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Medicare Utilization and Payment


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Medicare Utilization and Payment Section

The Medicare Utilization and Payment Section contains trend, demographic, state and other tables for various service types, including inpatient hospital, skilled nursing facility, etc. Below is a list of tables:

Subsections:
Medicare Inpatient Hospitals
Medicare Skilled Nursing Facilities
Medicare Physicians/Suppliers
Medicare Outpatient Facilities
Medicare Hospices
Medicare Home Health Agencies
Medicare Part A and Part B Summary
Medicare Part D Utilization
Medicare Premiums

Medicare Inpatient Hospitals

MDCR INPT HOSP 1.  All Medicare Inpatient Hospitals:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR INPT HOSP 2.  All Medicare Inpatient Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 3.  All Medicare Inpatient Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 4.  All Medicare Inpatient Hospitals:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Hospital, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 5.  Medicare IPPS Short Stay Hospitals:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 6.  Medicare IPPS Short Stay Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 7.  Medicare IPPS Short Stay Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 8.  Medicare IPPS Short Stay Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement and Total Days of Care, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR INPT HOSP 9.  Medicare IPPS Short Stay Hospitals:  Utilization and Program Payments for Original Medicare Beneficiaries, by Location and Bedsize of Hospitals, by Medical School Affiliation, and Type of Control, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Inpatient Hospital section   Microsoft Excel Icon

Medicare Skilled Nursing Facilities

MDCR SNF 1.  Medicare Skilled Nursing Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR SNF 2.  Medicare Skilled Nursing Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SNF 3.  Medicare Skilled Nursing Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SNF 4.  Medicare Skilled Nursing Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement and Covered Days of Care, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SNF 5.  Medicare Skilled Nursing Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Facility and Bedsize, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SNF 6.  Medicare Skilled Nursing Facilities:  Distribution of Medicare Covered Skilled Nursing Facility Days, by State of Provider and Major Resource Utilization Groups (RUG)-III, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Skilled Nursing Facility section   Microsoft Excel Icon

Medicare Physicians/Suppliers

MDCR PHYSSUPP 1.  Medicare Physician/Supplier:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR PHYSSUPP 2.  Medicare Physician/Supplier:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PHYSSUPP 3.  Medicare Physician/Supplier:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PHYSSUPP 4.  Medicare Physician/Supplier:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Type of Service, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PHYSSUPP 5.  Medicare Physician/Supplier:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Place of Service, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PHYSSUPP 6.  Medicare Physician/Supplier:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Physician Specialty, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PHYSSUPP 7.  Medicare Physician/Supplier:  Utilization and Program Payments for Original Medicare Beneficiaries, by Berenson-Eggers Type of Service (BETOS) Classification, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Physician/Supplier section   Microsoft Excel Icon

Medicare Outpatient Facilities

MDCR OUTPATIENT 1.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Selected Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR OUTPATIENT 2.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR OUTPATIENT 3.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR OUTPATIENT 4.  Medicare Outpatient Facilities:  Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Outpatient Facility, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR OUTPATIENT 5.  Medicare Outpatient Facilities:  Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Outpatient Facility and Type of Service, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Outpatient Facility section   Microsoft Excel Icon

Medicare Hospices

MDCR HOSPICE 1.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR HOSPICE 2.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HOSPICE 3.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HOSPICE 4.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Type of Control and Type of Service Visit, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HOSPICE 5.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Level of Care and Site of Service, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HOSPICE 6.  Medicare Hospices:  Utilization and Program Payments for Medicare Beneficiaries, by Number of Service Visits, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Hospice section   Microsoft Excel Icon

Medicare Home Health Agencies

MDCR HHA 1.  Medicare Home Health Agencies:  Persons with Utilization, Total Service Visits, Total Episodes, and Total Program Payments for Original Medicare Beneficiaries, by Type of Entitlement, Calendar Years 2008-2013 PDF Icon  Microsoft Excel Icon
MDCR HHA 2.  Medicare Home Health Agencies:  Persons with Utilization, Total Service Visits, Total Episodes, and Total Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HHA 3.  Medicare Home Health Agencies:  Persons with Utilization, Total Service Visits, Total Episodes, and Total Program Payments for Original Medicare Beneficiaries, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HHA 4.  Medicare Home Health Agencies:  Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, Type of Agency and Type of Service Visit, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HHA 5.  Medicare Home Health Agencies:  Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, by Type of Control and Type of Service Visit, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR HHA 6.  Medicare Home Health Agencies:  Persons with Utilization, Total Service Visits, and Program Payments for Original Medicare Beneficiaries, by Number of Service Visits and Number of Episodes, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Home Health Agency section   Microsoft Excel Icon

Medicare Part A and Part B Summary

MDCR SUMMARY_AB 1.  Medicare Part A and Part B Summary:  Persons With Utilization,  Program Payments, and Cost Sharing for All Original Medicare Beneficiaries, by Type of Coverage and Type of Service, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR SUMMARY_AB 2.  Medicare Part A and Part B Summary:  Persons With Utilization,  Program Payments, and Cost Sharing for Aged Original Medicare Beneficiaries, by Type of Coverage and Type of Service, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR SUMMARY_AB 3.  Medicare Part A and Part B Summary:  Persons With Utilization, Program Payments, and Cost Sharing for Disabled Original Medicare Beneficiaries by Type of Coverage and Type of Service, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR SUMMARY_AB 4.  Medicare Part A and Part B Summary:  Persons With Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Coverage, Demographic Characteristics, and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SUMMARY_AB 5.  Medicare Part A and Part B Summary:  Persons With Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Coverage and by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR SUMMARY_AB 6.  Medicare Part A and Part B Summary:  Persons With Utilization and Program Payments for Original Medicare Beneficiaries , by Type of Entitlement, Amount of Program Payments, Type of Coverage, and Type of Service, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Part A and Part B Summary section   Microsoft Excel Icon

Medicare Part D Utilization

MDCR UTLZN D 1.  Medicare Part D Utilization:  Average Annual Prescription Drug Fills1 by Type of Plan, Low Income Subsidy (LIS) Eligibility, Generic Dispensing Rate, Initial Coverage Limit and Catastrophic Coverage, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 2.  Medicare Part D Utilization:  Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 3.  Medicare Part D Utilization:  Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 4.  Medicare Part D Utilization:  Average Annual Prescription Drug Fills1 and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan and Demographic Characteristics, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 5.  Medicare Part D Utilization:  Average Annual Prescription Drug Fills1 and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan and Demographic Characteristics, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 6.  Medicare Part D Utilization:  Average Annual Prescription Drug Fills1 and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR UTLZN D 7.  Medicare Part D Utilization:  Average Annual Prescription Drug Fills1 and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Part D Utilization section   Microsoft Excel Icon

Medicare Premiums

MDCR PREMIUMS 1. Medicare Premiums:  Medicare Part A Premium Beneficiaries and Amounts, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR PREMIUMS 2. Medicare Premiums:  Medicare Part A Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PREMIUMS 3. Medicare Premiums:  Medicare Part A Premium Beneficiaries and Amounts, by Area of Residence, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PREMIUMS 4. Medicare Premiums:  Medicare Part B Premium Beneficiaries and Amounts, Calendar Years 2008-2013 PDF Icon Microsoft Excel Icon
MDCR PREMIUMS 5. Medicare Premiums:  Medicare Part B Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status, Calendar Year 2013 PDF Icon Microsoft Excel Icon
MDCR PREMIUMS 6. Medicare Premiums:  Medicare Part B Premium Beneficiaries and Amounts, by Area of Residence, Calendar Year 2013  PDF Icon Microsoft Excel Icon
Download all tables in the Medicare Premiums section   Microsoft Excel Icon