8.

B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B1—Hospital Insurance and/or 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

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)
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

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)
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

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

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

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

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)
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

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 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.
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: Medicarestats@cms.hhs.gov.

Annual Statistical Supplement, 2003 ♦ 8.3

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B2—Hospital Insurance and/or 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

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)
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

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

c

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

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

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

Persons served per 1,000 enrollees

c

734
209
198
7
38
804
764
508
c

749
208
187
14
63
828
798
579
c

737
205
184
15
63
814
783
584
c

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

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

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

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

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

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

c

Amount reimbursed per person served (dollars)
4,531
9,482
9,455
6,107
1,645
1,817
1,215
1,051
230

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)
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
c

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

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

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

a. 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.
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: Medicarestats@cms.hhs.gov.

8.4 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3a—Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees aged 65 or older,
by census division and state or other area, July 1, 1980–2002, selected years (in thousands)
Census division and state or area

1980

1990

1995

1998

1999

2000

2001

2002

25,515
25,027

30,948
30,350

33,142
32,492

33,802
33,120

33,929
33,240

34,253
33,549

34,462
33,743

34,679
33,947

New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont

1,506
362
142
715
103
125
59

1,734
436
165
795
126
145
68

1,816
455
174
825
139
149
72

1,827
456
178
827
143
148
74

1,829
456
179
826
145
148
75

1,838
458
180
829
147
148
76

1,837
457
182
827
148
147
76

1,836
456
183
824
150
146
77

Middle Atlantic
New Jersey
New York
Pennsylvania

4,496
851
2,128
1,516

5,084
1,006
2,280
1,798

5,267
1,058
2,328
1,881

5,259
1,064
2,320
1,874

5,264
1,065
2,334
1,865

5,282
1,070
2,347
1,865

5,277
1,070
2,351
1,856

5,276
1,071
2,356
1,849

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

5,527
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

5,560
1,440
738
1,207
1,480
695

5,567
1,439
740
1,210
1,480
698

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

2,515
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

2,523
425
345
590
737
227
92
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

6,307
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

6,474
99
65
2,511
760
576
952
470
771
270

6,542
100
64
2,531
771
582
965
477
782
270

East South Central
Alabama
Kentucky
Mississippi
Tennessee

1,613
428
402
280
503

1,887
508
459
313
607

2,000
541
482
325
652

2,035
551
487
328
669

2,041
553
488
328
672

2,060
558
491
330
681

2,072
561
492
331
688

2,084
564
494
333
693

West South Central
Arkansas
Louisiana
Oklahoma
Texas

2,363
303
380
361
1,318

2,880
343
460
412
1,665

3,120
356
488
432
1,845

3,211
357
495
435
1,924

3,232
358
495
436
1,943

3,274
359
498
438
1,979

3,299
359
498
439
2,003

3,328
360
500
440
2,028

Mountain
Arizona
Colorado
Idaho
Montana
Nevada
New Mexico
Utah
Wyoming

1,043
295
244
95
85
65
114
108
38

1,490
456
324
121
106
128
160
147
47

1,726
536
367
134
114
172
182
168
54

1,839
573
389
140
117
195
193
176
56

1,863
577
395
142
118
200
196
178
57

1,906
591
403
144
119
209
200
183
57

1,944
602
410
147
120
218
203
186
58

1,983
614
416
150
121
227
207
189
59

Total
All areas
United States a

(Continued)

Annual Statistical Supplement, 2003 ♦ 8.5

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3a—Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees aged 65 or older,
by census division and state or other area, July 1, 1980–2002, selected years (in thousands)—Continued
Census division and state or area

1980

1990

1995

1998

1999

2000

2001

2002

Pacific
Alaska
California
Hawaii
Oregon
Washington

3,157
11
2,346
74
300
426

4,082
22
2,990
118
390
562

4,444
28
3,241
138
422
614

4,586
32
3,348
146
428
632

4,630
33
3,385
148
429
635

4,697
35
3,436
151
432
643

4,747
36
3,474
153
435
649

4,798
38
3,509
155
440
656

Unknown

22

10

18

14

12

11

11

10

Outlying areas
Puerto Rico
Virgin Islands
Other

270
263
4
3

344
337
6
1

383
367
8
8

404
387
8
9

404
393
9
2

420
401
9
10

430
410
10
10

439
418
10
11

Foreign countries

217

254

268

277

280

284

289

293

a. Represents beneficiaries of 50 states, District of Columbia, and those with unknown residence.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.

8.6 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3b—Hospital Insurance and/or Supplementary Medical Insurance: Number of disabled enrollees,
by census division and state or other area, July 1, 1980–2002, selected years (in thousands)
Census division and state or area

1980

1990

1995

1998

1999

2000

2001

2002

2,963
2,863

3,255
3,148

4,393
4,266

5,023
4,878

5,212
5,062

5,367
5,208

5,563
5,406

5,810
5,647

New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont

141
31
16
64
9
14
7

156
33
18
72
11
14
7

228
47
27
108
17
19
10

266
54
33
124
21
22
12

277
56
35
128
22
23
13

285
58
36
131
23
24
13

295
59
38
135
24
25
14

307
62
40
139
26
26
14

Middle Atlantic
New Jersey
New York
Pennsylvania

493
91
237
165

473
86
229
158

603
110
302
190

685
124
346
215

713
130
360
223

731
133
368
230

755
138
378
239

784
142
391
251

East North Central
Illinois
Indiana
Michigan
Ohio
Wisconsin

486
113
63
118
141
50

561
132
77
132
156
64

715
172
99
170
196
79

782
186
109
188
213
86

807
192
113
195
219
88

823
195
117
200
221
90

845
200
120
207
226
92

877
207
125
216
233
96

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

180
29
22
35
67
14
6
7

211
34
26
44
75
16
7
8

280
43
35
60
100
22
9
11

317
47
41
67
115
24
10
12

328
49
42
69
120
25
10
13

338
50
43
72
124
26
10
13

351
52
45
74
130
27
10
13

370
54
47
78
137
29
11
14

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

545
7
8
147
88
41
91
51
68
43

607
8
7
165
96
46
106
59
77
44

834
11
8
232
134
60
149
81
105
55

990
13
9
284
155
69
178
96
122
63

1,034
14
9
298
161
72
186
101
128
65

1,075
15
10
311
166
75
194
105
132
67

1,125
15
10
328
173
78
203
110
138
70

1,179
16
10
345
180
82
214
115
144
73

East South Central
Alabama
Kentucky
Mississippi
Tennessee

246
63
62
46
76

287
74
75
53
85

397
101
105
72
119

462
118
123
83
138

480
123
128
86
143

495
127
132
88
148

518
134
137
92
155

543
142
143
96
162

West South Central
Arkansas
Louisiana
Oklahoma
Texas

288
45
63
41
139

317
48
71
39
159

452
67
93
56
236

514
76
101
65
272

528
78
103
67
280

539
80
104
69
286

559
83
107
72
297

584
86
112
75
311

Mountain
Arizona
Colorado
Idaho
Montana
Nevada
New Mexico
Utah
Wyoming

112
34
24
9
9
8
15
9
3

148
42
34
11
12
13
19
13
4

228
66
54
16
16
22
28
20
7

267
78
62
19
17
28
32
22
8

276
81
64
20
18
29
33
23
8

284
84
65
21
18
30
34
24
8

295
89
66
22
18
32
35
25
8

312
95
68
23
19
35
37
26
9

Total
All areas
United States a

(Continued)

Annual Statistical Supplement, 2003 ♦ 8.7

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B3b—Hospital Insurance and/or Supplementary Medical Insurance: Number of disabled enrollees,
by census division and state or other area, July 1, 1980–2002, selected years (in thousands)—Continued
Census division and state or area
Pacific
Alaska
California
Hawaii
Oregon
Washington
Unknown

1980

1990

1995

1998

1999

2000

2001

2002

367
2
284
7
31
43

388
3
289
9
34
53

529
5
392
11
47
74

593
6
435
13
53
86

618
7
452
15
55
90

637
7
465
15
57
93

662
8
481
15
61
97

692
8
500
17
64
103

4

2

1

1

1

1

1

2

Outlying areas
Puerto Rico
Virgin Islands
Other

88
88
...
...

93
92
1
...

112
110
1
...

130
127
1
2

134
132
1
1

139
136
1
2

142
139
1
2

147
144
1
2

Foreign countries

12

14

14

15

14

14

15

15

a. Represents beneficiaries of 50 states, District of Columbia, and those with unknown residence.
SOURCE: Centers for Medicare & Medicaid Services.
NOTE: . . . = not available.
CONTACT: Medicarestats@cms.hhs.gov.

8.8 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B4—Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees aged 65 or older,
by program, age, sex, and race, July 1, 1980–2002, selected years (in thousands)
Age, sex, and race

1980

1985

1990

1995

1999

2000

2001

2002

Hospital Insurance and/or Supplementary Medical Insurance
Total

25,515

28,176

30,948

33,142

33,929

34,253

34,463

34,680

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

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

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

9,201
8,564
7,285
5,022
4,391

9,274
8,480
7,292
5,173
4,461

10,268
15,247

11,282
16,894

12,416
18,532

13,434
19,708

13,900
20,029

14,112
20,141

14,263
20,199

14,418
20,261

22,534
2,257
724

24,745
2,585
846

26,855
3,114
979

29,011
3,253
878

29,311
4,431
187

29,757
4,403
92

29,883
4,495
85

29,974
4,627
78

25,104

27,683

30,464

32,742

33,516

33,833

34,044

34,257

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

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

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

9,111
8,462
7,189
4,956
4,326

9,183
8,380
7,196
5,103
4,395

10,156
14,948

11,146
16,536

12,280
18,184

13,310
19,431

13,770
19,746

13,979
19,854

14,130
19,914

14,284
19,974

22,244
2,160
699

24,424
2,444
815

26,591
2,931
942

28,822
3,127
792

29,131
4,206
179

29,570
4,176
87

29,700
4,264
80

29,792
4,392
73

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

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

Supplementary Medical Insurance
Total

24,680

27,311

29,686

31,742

32,403

32,590

32,749

32,934

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

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

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

8,340
8,200
7,083
4,926
4,200

8,401
8,107
7,090
5,068
4,268

9,868
14,813

10,852
16,459

11,758
17,927

12,694
19,048

13,079
19,324

13,205
19,384

13,328
19,420

13,466
19,468

21,876
2,114
691

24,060
2,441
810

25,849
2,910
927

27,899
3,028
815

28,115
4,126
162

28,432
4,086
71

28,519
4,166
64

28,592
4,285
58

Age
65–69
70–74
75–79
80–84
85 or older
Sex
Men
Women
Race
White
All other races
Unknown
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.

Annual Statistical Supplement, 2003 ♦ 8.9

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B5—Hospital Insurance and/or Supplementary Medical Insurance: Number of enrollees under age 65 who
are disabled or have end stage renal disease, by program, age, sex, and race, July 1, 1980–2002, selected years
1980

Age, sex, and race

All
disabled

1990
End stage
renal
disease
only

All
disabled

2000
End stage
renal
disease
only

All
disabled

2001
End stage
renal
disease
only

All
disabled

2002
End stage
renal
disease
only

All
disabled

End stage
renal
disease
only

Hospital Insurance and/or Supplementary Medical Insurance
Total

2,963,175

28,334

3,255,007

64,692

5,367,151

73,890

5,563,259

75,996

5,809,611

79,353

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

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

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

520,612
1,137,221
1,727,392
2,178,034

13,535
15,125
23,511
23,825

532,378
1,145,800
1,797,665
2,333,768

13,661
15,363
24,287
26,042

Men
Women

1,870,558
1,092,617

14,547
13,787

2,042,944
1,212,063

33,647
31,045

3,014,107
2,353,044

40,062
33,828

3,089,887
2,473,372

40,989
35,007

3,194,079
2,615,532

43,239
36,114

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

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

35,636
37,820
434

4,131,665
1,417,379
14,215

36,574
39,120
302

4,301,138
1,494,904
13,569

37,556
41,566
231

Total

2,963,156

28,334

3,254,983

64,677

5,366,598

73,890

5,562,860

75,996

5,809,174

79,353

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

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

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

520,537
1,137,135
1,727,260
2,177,928

13,535
15,125
23,511
23,825

532,284
1,145,693
1,797,555
2,333,642

13,661
15,363
24,287
26,042

Men
Women

1,870,543
1,092,613

14,547
13,787

2,042,929
1,212,054

33,639
31,038

3,013,803
2,352,795

40,062
33,828

3,089,659
2,473,201

40,989
35,007

3,193,844
2,615,330

43,239
36,114

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

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

35,636
37,820
434

4,131,393
1,417,253
14,214

36,574
39,120
302

4,300,844
1,494,763
13,567

37,556
41,566
231

Total

2,719,226

27,046

2,943,480

58,912

4,769,804

68,800

4,936,567

70,236

5,144,421

73,285

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

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

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

465,433
1,003,828
1,507,642
1,959,664

12,378
13,669
21,582
22,607

474,464
1,007,411
1,568,114
2,094,432

12,429
13,866
22,343
24,647

Men
Women

1,694,569
1,024,657

13,887
13,159

1,833,959
1,109,521

30,338
28,574

2,665,252
2,104,552

37,037
31,763

2,728,496
2,208,071

37,549
32,687

2,813,277
2,331,144

39,551
33,734

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

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

33,154
35,256
390

3,655,778
1,268,477
12,312

33,766
36,195
275

3,799,460
1,333,260
11,701

34,747
38,324
214

Age

Sex

Race
White
All other races
Unknown

Hospital Insurance

Age

Sex

Race
White
All other races
Unknown

Supplementary Medical Insurance

Age

Sex

Race
White
All other races
Unknown

SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.

8.10 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8a—Hospital Insurance: Average covered charge per covered day of care in short-stay hospitals,
by census division and state or other area, selected years 1990–2002 (in dollars)
Census division and state or area

a

1995

1997

1998

1999

2000

2001

1,090
1,081

1,908
1,920

2,235
2,252

2,370
2,388

2,533
2,554

2,762
2,787

3,080
3,108

3,574
3,608

New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont

988
1,177
927
942
1,022
851
923

1,763
2,013
1,645
1,705
1,699
1,638
1,580

2,050
2,336
1,949
1,975
2,010
1,923
1,817

2,149
2,442
2,005
2,091
2,061
2,046
1,849

2,284
2,522
2,140
2,251
2,269
2,172
1,945

2,436
2,608
2,328
2,429
2,480
2,316
1,995

2,610
2,726
2,489
2,598
2,696
2,654
2,145

2,862
3,014
2,763
2,797
3,027
2,967
2,356

Middle Atlantic
New Jersey
New York
Pennsylvania

943
725
836
1,236

1,704
1,865
1,366
2,109

2,082
2,458
1,702
2,402

2,272
2,726
1,843
2,628

2,480
3,154
1,971
2,806

2,743
3,757
2,116
3,003

3,169
4,767
2,328
3,334

3,925
6,157
2,817
3,979

East North Central
Illinois
Indiana
Michigan
Ohio
Wisconsin

1,097
1,202
997
1,193
1,030
933

1,866
2,126
1,713
1,881
1,730
1,690

2,146
2,476
1,950
2,124
1,985
1,994

2,225
2,614
2,006
2,178
2,050
2,081

2,377
2,806
2,108
2,292
2,233
2,201

2,550
3,017
2,271
2,451
2,360
2,424

2,786
3,282
2,466
2,626
2,605
2,744

3,135
3,645
2,731
2,925
2,995
3,154

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

1,052
902
1,093
1,132
1,108
1,043
937
915

1,831
1,573
1,957
1,938
1,922
1,850
1,509
1,518

2,111
1,821
2,212
2,243
2,218
2,167
1,776
1,760

2,235
1,831
2,203
2,457
2,381
2,386
1,898
1,806

2,400
1,953
2,377
2,651
2,551
2,600
2,024
1,919

2,638
2,124
2,589
2,913
2,783
3,007
2,180
2,167

2,924
2,346
2,851
3,217
3,074
3,418
2,376
2,424

3,305
2,663
3,225
3,666
3,385
4,031
2,663
2,870

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

1,106
1,191
1,374
1,360
1,081
813
932
1,021
1,022
1,009

1,876
1,831
2,129
2,351
1,744
1,365
1,603
1,818
1,732
1,472

2,154
1,889
2,417
2,730
2,020
1,618
1,799
2,087
2,010
1,654

2,277
1,926
3,061
2,902
2,144
1,527
1,896
2,185
2,115
1,620

2,430
1,948
3,178
3,147
2,323
1,565
2,004
2,362
2,257
1,681

2,637
1,971
3,331
3,439
2,527
1,608
2,175
2,611
2,432
1,821

2,921
2,147
3,544
3,832
2,763
1,708
2,404
2,935
2,674
1,978

3,337
2,384
3,829
4,406
3,101
1,859
2,672
3,368
3,082
2,193

East South Central
Alabama
Kentucky
Mississippi
Tennessee

1,019
1,176
967
865
1,012

1,718
2,054
1,630
1,437
1,662

1,983
2,402
1,901
1,655
1,905

2,077
2,499
1,972
1,678
2,062

2,248
2,677
2,093
1,852
2,262

2,451
2,914
2,269
2,017
2,479

2,668
3,204
2,448
2,214
2,675

3,016
3,612
2,751
2,504
3,031

West South Central
Arkansas
Louisiana
Oklahoma
Texas

1,138
923
1,180
997
1,212

1,937
1,511
1,926
1,620
2,118

2,234
1,744
2,179
1,892
2,450

2,344
1,776
2,275
1,988
2,573

2,520
1,974
2,451
2,146
2,749

2,767
2,194
2,724
2,335
3,008

3,094
2,468
3,019
2,559
3,366

3,539
2,773
3,369
2,841
3,890

Mountain
Arizona
Colorado
Idaho
Montana
Nevada
New Mexico
Utah
Wyoming

1,350
1,442
1,308
1,140
1,036
2,031
1,140
1,283
1,094

2,321
2,617
2,240
1,951
1,742
3,253
1,913
2,069
1,985

2,743
3,164
2,504
2,303
1,907
3,858
2,302
2,433
2,269

2,878
3,382
2,673
2,201
1,947
4,017
2,254
2,556
2,122

3,016
3,537
3,047
2,328
2,046
3,973
2,410
2,721
2,257

3,279
3,885
3,392
2,471
2,233
4,320
2,533
2,871
2,373

3,639
4,237
3,812
2,725
2,501
4,773
2,814
3,111
2,621

4,090
4,663
4,329
2,997
2,756
5,418
3,149
3,375
2,911

Total
All areas c
United States

d

2002

b

1990

(Continued)

Annual Statistical Supplement, 2003 ♦ 8.11

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8a—Hospital Insurance: Average covered charge per covered day of care in short-stay hospitals,
by census division and state or other area, selected years 1990–2002 (in dollars)—Continued
Census division and state or area

a

Pacific
Alaska
California
Hawaii
Oregon
Washington
Outlying areas
Puerto Rico
Virgin Islands
a.
b.
c.
d.

2002

1995

1997

1998

1999

2000

2001

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

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

3,339
2,695
3,679
2,599
2,290
2,146

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

4,759
3,390
5,324
3,138
2,980
3,008

5,648
3,757
6,363
3,440
3,245
3,455

510
505
746

739
736
843

842
837
1,068

832
831
870

894
893
922

947
946
1,007

990
988
1,112

1,055
1,050
1,372

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 from 1990–2002 are based on bills incurred in each year and recorded before June 27, 2003. Includes data for services rendered to both aged and disabled
persons.
CONTACT: Medicarestats@cms.hhs.gov.

8.12 ♦ Annual Statistical Supplement, 2003

b

1990

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8b—Hospital Insurance: Average covered charge per covered day of care in skilled nursing facilities,
by census division and state or other area, selected years 1975–2002 (in dollars)
Census division and state or area

a

1980

1990

1995

1999

2000

2001

43
43

70
70

193
193

402
402

424
424

413
413

463
463

476
476

New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont

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

395
364
361
437
386
341
330

391
362
387
425
392
343
330

440
400
416
484
439
379
362

461
429
441
495
472
406
393

Middle Atlantic
New Jersey
New York
Pennsylvania

50
45
61
40

73
81
80
65

168
164
168
170

308
344
240
373

378
393
325
443

378
392
337
430

440
457
378
505

468
505
404
522

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

413
493
414
357
422
320

405
493
393
357
410
319

457
526
449
398
465
359

465
533
444
405
476
373

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

421
443
504
273
547
413
330
286

414
440
492
279
531
426
343
285

463
503
509
314
572
479
393
352

484
539
508
364
563
504
414
380

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

387
327
443
445
344
389
315
358
350
417

368
317
397
414
320
378
310
342
347
400

402
352
429
425
359
404
356
396
386
465

410
380
483
422
385
417
368
414
399
466

East South Central
Alabama
Kentucky
Mississippi
Tennessee

37
33
36
45
41

56
38
58
105
70

154
143
151
160
162

358
353
352
377
358

381
346
381
425
390

374
335
381
409
383

431
381
440
509
425

439
400
431
522
435

West South Central
Arkansas
Louisiana
Oklahoma
Texas

45
44
43
60
43

94
84
83
145
78

267
238
374
312
238

539
372
683
563
542

545
456
725
537
527

509
441
646
538
485

564
515
726
597
532

549
570
684
588
512

Mountain
Arizona
Colorado
Idaho
Montana
Nevada
New Mexico
Utah
Wyoming

38
41
42
27
30
37
57
36
36

64
71
73
46
44
66
122
75
49

226
236
266
152
123
232
267
266
208

486
549
538
381
291
569
488
473
379

463
532
480
373
354
558
528
425
392

442
493
459
355
351
577
497
409
381

467
496
493
410
378
568
530
431
401

462
450
490
419
406
469
545
462
442

Total
All areas c
United States d

2002

b

1975

(Continued)

Annual Statistical Supplement, 2003 ♦ 8.13

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B8b—Hospital Insurance: Average covered charge per covered day of care in skilled nursing facilities,
by census division and state or other area, selected years 1975–2002 (in dollars)—Continued
Census division and state or area

a

1980

1990

1995

1999

2000

2001

Pacific
Alaska
California
Hawaii
Oregon
Washington

45
68
46
49
40
34

81
115
87
83
63
62

269
283
287
217
207
196

576
437
629
467
421
412

550
760
603
434
376
379

542
723
594
454
372
381

583
797
644
528
374
405

614
759
683
541
388
420

Outlying areas
Puerto Rico
Virgin Islands

51
43

97
104

202
171

261
370

344
315

383
420

353
476

354
767

a.
b.
c.
d.

2002

b

1975

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 December 29, 1995. Data from
1990–2002 are based on bills incurred in each year and recorded before June 27, 2003. Includes data for services rendered to both aged and disabled persons.
CONTACT: Medicarestats@cms.hhs.gov.

8.14 ♦ Annual Statistical Supplement, 2003

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 1990–2002
State or area

1990

1994

1995

1996

1997

1998

1999

2000

2001

2002

10,472,587

11,503,279

11,680,874

11,749,394

11,952,088

11,912,079

11,659,885

11,778,705

12,192,174

12,499,749

Alabama
Alaska
Arizona
Arkansas
California

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

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

282,999
11,748
144,989
166,445
756,629

291,991
11,794
156,302
170,102
801,758

Colorado
Connecticut
Delaware
District of Columbia
Florida

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

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

101,258
135,169
36,386
40,138
823,957

107,180
148,864
36,541
39,389
869,777

Georgia
Hawaii
Idaho
Illinois
Indiana

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

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

334,599
26,343
43,272
578,327
306,202

338,687
26,932
40,996
601,373
304,034

Iowa
Kansas
Kentucky
Louisiana
Maine

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

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

162,466
129,973
252,454
243,724
68,547

156,854
129,334
257,205
248,183
66,705

Maryland
Massachusetts
Michigan
Minnesota
Mississippi

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

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

234,162
271,657
468,675
209,469
185,626

244,595
275,984
497,195
210,382
182,535

Missouri
Montana
Nebraska
Nevada
New Hampshire

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

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

315,642
45,697
74,217
51,836
48,206

317,278
42,880
71,921
56,622
46,282

New Jersey
New Mexico
New York
North Carolina
North Dakota

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

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

374,250
51,396
761,352
413,429
38,764

389,938
51,469
771,835
418,725
34,707

Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island

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

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

550,989
179,543
98,854
649,458
39,658

559,223
182,998
102,568
656,105
40,229

South Carolina
South Dakota
Tennessee
Texas
Utah

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

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

213,513
45,202
341,212
798,667
55,207

216,412
43,134
344,524
843,945
56,244

Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

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

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

24,778
305,346
162,197
135,458
240,711
18,932

22,658
310,602
166,846
132,356
243,774
18,044

93,436
528

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

138,713
1,468

139,682
1,571

978

1,151

1,012

1,283

1,351

1,543

1,835

1,936

2,265

2,485

All areas

Outlying areas
Puerto Rico
Virgin Islands
Unknown

SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Discharge data for fiscal year 2002 are final as of June 2003.
CONTACT: Medicarestats@cms.hhs.gov.

Annual Statistical Supplement, 2003 ♦ 8.15

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B9—Supplementary Medical Insurance: Number of reimbursed bills, charges, and amount reimbursed,
by type of beneficiary and type of service, for claims incurred 1994–2002 (in thousands)
Physicians’ services
Year

a

All services

b

Total

Surgical d

Medical

Outpatient
hospital
services

d

Independent
laboratory
services

Home
health
services c

All
other
services

Persons aged 65 or older
Number of bills
1994
1995
1996
1997
1998
1999

e

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

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

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

354,494
361,972
365,618
372,309
381,618
383,803

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

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

178
213
248
245
4,632
5,499

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

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

2000
2001
2002

Allowed charges

g

e

e

(dollars)

1994
1995
1996
1997
1998
1999

76,875,482
84,328,704
88,174,598
92,894,015
101,819,407
105,589,310

37,701,474
39,754,448
39,483,559
40,447,161
41,696,171
43,717,804

12,860,574
13,734,400
13,164,645
12,953,314
12,061,669
12,080,067

24,840,900
26,020,048
26,318,914
27,493,847
29,634,502
31,637,737

28,538,228
31,785,119
34,958,448
37,668,251
38,740,973
40,227,089

1,848,456
1,802,713
1,634,475
1,490,474
1,333,194
1,264,394

220,822
288,772
319,929
334,869
6,045,120
6,872,349

8,566,502
10,697,652
11,778,187
12,953,260
14,003,949
13,507,674

2000
2001
2002

114,337,594
129,980,430
149,930,352

48,261,747
54,014,704
57,749,310

12,358,986
13,091,543

35,902,761
40,923,161

44,189,797
52,761,260
66,207,087

1,583,229
1,857,662
2,064,971

5,543,211
4,136,025
4,199,501

14,759,610
17,210,779
19,709,483

f

f

Amount reimbursed

h

(dollars)

1994
1995
1996
1997
1998
1999

45,850,387
49,728,171
50,800,071
52,435,319
56,693,998
58,192,937

29,552,074
31,117,478
30,914,594
31,683,366
32,661,901
34,381,359

10,141,120
10,833,812
10,381,197
10,218,613
9,517,777
9,523,625

19,410,954
20,283,666
20,533,397
21,464,753
23,144,124
24,857,734

9,222,121
10,090,501
10,732,262
11,207,888
10,685,161
10,361,754

1,796,306
1,751,376
1,583,843
1,440,441
1,278,717
1,209,255

158,492
206,777
228,437
234,163
4,257,967
4,835,797

5,121,394
6,562,039
7,340,935
7,869,461
7,810,252
7,404,772

2000
2001
2002

62,241,066
70,385,889
76,141,592

37,909,401
42,472,068
45,424,055

9,743,222
10,351,499

28,166,179
32,120,569

10,670,262
12,919,556
14,452,834

1,502,707
1,757,857
1,950,224

4,171,347
4,021,665
4,162,533

7,987,349
9,214,743
10,151,946

f

f

Disabled beneficiaries
Number of bills
1994
1995
1996
1997
1998
1999
2000
2001
2002

e

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

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

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

42,505
45,568
48,416
50,487
53,253
54,239

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

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

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

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

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

f
f
f

Allowed charges

g

e

e

(dollars)

1994
1995
1996
1997
1998
1999

12,561,816
14,392,687
15,902,091
17,061,775
18,737,289
20,003,515

4,659,625
5,005,244
5,168,502
5,399,169
5,822,296
6,266,038

1,231,332
1,392,181
1,401,285
1,409,583
1,401,045
1,453,807

3,428,293
3,612,063
3,767,217
3,989,586
4,421,251
5,582,913

6,543,340
7,691,605
8,682,045
9,394,475
9,549,910
10,121,499

247,559
280,673
284,031
281,459
252,465
245,492

63
79
194
575
720,689
866,332

1,111,150
1,414,965
1,767,319
1,986,097
2,391,848
2,504,154

2000
2001
2002

22,047,473
25,468,692
31,619,114

7,109,711
8,015,022
8,926,451

1,526,798
1,631,945

5,582,913
6,383,077

11,110,741
13,252,005
17,917,360

294,630
342,157
388,208

727,045
552,115
575,152

2,805,346
3,307,393
3,811,943

f

f

(Continued)

8.16 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B9—Supplementary Medical Insurance: Number of reimbursed bills, charges, and amount reimbursed,
by type of beneficiary and type of service, for claims incurred 1994–2002 (in thousands)—Continued
Physicians’ services
Year

a

All services

b

Total

Surgical d

Medical

d

Amount reimbursed

Outpatient
hospital
services
h

Independent
laboratory
services

Home
health
services c

All
other
services

(dollars)

1994
1995
1996
1997
1998
1999

7,458,953
8,408,282
9,099,676
9,592,425
10,440,004
10,973,643

3,547,187
3,791,215
3,908,937
4,093,502
4,405,354
4,756,445

959,659
1,088,310
1,095,977
1,103,074
1,095,140
1,135,375

2,587,528
2,702,905
2,812,960
2,990,428
3,310,214
3,621,070

2,887,030
3,331,655
3,652,723
3,839,608
3,777,451
3,839,608

242,791
275,955
278,816
276,057
246,335
239,162

46
52
142
454
496,832
594,438

781,899
1,009,405
1,259,058
1,382,804
1,514,032
1,544,304

2000
2001
2002

11,907,520
13,592,627
15,152,250

5,396,707
6,101,360
6,805,803

1,192,908
1,278,008

4,203,799
4,823,352

4,003,490
4,711,742
5,255,021

286,553
332,261
376,979

527,188
484,440
515,790

1,693,582
1,962,824
2,198,657

a.
b.
c.
d.
e.
f.
g.
h.

f

f

Period for which the claim was 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 are no longer available.
Includes physician 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 28, 2003.
. . . = less than 1,000.
CONTACT: Medicarestats@cms.hhs.gov.

Annual Statistical Supplement, 2003 ♦ 8.17

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B10—Supplementary Medical Insurance: Claims
received by carriers and assignment rates, 1969–2002
Year

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

279,559
306,714
346,551
386,763
421,305

68.5
68.0
73.1
77.3
79.7

1990
1991
1992
1993
1994

474,226
517,123
554,619
583,863
622,514

81.1
83.1
86.2
90.1
92.8

1995
1996
1997
1998
1999

647,855
678,030
688,891
697,523
703,227

94.7
95.9
96.7
97.3
97.6

2000
2001
2002

720,493
766,758
821,992

97.9
98.1
98.4

a. Represents the number of assigned claims as a percentage of claims received.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.

8.18 ♦ Annual Statistical Supplement, 2003

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B11—Supplementary Medical Insurance: Reasonable charge determination for claims assigned
and unassigned for aged and disabled persons, 1971–2002
Year

Claims approved
Number (thousands)

Percentage reduced

Charges before reduction
Amount (millions of dollars)
Percentage reduced

Assigned claims
1971
1972
1973
1974

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

176,956
191,139
234,488
271,225
304,649

81.7
82.8
83.4
85.6
86.9

22,008
24,662
31,179
37,275
44,567

27.4
28.4
28.0
29.8
31.0

1990
1991
1992
1993
1994

341,220
384,168
412,924
460,761
508,981

87.5
87.4
86.2
88.8
87.7

51,012
60,057
67,667
76,186
85,170

32.9
36.2
39.7
42.8
42.5

1995
1996
1997
1998

539,630
550,587
566,591
575,799

86.4
87.1
87.4
87.9

93,300
97,744
103,389
106,947

42.3
44.9
45.9
46.9

1999
2000
2001
2002

590,463
615,862
665,196
722,826

88.9
87.9
87.5
87.7

114,981
126,391
145,641
152,373

47.8
47.7
48.0
56.3

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

36,182
42,100
48,619
53,700
59,961

77.4
78.9
77.1
77.5
80.9

2,973
3,591
4,233
4,749
5,596

17.7
19.8
19.0
19.2
20.7

1980
1981 a
1982
1983
1984

68,113
72,765
80,253
87,436
88,594

84.3
85.8
85.4
82.7
83.7

6,836
7,870
9,545
10,885
11,216

22.5
23.8
23.9
22.9
24.2

1985
1986
1987
1988
1989

77,965
87,121
83,116
76,503
74,947

84.6
85.0
82.4
86.4
90.1

10,059
10,757
10,258
9,005
8,971

25.9
26.9
24.7
25.0
25.0

1990
1991
1992
1993
1994

77,746
77,520
66,403
51,080
39,364

90.4
91.3
82.9
86.5
86.4

8,789
7,884
6,215
4,267
3,255

25.3
23.1
18.5
16.5
16.3

1995
1996
1997
1998
1999

29,975
22,819
18,615
15,172
13,834

83.4
84.4
84.4
82.3
81.3

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

15.4
15.8
16.4
17.1
17.7

2000
2001
2002

12,755
12,085
11,352

78.6
76.7
79.8

1,287
1,252
1,107

18.1
18.2
17.2

Unassigned claims

a. Excludes Texas Blue-Shield plan for July–December 1981.
SOURCE: Centers for Medicare & Medicaid Services.
CONTACT: Medicarestats@cms.hhs.gov.

Annual Statistical Supplement, 2003 ♦ 8.19

8.B Medicare: Enrollment, Utilization, and Reimbursement
Table 8.B12—Supplementary Medical Insurance: State buy-ins, by state or other area, selected years 1991–2003
State or area
All areas

1995

1996

3,640,121 4,705,625

1991

4,914,789

1997

1998

1999

2000

2001

2002

2003

5,008,860 5,109,228 5,273,573 5,425,048 5,615,326 5,810,613 6,145,589

Alabama
Alaska
Arizona
Arkansas
California

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

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

162,912
10,008
91,782
86,597
950,503

Colorado
Connecticut
Delaware
District of Columbia
Florida

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

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

59,114
65,223
15,224
15,079
389,599

Georgia
Hawaii
Idaho
Illinois
Indiana

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

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

193,807
22,904
21,255
175,822
102,654

Iowa
Kansas
Kentucky
Louisiana
Maine

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

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

56,920
44,602
126,690
127,340
42,269

Maryland
Massachusetts
Michigan
Minnesota
Mississippi

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

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

73,994
167,681
158,998
75,080
131,706

Missouri
Montana
Nebraska
Nevada
New Hampshire

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

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

99,127
13,889
22,922
24,587
10,120

New Jersey
New Mexico
New York
North Carolina
North Dakota

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

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

155,377
44,534
432,681
240,422
6,541

Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island

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

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

191,295
70,761
68,421
229,814
25,146

South Carolina
South Dakota
Tennessee
Texas
Utah

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

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

117,997
14,231
203,567
410,248
18,548

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

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

15,016
120,711
105,516
50,008
78,124
7,422

443
273
727

669
314
219

710
318
205

682
322
207

650
311
199

583
335
207

417
342
204

385
367
210

339
372
206

339
358
194

Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outlying areas
Guam
Northern Mariana Islands
Virgin Islands

SOURCE: Centers for Medicare & Medicaid Services.
NOTE: Data are as of July except for 1995 data, which are as of June.
CONTACT: Medicarestats@cms.hhs.gov.

8.20 ♦ Annual Statistical Supplement, 2003