8.

B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B1—Hospital Insurance and Supplementary Medical Insurance: Aged persons enrolled, served, and
amount reimbursed, by type of coverage and service, selected years 1967–1998

Type of coverage and service

1967

1975

1980

1990

1996

Average annual rate
change (percent),
1998
1967–1998

1997

Persons enrolled (thousands)
Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Supplementary Medical Insurance..........................................

19,521
19,494
17,893

22,790
22,472
21,945

25,515
25,104
24,680

Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ........................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

7,154
3,960
3,601
354
126
6,523
6,415
1,511
118

12,032
4,963
4,913
260
329
11,762
11,396
3,768
161

16,271
6,024
5,951
248
675
16,099
15,627
6,629
302

Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a ......................................................

367
203
185
18
7
365
359
77
7

528
221
219
12
15
536
519
172
7

638
240
237
10
27
652
633
269
12

Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a ......................................................

4,239
2,967
2,659
274
26
1,272
1,224
38
17

12,689
9,209
8,840
233
136
3,481
3,050
374
56

29,134
20,353
19,583
331
440
8,871
7,361
1,261
159

Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a .......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

592
749
738
774
204
195
191
25
145

1,055
1,855
1,799
896
413
296
268
99
347

1,791
3,379
3,291
1,336
652
545
471
190
526

Hospital Insurance and/or Supplementary Medical Insurance....
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

217
152
137
14
1
71
69
2
1

557
410
394
11
6
159
139
17
2

1,142
811
780
13
18
356
298
51
6

30,948
30,464
29,685

33,424
33,022
31,984

33,630
33,237
32,164

33,802
33,410
32,308

1.9
1.9
2.1

25,931
6,840
6,074
1,443
b 2,641
25,605
25,083
18,150
1,339

4.5
1.9
1.8
5.0
11.1
4.8
4.8
9.0
8.7

767
205
182
43
b 79
793
776
562
41

2.6
0
-0.1
3.0
8.7
2.7
2.7
7.1
6.3

146,355
90,511
71,899
11,074
b 7,538
55,844
38,685
12,972
4,187

13.0
12.5
12.0
13.6
24.5
13.9
12.6
22.2
20.9

Persons served (thousands)
24,809
6,367
5,906
615
1,818
24,687
24,193
14,055
38

27,263
7,139
6,091
1,321
3,290
27,113
26,432
17,875
45

26,587
7,360
6,220
1,442
3,483
26,237
25,707
18,093
47

Persons served per 1,000 enrollees
802
209
94
21
60
832
815
474
1

816
216
185
40
100
848
826
559
1

791
221
187
43
105
816
799
563
2

Amount reimbursed (millions of dollars)
88,778
54,244
48,952
1,886
3,406
34,533
27,379
7,077
78

145,322
95,404
71,191
9,157
15,056
49,918
36,865
12,838
215

152,772
101,027
73,237
10,831
16,960
51,744
38,206
13,319
219

Amount reimbursed per person served (dollars)
3,578
8,520
8,289
3,068
1,874
1,399
1,132
503
2,033

5,330
13,363
11,688
6,931
4,577
1,841
1,395
718
4,815

5,746
13,726
11,774
7,511
4,869
1,972
1,486
736
4,606

5,644
13,233
11,837
7,675
b 2,855
2,181
1,542
715
3,126

8.1
10.4
10.0
8.2
9.5
8.7
7.5
12.3
11.2

4,330
2,709
2,152
331
b 226
1,728
1,197
402
130

10.9
10.4
10.0
11.5
23.5
11.6
10.3
20.1
18.3

Amount reimbursed per enrollee (dollars)
2,869
1,781
1,607
62
112
1,163
922
238
3

4,348
2,899
2,156
277
456
1,561
1,153
401
7

4,543
3,040
2,203
326
510
1,609
1,188
414
7

a. The Balanced Budget Act of 1997, enacted on Aug. 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 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
have been almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
b. Hospice utilization is combined in the Part A home health services.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for persons enrolled as of July 1 are 100 percent and include Health Maintenance Organization (HMO) beneficiaries. Calendar year utilization for persons served
and amounts reimbursed are inflated to represent 100 percent and exclude HMO services.
CONTACT: Maria Diacogiannis (410) 786-0178.

Social Security Bulletin • Annual Statistical Supplement • 2002

301

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B2—Hospital Insurance and Supplementary Medical Insurance: Disabled persons enrolled, served, and
amount reimbursed, by type of coverage and service, selected years 1974–1998

Type of coverage and service

1974

1975

1980

1990

1996

Average annual rate
change (percent),
1998
1974–1998

1997

Persons enrolled (thousands)
Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Supplementary Medical Insurance..........................................

1,928
1,928
1,745

2,168
2,168
1,959

3,171
3,171
2,883

3,255
3,255
2,943

4,640
4,640
4,155

4,815
4,815
4,296

Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

792
400
397
8
15
740
691
296
9

975
475
472
8
22
924
865
399
13

2,287
659
628
23
105
2,263
2,159
1,415

2,390
680
644
23
122
2,365
2,249
1,496

3,476
964
868
63
293
3,442
3,315
2,407

3,547
986
887
73
304
3,499
3,363
2,510

c

c

c

c

Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a ......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

411
208
206
4
8
424
396
170
5

450
219
218
4
10
471
442
204
7

721
208
198
7
33
785
749
491

734
209
198
7
38
804
764
508

749
208
187
14
63
828
798
579

737
205
184
15
63
814
783
584

c

c

c

c

5,023
5,023
4,472

4.4
4.4
4.4

3,641
961
899
75
b 225
3,596
3,452
2,619
131

7.2
4.1
3.8
10.7
13.1
7.5
7.6
10.4
12.9

725
191
179
15
b 49
804
772
586
29

2.6
-0.4
-0.6
6.2
8.6
3.0
3.1
5.8
8.3

23,855
13,624
12,342
603
b 678
10,231
5,749
3,994
488

15.3
14.5
14.1
22.5
28.4
16.5
16.3
16.3

Persons served (thousands)

Persons served per 1,000 enrollees

Amount reimbursed (millions of dollars)
Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a .......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

1,049
694
681
7
6
355
206
145
3

1,509
987
968
9
10
522
295
221
5

10,364
6,253
5,936
143
173
4,111
2,623
1,488

11,239
6,694
6,346
85
264
4,545
2,831
1,714

22,647
13,790
11,848
464
1,478
8,858
5,125
3,733

23,796
14,383
12,177
564
1,641
9,414
5,474
3,940

c

c

c

c

Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a .......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

1,324
1,735
1,714
936
399
479
298
490
345

1,548
2,077
2,051
1,049
478
565
341
554
420

4,531
9,482
9,455
6,107
1,645
1,817
1,215
1,051
230

Hospital Insurance and/ or Supplementary Medical Insurance...
Hospital Insurance ..................................................................
Inpatient hospital .................................................................
Skilled nursing services .......................................................
Home health services a .......................................................
Supplementary Medical Insurance..........................................
Physicians' and other medical services...............................
Outpatient services..............................................................
Home health services a .......................................................

544
360
353
4
3
208
118
83
2

696
455
446
4
5
266
151
113
3

3,268
1,972
1,872
45
55
1,426
910
516

3,453
2,057
1,950
26
81
1,544
962
582

4,881
2,972
2,553
100
319
2,132
1,233
898

4,942
2,987
2,529
117
341
2,191
1,247
917

c

c

c

c

c

Amount reimbursed per person served (dollars)
4,703
9,847
9,849
3,702
2,156
1,922
1,259
1,146
517

6,515
14,306
13,649
7,336
5,052
2,574
1,546
1,551
1,235

6,710
14,582
13,731
7,785
5,395
2,691
1,628
1,569
1,046

6,552
14,170
13,722
8,066
b 3,014
2,845
1,666
1,525
3,732

7.5
10.0
9.9
10.3
9.6
8.4
8.1
5.3
11.4

4,749
2,712
2,457
120
b 135
2,288
1,285
893
109

10.4
9.6
9.2
16.7
18.9
11.5
11.5
11.4
19.9

Amount reimbursed per enrollee (dollars)

a. The Balanced Budget Act of 1997, enacted on Aug. 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 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
have been almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.
b. Hospice utilization is combined in the Part A home health services.
c. Sample population too small to yield valid calculated results.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for persons enrolled as of July 1 are 100 percent and include Health Maintenance Organization (HMO) beneficiaries. Calendar year utilization for persons served
and amounts reimbursed are inflated to represent 100 percent and exclude HMO services.
CONTACT: Maria Diacogiannis (410) 786-0178.

302

Social Security Bulletin • Annual Statistical Supplement • 2002

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3—Hospital Insurance and Supplementary Medical Insurance: Number of enrollees, by census division
and state or other area, July 1, 1980–2001, selected years (in thousands)
Census division, state or area

1980

1990

1995

1997

1998

1999

2000

2001 a

Aged
All areas.................................................................................

25,515

30,948

33,142

33,630

33,802

33,929

34,253

34,442

b ..........................................................................

25,027

30,350

32,492

32,958

33,120

33,240

33,549

33,724

New England.....................................................................................
Connecticut................................................................................
Maine.........................................................................................
Massachusetts...........................................................................
New Hampshire .........................................................................
Rhode Island .............................................................................
Vermont .....................................................................................
Middle Atlantic...................................................................................
New Jersey................................................................................
New York ...................................................................................
Pennsylvania .............................................................................

1,506
362
142
715
103
125
59
4,496
851
2,128
1,516

1,734
436
165
795
126
145
68
5,084
1,006
2,280
1,798

1,816
455
174
825
139
149
72
5,267
1,058
2,328
1,881

1,826
456
177
828
142
149
74
5,262
1,063
2,320
1,878

1,827
456
178
827
143
148
74
5,259
1,064
2,320
1,874

1,829
456
179
826
145
148
75
5,264
1,065
2,334
1,865

1,838
458
180
829
147
148
76
5,282
1,070
2,347
1,865

1,835
457
181
826
148
147
76
5,273
1,069
2,348
1,856

East North Central ............................................................................
Illinois.........................................................................................
Indiana.......................................................................................
Michigan ....................................................................................
Ohio ...........................................................................................
Wisconsin ..................................................................................

4,462
1,238
579
916
1,162
567

5,224
1,401
685
1,101
1,387
650

5,500
1,446
725
1,177
1,471
683

5,523
1,441
730
1,188
1,476
687

5,527
1,440
732
1,191
1,476
689

5,526
1,437
732
1,194
1,474
689

5,552
1,440
736
1,203
1,480
693

5,558
1,439
738
1,207
1,479
695

West North Central ...........................................................................
Iowa ...........................................................................................
Kansas.......................................................................................
Minnesota ..................................................................................
Missouri .....................................................................................
Nebraska ...................................................................................
North Dakota .............................................................................
South Dakota.............................................................................

2,186
387
304
479
639
205
81
91

2,424
422
337
544
706
221
91
102

2,510
432
348
570
733
228
94
106

2,514
430
348
575
734
228
93
106

2,515
429
348
577
735
227
93
106

2,513
427
347
579
734
227
93
106

2,519
427
347
583
736
227
93
106

2,522
426
346
586
737
227
93
107

South Atlantic....................................................................................
Delaware ...................................................................................
District of Columbia ...................................................................
Florida........................................................................................
Georgia......................................................................................
Maryland....................................................................................
North Carolina ...........................................................................
South Carolina...........................................................................
Virginia.......................................................................................
West Virginia .............................................................................

4,179
59
71
1,579
499
381
588
279
490
233

5,536
80
71
2,174
636
496
786
383
645
264

6,091
90
70
2,396
700
542
878
428
714
274

6,250
93
67
2,460
721
554
906
443
733
273

6,307
95
67
2,477
730
559
917
449
742
272

6,330
96
66
2,473
736
562
925
454
748
270

6,410
97
66
2,493
750
570
939
463
761
271

6,471
99
65
2,509
760
576
951
470
771
270

East South Central............................................................................
Alabama ....................................................................................
Kentucky....................................................................................
Mississippi .................................................................................
Tennessee .................................................................................
West South Central...........................................................................
Arkansas....................................................................................
Louisiana ...................................................................................
Oklahoma ..................................................................................
Texas .........................................................................................

1,613
428
402
280
503
2,363
303
380
361
1,318

1,887
508
459
313
607
2,880
343
460
412
1,665

2,000
541
482
325
652
3,120
356
488
432
1,845

2,028
549
486
328
665
3,187
358
494
434
1,901

2,035
551
487
328
669
3,211
357
495
435
1,924

2,041
553
488
328
672
3,232
358
495
436
1,943

2,060
558
491
330
681
3,274
359
498
438
1,979

2,071
561
492
331
687
3,297
359
498
439
2,001

Mountain ...........................................................................................
Arizona ......................................................................................
Colorado ....................................................................................
Idaho..........................................................................................
Montana.....................................................................................
Nevada ......................................................................................
New Mexico ...............................................................................
Utah ...........................................................................................
Wyoming....................................................................................
Pacific ...............................................................................................
Alaska........................................................................................
California ...................................................................................
Hawaii........................................................................................
Oregon.......................................................................................
Washington................................................................................
Residence unknown..........................................................................

1,043
295
244
95
85
65
114
108
38
3,157
11
2,346
74
300
426
22

1,490
456
324
121
106
128
160
147
47
4,082
22
2,990
118
390
562
10

1,726
536
367
134
114
172
182
168
54
4,444
28
3,241
138
422
614
18

1,806
562
383
138
116
188
190
174
55
4,548
31
3,320
144
426
627
15

1,839
573
389
140
117
195
193
176
56
4,586
32
3,348
146
428
632
14

1,863
577
395
142
118
200
196
178
57
4,630
33
3,385
148
429
635
12

1,906
591
403
144
119
209
200
183
57
4,697
35
3,436
151
432
643
11

1,943
602
409
147
120
218
203
186
58
4,742
36
3,470
153
435
648
11

Outlying areas...................................................................................
Puerto Rico................................................................................
Virgin Islands .............................................................................
Other..........................................................................................

270
263
4
3

344
337
6
1

383
367
8
8

398
381
8
9

404
387
8
9

404
393
9
2

420
401
9
10

430
410
10
10

Foreign countries ..............................................................................

217

254

268

275

277

280

284

288

United States

a
b

See footnotes at end of table.

Social Security Bulletin • Annual Statistical Supplement • 2002

303

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3—Hospital Insurance and Supplementary Medical Insurance: Number of enrollees, by census division
and state or other area, July 1, 1980–2001, selected years (in thousands)––Continued
Census division, state or area

1980

1990

1995

1997

1998

1999

2000

2001 a

Disabled
All areas ................................................................................

2,963

3,255

4,393

4,815

5,023

5,212

5,367

5,540

United States b ..........................................................................

2,863

3,148

4,266

4,675

4,878

5,062

5,208

5,382

New England ....................................................................................
Connecticut ...............................................................................
Maine ........................................................................................
Massachusetts ..........................................................................
New Hampshire.........................................................................
Rhode Island.............................................................................
Vermont.....................................................................................
Middle Atlantic ..................................................................................
New Jersey ...............................................................................
New York...................................................................................
Pennsylvania.............................................................................

141
31
16
64
9
14
7
493
91
237
165

156
33
18
72
11
14
7
473
86
229
158

228
47
27
108
17
19
10
603
110
302
190

254
51
31
119
20
21
12
657
119
331
206

266
54
33
124
21
22
12
685
124
346
215

277
56
35
128
22
23
13
713
130
360
223

285
58
36
131
23
24
13
731
133
368
230

294
59
38
134
24
25
14
751
137
376
238

East North Central............................................................................
Illinois ........................................................................................
Indiana ......................................................................................
Michigan....................................................................................
Ohio ..........................................................................................
Wisconsin..................................................................................
West North Central ...........................................................................
Iowa ..........................................................................................
Kansas ......................................................................................
Minnesota..................................................................................
Missouri.....................................................................................
Nebraska...................................................................................
North Dakota .............................................................................
South Dakota ............................................................................
South Atlantic ...................................................................................
Delaware...................................................................................
District of Columbia...................................................................
Florida .......................................................................................
Georgia .....................................................................................
Maryland ...................................................................................
North Carolina...........................................................................
South Carolina ..........................................................................
Virginia ......................................................................................
West Virginia .............................................................................
East South Central ...........................................................................
Alabama....................................................................................
Kentucky ...................................................................................
Mississippi.................................................................................
Tennessee.................................................................................

486
113
63
118
141
50
180
29
22
35
67
14
6
7
545
7
8
147
88
41
91
51
68
43
246
63
62
46
76

561
132
77
132
156
64
211
34
26
44
75
16
7
8
607
8
7
165
96
46
106
59
77
44
287
74
75
53
85

715
172
99
170
196
79
280
43
35
60
100
22
9
11
834
11
8
232
134
60
149
81
105
55
397
101
105
72
119

758
181
105
181
207
83
305
46
39
64
111
24
10
12
940
12
9
267
148
66
168
92
117
60
441
113
117
80
132

782
186
109
188
213
86
317
47
41
67
115
24
10
12
990
13
9
284
155
69
178
96
122
63
462
118
123
83
138

807
192
113
195
219
88
328
49
42
69
120
25
10
13
1,034
14
9
298
161
72
186
101
128
65
480
123
128
86
143

823
195
117
200
221
90
338
50
43
72
124
26
10
13
1,075
15
10
311
166
75
194
105
132
67
495
127
132
88
148

842
199
120
206
225
92
349
51
45
74
129
27
10
13
1,119
15
10
326
172
78
202
109
138
69
516
133
137
92
154

West South Central ..........................................................................
Arkansas ...................................................................................
Louisiana...................................................................................
Oklahoma..................................................................................
Texas.........................................................................................
Mountain...........................................................................................
Arizona......................................................................................
Colorado ...................................................................................
Idaho .........................................................................................
Montana ....................................................................................
Nevada......................................................................................
New Mexico ..............................................................................
Utah...........................................................................................
Wyoming ...................................................................................

288
45
63
41
139
112
34
24
9
9
8
15
9
3

317
48
71
39
159
148
42
34
11
12
13
19
13
4

452
67
93
56
236
228
66
54
16
16
22
28
20
7

497
73
99
63
262
255
74
60
18
17
26
31
21
7

514
76
101
65
272
267
78
62
19
17
28
32
22
8

528
78
103
67
280
276
81
64
20
18
29
33
23
8

539
80
104
69
286
284
84
65
21
18
30
34
24
8

554
82
106
71
295
293
88
66
22
18
32
35
24
8

Pacific...............................................................................................
Alaska .......................................................................................
California...................................................................................
Hawaii .......................................................................................
Oregon ......................................................................................
Washington ...............................................................................

367
2
284
7
31
43

388
3
289
9
34
53

529
5
392
11
47
74

569
6
418
12
51
82

593
6
435
13
53
86

618
7
452
15
55
90

637
7
465
15
57
93

658
8
479
15
60
96

Residence unknown .........................................................................
Outlying areas ..................................................................................
Puerto Rico ...............................................................................
Virgin Islands.............................................................................
Other .........................................................................................
Foreign countries..............................................................................

4
88
88
...
...
12

2
93
92
1
...
14

1
112
110
1
...
14

1
124
122
1
1
15

1
130
127
1
2
15

1
134
132
1
1
14

1
139
136
1
2
14

1
142
139
1
2
15

a. Preliminary data as of December 2001.
b. Represents beneficiaries of 50 states, District of Columbia and those with residence unknown.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: . . . = not available.
CONTACT: Maria Diacogianis (410) 786-0178.

304

Social Security Bulletin • Annual Statistical Supplement • 2002

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B4—Hospital Insurance and Supplementary Medical Insurance: Number of persons aged 65 or older
enrolled, by age, sex, and race, July 1, 1980–2001, selected years (in thousands)
Age, sex, and race

1980

1985

1990

1995

1998

1999

2000

2001 a

Hospital and/or Supplementary Medical Insurance
Total ...................................................................................
Age
65–69 ......................................................................................
70–74 ......................................................................................
75–79 ......................................................................................
80–84 ......................................................................................
85 or older ...............................................................................
Sex
Men .........................................................................................
Women....................................................................................
Race
White .......................................................................................
All other races .........................................................................
Unknown .................................................................................

25,515

28,176

30,948

33,142

33,802

33,929

34,252

34,442

8,459
6,756
4,809
3,081
2,410

8,956
7,441
5,453
3,463
2,861

9,695
7,951
6,058
3,957
3,286

9,517
8,756
6,563
4,470
3,837

9,184
8,725
7,055
4,707
4,130

9,077
8,656
7,232
4,735
4,229

9,167
8,609
7,285
4,870
4,322

9,185
8,561
7,284
5,022
4,391

10,268
15,247

11,282
16,894

12,416
18,532

13,434
19,708

13,806
19,996

13,900
20,029

14,112
20,141

14,254
20,188

22,534
2,257
724

24,745
2,585
846

26,855
3,114
979

29,011
3,253
878

29,288
3,259
1,255

29,311
4,431
187

29,757
4,403
92

29,847
4,502
93

Hospital Insurance
Total ...................................................................................
Age
65–69 ......................................................................................
70–74 ......................................................................................
75–79 ......................................................................................
80–84 ......................................................................................
85 or older ...............................................................................
Sex
Men .........................................................................................
Women....................................................................................
Race
White .......................................................................................
All other races .........................................................................
Unknown .................................................................................

25,104

27,683

30,464

32,742

33,410

33,516

33,833

34,028

8,302
6,592
4,731
3,072
2,407

8,818
7,292
5,315
3,403
2,854

9,565
7,829
5,947
3,872
3,252

9,411
8,652
6,483
4,409
3,787

9,093
8,626
6,968
4,649
4,074

8,984
8,552
7,138
4,674
4,168

9,074
8,505
7,189
4,806
4,259

9,097
8,460
7,188
4,956
4,327

10,156
14,948

11,146
16,536

12,280
18,184

13,310
19,431

13,684
19,726

13,770
19,746

13,979
19,854

14,122
19,906

22,244
2,160
699

24,424
2,444
815

26,591
2,931
942

28,822
3,127
792

29,111
3,151
1,148

29,131
4,206
179

29,570
4,176
87

29,666
4,273
88

Supplementary Medical Insurance
Total ...................................................................................
Age
65–69 ......................................................................................
70–74 ......................................................................................
75–79 ......................................................................................
80–84 ......................................................................................
85 or older ...............................................................................
Sex
Men .........................................................................................
Women....................................................................................
Race
White .......................................................................................
All other races .........................................................................
Unknown .................................................................................

24,680

27,311

29,686

31,742

32,308

32,403

32,590

32,741

8,156
6,570
4,684
2,981
2,289

8,607
7,277
5,333
3,381
2,712

9,008
7,740
5,942
3,879
3,118

8,830
8,430
6,431
4,392
3,659

10,205
6,649
6,881
4,627
3,946

8,349
8,315
7,043
4,651
4,042

8,330
8,256
7,088
4,782
4,134

8,335
8,198
7,082
4,926
4,201

9,868
14,813

10,852
16,459

11,758
17,927

12,694
19,048

13,007
19,302

13,079
19,324

13,205
19,384

13,326
19,415

21,876
2,114
691

24,060
2,441
810

25,849
2,910
927

27,899
3,028
815

28,115
3,020
1,173

28,115
4,126
162

28,432
4,086
71

28,496
4,173
72

a. Data for 2001 are preliminary as of December 2001.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Maria Diacogiannis (410) 786-0178.

Social Security Bulletin • Annual Statistical Supplement • 2002

305

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B5—Hospital Insurance and Supplementary Medical Insurance: Number of disabled persons and persons
with end stage renal disease under age 65 enrolled, by age, sex, and race, July 1, 1980–2001, selected years
1980

Age, sex, and race

Total

1990

End stage
renal disease
only

1999

End stage
renal disease
Total
only

2001 a

2000

End stage
renal disease
Total
only

End stage
renal disease
Total
only

End stage
renal disease
Total
only

Hospital Insurance and/or Supplementary Medical Insurance
Total ......................

2,963,175

28,334

3,255,007

64,692

5,211,634

67,058

5,367,151

73,890

5,539,682

75,392

Age
Under 35 ....................
35–44 .........................
45–54 .........................
55–64 .........................

371,204
369,460
657,486
1,565,025

8,773
5,188
6,977
7,396

483,265
654,957
741,200
1,375,585

16,603
14,159
15,800
18,130

542,507
1,117,360
1,539,116
2,012,651

12,792
14,222
20,337
19,707

522,321
1,129,288
1,627,238
2,088,304

13,255
15,084
22,647
22,904

516,477
1,130,897
1,719,177
2,173,131

13,339
15,048
23,364
23,641

1,870,558
1,092,617

14,547
13,787

2,042,944
1,212,063

33,647
31,045

2,959,769
2,251,865

35,798
31,260

3,014,107
2,353,044

40,062
33,828

3,078,079
2,461,603

40,755
34,637

2,422,253
486,677
54,245

19,232
7,907
1,195

2,480,767
712,315
61,925

35,638
26,477
2,577

3,734,108
1,445,265
32,261

28,574
37,603
881

3,989,357
1,362,457
15,337

35,636
37,820
434

4,094,871
1,427,404
17,407

34,808
40,273
311

Sex
Men ............................
Women.......................
Race
White ..........................
All other races ............
Unknown ....................

Hospital Insurance
Total ......................

2,963,156

28,334

3,254,983

64,677

5,211,162

67,056

5,366,598

73,890

5,539,385

75,392

Age
Under 35 ....................
35–44 .........................
45–54 .........................
55–64 .........................

371,199
369,458
657,483
1,565,016

8,773
5,188
6,977
7,396

483,262
654,953
741,193
1,375,575

16,601
14,157
15,794
18,125

542,400
1,117,262
1,539,006
2,012,494

12,792
14,222
20,337
19,705

522,123
1,129,170
1,627,107
2,088,198

13,255
15,084
22,647
22,904

516,415
1,130,833
1,719,074
2,173,063

13,339
15,048
23,364
23,641

Sex
Men ............................
Women.......................

1,870,543
1,092,613

14,547
13,787

2,042,929
1,212,054

33,639
31,038

2,959,498
2,251,664

35,797
31,259

3,013,803
2,352,795

40,062
33,828

3,077,915
2,461,470

40,755
34,637

Race
White ..........................
All other races ............
Unknown ....................

2,422,239
486,672
54,245

19,232
7,907
1,195

2,480,754
712,304
61,925

35,631
26,469
2,577

3,733,764
1,445,139
32,259

28,574
37,601
881

3,988,957
1,362,305
15,336

35,636
37,820
434

4,094,660
1,427,319
17,406

34,808
40,273
311

Supplementary Medical Insurance
Total ......................

2,719,226

27,046

2,943,480

58,912

4,637,088

62,633

4,769,804

68,800

4,927,237

69,905

Age
Under 35 ....................
35–44 .........................
45–54 .........................
55–64 .........................

339,665
337,146
596,287
1,446,128

8,294
4,963
6,683
7,106

441,640
586,537
666,257
1,249,046

14,782
12,567
14,559
17,004

485,600
988,378
1,346,050
1,817,060

11,830
13,045
18,899
18,859

466,869
998,230
1,421,904
1,882,801

12,159
13,783
20,961
21,897

462,745
1,001,294
1,505,087
1,958,111

12,220
13,639
21,554
22,492

1,694,569
1,024,657

13,887
13,159

1,833,959
1,109,521

30,338
28,574

2,620,171
2,016,917

33,092
29,541

2,665,252
2,104,552

37,037
31,763

2,724,072
2,203,165

37,471
32,434

2,218,176
449,753
51,297

18,458
7,446
1,142

2,236,781
650,121
56,578

32,347
24,240
2,325

3,315,154
1,293,562
28,372

26,658
35,173
802

3,535,008
1,221,836
12,960

33,154
35,256
390

3,630,825
1,281,368
15,044

32,285
37,341
279

Sex
Men ............................
Women.......................
Race
White ..........................
All other races ............
Unknown ....................

a. Preliminary data as of December 2001.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Maria Diacogiannis (410) 786-0178.

306

Social Security Bulletin • Annual Statistical Supplement • 2002

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8—Hospital Insurance: Average covered charge per covered day of care in short-stay hospitals
(1990–2001) and skilled nursing facilities (1975–2001), by census division and state or other area, selected
years (in dollars)
Short-stay hospitals
Census division, state or area a

1990

c

1994

1995

1996

1998

1999

2000

2001 b
3,069

All areas ...............................................................

1,090

1,753

1,908

2,067

2,370

2,533

2,762

United States d ............................................................

1,081

1,763

1,920

2,081

2,388

2,554

2,787

3,097

New England......................................................................
Connecticut ..................................................................
Maine............................................................................
Massachusetts .............................................................
New Hampshire............................................................
Rhode Island ................................................................
Vermont ........................................................................
Middle Atlantic....................................................................
New Jersey...................................................................
New York ......................................................................
Pennsylvania ................................................................

988
1,177
927
942
1,022
851
923
943
725
836
1,236

1,567
1,801
1,460
1,513
1,543
1,413
1,456
1,550
1,639
1,252
1,925

1,763
2,013
1,645
1,705
1,699
1,638
1,580
1,704
1,865
1,366
2,109

1,915
2,207
1,826
1,830
1,847
1,818
1,646
1,849
2,093
1,477
2,251

2,149
2,442
2,005
2,091
2,061
2,046
1,849
2,272
2,726
1,843
2,628

2,284
2,522
2,140
2,251
2,269
2,172
1,945
2,480
3,154
1,971
2,806

2,436
2,608
2,328
2,429
2,480
2,316
1,995
2,743
3,757
2,116
3,003

2,601
2,716
2,481
2,590
2,688
2,645
2,138
3,156
4,758
2,316
3,323

East North Central .............................................................
Illinois ...........................................................................
Indiana..........................................................................
Michigan .......................................................................
Ohio..............................................................................
Wisconsin .....................................................................
West North Central ............................................................
Iowa..............................................................................
Kansas .........................................................................
Minnesota.....................................................................
Missouri ........................................................................
Nebraska ......................................................................
North Dakota ................................................................
South Dakota................................................................
South Atlantic.....................................................................
Delaware ......................................................................
District of Columbia ......................................................
Florida ..........................................................................
Georgia.........................................................................
Maryland.......................................................................
North Carolina ..............................................................
South Carolina..............................................................
Virginia .........................................................................
West Virginia ................................................................
East South Central.............................................................
Alabama .......................................................................
Kentucky.......................................................................
Mississippi ....................................................................
Tennessee ....................................................................

1,097
1,202
997
1,193
1,030
933
1,052
902
1,093
1,132
1,108
1,043
937
915
1,106
1,191
1,374
1,360
1,081
813
932
1,021
1,022
1,009
1,019
1,176
967
865
1,012

1,721
1,951
1,575
1,756
1,599
1,535
1,677
1,453
1,752
1,794
1,755
1,710
1,367
1,396
1,722
1,759
1,960
2,124
1,594
1,256
1,502
1,675
1,606
1,378
1,573
1,877
1,466
1,306
1,546

1,866
2,126
1,713
1,881
1,730
1,690
1,831
1,573
1,957
1,938
1,922
1,850
1,509
1,518
1,876
1,831
2,129
2,351
1,744
1,365
1,603
1,818
1,732
1,472
1,718
2,054
1,630
1,437
1,662

2,025
2,340
1,830
2,014
1,872
1,856
1,988
1,726
2,105
2,108
2,076
2,012
1,630
1,649
2,023
1,882
2,267
2,567
1,881
1,504
1,688
1,950
1,877
1,585
1,858
2,222
1,762
1,546
1,820

2,225
2,614
2,006
2,178
2,050
2,081
2,235
1,831
2,203
2,457
2,381
2,386
1,898
1,806
2,277
1,926
3,061
2,902
2,144
1,527
1,896
2,185
2,115
1,620
2,077
2,499
1,972
1,678
2,062

2,377
2,806
2,108
2,292
2,233
2,201
2,400
1,953
2,377
2,651
2,551
2,600
2,024
1,919
2,430
1,948
3,178
3,147
2,323
1,565
2,004
2,362
2,257
1,681
2,248
2,677
2,093
1,852
2,262

2,550
3,017
2,271
2,451
2,360
2,424
2,638
2,124
2,589
2,913
2,783
3,007
2,180
2,167
2,637
1,971
3,331
3,439
2,527
1,608
2,175
2,611
2,432
1,821
2,451
2,914
2,269
2,017
2,479

2,776
3,268
2,458
2,618
2,595
2,736
2,910
2,339
2,842
3,200
3,056
3,403
2,374
2,415
2,909
2,139
3,531
3,820
2,751
1,702
2,391
2,924
2,664
1,972
2,660
3,195
2,441
2,207
2,665

West South Central............................................................
Arkansas ......................................................................
Louisiana ......................................................................
Oklahoma .....................................................................
Texas ............................................................................
Mountain ............................................................................
Arizona .........................................................................
Colorado.......................................................................
Idaho ............................................................................
Montana .......................................................................
Nevada .........................................................................
New Mexico..................................................................
Utah..............................................................................
Wyoming ......................................................................

1,138
923
1,180
997
1,212
1,350
1,442
1,308
1,140
1,036
2,031
1,140
1,283
1,094

1,783
1,382
1,794
1,453
1,953
2,181
2,356
2,225
1,789
1,610
2,967
1,766
1,990
1,765

1,937
1,511
1,926
1,620
2,118
2,321
2,617
2,240
1,951
1,742
3,253
1,913
2,069
1,985

2,098
1,649
2,056
1,772
2,296
2,549
2,880
2,434
2,115
1,877
3,492
2,081
2,290
2,110

2,344
1,776
2,275
1,988
2,573
2,878
3,382
2,673
2,201
1,947
4,017
2,254
2,556
2,122

2,520
1,974
2,451
2,146
2,749
3,016
3,537
3,047
2,328
2,046
3,973
2,410
2,721
2,257

2,767
2,194
2,724
2,335
3,008
3,279
3,885
3,392
2,471
2,233
4,320
2,533
2,871
2,373

3,086
2,459
3,013
2,551
3,356
3,624
4,220
3,795
2,717
2,499
4,737
2,812
3,104
2,613

Pacific ................................................................................
Alaska...........................................................................
California ......................................................................
Hawaii...........................................................................
Oregon .........................................................................
Washington...................................................................

1,651
1,470
1,794
1,224
1,275
1,162

2,708
2,032
2,960
2,242
1,905
1,816

2,877
2,385
3,156
2,319
1,987
1,924

3,074
2,434
3,371
2,484
2,135
2,020

3,574
2,701
3,931
2,803
2,358
2,237

3,818
2,817
4,228
2,941
2,481
2,448

4,228
3,144
4,701
2,991
2,717
2,708

4,748
3,404
5,313
3,120
2,964
2,996

Outlying areas....................................................................
Puerto Rico...................................................................
Virgin Islands................................................................

510
505
746

686
683
854

739
736
843

794
793
831

832
831
870

894
893
922

947
946
1,007

988
985
1,124

See footnotes at end of table.

Social Security Bulletin • Annual Statistical Supplement • 2002

307

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8—Hospital Insurance: Average covered charge per covered day of care in short-stay hospitals
(1990–2001) and skilled nursing facilities (1975–2001), by census division and state or other area, selected
years (in dollars)—Continued
Skilled nursing facilities
Census division, state or area

a

1975

1980

1990

1995

1998

1999

2000

2001

b

All areas c ...............................................................

43

70

193

402

498

424

413

422

United States d ...........................................................
New England .....................................................................
Connecticut ..................................................................
Maine ...........................................................................
Massachusetts .............................................................
New Hampshire............................................................
Rhode Island ................................................................
Vermont........................................................................

43

70

193

402

498

424

413

422

50
35
52
63
41
43
38

77
51
100
98
86
59
62

172
165
274
181
218
129
155

347
314
308
380
412
265
266

448
412
381
510
458
337
327

395
364
361
437
386
341
330

391
362
387
425
392
343
330

402
376
416
429
424
344
324

Middle Atlantic ...................................................................
New Jersey ..................................................................
New York ......................................................................
Pennsylvania................................................................

50
45
61
40

73
81
80
65

168
164
168
170

308
344
240
373

391
468
297
492

378
393
325
443

378
392
337
430

398
419
358
439

East North Central .............................................................
Illinois ...........................................................................
Indiana .........................................................................
Michigan.......................................................................
Ohio..............................................................................
Wisconsin.....................................................................

40
37
35
45
41
35

68
77
60
60
69
64

167
215
180
130
157
149

358
421
399
270
375
315

478
555
514
396
486
399

413
493
414
357
422
320

405
493
393
357
410
319

417
505
396
376
413
335

West North Central ............................................................
Iowa..............................................................................
Kansas .........................................................................
Minnesota.....................................................................
Missouri........................................................................
Nebraska......................................................................
North Dakota ................................................................
South Dakota ...............................................................

45
46
39
46
47
41
43
33

82
84
66
94
95
71
49
61

194
269
255
125
263
205
118
160

367
406
461
245
465
338
221
270

452
473
533
286
599
432
303
306

421
443
504
273
547
413
330
286

414
440
492
279
531
426
343
285

421
462
479
290
537
436
346
298

South Atlantic.....................................................................
Delaware ......................................................................
District of Columbia ......................................................
Florida ..........................................................................
Georgia ........................................................................
Maryland ......................................................................
North Carolina ..............................................................
South Carolina .............................................................
Virginia .........................................................................
West Virginia ................................................................

34
31
34
34
34
37
31
26
42
36

59
50
64
59
71
56
52
46
68
64

168
132
193
195
146
141
132
159
168
171

396
328
389
488
346
347
283
337
331
364

498
417
529
609
437
482
382
457
416
474

387
327
443
445
344
389
315
358
350
417

368
317
397
414
320
378
310
342
347
400

372
329
405
405
317
389
326
359
363
406

East South Central.............................................................
Alabama .......................................................................
Kentucky ......................................................................
Mississippi....................................................................
Tennessee....................................................................
West South Central............................................................
Arkansas ......................................................................
Louisiana......................................................................
Oklahoma.....................................................................
Texas............................................................................

37
33
36
45
41
45
44
43
60
43

56
38
58
105
70
94
84
83
145
78

154
143
151
160
162
267
238
374
312
238

358
353
352
377
358
539
372
683
563
542

467
426
461
538
467
651
501
759
665
657

381
346
381
425
390
545
456
725
537
527

374
335
381
409
383
509
441
646
538
485

390
343
382
441
406
512
469
635
536
487

Mountain ............................................................................
Arizona .........................................................................
Colorado.......................................................................
Idaho ............................................................................
Montana .......................................................................
Nevada.........................................................................
New Mexico..................................................................
Utah..............................................................................
Wyoming ......................................................................
Pacific ................................................................................
Alaska ..........................................................................
California ......................................................................
Hawaii ..........................................................................
Oregon .........................................................................
Washington ..................................................................
Outlying areas
Puerto Rico ..................................................................
Virgin Islands................................................................

38
41
42
27
30
37
57
36
36
45
68
46
49
40
34

64
71
73
46
44
66
122
75
49
81
115
87
83
63
62

226
236
266
152
123
232
267
266
208
269
283
287
217
207
196

486
549
538
381
291
569
488
473
379
576
437
629
467
421
412

568
655
588
457
369
744
582
545
433
667
634
728
508
465
465

463
532
480
373
354
558
528
425
392
550
760
603
434
376
379

442
493
459
355
351
577
497
409
381
542
723
594
454
372
381

438
461
463
380
359
514
482
424
390
538
696
587
463
369
391

51
43

97
104

202
171

261
370

312
474

344
315

383
420

378
507

a.
b.
c.
d.

Geographic distribution reflects the beneficiaries' area of residence.
Preliminary data.
Excludes claims for persons residing in foreign countries.
Includes claims for persons whose place of residence is unknown.

SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data for 1975 and 1980 are based on bills approved in each year and recorded in the Centers for Medicare & Medicaid Services before Dec. 29, 1995. Data from
1990–2001 are based on bills incurred in each year and recorded before Dec. 29, 2001. Includes data for services rendered to both aged and disabled persons.
CONTACT: Maria Diacogiannis (410) 786-0178.

308

Social Security Bulletin • Annual Statistical Supplement • 2002

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8.1—Hospital Insurance: Short-stay hospital discharges, by state or other area, selected fiscal years
1990–2001
State or area
Total .......................................

1990

1993

1994

10,472,587 11,122,070 11,503,279

1995

1996

1997

1998

1999

2000

2001

11,680,874 11,749,394

11,952,088

11,912,079

11,659,885

11,778,705

12,093,252

Alabama...........................................
Alaska .............................................
Arizona ............................................
Arkansas .........................................
California..........................................

226,359
6,491
140,069
143,363
834,829

238,366
7,446
134,305
141,228
868,175

252,428
7,954
134,786
152,452
879,227

255,013
8,635
139,564
152,516
875,926

258,908
9,593
146,446
154,626
889,323

265,029
9,917
150,597
157,920
901,018

266,603
10,633
150,190
160,379
921,068

266,541
11,031
128,363
160,880
780,295

274,518
11,684
135,143
164,310
740,564

280,590
11,446
143,635
164,998
749,315

Colorado ..........................................
Connecticut ......................................
Delaware..........................................
District of Columbia..........................
Florida ..............................................

98,262
114,938
26,125
36,062
579,368

102,789
134,264
29,352
37,612
696,322

104,733
138,988
30,322
39,306
734,297

105,216
141,765
30,336
39,526
742,862

102,450
141,031
30,051
38,661
739,066

103,735
143,071
30,632
38,508
743,556

97,479
133,672
30,738
38,661
758,714

100,648
125,115
33,287
38,693
736,958

101,486
124,951
34,049
39,112
765,130

100,306
134,337
36,135
39,832
818,566

Georgia ............................................
Hawaii ..............................................
Idaho................................................
Illinois ...............................................
Indiana .............................................

274,957
26,340
31,559
460,926
254,404

298,054
29,107
33,806
517,848
267,841

312,133
31,077
35,923
531,390
278,602

316,301
32,526
36,327
533,238
276,601

323,093
32,939
39,236
524,936
278,303

327,839
34,795
41,066
538,476
287,615

320,774
33,331
42,451
531,184
289,743

311,998
26,347
43,353
539,314
289,693

324,286
26,146
44,027
556,122
297,851

332,147
25,823
42,877
572,988
303,603

Iowa .................................................
Kansas .............................................
Kentucky ..........................................
Louisiana..........................................
Maine ...............................................

141,191
117,017
199,042
213,819
54,963

144,717
118,000
206,131
218,393
61,205

146,352
121,106
219,042
228,770
62,904

146,448
120,593
222,162
234,663
63,013

148,724
122,917
224,322
235,574
64,361

151,815
125,481
231,081
237,390
66,278

154,152
127,045
231,352
232,942
67,895

155,497
126,920
237,553
223,794
68,128

159,451
128,024
243,886
237,154
69,030

161,489
129,087
250,140
241,159
68,101

Maryland ..........................................
Massachusetts .................................
Michigan...........................................
Minnesota ........................................
Mississippi........................................

179,835
286,332
366,349
170,808
142,662

198,735
315,864
391,061
180,515
148,737

206,778
314,727
416,096
175,255
157,119

214,989
310,455
435,455
178,018
162,934

211,265
299,734
443,753
181,315
170,698

204,988
293,217
457,401
187,164
181,599

195,489
280,333
456,972
192,488
185,149

199,012
268,179
452,461
194,935
181,575

208,038
263,152
452,367
200,918
183,952

232,783
270,174
464,644
207,371
183,763

Missouri............................................
Montana ...........................................
Nebraska..........................................
Nevada.............................................
New Hampshire ...............................

281,059
40,505
69,299
37,478
39,103

278,659
40,343
66,847
43,473
40,515

292,107
40,361
68,982
47,397
41,737

298,509
40,770
70,113
49,254
42,746

298,805
40,831
72,975
52,175
43,834

299,996
41,542
75,630
54,509
44,758

297,554
41,854
77,188
55,150
42,918

293,724
42,343
76,841
48,369
42,054

300,576
44,208
76,960
49,613
45,712

313,428
45,340
73,528
51,336
47,788

New Jersey ......................................
New Mexico .....................................
New York..........................................
North Carolina..................................
North Dakota....................................

338,509
50,391
723,060
267,370
37,543

372,253
48,373
760,012
294,295
36,848

377,524
47,576
779,941
312,494
37,344

385,145
50,334
797,453
336,173
37,014

375,353
49,758
796,965
353,297
36,807

371,173
53,329
798,611
369,667
38,272

364,034
52,913
787,116
385,533
38,332

373,224
51,459
777,269
395,004
38,847

372,063
51,085
750,793
406,700
39,672

369,660
50,972
755,774
410,096
38,501

Ohio .................................................
Oklahoma.........................................
Oregon .............................................
Pennsylvania....................................
Rhode Island....................................

527,006
155,100
106,164
685,403
46,578

534,017
147,665
106,863
758,360
50,324

557,927
154,360
106,454
768,866
49,186

562,234
156,239
105,878
766,535
49,740

565,237
158,966
106,901
731,542
50,739

562,603
163,842
111,656
728,572
50,498

541,958
166,068
111,028
692,290
46,484

533,499
170,592
100,569
664,002
39,625

536,335
176,021
91,806
634,802
38,489

546,394
177,976
97,998
644,229
39,332

South Carolina .................................
South Dakota ...................................
Tennessee........................................
Texas................................................
Utah .................................................

112,232
38,175
290,371
603,621
39,963

136,991
40,508
294,103
619,068
41,057

148,028
41,963
304,007
650,174
42,199

156,060
41,714
310,335
671,734
43,819

163,200
42,916
318,600
689,627
45,418

171,889
44,101
324,380
721,006
44,513

184,188
44,350
324,831
732,255
45,698

194,344
44,846
318,793
725,166
48,898

204,038
45,239
327,423
742,628
53,003

211,697
44,831
338,706
793,936
54,902

Vermont............................................
Virginia .............................................
Washington ......................................
West Virginia....................................
Wisconsin.........................................
Wyoming .........................................

20,251
240,165
157,942
111,305
217,727
15,255

21,636
251,676
162,571
117,610
220,189
14,580

22,239
267,259
163,092
122,868
225,486
15,505

22,815
271,620
157,146
124,293
227,774
16,009

23,001
274,285
160,146
125,954
226,898
15,912

23,456
285,721
158,264
131,334
232,721
16,557

22,585
286,752
152,867
131,473
233,103
17,256

23,133
289,195
148,620
134,483
233,432
17,429

24,014
295,790
153,660
134,585
238,572
18,764

24,639
302,676
160,704
134,496
238,821
18,810

Outlying areas
Puerto Rico ..................................
Virgin Islands................................

93,436
528

101,422
969

104,129
1,156

111,950
1,374

115,410
1,234

120,547
1,402

123,752
1,569

130,209
1,511

137,315
1,552

137,782
1,443

Unknown ..........................................

978

970

1,151

1,012

1,283

1,351

1,543

1,835

1,936

2,148

SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Discharge data for fiscal year 2001 are preliminary as of December 2001.
CONTACT: Maria Diacogiannis (410) 786-0178.

Social Security Bulletin • Annual Statistical Supplement • 2002

309

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B9—Supplementary Medical Insurance: Number of reimbursed bills, charges, and amount reimbursed, by
type of service and type of beneficiary, 1993–2001 (in thousands)
Physicians’ services
b

Total

507,057
554,498
578,104
590,301
600,228
611,356
e 486,296

358,766
397,244
406,868
411,789
418,826
427,891
429,299

39,489
42,750
44,896
46,171
46,517
46,273
45,496

f
f

f
f

f
f

1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................

69,049,202
76,875,292
84,328,051
88,172,944
92,890,399
101,809,496
105,560,460
114,135,596
127,545,083

33,544,904
37,701,474
39,754,448
39,483,559
40,447,161
41,696,171
43,717,804
48,261,747
54,014,704

11,836,035
12,860,574
13,734,400
13,164,645
12,953,314
12,061,669
12,080,067
12,358,986
13,091,543

1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................

41,833,141
45,850,296
49,727,844
50,799,370
52,433,972
56,689,693
58,183,159
62,166,206
69,420,739

26,286,845
29,552,074
31,117,478
30,914,594
31,683,366
32,661,901
34,381,359
37,909,401
42,472,068

9,316,794
10,141,120
10,833,812
10,381,197
10,218,613
9,517,777
9,523,625
9,743,222
10,351,499

59,885
70,089
77,224
82,908
86,071
89,890
e 72,288

38,755
46,364
49,829
53,010
55,260
58,244
59,281

3,374
3,859
4,261
4,594
4,773
4,991
5,042

f
f

f
f

f
f

10,682,721
12,561,705
14,392,496
15,901,655
17,060,573
18,732,088
19,989,414
21,961,089
24,531,013

3,841,940
4,659,625
5,005,244
5,168,502
5,399,169
5,822,296
6,266,038
7,109,711
8,015,022

1,067,713
1,231,332
1,392,181
1,401,285
1,409,583
1,401,045
1,453,807
1,526,798
1,631,945

Year claim incurred

a

Persons aged 65 or older
1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................

Disabled beneficiaries
1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................
1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................

All services

Surgical

d

Independent
laboratory
services

Home
health
services c

All
other
services

40,806
44,476
48,063
50,578
52,364
52,807
51,498

48,141
52,813
53,175
52,417
49,917
42,715

59,184
59,787
69,785
75,269
78,876
83,311

e

160
178
213
248
245
4,632
5,499

f
f

f
f

f
f

f
f

(dollars)
24,340,146
28,538,148
31,784,922
34,957,678
37,665,998
38,736,941
40,206,691
44,056,275
51,168,383

1,833,058
1,848,456
1,802,713
1,634,474
1,490,469
1,333,092
1,263,854
1,578,371
1,803,532

177,712
220,762
288,461
319,712
334,512
6,041,312
6,871,518
5,522,898
5,920,263

9,153,382
8,566,452
10,697,507
11,777,521
12,952,259
14,001,980
13,500,593
14,716,305
16,638,201

Amount reimbursed h (dollars)
16,970,051
8,085,005
19,410,954
9,222,101
20,283,,666
10,090,443
20,533,397
10,732,045
21,464,753
11,207,218
23,144,124
10,684,037
24,857,734
10,356,189
28,166,179
10,636,757
32,120,569
12,515,905

1,786,035
1,796,306
1,751,375
1,583,843
1,440,437
1,278,618
1,208,731
1,498,120
1,707,844

125,662
158,459
206,605
228,282
233,,968
4,255,771
4,835,419
4,153,203
3,818,245

5,549,594
5,121,356
6,561,942
7,340,606
7,868,983
7,809,366
7,401,461
7,968,725
8,906,677

8,907
10,107
11,152
12,068
12,415
12,639
12,413

5,286
6,753
7,758
8,193
8,073
6,776

6,937
6,865
8,485
9,636
10,323
11,756

e

...
...
...
1
...
475
594

f
f

f
f

f
f

f
f

(dollars)
5,402,260
6,543,340
7,691,605
8,681,707
9,393,479
9,546,986
10,111,034
11,048,518
12,557,745

208,698
247,559
280,673
284,031
281,459
252,465
244,938
290,804
316,699

17
63
79
194
575
717,283
865,126
722,269
509,807

1,229,806
1,111,118
1,414,895
1,767,221
1,985,891
2,391,058
2,502,278
2,789,787
3,131,740

Medical

Outpatient
hospital
services

d

Number of bills
319,277
354,494
361,972
365,618
372,309
381,618
383,803
f
f

Allowed charges g
21,708,869
24,840,900
26,020,048
26,318,914
27,493,847
29,634,502
31,637,737
35,902,761
40,923,161

Number of bills
35,381
42,505
45,568
48,416
50,487
53,253
54,239
f
f

Allowed charges
2,774,227
3,428,293
3,612,063
3,767,217
3,989,586
4,421,251
4,812,231
5,582,913
6,383,077

e

See footnotes at end of table.

310

Social Security Bulletin • Annual Statistical Supplement • 2002

e

e

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B9—Supplementary Medical Insurance: Number of reimbursed bills, charges, and amount reimbursed, by
type of service and type of beneficiary, 1993–2001 (in thousands)—Continued
Physicians’ services
Year claim incurred

a

1993 .........................................
1994 .........................................
1995 .........................................
1996 .........................................
1997 .........................................
1998 .........................................
1999 .........................................
2000 .........................................
2001 .........................................
a.
b.
c.
d.
e.
f.
g.
h.

b

Total

Surgical d

Medical d

6,500,250
7,458,910
8,408,210
9,099,514
9,592,010
10,437,639
10,968,036
11,874,526
13,235,243

2,927,647
3,547,187
3,791,215
3,908,937
4,093,502
4,405,354
4,756,445
5,396,707
6,101,360

831,483
959,659
1,088,310
1,095,977
1,103,074
1,095,140
1,135,375
1,192,908
1,278,008

Amount reimbursed
2,096,164
2,587,528
2,702,905
2,812,960
2,990,428
3,310,214
3,621,070
4,203,799
4,823,352

All services

Outpatient
hospital
services
h

Independent
laboratory
services

Home
health
services c

All
other
services

204,857
242,791
275,955
278,816
276,056
246,255
238,605
282,806
307,831

16
46
52
142
454
495,986
593,674
523,616
450,459

845,907
781,874
1,009,367
1,259,002
1,382,686
1,513,629
1,543,305
1,685,108
1,863,091

(dollars)
2,521,823
2,887,012
3,331,621
3,652,617
3,839,312
3,776,415
3,836,007
3,986,289
4,512,502

Period for which the claim incurred.
Included in total, but not shown separately, are some bills and charges for which type of service is unknown.
Due to Balanced Budget Act provisions, beginning in 1998 Part A now has a 100-visit limit and additional home health services will be billed under Part B.
Where both medical and surgical charges are included on a single bill, the highest–priced service is the determining factor in classifying the bill.
Data not available due to programmatic problems. Total for all services excluded independent laboratory services and all other services.
Data on the number of bills are no longer available.
Includes physican or supplier allowed charges as determined by the carrier and amounts actually billed by providers for outpatient hospital and home health services.
Amount reimbursed to or on behalf of the beneficiary–generally 80 percent of the allowed charges, once the beneficiary has satisfied the deductible in the current year.
Some radiology and pathology services are reimbursed at a 100 percent rate, regardless of the beneficiary's deductible status.

SOURCE: Centers for Medicare & Medicaid Services.
NOTES: Includes only bills for which reimbursements were made by carriers or intermediaries and recorded in Centers for Medicare & Medicaid Services records before
March 29, 2002.
. . . = less than 1,000.
CONTACT: Maria Diacogiannis (410) 786-0178.

Social Security Bulletin • Annual Statistical Supplement • 2002

311

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B10—Supplementary Medical Insurance:
Claims received by carriers and assignment rates,
1969–2001

Table 8.B11—Supplementary Medical Insurance:
Reasonable charge determination for claims assigned
and unassigned for aged and disabled persons,
1971–2001

Total number
of claims
(thousands)

Net assignment
rate a
(percent)

1969...............................
1970...............................
1971...............................
1972...............................
1973...............................
1974...............................

37,542
42,148
46,572
51,041
57,007
68,307

61.5
60.8
58.5
54.9
52.7
51.9

1975...............................
1976...............................
1977...............................
1978...............................
1979...............................

79,980
91,624
105,339
117,886
132,098

51.8
50.5
50.5
50.6
51.3

1980...............................
1981...............................
1982...............................
1983...............................
1984...............................

150,048
167,154
182,440
204,122
238,362

51.5
52.3
53.0
53.9
59.0

1985...............................
1986...............................
1987...............................
1988...............................
1989...............................
1990...............................
1991...............................
1992...............................
1993...............................
1994...............................

279,559
306,714
346,551
386,763
421,305
474,226
517,123
554,619
583,863
622,514

68.5
68.0
73.1
77.3
79.7
81.1
83.1
86.2
90.1
92.8

1995...............................
1996...............................
1997...............................
1998...............................
1999...............................
2000...............................
2001...............................

647,855
678,030
688,891
697,523
703,227
720,493
766,758

94.7
95.9
96.7
97.3
97.6
97.9
98.1

Year

a. Represents the number of assigned claims as a percentage of claims received.

Claims approved
Year

Number
(thousands)

Percent
reduced

Amount
(millions)

Assigned claims
25,919
26,798
28,376
33,295

44.5
47.5
55.6
64.5

1,571
1,630
1,751
2,194

11.1
10.9
11.9
14.3

1975 ...............
1976 ...............
1977 ...............
1978 ...............
1979 ...............

39,218
44,065
50,260
56,493
64,051

70.8
74.3
72.8
73.6
77.0

2,716
3,261
3,936
4,678
5,746

17.8
19.9
19.4
19.9
21.2

1980 ...............
1981 a ............
1982 ...............
1983 ...............
1984 ...............

73,068
80,127
91,615
103,139
128,559

80.8
82.8
83.3
81.0
80.8

7,303
8,868
11,315
13,657
16,571

22.7
24.0
24.3
23.6
25.4

1985 ...............
1986 ...............
1987 ...............
1988 ...............
1989 ...............
1990 ...............
1991 ...............
1992 ...............
1993 ...............
1994 ...............

176,956
191,139
234,488
271,225
304,649
341,220
384,168
412,924
460,761
508,981

81.7
82.8
83.4
85.6
86.9
87.5
87.4
86.2
88.8
87.7

22,008
24,662
31,179
37,275
44,567
51,012
60,057
67,667
76,186
85,170

27.4
28.4
28.0
29.8
31.0
32.9
36.2
39.7
42.8
42.5

1995 ...............
1996 ...............
1997 ...............
1998 ...............
1999 ...............
2000 ...............
2001 ...............

539,630
550,587
566,591
575,799
590,463
615,862
665,196

86.4
87.1
87.4
87.9
88.9
87.9
87.5

93,300
97,744
103,389
106,947
114,981
126,391
145,641

42.3
44.9
45.9
46.9
47.8
47.7
48.0

1971 ...............
1972 ...............
1973 ...............
1974 ...............

17,955
21,286
24,691
30,492

57.6
59.3
66.4
72.7

1,348
1,608
1,886
2,401

12.5
12.0
12.6
14.7

1975 ...............
1976 ...............
1977 ...............
1978 ...............
1979 ...............
1980 ...............
1981 a .............
1982 ...............
1983 ...............
1984 ...............

36,182
42,100
48,619
53,700
59,961
68,113
72,765
80,253
87,436
88,594

77.4
78.9
77.1
77.5
80.9
84.3
85.8
85.4
82.7
83.7

2,973
3,591
4,233
4,749
5,596
6,836
7,870
9,545
10,885
11,216

17.7
19.8
19.0
19.2
20.7
22.5
23.8
23.9
22.9
24.2

1985 ...............
1986 ...............
1987 ...............
1988 ...............
1989 ...............
1990 ...............
1991 ...............
1992 ...............
1993 ...............
1994 ...............

77,965
87,121
83,116
76,503
74,947
77,746
77,520
66,403
51,080
39,364

84.6
85.0
82.4
86.4
90.1
90.4
91.3
82.9
86.5
86.4

10,059
10,757
10,258
9,005
8,971
8,789
7,884
6,215
4,267
3,255

25.9
26.9
24.7
25.0
25.0
25.3
23.1
18.5
16.5
16.3

1995 ...............
1996 ...............
1997 ...............
1998 ...............
1999 ...............
2000 ...............
2001 ...............

29,975
22,819
18,615
15,172
13,834
12,755
12,085

83.4
84.4
84.4
82.3
81.3
78.6
76.7

2,543
1,952
1,650
1,382
1,316
1,287
1,252

15.4
15.8
16.4
17.1
17.7
18.1
18.2

Unassigned claims

a. Excludes Texas Blue-Shield plan for July–December 1981.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Maria Diacogiannis (410) 768-0178.

312

Percent
reduced

1971 ...............
1972 ...............
1973 ...............
1974 ...............

SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Maria Diacogiannis (410) 786-0178.

Charges before reduction

Social Security Bulletin • Annual Statistical Supplement • 2002

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B12—Supplementary Medical Insurance: State buy-ins, by state or other area, selected years 1991–2002
State or area

1991

All areas.............................................

1994

1995

3,640,121 4,443,683

4,705,625

1996

1997

1998

1999

2000

2001

2002

4,914,789 5,008,860 5,109,228 5,273,573 5,425,048 5,615,326 5,810,613

Alabama.......................................................
Alaska .........................................................
Arizona ........................................................
Arkansas .....................................................
California......................................................

97,601
4,539
28,650
64,996
646,108

112,909
5,853
40,360
74,689
722,377

116,916
6,193
44,236
77,660
747,814

120,399
6,659
47,393
79,549
768,907

122,720
6,835
49,213
79,176
769,335

121,990
7,093
51,141
78,514
776,832

128,875
7,799
53,450
79,508
793,510

136,860
8,486
57,712
79,606
818,846

141,436
8,832
61,989
80,231
848,361

144,603
9,324
74,678
82,040
892,260

Colorado ......................................................
Connecticut ..................................................
Delaware......................................................
District of Columbia......................................
Florida ..........................................................

36,470
23,535
4,499
12,791
196,992

43,747
40,812
6,058
13,436
258,382

46,660
48,047
6,645
14,152
271,430

49,561
50,226
7,735
14,195
290,838

50,749
50,668
8,446
14,482
304,791

52,175
51,335
8,900
14,582
313,744

53,964
52,134
8,231
13,181
324,172

55,325
53,141
10,737
14,233
342,109

56,934
55,933
12,094
14,621
358,642

57,987
60,083
13,252
15,065
369,092

Georgia ........................................................
Hawaii ..........................................................
Idaho............................................................
Illinois ...........................................................
Indiana .........................................................

128,976
11,529
9,127
94,434
60,297

153,559
15,571
12,062
129,353
74,598

160,380
16,695
12,931
137,571
76,460

165,210
17,905
13,835
144,330
75,930

168,267
18,751
14,296
144,684
76,846

171,047
19,226
14,909
145,976
81,184

171,638
19,962
15,868
149,850
82,901

176,596
20,326
17,081
155,743
87,543

181,312
21,090
18,550
161,141
91,311

186,466
21,748
19,725
163,368
95,553

Iowa .............................................................
Kansas .........................................................
Kentucky ......................................................
Louisiana......................................................
Maine ...........................................................

41,170
26,960
76,456
87,570
22,176

46,223
32,485
92,555
106,915
27,447

48,517
34,708
97,978
112,090
29,453

50,031
37,064
103,705
114,917
31,063

49,344
37,486
105,188
114,482
32,168

49,844
39,008
106,537
115,031
33,006

50,954
40,365
111,789
116,602
35,211

51,976
41,217
117,697
117,179
36,946

52,891
42,126
118,641
117,867
38,161

54,536
43,123
122,096
120,478
39,575

Maryland ......................................................
Massachusetts .............................................
Michigan.......................................................
Minnesota ....................................................
Mississippi....................................................

48,028
89,163
91,340
39,366
90,530

55,978
118,683
116,004
48,577
103,338

58,865
125,859
123,948
52,192
108,577

59,882
132,575
131,263
55,989
104,036

59,745
132,874
130,682
56,486
106,461

61,669
138,796
135,769
57,559
106,336

64,086
143,779
139,411
59,926
107,176

65,372
152,587
145,172
63,607
107,495

68,010
160,198
148,760
66,874
116,503

70,224
164,510
152,758
70,873
125,832

Missouri........................................................
Montana .......................................................
Nebraska......................................................
Nevada.........................................................
New Hampshire ...........................................

55,116
10,058
11,358
8,657
3,807

68,610
10,206
15,357
12,350
4,982

72,659
11,031
16,146
14,227
5,405

76,883
11,638
16,986
15,711
5,878

79,847
11,825
17,321
16,435
6,119

81,841
11,882
18,029
17,191
6,295

85,329
12,274
19,064
18,322
6,875

88,343
12,828
20,520
19,155
7,434

91,244
13,120
21,121
20,709
8,866

93,512
13,359
22,120
22,207
9,231

New Jersey ..................................................
New Mexico .................................................
New York......................................................
North Carolina..............................................
North Dakota................................................

95,795
22,246
255,952
117,656
4,639

113,658
29,268
304,719
159,439
5,400

122,923
29,855
325,882
186,328
5,560

131,292
32,346
342,539
197,039
5,751

135,109
33,472
352,129
204,551
5,684

137,598
34,411
363,331
210,388
5,612

143,024
36,023
372,824
216,563
5,758

146,705
37,330
369,479
223,402
5,908

149,303
39,275
395,830
228,997
6,275

151,644
41,263
409,388
233,229
6,317

Ohio .............................................................
Oklahoma.....................................................
Oregon .........................................................
Pennsylvania................................................
Rhode Island................................................

112,598
51,457
28,537
127,519
10,585

151,070
57,960
39,558
156,701
14,353

164,044
60,080
43,642
162,788
15,517

172,316
61,723
47,600
170,790
16,780

178,365
62,965
49,553
173,142
17,321

180,172
63,142
51,392
179,295
17,729

181,407
66,115
55,896
198,492
18,513

171,139
67,413
59,169
206,468
19,787

176,602
67,787
62,910
215,351
21,620

182,821
68,905
66,255
218,691
22,928

South Carolina .............................................
South Dakota ...............................................
Tennessee....................................................
Texas............................................................
Utah .............................................................

78,701
9,399
116,861
234,169
10,263

92,551
11,839
140,945
294,115
12,902

95,970
12,346
148,391
314,991
13,506

98,817
12,661
157,602
327,827
14,387

101,455
12,778
164,010
336,801
14,589

104,111
12,791
171,653
339,648
14,900

110,032
13,112
178,707
350,959
15,569

112,232
13,146
182,342
360,191
16,231

116,288
13,237
184,570
370,598
16,712

118,635
13,542
187,438
380,954
17,497

Vermont........................................................
Virginia .........................................................
Washington ..................................................
West Virginia................................................
Wisconsin.....................................................
Wyoming .....................................................

8,223
77,898
54,774
28,086
67,516
3,505

11,240
97,821
66,830
36,531
77,472
4,726

12,428
102,964
71,531
39,720
75,247
5,265

12,863
107,457
76,885
42,377
78,661
5,548

13,048
108,365
83,128
43,572
76,109
5,781

13,197
108,427
89,419
43,019
74,429
5,963

13,598
111,404
91,976
45,406
74,681
6,183

13,754
113,259
97,390
46,305
74,101
6,444

14,296
113,898
94,852
47,774
73,875
6,746

14,650
116,496
99,552
47,547
75,179
7,087

Outlying areas
Guam .......................................................
Northern Mariana Islands.........................
Virgin Islands............................................

443
273
727

600
320
189

669
314
219

710
318
205

682
322
207

650
311
199

583
335
207

417
342
204

385
367
210

339
372
206

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.

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