Annual Statistical Supplement, 2010

 

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 1990–2008
Type of coverage and service 1990 1995 2000 2005 2007 2008
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 44,263 45,412
Hospital Insurance 33,719 37,135 39,211 42,129 43,910 45,067
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 41,109 42,020
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,490 35,320
Hospital Insurance -- -- 32,329 36,318 35,141 34,982
Supplementary Medical Insurance -- -- 30,478 33,916 32,338 31,929
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 32,406 32,059
Hospital Insurance 7,036 8,036 7,325 8,307 7,952 7,843
Inpatient hospital 6,543 6,964 6,917 7,710 7,254 7,097
Skilled nursing services 638 1,233 1,468 1,847 1,828 1,841
Home health services b 1,936 3,427 1,444 1,752 1,705 1,705
Hospice services -- -- 541 871 995 1,048
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 32,040 31,663
Physicians' and other medical services 26,350 26,539 28,763 32,709 31,481 31,114
Outpatient services 15,511 19,709 21,029 24,423 23,587 23,323
Home health services b 38 41 1,190 1,370 1,553 1,614
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 913 908
Hospital Insurance 209 216 227 229 226 224
Inpatient hospital 194 188 214 212 206 203
Skilled nursing services 19 33 45 51 52 53
Home health services b 57 92 45 48 49 49
Hospice services -- -- 17 24 28 30
Supplementary Medical Insurance 826 848 962 979 991 992
Physicians' and other medical services 808 744 944 964 974 974
Outpatient services 475 552 690 720 729 730
Home health services b 1 1 39 40 48 51
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 288,504 301,136
Hospital Insurance 62,347 101,835 101,663 149,392 155,785 162,370
Inpatient hospital 56,716 78,944 85,197 116,647 116,922 120,251
Skilled nursing services 1,971 7,799 10,621 18,964 22,261 24,360
Home health services  b 3,660 15,092 2,918 5,916 6,275 6,629
Hospice services -- -- 2,927 7,864 10,327 11,130
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 132,719 138,766
Physicians' and other medical services 30,222 41,617 51,474 83,838 85,694 88,155
Outpatient services 8,773 15,328 16,787 33,931 37,560 40,140
Home health services b 78 200 4,338 6,982 9,465 10,472
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 8,903 9,393
Hospital Insurance 8,862 12,672 13,878 17,984 19,592 20,704
Inpatient hospital 8,668 11,336 12,318 15,130 16,118 16,945
Skilled nursing services 3,092 6,325 7,235 10,267 12,176 13,231
Home health services b 1,890 4,403 2,021 3,377 3,680 3,889
Hospice services -- -- 5,409 9,027 10,378 10,620
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,142 4,383
Physicians' and other medical services 1,147 1,409 1,709 2,563 2,722 2,833
Outpatient services 566 778 798 1,389 1,592 1,721
Home health services b 2,031 4,837 3,644 5,098 6,095 6,487
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 8,129 8,526
Hospital Insurance 1,849 2,742 3,145 4,113 4,433 4,642
Inpatient hospital 1,682 2,126 2,635 3,212 3,327 3,438
Skilled nursing services 58 210 329 522 633 696
Home health services b 109 406 90 163 179 189
Hospice services -- -- 91 217 294 318
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,104 4,346
Physicians' and other medical services 926 1,166 1,689 2,472 2,650 2,761
Outpatient services 269 430 551 1,000 1,162 1,257
Home health services  b 2 6 142 206 293 328
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2008
Type of coverage and service 1990 1995 2000 2005 2007 2008
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 36,966 37,896
Hospital Insurance 30,464 32,742 33,841 35,407 36,613 37,552
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 34,656 35,364
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 29,172 28,961
Hospital Insurance -- -- 27,422 30,033 28,824 28,624
Supplementary Medical Insurance -- -- 26,174 28,402 26,864 26,430
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,874 26,500
Hospital Insurance 6,367 7,147 6,361 7,016 6,664 6,559
Inpatient hospital 5,906 6,148 5,975 6,455 6,009 5,858
Skilled nursing services 615 1,186 1,390 1,719 1,692 1,703
Home health services b 1,818 3,185 1,325 1,574 1,518 1,514
Hospice services -- -- 514 825 941 995
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 26,569 26,161
Physicians' and other medical services 24,193 26,621 24,846 27,468 26,177 25,779
Outpatient services 14,055 17,597 18,159 20,436 19,523 19,197
Home health services b 38 42 1,081 1,214 1,365 1,409
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 921 915
Hospital Insurance 209 218 232 234 231 229
Inpatient hospital 194 188 218 215 208 205
Skilled nursing services 21 36 51 57 59 59
Home health services b 60 97 48 52 53 53
Hospice services -- -- 19 27 33 35
Supplementary Medical Insurance 832 858 965 979 989 990
Physicians' and other medical services 815 839 949 967 974 975
Outpatient services 474 554 694 720 727 726
Home health services b 1 1 41 43 51 53
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 237,806 247,118
Hospital Insurance 54,244 89,631 87,549 125,993 130,478 135,473
Inpatient hospital 48,952 68,213 72,041 95,557 94,442 96,462
Skilled nursing services 1,886 7,504 10,066 17,666 20,628 22,519
Home health services  b 3,406 13,914 2,679 5,333 5,621 5,927
Hospice services -- -- 2,763 7,436 9,786 10,565
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 107,329 111,646
Physicians' and other medical services 27,379 37,069 44,506 70,111 71,349 72,967
Outpatient services 7,077 12,045 12,588 25,385 27,779 29,659
Home health services b 78 203 3,845 6,106 8,201 9,020
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 8,849 9,326
Hospital Insurance 8,520 12,542 13,763 17,958 19,580 20,656
Inpatient hospital 8,289 11,096 12,057 14,804 15,716 16,468
Skilled nursing services 3,068 6,325 7,242 10,277 12,190 13,223
Home health services b 1,874 4,368 2,022 3,388 3,702 3,914
Hospice services -- -- 5,375 9,015 10,398 10,623
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,040 4,268
Physicians' and other medical services 1,132 1,392 1,791 2,552 2,726 2,831
Outpatient services 503 684 693 1,242 1,423 1,545
Home health services b 2,033 4,862 3,557 5,030 6,009 6,401
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 8,152 8,533
Hospital Insurance 1,781 2,738 3,193 4,195 4,527 4,733
Inpatient hospital 1,607 2,083 2,627 3,182 3,277 3,370
Skilled nursing services 62 229 367 588 716 787
Home health services b 112 425 98 178 195 207
Hospice services -- -- 101 248 340 369
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 3,995 4,224
Physicians' and other medical services 922 1,168 1,700 2,469 2,656 2,761
Outpatient services 238 379 481 894 1,034 1,122
Home health services  b 3 6 147 215 305 341
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2008
Type of coverage and service 1990 1995 2000 2005 2007 2008
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 7,297 7,516
Hospital Insurance 3,255 4,393 5,370 6,722 7,297 7,515
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 6,453 6,655
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,318 6,359
Hospital Insurance -- -- 4,907 6,285 6,317 6,358
Supplementary Medical Insurance -- -- 4,304 5,514 5,474 5,498
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,531 5,560
Hospital Insurance 680 933 964 1,291 1,288 1,284
Inpatient hospital 644 844 942 1,255 1,245 1,239
Skilled nursing services 23 54 78 128 136 138
Home health services b 122 272 119 178 187 191
Hospice services -- -- 27 46 54 54
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,471 5,502
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,305 5,335
Outpatient services 1,496 2,281 2,870 3,987 4,064 4,126
Home health services b c c 110 156 188 205
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 875 874
Hospital Insurance 209 212 196 205 204 202
Inpatient hospital 198 192 192 200 197 195
Skilled nursing services 7 12 16 20 22 22
Home health services b 38 62 24 28 30 30
Hospice services -- -- 6 7 9 8
Supplementary Medical Insurance 804 837 943 976 999 1,001
Physicians' and other medical services 764 808 910 950 969 970
Outpatient services 508 579 667 723 742 750
Home health services b c c 26 28 34 37
Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 50,697 54,018
Hospital Insurance 6,694 12,752 14,114 23,399 25,307 26,897
Inpatient hospital 6,346 11,079 13,156 21,091 22,479 23,788
Skilled nursing services 85 374 555 1,297 1,633 1,841
Home health services b 264 1,300 239 583 653 703
Hospice services -- -- 164 428 541 566
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 25,390 27,121
Physicians' and other medical services 2,831 4,888 6,968 13,727 14,345 15,187
Outpatient services 1,714 3,384 4,198 8,547 9,782 10,481
Home health services b c c 493 877 1,264 1,452
Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 9,166 9,717
Hospital Insurance 9,847 13,666 14,641 18,124 19,651 20,950
Inpatient hospital 9,849 13,126 13,966 16,808 18,058 19,201
Skilled nursing services 3,702 6,959 7,115 10,127 11,999 13,328
Home health services b 2,156 4,777 2,008 3,280 3,495 3,686
Hospice services -- -- 6,074 9,223 10,036 10,561
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 4,641 4,929
Physicians' and other medical services 1,259 1,535 1,779 2,619 2,704 2,847
Outpatient services 1,146 1,483 1,463 2,144 2,407 2,540
Home health services b c c 4,482 5,631 6,720 7,084
Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 8,024 8,495
Hospital Insurance 2,057 2,903 2,876 3,723 4,006 4,230
Inpatient hospital 1,950 2,522 2,681 3,356 3,558 3,741
Skilled nursing services 26 85 113 206 259 290
Home health services b 81 296 49 93 103 111
Hospice services -- -- 33 68 86 89
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 4,638 4,933
Physicians' and other medical services 962 1,240 1,619 2,489 2,621 2,762
Outpatient services 582 858 975 1,550 1,787 1,906
Home health services b c c 115 159 231 264
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Sample population too small to yield valid calculated results.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2009, selected years (in thousands)
Census division and state or area 1990 2000 2008 2009
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 30,939 30,255 684 34,247 27,840 6,407 37,896 28,961 8,935 38,765 28,925 9,840
United States a 30,341 29,657 684 33,540 27,137 6,403 37,053 28,405 8,648 37,899 28,365 9,534
New England 1,733 1,719 15 1,836 1,449 387 1,925 1,586 339 1,961 1,577 384
Connecticut 436 434 2 457 356 101 474 401 73 482 394 88
Maine 165 165 b 180 178 2 200 187 13 205 179 26
Massachusetts 795 786 9 828 601 227 845 663 182 860 667 193
New Hampshire 126 126 b 147 145 2 174 164 10 178 164 14
Rhode Island 145 141 3 148 94 54 146 88 58 147 88 59
Vermont 67 67 b 76 76 b 86 83 3 89 84 4
Middle Atlantic 5,082 4,945 137 5,263 4,078 1,186 5,421 3,879 1,542 5,489 3,819 1,670
New Jersey 1,006 977 29 1,067 905 162 1,112 991 122 1,129 986 144
New York 2,279 2,199 80 2,334 1,871 463 2,429 1,724 705 2,462 1,696 766
Pennsylvania 1,798 1,769 29 1,863 1,302 561 1,880 1,164 716 1,898 1,137 761
East North Central 5,223 5,153 70 5,541 4,948 593 5,907 4,709 1,198 6,001 4,645 1,356
Illinois 1,401 1,377 24 1,435 1,263 172 1,514 1,369 145 1,539 1,380 160
Indiana 685 673 12 735 703 32 800 691 109 814 681 133
Michigan 1,101 1,100 1 1,201 1,128 73 1,298 978 320 1,321 945 376
Ohio 1,387 1,364 22 1,478 1,206 272 1,550 1,122 427 1,568 1,108 460
Wisconsin 649 639 10 693 649 43 746 549 197 759 531 227
West North Central 2,423 2,350 74 2,518 2,252 266 2,669 2,130 539 2,712 2,114 598
Iowa 422 412 10 426 410 16 438 384 55 442 382 61
Kansas 337 333 5 347 319 28 356 322 35 362 320 42
Minnesota 544 500 44 582 496 86 645 401 244 659 387 272
Missouri 706 692 14 736 612 124 786 627 159 800 623 177
Nebraska 221 220 1 227 217 10 234 207 27 238 209 29
North Dakota 91 91 1 93 92 1 93 86 7 94 86 8
South Dakota 102 102 b 106 106 1 115 103 12 117 108 9
South Atlantic 5,534 5,473 61 6,430 5,510 920 7,394 6,002 1,392 7,598 6,035 1,563
Delaware 80 80 b 98 93 5 118 113 5 121 115 6
District of Columbia 71 68 2 65 59 6 63 56 7 64 57 7
Florida 2,174 2,158 15 2,507 1,815 692 2,778 2,012 766 2,844 2,004 840
Georgia 636 635 b 752 702 50 922 799 123 956 805 151
Maryland 496 492 4 571 504 67 640 593 47 657 605 52
North Carolina 786 785 2 941 897 44 1,122 932 191 1,157 941 216
South Carolina 383 383 b 464 463 2 574 499 75 595 506 88
Virginia 645 636 9 762 730 32 895 788 107 922 795 127
West Virginia 264 236 28 270 247 23 281 210 71 283 208 75
East South Central 1,886 1,868 18 2,061 1,930 131 2,313 1,915 398 2,362 1,902 461
Alabama 508 503 4 558 507 51 616 499 116 628 488 139
Kentucky 459 448 11 491 460 31 546 466 79 556 465 90
Mississippi 313 313 b 330 325 5 359 329 31 366 330 36
Tennessee 607 604 3 682 638 44 792 621 171 813 618 195
West South Central 2,879 2,875 4 3,276 2,754 522 3,722 3,085 638 3,827 3,105 722
Arkansas 343 342 1 359 342 17 391 345 46 399 345 54
Louisiana 460 460 b 497 404 93 518 402 116 529 396 133
Oklahoma 412 411 1 438 388 50 471 405 67 481 407 74
Texas 1,665 1,662 2 1,982 1,620 362 2,341 1,933 408 2,418 1,957 462
Mountain 1,489 1,452 38 1,914 1,400 514 2,362 1,642 720 2,447 1,660 786
Arizona 456 436 19 596 371 225 735 471 264 762 483 279
Colorado 324 312 11 403 253 151 495 327 169 515 333 182
Idaho 121 121 1 145 129 16 180 133 47 186 131 55
Montana 106 105 b 119 118 b 137 115 21 140 115 26
Nevada 128 127 1 212 139 73 281 191 90 293 198 95
New Mexico 160 158 2 200 159 41 241 181 60 249 182 67
Utah 147 145 2 183 176 7 227 161 65 235 156 78
Wyoming 47 47 b 57 56 2 65 62 4 67 63 4
Pacific 4,081 3,813 267 4,692 2,808 1,884 5,335 3,452 1,883 5,497 3,503 1,994
Alaska 22 22 b 35 35 b 49 48 b 51 50 1
California 2,989 2,750 239 3,430 1,947 1,483 3,855 2,434 1,420 3,964 2,479 1,485
Hawaii 118 114 4 151 98 53 173 104 69 178 103 75
Oregon 390 371 19 433 260 173 498 287 211 513 288 225
Washington 562 556 6 643 468 175 760 579 181 790 583 208
Unknown 10 10 b 9 8 1 4 4 b 4 3 b
Outlying areas
Puerto Rico 337 337 b 401 400 1 478 195 283 492 188 303
U.S. Virgin Islands 6 6 b 9 9 b 13 13 b 14 13 b
Other b b b 9 9 b 13 13 b 14 13 b
Foreign countries 255 254 b 288 285 3 339 336 3 348 345 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2009, selected years (in thousands)
Census division and state or area 1990 2000 2008 2009
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 3,260 3,238 22 5,373 4,913 460 7,516 6,359 1,157 7,755 6,435 1,321
United States a 3,154 3,132 22 5,219 4,759 459 7,336 6,271 1,065 7,573 6,350 1,223
New England 156 156 b 284 265 19 390 368 22 401 376 25
Connecticut 33 33 b 57 53 4 75 69 6 76 69 7
Maine 18 18 b 36 36 b 53 52 1 54 52 2
Massachusetts 72 72 b 131 120 11 174 166 7 179 171 8
New Hampshire 11 11 b 23 23 b 38 37 1 39 38 2
Rhode Island 14 14 b 24 20 4 32 26 6 33 27 6
Vermont 7 7 b 13 13 b 19 18 b 19 19 b
Middle Atlantic 474 470 4 729 655 73 974 783 190 1,004 792 212
New Jersey 86 85 1 133 124 9 170 158 12 175 159 16
New York 230 228 2 366 334 31 462 385 77 475 386 90
Pennsylvania 158 157 1 230 197 33 341 241 101 354 248 106
East North Central 562 560 2 823 773 50 1,126 1,013 113 1,167 1,034 134
Illinois 132 132 1 195 180 15 260 241 19 267 246 21
Indiana 77 76 1 117 114 3 165 150 14 171 153 19
Michigan 132 132 b 200 193 7 282 256 26 293 261 32
Ohio 156 155 1 221 199 23 291 254 37 302 259 43
Wisconsin 64 64 b 90 88 2 128 112 16 133 115 19
West North Central 212 210 2 339 324 14 480 436 45 495 443 52
Iowa 34 34 b 50 49 1 68 63 5 69 64 6
Kansas 26 26 b 43 42 2 62 58 4 64 59 5
Minnesota 44 44 b 72 70 1 104 92 12 108 94 14
Missouri 75 75 1 124 115 10 180 162 18 185 164 22
Nebraska 16 16 b 26 26 1 37 34 3 38 34 4
North Dakota 7 7 b 10 10 b 13 12 1 14 13 1
South Dakota 8 8 b 13 13 b 17 16 1 17 16 1
South Atlantic 608 604 4 1,082 998 84 1,511 1,281 230 1,555 1,291 263
Delaware 8 8 b 15 14 b 23 22 1 24 23 1
District of Columbia 7 7 b 10 9 b 12 11 1 12 12 1
Florida 165 165 1 316 253 63 434 332 102 445 333 112
Georgia 96 96 b 167 161 6 230 205 26 238 207 31
Maryland 46 46 b 75 70 5 104 98 6 108 101 7
North Carolina 106 106 b 195 191 4 282 247 36 291 250 41
South Carolina 59 59 b 105 105 b 149 128 21 154 129 25
Virginia 77 76 1 133 130 3 184 159 25 188 158 30
West Virginia 44 41 3 67 64 3 92 80 12 94 79 14
East South Central 287 286 1 498 482 16 708 607 101 728 607 121
Alabama 74 74 b 128 119 9 194 157 37 200 156 44
Kentucky 75 74 1 132 128 4 183 162 20 188 163 24
Mississippi 53 53 b 89 88 b 120 110 10 122 111 11
Tennessee 85 85 b 149 146 3 212 178 34 218 176 42
West South Central 317 317 b 541 492 50 823 711 112 857 722 134
Arkansas 48 48 b 80 78 2 117 101 16 122 103 19
Louisiana 71 71 b 104 92 12 138 120 18 142 121 21
Oklahoma 39 39 b 70 65 4 107 96 11 111 98 13
Texas 159 159 b 288 256 31 461 393 67 482 401 81
Mountain 148 147 1 286 240 46 426 327 99 440 332 108
Arizona 43 42 b 85 62 24 134 86 49 138 86 51
Colorado 34 34 1 65 53 11 84 67 17 87 68 19
Idaho 11 11 b 21 20 1 34 28 6 35 29 7
Montana 12 12 b 18 18 b 24 21 3 25 21 3
Nevada 13 13 b 31 24 7 49 39 10 50 40 10
New Mexico 19 19 b 34 31 3 53 46 7 55 47 9
Utah 13 13 b 24 23 b 38 31 7 39 31 9
Wyoming 4 4 b 8 8 b 11 10 b 11 10 1
Pacific 389 381 7 636 529 107 898 744 154 926 753 172
Alaska 3 3 b 7 7 b 11 11 b 11 11 b
California 290 283 7 464 378 86 637 528 109 655 534 121
Hawaii 9 9 b 15 14 1 21 18 3 22 18 4
Oregon 34 33 1 58 46 11 86 62 24 89 63 26
Washington 53 53 b 93 84 9 143 126 17 148 127 21
Unknown 2 2 b 1 1 b b b b b b b
Outlying areas
Puerto Rico 92 92 b 136 136 b 159 67 92 162 64 97
U.S. Virgin Islands 1 1 b 1 1 b 2 2 b 2 2 b
Other b b b 2 2 b 3 3 b 3 3 b
Foreign countries 14 14 b 15 15 b 16 16 b 16 16 b
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2009, selected years (in thousands)
Census division and state or area 1990 2000 2008 2009
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 34,200 33,493 706 39,620 32,753 6,867 45,412 35,320 10,092 46,521 35,360 11,161
United States a 33,494 32,789 706 38,759 31,896 6,863 44,389 34,676 9,713 45,471 34,714 10,757
New England 1,889 1,874 15 2,120 1,714 405 2,315 1,954 361 2,362 1,953 409
Connecticut 469 467 2 514 409 105 549 470 79 558 463 95
Maine 183 183 b 217 214 2 253 239 14 259 231 28
Massachusetts 867 858 9 958 721 237 1,019 830 189 1,039 838 201
New Hampshire 137 137 b 170 167 3 212 201 11 217 202 16
Rhode Island 159 155 3 172 114 58 178 114 64 180 115 65
Vermont 75 74 b 89 89 b 105 102 3 108 103 5
Middle Atlantic 5,556 5,415 141 5,992 4,733 1,259 6,395 4,663 1,732 6,493 4,610 1,882
New Jersey 1,092 1,062 30 1,200 1,029 170 1,283 1,149 134 1,304 1,144 160
New York 2,508 2,427 82 2,699 2,206 494 2,891 2,109 782 2,937 2,082 855
Pennsylvania 1,956 1,926 30 2,093 1,498 595 2,221 1,405 816 2,252 1,385 867
East North Central 5,784 5,713 72 6,364 5,722 643 7,033 5,722 1,311 7,168 5,679 1,489
Illinois 1,534 1,509 24 1,630 1,443 187 1,775 1,610 164 1,806 1,626 181
Indiana 762 749 13 852 816 35 964 841 123 985 834 151
Michigan 1,233 1,231 1 1,401 1,320 80 1,580 1,234 346 1,615 1,206 408
Ohio 1,543 1,520 23 1,699 1,405 295 1,841 1,376 465 1,870 1,367 503
Wisconsin 714 703 10 783 737 46 874 661 213 892 646 246
West North Central 2,635 2,560 75 2,857 2,576 281 3,149 2,566 584 3,207 2,557 650
Iowa 457 446 11 476 459 17 506 446 60 512 445 67
Kansas 363 359 5 390 360 30 418 379 39 425 379 47
Minnesota 588 544 44 654 566 88 749 493 256 767 481 286
Missouri 781 767 14 861 727 133 966 789 177 985 786 199
Nebraska 237 237 1 253 243 11 271 241 31 276 243 33
North Dakota 98 98 1 103 102 1 107 98 8 108 99 9
South Dakota 110 110 b 119 119 1 132 119 13 134 124 10
South Atlantic 6,142 6,077 65 7,512 6,508 1,004 8,905 7,283 1,622 9,153 7,326 1,826
Delaware 88 88 b 112 107 5 141 135 6 145 138 7
District of Columbia 78 75 3 75 68 7 75 68 8 77 69 8
Florida 2,339 2,323 16 2,823 2,068 754 3,212 2,344 868 3,289 2,337 952
Georgia 732 731 b 918 863 56 1,153 1,004 149 1,194 1,012 182
Maryland 541 538 4 646 574 72 745 691 54 764 705 59
North Carolina 892 890 2 1,136 1,088 48 1,405 1,178 226 1,448 1,191 257
South Carolina 442 441 b 570 568 2 724 627 97 749 635 114
Virginia 722 712 10 895 860 35 1,079 947 132 1,110 953 157
West Virginia 308 277 30 337 312 26 373 290 83 377 287 90
East South Central 2,173 2,153 20 2,559 2,411 147 3,021 2,523 498 3,090 2,509 582
Alabama 582 577 5 686 626 60 809 656 153 828 645 183
Kentucky 534 521 12 623 588 35 728 629 100 743 629 115
Mississippi 366 366 b 419 413 6 479 438 41 488 441 47
Tennessee 692 689 3 831 784 47 1,004 799 205 1,031 794 237
West South Central 3,196 3,192 5 3,817 3,246 571 4,545 3,795 750 4,683 3,827 856
Arkansas 391 390 1 439 420 19 509 446 62 520 448 73
Louisiana 531 531 b 601 496 105 656 522 134 671 518 154
Oklahoma 451 450 1 508 453 54 578 501 78 592 505 87
Texas 1,824 1,821 2 2,269 1,876 393 2,802 2,326 476 2,900 2,357 543
Mountain 1,637 1,599 39 2,200 1,640 560 2,788 1,970 819 2,887 1,992 895
Arizona 498 478 20 681 433 248 870 557 313 899 569 331
Colorado 358 346 12 468 306 162 579 393 186 602 401 201
Idaho 132 131 1 166 149 17 214 161 53 222 160 62
Montana 117 117 b 137 136 1 160 136 24 165 136 29
Nevada 141 140 1 243 163 80 330 230 100 343 238 105
New Mexico 179 177 2 234 190 44 294 227 67 304 229 75
Utah 160 157 2 206 199 7 264 192 72 274 187 87
Wyoming 52 51 b 65 64 2 76 72 4 78 73 5
Pacific 4,469 4,195 275 5,328 3,337 1,991 6,233 4,197 2,036 6,423 4,256 2,167
Alaska 25 25 b 42 42 b 60 59 1 63 62 1
California 3,279 3,033 245 3,894 2,325 1,569 4,492 2,962 1,530 4,620 3,013 1,606
Hawaii 127 123 4 165 111 54 194 122 72 200 121 80
Oregon 424 404 19 491 307 184 584 349 235 602 351 251
Washington 615 609 6 736 553 183 903 704 199 938 710 228
Unknown 12 12 b 10 9 1 4 4 b 4 4 b
Outlying areas
Puerto Rico 429 429 b 537 536 1 637 262 375 653 253 401
U.S. Virgin Islands 7 7 b 10 10 b 15 14 b 15 15 b
Other b b b 11 11 b 16 16 b 17 16 b
Foreign countries 269 268 b 303 300 3 355 352 3 364 361 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2009, selected years (in thousands)
Age, sex, and race 1990 2000 2009
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 30,939 30,255 684 34,247 27,840 6,407 38,765 28,925 9,840
Age
65–69 9,690 9,514 176 9,166 7,360 1,806 11,669 8,803 2,866
70–74 7,951 7,752 200 8,609 6,878 1,731 8,937 6,533 2,405
75–79 6,058 5,904 155 7,284 5,902 1,381 7,121 5,167 1,954
80–84 3,957 3,864 93 4,868 4,010 859 5,593 4,169 1,424
85 or older 3,282 3,221 61 4,320 3,690 630 5,445 4,254 1,191
Sex
Men 12,412 12,132 280 14,109 11,421 2,688 16,715 12,545 4,170
Women 18,528 18,123 404 20,138 16,419 3,719 22,050 16,380 5,670
Race
White 26,847 26,251 596 29,752 24,251 5,502 32,963 24,805 8,158
Black -- -- -- 2,720 2,204 516 3,230 2,267 962
All other races a 3,113 3,050 63 1,682 1,305 377 2,508 1,797 712
American Indian or Alaska Native -- -- -- 42 39 3 138 120 18
Asian or Pacific Islander -- -- -- 494 386 108 806 610 196
Hispanic -- -- -- 710 555 155 855 572 284
Other -- -- -- 436 324 112 709 495 214
Unknown 979 953 26 92 81 12 64 56 8
Hospital Insurance
Total 30,455 29,778 678 33,827 27,429 6,398 38,440 28,607 9,833
Age
65–69 9,560 9,386 174 9,074 7,269 1,804 11,591 8,728 2,864
70–74 7,829 7,631 198 8,505 6,776 1,729 8,865 6,462 2,403
75–79 5,947 5,793 153 7,188 5,809 1,379 7,058 5,105 1,953
80–84 3,872 3,780 92 4,805 3,947 857 5,539 4,116 1,423
85 or older 3,248 3,188 60 4,256 3,627 629 5,386 4,196 1,190
Sex
Men 12,276 11,998 278 13,976 11,291 2,685 16,609 12,442 4,167
Women 18,179 17,779 400 19,851 16,138 3,713 21,831 16,165 5,666
Race
White 26,583 25,991 592 29,565 24,068 5,497 32,833 24,680 8,153
Black -- -- -- 2,668 2,153 515 3,190 2,229 961
All other races a 2,930 2,870 60 1,508 1,133 374 2,357 1,646 711
American Indian or Alaska Native -- -- -- 40 37 3 135 117 18
Asian or Pacific Islander -- -- -- 406 300 106 726 530 196
Hispanic -- -- -- 656 502 154 808 524 283
Other -- -- -- 405 294 111 689 476 213
Unknown 942 916 26 87 75 12 59 52 8
Supplementary Medical Insurance
Total 29,678 28,993 684 32,585 26,178 6,407 36,061 26,221 9,840
Age
65–69 9,003 8,827 176 8,330 6,525 1,806 10,062 7,196 2,866
70–74 7,740 7,540 200 8,256 6,525 1,731 8,457 6,053 2,404
75–79 5,942 5,787 155 7,087 5,705 1,381 6,878 4,924 1,954
80–84 3,879 3,786 93 4,780 3,922 859 5,455 4,030 1,424
85 or older 3,114 3,054 61 4,131 3,501 630 5,208 4,017 1,191
Sex
Men 11,754 11,474 280 13,203 10,515 2,688 15,220 11,050 4,169
Women 17,923 17,519 404 19,382 15,663 3,719 20,841 15,171 5,670
Race
White 25,842 25,247 596 28,428 22,927 5,502 30,817 22,659 8,158
Black -- -- -- 2,543 2,027 516 2,973 2,011 962
All other races a 2,909 2,846 63 1,542 1,164 377 2,230 1,518 712
American Indian or Alaska Native -- -- -- 39 36 3 124 106 18
Asian or Pacific Islander -- -- -- 470 362 108 731 534 196
Hispanic -- -- -- 665 510 155 776 493 284
Other -- -- -- 368 257 112 599 385 214
Unknown 927 900 26 71 60 12 40 33 8
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, black enrollees are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2009, selected years (in thousands)
Age, sex, and race 1990 2000 2009
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 3,260 3,238 22 5,373 4,913 460 7,755 6,435 1,321
Age
Under 35 483 482 1 522 505 18 679 620 59
35–44 655 652 3 1,130 1,068 62 1,158 1,015 143
45–54 741 737 4 1,627 1,501 126 2,417 2,035 382
55–64 1,381 1,367 13 2,094 1,840 254 3,501 2,764 737
Sex
Men 2,045 2,032 14 3,017 2,772 245 4,063 3,422 641
Women 1,215 1,207 8 2,356 2,141 215 3,692 3,012 680
Race
White 2,485 2,467 18 3,994 3,641 353 5,626 4,675 951
Black -- -- -- 1,008 933 74 1,498 1,250 247
All other races a 713 710 3 356 327 32 614 494 120
American Indian or Alaska Native -- -- -- 23 22 1 64 59 5
Asian or Pacific Islander -- -- -- 41 38 4 93 79 14
Hispanic -- -- -- 201 182 19 313 241 72
Other -- -- -- 90 83 7 145 115 29
Unknown 62 62 1 15 14 1 17 15 2
Hospital Insurance
Total 3,260 3,238 22 5,372 4,913 460 7,755 6,434 1,321
Age
Under 35 483 482 1 522 504 18 679 620 59
35–44 655 652 3 1,129 1,068 62 1,157 1,015 143
45–54 741 737 4 1,627 1,501 126 2,417 2,035 382
55–64 1,381 1,367 13 2,093 1,840 254 3,501 2,764 737
Sex
Men 2,045 2,032 14 3,017 2,772 245 4,063 3,422 641
Women 1,215 1,206 8 2,356 2,141 215 3,692 3,012 680
Race
White 2,485 2,467 18 3,994 3,641 353 5,626 4,675 951
Black -- -- -- 1,008 933 74 1,498 1,250 247
All other races a 713 710 3 356 325 31 614 494 120
American Indian or Alaska Native -- -- -- 23 22 1 64 59 5
Asian or Pacific Islander -- -- -- 41 38 4 93 79 14
Hispanic -- -- -- 201 182 19 313 241 72
Other -- -- -- 90 83 7 145 115 29
Unknown 62 61 1 15 14 1 17 15 2
Supplementary Medical Insurance
Total 2,948 2,926 22 4,775 4,315 460 6,900 5,579 1,321
Age
Under 35 442 440 1 467 449 18 615 556 59
35–44 587 584 3 998 937 62 1,025 882 143
45–54 666 662 4 1,422 1,296 126 2,144 1,762 382
55–64 1,253 1,240 13 1,887 1,633 254 3,116 2,379 737
Sex
Men 1,836 1,822 14 2,667 2,423 245 3,571 2,930 641
Women 1,112 1,104 8 2,107 1,892 215 3,329 2,649 680
Race
White 2,241 2,222 18 3,539 3,186 353 4,986 4,035 951
Black -- -- -- 918 843 74 1,360 1,113 247
All other races a 651 648 3 305 274 31 540 419 120
American Indian or Alaska Native -- -- -- 21 20 1 57 52 5
Asian or Pacific Islander -- -- -- 36 33 4 81 67 14
Hispanic -- -- -- 176 157 19 278 206 72
Other -- -- -- 71 64 7 123 94 29
Unknown 57 56 1 13 12 1 14 12 2
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, black enrollees are broken out separately from “All other races” and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2008
Census division and state or area 1990 2000 2008
Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars)
Total
All areas 70,268 3,713,652 53 90,566 7,215,958 80 121,005 16,872,735 139
United States 69,645 3,687,770 53 87,641 6,995,748 80 119,338 16,611,443 139
New England 4,716 243,462 52 6,953 511,226 74 6,113 905,099 148
Connecticut 1,062 56,806 53 1,696 120,602 71 1,646 218,797 133
Maine 380 19,900 52 664 47,095 71 447 70,191 157
Massachusetts 2,403 121,472 51 3,328 253,132 76 2,969 461,500 155
New Hampshire 292 15,274 52 504 36,257 72 474 71,625 151
Rhode Island 315 17,537 56 393 32,720 83 288 45,295 157
Vermont 264 12,473 47 368 21,418 58 290 37,691 130
Middle Atlantic 8,570 504,379 59 12,446 1,066,579 86 11,473 1,677,099 146
New Jersey 1,435 71,239 50 2,274 203,145 89 2,153 372,272 173
New York 2,867 193,812 68 5,983 510,094 85 6,019 787,012 131
Pennsylvania 4,269 239,329 56 4,190 353,341 84 3,301 517,815 157
East North Central 8,864 488,161 55 11,615 996,673 86 14,902 2,516,269 169
Illinois 2,695 152,406 57 3,112 278,001 89 4,914 912,423 186
Indiana 1,112 56,613 51 1,464 112,768 77 1,773 257,446 145
Michigan 2,157 128,251 59 3,436 311,343 91 4,066 738,860 182
Ohio 2,082 108,602 52 2,713 223,430 82 3,365 487,201 145
Wisconsin 817 42,289 52 891 71,131 80 784 120,338 153
West North Central 3,591 182,775 51 3,884 297,355 77 3,878 579,567 149
Iowa 490 20,609 42 602 39,847 66 562 70,354 125
Kansas 463 22,023 49 515 38,056 74 624 89,810 144
Minnesota 380 20,168 53 525 40,350 77 645 104,490 162
Missouri 1,809 96,011 53 1,651 134,144 81 1,572 243,656 155
Nebraska 283 15,169 54 318 25,063 79 307 48,148 157
North Dakota 104 4,979 48 140 9,814 70 87 10,814 124
South Dakota 71 3,816 54 134 10,083 75 80 12,296 154
South Atlantic 15,504 792,155 51 17,603 1,434,967 82 32,075 3,863,430 120
Delaware 195 9,033 46 222 18,759 85 242 38,687 160
District of Columbia 129 8,552 66 154 13,859 90 143 25,782 180
Florida 7,513 371,331 49 7,032 576,519 82 22,375 2,249,254 101
Georgia 2,647 120,132 45 2,568 197,327 77 2,420 381,209 158
Maryland 863 52,659 61 1,046 95,980 92 1,003 190,049 189
North Carolina 1,659 93,205 56 2,533 209,226 83 2,231 384,524 172
South Carolina 694 41,712 60 1,412 118,278 84 1,170 206,769 177
Virginia 1,277 70,498 55 2,030 157,804 78 2,055 318,649 155
West Virginia 528 25,033 47 606 47,215 78 435 68,507 157
East South Central 11,432 501,015 44 10,424 708,458 68 9,025 1,323,701 147
Alabama 2,792 111,655 40 2,466 163,019 66 2,169 313,186 144
Kentucky 1,202 56,717 47 1,916 135,941 71 1,659 247,880 149
Mississippi 2,777 108,559 39 2,514 159,346 63 1,969 289,930 147
Tennessee 4,661 224,084 48 3,529 250,152 71 3,228 472,705 146
West South Central 9,063 445,067 49 15,305 1,062,985 69 28,854 3,633,415 126
Arkansas 1,072 47,907 45 1,103 70,205 64 1,219 142,521 117
Louisiana 2,286 106,074 46 4,081 261,901 64 3,909 510,288 131
Oklahoma 1,153 57,990 50 2,354 149,916 64 3,513 402,956 115
Texas 4,553 233,095 51 7,767 580,964 75 20,213 2,577,650 128
Mountain 2,485 139,038 56 3,188 257,608 81 4,063 597,406 147
Arizona 568 33,529 59 497 43,124 87 610 107,677 177
Colorado 595 35,779 60 725 59,239 82 745 115,333 155
Idaho 153 8,904 58 258 22,771 88 324 46,172 143
Montana 195 9,825 50 208 16,200 78 138 21,816 158
Nevada 218 13,279 61 309 27,152 88 660 111,153 168
New Mexico 256 13,328 52 390 30,327 78 528 75,967 144
Utah 447 21,573 48 680 50,606 74 971 107,024 110
Wyoming 53 2,820 53 120 8,190 68 86 12,264 143
Pacific 5,419 391,717 72 6,222 659,896 106 8,955 1,515,458 169
Alaska 14 1,404 100 39 5,145 132 50 9,822 196
California 4,237 310,835 73 5,031 529,250 105 7,735 1,264,901 164
Hawaii 57 4,241 74 84 8,980 107 52 11,643 224
Oregon 417 29,872 72 399 45,225 113 373 75,502 202
Washington 693 45,365 65 669 71,296 107 744 153,589 206
Outlying areas a 622 25,882 42 2,926 220,210 75 1,666 261,292 157
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October  1, 2000, program payments are associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 1990–2008
Census division and state or area 1990 2000 2008
Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b
Total
All areas 10,521,925 8.8 53,708,287 5,281 11,719,960 6.0 81,230,259 6,971 11,820,795 5.6 110,231,605 9,390
United States 10,421,685 8.8 53,502,918 5,312 11,574,200 6.0 80,769,047 7,019 11,768,400 5.6 109,951,780 9,408
New England 561,265 10.0 3,097,017 5,702 563,305 5.8 4,365,878 7,797 628,540 5.6 6,245,111 10,005
Connecticut 117,230 10.4 719,274 6,366 125,295 6.2 1,097,034 8,807 157,745 5.8 1,733,915 11,099
Maine 54,695 9.3 239,915 4,477 69,740 5.6 434,302 6,239 63,270 5.4 563,028 8,929
Massachusetts 281,780 10.0 1,598,356 5,878 257,720 5.7 2,035,018 7,952 298,045 5.4 2,835,637 9,576
New Hampshire 39,640 9.2 190,737 4,917 46,970 5.6 334,202 7,167 51,125 5.7 503,884 9,896
Rhode Island 47,060 10.0 251,050 5,514 37,325 6.2 276,771 7,449 37,465 5.9 358,944 9,670
Vermont 20,860 9.7 97,686 4,793 26,255 5.7 188,547 7,237 20,890 5.4 249,700 12,014
Middle Atlantic 1,779,975 11.4 10,484,595 6,030 1,747,960 7.3 14,864,554 8,569 1,726,980 6.4 17,961,610 10,495
New Jersey 353,960 11.7 1,933,841 5,606 380,730 7.5 3,384,886 8,983 421,400 6.2 4,330,623 10,360
New York 729,465 13.1 4,888,241 6,884 750,130 8.2 7,155,309 9,625 762,235 7.1 8,983,327 11,903
Pennsylvania 696,550 9.5 3,662,512 5,358 617,100 6.1 4,324,358 7,036 543,345 5.7 4,647,659 8,627
East North Central 1,890,545 8.6 10,017,401 5,413 2,118,675 5.7 14,097,236 6,693 2,113,660 5.4 18,815,769 8,970
Illinois 509,075 8.9 2,670,430 5,410 580,250 5.7 3,840,706 6,672 628,045 5.4 5,545,788 8,934
Indiana 254,105 8.3 1,198,667 4,837 291,380 5.7 1,796,295 6,198 286,185 5.4 2,479,282 8,696
Michigan 376,545 8.9 2,199,988 5,925 468,095 6.1 3,473,727 7,459 473,230 5.6 4,553,755 9,669
Ohio 534,035 8.6 2,920,387 5,567 538,445 5.6 3,466,013 6,471 528,515 5.3 4,438,224 8,465
Wisconsin 216,785 7.7 1,027,929 4,817 240,505 5.4 1,520,493 6,352 197,685 5.1 1,798,718 9,155
West North Central 841,935 7.8 3,804,644 4,683 925,865 5.4 5,759,187 6,250 829,560 5.2 7,132,069 8,635
Iowa 145,360 8.1 635,397 4,440 164,590 5.4 959,210 5,844 126,850 5.2 1,057,449 8,373
Kansas 124,065 7.7 542,828 4,516 134,585 5.5 806,523 6,005 120,655 5.3 986,614 8,212
Minnesota 165,095 6.7 764,017 5,052 193,910 5.0 1,256,854 6,545 169,740 4.9 1,587,133 9,389
Missouri 266,625 8.6 1,270,319 4,872 281,505 5.7 1,810,063 6,460 286,795 5.4 2,402,264 8,421
Nebraska 69,875 7.6 300,070 4,434 76,015 5.2 506,171 6,686 68,700 5.2 606,681 8,860
North Dakota 33,230 7.2 141,966 4,368 33,640 5.1 193,994 5,793 26,190 5.2 231,174 8,844
South Dakota 37,685 7.2 150,047 4,058 41,620 5.2 226,370 5,454 30,630 5.0 260,751 8,527
South Atlantic 1,848,195 8.8 8,906,934 5,000 2,403,790 6.0 15,911,326 6,655 2,509,545 5.6 22,659,731 9,083
Delaware 27,260 9.3 149,857 5,599 36,845 6.4 275,714 7,513 45,390 6.2 484,918 10,716
District of Columbia 24,410 11.6 183,855 7,754 26,940 7.9 269,614 10,121 26,000 6.9 310,431 12,074
Florida 596,765 8.6 3,014,347 5,323 754,145 5.8 5,004,157 6,675 828,790 5.7 7,065,474 8,562
Georgia 269,315 7.9 1,143,257 4,373 320,335 5.8 2,061,225 6,469 324,865 5.6 2,854,324 8,827
Maryland 183,820 9.4 1,092,833 6,056 217,605 5.8 1,773,771 8,190 277,000 5.1 3,159,275 11,480
North Carolina 267,020 9.6 1,215,983 4,703 396,985 6.0 2,467,636 6,251 391,220 5.5 3,513,071 9,051
South Carolina 120,540 9.4 540,954 4,655 214,540 6.2 1,390,229 6,504 204,300 5.9 1,843,524 9,121
Virginia 245,065 8.9 1,102,096 4,627 300,785 6.1 1,896,484 6,338 305,500 5.6 2,553,309 8,403
West Virginia 114,000 8.2 463,751 4,217 135,610 5.8 772,492 5,724 106,480 5.8 875,402 8,273
East South Central 827,120 8.2 3,345,751 4,156 1,013,885 5.8 5,704,817 5,652 980,600 5.5 7,752,876 7,947
Alabama 228,580 8.1 959,825 4,308 274,470 5.5 1,492,353 5,454 268,195 5.4 1,959,094 7,354
Kentucky 201,625 8.3 831,981 4,255 244,210 5.6 1,362,272 5,614 235,830 5.5 2,000,708 8,524
Mississippi 145,900 7.8 501,880 3,522 191,685 6.4 1,013,536 5,310 173,935 5.9 1,374,487 7,933
Tennessee 251,015 8.3 1,052,065 4,307 303,520 5.9 1,836,655 6,078 302,640 5.4 2,418,587 8,031
West South Central 1,103,155 8.1 5,139,839 4,772 1,298,505 5.9 8,215,049 6,357 1,342,605 5.6 11,462,316 8,601
Arkansas 145,225 8.1 556,377 3,918 163,480 5.9 872,811 5,364 154,335 5.5 1,238,634 8,048
Louisiana 206,510 7.9 968,667 4,791 226,020 5.9 1,408,934 6,263 200,490 5.7 1,614,241 8,122
Oklahoma 162,505 8.0 700,390 4,403 187,220 5.8 1,069,986 5,730 190,505 5.3 1,509,975 7,957
Texas 588,915 8.2 2,914,405 5,079 721,785 5.9 4,863,318 6,774 797,275 5.6 7,099,465 8,983
Mountain 445,395 7.0 2,152,663 5,100 488,870 5.0 3,196,062 6,569 529,330 5.0 4,907,896 9,313
Arizona 135,340 7.0 711,071 5,601 131,325 5.0 866,364 6,642 163,470 5.0 1,580,945 9,712
Colorado 93,400 7.3 460,034 5,251 92,655 5.0 625,753 6,788 109,275 4.9 975,819 8,971
Idaho 34,290 6.2 146,967 4,382 47,780 4.6 290,241 6,102 33,925 4.8 315,124 9,314
Montana 39,820 6.6 164,698 4,230 44,270 4.8 258,894 5,850 33,790 4.7 282,156 8,371
Nevada 34,890 8.1 201,288 6,349 46,945 6.0 349,025 7,473 67,080 5.8 660,828 9,909
New Mexico 52,435 6.8 208,909 4,235 53,130 5.2 327,251 6,196 58,225 5.1 520,577 9,009
Utah 37,740 6.3 181,133 4,928 50,715 4.8 336,745 6,661 44,870 4.6 402,402 8,991
Wyoming 17,480 6.7 78,563 4,561 22,050 5.0 141,785 6,442 18,695 4.8 170,043 9,103
Pacific 1,124,100 7.2 6,554,074 6,290 1,013,345 5.8 8,654,933 8,599 1,107,580 5.6 13,014,397 11,850
Alaska 6,590 7.7 43,028 6,912 12,715 5.8 120,546 9,682 13,530 5.7 186,766 13,881
California 826,685 7.3 5,117,872 6,574 731,050 6.0 6,543,541 9,015 818,050 5.8 9,980,284 12,322
Hawaii 25,665 10.1 121,606 6,416 25,510 8.0 213,726 8,431 24,360 6.9 285,762 11,803
Oregon 104,300 6.2 474,125 5,211 92,985 4.6 624,464 6,741 77,295 4.9 760,570 9,876
Washington 160,860 6.7 797,442 5,414 151,085 4.9 1,152,655 7,672 174,345 4.9 1,801,013 10,372
Outlying areas c 100,240 7.8 205,369 2,091 145,760 6.8 461,482 3,187 52,395 7.2 279,825 5,452
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2008
Census division and state or area 1990 2000 2008
Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b
Total
All areas 737,700 1,827,190 2,509 1,936,127 10,651,274 5,511 2,561,073 24,329,013 9,508
United States 736,466 1,824,011 2,509 1,932,134 10,635,515 5,514 2,559,144 24,316,008 9,510
New England 30,180 69,422 2,321 137,383 849,428 6,194 178,135 1,792,619 10,067
Connecticut 10,912 26,387 2,423 34,452 254,218 7,387 49,154 521,426 10,611
Maine 1,377 5,178 3,763 13,391 66,702 4,983 17,193 153,228 8,914
Massachusetts 11,733 26,107 2,267 64,946 389,016 6,003 80,473 817,151 10,160
New Hampshire 1,443 2,803 1,953 10,243 59,904 5,859 15,397 153,956 10,002
Rhode Island 3,685 7,472 2,037 9,452 54,095 5,757 9,656 85,360 8,844
Vermont 1,030 1,476 1,437 4,899 25,492 5,207 6,262 61,499 9,823
Middle Atlantic 97,503 254,554 2,642 290,974 1,937,835 6,677 392,309 3,757,908 9,584
New Jersey 10,725 27,797 2,599 68,638 412,488 6,014 114,836 1,142,205 9,947
New York 37,454 95,175 2,587 110,292 931,412 8,465 152,367 1,526,429 10,023
Pennsylvania 49,324 131,582 2,692 112,044 593,935 5,322 125,106 1,089,274 8,714
East North Central 142,252 323,800 2,305 374,369 2,014,281 5,382 494,798 4,679,269 9,469
Illinois 40,758 117,390 2,902 104,203 515,307 4,946 149,286 1,357,106 9,100
Indiana 22,093 61,858 2,844 59,020 330,466 5,600 73,004 734,821 10,078
Michigan 27,324 46,583 1,730 57,347 374,014 6,526 83,060 813,898 9,824
Ohio 33,115 61,462 1,894 107,475 555,817 5,173 136,537 1,238,838 9,078
Wisconsin 18,962 36,507 1,935 46,324 238,678 5,153 52,911 534,605 10,120
West North Central 95,732 209,517 2,206 190,486 756,598 3,973 229,029 1,812,944 7,929
Iowa 13,613 33,630 2,483 33,702 110,449 3,277 41,856 281,516 6,733
Kansas 12,712 24,259 1,919 27,334 99,927 3,657 33,809 277,662 8,222
Minnesota 28,729 54,696 1,926 42,888 199,933 4,662 46,286 386,971 8,367
Missouri 26,942 74,044 2,764 50,515 216,975 4,297 65,490 532,416 8,162
Nebraska 6,988 14,623 2,100 18,766 71,141 3,793 23,039 198,681 8,627
North Dakota 4,203 4,823 1,177 7,790 23,998 3,081 8,486 55,745 6,569
South Dakota 2,545 3,441 1,356 9,491 34,175 3,603 10,063 79,953 7,945
South Atlantic 97,746 221,593 2,304 351,271 1,962,427 5,597 491,773 4,677,432 9,516
Delaware 1,136 2,298 2,057 4,938 31,158 6,319 8,871 89,152 10,051
District of Columbia 1,118 3,635 3,283 3,745 23,113 6,175 4,961 48,480 9,814
Florida 46,617 114,361 2,504 139,057 813,328 5,866 183,236 1,881,910 10,273
Georgia 12,065 21,913 1,836 36,847 195,450 5,309 52,880 477,969 9,047
Maryland 8,450 19,625 2,344 38,562 194,644 5,065 57,074 510,819 8,952
North Carolina 12,138 21,391 1,776 50,008 270,927 5,422 70,946 648,285 9,148
South Carolina 4,787 9,645 2,127 24,069 130,669 5,430 31,988 309,480 9,677
Virginia 7,393 17,995 2,443 36,536 217,418 5,952 62,817 554,898 8,835
West Virginia 4,042 10,731 2,679 17,509 85,720 4,897 19,000 156,440 8,236
East South Central 41,228 74,764 1,842 131,017 665,240 5,081 176,656 1,551,848 8,789
Alabama 11,934 20,172 1,716 29,268 164,159 5,614 42,005 347,039 8,267
Kentucky 9,029 20,697 2,319 35,891 167,196 4,659 47,095 399,276 8,489
Mississippi 5,850 7,897 1,381 20,560 95,372 4,648 30,180 279,944 9,279
Tennessee 14,415 25,998 1,833 45,298 238,514 5,267 57,376 525,589 9,162
West South Central 62,302 173,258 2,809 183,161 869,345 4,757 256,821 2,261,095 8,809
Arkansas 6,254 13,455 2,167 22,862 83,236 3,644 30,202 211,870 7,019
Louisiana 12,244 42,336 3,488 27,165 120,360 4,433 37,966 310,206 8,177
Oklahoma 7,065 20,642 2,928 26,004 105,867 4,072 31,657 233,741 7,387
Texas 36,739 96,824 2,669 107,130 559,882 5,245 156,996 1,505,279 9,594
Mountain 43,063 105,189 2,467 87,157 435,051 5,004 103,264 989,629 9,599
Arizona 12,521 30,667 2,463 20,256 95,244 4,742 23,248 203,548 8,765
Colorado 10,220 29,480 2,928 18,993 99,687 5,256 26,689 267,566 10,052
Idaho 3,569 6,819 1,918 10,396 50,995 4,909 9,185 88,738 9,686
Montana 4,483 6,780 1,527 9,410 36,201 3,847 9,608 77,168 8,034
Nevada 2,173 7,202 3,328 6,348 37,209 5,867 9,655 114,768 11,893
New Mexico 2,494 7,687 3,250 6,130 31,929 5,213 8,578 85,275 9,969
Utah 6,081 14,452 2,378 11,672 65,662 5,627 11,491 111,077 9,671
Wyoming 1,522 2,102 1,388 3,952 18,123 4,586 4,810 41,489 8,644
Pacific 126,460 391,915 3,155 186,316 1,145,310 6,174 236,359 2,793,264 11,832
Alaska 320 1,182 3,705 991 6,406 6,477 1,184 15,558 13,151
California 101,886 325,664 3,234 137,485 875,847 6,395 176,984 2,161,634 12,222
Hawaii 1,122 3,421 3,831 2,173 14,886 6,898 3,475 38,651 11,335
Oregon 8,869 26,399 3,111 13,964 67,421 4,844 15,282 151,343 9,913
Washington 14,263 35,249 2,551 31,703 180,749 5,742 39,434 426,079 10,823
Outlying areas c 1,234 3,179 2,593 3,993 15,760 3,948 1,929 13,005 6,745
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2008
Census division and state or area 1993 2000 2008
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars)
Total
All areas 215,089 12,649,489 1,250,415 5,817 534,408 25,957,716 2,925,819 5,476 1,054,722 74,016,860 11,195,809 10,662
United States 207,660 11,808,826 1,184,752 5,709 529,745 25,646,822 2,903,200 5,482 1,044,829 72,821,043 11,082,232 10,654
New England 9,423 478,589 51,507 5,468 20,642 799,522 104,817 5,078 46,844 2,745,484 460,256 9,862
Connecticut 2,083 78,816 12,535 6,024 5,425 197,854 31,872 5,875 10,591 505,731 100,557 9,518
Maine 477 26,596 2,250 4,717 1,135 49,657 4,977 4,386 4,873 308,828 45,791 9,412
Massachusetts 4,951 272,647 27,718 5,601 9,906 381,853 47,884 4,834 20,766 1,308,325 211,976 10,250
New Hampshire 604 31,383 2,787 4,615 1,679 77,363 8,824 5,256 4,385 246,507 39,628 9,077
Rhode Island 887 49,247 4,514 5,090 1,758 61,325 7,978 4,538 4,822 295,699 50,162 10,475
Vermont 421 19,900 1,702 4,044 739 31,470 3,279 4,438 1,407 80,394 12,139 8,640
Middle Atlantic 24,505 1,233,263 126,915 5,186 63,096 2,697,689 333,959 5,293 121,578 7,444,325 1,182,916 9,766
New Jersey 5,933 309,909 29,758 5,017 13,067 560,846 67,535 5,169 27,481 1,649,138 278,862 10,183
New York 11,400 576,724 63,460 5,567 23,214 1,008,086 135,580 5,841 38,007 2,079,802 358,425 9,473
Pennsylvania 7,172 346,630 33,696 4,717 26,815 1,128,757 130,843 4,880 56,090 3,715,385 545,629 9,760
East North Central 37,377 2,061,004 207,056 5,541 93,025 4,154,816 464,650 4,996 171,472 10,725,988 1,624,904 9,520
Illinois 10,856 630,851 66,465 6,123 24,067 1,071,673 121,113 5,033 39,273 2,236,055 352,542 9,012
Indiana 1,708 101,725 9,310 5,454 9,984 484,813 51,390 5,149 22,255 1,479,591 211,988 9,573
Michigan 9,984 521,346 52,695 5,279 22,873 1,017,365 115,791 5,063 40,167 2,425,404 364,816 9,121
Ohio 10,981 596,101 59,575 5,427 27,228 1,159,156 132,377 4,863 49,833 3,226,162 490,227 9,889
Wisconsin 3,848 210,981 19,008 4,943 8,873 421,809 43,977 4,959 19,944 1,358,776 205,330 10,348
West North Central 14,164 865,934 80,074 5,659 36,720 1,748,289 176,312 4,804 77,037 5,017,325 700,941 9,128
Iowa 2,545 165,177 15,656 6,162 6,460 298,008 30,383 4,705 15,218 913,623 132,137 8,704
Kansas 2,190 144,153 13,161 6,021 5,550 267,095 26,068 4,708 11,855 816,806 112,185 9,504
Minnesota 3,303 185,954 18,338 5,555 8,175 402,271 45,222 5,532 15,208 905,619 136,387 9,010
Missouri 4,411 272,688 24,401 5,537 11,678 554,407 52,819 4,524 24,651 1,820,509 242,808 9,874
Nebraska 871 50,606 4,178 4,797 2,982 142,942 13,829 4,638 6,326 347,314 48,243 7,643
North Dakota 479 27,677 2,498 5,216 1,023 42,601 4,151 4,058 1,677 102,010 12,816 7,684
South Dakota 365 19,679 1,839 5,055 852 40,965 3,838 4,505 2,102 111,444 16,362 7,807
South Atlantic 48,947 2,962,460 289,612 5,921 112,303 5,663,896 656,729 5,851 227,830 16,696,244 2,619,243 11,546
Delaware 699 37,634 3,367 4,818 1,550 78,705 8,819 5,690 4,130 335,978 52,457 12,711
District of Columbia 283 13,467 1,381 4,899 614 29,755 3,866 6,297 1,231 83,937 13,934 11,375
Florida 28,465 1,677,775 170,767 6,001 56,248 2,819,511 350,229 6,229 96,262 7,048,713 1,204,362 12,566
Georgia 3,526 178,394 15,480 4,392 13,658 723,558 77,534 5,683 31,624 2,375,152 354,005 11,255
Maryland 2,792 136,154 13,277 4,771 7,638 298,523 34,343 4,496 14,233 761,402 120,876 8,517
North Carolina 7,111 541,896 49,572 6,972 13,198 717,297 77,961 5,913 32,147 2,358,641 345,206 10,776
South Carolina 2,181 146,669 13,105 6,009 6,552 345,769 34,999 5,345 19,452 1,708,932 244,260 12,625
Virginia 2,240 128,588 13,190 5,910 9,397 467,386 51,049 5,434 21,380 1,473,916 209,362 9,835
West Virginia 1,650 101,883 9,468 5,770 3,448 183,392 17,926 5,199 7,371 549,573 74,777 10,195
East South Central 11,117 769,046 71,474 6,432 32,995 2,126,137 208,855 6,332 74,368 6,405,320 851,127 11,510
Alabama 2,914 171,404 15,094 5,182 11,421 838,025 79,080 6,925 25,832 2,657,562 339,259 13,201
Kentucky 4,851 399,811 37,024 7,634 8,047 443,176 45,727 5,684 13,140 795,294 112,993 8,641
Mississippi 1,153 70,260 6,449 5,598 5,693 467,035 45,142 7,931 14,382 1,581,129 201,291 14,111
Tennessee 2,199 127,571 12,905 5,872 7,834 377,901 38,903 4,971 21,014 1,371,335 197,582 9,452
West South Central 21,336 1,299,331 122,741 5,754 62,010 3,558,642 364,302 5,876 121,982 9,731,645 1,352,036 11,135
Arkansas 1,975 124,494 10,723 5,430 5,281 323,207 30,097 5,700 10,324 661,395 93,058 9,056
Louisiana 1,991 97,592 8,831 4,436 7,154 350,795 36,690 5,130 16,937 1,326,621 174,646 10,364
Oklahoma 2,019 105,462 9,731 4,820 10,423 755,349 69,813 6,699 18,955 1,875,304 235,227 12,473
Texas 15,351 971,783 93,455 6,089 39,152 2,129,291 227,700 5,817 75,766 5,868,325 849,104 11,256
Mountain 12,453 624,739 66,336 5,330 38,491 1,806,545 212,559 5,523 77,847 6,107,308 940,034 12,132
Arizona 5,123 229,256 27,722 5,411 15,509 732,768 91,111 5,875 29,580 2,474,796 397,848 13,509
Colorado 3,250 160,173 16,126 4,970 8,840 344,737 41,239 4,666 15,010 990,172 159,231 10,660
Idaho 838 50,527 4,407 5,260 1,940 101,328 9,991 5,150 5,084 444,874 60,188 11,888
Montana 585 35,506 3,157 5,406 1,405 78,669 7,783 5,540 3,052 198,408 26,866 8,841
Nevada 958 58,400 6,536 6,823 3,637 144,309 20,034 6,301 7,578 464,621 81,634 10,820
New Mexico 1,348 74,578 6,969 5,174 3,838 236,349 24,181 5,589 7,689 643,948 91,225 11,930
Utah 263 11,506 979 3,740 2,805 143,233 15,676 4,914 8,878 835,996 115,107 13,039
Wyoming 88 4,793 437 4,971 517 25,152 2,540 4,943 976 54,493 7,932 8,152
Pacific 28,338 1,514,460 169,033 5,969 70,463 3,091,286 381,013 5,409 125,871 7,947,404 1,350,770 10,783
Alaska 16 895 87 5,476 103 4,269 513 4,988 495 26,615 4,234 8,678
California 20,316 1,080,047 119,651 5,896 50,116 2,208,522 279,037 5,571 87,548 5,608,689 979,340 11,238
Hawaii 619 27,282 2,906 4,695 1,406 56,188 7,626 5,428 2,506 142,729 24,957 10,104
Oregon 3,365 185,088 17,102 5,083 8,915 387,697 42,557 4,773 16,062 995,296 153,491 9,601
Washington 4,022 221,148 29,285 7,281 9,923 434,610 51,278 5,168 19,260 1,174,075 188,746 9,844
Outlying areas a 7,429 840,663 65,662 8,839 4,663 310,894 22,619 4,851 9,893 1,195,817 113,577 11,571
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2009
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
2009 974,680 99.2
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2009
Year Claims approved Charges before reduction
Number (thousands) Percentage reduced Amount (millions of dollars) Percentage reduced
Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
2003 759,783 88.9 189,920 52.0
2004 781,000 89.8 208,027 52.9
2005 846,093 87.2 236,430 52.0
2006 837,332 92.0 246,608 55.1
2007 822,902 93.4 253,248 58.1
2008 851,335 92.9 279,428 58.7
2009 867,878 93.0 291,065 59.3
Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
2009 6,677 88.0 746 19.1
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2008
Census division and state or area 1993 2000 2008
Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars)
Total
All areas 1,062,047 46,155,237 35,206,101 1,247,483 66,911,902 51,456,747 1,798,520 113,804,294 88,112,583
United States 1,050,605 45,677,059 34,838,562 1,229,583 66,047,753 50,790,939 1,788,829 113,265,972 87,692,856
New England 57,475 2,532,989 1,923,891 60,701 3,357,803 2,562,793 88,428 5,584,305 4,288,238
Connecticut 14,971 688,632 523,801 16,024 908,981 696,770 25,019 1,647,584 1,274,194
Maine 5,093 203,657 152,933 6,725 357,616 272,731 8,517 526,683 401,522
Massachusetts 26,993 1,216,000 927,157 26,099 1,464,973 1,117,345 39,038 2,408,763 1,847,246
New Hampshire 3,712 151,558 113,589 5,018 264,412 200,026 7,119 475,844 363,699
Rhode Island 5,089 200,132 152,442 4,512 227,420 175,093 5,528 325,323 250,872
Vermont 1,617 73,011 53,968 2,323 134,403 100,828 3,206 200,107 150,707
Middle Atlantic 190,966 8,727,545 6,679,025 198,796 11,114,019 8,582,935 273,429 17,391,705 13,521,603
New Jersey 39,741 1,795,252 1,374,199 46,582 2,706,642 2,098,689 75,275 4,904,212 3,831,590
New York 84,011 3,869,484 2,968,599 94,073 5,222,652 4,031,686 128,201 8,010,115 6,231,676
Pennsylvania 67,214 3,062,810 2,336,227 58,141 3,184,725 2,452,560 69,953 4,477,378 3,458,336
East North Central 178,252 7,526,281 5,711,398 202,748 10,835,911 8,301,058 281,283 17,828,103 13,743,026
Illinois 43,382 1,995,230 1,518,069 50,279 2,722,188 2,087,286 79,362 5,115,595 3,943,757
Indiana 19,724 855,441 642,446 27,376 1,418,457 1,079,378 38,995 2,450,856 1,885,836
Michigan 48,483 1,916,709 1,468,007 50,326 2,823,614 2,173,760 65,723 4,315,761 3,336,254
Ohio 47,701 2,011,679 1,522,281 50,755 2,722,161 2,085,982 69,582 4,328,609 3,341,038
Wisconsin 18,962 747,222 560,596 24,012 1,149,491 874,652 27,621 1,617,282 1,236,140
West North Central 69,790 2,693,967 2,024,254 86,209 4,213,384 3,209,083 111,818 6,704,905 5,151,244
Iowa 13,006 457,750 342,045 15,717 732,727 556,426 18,341 1,068,590 816,190
Kansas 10,888 451,677 342,214 13,030 671,147 514,252 18,212 1,104,865 851,817
Minnesota 11,608 438,052 323,989 16,548 798,015 603,082 19,195 1,165,810 892,480
Missouri 22,543 914,332 693,436 25,365 1,300,857 996,024 36,574 2,224,452 1,714,680
Nebraska 6,294 233,733 174,219 8,226 388,700 294,564 10,889 642,931 493,731
North Dakota 2,595 96,467 72,033 3,349 149,240 113,542 3,834 226,984 174,254
South Dakota 2,856 101,957 76,316 3,974 172,698 131,194 4,774 271,272 208,092
South Atlantic 216,862 9,345,787 7,164,358 270,430 14,646,480 11,291,572 411,760 26,119,179 20,270,939
Delaware 3,037 137,176 104,482 4,302 244,628 188,488 7,559 487,695 377,909
District of Columbia 2,620 121,120 93,475 2,346 136,917 105,493 2,810 203,319 158,192
Florida 96,578 4,399,081 3,410,771 105,141 6,100,419 4,747,090 160,517 10,660,842 8,337,649
Georgia 25,860 1,058,968 807,700 32,915 1,725,056 1,323,041 51,911 3,226,569 2,491,831
Maryland 18,896 883,554 679,402 22,693 1,316,285 1,014,698 35,170 2,396,542 1,857,549
North Carolina 26,228 1,014,093 763,647 40,027 1,960,603 1,494,488 61,791 3,615,222 2,786,246
South Carolina 13,834 515,359 386,450 21,862 1,117,181 855,190 33,353 2,016,571 1,557,922
Virginia 22,218 890,532 672,647 30,380 1,517,689 1,159,960 45,547 2,734,740 2,105,090
West Virginia 7,592 325,904 245,784 10,764 527,703 403,124 13,102 777,680 598,551
East South Central 70,461 2,797,568 2,129,747 91,596 4,658,756 3,566,213 134,315 7,895,778 6,097,524
Alabama 19,916 810,199 618,658 24,361 1,286,579 988,420 34,658 2,107,429 1,629,037
Kentucky 16,959 662,058 503,342 22,036 1,062,201 812,037 32,865 1,893,975 1,463,300
Mississippi 11,214 449,002 340,330 14,913 776,595 595,267 21,852 1,303,769 1,006,619
Tennessee 22,372 876,309 667,417 30,286 1,533,381 1,170,489 44,940 2,590,605 1,998,568
West South Central 104,249 4,415,507 3,375,452 134,444 6,928,068 5,349,132 206,384 12,687,707 9,842,891
Arkansas 12,311 487,744 367,896 15,708 781,724 599,631 22,005 1,282,945 990,511
Louisiana 17,967 798,002 610,958 19,622 1,058,214 816,817 26,084 1,649,042 1,275,957
Oklahoma 13,387 538,757 408,622 15,874 845,762 649,096 23,737 1,472,732 1,135,019
Texas 60,584 2,591,004 1,987,977 83,240 4,242,368 3,283,588 134,559 8,282,988 6,441,404
Mountain 43,230 1,899,807 1,443,957 53,859 2,986,527 2,286,851 85,518 5,759,390 4,445,806
Arizona 14,630 641,234 493,319 16,122 897,890 694,194 28,362 1,869,126 1,454,695
Colorado 9,017 368,183 280,001 10,021 545,066 417,340 17,050 1,150,648 889,327
Idaho 3,187 133,188 100,116 4,382 232,051 176,337 5,791 359,942 274,736
Montana 2,737 122,992 91,713 3,944 219,874 167,290 4,711 310,915 237,390
Nevada 4,744 239,310 183,265 6,605 374,374 287,238 11,278 817,956 631,208
New Mexico 4,111 178,573 134,253 5,218 293,417 224,310 8,172 567,034 436,457
Utah 3,580 158,473 117,886 5,657 320,886 241,885 7,525 504,548 384,742
Wyoming 1,224 57,853 43,405 1,910 102,968 78,257 2,628 179,221 137,251
Pacific 119,320 5,737,609 4,386,479 130,801 7,306,805 5,641,301 195,894 13,294,900 10,331,585
Alaska 599 30,305 22,675 964 60,128 45,822 1,815 137,035 105,380
California 91,760 4,561,912 3,504,741 99,393 5,621,663 4,358,871 149,080 10,258,028 8,000,363
Hawaii 2,517 112,138 83,062 3,642 180,404 134,791 4,796 268,570 203,479
Oregon 8,461 362,350 271,415 9,002 487,346 371,215 11,884 794,582 609,008
Washington 15,982 670,904 504,586 17,800 957,265 730,602 28,319 1,836,685 1,413,356
Outlying areas a 11,442 478,177 367,538 17,900 864,149 665,808 9,690 538,322 419,727
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2008
Census division and state or area 1991 2000 2008
Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars)
Total
All areas 17,176 9,433 21,537 16,732 24,000 39,705
United States 17,040 9,386 21,355 16,620 23,927 39,557
New England 1,060 587 1,237 937 1,493 2,522
Connecticut 233 142 274 225 326 540
Maine 124 45 168 117 199 333
Massachusetts 493 297 525 410 641 1,087
New Hampshire 80 37 120 79 158 291
Rhode Island 79 46 77 55 78 111
Vermont 51 21 74 52 90 160
Middle Atlantic 2,850 1,500 3,055 2,511 3,022 4,815
New Jersey 480 323 590 519 658 1,183
New York 1,163 602 1,348 1,249 1,274 2,082
Pennsylvania 1,207 575 1,118 743 1,090 1,551
East North Central 3,308 1,685 4,142 3,034 4,385 7,038
Illinois 834 407 1,015 725 1,208 1,910
Indiana 431 223 587 400 650 1,039
Michigan 754 393 1,003 807 988 1,597
Ohio 876 501 1,037 755 1,057 1,673
Wisconsin 413 161 500 348 482 820
West North Central 1,447 668 1,888 1,317 2,020 3,371
Iowa 280 120 366 254 368 598
Kansas 206 94 261 187 271 478
Minnesota 283 129 420 254 421 661
Missouri 442 214 520 384 605 1,010
Nebraska 125 62 174 130 190 333
North Dakota 52 24 69 48 82 147
South Dakota 60 24 77 60 84 145
South Atlantic 3,094 1,750 4,244 3,383 4,870 8,480
Delaware 47 19 68 57 91 156
District of Columbia 40 50 38 54 42 106
Florida 1,012 543 1,285 932 1,462 2,576
Georgia 401 243 571 465 698 1,166
Maryland 270 227 324 459 391 1,048
North Carolina 484 255 720 543 812 1,371
South Carolina 248 118 404 282 468 701
Virginia 407 226 590 426 665 1,009
West Virginia 185 69 245 164 240 348
East South Central 1,151 538 1,635 1,102 1,823 2,701
Alabama 308 155 424 261 483 648
Kentucky 284 126 399 228 467 699
Mississippi 192 92 292 254 325 571
Tennessee 366 165 520 360 549 782
West South Central 1,522 963 2,107 1,848 2,506 4,331
Arkansas 195 86 267 180 299 419
Louisiana 273 229 339 360 383 723
Oklahoma 218 105 294 210 351 486
Texas 836 542 1,206 1,098 1,473 2,703
Mountain 792 387 1,047 768 1,266 1,980
Arizona 201 180 233 169 296 468
Colorado 187 93 217 178 283 428
Idaho 75 29 108 74 118 205
Montana 66 4 101 64 111 182
Nevada 55 28 75 62 112 177
New Mexico 90 48 125 97 156 235
Utah 91 3 146 91 136 205
Wyoming 27 2 43 33 54 80
Pacific 1,816 1,308 2,000 1,720 2,542 4,319
Alaska 14 10 26 29 39 75
California 1,295 1,011 1,346 1,200 1,729 3,020
Hawaii 37 30 58 44 66 113
Oregon 195 91 225 143 244 353
Washington 275 166 345 303 465 757
Outlying areas a 136 47 182 112 74 147
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2010
State or area 1991 1995 2000 2004 2005 2006 2007 2008 2009 2010
All areas 3,640,121 4,705,625 5,425,048 6,305,467 6,577,577 6,885,326 7,082,006 7,292,444 7,434,151 7,703,292
Alabama 97,601 116,916 136,860 164,499 169,460 175,134 179,542 183,860 181,216 179,668
Alaska 4,539 6,193 8,486 10,318 10,748 11,465 11,904 12,218 12,393 12,908
Arizona 28,650 44,236 57,712 95,804 110,977 116,065 121,455 126,518 131,581 140,079
Arkansas 64,996 77,660 79,606 86,181 89,372 96,906 99,214 101,893 104,825 106,343
California 646,108 747,814 818,846 977,676 1,012,804 1,047,842 1,078,076 1,120,069 1,077,652 1,103,853
Colorado 36,470 46,660 55,325 61,140 61,294 64,505 68,264 72,451 75,845 79,980
Connecticut 23,535 48,047 53,141 66,664 66,191 66,968 67,876 70,682 73,426 94,154
Delaware 4,499 6,645 10,737 16,081 17,104 19,534 19,821 20,628 21,317 22,060
District of Columbia 12,791 14,152 14,233 15,586 15,246 15,365 15,584 16,023 17,680 20,102
Florida 196,992 271,430 342,109 406,006 431,764 459,146 470,337 490,437 519,540 553,625
Georgia 128,976 160,380 176,596 199,524 205,476 212,257 217,562 221,444 226,220 233,528
Hawaii 11,529 16,695 20,326 22,988 23,703 26,040 25,862 26,601 27,436 28,864
Idaho 9,127 12,931 17,081 22,291 23,482 24,628 26,030 26,744 28,039 28,945
Illinois 94,434 137,571 155,743 189,044 206,014 215,631 222,728 233,211 242,050 255,529
Indiana 60,297 76,460 87,543 105,011 109,669 114,933 120,079 120,825 124,312 133,816
Iowa 41,170 48,517 51,976 58,023 60,458 63,221 66,022 68,782 70,624 72,562
Kansas 26,960 34,708 41,217 46,175 47,707 49,483 50,732 51,829 53,624 56,096
Kentucky 76,456 97,978 117,697 126,343 126,468 134,469 137,602 140,970 143,692 148,188
Louisiana 87,570 112,090 117,179 132,498 139,802 140,291 141,009 148,875 153,719 158,370
Maine 22,176 29,453 36,946 43,800 46,510 52,560 64,164 78,157 83,374 84,602
Maryland 48,028 58,865 65,372 75,366 79,234 83,078 85,824 89,624 93,682 98,268
Massachusetts 89,163 125,859 152,587 170,689 178,691 188,576 191,171 195,461 196,817 199,370
Michigan 91,340 123,948 145,172 161,519 170,044 180,235 185,626 190,827 196,551 205,521
Minnesota 39,366 52,192 63,607 77,499 79,428 81,353 83,420 85,356 88,149 91,630
Mississippi 90,530 108,577 107,495 133,337 135,023 137,715 136,096 137,874 132,099 136,915
Missouri 55,116 72,659 88,343 103,449 109,561 110,734 113,722 117,954 122,450 126,577
Montana 10,058 11,031 12,828 13,917 14,455 15,097 15,456 15,811 16,170 17,587
Nebraska 11,358 16,146 20,520 23,082 24,210 25,243 25,640 27,030 27,638 34,020
Nevada 8,657 14,227 19,155 26,977 27,408 28,639 30,319 32,197 32,764 35,035
New Hampshire 3,807 5,405 7,434 10,732 11,584 12,597 13,454 14,669 15,872 17,381
New Jersey 95,795 122,923 146,705 153,231 159,110 169,804 170,280 170,807 175,716 179,273
New Mexico 22,246 29,855 37,330 44,642 49,333 52,078 53,757 56,797 59,163 62,640
New York 255,952 325,882 369,479 448,373 465,068 487,736 500,099 489,668 508,461 531,060
North Carolina 117,656 186,328 223,402 241,543 251,739 258,981 261,690 266,009 272,691 278,325
North Dakota 4,639 5,560 5,908 6,560 6,757 7,185 7,610 7,892 8,058 8,464
Ohio 112,598 164,044 171,139 195,792 204,905 223,726 234,958 247,445 258,318 273,167
Oklahoma 51,457 60,080 67,413 72,758 75,903 80,536 82,671 82,920 83,382 86,586
Oregon 28,537 43,642 59,169 69,610 70,927 72,394 75,113 78,272 81,990 87,068
Pennsylvania 127,519 162,788 206,468 232,885 242,552 258,675 268,833 274,566 284,189 295,984
Rhode Island 10,585 15,517 19,787 25,361 26,311 27,002 27,508 27,860 28,064 28,782
South Carolina 78,701 95,970 112,232 118,393 118,843 121,469 124,502 126,074 126,591 129,489
South Dakota 9,399 12,346 13,146 14,045 14,534 15,176 15,407 15,613 15,824 16,148
Tennessee 116,861 148,391 182,342 208,678 218,894 228,849 232,611 236,854 241,225 215,868
Texas 234,169 314,991 360,191 423,560 440,938 457,346 473,962 489,552 501,502 514,153
Utah 10,263 13,506 16,231 19,361 21,787 24,114 24,775 25,459 26,794 27,064
Vermont 8,223 12,428 13,754 15,079 15,509 20,857 21,831 22,078 22,212 22,798
Virginia 77,898 102,964 113,259 124,996 131,083 137,991 141,569 145,896 149,316 155,647
Washington 54,774 71,531 97,390 108,780 113,233 119,180 123,471 127,450 132,958 143,398
West Virginia 28,086 39,720 46,305 51,365 54,200 57,688 59,576 61,749 63,037 65,324
Wisconsin 67,516 75,247 74,101 79,889 83,383 85,661 87,901 90,928 93,984 96,201
Wyoming 3,505 5,265 6,444 7,454 7,749 8,015 8,135 8,458 8,736 9,087
Outlying areas
Guam 443 669 417 375 409 647 633 537 645 693
Northern Mariana Islands 273 314 342 340 358 354 373 381 385 394
U.S. Virgin Islands 727 219 204 178 165 152 150 159 153 103
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2008
Census division and state or area Total Part D and RDS enrollees Medicare Part D RDS a
Total Stand-alone prescription drug plan (PDP) Medicare Advantage plan offering Part D coverage
Total
All areas 32,500,509 25,844,675 17,393,807 8,450,868 6,655,834
United States 32,048,011 25,415,765 17,337,420 8,078,345 6,632,246
New England 1,669,686 1,282,502 960,048 322,454 387,184
Connecticut 405,233 294,228 221,709 72,519 111,005
Maine 175,701 145,618 136,320 9,298 30,083
Massachusetts 758,461 572,817 398,169 174,648 185,644
New Hampshire 127,112 96,396 89,500 6,896 30,716
Rhode Island 129,048 116,530 58,428 58,102 12,518
Vermont 74,131 56,913 55,922 991 17,218
Middle Atlantic 4,755,025 3,638,473 2,214,118 1,424,355 1,116,552
New Jersey 934,078 653,504 538,054 115,450 280,574
New York 2,175,708 1,635,221 977,758 657,463 540,487
Pennsylvania 1,645,239 1,349,748 698,306 651,442 295,491
East North Central 5,219,755 3,604,317 2,711,739 892,578 1,615,438
Illinois 1,310,145 968,693 850,555 118,138 341,452
Indiana 698,878 505,461 445,315 60,146 193,417
Michigan 1,214,793 780,552 508,594 271,958 434,241
Ohio 1,417,976 907,066 589,647 317,419 510,910
Wisconsin 577,963 442,545 317,628 124,917 135,418
West North Central 2,305,542 1,994,958 1,527,286 467,672 310,584
Iowa 382,961 331,143 289,988 41,155 51,818
Kansas 281,360 250,364 219,991 30,373 30,996
Minnesota 573,228 497,684 298,172 199,512 75,544
Missouri 699,248 581,668 423,272 158,396 117,580
Nebraska 196,950 173,529 151,205 22,324 23,421
North Dakota 78,847 74,264 69,605 4,659 4,583
South Dakota 92,948 86,306 75,053 11,253 6,642
South Atlantic 6,174,753 4,895,133 3,504,427 1,390,706 1,279,620
Delaware 102,908 69,025 65,320 3,705 33,883
District of Columbia 38,318 34,256 27,423 6,833 4,062
Florida 2,298,224 1,847,931 1,020,515 827,416 450,293
Georgia 790,933 665,620 552,899 112,721 125,313
Maryland 463,251 318,178 270,466 47,712 145,073
North Carolina 1,040,550 814,013 636,629 177,384 226,537
South Carolina 502,350 382,413 311,904 70,509 119,937
Virginia 662,428 542,150 454,298 87,852 120,278
West Virginia 275,791 221,547 164,973 56,574 54,244
East South Central 2,178,300 1,795,465 1,396,117 399,348 382,835
Alabama 578,941 465,190 325,226 139,964 113,751
Kentucky 530,082 401,920 343,962 57,958 128,162
Mississippi 333,405 303,853 279,816 24,037 29,552
Tennessee 735,872 624,502 447,113 177,389 111,370
West South Central 3,186,757 2,577,620 1,938,210 639,410 609,137
Arkansas 351,276 301,091 254,374 46,717 50,185
Louisiana 478,784 392,998 275,735 117,263 85,786
Oklahoma 384,733 333,990 270,999 62,991 50,743
Texas 1,971,964 1,549,541 1,137,102 412,439 422,423
Mountain 1,917,723 1,601,391 873,553 727,838 316,332
Arizona 621,563 519,347 220,634 298,713 102,216
Colorado 410,000 333,402 166,881 166,521 76,598
Idaho 143,019 119,519 85,009 34,510 23,500
Montana 105,686 90,264 74,418 15,846 15,422
Nevada 215,189 179,405 83,871 95,534 35,784
New Mexico 201,826 177,925 115,974 61,951 23,901
Utah 171,820 140,614 88,634 51,980 31,206
Wyoming 48,620 40,915 38,132 2,783 7,705
Pacific 4,640,470 4,025,906 2,211,922 1,813,984 614,564
Alaska 38,319 23,600 23,156 444 14,719
California 3,476,556 3,049,591 1,600,656 1,448,935 426,965
Hawaii 132,619 124,988 62,963 62,025 7,631
Oregon 412,067 365,866 185,845 180,021 46,201
Washington 580,909 461,861 339,302 122,559 119,048
Outlying areas b 452,498 428,910 56,387 372,523 23,588
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2008
Census division and state or area Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDSa Other creditable coverage b (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low-income subsidy c Partial low-income subsidy d No low-income subsidy
Total
All areas 45,411,883 25,844,675 9,329,300 404,169 16,111,206 6,655,834 5,930,894 6,980,480
United States 44,384,954 25,415,765 9,313,202 403,846 15,698,717 6,632,246 5,864,381 6,472,562
New England 2,315,028 1,282,502 529,437 16,924 736,141 387,184 289,326 356,016
Connecticut 548,703 294,228 101,594 2,833 189,801 111,005 63,400 80,070
Maine 253,188 145,618 84,625 674 60,319 30,083 36,188 41,299
Massachusetts 1,018,689 572,817 242,885 8,557 321,375 185,644 114,089 146,139
New Hampshire 211,657 96,396 33,486 2,027 60,883 30,716 34,909 49,636
Rhode Island 177,874 116,530 40,182 2,080 74,268 12,518 26,122 22,704
Vermont 104,917 56,913 26,665 753 29,495 17,218 14,618 16,168
Middle Atlantic 6,395,097 3,638,473 1,338,752 53,781 2,245,940 1,116,552 692,242 947,830
New Jersey 1,282,636 653,504 216,257 11,635 425,612 280,574 144,703 203,855
New York 2,891,085 1,635,221 731,600 21,480 882,141 540,487 278,934 436,443
Pennsylvania 2,221,376 1,349,748 390,895 20,666 938,187 295,491 268,605 307,532
East North Central 7,032,922 3,604,317 1,227,708 61,182 2,315,427 1,615,438 734,578 1,078,589
Illinois 1,774,555 968,693 336,710 17,951 614,032 341,452 193,527 270,883
Indiana 964,240 505,461 167,293 10,530 327,638 193,417 118,826 146,536
Michigan 1,579,631 780,552 266,791 14,007 499,754 434,241 131,932 232,906
Ohio 1,840,714 907,066 316,278 15,211 575,577 510,910 186,900 235,838
Wisconsin 873,782 442,545 140,636 3,483 298,426 135,418 103,393 192,426
West North Central 3,149,354 1,994,958 543,201 28,429 1,423,328 310,584 442,602 401,210
Iowa 506,152 331,143 80,012 4,417 246,714 51,818 67,645 55,546
Kansas 417,996 250,364 65,589 4,177 180,598 30,996 68,353 68,283
Minnesota 749,065 497,684 126,114 5,166 366,404 75,544 88,602 87,235
Missouri 966,061 581,668 191,552 9,631 380,485 117,580 134,170 132,643
Nebraska 271,368 173,529 42,434 2,500 128,595 23,421 43,057 31,361
North Dakota 106,666 74,264 16,575 1,249 56,440 4,583 16,439 11,380
South Dakota 132,046 86,306 20,925 1,289 64,092 6,642 24,336 14,762
South Atlantic 8,905,146 4,895,133 1,812,687 91,338 2,991,108 1,279,620 1,430,591 1,299,802
Delaware 141,080 69,025 23,894 1,156 43,975 33,883 18,833 19,339
District of Columbia 75,125 34,256 21,062 380 12,814 4,062 21,015 15,792
Florida 3,211,813 1,847,931 593,655 23,728 1,230,548 450,293 464,848 448,741
Georgia 1,152,522 665,620 281,933 13,009 370,678 125,313 182,595 178,994
Maryland 744,564 318,178 118,898 6,351 192,929 145,073 151,906 129,407
North Carolina 1,404,787 814,013 330,176 19,857 463,980 226,537 184,482 179,755
South Carolina 723,726 382,413 165,498 9,894 207,021 119,937 120,232 101,144
Virginia 1,078,534 542,150 193,291 11,878 336,981 120,278 236,564 179,542
West Virginia 372,995 221,547 84,280 5,085 132,182 54,244 50,116 47,088
East South Central 3,020,818 1,795,465 840,038 39,480 915,947 382,835 436,383 406,135
Alabama 809,193 465,190 216,614 10,434 238,142 113,751 130,823 99,429
Kentucky 728,218 401,920 187,295 10,438 204,187 128,162 94,322 103,814
Mississippi 479,231 303,853 157,566 6,011 140,276 29,552 77,748 68,078
Tennessee 1,004,176 624,502 278,563 12,597 333,342 111,370 133,490 134,814
West South Central 4,545,487 2,577,620 1,100,004 54,295 1,423,321 609,137 679,347 679,383
Arkansas 508,767 301,091 128,530 7,167 165,394 50,185 85,878 71,613
Louisiana 656,392 392,998 183,592 8,280 201,126 85,786 77,099 100,509
Oklahoma 578,488 333,990 119,307 6,683 208,000 50,743 99,331 94,424
Texas 2,801,840 1,549,541 668,575 32,165 848,801 422,423 417,039 412,837
Mountain 2,788,081 1,601,391 458,141 22,148 1,121,102 316,332 449,395 420,963
Arizona 869,591 519,347 152,191 5,612 361,544 102,216 128,431 119,597
Colorado 579,322 333,402 90,687 4,575 238,140 76,598 89,513 79,809
Idaho 214,247 119,519 34,166 2,127 83,226 23,500 35,328 35,900
Montana 160,441 90,264 24,220 1,878 64,166 15,422 27,426 27,329
Nevada 330,003 179,405 46,295 2,707 130,403 35,784 56,995 57,819
New Mexico 294,269 177,925 66,378 2,740 108,807 23,901 47,616 44,827
Utah 264,086 140,614 33,692 1,850 105,072 31,206 49,631 42,635
Wyoming 76,122 40,915 10,512 659 29,744 7,705 14,455 13,047
Pacific 6,233,021 4,025,906 1,463,234 36,269 2,526,403 614,564 709,917 882,634
Alaska 59,781 23,600 14,282 281 9,037 14,719 10,472 10,990
California 4,491,586 3,049,591 1,171,742 23,337 1,854,512 426,965 441,983 573,047
Hawaii 194,183 124,988 34,862 1,393 88,733 7,631 32,614 28,950
Oregon 584,222 365,866 93,170 5,236 267,460 46,201 81,111 91,044
Washington 903,249 461,861 149,178 6,022 306,661 119,048 143,737 178,603
Outlying areas e 1,026,929 428,910 16,098 323 412,489 23,588 66,513 507,918
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
c. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
d. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or supplement@ssa.gov.