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167. Medicare--Persons Served and Reimbursements

[12,032 represents 12,032,000. Persons served are enrollees who use covered services, incurred expenses greater than the applicable deductible amounts and for whom medicare paid benefits. Reimbursements are amounts paid to providers for covered services. Excluded are retroactive adjustments resulting from end of fiscal year cost settlements and certain lump-sum interim payments. Also excluded are beneficiary (or third party payor) liabilities for applicable deductibles, coinsurance amounts, and charges for noncovered services. Includes data for enrollees living in outlying territories and foreign countries]

 
PERSONS 65 YEARS PERSONS 65 YEARS PERSONS 65 YEARS PERSONS 65 YEARS DISABLED DISABLED DISABLED
TYPE OF COVERAGE OLD AND OVER OLD AND OVER OLD AND OVER OLD AND OVER PERSONS 1 PERSONS 1 PERSONS 1
AND
SERVICE Unit 1975 1980 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1975 1980 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998
 
    Persons served, total 2 1,000 12,032 16,271 20,347 21,066 22,155 22,942 23,868 24,809 25,190 25,429 26,793 27,223 27,379 27,263 26,587 25,931 975 1,760 1,944 2,015 2,108 2,182 2,287 2,390 2,466 2,603 2,888 3,126 3,333 3,476 3,547 3,641
Hospital insurance 2 1,000 4,963 6,024 6,058 6,018 6,048 6,082 6,155 6,367 6,576 6,729 6,912 7,043 7,147 7,139 7,360 6,840 475 728 662 669 665 649 659 680 706 745 812 879 933 964 986 961
  Inpatient hospital 1,000 4,913 5,951 5,714 5,697 5,752 5,779 5,725 5,906 6,052 6,100 6,109 6,157 6,148 6,091 6,220 6,074 472 721 636 645 642 625 627 644 666 696 748 803 844 868 888 899
  Skilled-nursing services 1,000 260 248 304 294 283 371 613 615 648 752 875 1,026 1,186 1,321 1,442 1,443 8 9 10 10 10 13 23 23 23 27 33 42 54 63 73 75
  Home health services 3 1,000 329 675 1,448 1,469 1,447 1,485 1,580 1,818 2,082 2,341 2,669 2,938 3,185 3,290 3,483 2,641 22 51 101 102 97 97 105 122 141 164 199 237 272 293 304 225
Supplementary medical insurance 2 1,000 11,762 16,099 20,186 20,919 22,020 22,808 23,746 24,687 25,053 25,288 26,657 27,075 27,234 27,113 26,237 25,605 924 1,723 1,916 1,988 2,085 2,156 2,263 2,365 2,439 2,574 2,858 3,094 3,299 3,442 3,499 3,596
  Physicians' and other medical services 1,000 11,396 15,627 19,590 20,316 21,496 22,270 23,283 24,193 24,492 24,674 26,169 26,476 26,621 26,432 25,707 25,083 865 1,631 1,820 1,888 1,986 2,041 2,159 2,249 2,304 2,427 2,744 2,986 3,184 3,315 3,363 3,452
  Outpatient services 1,000 3,768 6,629 9,889 11,011 11,939 12,795 13,291 14,055 14,787 15,588 16,496 16,989 17,597 17,875 18,093 18,150 399 909 1,096 1,211 1,288 1,357 1,415 1,496 1,583 1,724 1,936 2,097 2,281 2,407 2,510 2,619
  Home health services 3 1,000 161 302 27 30 31 32 36 38 32 34 37 37 42 45 47 1,339 13 25 0 0 0 0 0 0 0 0 0 0 0 0 0 131
 
    Persons served per 1,000
     enrollees, total 2 Rate 528 638 722 732 754 768 785 802 800 794 825 830 826 816 791 767 450 594 669 681 696 704 721 734 729 729 751 755 759 749 763 725
Hospital insurance 2 Rate 221 240 219 213 210 208 206 209 212 213 216 217 218 216 221 205 219 246 228 226 219 209 208 209 209 209 211 213 212 208 205 191
  Inpatient hospital Rate 219 237 206 202 200 197 192 194 195 193 191 190 188 185 187 182 218 243 219 218 212 202 198 198 197 195 195 194 192 187 184 179
  Skilled-nursing services Rate 12 10 11 10 10 13 21 20 21 24 27 32 36 40 43 43 4 3 4 4 3 4 7 7 7 8 9 10 12 14 15 15
  Home health services 3 Rate 15 27 52 52 50 51 53 60 67 74 83 91 97 100 105 79 10 17 35 35 32 31 33 38 42 46 52 57 62 63 63 45
Supplementary medical insurance 2 Rate 536 652 739 751 776 793 813 832 830 823 856 861 858 848 816 793 471 634 716 729 748 760 785 804 799 799 825 831 837 828 814 804
  Physicians' and other medical services Rate 519 633 717 729 757 774 797 815 811 803 840 842 839 826 799 776 442 600 680 692 712 720 749 764 755 754 792 803 808 798 782 772
  Outpatient services Rate 172 269 362 395 421 445 455 474 490 508 530 540 554 559 563 562 204 334 409 444 462 478 491 508 519 535 559 564 579 579 584 586
  Home health services 3 Rate 7 12 1 1 1 1 1 1 1 1 1 1 1 1 2 42 7 9 0 0 0 0 0 0 0 0 0 0 0 0 0 29
 
    Reimbursements, total Mil. dol 12,689 29,134 56,199 60,459 67,022 72,900 82,222 88,778 98,384 107,589 114,247 129,033 138,948 145,322 152,772 146,355 1,509 4,478 7,495 8,123 8,420 8,980 10,363 11,239 12,503 14,253 15,850 18,818 21,024 22,647 23,796 23,855
Hospital insurance Mil. dol 9,209 20,353 37,360 39,285 41,744 45,703 50,448 54,244 61,474 68,598 72,958 83,072 89,631 95,404 101,027 90,511 987 2,765 4,785 5,103 5,060 5,436 6,253 6,694 7,512 8,567 9,479 11,501 12,752 13,790 14,383 13,624
  Inpatient hospital Mil. dol 8,840 19,583 35,313 37,181 39,578 43,112 45,439 48,952 54,366 58,596 59,906 65,722 68,213 71,191 73,237 71,899 968 2,714 4,638 4,949 4,908 5,264 5,936 6,346 7,045 7,876 8,566 10,230 11,079 11,848 12,177 12,342
  Skilled-nursing services Mil. dol 233 331 464 474 524 811 2,806 1,886 2,151 3,146 4,136 5,735 7,504 9,157 10,831 11,074 9 13 17 19 21 33 143 85 87 126 175 258 374 464 564 603
  Home health services 3 Mil. dol 136 440 1,583 1,630 1,643 1,781 2,202 3,406 4,958 6,856 8,916 11,614 13,914 15,056 16,960 7,534 10 38 130 135 131 140 173 264 379 564 738 1,013 1,300 1,478 1,641 678
Supplementary medical insurance Mil. dol 3,481 8,781 18,839 21,174 25,278 27,196 31,774 34,533 36,910 38,990 41,289 45,961 49,317 49,918 51,744 55,844 522 1,713 2,709 3,020 3,360 3,544 4,111 4,545 4,991 5,686 6,371 7,317 8,272 8,858 9,414 10,231
  Physicians' and other medical services Mil. dol 3,050 7,361 15,309 16,887 20,143 21,311 25,310 27,379 28,965 29,744 31,258 34,408 37,069 36,865 38,206 38,685 295 997 1,712 1,871 2,099 2,162 2,623 2,831 3,054 3,285 3,693 4,321 4,888 5,125 5,474 5,749
  Outpatient services Mil. dol 374 1,261 3,499 4,249 5,097 5,843 6,407 7,077 7,870 9,145 9,899 11,395 12,045 12,838 13,319 12,972 221 701 997 1,149 1,261 1,383 1,489 1,714 1,937 2,402 2,678 2,996 3,384 3,733 3,940 3,994
  Home health services 3 Mil. dol 56 159 31 38 38 43 57 78 76 102 131 158 203 215 219 4,187 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 489
 
    Reimbursements per person served, total Dollars 1,055 1,791 2,762 2,870 3,025 3,178 3,445 3,578 3,906 4,221 4,264 4,740 5,075 5,330 5,746 5,644 1,548 2,544 3,855 4,032 3,994 4,115 4,531 4,703 5,070 5,426 5,488 6,021 6,308 6,515 6,710 6,552
Hospital insurance Dollars 1,855 3,379 6,167 6,528 6,903 7,515 8,196 8,520 9,349 10,168 10,556 11,794 12,542 13,363 13,726 13,233 2,077 3,798 7,224 7,623 7,610 8,373 9,482 9,847 10,634 11,382 11,678 13,082 13,666 14,306 14,582 14,170
  Inpatient hospital Dollars 1,799 3,291 6,181 6,526 6,881 7,461 7,937 8,289 8,983 9,580 9,806 10,675 11,096 11,688 11,774 11,837 2,051 3,765 7,295 7,678 7,651 8,418 9,455 9,849 10,572 11,201 11,446 12,741 13,126 13,649 13,731 13,722
  Skilled-nursing services Dollars 896 1,336 1,525 1,613 1,853 2,184 4,580 3,068 3,321 4,147 4,727 5,590 6,325 6,931 7,511 7,675 1,049 1,571 1,681 1,872 2,154 2,529 6,107 3,702 3,846 4,625 5,286 6,096 6,959 7,336 7,785 8,066
  Home health services 3 Dollars 413 652 1,093 1,110 1,135 1,199 1,394 1,874 2,381 2,909 3,341 3,953 4,368 4,577 4,869 2,855 478 733 1,288 1,319 1,353 1,449 1,645 2,156 2,696 3,392 3,715 4,265 4,777 5,052 5,395 3,014
Supplementary medical insurance Dollars 296 545 933 1,012 1,148 1,192 1,338 1,399 1,473 1,538 1,549 1,698 1,811 1,841 1,972 2,181 565 994 1,414 1,519 1,611 1,644 1,817 1,922 2,047 2,189 2,229 2,365 2,507 2,574 2,691 2,845
Physicians' and other medical services Dollars 268 471 781 831 937 957 1,087 1,132 1,183 1,202 1,194 1,300 1,392 1,395 1,486 1,542 341 611 941 991 1,057 1,059 1,215 1,259 1,326 1,339 1,346 1,447 1,535 1,546 1,628 1,666
  Outpatient services Dollars 99 190 354 386 427 457 482 503 532 584 600 671 684 718 736 715 554 771 909 948 978 1,019 1,051 1,146 1,224 1,374 1,383 1,429 1,483 1,551 1,569 1,525
  Home health services 3 Dollars 347 526 1,122 1,264 1,233 1,359 1,614 2,033 2,360 2,934 3,555 4,278 4,882 4,815 4,606 3,126 420 619 123 230 517 526 596 947 1,484 2,204 1,235 1,046 3,732



- Represents or rounds to zero. 1 Age under 65; includes persons enrolled because of end-stage renal disease (ESRD) only.
2 Persons are counted once for each type of covered service used, but are not double counted in totals.
3 Beginning 1982, a change in legislation resulted in virtually all home health services being paid under hospital insurance.

Source: U.S. Health Care Financing Administration, Medicare Program Statistics, annual; and unpublished data.

http://www.hcfa.gov/stats/



https://allcountries.org/uscensus/167_medicare_persons_served_and_reimbursements.html

These tables are based on figures supplied by the United States Census Bureau, U.S. Department of Commerce and are subject to revision by the Census Bureau.

Copyright © 2006 Photius Coutsoukis and Information Technology Associates, all rights reserved.