Annual Statistical Supplement, 2011

 

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 1990–2009
Type of coverage and service 1990 1995 2000 2005 2008 2009
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 45,412 46,521
Hospital Insurance 33,719 37,135 39,211 42,129 45,067 46,195
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 42,020 42,960
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,320 35,360
Hospital Insurance -- -- 32,329 36,318 34,982 35,041
Supplementary Medical Insurance -- -- 30,478 33,916 31,929 31,800
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 32,058 b 31,922
Hospital Insurance 7,036 8,036 7,325 8,307 7,843 7,722
Inpatient hospital 6,543 6,964 6,917 7,710 7,097 6,942
Skilled nursing services 638 1,233 1,468 1,847 1,841 1,808
Home health services c 1,936 3,427 1,444 1,752 1,705 1,710
Hospice services -- -- 541 871 1,048 1,085
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 31,663 31,473
Physicians' and other medical services 26,350 26,539 28,763 32,709 31,114 30,971
Outpatient services 15,511 19,709 21,029 24,423 23,323 23,303
Home health services c 38 41 1,190 1,370 1,614 1,746
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 908 903
Hospital Insurance 209 216 227 229 224 220
Inpatient hospital 194 188 214 212 203 198
Skilled nursing services 19 33 45 51 53 52
Home health services c 57 92 45 48 49 49
Hospice services -- -- 17 24 30 31
Supplementary Medical Insurance 826 848 962 979 992 990
Physicians' and other medical services 808 744 944 964 974 974
Outpatient services 475 552 690 720 730 733
Home health services c 1 1 39 40 51 55
Amount reimbursed (millions of dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 301,136 318,009
Hospital Insurance 62,347 101,835 101,663 149,392 162,370 170,331
Inpatient hospital 56,716 78,944 85,197 116,647 120,251 125,662
Skilled nursing services 1,971 7,799 10,621 18,964 24,360 25,580
Home health services  c 3,660 15,092 2,918 5,916 6,629 6,992
Hospice services -- -- 2,927 7,864 11,130 12,097
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 138,766 147,677
Physicians' and other medical services 30,222 41,617 51,474 83,838 88,155 91,174
Outpatient services 8,773 15,328 16,787 33,931 40,140 44,596
Home health services c 78 200 4,338 6,982 10,472 11,908
Amount reimbursed per person served (dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 9,393 9,962
Hospital Insurance 8,862 12,672 13,878 17,984 20,704 22,059
Inpatient hospital 8,668 11,336 12,318 15,130 16,945 18,101
Skilled nursing services 3,092 6,325 7,235 10,267 13,231 14,146
Home health services c 1,890 4,403 2,021 3,377 3,889 4,090
Hospice services -- -- 5,409 9,027 10,620 11,146
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,383 4,692
Physicians' and other medical services 1,147 1,409 1,709 2,563 2,833 2,944
Outpatient services 566 778 798 1,389 1,721 1,914
Home health services c 2,031 4,837 3,644 5,098 6,487 6,822
Amount reimbursed per enrollee (dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 8,526 8,993
Hospital Insurance 1,849 2,742 3,145 4,113 4,642 4,861
Inpatient hospital 1,682 2,126 2,635 3,212 3,438 3,586
Skilled nursing services 58 210 329 522 696 730
Home health services c 109 406 90 163 189 200
Hospice services -- -- 91 217 318 345
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,346 4,644
Physicians' and other medical services 926 1,166 1,689 2,472 2,761 2,867
Outpatient services 269 430 551 1,000 1,257 1,402
Home health services  c 2 6 142 206 328 374
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. Revised data.
c. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
d. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Aged persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2009
Type of coverage and service 1990 1995 2000 2005 2008 2009
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 37,896 38,765
Hospital Insurance 30,464 32,742 33,841 35,407 37,552 38,440
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 35,364 36,061
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 28,961 28,925
Hospital Insurance -- -- 27,422 30,033 28,624 28,607
Supplementary Medical Insurance -- -- 26,174 28,402 26,430 26,221
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,499 b 26,250
Hospital Insurance 6,367 7,147 6,361 7,016 6,559 6,409
Inpatient hospital 5,906 6,148 5,975 6,455 5,858 5,677
Skilled nursing services 615 1,186 1,390 1,719 1,703 1,662
Home health services c 1,818 3,185 1,325 1,574 1,514 1,509
Hospice services -- -- 514 825 995 1,027
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 26,161 25,866
Physicians' and other medical services 24,193 26,621 24,846 27,468 25,779 25,519
Outpatient services 14,055 17,597 18,159 20,436 19,197 19,062
Home health services c 38 42 1,081 1,214 1,409 1,515
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 915 908
Hospital Insurance 209 218 232 234 229 224
Inpatient hospital 194 188 218 215 205 198
Skilled nursing services 21 36 51 57 59 58
Home health services c 60 97 48 52 53 53
Hospice services -- -- 19 27 35 36
Supplementary Medical Insurance 832 858 965 979 990 986
Physicians' and other medical services 815 839 949 967 975 973
Outpatient services 474 554 694 720 726 727
Home health services c 1 1 41 43 53 58
Amount reimbursed (millions of dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 247,118 258,546
Hospital Insurance 54,244 89,631 87,549 125,993 135,473 140,673
Inpatient hospital 48,952 68,213 72,041 95,557 96,462 99,460
Skilled nursing services 1,886 7,504 10,066 17,666 22,519 23,530
Home health services  c 3,406 13,914 2,679 5,333 5,927 6,219
Hospice services -- -- 2,763 7,436 10,565 11,464
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 111,646 117,874
Physicians' and other medical services 27,379 37,069 44,506 70,111 72,967 74,780
Outpatient services 7,077 12,045 12,588 25,385 29,659 32,878
Home health services c 78 203 3,845 6,106 9,020 10,216
Amount reimbursed per person served (dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 9,326 9,849
Hospital Insurance 8,520 12,542 13,763 17,958 20,656 21,951
Inpatient hospital 8,289 11,096 12,057 14,804 16,468 17,521
Skilled nursing services 3,068 6,325 7,242 10,277 13,223 14,155
Home health services c 1,874 4,368 2,022 3,388 3,914 4,120
Hospice services -- -- 5,375 9,015 10,623 11,157
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,268 4,557
Physicians' and other medical services 1,132 1,392 1,791 2,552 2,831 2,930
Outpatient services 503 684 693 1,242 1,545 1,725
Home health services c 2,033 4,862 3,557 5,030 6,401 6,742
Amount reimbursed per enrollee (dollars) d
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 8,533 8,938
Hospital Insurance 1,781 2,738 3,193 4,195 4,733 4,917
Inpatient hospital 1,607 2,083 2,627 3,182 3,370 3,477
Skilled nursing services 62 229 367 588 787 823
Home health services c 112 425 98 178 207 217
Hospice services -- -- 101 248 369 401
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 4,224 4,495
Physicians' and other medical services 922 1,168 1,700 2,469 2,761 2,852
Outpatient services 238 379 481 894 1,122 1,254
Home health services  c 3 6 147 215 341 390
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. Revised data.
c. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
d. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B2 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Disabled persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2009
Type of coverage and service 1990 1995 2000 2005 2008 2009
Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 7,516 7,755
Hospital Insurance 3,255 4,393 5,370 6,722 7,515 7,755
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 6,655 6,900
Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,359 6,435
Hospital Insurance -- -- 4,907 6,285 6,358 6,434
Supplementary Medical Insurance -- -- 4,304 5,514 5,498 5,579
Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,559 b 5,672
Hospital Insurance 680 933 964 1,291 1,284 1,313
Inpatient hospital 644 844 942 1,255 1,239 1,266
Skilled nursing services 23 54 78 128 138 146
Home health services c 122 272 119 178 191 200
Hospice services -- -- 27 46 54 58
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,502 5,607
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,335 5,451
Outpatient services 1,496 2,281 2,870 3,987 4,126 4,241
Home health services c d d 110 156 205 230
Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 874 881
Hospital Insurance 209 212 196 205 202 204
Inpatient hospital 198 192 192 200 195 197
Skilled nursing services 7 12 16 20 22 23
Home health services c 38 62 24 28 30 31
Hospice services -- -- 6 7 8 9
Supplementary Medical Insurance 804 837 943 976 1,001 1,005
Physicians' and other medical services 764 808 910 950 970 977
Outpatient services 508 579 667 723 750 760
Home health services c d d 26 28 37 41
Amount reimbursed (millions of dollars) e
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 54,018 59,462
Hospital Insurance 6,694 12,752 14,114 23,399 26,897 29,659
Inpatient hospital 6,346 11,079 13,156 21,091 23,788 26,202
Skilled nursing services 85 374 555 1,297 1,841 2,050
Home health services c 264 1,300 239 583 703 773
Hospice services -- -- 164 428 566 633
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 27,121 29,804
Physicians' and other medical services 2,831 4,888 6,968 13,727 15,187 16,394
Outpatient services 1,714 3,384 4,198 8,547 10,481 11,717
Home health services c d d 493 877 1,452 1,692
Amount reimbursed per person served (dollars) e
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 9,717 10,484
Hospital Insurance 9,847 13,666 14,641 18,124 20,950 22,588
Inpatient hospital 9,849 13,126 13,966 16,808 19,201 20,698
Skilled nursing services 3,702 6,959 7,115 10,127 13,328 14,046
Home health services c 2,156 4,777 2,008 3,280 3,686 3,859
Hospice services -- -- 6,074 9,223 10,561 10,947
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 4,929 5,315
Physicians' and other medical services 1,259 1,535 1,779 2,619 2,847 3,007
Outpatient services 1,146 1,483 1,463 2,144 2,540 2,763
Home health services c d d 4,482 5,631 7,084 7,342
Amount reimbursed per enrollee (dollars) e
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 8,495 9,241
Hospital Insurance 2,057 2,903 2,876 3,723 4,230 4,610
Inpatient hospital 1,950 2,522 2,681 3,356 3,741 4,072
Skilled nursing services 26 85 113 206 290 319
Home health services c 81 296 49 93 111 120
Hospice services -- -- 33 68 89 98
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 4,933 5,342
Physicians' and other medical services 962 1,240 1,619 2,489 2,762 2,938
Outpatient services 582 858 975 1,550 1,906 2,100
Home health services c d d 115 159 264 303
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. Revised data.
c. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
d. Sample population too small to yield valid calculated results.
e. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on reimbursements for inpatient hospital and outpatient services for 2009 are subject to revision.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2010, selected years (in thousands)
Census division and state or area 1990 2000 2009 2010
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 38,765 28,925 9,840 39,631 29,291 10,340
United States a 30,341 29,657 684 33,540 27,137 6,403 37,899 28,365 9,534 38,742 28,736 10,006
New England 1,733 1,719 15 1,836 1,449 387 1,961 1,577 384 1,996 1,595 401
Connecticut 436 434 2 457 356 101 482 394 88 489 393 96
Maine 165 165 b 180 178 2 205 179 26 209 178 31
Massachusetts 795 786 9 828 601 227 860 667 193 875 679 196
New Hampshire 126 126 b 147 145 2 178 164 14 183 167 16
Rhode Island 145 141 3 148 94 54 147 88 59 149 91 58
Vermont 67 67 b 76 76 b 89 84 4 91 87 5
Middle Atlantic 5,082 4,945 137 5,263 4,078 1,186 5,489 3,819 1,670 5,560 3,841 1,720
New Jersey 1,006 977 29 1,067 905 162 1,129 986 144 1,146 997 149
New York 2,279 2,199 80 2,334 1,871 463 2,462 1,696 766 2,499 1,693 806
Pennsylvania 1,798 1,769 29 1,863 1,302 561 1,898 1,137 761 1,915 1,151 764
East North Central 5,223 5,153 70 5,541 4,948 593 6,001 4,645 1,356 6,092 4,721 1,370
Illinois 1,401 1,377 24 1,435 1,263 172 1,539 1,380 160 1,564 1,406 158
Indiana 685 673 12 735 703 32 814 681 133 827 684 143
Michigan 1,101 1,100 1 1,201 1,128 73 1,321 945 376 1,344 1,103 240
Ohio 1,387 1,364 22 1,478 1,206 272 1,568 1,108 460 1,586 1,002 583
Wisconsin 649 639 10 693 649 43 759 531 227 771 526 246
West North Central 2,423 2,350 74 2,518 2,252 266 2,712 2,114 598 2,753 2,101 652
Iowa 422 412 10 426 410 16 442 382 61 446 384 62
Kansas 337 333 5 347 319 28 362 320 42 366 324 42
Minnesota 544 500 44 582 496 86 659 387 272 674 361 312
Missouri 706 692 14 736 612 124 800 623 177 812 625 187
Nebraska 221 220 1 227 217 10 238 209 29 240 211 29
North Dakota 91 91 1 93 92 1 94 86 8 95 87 8
South Dakota 102 102 b 106 106 1 117 108 9 119 109 10
South Atlantic 5,534 5,473 61 6,430 5,510 920 7,598 6,035 1,563 7,802 6,087 1,715
Delaware 80 80 b 98 93 5 121 115 6 124 120 5
District of Columbia 71 68 2 65 59 6 64 57 7 65 58 7
Florida 2,174 2,158 15 2,507 1,815 692 2,844 2,004 840 2,911 2,015 896
Georgia 636 635 b 752 702 50 956 805 151 990 766 224
Maryland 496 492 4 571 504 67 657 605 52 673 617 56
North Carolina 786 785 2 941 897 44 1,157 941 216 1,190 968 222
South Carolina 383 383 b 464 463 2 595 506 88 615 519 97
Virginia 645 636 9 762 730 32 922 795 127 947 812 135
West Virginia 264 236 28 270 247 23 283 208 75 286 213 74
East South Central 1,886 1,868 18 2,061 1,930 131 2,362 1,902 461 2,410 1,933 477
Alabama 508 503 4 558 507 51 628 488 139 639 505 134
Kentucky 459 448 11 491 460 31 556 465 90 566 470 97
Mississippi 313 313 b 330 325 5 366 330 36 372 336 36
Tennessee 607 604 3 682 638 44 813 618 195 833 623 210
West South Central 2,879 2,875 4 3,276 2,754 522 3,827 3,105 722 3,930 3,160 770
Arkansas 343 342 1 359 342 17 399 345 54 406 350 56
Louisiana 460 460 b 497 404 93 529 396 133 539 399 140
Oklahoma 412 411 1 438 388 50 481 407 74 488 412 77
Texas 1,665 1,662 2 1,982 1,620 362 2,418 1,957 462 2,497 2,000 497
Mountain 1,489 1,452 38 1,914 1,400 514 2,447 1,660 786 2,530 1,715 815
Arizona 456 436 19 596 371 225 762 483 279 788 506 282
Colorado 324 312 11 403 253 151 515 333 182 535 345 189
Idaho 121 121 1 145 129 16 186 131 55 193 133 60
Montana 106 105 b 119 118 b 140 115 26 144 117 27
Nevada 128 127 1 212 139 73 293 198 95 304 206 98
New Mexico 160 158 2 200 159 41 249 182 67 256 187 69
Utah 147 145 2 183 176 7 235 156 78 242 157 85
Wyoming 47 47 b 57 56 2 67 63 4 69 64 5
Pacific 4,081 3,813 267 4,692 2,808 1,884 5,497 3,503 1,994 5,665 3,580 2,085
Alaska 22 22 b 35 35 b 51 50 1 54 53 1
California 2,989 2,750 239 3,430 1,947 1,483 3,964 2,479 1,485 4,081 2,528 1,552
Hawaii 118 114 4 151 98 53 178 103 75 184 104 80
Oregon 390 371 19 433 260 173 513 288 225 527 297 231
Washington 562 556 6 643 468 175 790 583 208 818 598 221
Unknown 10 10 b 9 8 1 4 3 b 3 3 b
Outlying areas
Puerto Rico 337 337 b 401 400 1 492 188 303 506 175 331
U.S. Virgin Islands 6 6 b 9 9 b 14 13 b 14 14 b
Other b b b 9 9 b 14 13 b 14 14 b
Foreign countries 255 254 b 288 285 3 348 345 3 355 352 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2010, selected years (in thousands)
Census division and state or area 1990 2000 2009 2010
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 7,755 6,435 1,321 8,033 6,619 1,414
United States a 3,154 3,132 22 5,219 4,759 459 7,573 6,350 1,223 7,847 6,540 1,307
New England 156 156 b 284 265 19 401 376 25 415 390 25
Connecticut 33 33 b 57 53 4 76 69 7 78 70 8
Maine 18 18 b 36 36 b 54 52 2 56 54 2
Massachusetts 72 72 b 131 120 11 179 171 8 186 179 7
New Hampshire 11 11 b 23 23 b 39 38 2 41 39 2
Rhode Island 14 14 b 24 20 4 33 27 6 34 29 5
Vermont 7 7 b 13 13 b 19 19 b 20 20 b
Middle Atlantic 474 470 4 729 655 73 1,004 792 212 1,039 819 220
New Jersey 86 85 1 133 124 9 175 159 16 181 163 18
New York 230 228 2 366 334 31 475 386 90 490 392 98
Pennsylvania 158 157 1 230 197 33 354 248 106 368 264 104
East North Central 562 560 2 823 773 50 1,167 1,034 134 1,216 1,080 136
Illinois 132 132 1 195 180 15 267 246 21 276 256 20
Indiana 77 76 1 117 114 3 171 153 19 179 158 21
Michigan 132 132 b 200 193 7 293 261 32 307 279 29
Ohio 156 155 1 221 199 23 302 259 43 315 269 46
Wisconsin 64 64 b 90 88 2 133 115 19 139 118 21
West North Central 212 210 2 339 324 14 495 443 52 513 456 57
Iowa 34 34 b 50 49 1 69 64 6 71 66 6
Kansas 26 26 b 43 42 2 64 59 5 66 61 5
Minnesota 44 44 b 72 70 1 108 94 14 112 97 15
Missouri 75 75 1 124 115 10 185 164 22 192 168 24
Nebraska 16 16 b 26 26 1 38 34 4 39 35 4
North Dakota 7 7 b 10 10 b 14 13 1 14 13 1
South Dakota 8 8 b 13 13 b 17 16 1 18 17 1
South Atlantic 608 604 4 1,082 998 84 1,555 1,291 263 1,606 1,325 281
Delaware 8 8 b 15 14 b 24 23 1 25 24 1
District of Columbia 7 7 b 10 9 b 12 12 1 13 12 1
Florida 165 165 1 316 253 63 445 333 112 463 343 120
Georgia 96 96 b 167 161 6 238 207 31 246 207 38
Maryland 46 46 b 75 70 5 108 101 7 112 104 8
North Carolina 106 106 b 195 191 4 291 250 41 300 258 42
South Carolina 59 59 b 105 105 b 154 129 25 159 131 27
Virginia 77 76 1 133 130 3 188 158 30 194 162 31
West Virginia 44 41 3 67 64 3 94 79 14 95 82 13
East South Central 287 286 1 498 482 16 728 607 121 750 616 134
Alabama 74 74 b 128 119 9 200 156 44 206 159 47
Kentucky 75 74 1 132 128 4 188 163 24 193 167 26
Mississippi 53 53 b 89 88 b 122 111 11 125 113 12
Tennessee 85 85 b 149 146 3 218 176 42 225 175 50
West South Central 317 317 b 541 492 50 857 722 134 892 743 149
Arkansas 48 48 b 80 78 2 122 103 19 126 106 20
Louisiana 71 71 b 104 92 12 142 121 21 147 124 23
Oklahoma 39 39 b 70 65 4 111 98 13 115 101 14
Texas 159 159 b 288 256 31 482 401 81 504 412 92
Mountain 148 147 1 286 240 46 440 332 108 457 342 115
Arizona 43 42 b 85 62 24 138 86 51 142 88 54
Colorado 34 34 1 65 53 11 87 68 19 90 70 20
Idaho 11 11 b 21 20 1 35 29 7 37 30 7
Montana 12 12 b 18 18 b 25 21 3 26 22 3
Nevada 13 13 b 31 24 7 50 40 10 53 42 10
New Mexico 19 19 b 34 31 3 55 47 9 57 48 9
Utah 13 13 b 24 23 b 39 31 9 41 31 10
Wyoming 4 4 b 8 8 b 11 10 1 11 11 1
Pacific 389 381 7 636 529 107 926 753 172 958 769 189
Alaska 3 3 b 7 7 b 11 11 b 12 12 b
California 290 283 7 464 378 86 655 534 121 676 544 133
Hawaii 9 9 b 15 14 1 22 18 4 22 17 6
Oregon 34 33 1 58 46 11 89 63 26 94 66 27
Washington 53 53 b 93 84 9 148 127 21 154 131 23
Unknown 2 2 b 1 1 b b b b b b b
Outlying areas
Puerto Rico 92 92 b 136 136 b 162 64 97 164 58 107
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 17 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 statistics@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2010, selected years (in thousands)
Census division and state or area 1990 2000 2009 2010
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 46,521 35,360 11,161 47,664 35,910 11,754
United States a 33,494 32,789 706 38,759 31,896 6,863 45,471 34,714 10,757 46,588 35,276 11,313
New England 1,889 1,874 15 2,120 1,714 405 2,362 1,953 409 2,411 1,985 427
Connecticut 469 467 2 514 409 105 558 463 95 568 463 104
Maine 183 183 b 217 214 2 259 231 28 265 231 33
Massachusetts 867 858 9 958 721 237 1,039 838 201 1,061 858 203
New Hampshire 137 137 b 170 167 3 217 202 16 223 206 18
Rhode Island 159 155 3 172 114 58 180 115 65 183 120 63
Vermont 75 74 b 89 89 b 108 103 5 112 107 5
Middle Atlantic 5,556 5,415 141 5,992 4,733 1,259 6,493 4,610 1,882 6,599 4,659 1,939
New Jersey 1,092 1,062 30 1,200 1,029 170 1,304 1,144 160 1,327 1,160 167
New York 2,508 2,427 82 2,699 2,206 494 2,937 2,082 855 2,988 2,085 904
Pennsylvania 1,956 1,926 30 2,093 1,498 595 2,252 1,385 867 2,283 1,415 869
East North Central 5,784 5,713 72 6,364 5,722 643 7,168 5,679 1,489 7,308 5,801 1,506
Illinois 1,534 1,509 24 1,630 1,443 187 1,806 1,626 181 1,839 1,662 178
Indiana 762 749 13 852 816 35 985 834 151 1,006 842 164
Michigan 1,233 1,231 1 1,401 1,320 80 1,615 1,206 408 1,651 1,382 269
Ohio 1,543 1,520 23 1,699 1,405 295 1,870 1,367 503 1,901 1,271 629
Wisconsin 714 703 10 783 737 46 892 646 246 911 644 267
West North Central 2,635 2,560 75 2,857 2,576 281 3,207 2,557 650 3,265 2,557 709
Iowa 457 446 11 476 459 17 512 445 67 517 449 68
Kansas 363 359 5 390 360 30 425 379 47 433 385 48
Minnesota 588 544 44 654 566 88 767 481 286 786 458 328
Missouri 781 767 14 861 727 133 985 786 199 1,004 793 211
Nebraska 237 237 1 253 243 11 276 243 33 279 246 34
North Dakota 98 98 1 103 102 1 108 99 9 109 100 9
South Dakota 110 110 b 119 119 1 134 124 10 137 125 11
South Atlantic 6,142 6,077 65 7,512 6,508 1,004 9,153 7,326 1,826 9,408 7,412 1,997
Delaware 88 88 b 112 107 5 145 138 7 149 144 6
District of Columbia 78 75 3 75 68 7 77 69 8 78 70 8
Florida 2,339 2,323 16 2,823 2,068 754 3,289 2,337 952 3,375 2,359 1,016
Georgia 732 731 b 918 863 56 1,194 1,012 182 1,236 973 262
Maryland 541 538 4 646 574 72 764 705 59 785 721 64
North Carolina 892 890 2 1,136 1,088 48 1,448 1,191 257 1,490 1,225 265
South Carolina 442 441 b 570 568 2 749 635 114 774 650 124
Virginia 722 712 10 895 860 35 1,110 953 157 1,141 974 166
West Virginia 308 277 30 337 312 26 377 287 90 382 295 87
East South Central 2,173 2,153 20 2,559 2,411 147 3,090 2,509 582 3,160 2,549 611
Alabama 582 577 5 686 626 60 828 645 183 845 664 181
Kentucky 534 521 12 623 588 35 743 629 115 760 637 123
Mississippi 366 366 b 419 413 6 488 441 47 497 450 48
Tennessee 692 689 3 831 784 47 1,031 794 237 1,058 798 260
West South Central 3,196 3,192 5 3,817 3,246 571 4,683 3,827 856 4,823 3,903 919
Arkansas 391 390 1 439 420 19 520 448 73 531 456 76
Louisiana 531 531 b 601 496 105 671 518 154 687 524 163
Oklahoma 451 450 1 508 453 54 592 505 87 603 512 91
Texas 1,824 1,821 2 2,269 1,876 393 2,900 2,357 543 3,001 2,412 589
Mountain 1,637 1,599 39 2,200 1,640 560 2,887 1,992 895 2,987 2,057 930
Arizona 498 478 20 681 433 248 899 569 331 930 594 336
Colorado 358 346 12 468 306 162 602 401 201 625 415 209
Idaho 132 131 1 166 149 17 222 160 62 230 163 67
Montana 117 117 b 137 136 1 165 136 29 170 139 30
Nevada 141 140 1 243 163 80 343 238 105 357 249 108
New Mexico 179 177 2 234 190 44 304 229 75 313 235 79
Utah 160 157 2 206 199 7 274 187 87 283 188 96
Wyoming 52 51 b 65 64 2 78 73 5 80 75 5
Pacific 4,469 4,195 275 5,328 3,337 1,991 6,423 4,256 2,167 6,623 4,349 2,274
Alaska 25 25 b 42 42 b 63 62 1 66 65 1
California 3,279 3,033 245 3,894 2,325 1,569 4,620 3,013 1,606 4,757 3,072 1,685
Hawaii 127 123 4 165 111 54 200 121 80 206 121 86
Oregon 424 404 19 491 307 184 602 351 251 621 363 258
Washington 615 609 6 736 553 183 938 710 228 972 728 244
Unknown 12 12 b 10 9 1 4 4 b 4 3 b
Outlying areas
Puerto Rico 429 429 b 537 536 1 653 253 401 670 233 438
U.S. Virgin Islands 7 7 b 10 10 b 15 15 b 16 16 b
Other b b b 11 11 b 17 16 b 17 17 b
Foreign countries 269 268 b 303 300 3 364 361 3 372 369 3
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes enrollees with unknown residence.
b. Fewer than 500 enrollees.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2010, selected years (in thousands)
Age, sex, and race 1990 2000 2010
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 30,939 30,255 684 34,247 27,840 6,407 39,631 29,291 10,340
Age            
65–69 9,690 9,514 176 9,166 7,360 1,806 12,096 9,046 3,050
70–74 7,951 7,752 200 8,609 6,878 1,731 9,138 6,602 2,536
75–79 6,058 5,904 155 7,284 5,902 1,381 7,169 5,146 2,023
80–84 3,957 3,864 93 4,868 4,010 859 5,617 4,145 1,472
85 or older 3,282 3,221 61 4,320 3,690 630 5,612 4,352 1,259
Sex            
Men 12,412 12,132 280 14,109 11,421 2,688 17,167 12,770 4,398
Women 18,528 18,123 404 20,138 16,419 3,719 22,464 16,521 5,943
Race            
White 26,847 26,251 596 29,752 24,251 5,502 33,581 25,020 8,561
Black -- -- -- 2,720 2,204 516 3,330 2,332 999
All other races a 3,113 3,050 63 1,682 1,305 377 2,624 1,857 767
American Indian or Alaska Native -- -- -- 42 39 3 143 124 18
Asian or Pacific Islander -- -- -- 494 386 108 848 632 216
Hispanic -- -- -- 710 555 155 884 584 301
Other -- -- -- 436 324 112 749 516 232
Unknown 979 953 26 92 81 12 95 82 13
Hospital Insurance
Total 30,455 29,778 678 33,827 27,429 6,398 39,283 28,954 10,330
Age            
65–69 9,560 9,386 174 9,074 7,269 1,804 12,000 8,954 3,047
70–74 7,829 7,631 198 8,505 6,776 1,729 9,063 6,529 2,534
75–79 5,947 5,793 153 7,188 5,809 1,379 7,106 5,085 2,021
80–84 3,872 3,780 92 4,805 3,947 857 5,564 4,093 1,470
85 or older 3,248 3,188 60 4,256 3,627 629 5,551 4,293 1,258
Sex            
Men 12,276 11,998 278 13,976 11,291 2,685 17,054 12,660 4,394
Women 18,179 17,779 400 19,851 16,138 3,713 22,230 16,293 5,936
Race            
White 26,583 25,991 592 29,565 24,068 5,497 33,444 24,889 8,554
Black -- -- -- 2,668 2,153 515 3,283 2,287 997
All other races a 2,930 2,870 60 1,508 1,133 374 2,469 1,703 766
American Indian or Alaska Native -- -- -- 40 37 3 140 121 18
Asian or Pacific Islander -- -- -- 406 300 106 769 553 215
Hispanic -- -- -- 656 502 154 837 537 300
Other -- -- -- 405 294 111 724 492 232
Unknown 942 916 26 87 75 12 87 74 13
Supplementary Medical Insurance
Total 29,678 28,993 684 32,585 26,178 6,407 36,768 26,429 10,340
Age            
65–69 9,003 8,827 176 8,330 6,525 1,806 10,382 7,332 3,050
70–74 7,740 7,540 200 8,256 6,525 1,731 8,625 6,089 2,536
75–79 5,942 5,787 155 7,087 5,705 1,381 6,919 4,896 2,023
80–84 3,879 3,786 93 4,780 3,922 859 5,474 4,002 1,472
85 or older 3,114 3,054 61 4,131 3,501 630 5,368 4,109 1,259
Sex            
Men 11,754 11,474 280 13,203 10,515 2,688 15,579 11,182 4,397
Women 17,923 17,519 404 19,382 15,663 3,719 21,189 15,247 5,943
Race            
White 25,842 25,247 596 28,428 22,927 5,502 31,316 22,755 8,561
Black -- -- -- 2,543 2,027 516 3,061 2,062 998
All other races a 2,909 2,846 63 1,542 1,164 377 2,327 1,560 767
American Indian or Alaska Native -- -- -- 39 36 3 128 109 18
Asian or Pacific Islander -- -- -- 470 362 108 766 550 216
Hispanic -- -- -- 665 510 155 799 498 301
Other -- -- -- 368 257 112 635 402 232
Unknown 927 900 26 71 60 12 64 51 13
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, black enrollees are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2010, selected years (in thousands)
Age, sex, and race 1990 2000 2010
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Hospital Insurance and/or Supplementary Medical Insurance
Total 3,260 3,238 22 5,373 4,913 460 8,033 6,619 1,414
Age            
Under 35 483 482 1 522 505 18 711 649 62
35–44 655 652 3 1,130 1,068 62 1,154 1,008 145
45–54 741 737 4 1,627 1,501 126 2,477 2,075 402
55–64 1,381 1,367 13 2,094 1,840 254 3,691 2,887 803
Sex            
Men 2,045 2,032 14 3,017 2,772 245 4,193 3,511 682
Women 1,215 1,207 8 2,356 2,141 215 3,840 3,108 732
Race            
White 2,485 2,467 18 3,994 3,641 353 5,799 4,781 1,019
Black -- -- -- 1,008 933 74 1,560 1,301 259
All other races a 713 710 3 356 327 32 646 513 133
American Indian or Alaska Native -- -- -- 23 22 1 66 61 5
Asian or Pacific Islander -- -- -- 41 38 4 100 84 16
Hispanic -- -- -- 201 182 19 337 257 80
Other -- -- -- 90 83 7 143 111 31
Unknown 62 62 1 15 14 1 28 24 4
Hospital Insurance
Total 3,260 3,238 22 5,372 4,913 460 8,032 6,619 1,414
Age            
Under 35 483 482 1 522 504 18 711 649 62
35–44 655 652 3 1,129 1,068 62 1,154 1,008 145
45–54 741 737 4 1,627 1,501 126 2,477 2,075 402
55–64 1,381 1,367 13 2,093 1,840 254 3,690 2,887 803
Sex            
Men 2,045 2,032 14 3,017 2,772 245 4,193 3,511 682
Women 1,215 1,206 8 2,356 2,141 215 3,840 3,108 732
Race            
White 2,485 2,467 18 3,994 3,641 353 5,799 4,780 1,019
Black -- -- -- 1,008 933 74 1,560 1,301 259
All other races a 713 710 3 356 325 31 646 513 133
American Indian or Alaska Native -- -- -- 23 22 1 66 61 5
Asian or Pacific Islander -- -- -- 41 38 4 100 84 16
Hispanic -- -- -- 201 182 19 337 257 80
Other -- -- -- 90 83 7 143 111 31
Unknown 62 61 1 15 14 1 28 24 4
Supplementary Medical Insurance
Total 2,948 2,926 22 4,775 4,315 460 7,185 5,772 1,413
Age            
Under 35 442 440 1 467 449 18 647 585 62
35–44 587 584 3 998 937 62 1,028 883 145
45–54 666 662 4 1,422 1,296 126 2,211 1,808 402
55–64 1,253 1,240 13 1,887 1,633 254 3,299 2,496 803
Sex            
Men 1,836 1,822 14 2,667 2,423 245 3,701 3,019 682
Women 1,112 1,104 8 2,107 1,892 215 3,485 2,753 732
Race            
White 2,241 2,222 18 3,539 3,186 353 5,167 4,149 1,018
Black -- -- -- 918 843 74 1,423 1,165 259
All other races a 651 648 3 305 274 31 570 438 133
American Indian or Alaska Native -- -- -- 21 20 1 60 55 5
Asian or Pacific Islander -- -- -- 36 33 4 87 72 16
Hispanic -- -- -- 176 157 19 301 220 80
Other -- -- -- 71 64 7 122 91 31
Unknown 57 56 1 13 12 1 24 20 4
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
-- = not available.
a. Prior to 2000, black enrollees and members of other races were combined into "All other races." In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as "Unknown." Consequently for 2000 and later, black enrollees are broken out separately from "All other races" and the detail for that category is shown.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2009
Census division and state or area 1990 2000 2009
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 80 130,099 18,733,108 144
United States 69,645 3,687,770 53 87,641 6,995,748 80 128,448 18,472,543 144
New England 4,716 243,462 52 6,953 511,226 74 6,299 964,553 153
Connecticut 1,062 56,806 53 1,696 120,602 71 1,697 233,265 137
Maine 380 19,900 52 664 47,095 71 462 73,313 159
Massachusetts 2,403 121,472 51 3,328 253,132 76 3,058 492,061 161
New Hampshire 292 15,274 52 504 36,257 72 497 78,859 159
Rhode Island 315 17,537 56 393 32,720 83 301 47,953 159
Vermont 264 12,473 47 368 21,418 58 285 39,103 137
Middle Atlantic 8,570 504,379 59 12,446 1,066,579 86 11,906 1,742,706 146
New Jersey 1,435 71,239 50 2,274 203,145 89 2,299 398,178 173
New York 2,867 193,812 68 5,983 510,094 85 6,279 812,039 129
Pennsylvania 4,269 239,329 56 4,190 353,341 84 3,329 532,489 160
East North Central 8,864 488,161 55 11,615 996,673 86 16,709 2,860,396 171
Illinois 2,695 152,406 57 3,112 278,001 89 5,756 1,071,909 186
Indiana 1,112 56,613 51 1,464 112,768 77 1,939 292,746 151
Michigan 2,157 128,251 59 3,436 311,343 91 4,409 816,862 185
Ohio 2,082 108,602 52 2,713 223,430 82 3,805 552,352 145
Wisconsin 817 42,289 52 891 71,131 80 800 126,527 158
West North Central 3,591 182,775 51 3,884 297,355 77 4,055 621,441 153
Iowa 490 20,609 42 602 39,847 66 575 75,641 132
Kansas 463 22,023 49 515 38,056 74 661 94,630 143
Minnesota 380 20,168 53 525 40,350 77 681 110,762 163
Missouri 1,809 96,011 53 1,651 134,144 81 1,625 262,606 162
Nebraska 283 15,169 54 318 25,063 79 339 52,825 156
North Dakota 104 4,979 48 140 9,814 70 84 10,717 128
South Dakota 71 3,816 54 134 10,083 75 90 14,259 158
South Atlantic 15,504 792,155 51 17,603 1,434,967 82 33,310 4,266,414 128
Delaware 195 9,033 46 222 18,759 85 248 41,741 168
District of Columbia 129 8,552 66 154 13,859 90 157 27,954 178
Florida 7,513 371,331 49 7,032 576,519 82 22,654 2,454,417 108
Georgia 2,647 120,132 45 2,568 197,327 77 2,761 449,792 163
Maryland 863 52,659 61 1,046 95,980 92 1,099 211,936 193
North Carolina 1,659 93,205 56 2,533 209,226 83 2,397 416,703 174
South Carolina 694 41,712 60 1,412 118,278 84 1,292 231,727 179
Virginia 1,277 70,498 55 2,030 157,804 78 2,184 347,737 159
West Virginia 528 25,033 47 606 47,215 78 518 84,408 163
East South Central 11,432 501,015 44 10,424 708,458 68 10,098 1,528,488 151
Alabama 2,792 111,655 40 2,466 163,019 66 2,345 352,256 150
Kentucky 1,202 56,717 47 1,916 135,941 71 1,861 288,143 155
Mississippi 2,777 108,559 39 2,514 159,346 63 2,273 341,748 150
Tennessee 4,661 224,084 48 3,529 250,152 71 3,620 546,342 151
West South Central 9,063 445,067 49 15,305 1,062,985 69 31,937 4,144,012 130
Arkansas 1,072 47,907 45 1,103 70,205 64 1,332 166,067 125
Louisiana 2,286 106,074 46 4,081 261,901 64 4,096 562,064 137
Oklahoma 1,153 57,990 50 2,354 149,916 64 3,856 468,605 122
Texas 4,553 233,095 51 7,767 580,964 75 22,654 2,947,276 130
Mountain 2,485 139,038 56 3,188 257,608 81 4,526 671,049 148
Arizona 568 33,529 59 497 43,124 87 709 128,068 181
Colorado 595 35,779 60 725 59,239 82 826 131,391 159
Idaho 153 8,904 58 258 22,771 88 355 51,689 146
Montana 195 9,825 50 208 16,200 78 144 23,658 164
Nevada 218 13,279 61 309 27,152 88 744 124,243 167
New Mexico 256 13,328 52 390 30,327 78 548 78,867 144
Utah 447 21,573 48 680 50,606 74 1,107 119,667 108
Wyoming 53 2,820 53 120 8,190 68 92 13,466 146
Pacific 5,419 391,717 72 6,222 659,896 106 9,606 1,673,483 174
Alaska 14 1,404 100 39 5,145 132 52 10,810 208
California 4,237 310,835 73 5,031 529,250 105 8,312 1,400,206 168
Hawaii 57 4,241 74 84 8,980 107 51 11,546 226
Oregon 417 29,872 72 399 45,225 113 386 81,792 212
Washington 693 45,365 65 669 71,296 107 806 169,129 210
Outlying areas a 622 25,882 42 2,926 220,210 75 1,651 260,565 158
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 1990–2009
Census division and state or area 1990 2000 2009
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) c Program payments per discharge (dollars) b,c
Total
All areas 10,521,925 8.8 53,708,287 5,281 11,719,960 6.0 81,230,259 6,971 11,558,205 5.5 114,516,481 9,977
United States 10,421,685 8.8 53,502,918 5,312 11,574,200 6.0 80,769,047 7,019 11,508,690 5.5 114,231,779 9,995
New England 561,265 10.0 3,097,017 5,702 563,305 5.8 4,365,878 7,797 622,850 5.4 6,553,742 10,591
Connecticut 117,230 10.4 719,274 6,366 125,295 6.2 1,097,034 8,807 155,510 5.8 1,812,862 11,739
Maine 54,695 9.3 239,915 4,477 69,740 5.6 434,302 6,239 61,385 5.2 571,729 9,346
Massachusetts 281,780 10.0 1,598,356 5,878 257,720 5.7 2,035,018 7,952 299,985 5.2 3,063,041 10,278
New Hampshire 39,640 9.2 190,737 4,917 46,970 5.6 334,202 7,167 48,880 5.4 495,220 10,172
Rhode Island 47,060 10.0 251,050 5,514 37,325 6.2 276,771 7,449 36,850 5.7 357,106 9,824
Vermont 20,860 9.7 97,686 4,793 26,255 5.7 188,547 7,237 20,240 5.3 253,782 12,607
Middle Atlantic 1,779,975 11.4 10,484,595 6,030 1,747,960 7.3 14,864,554 8,569 1,672,960 6.3 18,557,634 11,187
New Jersey 353,960 11.7 1,933,841 5,606 380,730 7.5 3,384,886 8,983 408,880 6.0 4,393,032 10,855
New York 729,465 13.1 4,888,241 6,884 750,130 8.2 7,155,309 9,625 747,980 6.8 9,391,678 12,671
Pennsylvania 696,550 9.5 3,662,512 5,358 617,100 6.1 4,324,358 7,036 516,100 5.6 4,772,923 9,304
East North Central 1,890,545 8.6 10,017,401 5,413 2,118,675 5.7 14,097,236 6,693 2,046,630 5.3 19,477,385 9,586
Illinois 509,075 8.9 2,670,430 5,410 580,250 5.7 3,840,706 6,672 610,485 5.3 5,770,908 9,559
Indiana 254,105 8.3 1,198,667 4,837 291,380 5.7 1,796,295 6,198 279,405 5.3 2,613,455 9,396
Michigan 376,545 8.9 2,199,988 5,925 468,095 6.1 3,473,727 7,459 461,595 5.4 4,697,495 10,238
Ohio 534,035 8.6 2,920,387 5,567 538,445 5.6 3,466,013 6,471 509,765 5.2 4,584,160 9,042
Wisconsin 216,785 7.7 1,027,929 4,817 240,505 5.4 1,520,493 6,352 185,380 5.0 1,811,366 9,838
West North Central 841,935 7.8 3,804,644 4,683 925,865 5.4 5,759,187 6,250 806,330 5.0 7,334,959 9,134
Iowa 145,360 8.1 635,397 4,440 164,590 5.4 959,210 5,844 120,115 5.2 1,079,811 9,038
Kansas 124,065 7.7 542,828 4,516 134,585 5.5 806,523 6,005 114,135 5.1 993,136 8,731
Minnesota 165,095 6.7 764,017 5,052 193,910 5.0 1,256,854 6,545 166,555 4.6 1,624,719 9,789
Missouri 266,625 8.6 1,270,319 4,872 281,505 5.7 1,810,063 6,460 282,445 5.2 2,490,959 8,861
Nebraska 69,875 7.6 300,070 4,434 76,015 5.2 506,171 6,686 66,920 5.1 630,738 9,458
North Dakota 33,230 7.2 141,966 4,368 33,640 5.1 193,994 5,793 24,110 4.8 214,092 8,902
South Dakota 37,685 7.2 150,047 4,058 41,620 5.2 226,370 5,454 32,050 5.0 301,500 9,429
South Atlantic 1,848,195 8.8 8,906,934 5,000 2,403,790 6.0 15,911,326 6,655 2,480,320 5.5 23,655,646 9,586
Delaware 27,260 9.3 149,857 5,599 36,845 6.4 275,714 7,513 43,735 5.7 480,161 11,003
District of Columbia 24,410 11.6 183,855 7,754 26,940 7.9 269,614 10,121 25,335 6.5 328,972 13,188
Florida 596,765 8.6 3,014,347 5,323 754,145 5.8 5,004,157 6,675 827,695 5.5 7,389,651 8,961
Georgia 269,315 7.9 1,143,257 4,373 320,335 5.8 2,061,225 6,469 319,430 5.5 2,982,220 9,379
Maryland 183,820 9.4 1,092,833 6,056 217,605 5.8 1,773,771 8,190 275,215 5.0 3,204,075 11,757
North Carolina 267,020 9.6 1,215,983 4,703 396,985 6.0 2,467,636 6,251 384,095 5.5 3,754,730 9,829
South Carolina 120,540 9.4 540,954 4,655 214,540 6.2 1,390,229 6,504 201,010 5.7 1,915,410 9,564
Virginia 245,065 8.9 1,102,096 4,627 300,785 6.1 1,896,484 6,338 299,545 5.4 2,692,379 9,033
West Virginia 114,000 8.2 463,751 4,217 135,610 5.8 772,492 5,724 104,260 5.7 908,044 8,756
East South Central 827,120 8.2 3,345,751 4,156 1,013,885 5.8 5,704,817 5,652 943,535 5.4 7,811,498 8,316
Alabama 228,580 8.1 959,825 4,308 274,470 5.5 1,492,353 5,454 245,855 5.5 1,897,260 7,767
Kentucky 201,625 8.3 831,981 4,255 244,210 5.6 1,362,272 5,614 234,785 5.3 2,046,356 8,759
Mississippi 145,900 7.8 501,880 3,522 191,685 6.4 1,013,536 5,310 167,915 5.8 1,431,614 8,558
Tennessee 251,015 8.3 1,052,065 4,307 303,520 5.9 1,836,655 6,078 294,980 5.3 2,436,267 8,284
West South Central 1,103,155 8.1 5,139,839 4,772 1,298,505 5.9 8,215,049 6,357 1,305,085 5.4 11,743,445 9,080
Arkansas 145,225 8.1 556,377 3,918 163,480 5.9 872,811 5,364 146,710 5.4 1,223,673 8,392
Louisiana 206,510 7.9 968,667 4,791 226,020 5.9 1,408,934 6,263 190,880 5.6 1,600,718 8,459
Oklahoma 162,505 8.0 700,390 4,403 187,220 5.8 1,069,986 5,730 183,690 5.2 1,537,095 8,425
Texas 588,915 8.2 2,914,405 5,079 721,785 5.9 4,863,318 6,774 783,805 5.5 7,381,958 9,514
Mountain 445,395 7.0 2,152,663 5,100 488,870 5.0 3,196,062 6,569 523,190 4.9 5,182,950 9,974
Arizona 135,340 7.0 711,071 5,601 131,325 5.0 866,364 6,642 165,260 4.9 1,701,737 10,399
Colorado 93,400 7.3 460,034 5,251 92,655 5.0 625,753 6,788 106,680 4.8 1,038,278 9,789
Idaho 34,290 6.2 146,967 4,382 47,780 4.6 290,241 6,102 32,795 4.5 312,968 9,569
Montana 39,820 6.6 164,698 4,230 44,270 4.8 258,894 5,850 30,030 4.9 273,530 9,141
Nevada 34,890 8.1 201,288 6,349 46,945 6.0 349,025 7,473 69,015 5.7 717,948 10,482
New Mexico 52,435 6.8 208,909 4,235 53,130 5.2 327,251 6,196 57,155 4.9 543,858 9,581
Utah 37,740 6.3 181,133 4,928 50,715 4.8 336,745 6,661 43,650 4.5 410,472 9,431
Wyoming 17,480 6.7 78,563 4,561 22,050 5.0 141,785 6,442 18,605 4.5 184,157 9,936
Pacific 1,124,100 7.2 6,554,074 6,290 1,013,345 5.8 8,654,933 8,599 1,107,790 5.4 13,914,514 12,696
Alaska 6,590 7.7 43,028 6,912 12,715 5.8 120,546 9,682 13,615 5.2 195,145 14,413
California 826,685 7.3 5,117,872 6,574 731,050 6.0 6,543,541 9,015 822,155 5.6 10,748,128 13,237
Hawaii 25,665 10.1 121,606 6,416 25,510 8.0 213,726 8,431 23,335 6.7 291,189 12,603
Oregon 104,300 6.2 474,125 5,211 92,985 4.6 624,464 6,741 73,445 4.8 777,591 10,642
Washington 160,860 6.7 797,442 5,414 151,085 4.9 1,152,655 7,672 175,240 4.8 1,902,458 10,916
Outlying areas d 100,240 7.8 205,369 2,091 145,760 6.8 461,482 3,187 49,515 7.2 284,702 5,817
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. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148) and other factors, data on program payments for 2009 are subject to revision.
d. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2009
Census division and state or area 1990 2000 2009
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 2,509,080 25,530,079 10,183
United States 736,466 1,824,011 2,509 1,932,134 10,635,515 5,514 2,507,355 25,516,747 10,185
New England 30,180 69,422 2,321 137,383 849,428 6,194 175,770 1,864,895 10,614
Connecticut 10,912 26,387 2,423 34,452 254,218 7,387 48,163 531,523 11,037
Maine 1,377 5,178 3,763 13,391 66,702 4,983 16,632 156,260 9,400
Massachusetts 11,733 26,107 2,267 64,946 389,016 6,003 80,080 855,909 10,694
New Hampshire 1,443 2,803 1,953 10,243 59,904 5,859 14,797 156,260 10,602
Rhode Island 3,685 7,472 2,037 9,452 54,095 5,757 9,657 96,378 9,985
Vermont 1,030 1,476 1,437 4,899 25,492 5,207 6,441 67,960 10,553
Middle Atlantic 97,503 254,554 2,642 290,974 1,937,835 6,677 382,462 3,938,404 10,305
New Jersey 10,725 27,797 2,599 68,638 412,488 6,014 113,219 1,203,262 10,628
New York 37,454 95,175 2,587 110,292 931,412 8,465 150,551 1,612,362 10,719
Pennsylvania 49,324 131,582 2,692 112,044 593,935 5,322 118,692 1,122,780 9,470
East North Central 142,252 323,800 2,305 374,369 2,014,281 5,382 479,112 4,828,977 10,088
Illinois 40,758 117,390 2,902 104,203 515,307 4,946 146,303 1,430,543 9,783
Indiana 22,093 61,858 2,844 59,020 330,466 5,600 69,370 753,302 10,862
Michigan 27,324 46,583 1,730 57,347 374,014 6,526 82,736 849,230 10,289
Ohio 33,115 61,462 1,894 107,475 555,817 5,173 131,100 1,266,929 9,669
Wisconsin 18,962 36,507 1,935 46,324 238,678 5,153 49,603 528,973 10,677
West North Central 95,732 209,517 2,206 190,486 756,598 3,973 220,566 1,900,921 8,637
Iowa 13,613 33,630 2,483 33,702 110,449 3,277 39,507 300,967 7,620
Kansas 12,712 24,259 1,919 27,334 99,927 3,657 32,722 294,834 9,016
Minnesota 28,729 54,696 1,926 42,888 199,933 4,662 44,436 400,895 9,029
Missouri 26,942 74,044 2,764 50,515 216,975 4,297 62,704 544,741 8,745
Nebraska 6,988 14,623 2,100 18,766 71,141 3,793 22,285 206,833 9,282
North Dakota 4,203 4,823 1,177 7,790 23,998 3,081 8,533 63,216 7,408
South Dakota 2,545 3,441 1,356 9,491 34,175 3,603 10,379 89,434 8,618
South Atlantic 97,746 221,593 2,304 351,271 1,962,427 5,597 488,909 4,946,638 10,121
Delaware 1,136 2,298 2,057 4,938 31,158 6,319 8,512 97,852 11,496
District of Columbia 1,118 3,635 3,283 3,745 23,113 6,175 4,861 52,585 10,827
Florida 46,617 114,361 2,504 139,057 813,328 5,866 182,311 1,983,477 10,882
Georgia 12,065 21,913 1,836 36,847 195,450 5,309 53,142 512,477 9,647
Maryland 8,450 19,625 2,344 38,562 194,644 5,065 57,045 546,738 9,585
North Carolina 12,138 21,391 1,776 50,008 270,927 5,422 70,165 682,925 9,739
South Carolina 4,787 9,645 2,127 24,069 130,669 5,430 32,413 330,929 10,214
Virginia 7,393 17,995 2,443 36,536 217,418 5,952 62,096 578,549 9,319
West Virginia 4,042 10,731 2,679 17,509 85,720 4,897 18,364 161,107 8,783
East South Central 41,228 74,764 1,842 131,017 665,240 5,081 174,885 1,618,713 9,258
Alabama 11,934 20,172 1,716 29,268 164,159 5,614 40,885 351,611 8,604
Kentucky 9,029 20,697 2,319 35,891 167,196 4,659 46,480 417,951 8,993
Mississippi 5,850 7,897 1,381 20,560 95,372 4,648 30,224 297,613 9,850
Tennessee 14,415 25,998 1,833 45,298 238,514 5,267 57,296 551,538 9,628
West South Central 62,302 173,258 2,809 183,161 869,345 4,757 249,272 2,363,464 9,487
Arkansas 6,254 13,455 2,167 22,862 83,236 3,644 29,576 227,321 7,692
Louisiana 12,244 42,336 3,488 27,165 120,360 4,433 35,254 318,165 9,029
Oklahoma 7,065 20,642 2,928 26,004 105,867 4,072 30,509 244,531 8,022
Texas 36,739 96,824 2,669 107,130 559,882 5,245 153,933 1,573,447 10,227
Mountain 43,063 105,189 2,467 87,157 435,051 5,004 101,250 1,026,267 10,150
Arizona 12,521 30,667 2,463 20,256 95,244 4,742 23,469 219,376 9,365
Colorado 10,220 29,480 2,928 18,993 99,687 5,256 25,902 273,813 10,596
Idaho 3,569 6,819 1,918 10,396 50,995 4,909 8,841 90,788 10,270
Montana 4,483 6,780 1,527 9,410 36,201 3,847 8,638 74,987 8,682
Nevada 2,173 7,202 3,328 6,348 37,209 5,867 10,184 125,258 12,306
New Mexico 2,494 7,687 3,250 6,130 31,929 5,213 8,757 87,247 9,986
Utah 6,081 14,452 2,378 11,672 65,662 5,627 10,950 112,783 10,311
Wyoming 1,522 2,102 1,388 3,952 18,123 4,586 4,509 42,016 9,320
Pacific 126,460 391,915 3,155 186,316 1,145,310 6,174 235,129 3,028,467 12,896
Alaska 320 1,182 3,705 991 6,406 6,477 1,160 15,602 13,450
California 101,886 325,664 3,234 137,485 875,847 6,395 176,774 2,348,903 13,300
Hawaii 1,122 3,421 3,831 2,173 14,886 6,898 3,430 41,069 12,333
Oregon 8,869 26,399 3,111 13,964 67,421 4,844 14,771 158,678 10,748
Washington 14,263 35,249 2,551 31,703 180,749 5,742 38,994 464,215 11,914
Outlying areas c 1,234 3,179 2,593 3,993 15,760 3,948 1,725 13,332 7,733
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 1993–2009
Census division and state or area 1993 2000 2009
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 1,094,005 77,409,864 12,084,006 11,089
United States 207,660 11,808,826 1,184,752 5,709 529,745 25,646,822 2,903,200 5,482 1,083,355 76,136,741 11,960,584 11,083
New England 9,423 478,589 51,507 5,468 20,642 799,522 104,817 5,078 49,002 2,884,298 497,422 10,185
Connecticut 2,083 78,816 12,535 6,024 5,425 197,854 31,872 5,875 10,981 521,067 104,749 9,563
Maine 477 26,596 2,250 4,717 1,135 49,657 4,977 4,386 5,287 315,485 48,966 9,281
Massachusetts 4,951 272,647 27,718 5,601 9,906 381,853 47,884 4,834 21,810 1,358,544 229,154 10,549
New Hampshire 604 31,383 2,787 4,615 1,679 77,363 8,824 5,256 4,573 265,441 43,167 9,452
Rhode Island 887 49,247 4,514 5,090 1,758 61,325 7,978 4,538 4,931 341,974 58,977 12,019
Vermont 421 19,900 1,702 4,044 739 31,470 3,279 4,438 1,420 81,787 12,406 8,768
Middle Atlantic 24,505 1,233,263 126,915 5,186 63,096 2,697,689 333,959 5,293 126,112 7,872,918 1,280,086 10,189
New Jersey 5,933 309,909 29,758 5,017 13,067 560,846 67,535 5,169 28,897 1,821,104 314,930 10,937
New York 11,400 576,724 63,460 5,567 23,214 1,008,086 135,580 5,841 39,503 2,153,450 380,077 9,659
Pennsylvania 7,172 346,630 33,696 4,717 26,815 1,128,757 130,843 4,880 57,712 3,898,364 585,078 10,176
East North Central 37,377 2,061,004 207,056 5,541 93,025 4,154,816 464,650 4,996 177,215 11,273,492 1,758,015 9,960
Illinois 10,856 630,851 66,465 6,123 24,067 1,071,673 121,113 5,033 40,206 2,366,228 384,517 9,602
Indiana 1,708 101,725 9,310 5,454 9,984 484,813 51,390 5,149 22,644 1,505,176 222,008 9,852
Michigan 9,984 521,346 52,695 5,279 22,873 1,017,365 115,791 5,063 41,245 2,475,022 381,727 9,287
Ohio 10,981 596,101 59,575 5,427 27,228 1,159,156 132,377 4,863 52,022 3,494,337 548,148 10,586
Wisconsin 3,848 210,981 19,008 4,943 8,873 421,809 43,977 4,959 21,098 1,432,729 221,614 10,528
West North Central 14,164 865,934 80,074 5,659 36,720 1,748,289 176,312 4,804 79,203 5,309,398 759,906 9,626
Iowa 2,545 165,177 15,656 6,162 6,460 298,008 30,383 4,705 15,394 958,234 139,868 9,114
Kansas 2,190 144,153 13,161 6,021 5,550 267,095 26,068 4,708 11,946 868,112 122,507 10,290
Minnesota 3,303 185,954 18,338 5,555 8,175 402,271 45,222 5,532 16,270 972,863 150,598 9,288
Missouri 4,411 272,688 24,401 5,537 11,678 554,407 52,819 4,524 25,204 1,904,372 261,824 10,419
Nebraska 871 50,606 4,178 4,797 2,982 142,942 13,829 4,638 6,509 383,358 54,770 8,442
North Dakota 479 27,677 2,498 5,216 1,023 42,601 4,151 4,058 1,671 101,626 13,026 7,819
South Dakota 365 19,679 1,839 5,055 852 40,965 3,838 4,505 2,209 120,833 17,310 7,886
South Atlantic 48,947 2,962,460 289,612 5,921 112,303 5,663,896 656,729 5,851 238,011 17,633,938 2,850,726 12,025
Delaware 699 37,634 3,367 4,818 1,550 78,705 8,819 5,690 4,720 424,552 68,557 14,556
District of Columbia 283 13,467 1,381 4,899 614 29,755 3,866 6,297 1,288 89,321 15,133 11,759
Florida 28,465 1,677,775 170,767 6,001 56,248 2,819,511 350,229 6,229 99,048 7,290,770 1,286,170 13,023
Georgia 3,526 178,394 15,480 4,392 13,658 723,558 77,534 5,683 33,097 2,607,706 398,346 12,103
Maryland 2,792 136,154 13,277 4,771 7,638 298,523 34,343 4,496 15,068 839,376 135,228 9,009
North Carolina 7,111 541,896 49,572 6,972 13,198 717,297 77,961 5,913 33,919 2,454,491 376,110 11,136
South Carolina 2,181 146,669 13,105 6,009 6,552 345,769 34,999 5,345 20,216 1,733,891 256,763 12,758
Virginia 2,240 128,588 13,190 5,910 9,397 467,386 51,049 5,434 22,753 1,621,263 235,120 10,376
West Virginia 1,650 101,883 9,468 5,770 3,448 183,392 17,926 5,199 7,902 572,568 79,296 10,126
East South Central 11,117 769,046 71,474 6,432 32,995 2,126,137 208,855 6,332 75,167 6,182,444 853,267 11,410
Alabama 2,914 171,404 15,094 5,182 11,421 838,025 79,080 6,925 25,380 2,452,950 325,394 12,871
Kentucky 4,851 399,811 37,024 7,634 8,047 443,176 45,727 5,684 13,721 837,300 124,859 9,174
Mississippi 1,153 70,260 6,449 5,598 5,693 467,035 45,142 7,931 13,930 1,416,998 185,592 13,413
Tennessee 2,199 127,571 12,905 5,872 7,834 377,901 38,903 4,971 22,136 1,475,196 217,420 9,859
West South Central 21,336 1,299,331 122,741 5,754 62,010 3,558,642 364,302 5,876 126,644 10,348,674 1,488,495 11,798
Arkansas 1,975 124,494 10,723 5,430 5,281 323,207 30,097 5,700 11,075 700,541 102,256 9,262
Louisiana 1,991 97,592 8,831 4,436 7,154 350,795 36,690 5,130 17,207 1,436,928 195,268 11,418
Oklahoma 2,019 105,462 9,731 4,820 10,423 755,349 69,813 6,699 18,842 1,845,515 240,510 12,820
Texas 15,351 971,783 93,455 6,089 39,152 2,129,291 227,700 5,817 79,520 6,365,690 950,460 11,992
Mountain 12,453 624,739 66,336 5,330 38,491 1,806,545 212,559 5,523 79,709 6,301,512 997,364 12,557
Arizona 5,123 229,256 27,722 5,411 15,509 732,768 91,111 5,875 29,330 2,471,755 407,866 13,939
Colorado 3,250 160,173 16,126 4,970 8,840 344,737 41,239 4,666 15,732 1,090,733 178,475 11,381
Idaho 838 50,527 4,407 5,260 1,940 101,328 9,991 5,150 5,376 437,779 60,945 11,390
Montana 585 35,506 3,157 5,406 1,405 78,669 7,783 5,540 3,219 199,251 27,730 8,652
Nevada 958 58,400 6,536 6,823 3,637 144,309 20,034 6,301 8,019 526,856 94,978 11,910
New Mexico 1,348 74,578 6,969 5,174 3,838 236,349 24,181 5,589 7,785 670,978 99,071 12,770
Utah 263 11,506 979 3,740 2,805 143,233 15,676 4,914 9,180 843,530 119,118 13,041
Wyoming 88 4,793 437 4,971 517 25,152 2,540 4,943 1,068 60,630 9,177 8,633
Pacific 28,338 1,514,460 169,033 5,969 70,463 3,091,286 381,013 5,409 132,292 8,330,067 1,475,299 11,197
Alaska 16 895 87 5,476 103 4,269 513 4,988 507 24,915 4,126 8,237
California 20,316 1,080,047 119,651 5,896 50,116 2,208,522 279,037 5,571 92,403 6,005,340 1,093,849 11,883
Hawaii 619 27,282 2,906 4,695 1,406 56,188 7,626 5,428 2,735 154,816 26,291 9,709
Oregon 3,365 185,088 17,102 5,083 8,915 387,697 42,557 4,773 16,523 981,867 156,566 9,509
Washington 4,022 221,148 29,285 7,281 9,923 434,610 51,278 5,168 20,124 1,163,129 194,464 9,708
Outlying areas a 7,429 840,663 65,662 8,839 4,663 310,894 22,619 4,851 10,650 1,273,123 123,421 11,639
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2010
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
2009 974,680 99.2
2010 973,767 99.3
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2010
Year Claims approved Charges before reduction
Number (thousands) Percentage reduced Amount (millions of dollars) Percentage reduced
Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
2003 759,783 88.9 189,920 52.0
2004 781,000 89.8 208,027 52.9
2005 846,093 87.2 236,430 52.0
2006 837,332 92.0 246,608 55.1
2007 822,902 93.4 253,248 58.1
2008 851,335 92.9 279,428 58.7
2009 867,878 93.0 291,065 59.3
2010 872,278 93.7 301,388 59.6
Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
2009 6,677 88.0 746 19.1
2010 5,905 86.4 669 18.7
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2009
Census division and state or area 1993 2000 2009
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 1,826,304 117,586,191 91,115,719
United States 1,050,605 45,677,059 34,838,562 1,229,583 66,047,753 50,790,939 1,817,442 117,085,295 90,725,758
New England 57,475 2,532,989 1,923,891 60,701 3,357,803 2,562,793 88,803 5,833,431 4,477,742
Connecticut 14,971 688,632 523,801 16,024 908,981 696,770 24,804 1,695,340 1,311,240
Maine 5,093 203,657 152,933 6,725 357,616 272,731 8,072 516,316 393,010
Massachusetts 26,993 1,216,000 927,157 26,099 1,464,973 1,117,345 39,936 2,584,274 1,983,670
New Hampshire 3,712 151,558 113,589 5,018 264,412 200,026 7,102 486,327 371,264
Rhode Island 5,089 200,132 152,442 4,512 227,420 175,093 5,617 345,476 263,377
Vermont 1,617 73,011 53,968 2,323 134,403 100,828 3,272 205,699 155,181
Middle Atlantic 190,966 8,727,545 6,679,025 198,796 11,114,019 8,582,935 273,666 17,728,678 13,801,318
New Jersey 39,741 1,795,252 1,374,199 46,582 2,706,642 2,098,689 75,681 5,079,007 3,974,037
New York 84,011 3,869,484 2,968,599 94,073 5,222,652 4,031,686 129,267 8,148,221 6,344,913
Pennsylvania 67,214 3,062,810 2,336,227 58,141 3,184,725 2,452,560 68,717 4,501,450 3,482,367
East North Central 178,252 7,526,281 5,711,398 202,748 10,835,911 8,301,058 281,930 18,177,356 14,023,513
Illinois 43,382 1,995,230 1,518,069 50,279 2,722,188 2,087,286 82,417 5,385,193 4,159,458
Indiana 19,724 855,441 642,446 27,376 1,418,457 1,079,378 38,254 2,466,052 1,896,438
Michigan 48,483 1,916,709 1,468,007 50,326 2,823,614 2,173,760 64,557 4,324,717 3,347,410
Ohio 47,701 2,011,679 1,522,281 50,755 2,722,161 2,085,982 69,476 4,384,175 3,381,277
Wisconsin 18,962 747,222 560,596 24,012 1,149,491 874,652 27,225 1,617,219 1,238,931
West North Central 69,790 2,693,967 2,024,254 86,209 4,213,384 3,209,083 112,093 6,884,607 5,292,700
Iowa 13,006 457,750 342,045 15,717 732,727 556,426 18,368 1,093,601 835,867
Kansas 10,888 451,677 342,214 13,030 671,147 514,252 18,055 1,120,642 864,694
Minnesota 11,608 438,052 323,989 16,548 798,015 603,082 18,475 1,161,003 888,014
Missouri 22,543 914,332 693,436 25,365 1,300,857 996,024 37,119 2,315,664 1,786,987
Nebraska 6,294 233,733 174,219 8,226 388,700 294,564 11,191 684,680 526,483
North Dakota 2,595 96,467 72,033 3,349 149,240 113,542 3,637 217,186 166,194
South Dakota 2,856 101,957 76,316 3,974 172,698 131,194 5,248 291,830 224,460
South Atlantic 216,862 9,345,787 7,164,358 270,430 14,646,480 11,291,572 421,592 27,193,944 21,123,055
Delaware 3,037 137,176 104,482 4,302 244,628 188,488 7,545 497,198 385,612
District of Columbia 2,620 121,120 93,475 2,346 136,917 105,493 2,851 200,889 156,396
Florida 96,578 4,399,081 3,410,771 105,141 6,100,419 4,747,090 161,898 10,957,315 8,577,467
Georgia 25,860 1,058,968 807,700 32,915 1,725,056 1,323,041 54,055 3,379,608 2,613,163
Maryland 18,896 883,554 679,402 22,693 1,316,285 1,014,698 36,483 2,534,438 1,964,080
North Carolina 26,228 1,014,093 763,647 40,027 1,960,603 1,494,488 64,389 3,819,503 2,950,355
South Carolina 13,834 515,359 386,450 21,862 1,117,181 855,190 34,945 2,145,523 1,656,990
Virginia 22,218 890,532 672,647 30,380 1,517,689 1,159,960 46,168 2,847,870 2,194,311
West Virginia 7,592 325,904 245,784 10,764 527,703 403,124 13,259 811,600 624,681
East South Central 70,461 2,797,568 2,129,747 91,596 4,658,756 3,566,213 137,169 8,103,918 6,268,756
Alabama 19,916 810,199 618,658 24,361 1,286,579 988,420 35,248 2,128,786 1,647,378
Kentucky 16,959 662,058 503,342 22,036 1,062,201 812,037 33,029 1,919,146 1,485,658
Mississippi 11,214 449,002 340,330 14,913 776,595 595,267 22,497 1,361,251 1,051,934
Tennessee 22,372 876,309 667,417 30,286 1,533,381 1,170,489 46,396 2,694,735 2,083,786
West South Central 104,249 4,415,507 3,375,452 134,444 6,928,068 5,349,132 210,939 13,202,489 10,248,493
Arkansas 12,311 487,744 367,896 15,708 781,724 599,631 22,146 1,320,770 1,021,071
Louisiana 17,967 798,002 610,958 19,622 1,058,214 816,817 25,974 1,679,074 1,297,179
Oklahoma 13,387 538,757 408,622 15,874 845,762 649,096 24,440 1,527,990 1,178,848
Texas 60,584 2,591,004 1,987,977 83,240 4,242,368 3,283,588 138,380 8,674,654 6,751,394
Mountain 43,230 1,899,807 1,443,957 53,859 2,986,527 2,286,851 87,956 5,953,606 4,596,012
Arizona 14,630 641,234 493,319 16,122 897,890 694,194 29,963 1,996,021 1,553,908
Colorado 9,017 368,183 280,001 10,021 545,066 417,340 17,501 1,182,964 915,123
Idaho 3,187 133,188 100,116 4,382 232,051 176,337 5,765 364,114 278,061
Montana 2,737 122,992 91,713 3,944 219,874 167,290 4,720 311,851 238,435
Nevada 4,744 239,310 183,265 6,605 374,374 287,238 11,859 860,083 663,310
New Mexico 4,111 178,573 134,253 5,218 293,417 224,310 8,190 565,300 433,834
Utah 3,580 158,473 117,886 5,657 320,886 241,885 7,251 490,223 373,152
Wyoming 1,224 57,853 43,405 1,910 102,968 78,257 2,707 183,048 140,188
Pacific 119,320 5,737,609 4,386,479 130,801 7,306,805 5,641,301 203,293 14,007,267 10,894,171
Alaska 599 30,305 22,675 964 60,128 45,822 1,861 166,045 127,686
California 91,760 4,561,912 3,504,741 99,393 5,621,663 4,358,871 155,268 10,819,581 8,447,277
Hawaii 2,517 112,138 83,062 3,642 180,404 134,791 4,679 269,381 203,817
Oregon 8,461 362,350 271,415 9,002 487,346 371,215 12,218 833,328 638,661
Washington 15,982 670,904 504,586 17,800 957,265 730,602 29,268 1,918,931 1,476,731
Outlying areas a 11,442 478,177 367,538 17,900 864,149 665,808 8,862 500,896 389,961
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 1991–2009
Census division and state or area 1991 2000 2009
Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) a
Total
All areas 17,176 9,433 21,537 16,732 24,002 43,984
United States 17,040 9,386 21,355 16,620 23,932 43,834
New England 1,060 587 1,237 937 1,504 2,845
Connecticut 233 142 274 225 321 583
Maine 124 45 168 117 195 367
Massachusetts 493 297 525 410 657 1,234
New Hampshire 80 37 120 79 160 336
Rhode Island 79 46 77 55 79 136
Vermont 51 21 74 52 92 188
Middle Atlantic 2,850 1,500 3,055 2,511 2,971 5,137
New Jersey 480 323 590 519 655 1,274
New York 1,163 602 1,348 1,249 1,273 2,215
Pennsylvania 1,207 575 1,118 743 1,043 1,649
East North Central 3,308 1,685 4,142 3,034 4,407 7,845
Illinois 834 407 1,015 725 1,229 2,157
Indiana 431 223 587 400 651 1,151
Michigan 754 393 1,003 807 982 1,744
Ohio 876 501 1,037 755 1,061 1,893
Wisconsin 413 161 500 348 483 900
West North Central 1,447 668 1,888 1,317 2,021 3,812
Iowa 280 120 366 254 362 669
Kansas 206 94 261 187 270 518
Minnesota 283 129 420 254 431 768
Missouri 442 214 520 384 602 1,149
Nebraska 125 62 174 130 188 375
North Dakota 52 24 69 48 81 153
South Dakota 60 24 77 60 87 180
South Atlantic 3,094 1,750 4,244 3,383 4,880 9,271
Delaware 47 19 68 57 94 160
District of Columbia 40 50 38 54 41 107
Florida 1,012 543 1,285 932 1,446 2,786
Georgia 401 243 571 465 707 1,300
Maryland 270 227 324 459 396 1,137
North Carolina 484 255 720 543 815 1,525
South Carolina 248 118 404 282 470 764
Virginia 407 226 590 426 671 1,088
West Virginia 185 69 245 164 239 403
East South Central 1,151 538 1,635 1,102 1,817 3,002
Alabama 308 155 424 261 470 735
Kentucky 284 126 399 228 473 773
Mississippi 192 92 292 254 326 637
Tennessee 366 165 520 360 549 858
West South Central 1,522 963 2,107 1,848 2,515 4,874
Arkansas 195 86 267 180 304 487
Louisiana 273 229 339 360 375 782
Oklahoma 218 105 294 210 354 558
Texas 836 542 1,206 1,098 1,482 3,047
Mountain 792 387 1,047 768 1,266 2,183
Arizona 201 180 233 169 297 514
Colorado 187 93 217 178 285 483
Idaho 75 29 108 74 118 224
Montana 66 4 101 64 109 201
Nevada 55 28 75 62 115 206
New Mexico 90 48 125 97 157 249
Utah 91 3 146 91 130 219
Wyoming 27 2 43 33 55 87
Pacific 1,816 1,308 2,000 1,720 2,550 4,865
Alaska 14 10 26 29 40 96
California 1,295 1,011 1,346 1,200 1,740 3,386
Hawaii 37 30 58 44 65 124
Oregon 195 91 225 143 239 401
Washington 275 166 345 303 466 858
Outlying areas b 136 47 182 112 70 150
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. Because of retroactive effective dates for certain provisions of the Patient Protection and Affordable Care Act (Public Law 111-148), data on program payments for 2009 are subject to revision.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2011
State or area 1991 1995 2000 2005 2006 2007 2008 2009 2010 2011
All areas 3,640,121 4,705,625 5,425,048 6,577,577 6,885,326 7,082,006 7,292,444 7,434,151 7,703,292 8,141,455
Alabama 97,601 116,916 136,860 169,460 175,134 179,542 183,860 181,216 179,668 188,259
Alaska 4,539 6,193 8,486 10,748 11,465 11,904 12,218 12,393 12,908 13,618
Arizona 28,650 44,236 57,712 110,977 116,065 121,455 126,518 131,581 140,079 148,603
Arkansas 64,996 77,660 79,606 89,372 96,906 99,214 101,893 104,825 106,343 111,043
California 646,108 747,814 818,846 1,012,804 1,047,842 1,078,076 1,120,069 1,077,652 1,103,853 1,144,369
Colorado 36,470 46,660 55,325 61,294 64,505 68,264 72,451 75,845 79,980 83,898
Connecticut 23,535 48,047 53,141 66,191 66,968 67,876 70,682 73,426 94,154 116,167
Delaware 4,499 6,645 10,737 17,104 19,534 19,821 20,628 21,317 22,060 23,312
District of Columbia 12,791 14,152 14,233 15,246 15,365 15,584 16,023 17,680 20,102 22,549
Florida 196,992 271,430 342,109 431,764 459,146 470,337 490,437 519,540 553,625 619,376
Georgia 128,976 160,380 176,596 205,476 212,257 217,562 221,444 226,220 233,528 252,360
Hawaii 11,529 16,695 20,326 23,703 26,040 25,862 26,601 27,436 28,864 29,998
Idaho 9,127 12,931 17,081 23,482 24,628 26,030 26,744 28,039 28,945 30,912
Illinois 94,434 137,571 155,743 206,014 215,631 222,728 233,211 242,050 255,529 272,257
Indiana 60,297 76,460 87,543 109,669 114,933 120,079 120,825 124,312 133,816 141,834
Iowa 41,170 48,517 51,976 60,458 63,221 66,022 68,782 70,624 72,562 74,694
Kansas 26,960 34,708 41,217 47,707 49,483 50,732 51,829 53,624 56,096 59,446
Kentucky 76,456 97,978 117,697 126,468 134,469 137,602 140,970 143,692 148,188 154,983
Louisiana 87,570 112,090 117,179 139,802 140,291 141,009 148,875 153,719 158,370 166,683
Maine 22,176 29,453 36,946 46,510 52,560 64,164 78,157 83,374 84,602 85,237
Maryland 48,028 58,865 65,372 79,234 83,078 85,824 89,624 93,682 98,268 104,892
Massachusetts 89,163 125,859 152,587 178,691 188,576 191,171 195,461 196,817 199,370 207,332
Michigan 91,340 123,948 145,172 170,044 180,235 185,626 190,827 196,551 205,521 217,064
Minnesota 39,366 52,192 63,607 79,428 81,353 83,420 85,356 88,149 91,630 95,704
Mississippi 90,530 108,577 107,495 135,023 137,715 136,096 137,874 132,099 136,915 142,257
Missouri 55,116 72,659 88,343 109,561 110,734 113,722 117,954 122,450 126,577 124,669
Montana 10,058 11,031 12,828 14,455 15,097 15,456 15,811 16,170 17,587 18,420
Nebraska 11,358 16,146 20,520 24,210 25,243 25,640 27,030 27,638 34,020 33,301
Nevada 8,657 14,227 19,155 27,408 28,639 30,319 32,197 32,764 35,035 38,904
New Hampshire 3,807 5,405 7,434 11,584 12,597 13,454 14,669 15,872 17,381 18,906
New Jersey 95,795 122,923 146,705 159,110 169,804 170,280 170,807 175,716 179,273 183,880
New Mexico 22,246 29,855 37,330 49,333 52,078 53,757 56,797 59,163 62,640 65,544
New York 255,952 325,882 369,479 465,068 487,736 500,099 489,668 508,461 531,060 559,720
North Carolina 117,656 186,328 223,402 251,739 258,981 261,690 266,009 272,691 278,325 287,885
North Dakota 4,639 5,560 5,908 6,757 7,185 7,610 7,892 8,058 8,464 8,687
Ohio 112,598 164,044 171,139 204,905 223,726 234,958 247,445 258,318 273,167 288,652
Oklahoma 51,457 60,080 67,413 75,903 80,536 82,671 82,920 83,382 86,586 90,595
Oregon 28,537 43,642 59,169 70,927 72,394 75,113 78,272 81,990 87,068 87,789
Pennsylvania 127,519 162,788 206,468 242,552 258,675 268,833 274,566 284,189 295,984 321,665
Rhode Island 10,585 15,517 19,787 26,311 27,002 27,508 27,860 28,064 28,782 29,906
South Carolina 78,701 95,970 112,232 118,843 121,469 124,502 126,074 126,591 129,489 134,833
South Dakota 9,399 12,346 13,146 14,534 15,176 15,407 15,613 15,824 16,148 16,569
Tennessee 116,861 148,391 182,342 218,894 228,849 232,611 236,854 241,225 215,868 228,105
Texas 234,169 314,991 360,191 440,938 457,346 473,962 489,552 501,502 514,153 547,345
Utah 10,263 13,506 16,231 21,787 24,114 24,775 25,459 26,794 27,064 30,087
Vermont 8,223 12,428 13,754 15,509 20,857 21,831 22,078 22,212 22,798 23,342
Virginia 77,898 102,964 113,259 131,083 137,991 141,569 145,896 149,316 155,647 161,997
Washington 54,774 71,531 97,390 113,233 119,180 123,471 127,450 132,958 143,398 152,270
West Virginia 28,086 39,720 46,305 54,200 57,688 59,576 61,749 63,037 65,324 67,811
Wisconsin 67,516 75,247 74,101 83,383 85,661 87,901 90,928 93,984 96,201 102,942
Wyoming 3,505 5,265 6,444 7,749 8,015 8,135 8,458 8,736 9,087 9,586
Outlying areas
Guam 443 669 417 409 647 633 537 645 693 719
Northern Mariana Islands 273 314 342 358 354 373 381 385 394 384
U.S. Virgin Islands 727 219 204 165 152 150 159 153 103 95
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B13 Medicare Part D: Number of enrollees by type of plan, and Retiree Drug Subsidy (RDS) coverage, by census division, state, or other area, July 1, 2009
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 33,545,614 27,020,712 17,500,588 9,520,124 6,524,902
United States 33,066,278 26,568,880 17,446,970 9,121,910 6,497,398
New England 1,726,785 1,337,959 969,796 368,163 388,826
Connecticut 418,406 304,324 216,990 87,334 114,082
Maine 178,834 157,766 135,440 22,326 21,068
Massachusetts 781,659 594,782 408,600 186,182 186,877
New Hampshire 138,217 101,581 91,670 9,911 36,636
Rhode Island 132,149 120,067 59,939 60,128 12,082
Vermont 77,520 59,439 57,157 2,282 18,081
Middle Atlantic 4,892,752 3,780,587 2,212,160 1,568,427 1,112,165
New Jersey 963,219 675,824 545,831 129,993 287,395
New York 2,245,543 1,701,991 969,211 732,780 543,552
Pennsylvania 1,683,990 1,402,772 697,118 705,654 281,218
East North Central 5,352,862 3,841,997 2,776,882 1,065,115 1,510,865
Illinois 1,327,569 989,926 855,353 134,573 337,643
Indiana 721,398 538,626 442,828 95,798 182,772
Michigan 1,247,422 854,150 532,916 321,234 393,272
Ohio 1,453,237 988,555 636,574 351,981 464,682
Wisconsin 603,236 470,740 309,211 161,529 132,496
West North Central 2,360,310 2,057,930 1,518,783 539,147 302,380
Iowa 388,849 337,635 288,002 49,633 51,214
Kansas 289,170 258,438 219,925 38,513 30,732
Minnesota 590,213 517,480 285,855 231,625 72,733
Missouri 719,033 606,133 426,549 179,584 112,900
Nebraska 199,634 176,022 150,855 25,167 23,612
North Dakota 79,302 74,865 69,069 5,796 4,437
South Dakota 94,109 87,357 78,528 8,829 6,752
South Atlantic 6,390,080 5,128,797 3,534,347 1,594,450 1,261,283
Delaware 106,687 72,082 67,149 4,933 34,605
District of Columbia 39,676 35,585 28,086 7,499 4,091
Florida 2,379,193 1,945,152 1,035,073 910,079 434,041
Georgia 824,246 699,686 554,591 145,095 124,560
Maryland 476,381 329,832 278,046 51,786 146,549
North Carolina 1,075,347 848,868 637,120 211,748 226,479
South Carolina 521,854 399,955 314,068 85,887 121,899
Virginia 687,092 570,075 457,074 113,001 117,017
West Virginia 279,604 227,562 163,140 64,422 52,042
East South Central 2,237,401 1,859,133 1,374,581 484,552 378,268
Alabama 595,530 480,615 309,767 170,848 114,915
Kentucky 540,335 414,431 342,501 71,930 125,904
Mississippi 341,104 311,948 279,247 32,701 29,156
Tennessee 760,432 652,139 443,066 209,073 108,293
West South Central 3,301,836 2,694,077 1,946,735 747,342 607,759
Arkansas 359,799 310,994 255,649 55,345 48,805
Louisiana 498,190 411,091 273,625 137,466 87,099
Oklahoma 393,609 348,582 276,085 72,497 45,027
Texas 2,050,238 1,623,410 1,141,376 482,034 426,828
Mountain 2,002,009 1,681,198 877,386 803,812 320,811
Arizona 645,064 545,930 228,667 317,263 99,134
Colorado 426,623 349,390 169,952 179,438 77,233
Idaho 149,451 125,996 81,592 44,404 23,455
Montana 108,497 93,251 73,380 19,871 15,246
Nevada 232,469 188,581 87,475 101,106 43,888
New Mexico 209,432 185,761 116,599 69,162 23,671
Utah 181,219 150,278 81,266 69,012 30,941
Wyoming 49,254 42,011 38,455 3,556 7,243
Pacific 4,802,243 4,187,202 2,236,300 1,950,902 615,041
Alaska 39,949 24,279 23,612 667 15,670
California 3,587,538 3,162,038 1,634,161 1,527,877 425,500
Hawaii 137,995 130,743 61,277 69,466 7,252
Oregon 428,483 382,990 183,289 199,701 45,493
Washington 608,278 487,152 333,961 153,191 121,126
Outlying areas b 479,336 451,832 53,618 398,214 27,504
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Characterization of enrolles may differ from that in other tables on Part D enrollment because of differences in sources and methodology.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2009
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 46,520,716 27,021,322 9,577,310 407,359 17,036,653 6,524,902 6,048,456 6,926,036
United States 45,466,997 26,569,490 9,562,106 406,986 16,600,398 6,497,398 5,981,870 6,418,239
New England 2,362,057 1,337,995 545,781 15,973 776,241 388,826 292,510 342,726
Connecticut 558,107 304,340 103,567 2,543 198,230 114,082 62,966 76,719
Maine 259,090 157,768 88,390 557 68,821 21,068 36,889 43,365
Massachusetts 1,039,299 594,791 251,836 8,104 334,851 186,877 116,622 141,009
New Hampshire 217,378 101,589 34,343 1,934 65,312 36,636 35,130 44,023
Rhode Island 180,233 120,068 40,707 2,066 77,295 12,082 25,703 22,380
Vermont 107,950 59,439 26,938 769 31,732 18,081 15,200 15,230
Middle Atlantic 6,493,367 3,780,719 1,366,203 55,836 2,358,680 1,112,165 694,177 906,306
New Jersey 1,304,311 675,841 218,378 10,829 446,634 287,395 146,324 194,751
New York 2,937,045 1,702,029 742,755 21,149 938,125 543,552 279,275 412,189
Pennsylvania 2,252,011 1,402,849 405,070 23,858 973,921 281,218 268,578 299,366
East North Central 7,168,120 3,842,094 1,263,076 60,312 2,518,706 1,510,865 739,618 1,075,543
Illinois 1,806,475 989,974 344,912 17,187 627,875 337,643 194,193 284,665
Indiana 985,107 538,631 172,734 10,484 355,413 182,772 119,400 144,304
Michigan 1,614,512 854,166 273,354 13,874 566,938 393,272 132,716 234,358
Ohio 1,870,284 988,573 327,668 15,266 645,639 464,682 188,793 228,236
Wisconsin 891,742 470,750 144,408 3,501 322,841 132,496 104,516 183,980
West North Central 3,207,275 2,057,945 556,135 27,988 1,473,822 302,380 449,200 397,750
Iowa 511,615 337,636 81,575 4,205 251,856 51,214 67,855 54,910
Kansas 425,444 258,440 67,926 4,074 186,440 30,732 69,193 67,079
Minnesota 766,806 517,484 128,993 5,319 383,172 72,733 90,912 85,677
Missouri 985,325 606,137 196,511 9,473 400,153 112,900 135,521 130,767
Nebraska 275,617 176,026 43,089 2,428 130,509 23,612 44,062 31,917
North Dakota 107,998 74,865 16,840 1,198 56,827 4,437 16,667 12,029
South Dakota 134,470 87,357 21,201 1,291 64,865 6,752 24,990 15,371
South Atlantic 9,152,655 5,128,888 1,865,301 92,694 3,170,893 1,261,283 1,467,346 1,295,138
Delaware 145,065 72,083 24,625 1,242 46,216 34,605 19,181 19,196
District of Columbia 76,694 35,585 22,140 334 13,111 4,091 20,684 16,334
Florida 3,289,117 1,945,163 620,109 24,607 1,300,447 434,041 473,622 436,291
Georgia 1,193,887 699,692 288,653 13,578 397,461 124,560 188,435 181,200
Maryland 764,123 329,849 122,799 6,215 200,835 146,549 154,756 132,969
North Carolina 1,447,965 848,900 336,649 19,872 492,379 226,479 191,966 180,620
South Carolina 748,651 399,971 167,660 10,093 222,218 121,899 124,615 102,166
Virginia 1,109,909 570,079 197,413 11,714 360,952 117,017 243,141 179,672
West Virginia 377,244 227,566 85,253 5,039 137,274 52,042 50,946 46,690
East South Central 3,090,194 1,859,162 849,336 40,027 969,799 378,268 446,552 406,212
Alabama 827,594 480,618 218,664 10,839 251,115 114,915 132,454 99,607
Kentucky 743,418 414,435 189,355 10,558 214,522 125,904 96,339 106,740
Mississippi 487,978 311,959 159,539 6,173 146,247 29,156 78,570 68,293
Tennessee 1,031,204 652,150 281,778 12,457 357,915 108,293 139,189 131,572
West South Central 4,683,251 2,694,126 1,130,009 55,211 1,508,906 607,759 698,303 683,063
Arkansas 520,377 311,005 130,915 7,218 172,872 48,805 87,958 72,609
Louisiana 671,294 411,095 188,681 8,394 214,020 87,099 79,811 93,289
Oklahoma 591,793 348,587 121,031 6,602 220,954 45,027 101,406 96,773
Texas 2,899,787 1,623,439 689,382 32,997 901,060 426,828 429,128 420,392
Mountain 2,887,012 1,681,217 475,726 23,158 1,182,333 320,811 464,672 420,312
Arizona 899,487 545,939 159,274 6,044 380,621 99,134 133,095 121,319
Colorado 601,992 349,391 94,018 4,751 250,622 77,233 93,945 81,423
Idaho 221,962 125,997 35,190 2,149 88,658 23,455 36,704 35,806
Montana 164,635 93,252 24,828 2,000 66,424 15,246 28,107 28,030
Nevada 343,026 188,586 48,384 2,822 137,380 43,888 58,870 51,682
New Mexico 303,827 185,763 68,124 2,762 114,877 23,671 49,031 45,362
Utah 273,860 150,278 35,241 1,975 113,062 30,941 49,984 42,657
Wyoming 78,223 42,011 10,667 655 30,689 7,243 14,936 14,033
Pacific 6,423,066 4,187,344 1,510,539 35,787 2,641,018 615,041 729,492 891,189
Alaska 62,707 24,279 14,435 259 9,585 15,670 10,993 11,765
California 4,619,642 3,162,167 1,206,745 22,942 1,932,480 425,500 453,747 578,228
Hawaii 200,305 130,745 35,920 1,468 93,357 7,252 33,008 29,300
Oregon 602,246 382,993 96,401 5,121 281,471 45,493 82,516 91,244
Washington 938,166 487,160 157,038 5,997 324,125 121,126 149,228 180,652
Outlying areas e 1,053,719 451,832 15,204 373 436,255 27,504 66,586 507,797
SOURCE: Centers for Medicare & Medicaid Services.
a. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
b. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
c. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
d. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.