 98,057 10,145
South Atlantic 351,271 1,962,427 5,597 501,914 5,359,990 10,685 507,242 5,343,272 10,541
Delaware 4,938 31,158 6,319 9,137 111,129 12,163 9,315 113,230 12,156
District of Columbia 3,745 23,113 6,175 5,216 61,576 11,812 5,383 64,754 12,043
Florida 139,057 813,328 5,866 187,538 2,156,069 11,501 186,300 2,082,462 11,184
Georgia 36,847 195,450 5,309 52,699 528,536 10,039 53,534 540,327 10,104
Maryland 38,562 194,644 5,065 56,562 585,864 10,360 57,173 601,443 10,521
North Carolina 50,008 270,927 5,422 73,593 753,582 10,249 76,817 759,480 9,892
South Carolina 24,069 130,669 5,430 34,373 360,369 10,488 34,603 372,370 10,778
Virginia 36,536 217,418 5,952 64,246 634,720 9,886 65,835 643,341 9,777
West Virginia 17,509 85,720 4,897 18,550 168,144 9,080 18,282 165,864 9,087
East South Central 131,017 665,240 5,081 177,560 1,758,671 9,911 179,340 1,743,138 9,726
Alabama 29,268 164,159 5,614 41,831 371,952 8,899 42,714 366,866 8,597
Kentucky 35,891 167,196 4,659 47,157 450,243 9,552 48,220 445,997 9,257
Mississippi 20,560 95,372 4,648 30,670 332,958 10,865 29,970 334,922 11,182
Tennessee 45,298 238,514 5,267 57,902 603,518 10,428 58,436 595,352 10,192
West South Central 183,161 869,345 4,757 255,317 2,555,424 10,019 249,553 2,630,884 10,564
Arkansas 22,862 83,236 3,644 29,669 245,575 8,289 27,796 242,323 8,725
Louisiana 27,165 120,360 4,433 35,333 346,586 9,814 33,590 347,532 10,352
Oklahoma 26,004 105,867 4,072 31,116 270,167 8,697 31,823 280,013 8,853
Texas 107,130 559,882 5,245 159,199 1,693,097 10,646 156,344 1,761,015 11,283
Mountain 87,157 435,051 5,004 105,187 1,128,681 10,743 106,974 1,160,699 10,868
Arizona 20,256 95,244 4,742 25,381 252,844 9,977 26,171 270,593 10,365
Colorado 18,993 99,687 5,256 26,415 296,144 11,226 26,430 291,760 11,049
Idaho 10,396 50,995 4,909 8,767 92,792 10,593 9,082 93,892 10,377
Montana 9,410 36,201 3,847 8,782 80,925 9,219 8,301 84,289 10,157
Nevada 6,348 37,209 5,867 11,071 143,694 12,991 11,085 142,018 12,846
New Mexico 6,130 31,929 5,213 9,119 94,673 10,405 9,365 98,301 10,510
Utah 11,672 65,662 5,627 11,181 122,528 10,966 12,218 130,955 10,726
Wyoming 3,952 18,123 4,586 4,471 45,080 10,083 4,322 48,891 11,315
Pacific 186,316 1,145,310 6,174 243,639 3,370,936 13,861 247,934 3,549,404 14,330
Alaska 991 6,406 6,477 1,229 20,023 16,305 1,142 18,512 16,210
California 137,485 875,847 6,395 184,255 2,639,123 14,341 187,806 2,791,988 14,877
Hawaii 2,173 14,886 6,898 3,384 44,348 13,608 3,395 46,968 14,092
Oregon 13,964 67,421 4,844 15,143 167,579 11,076 15,669 182,049 11,626
Washington 31,703 180,749 5,742 39,628 499,862 12,634 39,922 509,888 12,785
Outlying areas c 3,993 15,760 3,948 1,847 14,134 7,661 1,845 15,151 8,216
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a
Total
All areas 534,408 25,957,716 2,925,819 5,476 1,163,037 81,654,927 12,950,475 11,175 1,278,344 91,722,973 15,111,133 11,858
United States 529,745 25,646,822 2,903,200 5,482 1,151,358 80,244,133 12,810,641 11,166 1,266,360 90,367,831 14,970,343 11,858
New England 20,642 799,522 104,817 5,078 52,085 3,078,644 537,146 10,338 57,406 3,545,154 638,269 11,153
Connecticut 5,425 197,854 31,872 5,875 11,416 547,732 109,556 9,613 12,936 645,771 132,352 10,267
Maine 1,135 49,657 4,977 4,386 5,564 333,326 52,509 9,456 6,149 382,504 61,853 10,094
Massachusetts 9,906 381,853 47,884 4,834 23,516 1,468,601 251,551 10,733 25,748 1,735,029 308,081 11,996
New Hampshire 1,679 77,363 8,824 5,256 4,809 287,539 46,943 9,782 5,348 327,969 55,859 10,486
Rhode Island 1,758 61,325 7,978 4,538 5,225 356,516 63,315 12,134 5,344 340,942 61,588 11,564
Vermont 739 31,470 3,279 4,438 1,555 84,930 13,272 8,552 1,881 112,939 18,536 9,886
Middle Atlantic 63,096 2,697,689 333,959 5,293 132,722 8,262,583 1,359,530 10,277 143,294 9,026,593 1,539,022 10,774
New Jersey 13,067 560,846 67,535 5,169 30,884 1,965,196 341,688 11,100 32,658 2,120,031 376,322 11,560
New York 23,214 1,008,086 135,580 5,841 41,252 2,232,898 397,994 9,682 45,838 2,519,871 471,771 10,322
Pennsylvania 26,815 1,128,757 130,843 4,880 60,586 4,064,489 619,848 10,262 64,798 4,386,691 690,929 10,698
East North Central 93,025 4,154,816 464,650 4,996 189,675 12,185,738 1,917,277 10,142 211,262 14,043,009 2,272,299 10,787
Illinois 24,067 1,071,673 121,113 5,033 42,648 2,536,817 417,839 9,831 46,994 2,877,389 485,652 10,363
Indiana 9,984 484,813 51,390 5,149 23,846 1,539,234 230,087 9,693 26,760 1,711,903 264,540 9,926
Michigan 22,873 1,017,365 115,791 5,063 43,979 2,708,169 420,647 9,589 48,786 3,119,477 492,389 10,121
Ohio 27,228 1,159,156 132,377 4,863 56,207 3,845,723 606,275 10,827 63,053 4,562,623 741,836 11,797
Wisconsin 8,873 421,809 43,977 4,959 22,995 1,555,795 242,429 10,570 25,669 1,771,617 287,882 11,241
West North Central 36,720 1,748,289 176,312 4,804 85,257 5,548,987 808,443 9,510 92,067 6,115,061 928,717 10,119
Iowa 6,460 298,008 30,383 4,705 16,461 1,013,650 149,409 9,109 17,193 1,069,144 162,583 9,483
Kansas 5,550 267,095 26,068 4,708 12,631 904,768 130,738 10,393 13,084 886,599 133,780 10,262
Minnesota 8,175 402,271 45,222 5,532 17,922 996,562 157,216 8,796 19,906 1,231,810 201,585 10,159
Missouri 11,678 554,407 52,819 4,524 26,845 1,997,507 280,319 10,468 29,515 2,231,004 326,334 11,095
Nebraska 2,982 142,942 13,829 4,638 7,011 398,330 57,620 8,237 7,875 470,769 71,608 9,107
North Dakota 1,023 42,601 4,151 4,058 1,878 107,110 14,088 7,522 1,834 94,480 12,931 7,074
South Dakota 852 40,965 3,838 4,505 2,509 131,060 19,052 7,603 2,660 131,255 19,897 7,491
South Atlantic 112,303 5,663,896 656,729 5,851 253,063 18,723,650 3,067,189 12,164 276,639 20,673,876 3,487,346 12,644
Delaware 1,550 78,705 8,819 5,690 4,928 475,245 77,511 15,764 5,081 438,911 75,409 14,921
District of Columbia 614 29,755 3,866 6,297 1,386 98,035 16,654 12,068 1,587 117,295 20,325 12,839
Florida 56,248 2,819,511 350,229 6,229 103,806 7,594,127 1,359,349 13,129 108,828 7,816,198 1,451,942 13,372
Georgia 13,658 723,558 77,534 5,683 35,789 2,884,282 443,861 12,464 40,778 3,517,295 554,651 13,655
Maryland 7,638 298,523 34,343 4,496 16,135 910,816 149,059 9,279 18,138 1,044,128 179,146 9,902
North Carolina 13,198 717,297 77,961 5,913 36,577 2,600,507 407,364 11,179 40,114 2,890,315 468,523 11,710
South Carolina 6,552 345,769 34,999 5,345 21,965 1,837,036 274,837 12,561 25,516 2,309,686 352,579 13,866
Virginia 9,397 467,386 51,049 5,434 24,066 1,698,135 251,164 10,481 27,229 1,877,178 288,438 10,634
West Virginia 3,448 183,392 17,926 5,199 8,411 625,467 87,390 10,472 9,368 662,870 96,333 10,327
East South Central 32,995 2,126,137 208,855 6,332 77,344 6,108,342 858,930 11,155 84,654 6,630,417 963,821 11,420
Alabama 11,421 838,025 79,080 6,925 25,923 2,396,559 322,869 12,502 27,364 2,520,935 352,375 12,906
Kentucky 8,047 443,176 45,727 5,684 14,392 899,474 135,399 9,451 15,938 950,292 150,274 9,458
Mississippi 5,693 467,035 45,142 7,931 13,571 1,272,552 171,812 12,749 15,326 1,412,932 200,381 13,123
Tennessee 7,834 377,901 38,903 4,971 23,458 1,539,757 228,851 9,792 26,026 1,746,258 260,791 10,055
West South Central 62,010 3,558,642 364,302 5,876 134,916 10,937,925 1,599,793 11,901 147,803 11,937,948 1,818,306 12,345
Arkansas 5,281 323,207 30,097 5,700 12,333 784,841 115,479 9,399 13,668 872,048 133,650 9,806
Louisiana 7,154 350,795 36,690 5,130 18,486 1,546,444 214,631 11,669 21,108 1,714,944 253,912 12,080
Oklahoma 10,423 755,349 69,813 6,699 19,362 1,856,218 247,808 12,862 19,666 1,723,498 243,634 12,442
Texas 39,152 2,129,291 227,700 5,817 84,735 6,750,422 1,021,874 12,096 93,361 7,627,458 1,187,110 12,756
Mountain 38,491 1,806,545 212,559 5,523 84,688 6,581,368 1,063,470 12,607 94,141 7,626,778 1,284,658 13,687
Arizona 15,509 732,768 91,111 5,875 30,880 2,570,440 435,891 14,173 34,025 2,883,415 511,779 15,078
Colorado 8,840 344,737 41,239 4,666 16,793 1,165,872 193,049 11,546 18,510 1,365,092 231,621 12,554
Idaho 1,940 101,328 9,991 5,150 5,766 455,895 63,624 11,082 6,785 589,148 86,610 12,814
Montana 1,405 78,669 7,783 5,540 3,582 226,610 32,146 8,997 4,007 266,932 38,930 9,742
Nevada 3,637 144,309 20,034 6,301 8,950 628,159 114,184 12,801 10,468 884,000 164,823 15,785
New Mexico 3,838 236,349 24,181 5,589 7,910 625,018 93,903 11,906 8,703 675,645 106,059 12,229
Utah 2,805 143,233 15,676 4,914 9,588 838,377 119,927 12,563 10,369 891,850 133,800 12,958
Wyoming 517 25,152 2,540 4,943 1,219 70,997 10,745 8,873 1,274 70,696 11,035 8,689
Pacific 70,463 3,091,286 381,013 5,409 141,608 8,816,896 1,598,863 11,334 159,094 10,768,995 2,037,905 12,853
Alaska 103 4,269 513 4,988 550 29,128 4,808 8,855 682 34,423 6,039 8,920
California 50,116 2,208,522 279,037 5,571 99,267 6,420,966 1,201,190 12,147 112,332 7,998,166 1,559,494 13,927
Hawaii 1,406 56,188 7,626 5,428 3,293 189,763 31,877 9,784 4,227 269,147 47,351 11,298
Oregon 8,915 387,697 42,557 4,773 17,156 987,572 159,935 9,345 18,608 1,096,347 185,593 9,999
Washington 9,923 434,610 51,278 5,168 21,342 1,189,467 201,053 9,457 23,245 1,370,912 239,428 10,344
Outlying areas b 4,663 310,894 22,619 4,851 11,679 1,410,794 139,834 12,034 11,984 1,355,142 140,790 --
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Excludes persons who received covered services for which no program payments were reported.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2013
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
2009 974,680 99.2
2010 973,767 99.3
2011 972,115 99.4
2012 1,003,161 99.4
2013 994,579 99.5
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2013
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
2009 867,878 93.0 291,065 59.3
2010 872,278 93.7 301,388 59.6
2011 876,669 94.5 312,931 60.0
2012 893,971 94.9 334,509 61.3
2013 885,587 94.8 336,488 62.5
  Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
2009 6,677 88.0 746 19.1
2010 5,905 86.4 669 18.7
2011 5,429 86.5 640 19.9
2012 4,981 86.9 602 20.6
2013 4,595 86.6 553 21.0
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
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 1,247,483 66,911,902 51,456,747 1,857,482 122,904,370 95,036,813 1,873,755 127,751,223 99,597,040
United States 1,229,583 66,047,753 50,790,939 1,850,800 122,520,394 94,740,428 1,868,137 127,417,285 99,337,369
New England 60,701 3,357,803 2,562,793 90,342 6,068,287 4,647,351 93,863 6,322,355 4,894,526
Connecticut 16,024 908,981 696,770 25,105 1,762,062 1,363,383 24,048 1,712,098 1,332,425
Maine 6,725 357,616 272,731 8,115 531,761 403,024 8,794 581,358 447,836
Massachusetts 26,099 1,464,973 1,117,345 40,600 2,691,594 2,061,972 42,339 2,878,174 2,227,501
New Hampshire 5,018 264,412 200,026 7,164 490,694 372,749 7,506 553,524 425,487
Rhode Island 4,512 227,420 175,093 5,949 371,097 279,266 6,128 371,958 288,889
Vermont 2,323 134,403 100,828 3,408 221,079 166,957 5,047 225,243 172,387
Middle Atlantic 198,796 11,114,019 8,582,935 278,006 18,392,020 14,290,928 277,973 18,961,459 14,838,627
New Jersey 46,582 2,706,642 2,098,689 77,068 5,247,082 4,095,126 78,165 5,433,880 4,270,780
New York 94,073 5,222,652 4,031,686 129,814 8,334,346 6,484,647 129,143 8,540,957 6,695,852
Pennsylvania 58,141 3,184,725 2,452,560 71,123 4,810,591 3,711,155 70,666 4,986,622 3,871,995
East North Central 202,748 10,835,911 8,301,058 287,975 19,244,169 14,818,771 286,675 19,344,771 15,005,817
Illinois 50,279 2,722,188 2,087,286 84,529 5,712,273 4,407,437 85,696 6,030,082 4,682,251
Indiana 27,376 1,418,457 1,079,378 38,589 2,574,392 1,976,913 38,823 2,667,128 2,064,224
Michigan 50,326 2,823,614 2,173,760 73,788 5,111,720 3,945,939 75,465 4,799,154 3,735,839
Ohio 50,755 2,722,161 2,085,982 63,723 4,172,156 3,207,844 60,489 4,149,644 3,215,321
Wisconsin 24,012 1,149,491 874,652 27,345 1,673,628 1,280,638 26,203 1,698,763 1,308,182
West North Central 86,209 4,213,384 3,209,083 112,402 7,191,572 5,514,064 110,010 7,334,735 5,674,457
Iowa 15,717 732,727 556,426 18,674 1,171,379 892,862 18,619 1,229,303 947,974
Kansas 13,030 671,147 514,252 18,373 1,191,468 917,373 17,981 1,214,464 942,591
Minnesota 16,548 798,015 603,082 17,699 1,167,440 888,449 16,679 1,157,291 889,910
Missouri 25,365 1,300,857 996,024 37,499 2,423,369 1,867,892 37,019 2,441,752 1,895,974
Nebraska 8,226 388,700 294,564 11,311 705,570 540,950 11,396 743,729 575,184
North Dakota 3,349 149,240 113,542 3,695 230,791 175,728 3,486 236,575 181,920
South Dakota 3,974 172,698 131,194 5,151 301,554 230,810 4,829 311,621 240,905
South Atlantic 270,430 14,646,480 11,291,572 427,892 28,325,952 21,962,008 435,837 29,960,397 23,420,886
Delaware 4,302 244,628 188,488 7,790 525,941 406,709 8,294 585,932 457,118
District of Columbia 2,346 136,917 105,493 3,045 221,389 171,953 3,191 241,716 188,494
Florida 105,141 6,100,419 4,747,090 163,215 11,277,264 8,814,204 159,810 11,576,807 9,118,543
Georgia 32,915 1,725,056 1,323,041 53,084 3,430,248 2,645,020 55,990 3,718,057 2,900,377
Maryland 22,693 1,316,285 1,014,698 37,456 2,620,309 2,026,685 39,772 2,940,404 2,293,335
North Carolina 40,027 1,960,603 1,494,488 66,319 4,077,609 3,146,266 67,292 4,252,260 3,306,476
South Carolina 21,862 1,117,181 855,190 36,709 2,322,800 1,793,745 38,069 2,437,748 1,896,169
Virginia 30,380 1,517,689 1,159,960 46,816 3,006,778 2,309,542 49,493 3,331,853 2,583,006
West Virginia 10,764 527,703 403,124 13,458 843,712 647,884 13,928 875,620 677,369
East South Central 91,596 4,658,756 3,566,213 139,839 8,515,736 6,571,022 145,002 8,893,983 6,935,660
Alabama 24,361 1,286,579 988,420 36,838 2,301,906 1,776,842 38,815 2,481,502 1,931,793
Kentucky 22,036 1,062,201 812,037 33,228 1,987,997 1,534,928 35,350 2,104,192 1,645,803
Mississippi 14,913 776,595 595,267 23,443 1,460,566 1,127,163 23,405 1,459,386 1,136,096
Tennessee 30,286 1,533,381 1,170,489 46,330 2,765,268 2,132,088 47,432 2,848,904 2,221,969
West South Central 134,444 6,928,068 5,349,132 215,132 13,860,057 10,739,604 212,870 14,056,462 10,975,420
Arkansas 15,708 781,724 599,631 22,596 1,367,704 1,052,012 23,036 1,432,013 1,113,255
Louisiana 19,622 1,058,214 816,817 26,474 1,761,717 1,359,082 26,864 1,767,585 1,375,875
Oklahoma 15,874 845,762 649,096 24,679 1,567,436 1,205,579 24,279 1,569,599 1,215,570
Texas 83,240 4,242,368 3,283,588 141,384 9,163,200 7,122,931 138,691 9,287,266 7,270,720
Mountain 53,859 2,986,527 2,286,851 91,082 6,347,128 4,884,471 95,810 7,029,552 5,463,521
Arizona 16,122 897,890 694,194 31,452 2,147,165 1,663,698 33,967 2,438,423 1,907,013
Colorado 10,021 545,066 417,340 17,972 1,261,635 973,064 18,624 1,406,592 1,095,168
Idaho 4,382 232,051 176,337 5,830 376,496 286,461 5,882 390,811 301,450
Montana 3,944 219,874 167,290 4,808 333,334 254,196 4,763 342,560 263,863
Nevada 6,605 374,374 287,238 12,490 905,576 698,618 13,444 1,018,758 791,075
New Mexico 5,218 293,417 224,310 8,385 605,263 463,282 8,547 638,874 494,973
Utah 5,657 320,886 241,885 7,412 524,507 398,090 7,674 570,524 438,216
Wyoming 1,910 102,968 78,257 2,734 193,153 147,061 2,909 223,009 171,762
Pacific 130,801 7,306,805 5,641,301 208,133 14,575,473 11,312,207 210,098 15,513,569 12,128,453
Alaska 964 60,128 45,822 1,912 166,074 126,829 2,017 179,004 137,699
California 99,393 5,621,663 4,358,871 159,288 11,263,051 8,777,446 161,186 11,934,151 9,362,441
Hawaii 3,642 180,404 134,791 4,721 278,269 209,164 4,346 276,046 209,937
Oregon 9,002 487,346 371,215 12,797 895,534 683,514 13,404 1,007,715 779,201
Washington 17,800 957,265 730,602 29,416 1,972,544 1,515,255 29,146 2,116,653 1,639,174
Outlying areas a 17,900 864,149 665,808 6,681 383,976 296,385 5,618 333,938 259,672
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 2000–2012
Census division and state or area 2000 2010 2012
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 21,537 16,732 24,222 46,662 25,186 55,278
United States 21,355 16,620 24,159 46,515 25,128 55,140
New England 1,237 937 1,513 2,987 1,597 3,655
Connecticut 274 225 316 591 324 720
Maine 168 117 193 391 197 466
Massachusetts 525 410 666 1,308 717 1,638
New Hampshire 120 79 163 349 179 449
Rhode Island 77 55 82 142 85 158
Vermont 74 52 93 205 96 223
Middle Atlantic 3,055 2,511 2,927 5,388 3,027 6,440
New Jersey 590 519 651 1,347 676 1,578
New York 1,348 1,249 1,222 2,251 1,247 2,657
Pennsylvania 1,118 743 1,054 1,790 1,104 2,205
East North Central 4,142 3,034 4,472 8,340 4,504 9,546
Illinois 1,015 725 1,250 2,268 1,308 2,709
Indiana 587 400 643 1,187 662 1,383
Michigan 1,003 807 1,128 2,096 1,053 2,236
Ohio 1,037 755 972 1,851 987 2,099
Wisconsin 500 348 479 938 495 1,120
West North Central 1,888 1,317 2,047 4,098 2,149 4,917
Iowa 366 254 366 716 374 841
Kansas 261 187 273 576 279 634
Minnesota 420 254 443 856 480 1,061
Missouri 520 384 605 1,195 629 1,431
Nebraska 174 130 189 396 194 468
North Dakota 69 48 82 169 91 226
South Dakota 77 60 88 190 101 254
South Atlantic 4,244 3,383 4,911 9,630 5,126 11,245
Delaware 68 57 99 177 110 221
District of Columbia 38 54 42 115 44 132
Florida 1,285 932 1,451 2,713 1,460 2,945
Georgia 571 465 679 1,335 714 1,531
Maryland 324 459 402 1,210 425 1,618
North Carolina 720 543 843 1,658 902 1,920
South Carolina 404 282 485 851 513 1,000
Virginia 590 426 671 1,148 711 1,401
West Virginia 245 164 239 423 247 477
East South Central 1,635 1,102 1,837 3,224 1,923 3,929
Alabama 424 261 482 776 510 987
Kentucky 399 228 477 830 501 1,009
Mississippi 292 254 334 707 348 805
Tennessee 520 360 543 911 564 1,127
West South Central 2,107 1,848 2,567 5,295 2,673 6,133
Arkansas 267 180 307 513 324 639
Louisiana 339 360 377 877 395 954
Oklahoma 294 210 360 596 380 777
Texas 1,206 1,098 1,523 3,309 1,574 3,763
Mountain 1,047 768 1,295 2,377 1,393 2,975
Arizona 233 169 311 584 338 745
Colorado 217 178 288 530 318 648
Idaho 108 74 120 235 130 274
Montana 101 64 113 221 124 295
Nevada 75 62 120 223 129 284
New Mexico 125 97 159 269 162 325
Utah 146 91 128 220 133 274
Wyoming 43 33 56 96 58 130
Pacific 2,000 1,720 2,589 5,177 2,736 6,301
Alaska 26 29 41 91 45 115
California 1,346 1,200 1,761 3,596 1,852 4,398
Hawaii 58 44 63 123 61 145
Oregon 225 143 246 439 271 535
Washington 345 303 478 928 506 1,107
Outlying areas a 182 112 64 146 57 138
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2014
State or area 1991 1995 2000 2005 2010 2013 2014
All areas 3,640,121 4,705,625 5,425,048 6,577,577 7,703,292 8,721,791 8,978,694
Alabama 97,601 116,916 136,860 169,460 179,668 196,961 200,756
Alaska 4,539 6,193 8,486 10,748 12,908 14,983 14,844
Arizona 28,650 44,236 57,712 110,977 140,079 164,815 170,894
Arkansas 64,996 77,660 79,606 89,372 106,343 117,936 120,281
California 646,108 747,814 818,846 1,012,804 1,103,853 1,206,643 1,263,526
Colorado 36,470 46,660 55,325 61,294 79,980 94,090 97,896
Connecticut 23,535 48,047 53,141 66,191 94,154 139,914 144,377
Delaware 4,499 6,645 10,737 17,104 22,060 25,115 26,082
District of Columbia 12,791 14,152 14,233 15,246 20,102 27,490 28,516
Florida 196,992 271,430 342,109 431,764 553,625 694,070 718,337
Georgia 128,976 160,380 176,596 205,476 233,528 274,183 279,844
Hawaii 11,529 16,695 20,326 23,703 28,864 32,860 36,184
Idaho 9,127 12,931 17,081 23,482 28,945 35,684 38,563
Illinois 94,434 137,571 155,743 206,014 255,529 296,125 303,665
Indiana 60,297 76,460 87,543 109,669 133,816 155,280 159,446
Iowa 41,170 48,517 51,976 60,458 72,562 79,189 80,517
Kansas 26,960 34,708 41,217 47,707 56,096 62,477 64,708
Kentucky 76,456 97,978 117,697 126,468 148,188 161,091 160,891
Louisiana 87,570 112,090 117,179 139,802 158,370 178,794 182,984
Maine 22,176 29,453 36,946 46,510 84,602 86,468 83,912
Maryland 48,028 58,865 65,372 79,234 98,268 116,441 123,414
Massachusetts 89,163 125,859 152,587 178,691 199,370 227,200 233,600
Michigan 91,340 123,948 145,172 170,044 205,521 231,471 237,419
Minnesota 39,366 52,192 63,607 79,428 91,630 100,537 101,800
Mississippi 90,530 108,577 107,495 135,023 136,915 149,108 154,193
Missouri 55,116 72,659 88,343 109,561 126,577 132,838 132,534
Montana 10,058 11,031 12,828 14,455 17,587 20,693 21,508
Nebraska 11,358 16,146 20,520 24,210 34,020 35,090 34,273
Nevada 8,657 14,227 19,155 27,408 35,035 44,078 48,305
New Hampshire 3,807 5,405 7,434 11,584 17,381 21,119 22,138
New Jersey 95,795 122,923 146,705 159,110 179,273 188,325 192,654
New Mexico 22,246 29,855 37,330 49,333 62,640 69,932 69,479
New York 255,952 325,882 369,479 465,068 531,060 598,880 615,302
North Carolina 117,656 186,328 223,402 251,739 278,325 299,034 311,452
North Dakota 4,639 5,560 5,908 6,757 8,464 8,838 8,911
Ohio 112,598 164,044 171,139 204,905 273,167 306,287 317,394
Oklahoma 51,457 60,080 67,413 75,903 86,586 93,763 95,866
Oregon 28,537 43,642 59,169 70,927 87,068 98,673 104,964
Pennsylvania 127,519 162,788 206,468 242,552 295,984 341,224 350,452
Rhode Island 10,585 15,517 19,787 26,311 28,782 30,130 31,269
South Carolina 78,701 95,970 112,232 118,843 129,489 140,243 142,921
South Dakota 9,399 12,346 13,146 14,534 16,148 17,181 17,350
Tennessee 116,861 148,391 182,342 218,894 215,868 238,634 241,314
Texas 234,169 314,991 360,191 440,938 514,153 584,022 592,555
Utah 10,263 13,506 16,231 21,787 27,064 33,272 32,948
Vermont 8,223 12,428 13,754 15,509 22,798 24,363 24,511
Virginia 77,898 102,964 113,259 131,083 155,647 171,565 172,576
Washington 54,774 71,531 97,390 113,233 143,398 163,594 170,468
West Virginia 28,086 39,720 46,305 54,200 65,324 69,371 75,418
Wisconsin 67,516 75,247 74,101 83,383 96,201 110,156 113,606
Wyoming 3,505 5,265 6,444 7,749 9,087 10,110 10,407
Outlying areas
Guam 443 669 417 409 693 913 933
Northern Mariana Islands 273 314 342 358 394 419 422
U.S. Virgin Islands 727 219 204 165 103 119 115
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2012
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 37,491,927 31,867,254 19,915,131 11,952,123 5,624,673
United States 36,926,367 31,324,304 19,866,428 11,457,876 5,602,063
New England 1,907,320 1,571,097 1,136,374 434,723 336,223
Connecticut 459,125 379,469 258,023 121,446 79,656
Maine 201,405 183,798 141,711 42,087 17,607
Massachusetts 858,804 680,550 489,857 190,693 178,254
New Hampshire 156,789 121,887 112,424 9,463 34,902
Rhode Island 143,837 134,171 69,544 64,627 9,666
Vermont 87,360 71,222 64,815 6,407 16,138
Middle Atlantic 5,402,295 4,485,522 2,584,669 1,900,853 916,773
New Jersey 1,055,167 891,363 714,255 177,108 163,804
New York 2,506,943 2,006,250 1,051,707 954,543 500,693
Pennsylvania 1,840,185 1,587,909 818,707 769,202 252,276
East North Central 5,925,750 4,725,103 3,428,478 1,296,625 1,200,647
Illinois 1,450,937 1,122,111 962,037 160,074 328,826
Indiana 808,044 657,603 480,796 176,807 150,441
Michigan 1,399,011 1,006,266 748,551 257,715 392,745
Ohio 1,582,892 1,353,287 886,300 466,987 229,605
Wisconsin 684,866 585,836 350,794 235,042 99,030
West North Central 2,554,481 2,298,625 1,646,085 652,540 255,856
Iowa 413,892 371,793 308,535 63,258 42,099
Kansas 316,802 289,724 239,452 50,272 27,078
Minnesota 645,077 588,731 329,012 259,719 56,346
Missouri 788,236 686,470 454,406 232,064 101,766
Nebraska 211,095 191,753 161,073 30,680 19,342
North Dakota 81,072 77,303 71,630 5,673 3,769
South Dakota 98,307 92,851 81,977 10,874 5,456
South Atlantic 7,250,481 6,118,642 3,901,829 2,216,813 1,131,839
Delaware 120,878 85,241 77,752 7,489 35,637
District of Columbia 46,895 42,655 34,635 8,020 4,240
Florida 2,720,580 2,356,001 1,180,188 1,175,813 364,579
Georgia 963,388 850,767 546,502 304,265 112,621
Maryland 529,008 396,642 331,670 64,972 132,366
North Carolina 1,203,705 985,623 709,236 276,387 218,082
South Carolina 597,500 476,626 335,973 140,653 120,874
Virginia 774,300 672,996 511,087 161,909 101,304
West Virginia 294,227 252,091 174,786 77,305 42,136
East South Central 2,468,893 2,166,271 1,536,194 630,077 302,622
Alabama 651,783 521,661 335,718 185,943 130,122
Kentucky 600,125 542,354 444,909 97,445 57,771
Mississippi 370,521 347,600 293,743 53,857 22,921
Tennessee 846,464 754,656 461,824 292,832 91,808
West South Central 3,697,892 3,112,522 2,129,606 982,916 585,370
Arkansas 390,893 350,100 267,592 82,508 40,793
Louisiana 550,935 491,194 313,639 177,555 59,741
Oklahoma 424,669 385,859 297,900 87,959 38,810
Texas 2,331,395 1,885,369 1,250,475 634,894 446,026
Mountain 2,283,700 1,999,761 1,037,147 962,614 283,939
Arizona 736,553 643,513 286,830 356,683 93,040
Colorado 491,225 416,716 202,558 214,158 74,509
Idaho 170,262 151,344 89,159 62,185 18,918
Montana 118,016 106,258 82,206 24,052 11,758
Nevada 269,835 233,332 113,184 120,148 36,503
New Mexico 235,307 216,155 127,738 88,417 19,152
Utah 209,017 184,513 91,225 93,288 24,504
Wyoming 53,485 47,930 44,247 3,683 5,555
Pacific 5,435,555 4,846,761 2,466,046 2,380,715 588,794
Alaska 46,304 28,402 27,953 449 17,902
California 4,015,453 3,603,181 1,806,132 1,797,049 412,272
Hawaii 156,900 149,714 57,167 92,547 7,186
Oregon 486,500 449,662 207,829 241,833 36,838
Washington 730,398 615,802 366,965 248,837 114,596
Outlying areas b 565,560 542,950 48,703 494,247 22,610
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2012
Census division and state or area Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDSc Other creditable coverage d (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low- income subsidy a Partial low-income subsidy b No low- income subsidy
Total
All areas 50,828,609 31,867,254 10,754,817 409,626 20,702,811 5,624,673 5,660,787 7,675,895
United States 49,682,146 31,324,304 10,737,270 409,259 20,177,775 5,602,063 5,599,537 7,156,242
New England 2,554,653 1,571,097 638,472 14,309 918,316 336,223 283,773 363,560
Connecticut 595,294 379,469 150,263 762 228,444 79,656 63,077 73,092
Maine 281,968 183,798 97,674 289 85,835 17,607 32,706 47,857
Massachusetts 1,125,661 680,550 278,759 8,234 393,557 178,254 116,288 150,569
New Hampshire 240,551 121,887 38,601 1,950 81,336 34,902 34,022 49,740
Rhode Island 191,420 134,171 43,897 1,932 88,342 9,666 22,460 25,123
Vermont 119,759 71,222 29,278 1,142 40,802 16,138 15,220 17,179
Middle Atlantic 6,920,658 4,485,522 1,534,764 58,596 2,892,162 916,773 616,578 901,785
New Jersey 1,397,532 891,363 243,890 12,678 634,795 163,804 122,148 220,217
New York 3,138,042 2,006,250 837,570 21,382 1,147,298 500,693 258,551 372,548
Pennsylvania 2,385,084 1,587,909 453,304 24,536 1,110,069 252,276 235,879 309,020
East North Central 7,723,187 4,725,103 1,436,337 57,899 3,230,867 1,200,647 719,100 1,078,337
Illinois 1,934,703 1,122,111 384,422 15,464 722,225 328,826 191,509 292,257
Indiana 1,064,511 657,603 196,329 9,721 451,553 150,441 109,560 146,907
Michigan 1,754,367 1,006,266 319,215 13,420 673,631 392,745 135,766 219,590
Ohio 2,003,455 1,353,287 370,795 15,856 966,636 229,605 179,819 240,744
Wisconsin 966,151 585,836 165,576 3,438 416,822 99,030 102,446 178,839
West North Central 3,432,657 2,298,625 602,739 26,095 1,669,791 255,856 417,713 460,463
Iowa 537,430 371,793 87,720 3,684 280,389 42,099 60,890 62,648
Kansas 453,927 289,724 74,383 3,755 211,586 27,078 62,468 74,657
Minnesota 836,205 588,731 142,714 5,099 440,918 56,346 96,675 94,453
Missouri 1,058,418 686,470 212,596 9,649 464,225 101,766 120,891 149,291
Nebraska 291,333 191,753 45,778 2,020 143,955 19,342 40,797 39,441
North Dakota 112,330 77,303 17,485 847 58,971 3,769 13,048 18,210
South Dakota 143,014 92,851 22,063 1,041 69,747 5,456 22,944 21,763
South Atlantic 10,128,134 6,118,642 2,139,465 93,413 3,885,764 1,131,839 1,292,064 1,585,589
Delaware 161,422 85,241 27,739 1,323 56,179 35,637 18,610 21,934
District of Columbia 82,493 42,655 28,292 185 14,178 4,240 8,784 26,814
Florida 3,621,057 2,356,001 753,922 24,846 1,577,233 364,579 425,202 475,275
Georgia 1,350,944 850,767 331,569 14,126 505,072 112,621 176,257 211,299
Maryland 844,862 396,642 141,369 6,265 249,008 132,366 109,207 206,647
North Carolina 1,604,085 985,623 362,726 19,918 602,979 218,082 184,933 215,447
South Carolina 839,989 476,626 182,982 10,569 283,075 120,874 121,581 120,908
Virginia 1,226,577 672,996 218,158 11,401 443,437 101,304 199,583 252,694
West Virginia 396,705 252,091 92,708 4,780 154,603 42,136 47,907 54,571
East South Central 3,357,086 2,166,271 896,531 42,787 1,226,953 302,622 414,296 473,897
Alabama 896,274 521,661 233,250 11,373 277,038 130,122 119,429 125,062
Kentucky 804,245 542,354 206,425 10,449 325,480 57,771 90,427 113,693
Mississippi 523,625 347,600 169,566 5,389 172,645 22,921 70,846 82,258
Tennessee 1,132,942 754,656 287,290 15,576 451,790 91,808 133,594 152,884
West South Central 5,179,893 3,112,522 1,256,069 52,941 1,803,512 585,370 667,383 814,618
Arkansas 558,620 350,100 141,502 7,009 201,589 40,793 82,401 85,326
Louisiana 729,271 491,194 207,103 7,509 276,582 59,741 73,735 104,601
Oklahoma 635,525 385,859 131,579 6,144 248,136 38,810 92,344 118,512
Texas 3,256,477 1,885,369 775,885 32,279 1,077,205 446,026 418,903 506,179
Mountain 3,252,459 1,999,761 548,411 24,748 1,426,602 283,939 447,510 521,249
Arizona 1,009,292 643,513 182,099 7,144 454,270 93,040 129,650 143,089
Colorado 688,283 416,716 107,677 4,788 304,251 74,509 93,292 103,766
Idaho 249,626 151,344 40,912 2,105 108,327 18,918 35,704 43,660
Montana 181,710 106,258 28,166 2,030 76,062 11,758 27,211 36,483
Nevada 394,066 233,332 59,749 3,520 170,063 36,503 59,968 64,263
New Mexico 336,413 216,155 77,164 2,652 136,339 19,152 45,061 56,045
Utah 307,361 184,513 40,789 1,944 141,780 24,504 41,868 56,476
Wyoming 85,708 47,930 11,855 565 35,510 5,555 14,756 17,467
Pacific 7,133,419 4,846,761 1,684,482 38,471 3,123,808 588,794 741,120 956,744
Alaska 72,898 28,402 16,586 248 11,568 17,902 11,530 15,064
California 5,111,208 3,603,181 1,329,763 25,462 2,247,956 412,272 472,615 623,140
Hawaii 221,514 149,714 39,625 1,237 108,852 7,186 28,272 36,342
Oregon 671,822 449,662 114,174 5,160 330,328 36,838 81,509 103,813
Washington 1,055,977 615,802 184,334 6,364 425,104 114,596 147,194 178,385
Outlying areas e 1,146,463 542,950 17,547 367 525,036 22,610 61,250 519,653
SOURCE: Centers for Medicare & Medicaid Services.
a. 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.
b. 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.
c. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
d. 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.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.