ADDENDUM _ - PROPOSED 2007 GEOGRAPHIC PRACTICE COST INDICES BY MEDICARE CARRIER AND LOCALITY

Carrier LocalityLocality name          Work GPCPE GPCI MP GPCI
 00000     00   National                  1.000   1.000   1.000
 00510     00   Alabama                   1.000   0.847   0.740
 00831     01   Alaska                    1.017   1.105   1.013
 03102     00   Arizona                   1.000   0.994   1.052
 00520     13   Arkansas                  1.000   0.832   0.431
 31140     03   Marin/Napa/Solano, CA     1.035   1.342   0.640
 31140     05   San Francisco, CA         1.060   1.546   0.640
 31140     06   San Mateo, CA             1.073   1.539   0.629
 31140     07   Oakland/Berkley, CA       1.054   1.373   0.640
 31140     09   Santa Clara, CA           1.083   1.543   0.595
 31146     17   Ventura, CA               1.028   1.181   0.732
 31146     18   Los Angeles, CA           1.041   1.158   0.939
 31146     26   Anaheim/Santa Ana, CA     1.034   1.238   0.939
 31140     99   Rest of California*       1.007   1.054   0.721
 31146     99   Rest of California*       1.007   1.054   0.721
 00824     01   Colorado                  1.000   1.015   0.790
 00591     00   Connecticut               1.038   1.172   0.886
 00903     01   DC + MD/VA Suburbs        1.048   1.252   0.911
 00902     01   Delaware                  1.012   1.020   0.877
 00590     03   Fort Lauderdale, FL       1.000   0.990   1.675
 00590     04   Miami, FL                 1.000   1.048   2.233
 00590     99   Rest of Florida           1.000   0.936   1.251
 00511     01   Atlanta, GA               1.010   1.091   0.950
 00511     99   Rest of Georgia           1.000   0.874   0.950
 00833     01   Hawaii/Guam               1.005   1.113   0.787
 05130     00   Idaho                     1.000   0.869   0.452
 00952     12   East St. Louis, IL        1.000   0.940   1.722
 00952     15   Suburban Chicago, IL      1.018   1.117   1.626
 00952     16   Chicago, IL               1.025   1.128   1.837
 00952     99   Rest of Illinois          1.000   0.874   1.174
 00630     00   Indiana                   1.000   0.908   0.429
 00826     00   Iowa                      1.000   0.869   0.579
 00650     00   Kansas*                   1.000   0.880   0.709
 00740     04   Kansas*                   1.000   0.880   0.709
 00660     00   Kentucky                  1.000   0.855   0.859
 00528     01   New Orleans, LA           1.000   0.947   1.178
 00528     99   Rest of Louisiana         1.000   0.848   1.041
 31142     03   Southern Maine            1.000   1.014   0.626
 31142     99   Rest of Maine             1.000   0.887   0.626
 00901     01   Baltimore/Surr. Cntys,    1.012   1.080   0.932
 00901     99   Rest of Maryland          1.000   0.981   0.748
 31143     01   Metropolitan Boston       1.030   1.331   0.810
 31143     99   Rest of Massachusetts     1.007   1.105   0.810
 00953     01   Detroit, MI               1.037   1.056   2.700
 00953     99   Rest of Michigan          1.000   0.922   1.494
 00954     00   Minnesota                 1.000   1.006   0.404
 00512     00   Mississippi               1.000   0.841   0.711
 00523     01   Metropolitan St. Louis,   1.000   0.956   0.926
 00740     02   Metropolitan Kansas Cit   1.000   0.977   0.931
 00523     99   Rest of Missouri*         1.000   0.803   0.878
 00740     99   Rest of Missouri*         1.000   0.803   0.878
 03202     01   Montana                   1.000   0.845   0.889
 00655     00   Nebraska                  1.000   0.876   0.447
 00834     00   Nevada                    1.003   1.045   1.050
 31144     40   New Hampshire             1.000   1.029   0.927
 00805     01   Northern NJ               1.058   1.222   0.958
 00805     99   Rest of New Jersey        1.043   1.121   0.958
 00521     05   New Mexico                1.000   0.888   0.880
 00801     99   Rest of New York          1.000   0.919   0.666
 00803     01   Manhattan, NY             1.065   1.300   1.480
 00803     02   NYC Suburbs/Long I., NY   1.052   1.283   1.756
 00803     03   Poughkpsie/N NYC Suburb   1.014   1.076   1.148
 14330     04   Queens, NY                1.032   1.230   1.682
 05535     00   North Carolina            1.000   0.922   0.630
 03302     01   North Dakota              1.000   0.861   0.593
 00883     00   Ohio                      1.000   0.934   0.960
 00522     00   Oklahoma                  1.000   0.856   0.376
 00835     01   Portland, OR              1.002   1.059   0.434
 00835     99   Rest of Oregon            1.000   0.927   0.434
 00865     01   Metropolitan Philadelph   1.016   1.106   1.364
 00865     99   Rest of Pennsylvania      1.000   0.904   0.793
 00973     20   Puerto Rico               1.000   0.699   0.257
 00524     01   Rhode Island              1.045   0.991   0.895
 00880     01   South Carolina            1.000   0.894   0.388
 03402     02   South Dakota              1.000   0.877   0.359
 05440     35   Tennessee                 1.000   0.881   0.621
 00900     09   Brazoria, TX              1.020   0.963   1.277
 00900     11   Dallas, TX                1.009   1.064   1.044
 00900     15   Galveston, TX             1.000   0.954   1.277
 00900     18   Houston, TX               1.016   1.016   1.276
 00900     20   Beaumont, TX              1.000   0.862   1.277
 00900     28   Fort Worth, TX            1.000   0.991   1.044
 00900     31   Austin, TX                1.000   1.048   0.970
 00900     99   Rest of Texas             1.000   0.866   1.120
 03502     09   Utah                      1.000   0.938   0.651
 31145     50   Vermont                   1.000   0.970   0.505
 00973     50   Virgin Islands            1.000   1.015   0.987
 00904     00   Virginia                  1.000   0.942   0.569
 00836     02   Seattle (King Cnty), WA   1.014   1.133   0.805
 00836     99   Rest of Washington        1.000   0.980   0.805
 00884     16   West Virginia             1.000   0.820   1.522
 00951     00   Wisconsin                 1.000   0.920   0.777
 03602     21   Wyoming                   1.000   0.855   0.920

* states are served by more than one carrier
