Annual Statistical Supplement, 2015

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 1990–2013
Type of coverage and service 1990 1995 2000 2005 2010 2013
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 34,203 37,535 39,632 42,500 47,664 52,456
Hospital Insurance 33,719 37,135 39,211 42,129 47,316 52,127
Supplementary Medical Insurance 32,629 35,685 37,369 39,730 43,954 48,040
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 32,740 36,685 35,910 37,587
Hospital Insurance -- -- 32,329 36,318 35,572 37,281
Supplementary Medical Insurance -- -- 30,478 33,916 32,200 33,171
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 27,099 30,423 29,583 33,506 32,866 33,645
Hospital Insurance 7,036 8,036 7,325 8,307 8,267 7,488
Inpatient hospital 6,543 6,964 6,917 7,710 7,485 6,525
Skilled nursing services 638 1,233 1,468 1,847 1,839 1,844
Home health services b 1,936 3,427 1,444 1,752 1,722 1,705
Hospice services -- -- 541 871 1,157 1,315
Supplementary Medical Insurance 26,951 30,249 29,313 33,201 31,923 33,171
Physicians' and other medical services 26,350 26,539 28,763 32,709 31,415 32,558
Outpatient services 15,511 19,709 21,029 24,423 23,667 24,927
Home health services b 38 41 1,190 1,370 1,883 1,933
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 792 811 904 913 915 895
Hospital Insurance 209 216 227 229 232 201
Inpatient hospital 194 188 214 212 210 175
Skilled nursing services 19 33 45 51 52 49
Home health services b 57 92 45 48 48 46
Hospice services c -- -- 14 21 24 25
Supplementary Medical Insurance 826 848 962 979 991 1,000
Physicians' and other medical services 808 744 944 964 976 982
Outpatient services 475 552 690 720 735 751
Home health services b 1 1 39 40 58 58
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 101,419 158,980 174,261 274,143 331,129 346,023
Hospital Insurance 62,347 101,835 101,663 149,392 176,224 179,433
Inpatient hospital 56,716 78,944 85,197 116,647 128,728 129,519
Skilled nursing services 1,971 7,799 10,621 18,964 27,258 28,177
Home health services b 3,660 15,092 2,918 5,916 7,252 6,787
Hospice services -- -- 2,927 7,864 12,986 14,950
Supplementary Medical Insurance 39,072 57,145 72,599 124,752 154,906 166,591
Physicians' and other medical services 30,222 41,617 51,474 83,838 95,087 98,146
Outpatient services 8,773 15,328 16,787 33,931 47,573 57,179
Home health services b 78 200 4,338 6,982 12,245 11,266
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,743 5,226 5,891 8,182 10,075 10,285
Hospital Insurance 8,862 12,672 13,878 17,984 21,315 23,962
Inpatient hospital 8,668 11,336 12,318 15,130 17,197 19,850
Skilled nursing services 3,092 6,325 7,235 10,267 14,820 15,279
Home health services b 1,890 4,403 2,021 3,377 4,211 3,980
Hospice services -- -- 5,409 9,027 11,220 11,371
Supplementary Medical Insurance 1,450 1,889 2,477 3,757 4,853 5,022
Physicians' and other medical services 1,147 1,409 1,709 2,563 3,027 3,014
Outpatient services 566 778 798 1,389 2,010 2,294
Home health services b 2,031 4,837 3,644 5,098 6,504 5,828
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,965 4,236 5,323 7,473 9,221 9,206
Hospital Insurance 1,849 2,742 3,145 4,113 4,954 4,813
Inpatient hospital 1,682 2,126 2,635 3,212 3,619 3,474
Skilled nursing services 58 210 329 522 766 756
Home health services b 109 406 90 163 204 182
Hospice services c -- -- 75 187 274 287
Supplementary Medical Insurance 1,197 1,601 2,382 3,678 4,811 5,022
Physicians' and other medical services 926 1,166 1,689 2,472 2,953 2,959
Outpatient services 269 430 551 1,000 1,477 1,724
Home health services b 2 6 142 206 380 340
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Because managed-care plans convert automatically to fee-for-service payment when a beneficiary elects hospice care, hospice service rates are calculated per 1,000 enrollees in both plan types combined. Prior editions of this table presented rates per 1,000 enrollees in fee-for-service plans only.
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 1990–2013
Type of coverage and service 1990 1995 2000 2005 2010 2013
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 30,948 33,142 34,261 35,777 39,631 43,614
Hospital Insurance 30,464 32,742 33,841 35,407 39,283 43,285
Supplementary Medical Insurance 29,685 31,742 32,602 33,780 36,768 40,047
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 27,833 30,399 29,291 30,716
Hospital Insurance -- -- 27,422 30,033 28,954 30,411
Supplementary Medical Insurance -- -- 26,174 28,402 26,429 27,150
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 24,809 27,379 25,486 28,071 26,927 27,390
Hospital Insurance 6,367 7,147 6,361 7,016 6,857 6,165
Inpatient hospital 5,906 6,148 5,975 6,455 6,123 5,262
Skilled nursing services 615 1,186 1,390 1,719 1,683 1,670
Home health services b 1,818 3,185 1,325 1,574 1,508 1,487
Hospice services -- -- 514 825 1,096 1,242
Supplementary Medical Insurance 24,687 27,234 25,256 27,816 26,113 26,977
Physicians' and other medical services 24,193 26,621 24,846 27,468 25,764 26,548
Outpatient services 14,055 17,597 18,159 20,436 19,248 20,135
Home health services b 38 42 1,081 1,214 1,624 1,664
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 802 826 916 923 919 892
Hospital Insurance 209 218 232 234 237 203
Inpatient hospital 194 188 218 215 211 173
Skilled nursing services 21 36 51 57 58 55
Home health services b 60 97 48 52 52 49
Hospice services c -- -- 15 23 28 29
Supplementary Medical Insurance 832 858 965 979 988 994
Physicians' and other medical services 815 839 949 967 975 978
Outpatient services 474 554 694 720 728 742
Home health services b 1 1 41 43 61 61
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 88,778 138,948 148,488 227,594 267,696 277,639
Hospital Insurance 54,244 89,631 87,549 125,993 144,671 146,313
Inpatient hospital 48,952 68,213 72,041 95,557 101,060 100,733
Skilled nursing services 1,886 7,504 10,066 17,666 24,887 25,481
Home health services b 3,406 13,914 2,679 5,333 6,399 5,952
Hospice services -- -- 2,763 7,436 12,325 14,147
Supplementary Medical Insurance 34,533 49,317 60,939 101,601 123,025 131,326
Physicians' and other medical services 27,379 37,069 44,506 70,111 77,559 79,788
Outpatient services 7,077 12,045 12,588 25,385 34,975 41,920
Home health services b 78 203 3,845 6,106 10,490 9,617
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,578 5,075 5,826 8,108 9,942 10,137
Hospital Insurance 8,520 12,542 13,763 17,958 21,097 23,734
Inpatient hospital 8,289 11,096 12,057 14,804 16,504 19,143
Skilled nursing services 3,068 6,325 7,242 10,277 14,791 15,261
Home health services b 1,874 4,368 2,022 3,388 4,244 4,002
Hospice services -- -- 5,375 9,015 11,250 11,388
Supplementary Medical Insurance 1,399 1,811 2,413 3,653 4,711 4,868
Physicians' and other medical services 1,132 1,392 1,791 2,552 3,010 3,005
Outpatient services 503 684 693 1,242 1,817 2,082
Home health services b 2,033 4,862 3,557 5,030 6,458 5,779
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 2,869 4,193 5,335 7,487 9,139 9,039
Hospital Insurance 1,781 2,738 3,193 4,195 4,997 4,811
Inpatient hospital 1,607 2,083 2,627 3,182 3,490 3,312
Skilled nursing services 62 229 367 588 860 838
Home health services b 112 425 98 178 221 196
Hospice services c -- -- 82 210 314 327
Supplementary Medical Insurance 1,163 1,554 2,328 3,577 4,655 4,837
Physicians' and other medical services 922 1,168 1,700 2,469 2,935 2,939
Outpatient services 238 379 481 894 1,323 1,544
Home health services b 3 6 147 215 397 354
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Because managed-care plans convert automatically to fee-for-service payment when a beneficiary elects hospice care, hospice service rates are calculated per 1,000 enrollees in both plan types combined. Prior editions of this table presented rates per 1,000 enrollees in fee-for-service plans only.
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 1990–2013
Type of coverage and service 1990 1995 2000 2005 2010 2013
  Persons enrolled (fee-for-service and managed care) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance 3,255 4,393 5,371 6,723 8,033 8,843
Hospital Insurance 3,255 4,393 5,370 6,722 8,032 8,842
Supplementary Medical Insurance 2,943 3,942 4,768 5,951 7,185 7,993
  Persons enrolled (fee-for-service only) (thousands)
Hospital Insurance and/or Supplementary Medical Insurance -- -- 4,907 6,286 6,619 6,871
Hospital Insurance -- -- 4,907 6,285 6,619 6,870
Supplementary Medical Insurance -- -- 4,304 5,514 5,772 6,021
  Persons served (thousands) a
Hospital Insurance and/or Supplementary Medical Insurance 2,390 3,333 4,096 5,436 5,939 6,255
Hospital Insurance 680 933 964 1,291 1,410 1,324
Inpatient hospital 644 844 942 1,255 1,362 1,263
Skilled nursing services 23 54 78 128 157 175
Home health services b 122 272 119 178 215 218
Hospice services -- -- 27 46 62 73
Supplementary Medical Insurance 2,365 3,299 4,057 5,384 5,809 6,194
Physicians' and other medical services 2,249 3,184 3,917 5,241 5,651 6,010
Outpatient services 1,496 2,281 2,870 3,987 4,419 4,791
Home health services b c c 110 156 258 269
  Persons served per 1,000 enrollees
Hospital Insurance and/or Supplementary Medical Insurance 734 759 835 865 897 910
Hospital Insurance 209 212 196 205 213 193
Inpatient hospital 198 192 192 200 206 184
Skilled nursing services 7 12 16 20 24 25
Home health services b 38 62 24 28 32 32
Hospice services d -- -- 5 7 8 8
Supplementary Medical Insurance 804 837 943 976 1,007 1,029
Physicians' and other medical services 764 808 910 950 979 998
Outpatient services 508 579 667 723 766 796
Home health services b c c 26 28 45 45
  Amount reimbursed (millions of dollars)
Hospital Insurance and/or Supplementary Medical Insurance 11,239 21,024 25,773 46,550 63,434 68,385
Hospital Insurance 6,694 12,752 14,114 23,399 31,553 33,120
Inpatient hospital 6,346 11,079 13,156 21,091 27,668 28,786
Skilled nursing services 85 374 555 1,297 2,371 2,696
Home health services b 264 1,300 239 583 853 835
Hospice services -- -- 164 428 661 803
Supplementary Medical Insurance 4,545 8,272 11,660 23,151 31,881 35,265
Physicians' and other medical services 2,831 4,888 6,968 13,727 17,528 18,357
Outpatient services 1,714 3,384 4,198 8,547 12,598 15,258
Home health services b c c 493 877 1,755 1,649
  Amount reimbursed per person served (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 4,703 6,308 6,292 8,563 10,680 10,932
Hospital Insurance 9,847 13,666 14,641 18,124 22,377 25,020
Inpatient hospital 9,849 13,126 13,966 16,808 20,315 22,798
Skilled nursing services 3,702 6,959 7,115 10,127 15,130 15,444
Home health services b 2,156 4,777 2,008 3,280 3,975 3,829
Hospice services -- -- 6,074 9,223 10,683 11,067
Supplementary Medical Insurance 1,922 2,507 2,874 4,229 5,488 5,693
Physicians' and other medical services 1,259 1,535 1,779 2,619 3,102 3,055
Outpatient services 1,146 1,483 1,463 2,144 2,851 3,185
Home health services b c c 4,482 5,631 6,789 6,133
  Amount reimbursed per enrollee (dollars)
Hospital Insurance and/or Supplementary Medical Insurance 3,453 4,786 5,252 7,405 9,583 9,953
Hospital Insurance 2,057 2,903 2,876 3,723 4,767 4,821
Inpatient hospital 1,950 2,522 2,681 3,356 4,180 4,190
Skilled nursing services 26 85 113 206 358 392
Home health services b 81 296 49 93 129 121
Hospice services d -- -- 30 64 82 91
Supplementary Medical Insurance 1,544 2,098 2,709 4,199 5,524 5,857
Physicians' and other medical services 962 1,240 1,619 2,489 3,037 3,049
Outpatient services 582 858 975 1,550 2,183 2,534
Home health services b c c 115 159 304 274
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.
Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
-- = not available.
a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.
b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
c. Sample population too small to yield valid calculated results.
d. Because managed-care plans convert automatically to fee-for-service payment when a beneficiary elects hospice care, hospice service rates are calculated per 1,000 enrollees in both plan types combined. Prior editions of this table presented rates per 1,000 enrollees in fee-for-service plans only.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 2000–2014, selected years (in thousands)
Census division and state or area 2000 2010 2013 2014
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 34,247 27,840 6,407 39,631 29,291 10,340 43,614 30,716 12,897 45,073 30,961 14,112
United States a 33,540 27,137 6,403 38,742 28,736 10,006 42,636 30,135 12,500 44,072 30,373 13,699
New England 1,836 1,449 387 1,996 1,595 401 2,175 1,707 468 2,236 1,737 499
Connecticut 457 356 101 489 393 96 525 395 130 536 399 136
Maine 180 178 2 209 178 31 231 182 49 239 183 57
Massachusetts 828 601 227 875 679 196 954 749 205 981 765 216
New Hampshire 147 145 2 183 167 16 204 190 14 212 195 17
Rhode Island 148 94 54 149 91 58 159 97 62 163 98 65
Vermont 76 76 (F) 91 87 5 102 93 8 105 97 9
Middle Atlantic 5,263 4,078 1,186 5,560 3,841 1,720 5,955 3,961 1,994 6,092 3,999 2,093
New Jersey 1,067 905 162 1,146 997 149 1,234 1,035 199 1,262 1,066 196
New York 2,334 1,871 463 2,499 1,693 806 2,687 1,727 961 2,751 1,715 1,036
Pennsylvania 1,863 1,302 561 1,915 1,151 764 2,034 1,200 834 2,078 1,217 861
East North Central 5,541 4,948 593 6,092 4,721 1,370 6,576 4,733 1,843 6,757 4,647 2,110
Illinois 1,435 1,263 172 1,564 1,406 158 1,684 1,489 195 1,726 1,402 324
Indiana 735 703 32 827 684 143 894 692 202 920 703 217
Michigan 1,201 1,128 73 1,344 1,103 240 1,457 1,014 443 1,499 995 504
Ohio 1,478 1,206 272 1,586 1,002 583 1,703 1,005 699 1,749 1,013 736
Wisconsin 693 649 43 771 526 246 838 533 305 863 535 328
West North Central 2,518 2,252 266 2,753 2,101 652 2,958 2,128 830 3,039 2,147 892
Iowa 426 410 16 446 384 62 472 402 70 483 410 73
Kansas 347 319 28 366 324 42 392 339 53 403 346 57
Minnesota 582 496 86 674 361 312 738 328 410 761 321 440
Missouri 736 612 124 812 625 187 873 642 231 896 644 252
Nebraska 227 217 10 240 211 29 256 225 31 263 232 31
North Dakota 93 92 1 95 87 8 99 85 15 102 85 16
South Dakota 106 106 1 119 109 10 128 108 20 132 109 23
South Atlantic 6,430 5,510 920 7,802 6,087 1,715 8,733 6,503 2,231 9,076 6,519 2,557
Delaware 98 93 5 124 120 5 141 131 10 147 136 11
District of Columbia 65 59 6 65 58 7 70 61 8 71 62 9
Florida 2,507 1,815 692 2,911 2,015 896 3,230 2,055 1,175 3,355 2,076 1,279
Georgia 752 702 50 990 766 224 1,134 823 311 1,185 834 351
Maryland 571 504 67 673 617 56 749 683 66 775 705 70
North Carolina 941 897 44 1,190 968 222 1,341 1,056 285 1,393 973 420
South Carolina 464 463 2 615 519 97 702 567 135 734 581 153
Virginia 762 730 32 947 812 135 1,061 905 156 1,100 928 172
West Virginia 270 247 23 286 213 74 307 222 85 315 223 92
East South Central 2,061 1,930 131 2,410 1,933 477 2,637 2,002 635 2,722 2,029 693
Alabama 558 507 51 639 505 134 695 542 152 716 552 164
Kentucky 491 460 31 566 470 97 617 458 160 637 465 172
Mississippi 330 325 5 372 336 36 404 353 50 415 360 55
Tennessee 682 638 44 833 623 210 921 648 273 954 652 302
West South Central 3,276 2,754 522 3,930 3,160 770 4,363 3,253 1,110 4,522 3,301 1,222
Arkansas 359 342 17 406 350 56 435 360 75 446 365 81
Louisiana 497 404 93 539 399 140 587 421 166 606 424 182
Oklahoma 438 388 50 488 412 77 525 436 88 538 446 92
Texas 1,982 1,620 362 2,497 2,000 497 2,816 2,036 780 2,932 2,065 867
Mountain 1,914 1,400 514 2,530 1,715 815 2,883 1,937 946 3,016 2,007 1,009
Arizona 596 371 225 788 506 282 897 574 323 939 599 340
Colorado 403 253 151 535 345 189 620 392 228 650 405 245
Idaho 145 129 16 193 133 60 219 149 70 228 152 76
Montana 119 118 (F) 144 117 27 160 134 26 166 137 29
Nevada 212 139 73 304 206 98 354 238 116 372 247 125
New Mexico 200 159 41 256 187 69 285 197 89 296 201 96
Utah 183 176 7 242 157 85 273 181 91 285 189 95
Wyoming 57 56 2 69 64 5 76 73 3 79 76 3
Pacific 4,692 2,808 1,884 5,665 3,580 2,085 6,354 3,911 2,443 6,609 3,986 2,623
Alaska 35 35 (F) 54 53 1 63 63 1 67 66 1
California 3,430 1,947 1,483 4,081 2,528 1,552 4,563 2,756 1,807 4,739 2,795 1,944
Hawaii 151 98 53 184 104 80 205 109 96 213 113 100
Oregon 433 260 173 527 297 231 594 332 262 620 339 281
Washington 643 468 175 818 598 221 929 651 278 971 673 298
Unknown 9 8 1 3 3 (F) 3 2 (F) 3 2 (F)
Outlying areas
Puerto Rico 401 400 1 506 175 331 551 158 392 563 155 408
U.S. Virgin Islands 9 9 (F) 14 14 (F) 16 16 (F) 17 17 (F)
Other 9 9 (F) 14 14 (F) 16 16 (F) 17 17 (F)
Foreign countries 288 285 3 355 352 3 392 388 4 404 400 4
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 2000–2014, selected years (in thousands)
Census division and state or area 2000 2010 2013 2014
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 5,373 4,913 460 8,033 6,619 1,414 8,843 6,871 1,972 8,983 6,770 2,213
United States a 5,219 4,759 459 7,847 6,540 1,307 8,638 6,795 1,843 8,777 6,698 2,079
New England 284 265 19 415 390 25 451 417 34 458 403 55
Connecticut 57 53 4 78 70 8 83 71 12 84 70 13
Maine 36 36 (F) 56 54 2 60 56 4 60 55 4
Massachusetts 131 120 11 186 179 7 204 195 9 208 180 28
New Hampshire 23 23 (F) 41 39 2 46 44 2 47 45 2
Rhode Island 24 20 4 34 29 5 36 30 6 37 30 7
Vermont 13 13 (F) 20 20 (F) 22 21 1 22 22 1
Middle Atlantic 729 655 73 1,039 819 220 1,124 838 286 1,137 839 298
New Jersey 133 124 9 181 163 18 197 163 33 200 169 31
New York 366 334 31 490 392 98 524 394 130 527 385 142
Pennsylvania 230 197 33 368 264 104 403 281 122 411 285 125
East North Central 823 773 50 1,216 1,080 136 1,354 1,141 213 1,377 1,116 261
Illinois 195 180 15 276 256 20 298 270 27 300 251 49
Indiana 117 114 3 179 158 21 200 167 33 204 169 36
Michigan 200 193 7 307 279 29 348 294 53 354 292 62
Ohio 221 199 23 315 269 46 352 283 70 359 278 81
Wisconsin 90 88 2 139 118 21 156 126 30 160 126 34
West North Central 339 324 14 513 456 57 563 483 81 573 485 88
Iowa 50 49 1 71 66 6 77 69 8 78 70 8
Kansas 43 42 2 66 61 5 73 66 7 74 66 8
Minnesota 72 70 1 112 97 15 124 106 18 127 107 20
Missouri 124 115 10 192 168 24 213 174 39 217 174 44
Nebraska 26 26 1 39 35 4 42 36 6 42 37 6
North Dakota 10 10 (F) 14 13 1 15 14 1 15 14 1
South Dakota 13 13 (F) 18 17 1 19 18 2 19 18 2
South Atlantic 1,082 998 84 1,606 1,325 281 1,774 1,365 409 1,810 1,342 468
Delaware 15 14 (F) 25 24 1 27 25 2 27 25 2
District of Columbia 10 9 (F) 13 12 1 15 14 1 15 14 1
Florida 316 253 63 463 343 120 527 349 178 545 346 199
Georgia 167 161 6 246 207 38 277 214 63 284 209 74
Maryland 75 70 5 112 104 8 127 117 10 130 119 10
North Carolina 195 191 4 300 258 42 322 264 58 327 256 71
South Carolina 105 105 (F) 159 131 27 173 130 43 176 127 49
Virginia 133 130 3 194 162 31 208 170 38 211 165 46
West Virginia 67 64 3 95 82 13 97 82 15 96 80 16
East South Central 498 482 16 750 616 134 817 628 189 826 619 207
Alabama 128 119 9 206 159 47 227 169 58 231 168 63
Kentucky 132 128 4 193 167 26 208 175 33 209 172 37
Mississippi 89 88 (F) 125 113 12 133 115 18 134 115 19
Tennessee 149 146 3 225 175 50 249 169 79 252 164 88
West South Central 541 492 50 892 743 149 999 776 222 1,015 768 247
Arkansas 80 78 2 126 106 20 137 106 31 138 106 32
Louisiana 104 92 12 147 124 23 164 131 32 166 130 36
Oklahoma 70 65 4 115 101 14 126 108 18 127 109 18
Texas 288 256 31 504 412 92 572 431 141 584 423 161
Mountain 286 240 46 457 342 115 511 361 150 523 361 162
Arizona 85 62 24 142 88 54 155 86 69 157 85 72
Colorado 65 53 11 90 70 20 103 77 26 105 77 28
Idaho 21 20 1 37 30 7 42 33 9 43 33 10
Montana 18 18 (F) 26 22 3 28 24 4 29 25 4
Nevada 31 24 7 53 42 10 61 47 14 63 47 15
New Mexico 34 31 3 57 48 9 63 50 13 65 49 16
Utah 24 23 (F) 41 31 10 48 32 15 49 33 16
Wyoming 8 8 (F) 11 11 1 12 12 (F) 13 12 (F)
Pacific 636 529 107 958 769 189 1,045 786 259 1,058 765 293
Alaska 7 7 (F) 12 12 (F) 13 13 (F) 13 13 (F)
California 464 378 86 676 544 133 731 552 179 737 530 207
Hawaii 15 14 1 22 17 6 24 15 10 24 14 10
Oregon 58 46 11 94 66 27 105 73 32 107 74 33
Washington 93 84 9 154 131 23 171 132 39 176 134 42
Unknown 1 1 (F) (F) (F) (F) (F) (F) (F) (F) (F) (F)
Outlying areas
Puerto Rico 136 136 (F) 164 58 107 181 53 129 183 50 134
U.S. Virgin Islands 1 1 (F) 2 2 (F) 2 2 (F) 2 2 (F)
Other 2 2 (F) 3 3 (F) 4 3 (F) 4 4 (F)
Foreign countries 15 15 (F) 17 16 (F) 17 17 (F) 17 17 (F)
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 2000–2014, selected years (in thousands)
Census division and state or area 2000 2010 2013 2014
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
Total
All areas 39,620 32,753 6,867 47,664 35,910 11,754 52,456 37,587 14,869 54,056 37,731 16,325
United States a 38,759 31,896 6,863 46,588 35,276 11,313 51,274 36,931 14,343 52,849 37,071 15,778
New England 2,120 1,714 405 2,411 1,985 427 2,626 2,124 502 2,694 2,140 554
Connecticut 514 409 105 568 463 104 608 466 142 619 470 150
Maine 217 214 2 265 231 33 291 238 53 299 238 61
Massachusetts 958 721 237 1,061 858 203 1,158 944 214 1,189 946 244
New Hampshire 170 167 3 223 206 18 250 234 16 259 240 19
Rhode Island 172 114 58 183 120 63 196 127 69 200 128 71
Vermont 89 89 (F) 112 107 5 124 115 9 128 118 9
Middle Atlantic 5,992 4,733 1,259 6,599 4,659 1,939 7,078 4,799 2,279 7,229 4,838 2,391
New Jersey 1,200 1,029 170 1,327 1,160 167 1,430 1,198 232 1,462 1,235 227
New York 2,699 2,206 494 2,988 2,085 904 3,211 2,120 1,091 3,278 2,100 1,178
Pennsylvania 2,093 1,498 595 2,283 1,415 869 2,437 1,481 956 2,489 1,502 987
East North Central 6,364 5,722 643 7,308 5,801 1,506 7,930 5,874 2,056 8,134 5,764 2,370
Illinois 1,630 1,443 187 1,839 1,662 178 1,982 1,759 222 2,026 1,654 372
Indiana 852 816 35 1,006 842 164 1,094 860 234 1,124 871 253
Michigan 1,401 1,320 80 1,651 1,382 269 1,805 1,309 496 1,853 1,287 566
Ohio 1,699 1,405 295 1,901 1,271 629 2,055 1,287 768 2,108 1,291 817
Wisconsin 783 737 46 911 644 267 994 659 335 1,023 661 362
West North Central 2,857 2,576 281 3,265 2,557 709 3,522 2,611 911 3,612 2,632 980
Iowa 476 459 17 517 449 68 549 471 78 561 480 81
Kansas 390 360 30 433 385 48 465 405 60 477 413 64
Minnesota 654 566 88 786 458 328 862 434 428 888 427 460
Missouri 861 727 133 1,004 793 211 1,086 816 270 1,113 818 295
Nebraska 253 243 11 279 246 34 298 261 37 306 269 37
North Dakota 103 102 1 109 100 9 114 98 16 117 99 17
South Dakota 119 119 1 137 125 11 147 126 22 152 127 25
South Atlantic 7,512 6,508 1,004 9,408 7,412 1,997 10,507 7,868 2,639 10,886 7,861 3,026
Delaware 112 107 5 149 144 6 168 156 12 175 161 14
District of Columbia 75 68 7 78 70 8 84 75 9 87 76 10
Florida 2,823 2,068 754 3,375 2,359 1,016 3,757 2,404 1,353 3,900 2,422 1,478
Georgia 918 863 56 1,236 973 262 1,411 1,037 374 1,469 1,044 425
Maryland 646 574 72 785 721 64 876 800 76 905 825 80
North Carolina 1,136 1,088 48 1,490 1,225 265 1,663 1,320 343 1,719 1,229 490
South Carolina 570 568 2 774 650 124 875 697 178 910 708 202
Virginia 895 860 35 1,141 974 166 1,269 1,075 194 1,311 1,092 219
West Virginia 337 312 26 382 295 87 404 304 100 411 303 108
East South Central 2,559 2,411 147 3,160 2,549 611 3,454 2,630 824 3,548 2,648 900
Alabama 686 626 60 845 664 181 922 711 211 947 720 227
Kentucky 623 588 35 760 637 123 826 633 193 846 637 209
Mississippi 419 413 6 497 450 48 537 468 68 549 475 74
Tennessee 831 784 47 1,058 798 260 1,170 818 352 1,206 816 390
West South Central 3,817 3,246 571 4,823 3,903 919 5,361 4,029 1,332 5,537 4,068 1,469
Arkansas 439 420 19 531 456 76 572 466 106 584 471 113
Louisiana 601 496 105 687 524 163 751 552 199 772 554 219
Oklahoma 508 453 54 603 512 91 650 544 106 665 555 110
Texas 2,269 1,876 393 3,001 2,412 589 3,388 2,467 922 3,516 2,488 1,027
Mountain 2,200 1,640 560 2,987 2,057 930 3,395 2,298 1,096 3,539 2,368 1,171
Arizona 681 433 248 930 594 336 1,051 660 392 1,096 684 412
Colorado 468 306 162 625 415 209 722 469 253 755 482 273
Idaho 166 149 17 230 163 67 261 181 79 271 186 86
Montana 137 136 1 170 139 30 188 159 30 195 161 34
Nevada 243 163 80 357 249 108 414 284 130 435 295 140
New Mexico 234 190 44 313 235 79 349 246 102 361 250 111
Utah 206 199 7 283 188 96 320 214 107 333 222 111
Wyoming 65 64 2 80 75 5 89 85 4 92 88 4
Pacific 5,328 3,337 1,991 6,623 4,349 2,274 7,400 4,697 2,703 7,666 4,751 2,916
Alaska 42 42 (F) 66 65 1 76 75 1 80 79 1
California 3,894 2,325 1,569 4,757 3,072 1,685 5,294 3,308 1,986 5,476 3,325 2,150
Hawaii 165 111 54 206 121 86 230 124 106 237 127 110
Oregon 491 307 184 621 363 258 700 406 294 728 413 314
Washington 736 553 183 972 728 244 1,100 784 316 1,146 806 340
Unknown 10 9 1 4 3 (F) 3 3 (F) 3 3 (F)
Outlying areas
Puerto Rico 537 536 1 670 233 438 732 211 521 747 205 542
U.S. Virgin Islands 10 10 (F) 16 16 (F) 18 18 (F) 19 19 (F)
Other 11 11 (F) 17 17 (F) 20 19 (F) 21 20 (F)
Foreign countries 303 300 3 372 369 3 409 405 4 421 417 5
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
(F) = fewer than 500.
a. Includes enrollees with unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 2000–2014, selected years (in thousands)
Age, sex, and race 2000 2010 2013 2014
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
  Hospital Insurance and/or Supplementary Medical Insurance
Total 34,247 27,840 6,407 39,631 29,291 10,340 43,614 30,716 12,897 45,073 30,961 14,112
Age
65–69 9,166 7,360 1,806 12,096 9,046 3,050 14,121 10,224 3,897 14,825 10,544 4,282
70–74 8,609 6,878 1,731 9,138 6,602 2,536 10,431 7,068 3,363 10,875 7,151 3,724
75–79 7,284 5,902 1,381 7,169 5,146 2,023 7,526 5,135 2,391 7,751 5,142 2,609
80–84 4,868 4,010 859 5,617 4,145 1,472 5,592 3,887 1,704 5,581 3,765 1,817
85 or older 4,320 3,690 630 5,612 4,352 1,259 5,945 4,402 1,543 6,040 4,360 1,680
Sex
Men 14,109 11,421 2,688 17,167 12,770 4,398 19,192 13,680 5,512 19,910 13,888 6,022
Women 20,138 16,419 3,719 22,464 16,521 5,943 24,421 17,036 7,385 25,163 17,073 8,090
Race
White 29,752 24,251 5,502 33,581 25,020 8,561 36,448 25,937 10,512 37,428 26,031 11,396
Black 2,720 2,204 516 3,330 2,332 999 3,728 2,456 1,272 3,895 2,472 1,423
All other races 1,682 1,305 377 2,624 1,857 767 3,059 2,024 1,035 3,232 2,059 1,174
American Indian or Alaska Native 42 39 3 143 124 18 161 139 22 168 143 25
Asian or Pacific Islander 494 386 108 848 632 216 1,006 694 312 1,073 709 364
Hispanic 710 555 155 884 584 301 1,003 611 393 1,054 609 445
Other 436 324 112 749 516 232 888 580 308 938 598 340
Unknown 92 81 12 95 82 13 379 300 78 518 399 119
  Hospital Insurance
Total 33,827 27,429 6,398 39,283 28,954 10,330 43,285 30,411 12,874 44,740 30,654 14,087
Age
65–69 9,074 7,269 1,804 12,000 8,954 3,047 14,030 10,143 3,887 14,729 10,458 4,272
70–74 8,505 6,776 1,729 9,063 6,529 2,534 10,360 7,003 3,357 10,805 7,086 3,718
75–79 7,188 5,809 1,379 7,106 5,085 2,021 7,466 5,079 2,387 7,691 5,086 2,605
80–84 4,805 3,947 857 5,564 4,093 1,470 5,544 3,843 1,702 5,535 3,721 1,814
85 or older 4,256 3,627 629 5,551 4,293 1,258 5,885 4,344 1,540 5,980 4,303 1,677
Sex
Men 13,976 11,291 2,685 17,054 12,660 4,394 19,083 13,580 5,503 19,798 13,786 6,012
Women 19,851 16,138 3,713 22,230 16,293 5,936 24,202 16,831 7,371 24,942 16,867 8,075
Race
White 29,565 24,068 5,497 33,444 24,889 8,554 36,316 25,823 10,493 37,294 25,917 11,377
Black 2,668 2,153 515 3,283 2,287 997 3,683 2,414 1,269 3,848 2,429 1,420
All other races 1,508 1,133 374 2,469 1,703 766 2,924 1,890 1,034 3,101 1,928 1,172
American Indian or Alaska Native 40 37 3 140 121 18 157 135 22 164 139 25
Asian or Pacific Islander 406 300 106 769 553 215 933 622 311 1,001 638 363
Hispanic 656 502 154 837 537 300 960 567 393 1,012 567 445
Other 405 294 111 724 492 232 873 566 308 924 585 340
Unknown 87 75 12 87 74 13 362 284 78 497 380 118
  Supplementary Medical Insurance
Total 32,585 26,178 6,407 36,768 26,429 10,340 40,047 27,150 12,897 41,358 27,247 14,112
Age
65–69 8,330 6,525 1,806 10,382 7,332 3,050 11,930 8,033 3,897 12,547 8,265 4,282
70–74 8,256 6,525 1,731 8,625 6,089 2,536 9,741 6,378 3,363 10,139 6,414 3,724
75–79 7,087 5,705 1,381 6,919 4,896 2,023 7,256 4,865 2,391 7,469 4,860 2,609
80–84 4,780 3,922 859 5,474 4,002 1,472 5,433 3,729 1,704 5,419 3,602 1,817
85 or older 4,131 3,501 630 5,368 4,109 1,259 5,688 4,145 1,543 5,785 4,105 1,680
Sex
Men 13,203 10,515 2,688 15,579 11,182 4,397 17,186 11,674 5,512 17,806 11,784 6,022
Women 19,382 15,663 3,719 21,189 15,247 5,943 22,861 15,476 7,385 23,553 15,463 8,090
Race
White 28,428 22,927 5,502 31,316 22,755 8,561 33,669 23,157 10,512 34,557 23,161 11,396
Black 2,543 2,027 516 3,061 2,062 998 3,405 2,133 1,272 3,557 2,134 1,423
All other races 1,542 1,164 377 2,327 1,560 767 2,685 1,650 1,035 2,839 1,665 1,174
American Indian or Alaska Native 39 36 3 128 109 18 141 119 22 147 122 25
Asian or Pacific Islander 470 362 108 766 550 216 896 584 312 953 589 364
Hispanic 665 510 155 799 498 301 897 504 393 943 498 445
Other 368 257 112 635 402 232 752 443 308 796 456 340
Unknown 71 60 12 64 51 13 288 210 78 406 287 119
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 2000–2014, selected years (in thousands)
Age, sex, and race 2000 2010 2013 2014
Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care Total Fee for service Managed care
  Hospital Insurance and/or Supplementary Medical Insurance
Total 5,373 4,913 460 8,033 6,619 1,414 8,843 6,871 1,972 8,983 6,770 2,213
Age
Under 35 522 505 18 711 649 62 795 702 92 793 683 109
35–44 1,130 1,068 62 1,154 1,008 145 1,201 1,003 198 1,201 978 223
45–54 1,627 1,501 126 2,477 2,075 402 2,575 2,037 538 2,548 1,960 588
55–64 2,094 1,840 254 3,691 2,887 803 4,273 3,128 1,144 4,442 3,148 1,294
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,591 3,640 952 4,646 3,578 1,067
Women 2,356 2,141 215 3,840 3,108 732 4,251 3,231 1,020 4,337 3,191 1,146
Race
White 3,994 3,641 353 5,799 4,781 1,019 6,263 4,888 1,375 6,330 4,813 1,517
Black 1,008 933 74 1,560 1,301 259 1,763 1,372 391 1,801 1,345 456
All other races 356 327 32 646 513 133 752 559 193 778 553 225
American Indian or Alaska Native 23 22 1 66 61 5 75 68 8 77 69 8
Asian or Pacific Islander 41 38 4 100 84 16 121 96 25 126 96 30
Hispanic 201 182 19 337 257 80 421 297 124 446 297 148
Other 90 83 7 143 111 31 135 98 36 129 91 38
Unknown 15 14 1 28 24 4 65 52 13 75 58 16
  Hospital Insurance
Total 5,372 4,913 460 8,032 6,619 1,414 8,842 6,870 1,972 8,983 6,769 2,213
Age
Under 35 522 504 18 711 649 62 795 702 92 793 683 109
35–44 1,129 1,068 62 1,154 1,008 145 1,201 1,003 198 1,201 978 223
45–54 1,627 1,501 126 2,477 2,075 402 2,575 2,037 538 2,548 1,960 588
55–64 2,093 1,840 254 3,690 2,887 803 4,272 3,128 1,144 4,442 3,148 1,294
Sex
Men 3,017 2,772 245 4,193 3,511 682 4,591 3,639 952 4,645 3,578 1,067
Women 2,356 2,141 215 3,840 3,108 732 4,251 3,231 1,020 4,337 3,191 1,146
Race
White 3,994 3,641 353 5,799 4,780 1,019 6,263 4,888 1,375 6,329 4,813 1,517
Black 1,008 933 74 1,560 1,301 259 1,763 1,371 391 1,800 1,345 456
All other races 356 325 31 646 513 133 752 559 193 778 553 225
American Indian or Alaska Native 23 22 1 66 61 5 75 68 8 77 69 8
Asian or Pacific Islander 41 38 4 100 84 16 121 96 25 126 96 30
Hispanic 201 182 19 337 257 80 421 297 124 446 297 148
Other 90 83 7 143 111 31 135 98 36 129 91 38
Unknown 15 14 1 28 24 4 65 52 13 75 58 16
  Supplementary Medical Insurance
Total 4,775 4,315 460 7,185 5,772 1,413 7,993 6,021 1,972 8,152 5,938 2,213
Age
Under 35 467 449 18 647 585 62 728 635 92 727 618 109
35–44 998 937 62 1,028 883 145 1,082 884 198 1,086 863 223
45–54 1,422 1,296 126 2,211 1,808 402 2,322 1,784 538 2,305 1,717 588
55–64 1,887 1,633 254 3,299 2,496 803 3,861 2,717 1,144 4,033 2,740 1,294
Sex
Men 2,667 2,423 245 3,701 3,019 682 4,095 3,144 952 4,163 3,096 1,067
Women 2,107 1,892 215 3,485 2,753 732 3,898 2,877 1,020 3,988 2,843 1,146
Race
White 3,539 3,186 353 5,167 4,149 1,018 5,644 4,269 1,374 5,727 4,211 1,517
Black 918 843 74 1,423 1,165 259 1,621 1,230 391 1,661 1,206 456
All other races 305 274 31 570 438 133 671 478 193 697 473 225
American Indian or Alaska Native 21 20 1 60 55 5 68 61 8 70 61 8
Asian or Pacific Islander 36 33 4 87 72 16 107 81 25 112 82 30
Hispanic 176 157 19 301 220 80 379 255 124 403 254 148
Other 71 64 7 122 91 31 118 81 36 113 75 38
Unknown 13 12 1 24 20 4 57 44 13 66 50 16
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars) Total visits (thousands) Program payments (thousands of dollars) Program payments per visit (dollars)
Total
All areas 90,566 7,215,958 80 126,063 19,407,218 154 117,421 17,931,095 153
United States 87,641 6,995,748 80 124,602 19,168,082 154 115,693 17,656,836 153
New England 6,953 511,226 74 7,198 1,027,785 143 6,809 1,044,529 153
Connecticut 1,696 120,602 71 1,900 251,504 132 1,798 245,995 137
Maine 664 47,095 71 453 75,876 167 452 73,561 163
Massachusetts 3,328 253,132 76 3,701 520,842 141 3,332 532,964 160
New Hampshire 504 36,257 72 521 84,875 163 552 89,230 162
Rhode Island 393 32,720 83 325 54,699 168 392 62,275 159
Vermont 368 21,418 58 297 39,989 135 283 40,505 143
Middle Atlantic 12,446 1,066,579 86 12,114 1,815,857 150 12,562 1,757,010 140
New Jersey 2,274 203,145 89 2,251 405,510 180 2,185 396,289 181
New York 5,983 510,094 85 6,339 829,649 131 6,666 784,049 118
Pennsylvania 4,190 353,341 84 3,524 580,697 165 3,712 576,673 155
East North Central 11,615 996,673 86 18,053 3,158,933 175 16,943 2,757,269 163
Illinois 3,112 278,001 89 6,483 1,248,999 193 6,309 1,120,544 178
Indiana 1,464 112,768 77 2,147 330,697 154 1,980 288,058 145
Michigan 3,436 311,343 91 4,772 886,909 186 4,013 694,902 173
Ohio 2,713 223,430 82 3,846 561,021 146 3,802 517,820 136
Wisconsin 891 71,131 80 805 131,307 163 839 135,945 162
West North Central 3,884 297,355 77 4,201 674,453 161 4,340 673,308 155
Iowa 602 39,847 66 602 83,367 138 678 92,959 137
Kansas 515 38,056 74 691 101,393 147 745 104,186 140
Minnesota 525 40,350 77 673 117,078 174 779 133,913 172
Missouri 1,651 134,144 81 1,693 285,034 168 1,572 254,933 162
Nebraska 318 25,063 79 359 59,337 165 380 60,859 160
North Dakota 140 9,814 70 87 12,226 140 76 10,490 138
South Dakota 134 10,083 75 97 16,019 166 110 15,969 146
South Atlantic 17,603 1,434,967 82 27,755 4,147,843 149 26,061 3,959,171 152
Delaware 222 18,759 85 265 45,588 172 308 52,122 169
District of Columbia 154 13,859 90 156 28,775 185 158 25,779 163
Florida 7,032 576,519 82 16,660 2,207,943 133 14,401 2,098,625 146
Georgia 2,568 197,327 77 2,734 453,869 166 2,557 385,600 151
Maryland 1,046 95,980 92 1,192 237,129 199 1,416 255,800 181
North Carolina 2,533 209,226 83 2,550 453,949 178 2,625 424,153 162
South Carolina 1,412 118,278 84 1,338 243,074 182 1,314 212,819 162
Virginia 2,030 157,804 78 2,322 386,851 167 2,647 408,421 154
West Virginia 606 47,215 78 539 90,665 168 633 95,853 151
East South Central 10,424 708,458 68 10,618 1,654,875 156 9,357 1,344,861 144
Alabama 2,466 163,019 66 2,486 380,656 153 2,355 328,954 140
Kentucky 1,916 135,941 71 2,005 314,962 157 1,839 267,868 146
Mississippi 2,514 159,346 63 2,425 377,257 156 2,221 319,888 144
Tennessee 3,529 250,152 71 3,702 581,999 157 2,941 428,151 146
West South Central 15,305 1,062,985 69 31,520 4,314,530 137 25,289 3,485,421 138
Arkansas 1,103 70,205 64 1,356 172,533 127 1,194 151,388 127
Louisiana 4,081 261,901 64 4,238 606,968 143 3,477 473,054 136
Oklahoma 2,354 149,916 64 4,100 522,018 127 3,525 439,770 125
Texas 7,767 580,964 75 21,825 3,012,978 138 17,092 2,421,209 142
Mountain 3,188 257,608 81 4,600 726,129 158 4,939 738,885 150
Arizona 497 43,124 87 792 148,499 188 904 159,894 177
Colorado 725 59,239 82 963 152,620 158 1,008 147,076 146
Idaho 258 22,771 88 331 50,791 153 409 57,876 141
Montana 208 16,200 78 147 24,962 170 137 21,785 159
Nevada 309 27,152 88 755 135,272 179 835 145,189 174
New Mexico 390 30,327 78 568 87,315 154 572 84,250 147
Utah 680 50,606 74 951 112,815 119 951 106,645 112
Wyoming 120 8,190 68 93 13,857 150 122 16,170 132
Pacific 6,222 659,896 106 8,543 1,647,677 193 9,393 1,896,382 202
Alaska 39 5,145 132 54 11,688 217 51 10,719 208
California 5,031 529,250 105 7,168 1,350,065 188 7,915 1,598,194 202
Hawaii 84 8,980 107 46 11,042 240 46 10,373 224
Oregon 399 45,225 113 413 89,148 216 475 93,383 197
Washington 669 71,296 107 862 185,733 215 906 183,713 203
Outlying areas a 2,926 220,210 75 1,461 239,136 164 1,728 274,258 159
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are associated with episodes and not with individual visits.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of care per discharge, and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b Total discharges a Days per discharge Program payments (thousands of dollars) Program payments per discharge (dollars) b
Total
All areas 11,719,960 6.0 81,230,259 6,971 12,340,835 5.4 116,852,409 9,588 10,749,176 5.4 116,433,768 11,090
United States 11,574,200 6.0 80,769,047 7,019 12,284,510 5.4 116,558,944 9,608 10,707,948 5.4 116,146,810 11,105
New England 563,305 5.8 4,365,878 7,797 661,465 5.3 6,721,080 10,273 579,425 5.4 6,983,099 12,296
Connecticut 125,295 6.2 1,097,034 8,807 165,520 5.6 1,749,223 10,687 139,921 5.9 1,780,623 12,914
Maine 69,740 5.6 434,302 6,239 59,695 5.1 560,261 9,458 53,203 5.1 551,351 10,567
Massachusetts 257,720 5.7 2,035,018 7,952 322,725 5.2 3,232,388 10,133 278,759 5.3 3,383,126 12,402
New Hampshire 46,970 5.6 334,202 7,167 49,645 5.2 500,856 10,165 51,356 5.3 582,340 11,545
Rhode Island 37,325 6.2 276,771 7,449 42,740 5.9 398,337 9,453 35,124 5.5 398,599 11,725
Vermont 26,255 5.7 188,547 7,237 21,140 5.3 280,014 13,391 21,062 5.5 287,062 13,912
Middle Atlantic 1,747,960 7.3 14,864,554 8,569 1,852,945 6.2 18,772,529 10,306 1,484,742 6.1 17,904,222 12,305
New Jersey 380,730 7.5 3,384,886 8,983 423,905 5.9 4,427,211 10,565 361,929 5.8 4,151,613 11,750
New York 750,130 8.2 7,155,309 9,625 828,675 6.7 9,358,190 11,478 648,149 6.7 8,828,785 13,906
Pennsylvania 617,100 6.1 4,324,358 7,036 600,365 5.6 4,987,128 8,494 474,664 5.5 4,923,823 10,548
East North Central 2,118,675 5.7 14,097,236 6,693 2,184,505 5.2 19,845,591 9,196 1,873,800 5.1 19,253,627 10,469
Illinois 580,250 5.7 3,840,706 6,672 624,800 5.2 5,821,547 9,449 558,095 5.1 5,758,361 10,513
Indiana 291,380 5.7 1,796,295 6,198 291,055 5.2 2,607,929 9,037 262,092 5.2 2,586,256 10,042
Michigan 468,095 6.1 3,473,727 7,459 539,100 5.3 5,249,883 9,828 444,572 5.2 4,774,488 10,912
Ohio 538,445 5.6 3,466,013 6,471 536,080 5.1 4,339,817 8,229 435,596 5.0 4,274,105 10,044
Wisconsin 240,505 5.4 1,520,493 6,352 193,470 5.0 1,826,415 9,518 173,445 4.9 1,860,417 10,894
West North Central 925,865 5.4 5,759,187 6,250 839,945 5.0 7,523,433 9,051 755,340 5.0 7,713,894 10,408
Iowa 164,590 5.4 959,210 5,844 123,715 5.1 1,087,128 8,872 113,340 5.1 1,134,489 10,194
Kansas 134,585 5.5 806,523 6,005 116,305 5.1 1,024,304 8,896 106,686 5.0 1,026,321 9,779
Minnesota 193,910 5.0 1,256,854 6,545 178,610 4.6 1,704,060 9,641 165,137 4.8 1,887,503 11,674
Missouri 281,505 5.7 1,810,063 6,460 292,685 5.2 2,503,651 8,647 251,397 5.1 2,418,358 9,788
Nebraska 76,015 5.2 506,171 6,686 71,475 5.1 665,399 9,393 62,791 4.9 640,109 10,373
North Dakota 33,640 5.1 193,994 5,793 24,650 4.9 229,995 9,434 23,930 5.3 265,168 11,448
South Dakota 41,620 5.2 226,370 5,454 32,505 5.0 308,895 9,635 32,059 5.0 341,945 10,938
South Atlantic 2,403,790 6.0 15,911,326 6,655 2,588,625 5.4 24,117,041 9,398 2,368,132 5.3 24,173,755 10,463
Delaware 36,845 6.4 275,714 7,513 44,690 5.8 496,471 11,167 44,515 5.4 524,807 12,080
District of Columbia 26,940 7.9 269,614 10,121 26,585 6.1 325,339 12,556 25,212 6.1 331,703 13,533
Florida 754,145 5.8 5,004,157 6,675 878,690 5.5 7,527,249 8,633 780,473 5.3 7,274,986 9,534
Georgia 320,335 5.8 2,061,225 6,469 322,870 5.4 2,951,001 9,228 292,632 5.4 2,829,944 9,930
Maryland 217,605 5.8 1,773,771 8,190 273,955 5.0 3,231,204 11,916 252,324 5.3 3,390,069 13,691
North Carolina 396,985 6.0 2,467,636 6,251 407,405 5.3 3,893,911 9,654 375,549 5.3 3,891,097 10,654
South Carolina 214,540 6.2 1,390,229 6,504 213,040 5.6 1,987,028 9,403 190,139 5.5 1,925,323 10,392
Virginia 300,785 6.1 1,896,484 6,338 309,110 5.3 2,759,469 8,994 307,974 5.2 3,044,384 10,163
West Virginia 135,610 5.8 772,492 5,724 112,280 5.6 945,370 8,483 99,314 5.4 961,442 9,928
East South Central 1,013,885 5.8 5,704,817 5,652 963,640 5.4 7,786,714 8,149 842,025 5.4 7,441,377 9,067
Alabama 274,470 5.5 1,492,353 5,454 253,420 5.3 1,910,245 7,608 227,565 5.5 1,865,969 8,447
Kentucky 244,210 5.6 1,362,272 5,614 241,895 5.2 2,044,960 8,525 205,379 5.1 1,940,123 9,678
Mississippi 191,685 6.4 1,013,536 5,310 171,515 5.8 1,448,510 8,517 153,733 5.7 1,390,255 9,248
Tennessee 303,520 5.9 1,836,655 6,078 296,810 5.3 2,382,999 8,092 255,348 5.3 2,245,030 9,017
West South Central 1,298,505 5.9 8,215,049 6,357 1,365,910 5.4 12,066,708 8,964 1,203,474 5.3 11,816,158 10,071
Arkansas 163,480 5.9 872,811 5,364 152,555 5.2 1,220,475 8,056 137,795 5.2 1,206,637 8,965
Louisiana 226,020 5.9 1,408,934 6,263 201,110 5.6 1,637,434 8,255 173,994 5.5 1,620,476 9,520
Oklahoma 187,220 5.8 1,069,986 5,730 191,485 5.2 1,599,516 8,438 165,877 5.2 1,563,091 9,633
Texas 721,785 5.9 4,863,318 6,774 820,760 5.4 7,609,283 9,433 725,808 5.3 7,425,954 10,516
Mountain 488,870 5.0 3,196,062 6,569 580,410 4.8 5,406,084 9,449 516,836 4.8 5,780,666 11,478
Arizona 131,325 5.0 866,364 6,642 190,090 4.8 1,803,854 9,680 159,938 4.7 1,805,706 11,612
Colorado 92,655 5.0 625,753 6,788 119,065 4.7 1,070,536 9,052 103,754 4.8 1,140,823 11,297
Idaho 47,780 4.6 290,241 6,102 34,810 4.4 318,622 9,213 33,598 4.6 380,348 11,477
Montana 44,270 4.8 258,894 5,850 31,240 4.7 283,979 9,244 30,632 4.8 327,339 10,987
Nevada 46,945 6.0 349,025 7,473 78,520 5.5 752,101 9,725 71,830 5.7 850,927 12,182
New Mexico 53,130 5.2 327,251 6,196 61,660 5.0 561,743 9,216 53,310 4.9 577,960 11,114
Utah 50,715 4.8 336,745 6,661 47,455 4.4 416,811 8,925 45,918 4.3 474,624 10,555
Wyoming 22,050 5.0 141,785 6,442 17,570 4.6 198,438 11,517 17,856 4.8 222,938 12,825
Pacific 1,013,345 5.8 8,654,933 8,599 1,247,065 5.2 14,319,765 11,677 1,084,174 5.2 15,080,012 14,397
Alaska 12,715 5.8 120,546 9,682 14,650 5.2 212,259 14,792 14,276 5.6 232,268 16,785
California 731,050 6.0 6,543,541 9,015 934,155 5.4 11,046,507 12,052 799,080 5.3 11,549,033 15,021
Hawaii 25,510 8.0 213,726 8,431 26,115 6.6 309,384 12,022 20,894 6.4 285,986 14,036
Oregon 92,985 4.6 624,464 6,741 87,580 4.6 838,918 9,687 77,948 4.7 949,722 12,479
Washington 151,085 4.9 1,152,655 7,672 184,565 4.7 1,912,697 10,449 171,976 4.8 2,063,003 12,261
Outlying areas c 145,760 6.8 461,482 3,187 56,325 7.2 293,464 5,274 41,228 7.3 286,958 7,110
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Excludes discharges for managed care enrollees that were paid by the managed care plan.
b. Excludes discharges with covered services for which no program payments were reported.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b Covered admissions a Program payments (thousands of dollars) Program payments per admission (dollars) b
Total
All areas 1,936,127 10,651,274 5,511 2,542,541 27,454,045 10,808 2,477,660 28,114,051 11,357
United States 1,932,134 10,635,515 5,514 2,540,694 27,439,911 10,811 2,475,867 28,098,565 11,359
New England 137,383 849,428 6,194 175,964 1,953,174 11,105 168,187 1,867,241 11,109
Connecticut 34,452 254,218 7,387 48,443 540,283 11,157 43,930 507,787 11,564
Maine 13,391 66,702 4,983 15,774 156,059 9,899 15,474 146,052 9,447
Massachusetts 64,946 389,016 6,003 80,521 905,645 11,254 77,960 854,963 10,973
New Hampshire 10,243 59,904 5,859 14,791 171,224 11,578 14,910 180,067 12,082
Rhode Island 9,452 54,095 5,757 9,947 107,017 10,765 9,137 97,643 10,692
Vermont 4,899 25,492 5,207 6,488 72,946 11,248 6,776 80,729 11,932
Middle Atlantic 290,974 1,937,835 6,677 380,134 4,171,432 10,982 358,068 4,367,074 12,203
New Jersey 68,638 412,488 6,014 113,972 1,280,984 11,243 107,023 1,297,343 12,125
New York 110,292 931,412 8,465 147,187 1,687,582 11,472 139,181 1,898,772 13,651
Pennsylvania 112,044 593,935 5,322 118,975 1,202,866 10,124 111,864 1,170,960 10,477
East North Central 374,369 2,014,281 5,382 481,136 5,126,375 10,669 458,201 5,136,036 11,217
Illinois 104,203 515,307 4,946 147,185 1,559,820 10,603 140,232 1,668,184 11,903
Indiana 59,020 330,466 5,600 69,921 811,368 11,611 68,077 821,591 12,075
Michigan 57,347 374,014 6,526 93,831 995,036 10,646 89,669 954,048 10,651
Ohio 107,475 555,817 5,173 122,318 1,233,107 10,089 114,418 1,182,137 10,339
Wisconsin 46,324 238,678 5,153 47,881 527,044 11,022 45,805 510,076 11,147
West North Central 190,486 756,598 3,973 219,843 2,015,228 9,177 211,989 2,072,038 9,787
Iowa 33,702 110,449 3,277 38,254 319,680 8,368 36,739 348,343 9,496
Kansas 27,334 99,927 3,657 32,862 320,051 9,753 32,587 340,685 10,474
Minnesota 42,888 199,933 4,662 44,978 422,675 9,408 45,147 439,989 9,758
Missouri 50,515 216,975 4,297 62,488 564,750 9,049 58,033 536,451 9,255
Nebraska 18,766 71,141 3,793 22,604 222,826 9,863 22,071 240,135 10,894
North Dakota 7,790 23,998 3,081 8,396 67,273 8,019 7,673 68,911 8,988
South Dakota 9,491 34,175 3,603 10,261 97,973 9,551 9,739 97,526 10,025
South Atlantic 351,271 1,962,427 5,597 501,914 5,359,990 10,685 506,310 5,398,524 10,669
Delaware 4,938 31,158 6,319 9,137 111,129 12,163 9,779 118,375 12,110
District of Columbia 3,745 23,113 6,175 5,216 61,576 11,812 5,197 65,594 12,626
Florida 139,057 813,328 5,866 187,538 2,156,069 11,501 183,850 2,051,823 11,166
Georgia 36,847 195,450 5,309 52,699 528,536 10,039 52,787 542,492 10,286
Maryland 38,562 194,644 5,065 56,562 585,864 10,360 57,702 631,890 10,953
North Carolina 50,008 270,927 5,422 73,593 753,582 10,249 77,623 782,491 10,091
South Carolina 24,069 130,669 5,430 34,373 360,369 10,488 35,406 374,710 10,590
Virginia 36,536 217,418 5,952 64,246 634,720 9,886 66,252 664,995 10,043
West Virginia 17,509 85,720 4,897 18,550 168,144 9,080 17,714 166,153 9,387
East South Central 131,017 665,240 5,081 177,560 1,758,671 9,911 175,565 1,735,329 9,892
Alabama 29,268 164,159 5,614 41,831 371,952 8,899 41,962 365,300 8,713
Kentucky 35,891 167,196 4,659 47,157 450,243 9,552 45,908 435,548 9,497
Mississippi 20,560 95,372 4,648 30,670 332,958 10,865 31,185 351,709 11,285
Tennessee 45,298 238,514 5,267 57,902 603,518 10,428 56,510 582,771 10,320
West South Central 183,161 869,345 4,757 255,317 2,555,424 10,019 242,395 2,673,668 11,045
Arkansas 22,862 83,236 3,644 29,669 245,575 8,289 26,981 256,912 9,536
Louisiana 27,165 120,360 4,433 35,333 346,586 9,814 33,298 354,928 10,666
Oklahoma 26,004 105,867 4,072 31,116 270,167 8,697 31,853 290,856 9,150
Texas 107,130 559,882 5,245 159,199 1,693,097 10,646 150,263 1,770,972 11,801
Mountain 87,157 435,051 5,004 105,187 1,128,681 10,743 108,311 1,203,849 11,133
Arizona 20,256 95,244 4,742 25,381 252,844 9,977 26,851 285,392 10,645
Colorado 18,993 99,687 5,256 26,415 296,144 11,226 25,905 295,780 11,435
Idaho 10,396 50,995 4,909 8,767 92,792 10,593 9,045 95,237 10,544
Montana 9,410 36,201 3,847 8,782 80,925 9,219 8,520 92,871 10,921
Nevada 6,348 37,209 5,867 11,071 143,694 12,991 11,698 148,353 12,736
New Mexico 6,130 31,929 5,213 9,119 94,673 10,405 9,654 103,348 10,712
Utah 11,672 65,662 5,627 11,181 122,528 10,966 12,398 132,965 10,735
Wyoming 3,952 18,123 4,586 4,471 45,080 10,083 4,240 49,904 11,773
Pacific 186,316 1,145,310 6,174 243,639 3,370,936 13,861 246,841 3,644,805 14,783
Alaska 991 6,406 6,477 1,229 20,023 16,305 1,175 21,970 18,714
California 137,485 875,847 6,395 184,255 2,639,123 14,341 186,530 2,852,291 15,306
Hawaii 2,173 14,886 6,898 3,384 44,348 13,608 3,346 48,106 14,512
Oregon 13,964 67,421 4,844 15,143 167,579 11,076 15,981 190,464 11,923
Washington 31,703 180,749 5,742 39,628 499,862 12,634 39,809 531,974 13,388
Outlying areas c 3,993 15,760 3,948 1,847 14,134 7,661 1,793 15,487 8,666
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.
Totals do not necessarily equal the sum of rounded components.
a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.
b. The denominator used to calculate the average program payment per covered admission includes only those bills with Medicare reimbursement greater than zero.
c. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B8.4 Medicare Part A (Hospital Insurance): Hospice care persons served, days of covered care, and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a Persons served Covered days of care Program payments (thousands of dollars) Program payments per person served (dollars) a
Total
All areas 534,408 25,957,716 2,925,819 5,476 1,163,037 81,654,927 12,950,475 11,175 1,319,517 92,608,159 15,100,091 11,484
United States 529,745 25,646,822 2,903,200 5,482 1,151,358 80,244,133 12,810,641 11,166 1,308,130 91,357,249 14,969,333 11,484
New England 20,642 799,522 104,817 5,078 52,085 3,078,644 537,146 10,338 59,631 3,535,195 631,970 10,619
Connecticut 5,425 197,854 31,872 5,875 11,416 547,732 109,556 9,613 13,500 672,532 135,821 10,089
Maine 1,135 49,657 4,977 4,386 5,564 333,326 52,509 9,456 6,504 368,477 58,735 9,043
Massachusetts 9,906 381,853 47,884 4,834 23,516 1,468,601 251,551 10,733 26,525 1,718,629 303,248 11,455
New Hampshire 1,679 77,363 8,824 5,256 4,809 287,539 46,943 9,782 5,478 322,739 55,120 10,077
Rhode Island 1,758 61,325 7,978 4,538 5,225 356,516 63,315 12,134 5,622 332,754 59,651 10,622
Vermont 739 31,470 3,279 4,438 1,555 84,930 13,272 8,552 2,002 120,064 19,395 9,722
Middle Atlantic 63,096 2,697,689 333,959 5,293 132,722 8,262,583 1,359,530 10,277 146,307 8,784,799 1,495,960 10,255
New Jersey 13,067 560,846 67,535 5,169 30,884 1,965,196 341,688 11,100 32,747 2,068,367 361,984 11,092
New York 23,214 1,008,086 135,580 5,841 41,252 2,232,898 397,994 9,682 47,668 2,469,410 468,740 9,860
Pennsylvania 26,815 1,128,757 130,843 4,880 60,586 4,064,489 619,848 10,262 65,892 4,247,022 665,236 10,126
East North Central 93,025 4,154,816 464,650 4,996 189,675 12,185,738 1,917,277 10,142 218,005 14,382,270 2,295,471 10,564
Illinois 24,067 1,071,673 121,113 5,033 42,648 2,536,817 417,839 9,831 48,177 2,949,767 494,358 10,295
Indiana 9,984 484,813 51,390 5,149 23,846 1,539,234 230,087 9,693 28,195 1,788,432 274,688 9,776
Michigan 22,873 1,017,365 115,791 5,063 43,979 2,708,169 420,647 9,589 50,347 3,225,810 498,476 9,933
Ohio 27,228 1,159,156 132,377 4,863 56,207 3,845,723 606,275 10,827 64,149 4,562,450 733,124 11,462
Wisconsin 8,873 421,809 43,977 4,959 22,995 1,555,795 242,429 10,570 27,137 1,855,811 294,825 10,911
West North Central 36,720 1,748,289 176,312 4,804 85,257 5,548,987 808,443 9,510 94,674 6,114,904 924,279 9,793
Iowa 6,460 298,008 30,383 4,705 16,461 1,013,650 149,409 9,109 17,250 986,838 149,721 8,700
Kansas 5,550 267,095 26,068 4,708 12,631 904,768 130,738 10,393 13,330 868,711 130,035 9,794
Minnesota 8,175 402,271 45,222 5,532 17,922 996,562 157,216 8,796 21,132 1,327,958 214,378 10,183
Missouri 11,678 554,407 52,819 4,524 26,845 1,997,507 280,319 10,468 30,416 2,207,876 322,987 10,648
Nebraska 2,982 142,942 13,829 4,638 7,011 398,330 57,620 8,237 8,023 486,430 73,280 9,161
North Dakota 1,023 42,601 4,151 4,058 1,878 107,110 14,088 7,522 1,865 100,693 13,715 7,374
South Dakota 852 40,965 3,838 4,505 2,509 131,060 19,052 7,603 2,658 136,398 20,162 7,594
South Atlantic 112,303 5,663,896 656,729 5,851 253,063 18,723,650 3,067,189 12,164 285,265 20,752,200 3,456,913 12,162
Delaware 1,550 78,705 8,819 5,690 4,928 475,245 77,511 15,764 4,675 322,134 57,003 12,243
District of Columbia 614 29,755 3,866 6,297 1,386 98,035 16,654 12,068 1,677 119,061 20,429 12,233
Florida 56,248 2,819,511 350,229 6,229 103,806 7,594,127 1,359,349 13,129 111,297 7,796,208 1,425,613 12,847
Georgia 13,658 723,558 77,534 5,683 35,789 2,884,282 443,861 12,464 42,010 3,589,394 559,933 13,392
Maryland 7,638 298,523 34,343 4,496 16,135 910,816 149,059 9,279 19,274 1,077,414 183,327 9,543
North Carolina 13,198 717,297 77,961 5,913 36,577 2,600,507 407,364 11,179 41,781 2,900,099 464,936 11,169
South Carolina 6,552 345,769 34,999 5,345 21,965 1,837,036 274,837 12,561 27,075 2,427,067 364,667 13,531
Virginia 9,397 467,386 51,049 5,434 24,066 1,698,135 251,164 10,481 28,233 1,903,328 291,098 10,344
West Virginia 3,448 183,392 17,926 5,199 8,411 625,467 87,390 10,472 9,243 617,495 89,908 9,773
East South Central 32,995 2,126,137 208,855 6,332 77,344 6,108,342 858,930 11,155 87,428 6,676,596 954,703 10,957
Alabama 11,421 838,025 79,080 6,925 25,923 2,396,559 322,869 12,502 28,083 2,568,381 353,919 12,633
Kentucky 8,047 443,176 45,727 5,684 14,392 899,474 135,399 9,451 16,688 925,858 146,617 8,815
Mississippi 5,693 467,035 45,142 7,931 13,571 1,272,552 171,812 12,749 15,730 1,371,700 192,059 12,269
Tennessee 7,834 377,901 38,903 4,971 23,458 1,539,757 228,851 9,792 26,927 1,810,657 262,108 9,769
West South Central 62,010 3,558,642 364,302 5,876 134,916 10,937,925 1,599,793 11,901 153,902 12,366,930 1,866,014 12,171
Arkansas 5,281 323,207 30,097 5,700 12,333 784,841 115,479 9,399 14,246 865,672 131,787 9,283
Louisiana 7,154 350,795 36,690 5,130 18,486 1,546,444 214,631 11,669 21,438 1,714,308 249,079 11,666
Oklahoma 10,423 755,349 69,813 6,699 19,362 1,856,218 247,808 12,862 20,060 1,695,987 237,402 11,888
Texas 39,152 2,129,291 227,700 5,817 84,735 6,750,422 1,021,874 12,096 98,158 8,090,963 1,247,747 12,758
Mountain 38,491 1,806,545 212,559 5,523 84,688 6,581,368 1,063,470 12,607 95,832 7,518,018 1,240,472 13,005
Arizona 15,509 732,768 91,111 5,875 30,880 2,570,440 435,891 14,173 34,192 2,714,641 466,636 13,729
Colorado 8,840 344,737 41,239 4,666 16,793 1,165,872 193,049 11,546 18,486 1,305,319 217,985 11,836
Idaho 1,940 101,328 9,991 5,150 5,766 455,895 63,624 11,082 7,172 643,344 93,475 13,075
Montana 1,405 78,669 7,783 5,540 3,582 226,610 32,146 8,997 4,034 244,077 35,776 8,891
Nevada 3,637 144,309 20,034 6,301 8,950 628,159 114,184 12,801 10,931 901,865 166,362 15,282
New Mexico 3,838 236,349 24,181 5,589 7,910 625,018 93,903 11,906 8,970 735,873 114,937 12,864
Utah 2,805 143,233 15,676 4,914 9,588 838,377 119,927 12,563 10,691 908,316 135,151 12,705
Wyoming 517 25,152 2,540 4,943 1,219 70,997 10,745 8,873 1,356 64,583 10,151 7,524
Pacific 70,463 3,091,286 381,013 5,409 141,608 8,816,896 1,598,863 11,334 167,086 11,226,337 2,103,551 12,641
Alaska 103 4,269 513 4,988 550 29,128 4,808 8,855 841 43,738 7,635 9,111
California 50,116 2,208,522 279,037 5,571 99,267 6,420,966 1,201,190 12,147 118,218 8,356,470 1,609,911 13,678
Hawaii 1,406 56,188 7,626 5,428 3,293 189,763 31,877 9,784 4,639 310,980 54,177 11,772
Oregon 8,915 387,697 42,557 4,773 17,156 987,572 159,935 9,345 19,374 1,132,060 191,478 9,905
Washington 9,923 434,610 51,278 5,168 21,342 1,189,467 201,053 9,457 24,014 1,383,089 240,350 10,042
Outlying areas b 4,663 310,894 22,619 4,851 11,679 1,410,794 139,834 12,034 11,387 1,250,910 130,758 11,536
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. Excludes persons who received covered services for which no program payments were reported.
b. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B10 Medicare Part B (Supplementary Medical Insurance): Claims received by carriers and assignment rates, 1969–2014
Year Total number of claims (thousands) Net assignment rate a (percent)
1969 37,542 61.5
1970 42,148 60.8
1971 46,572 58.5
1972 51,041 54.9
1973 57,007 52.7
1974 68,307 51.9
1975 79,980 51.8
1976 91,624 50.5
1977 105,339 50.5
1978 117,886 50.6
1979 132,098 51.3
1980 150,048 51.5
1981 167,154 52.3
1982 182,440 53.0
1983 204,122 53.9
1984 238,362 59.0
1985 279,559 68.5
1986 306,714 68.0
1987 346,551 73.1
1988 386,763 77.3
1989 421,305 79.7
1990 474,226 81.1
1991 517,123 83.1
1992 554,619 86.2
1993 583,863 90.1
1994 622,514 92.8
1995 647,855 94.7
1996 678,030 95.9
1997 688,891 96.7
1998 697,523 97.3
1999 703,227 97.6
2000 720,493 97.9
2001 766,758 98.1
2002 821,993 98.4
2003 860,746 98.5
2004 922,197 98.7
2005 951,551 98.9
2006 944,072 99.0
2007 951,072 99.1
2008 979,324 99.2
2009 974,680 99.2
2010 973,767 99.3
2011 972,115 99.4
2012 1,003,161 99.4
2013 994,579 99.5
2014 990,431 99.5
SOURCE: Centers for Medicare & Medicaid Services.
a. Represents the number of assigned claims as a percentage of claims received.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11 Medicare Part B (Supplementary Medical Insurance): Reasonable charge determination for claims assigned and unassigned for aged and disabled persons, 1971–2014
Year Claims approved Charges before reduction
Number (thousands) Percentage reduced Amount (millions of dollars) Percentage reduced
  Assigned claims
1971 25,919 44.5 1,571 11.1
1972 26,798 47.5 1,630 10.9
1973 28,376 55.6 1,751 11.9
1974 33,295 64.5 2,194 14.3
1975 39,218 70.8 2,716 17.8
1976 44,065 74.3 3,261 19.9
1977 50,260 72.8 3,936 19.4
1978 56,493 73.6 4,678 19.9
1979 64,051 77.0 5,746 21.2
1980 73,068 80.8 7,303 22.7
1981 a 80,127 82.8 8,868 24.0
1982 91,615 83.3 11,315 24.3
1983 103,139 81.0 13,657 23.6
1984 128,559 80.8 16,571 25.4
1985 176,956 81.7 22,008 27.4
1986 191,139 82.8 24,662 28.4
1987 234,488 83.4 31,179 28.0
1988 271,225 85.6 37,275 29.8
1989 304,649 86.9 44,567 31.0
1990 341,220 87.5 51,012 32.9
1991 384,168 87.4 60,057 36.2
1992 412,924 86.2 67,667 39.7
1993 460,761 88.8 76,186 42.8
1994 508,981 87.7 85,170 42.5
1995 539,630 86.4 93,300 42.3
1996 550,587 87.1 97,744 44.9
1997 566,591 87.4 103,389 45.9
1998 575,799 87.9 106,947 46.9
1999 590,463 88.9 114,981 47.8
2000 615,862 87.9 126,391 47.7
2001 665,196 87.5 145,641 48.0
2002 722,826 87.7 152,373 56.3
2003 759,783 88.9 189,920 52.0
2004 781,000 89.8 208,027 52.9
2005 846,093 87.2 236,430 52.0
2006 837,332 92.0 246,608 55.1
2007 822,902 93.4 253,248 58.1
2008 851,335 92.9 279,428 58.7
2009 867,878 93.0 291,065 59.3
2010 872,278 93.7 301,388 59.6
2011 876,669 94.5 312,931 60.0
2012 893,971 94.9 334,509 61.3
2013 885,587 94.8 336,488 62.5
2014 880,608 95.1 347,953 63.3
  Unassigned claims
1971 17,955 57.6 1,348 12.5
1972 21,286 59.3 1,608 12.0
1973 24,691 66.4 1,886 12.6
1974 30,492 72.7 2,401 14.7
1975 36,182 77.4 2,973 17.7
1976 42,100 78.9 3,591 19.8
1977 48,619 77.1 4,233 19.0
1978 53,700 77.5 4,749 19.2
1979 59,961 80.9 5,596 20.7
1980 68,113 84.3 6,836 22.5
1981 a 72,765 85.8 7,870 23.8
1982 80,253 85.4 9,545 23.9
1983 87,436 82.7 10,885 22.9
1984 88,594 83.7 11,216 24.2
1985 77,965 84.6 10,059 25.9
1986 87,121 85.0 10,757 26.9
1987 83,116 82.4 10,258 24.7
1988 76,503 86.4 9,005 25.0
1989 74,947 90.1 8,971 25.0
1990 77,746 90.4 8,789 25.3
1991 77,520 91.3 7,884 23.1
1992 66,403 82.9 6,215 18.5
1993 51,080 86.5 4,267 16.5
1994 39,364 86.4 3,255 16.3
1995 29,975 83.4 2,543 15.4
1996 22,819 84.4 1,952 15.8
1997 18,615 84.4 1,650 16.4
1998 15,172 82.3 1,382 17.1
1999 13,834 81.3 1,316 17.7
2000 12,755 78.6 1,287 18.1
2001 12,085 76.7 1,252 18.2
2002 11,352 79.8 1,107 17.2
2003 11,100 82.1 1,066 15.9
2004 10,016 83.0 1,009 16.3
2005 9,589 82.2 1,000 17.4
2006 8,439 85.1 894 18.8
2007 7,378 88.4 790 18.2
2008 6,926 88.1 774 18.7
2009 6,677 88.0 746 19.1
2010 5,905 86.4 669 18.7
2011 5,429 86.5 640 19.9
2012 4,981 86.9 602 20.6
2013 4,595 86.6 553 21.0
2014 4,188 79.0 519 21.6
SOURCE: Centers for Medicare & Medicaid Services.
a. Excludes Texas Blue Shield plan from July to December 1981.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars) Services (thousands) Allowed charges (thousands of dollars) Program payments (thousands of dollars)
Total
All areas 1,247,483 66,911,902 51,456,747 1,857,482 122,904,370 95,036,813 1,851,815 127,854,234 98,041,190
United States 1,229,583 66,047,753 50,790,939 1,850,800 122,520,394 94,740,428 1,846,581 127,541,022 97,801,570
New England 60,701 3,357,803 2,562,793 90,342 6,068,287 4,647,351 94,481 6,368,675 4,850,340
Connecticut 16,024 908,981 696,770 25,105 1,762,062 1,363,383 23,566 1,684,441 1,288,953
Maine 6,725 357,616 272,731 8,115 531,761 403,024 9,243 569,452 431,606
Massachusetts 26,099 1,464,973 1,117,345 40,600 2,691,594 2,061,972 43,172 2,933,969 2,234,635
New Hampshire 5,018 264,412 200,026 7,164 490,694 372,749 7,575 564,496 426,438
Rhode Island 4,512 227,420 175,093 5,949 371,097 279,266 6,320 383,855 293,309
Vermont 2,323 134,403 100,828 3,408 221,079 166,957 4,604 232,463 175,398
Middle Atlantic 198,796 11,114,019 8,582,935 278,006 18,392,020 14,290,928 273,502 18,947,386 14,585,750
New Jersey 46,582 2,706,642 2,098,689 77,068 5,247,082 4,095,126 77,967 5,481,853 4,238,077
New York 94,073 5,222,652 4,031,686 129,814 8,334,346 6,484,647 125,956 8,467,623 6,532,068
Pennsylvania 58,141 3,184,725 2,452,560 71,123 4,810,591 3,711,155 69,578 4,997,910 3,815,605
East North Central 202,748 10,835,911 8,301,058 287,975 19,244,169 14,818,771 281,323 19,264,222 14,690,212
Illinois 50,279 2,722,188 2,087,286 84,529 5,712,273 4,407,437 85,144 6,077,442 4,641,797
Indiana 27,376 1,418,457 1,079,378 38,589 2,574,392 1,976,913 38,321 2,653,762 2,018,570
Michigan 50,326 2,823,614 2,173,760 73,788 5,111,720 3,945,939 73,099 4,704,139 3,600,270
Ohio 50,755 2,722,161 2,085,982 63,723 4,172,156 3,207,844 59,024 4,126,939 3,141,363
Wisconsin 24,012 1,149,491 874,652 27,345 1,673,628 1,280,638 25,734 1,701,939 1,288,213
West North Central 86,209 4,213,384 3,209,083 112,402 7,191,572 5,514,064 107,926 7,303,150 5,551,725
Iowa 15,717 732,727 556,426 18,674 1,171,379 892,862 18,706 1,234,985 936,215
Kansas 13,030 671,147 514,252 18,373 1,191,468 917,373 17,923 1,230,836 937,694
Minnesota 16,548 798,015 603,082 17,699 1,167,440 888,449 16,113 1,160,002 876,938
Missouri 25,365 1,300,857 996,024 37,499 2,423,369 1,867,892 35,990 2,406,017 1,836,784
Nebraska 8,226 388,700 294,564 11,311 705,570 540,950 11,336 750,675 570,532
North Dakota 3,349 149,240 113,542 3,695 230,791 175,728 3,437 231,615 174,853
South Dakota 3,974 172,698 131,194 5,151 301,554 230,810 4,422 289,021 218,709
South Atlantic 270,430 14,646,480 11,291,572 427,892 28,325,952 21,962,008 435,010 30,334,159 23,341,841
Delaware 4,302 244,628 188,488 7,790 525,941 406,709 8,437 627,241 480,956
District of Columbia 2,346 136,917 105,493 3,045 221,389 171,953 3,154 236,258 181,254
Florida 105,141 6,100,419 4,747,090 163,215 11,277,264 8,814,204 157,740 11,628,191 9,018,705
Georgia 32,915 1,725,056 1,323,041 53,084 3,430,248 2,645,020 56,031 3,701,075 2,841,106
Maryland 22,693 1,316,285 1,014,698 37,456 2,620,309 2,026,685 40,563 3,034,867 2,328,772
North Carolina 40,027 1,960,603 1,494,488 66,319 4,077,609 3,146,266 67,275 4,347,071 3,328,959
South Carolina 21,862 1,117,181 855,190 36,709 2,322,800 1,793,745 37,755 2,462,243 1,886,161
Virginia 30,380 1,517,689 1,159,960 46,816 3,006,778 2,309,542 50,328 3,432,768 2,618,064
West Virginia 10,764 527,703 403,124 13,458 843,712 647,884 13,728 864,446 657,863
East South Central 91,596 4,658,756 3,566,213 139,839 8,515,736 6,571,022 141,573 8,769,405 6,725,233
Alabama 24,361 1,286,579 988,420 36,838 2,301,906 1,776,842 38,058 2,449,573 1,871,849
Kentucky 22,036 1,062,201 812,037 33,228 1,987,997 1,534,928 33,573 1,979,210 1,521,507
Mississippi 14,913 776,595 595,267 23,443 1,460,566 1,127,163 23,113 1,494,931 1,145,991
Tennessee 30,286 1,533,381 1,170,489 46,330 2,765,268 2,132,088 46,829 2,845,692 2,185,887
West South Central 134,444 6,928,068 5,349,132 215,132 13,860,057 10,739,604 206,113 13,709,654 10,520,821
Arkansas 15,708 781,724 599,631 22,596 1,367,704 1,052,012 22,695 1,424,177 1,089,171
Louisiana 19,622 1,058,214 816,817 26,474 1,761,717 1,359,082 25,961 1,734,081 1,326,074
Oklahoma 15,874 845,762 649,096 24,679 1,567,436 1,205,579 24,489 1,561,251 1,189,477
Texas 83,240 4,242,368 3,283,588 141,384 9,163,200 7,122,931 132,969 8,990,146 6,916,099
Mountain 53,859 2,986,527 2,286,851 91,082 6,347,128 4,884,471 97,824 7,265,307 5,553,006
Arizona 16,122 897,890 694,194 31,452 2,147,165 1,663,698 34,980 2,511,584 1,935,215
Colorado 10,021 545,066 417,340 17,972 1,261,635 973,064 18,659 1,413,182 1,079,404
Idaho 4,382 232,051 176,337 5,830 376,496 286,461 6,071 422,179 319,594
Montana 3,944 219,874 167,290 4,808 333,334 254,196 4,716 342,455 258,345
Nevada 6,605 374,374 287,238 12,490 905,576 698,618 13,804 1,085,653 831,254
New Mexico 5,218 293,417 224,310 8,385 605,263 463,282 8,481 650,526 494,922
Utah 5,657 320,886 241,885 7,412 524,507 398,090 7,959 593,122 447,549
Wyoming 1,910 102,968 78,257 2,734 193,153 147,061 3,154 246,605 186,723
Pacific 130,801 7,306,805 5,641,301 208,133 14,575,473 11,312,207 208,828 15,579,063 11,982,640
Alaska 964 60,128 45,822 1,912 166,074 126,829 2,194 194,213 147,599
California 99,393 5,621,663 4,358,871 159,288 11,263,051 8,777,446 159,737 11,970,502 9,245,008
Hawaii 3,642 180,404 134,791 4,721 278,269 209,164 4,395 280,424 210,048
Oregon 9,002 487,346 371,215 12,797 895,534 683,514 13,461 1,012,379 767,942
Washington 17,800 957,265 730,602 29,416 1,972,544 1,515,255 29,040 2,121,545 1,612,043
Outlying areas a 17,900 864,149 665,808 6,681 383,976 296,385 5,234 313,213 239,620
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Allowed charges and program payments represent fee-for-service utilization only and exclude amounts paid for managed care services.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B11.2 Medicare Part B (Supplementary Medical Insurance): Outpatient facilities persons served and program payments, by census division and state or other area, selected years 2000–2013
Census division and state or area 2000 2010 2013
Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars) Persons served (thousands) Program payments (millions of dollars)
Total
All areas 21,537 16,732 24,222 46,662 25,445 57,154
United States 21,355 16,620 24,159 46,515 25,389 57,013
New England 1,237 937 1,513 2,987 1,619 3,705
Connecticut 274 225 316 591 324 720
Maine 168 117 193 391 197 474
Massachusetts 525 410 666 1,308 728 1,663
New Hampshire 120 79 163 349 183 431
Rhode Island 77 55 82 142 89 176
Vermont 74 52 93 205 99 241
Middle Atlantic 3,055 2,511 2,927 5,388 3,049 6,651
New Jersey 590 519 651 1,347 676 1,648
New York 1,348 1,249 1,222 2,251 1,257 2,775
Pennsylvania 1,118 743 1,054 1,790 1,115 2,228
East North Central 4,142 3,034 4,472 8,340 4,544 9,978
Illinois 1,015 725 1,250 2,268 1,329 2,880
Indiana 587 400 643 1,187 657 1,443
Michigan 1,003 807 1,128 2,096 1,058 2,317
Ohio 1,037 755 972 1,851 993 2,155
Wisconsin 500 348 479 938 507 1,183
West North Central 1,888 1,317 2,047 4,098 2,192 5,161
Iowa 366 254 366 716 385 906
Kansas 261 187 273 576 283 662
Minnesota 420 254 443 856 494 1,129
Missouri 520 384 605 1,195 632 1,432
Nebraska 174 130 189 396 198 490
North Dakota 69 48 82 169 93 248
South Dakota 77 60 88 190 107 295
South Atlantic 4,244 3,383 4,911 9,630 5,210 11,692
Delaware 68 57 99 177 113 254
District of Columbia 38 54 42 115 46 148
Florida 1,285 932 1,451 2,713 1,461 2,966
Georgia 571 465 679 1,335 736 1,644
Maryland 324 459 402 1,210 441 1,701
North Carolina 720 543 843 1,658 921 2,002
South Carolina 404 282 485 851 518 1,019
Virginia 590 426 671 1,148 728 1,467
West Virginia 245 164 239 423 245 490
East South Central 1,635 1,102 1,837 3,224 1,913 3,946
Alabama 424 261 482 776 517 1,005
Kentucky 399 228 477 830 477 999
Mississippi 292 254 334 707 352 818
Tennessee 520 360 543 911 566 1,124
West South Central 2,107 1,848 2,567 5,295 2,641 6,100
Arkansas 267 180 307 513 320 630
Louisiana 339 360 377 877 406 994
Oklahoma 294 210 360 596 388 817
Texas 1,206 1,098 1,523 3,309 1,528 3,660
Mountain 1,047 768 1,295 2,377 1,439 3,138
Arizona 233 169 311 584 343 772
Colorado 217 178 288 530 327 675
Idaho 108 74 120 235 137 303
Montana 101 64 113 221 130 320
Nevada 75 62 120 223 134 302
New Mexico 125 97 159 269 164 349
Utah 146 91 128 220 143 286
Wyoming 43 33 56 96 61 131
Pacific 2,000 1,720 2,589 5,177 2,782 6,641
Alaska 26 29 41 91 47 131
California 1,346 1,200 1,761 3,596 1,871 4,589
Hawaii 58 44 63 123 62 160
Oregon 225 143 246 439 278 574
Washington 345 303 478 928 523 1,187
Outlying areas a 182 112 64 146 57 141
SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes utilization and expenditures for all outpatient facility types. Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services.
Characterizations of persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.
Totals do not necessarily equal the sum of rounded components.
Statistics are subject to sampling error.
a. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.
Table 8.B12 Medicare Part B (Supplementary Medical Insurance): State buy-ins, by state or other area, selected years 1991–2015
State or area 1991 1995 2000 2005 2010 2014 2015
All areas 3,640,121 4,705,625 5,425,048 6,577,577 7,703,292 8,978,694 9,264,675
Alabama 97,601 116,916 136,860 169,460 179,668 200,756 202,917
Alaska 4,539 6,193 8,486 10,748 12,908 14,844 14,896
Arizona 28,650 44,236 57,712 110,977 140,079 170,894 183,612
Arkansas 64,996 77,660 79,606 89,372 106,343 120,281 120,543
California 646,108 747,814 818,846 1,012,804 1,103,853 1,263,526 1,338,175
Colorado 36,470 46,660 55,325 61,294 79,980 97,896 105,320
Connecticut 23,535 48,047 53,141 66,191 94,154 144,377 152,112
Delaware 4,499 6,645 10,737 17,104 22,060 26,082 26,697
District of Columbia 12,791 14,152 14,233 15,246 20,102 28,516 28,276
Florida 196,992 271,430 342,109 431,764 553,625 718,337 749,257
Georgia 128,976 160,380 176,596 205,476 233,528 279,844 289,270
Hawaii 11,529 16,695 20,326 23,703 28,864 36,184 36,494
Idaho 9,127 12,931 17,081 23,482 28,945 38,563 41,405
Illinois 94,434 137,571 155,743 206,014 255,529 303,665 310,582
Indiana 60,297 76,460 87,543 109,669 133,816 159,446 178,663
Iowa 41,170 48,517 51,976 60,458 72,562 80,517 81,450
Kansas 26,960 34,708 41,217 47,707 56,096 64,708 62,948
Kentucky 76,456 97,978 117,697 126,468 148,188 160,891 159,003
Louisiana 87,570 112,090 117,179 139,802 158,370 182,984 185,423
Maine 22,176 29,453 36,946 46,510 84,602 83,912 81,146
Maryland 48,028 58,865 65,372 79,234 98,268 123,414 127,645
Massachusetts 89,163 125,859 152,587 178,691 199,370 233,600 242,002
Michigan 91,340 123,948 145,172 170,044 205,521 237,419 244,985
Minnesota 39,366 52,192 63,607 79,428 91,630 101,800 102,785
Mississippi 90,530 108,577 107,495 135,023 136,915 154,193 156,486
Missouri 55,116 72,659 88,343 109,561 126,577 132,534 140,008
Montana 10,058 11,031 12,828 14,455 17,587 21,508 21,687
Nebraska 11,358 16,146 20,520 24,210 34,020 34,273 33,272
Nevada 8,657 14,227 19,155 27,408 35,035 48,305 51,433
New Hampshire 3,807 5,405 7,434 11,584 17,381 22,138 22,411
New Jersey 95,795 122,923 146,705 159,110 179,273 192,654 195,320
New Mexico 22,246 29,855 37,330 49,333 62,640 69,479 73,194
New York 255,952 325,882 369,479 465,068 531,060 615,302 628,052
North Carolina 117,656 186,328 223,402 251,739 278,325 311,452 308,229
North Dakota 4,639 5,560 5,908 6,757 8,464 8,911 8,932
Ohio 112,598 164,044 171,139 204,905 273,167 317,394 320,424
Oklahoma 51,457 60,080 67,413 75,903 86,586 95,866 96,372
Oregon 28,537 43,642 59,169 70,927 87,068 104,964 112,264
Pennsylvania 127,519 162,788 206,468 242,552 295,984 350,452 364,197
Rhode Island 10,585 15,517 19,787 26,311 28,782 31,269 32,294
South Carolina 78,701 95,970 112,232 118,843 129,489 142,921 143,950
South Dakota 9,399 12,346 13,146 14,534 16,148 17,350 17,367
Tennessee 116,861 148,391 182,342 218,894 215,868 241,314 251,749
Texas 234,169 314,991 360,191 440,938 514,153 592,555 611,362
Utah 10,263 13,506 16,231 21,787 27,064 32,948 34,937
Vermont 8,223 12,428 13,754 15,509 22,798 24,511 25,085
Virginia 77,898 102,964 113,259 131,083 155,647 172,576 174,288
Washington 54,774 71,531 97,390 113,233 143,398 170,468 174,894
West Virginia 28,086 39,720 46,305 54,200 65,324 75,418 73,677
Wisconsin 67,516 75,247 74,101 83,383 96,201 113,606 115,153
Wyoming 3,505 5,265 6,444 7,749 9,087 10,407 10,488
Outlying areas
Guam 443 669 417 409 693 933 953
Northern Mariana Islands 273 314 342 358 394 422 435
U.S. Virgin Islands 727 219 204 165 103 115 156
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, 2013
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 39,020,653 35,744,630 22,689,166 13,055,464 3,276,023
United States 38,430,466 35,173,006 22,640,354 12,532,652 3,257,460
New England 1,979,310 1,716,922 1,246,099 470,823 262,388
Connecticut 474,494 417,370 284,107 133,263 57,124
Maine 209,506 199,084 149,339 49,745 10,422
Massachusetts 891,617 741,845 540,229 201,616 149,772
New Hampshire 164,615 139,068 126,889 12,179 25,547
Rhode Island 147,873 142,110 75,500 66,610 5,763
Vermont 91,205 77,445 70,035 7,410 13,760
Middle Atlantic 5,559,695 5,088,800 3,065,011 2,023,789 470,895
New Jersey 1,087,101 983,038 785,170 197,868 104,063
New York 2,581,285 2,349,654 1,321,999 1,027,655 231,631
Pennsylvania 1,891,309 1,756,108 957,842 798,266 135,201
East North Central 6,131,285 5,509,592 4,090,353 1,419,239 621,693
Illinois 1,497,341 1,235,322 1,055,666 179,656 262,019
Indiana 837,939 764,443 569,592 194,851 73,496
Michigan 1,445,469 1,324,027 1,035,145 288,882 121,442
Ohio 1,636,200 1,529,287 1,023,527 505,760 106,913
Wisconsin 714,336 656,513 406,423 250,090 57,823
West North Central 2,636,108 2,479,876 1,781,771 698,105 156,232
Iowa 425,140 402,553 336,395 66,158 22,587
Kansas 327,702 314,368 259,515 54,853 13,334
Minnesota 667,736 625,946 353,076 272,870 41,790
Missouri 815,280 758,257 502,231 256,026 57,023
Nebraska 216,195 201,144 170,064 31,080 15,051
North Dakota 82,424 79,988 74,141 5,847 2,436
South Dakota 101,631 97,620 86,349 11,271 4,011
South Atlantic 7,621,300 6,920,382 4,446,813 2,473,569 700,918
Delaware 126,509 116,226 105,702 10,524 10,283
District of Columbia 49,025 45,912 37,137 8,775 3,113
Florida 2,865,806 2,635,951 1,336,762 1,299,189 229,855
Georgia 1,022,488 957,592 601,090 356,502 64,896
Maryland 552,599 448,322 380,384 67,938 104,277
North Carolina 1,261,418 1,170,602 860,654 309,948 90,816
South Carolina 630,689 529,547 362,141 167,406 101,142
Virginia 811,889 744,360 573,140 171,220 67,529
West Virginia 300,877 271,870 189,803 82,067 29,007
East South Central 2,563,299 2,424,386 1,681,752 742,634 138,913
Alabama 676,954 637,872 437,991 199,881 39,082
Kentucky 621,357 588,419 440,970 147,449 32,938
Mississippi 383,175 369,560 306,778 62,782 13,615
Tennessee 881,813 828,535 496,013 332,522 53,278
West South Central 3,858,670 3,565,834 2,459,185 1,106,649 292,836
Arkansas 405,685 375,944 279,778 96,166 29,741
Louisiana 571,022 525,480 333,618 191,862 45,542
Oklahoma 436,783 416,755 323,072 93,683 20,028
Texas 2,445,180 2,247,655 1,522,717 724,938 197,525
Mountain 2,404,031 2,189,888 1,158,100 1,031,788 214,143
Arizona 773,515 710,171 333,572 376,599 63,344
Colorado 519,404 454,939 223,608 231,331 64,465
Idaho 179,845 165,663 95,830 69,833 14,182
Montana 124,312 114,530 86,526 28,004 9,782
Nevada 285,554 261,587 135,405 126,182 23,967
New Mexico 245,826 231,780 133,950 97,830 14,046
Utah 220,132 199,590 100,020 99,570 20,542
Wyoming 55,443 51,628 49,189 2,439 3,815
Pacific 5,676,768 5,277,326 2,711,270 2,566,056 399,442
Alaska 48,735 30,597 30,088 509 18,138
California 4,182,138 3,938,842 2,008,115 1,930,727 243,296
Hawaii 164,833 159,424 59,206 100,218 5,409
Oregon 511,666 485,173 224,416 260,757 26,493
Washington 769,396 663,290 389,445 273,845 106,106
Outlying areas b 590,187 571,624 48,812 522,812 18,563
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, 2013
Census division and state or area Total Medicare enrollees Medicare Part D Retiree drug subsidy (RDS) c Other creditable coverage d (no Part D plan or RDS) No Part D plan, RDS, or other creditable coverage
Total Full low- income subsidy a Partial low-income subsidy b No low- income subsidy
Total
All areas 52,456,086 35,744,630 11,045,256 405,995 24,293,379 3,276,023 5,871,025 7,564,408
United States 51,273,700 35,173,006 11,027,374 405,628 23,740,004 3,257,460 5,807,012 7,036,222
New England 2,626,295 1,716,922 656,708 13,815 1,046,399 262,388 290,338 356,647
Connecticut 607,980 417,370 158,173 600 258,597 57,124 61,890 71,596
Maine 290,868 199,084 97,824 310 100,950 10,422 33,636 47,726
Massachusetts 1,158,122 741,845 287,389 7,767 446,689 149,772 120,537 145,968
New Hampshire 249,977 139,068 39,171 1,952 97,945 25,547 35,018 50,344
Rhode Island 195,555 142,110 44,571 1,925 95,614 5,763 24,006 23,676
Vermont 123,793 77,445 29,580 1,261 46,604 13,760 15,251 17,337
Middle Atlantic 7,078,314 5,088,800 1,567,905 56,442 3,464,453 470,895 643,926 874,693
New Jersey 1,430,381 983,038 248,024 12,519 722,495 104,063 139,707 203,573
New York 3,210,858 2,349,654 856,954 20,006 1,472,694 231,631 261,328 368,245
Pennsylvania 2,437,075 1,756,108 462,927 23,917 1,269,264 135,201 242,891 302,875
East North Central 7,930,260 5,509,592 1,481,139 57,291 3,971,162 621,693 742,705 1,056,270
Illinois 1,981,597 1,235,322 394,044 14,939 826,339 262,019 196,341 287,915
Indiana 1,094,134 764,443 202,637 9,536 552,270 73,496 114,195 142,000
Michigan 1,805,155 1,324,027 331,822 13,532 978,673 121,442 138,699 220,987
Ohio 2,055,381 1,529,287 382,327 15,750 1,131,210 106,913 189,744 229,437
Wisconsin 993,993 656,513 170,309 3,534 482,670 57,823 103,726 175,931
West North Central 3,521,902 2,479,876 609,656 26,124 1,844,096 156,232 435,734 450,060
Iowa 548,723 402,553 89,658 3,460 309,435 22,587 63,202 60,381
Kansas 465,410 314,368 75,400 3,790 235,178 13,334 64,504 73,204
Minnesota 862,110 625,946 145,669 4,996 475,281 41,790 99,763 94,611
Missouri 1,085,877 758,257 212,836 10,159 535,262 57,023 125,570 145,027
Nebraska 298,077 201,144 46,093 1,975 153,076 15,051 43,171 38,711
North Dakota 114,377 79,988 17,506 776 61,706 2,436 15,765 16,188
South Dakota 147,328 97,620 22,494 968 74,158 4,011 23,759 21,938
South Atlantic 10,507,095 6,920,382 2,212,746 93,481 4,614,155 700,918 1,330,008 1,555,787
Delaware 168,106 116,226 28,872 1,390 85,964 10,283 19,291 22,306
District of Columbia 84,489 45,912 29,822 156 15,934 3,113 9,150 26,314
Florida 3,757,076 2,635,951 789,805 25,269 1,820,877 229,855 432,489 458,781
Georgia 1,410,623 957,592 343,172 14,417 600,003 64,896 180,340 207,795
Maryland 876,414 448,322 148,714 6,284 293,324 104,277 115,948 207,867
North Carolina 1,662,626 1,170,602 368,870 19,864 781,868 90,816 190,344 210,864
South Carolina 874,832 529,547 186,847 10,345 332,355 101,142 125,249 118,894
Virginia 1,268,980 744,360 223,423 11,068 509,869 67,529 207,892 249,199
West Virginia 403,949 271,870 93,221 4,688 173,961 29,007 49,305 53,767
East South Central 3,454,345 2,424,386 911,129 42,144 1,471,113 138,913 425,423 465,623
Alabama 921,920 637,872 238,483 11,314 388,075 39,082 122,072 122,894
Kentucky 825,749 588,419 209,270 10,302 368,847 32,938 92,032 112,360
Mississippi 536,685 369,560 171,300 5,205 193,055 13,615 71,851 81,659
Tennessee 1,169,991 828,535 292,076 15,323 521,136 53,278 139,468 148,710
West South Central 5,361,339 3,565,834 1,284,251 52,632 2,228,951 292,836 695,387 807,282
Arkansas 571,695 375,944 143,644 6,795 225,505 29,741 82,442 83,568
Louisiana 750,974 525,480 211,320 7,220 306,940 45,542 78,311 101,641
Oklahoma 650,482 416,755 132,926 5,979 277,850 20,028 95,188 118,511
Texas 3,388,188 2,247,655 796,361 32,638 1,418,656 197,525 439,446 503,562
Mountain 3,394,592 2,189,888 569,116 24,675 1,596,097 214,143 470,777 519,784
Arizona 1,051,472 710,171 188,807 7,183 514,181 63,344 137,439 140,518
Colorado 722,199 454,939 112,306 4,728 337,905 64,465 96,646 106,149
Idaho 260,728 165,663 42,633 2,119 120,911 14,182 37,044 43,839
Montana 188,317 114,530 29,020 1,965 83,545 9,782 27,716 36,289
Nevada 414,206 261,587 63,046 3,566 194,975 23,967 67,452 61,200
New Mexico 348,509 231,780 78,960 2,612 150,208 14,046 46,181 56,502
Utah 320,283 199,590 42,163 1,965 155,462 20,542 42,900 57,251
Wyoming 88,878 51,628 12,181 537 38,910 3,815 15,399 18,036
Pacific 7,399,558 5,277,326 1,734,724 39,024 3,503,578 399,442 772,714 950,076
Alaska 76,144 30,597 17,072 221 13,304 18,138 12,162 15,247
California 5,294,006 3,938,842 1,366,246 25,999 2,546,597 243,296 492,963 618,905
Hawaii 229,524 159,424 40,638 1,198 117,588 5,409 29,635 35,056
Oregon 699,518 485,173 119,650 5,110 360,413 26,493 84,611 103,241
Washington 1,100,366 663,290 191,118 6,496 465,676 106,106 153,343 177,627
Outlying areas e 1,182,386 571,624 17,882 367 553,375 18,563 64,013 528,186
SOURCE: Centers for Medicare & Medicaid Services.
a. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.
b. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.
c. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.
d. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.
e. Includes unknown residence.
CONTACT: Maria Diacogiannis (410) 786-0178 or statistics@ssa.gov.