2013 Edition
2013 Edition
This page serves as an archive of the 2013 Medicare and Medicaid Statistical Supplement. To view the online 2013 edition of the Statistical Supplement, please see the chapter links in the Downloads section below.
Table Descriptions by Chapter:
Chapter 1: Personal Health Care Expenditures: (ZIP)
- Table 1.1 - Personal Health Care (PHC) Expenditures , by Source of Funds: Selected Calendar Years 1960-2012
- Table 1.2 - Gross Domestic Product (GDP), Total Personal Health Care (PHC) Expenditures, Physician PHC, Total Medicare PHC, and Medicare Physician PHC: Selected Calendar Years 1960-2012
- Table 1.3 - Gross Domestic Product (GDP), Total Personal Health Care (PHC) Expenditures, Hospital PHC, Total Medicare PHC, and Medicare Hospital PHC: Selected Calendar Years 1960-2012
- Table 1.4 - Total Personal Health Care (PHC) Expenditures, by Type of Service: Selected Calendar Years 1980-2012
Chapter 2: Medicare Enrollment: (ZIP)
- Table 2.1 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Programs for Total, Fee-for-Service and Managed Care Enrollees as of July 1, 2011: Selected Calendar Years 1966-2012
- Table 2.2 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Programs for Total, Fee-for-Service and Managed Care Enrollees, by Demographic Characteristics as of July 1, 2012
- Table 2.3 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Enrollees, by Demographic Characteristics, Type of Entitlement, Buy-in Status, and Residence, as of July 1, 2012
- Table 2.4 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Enrollees, by Age, as of July 1, 2011: Selected Calendar Years 1973-2012
- Table 2.5 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance for Total, Fee-for-Service, and Managed Care Enrollees by Area of Residence, as of July 1, 2012
- Table 2.6 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Enrollees With or Without End-Stage-Renal Disease, by Area of Residence, as of July 1, 2012
- Table 2.7 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance Enrollees by Area of Residence, Buy-in Status, and Residence, as of July 1, 2012
- Table 2.8 - Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance for Aged and Disabled Enrollees and Total Resident Population by State of Residence as of July 1, 2012
Chapter 3: Medicare Program Payments: (ZIP)
- Table 3.1 - Growth in Personal Health Care (PHC) Expenditures and Medicare Program Payments: Selected Calendar Years 1967-2012
- Table 3.2 - Medicare Program Payments, by Type of Coverage, and Type of Entitlement: Calendar Years 1967-2012
- Table 3.3 - Persons Enrolled and Persons Served Under Medicare, and Program Payments, by Type of Coverage and Service: Selected Calendar Years 1967-2012
- Table 3.4 - Persons Served and Program Payments for Medicare Beneficiaries, by Demographic Characteristics: Calendar Year 2012
- Table 3.5 - Program Payments for Medicare Beneficiaries Residing in Urban and Rural Areas, by Area of Residence: Calendar Year 2012
- Table 3.6 - Persons Served and Program Payments for Medicare Beneficiaries, by Type of Entitlement, Amount of Program Payments, Type of Coverage, and Type of Service: Calendar Year 2012
Chapter 4: Medicare Cost Sharing: (ZIP)
- Table 4.1 - Amount of Cost-Sharing Liability for Medicare Beneficiaries, by Type of Coverage, and Type of Cost-Sharing Liability: Calendar Years 1977-2012
- Table 4.2 - Medicare Persons Served and Cost-Sharing Liability, by Demographic Characteristics: Calendar Year 2012
- Table 4.3 - Medicare Enrollees, Persons Served, and Beneficiary Cost-Sharing Liability, by Area of Residence: Calendar Year 2012
- Table 4.4 - Number of Persons Served and Cost-Sharing Liability for Medicare Beneficiaries, by Type of Liability and Type of Coverage: Calendar Year 2012
Chapter 5: Medicare Short Stay Hospitals: (ZIP)
- Table 5.1 - Discharges, Total Days of Care, Total Charges, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Type of Entitlement: Calendar Years 1972-2012
- Table 5.2 - Discharges, Coinsurance Days, Coinsurance Payments, and Deductible Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Type of Entitlement: Selected Calendar Years 1985-2012
- Table 5.3 - Enrollees, Discharges, Total Days of Care, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Demographic Characteristics, Type of Entitlement, and Discharge Status: Calendar Year 2012
- Table 5.4 - Discharges, Total Days of Care, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Area of Residence: Calendar Year 2012
- Table 5.5 - Discharges, Total Days of Care, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Principal Diagnoses Within Major Diagnostic Classifications (MDCs): Calendar Year 2012
- Table 5.6 - Number of Discharges with a Procedure, Total Days of Care, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Principal Procedure Within Major Procedure Classifications (MPCs): Calendar Year 2012
- Table 5.7 - Discharges, Total Days of Care, Total Charges and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Leading Diagnosis-Related Groups (DRGs): Calendar Year 2012
- Table 5.8 - Number of Discharges and Total Charges for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Total Days of Care and Type of Service: Calendar Year 2012
- Table 5.9 - Discharges, Total Days of Care, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Total Days of Care: Calendar Year 2012
- Table 5.10 - Number of Participating Short-Stay Hospitals (SSHs), Medicare Utilization and Program Payments for Beneficiaries Discharged from SSHs, by Location and Bedsize of Hospital, and by Medical School Affiliation (MSA), and Type of Control: Calendar Year 2012
- Table 5.11 - Discharges, Covered Days of Care, Covered Charges, and Program Payments for Medicare Inpatient Hospital Beneficiaries, by Type of Hospital: Calendar Year 2012
- Table 5.12 - Short-Stay Hospital (SSH) Discharges and Case-Mix Index, by Location and Bedsize of Hospital, and Procedure Status: Calendar Year 2012
Chapter 6: Medicare Skilled Nursing Facilities: (ZIP)
- Table 6.1 - Trends in Covered Days of Care, Covered Charges, and Program Payments for Skilled Nursing Facility Services Used by Medicare Beneficiaries, by Type of Entitlement: Selected Calendar Years 1967-2012
- Table 6.2 - Covered Admissions, Covered Days of Care, Covered Charges, and Program Payments for Skilled Nursing Facility Services Used by Medicare Beneficiaries, by Demographic Characteristics, Type of Entitlement, and Discharge Status: Calendar Year 2012
- Table 6.3 - Covered Admissions, Covered Days of Care, Covered Charges, and Program Payments for Skilled Nursing Facility Services Used by Medicare Beneficiaries, by Area of Residence: Calendar Year 2012
- Table 6.4 - Persons Served, Coinsurance Days, and Coinsurance Payments for Skilled Nursing Facility Services Used by Medicare Beneficiaries, by Area of Residence: Calendar Year 2012
- Table 6.5 - Covered Persons, Covered Admissions, Covered Days of Care, Covered Charges, Coinsurance and Program Payments for Skilled Nursing Facility Services Used by Medicare Beneficiaries, by Type of Entitlement and Covered Days of Care: Calendar Year 2012
- Table 6.6 - Covered Admissions, Covered Days of Care, Covered Charges, and Program Payments for Medicare Beneficiaries Admitted to Skilled Nursing Facilities, by Principal Diagnoses Within Major Diagnostic Classification (MDC): Calendar Year 2012
- Table 6.7 - Number of Medicare Skilled Nursing Facilities (SNF) and Swing-Bed Hospitals Providing SNF Services, Covered Admissions, Covered Days of Care, and Program Payments, by Type of Facility and Bedsize: Calendar Year 2012
- Table 6.8 - Number and Distribution of Covered Admissions for Medicare Beneficiaries Admitted to Skilled Nursing Facilities (SNF), by the Leading Principal Diagnoses: Calendar Years 1998, 2003, 2012
- Table 6.9 - Distribution of Medicare Covered Skilled Nursing Facility (SNF) Days, by State of Provider, and Major RUG-III Groups: Calendar Year 2012
Chapter 7: Medicare Home Health Agencies: (ZIP)
- Table 7.1 - Trends in Persons Served, Visits, Total Charges, Visit Charges, and Program Payments for Medicare Home Health Agency Services, by Year of Service: Selected Calendar Years 1974-2012
- Table 7.2 - Persons Served, Visits, Total Charges, Visit Charges, and Program Payments for Medicare Home Health Agency Services, by Demographic Characteristics: Calendar Year 2012
- Table 7.3 - Persons Served, Visits, Total Charges, Visit Charges, and Program Payments for Medicare Home Health Agency Services, by Area of Residence: Calendar Year 2012
- Table 7.4 - Persons Using Medicare Home Health Agency Services, Visits, and Charges, by Type of Visit, Type of Agency, and Type of Control: Calendar Year 2012
- Table 7.5 - Persons Using Medicare Home Health Agency Services, Visits, Total Charges, and Program Payments, by Number of Visits: Calendar Years 2000 and 2012
- Table 7.6 - Persons Using Medicare Home Health Agency Services, Visits, Total Charges, Visit Charges, and Program Payments, by Principal Diagnosis Within Major Diagnostic Classifications (MDCs): Calendar Year 2012
- Table 7.7 - Persons Served and Program Payments for Medicare Home Health Agency (HHA) Services, by Selected Diagnoses: Calendar Years 1997 and 2012
Chapter 8: Medicare Hospices: (ZIP)
- Table 8.1 - Number of Hospices, Number of Persons, Covered Days of Care, Total Charges, and Program Payments for Hospice Services Used by Medicare Beneficiaries: Calendar Years 1994-2012
- Table 8.2 - Number of Persons, Covered Days of Care, Total Charges, and Program Payments for Hospice Services by Demographic Characteristics: Calendar Year 2012
- Table 8.3 - Number of Hospices, Number of Persons, Covered Days of Care, Total Charges, and Program Payments for Hospice Services Used by Medicare Beneficiaries, by Area of Residence: Calendar Year 2012
Chapter 9: Medicare Physician Services:
- Table 9.1 - Persons Served, Services, Submitted and Allowed Charges, Program Payments, and Balance Billing for Medicare Physician and Supplier Services, by Total, Aged, and Disabled Enrollees: Selected Calendar Years 1995-2012
- Table 9.2 - Persons Served, Services, Submitted and Allowed Charges, Program Payments, and Balance Billing for Medicare Physician and Supplier Services, by Demographic Characteristics: Calendar Year 2012
- Table 9.3 - Persons Served, Services, Submitted and Allowed Charges, Program Payments, and Balance Billing for Medicare Physician and Supplier Services, by Type of Service: Calendar Year 2012
- Table 9.4 - Persons Served, Services, Submitted and Allowed Charges, Program Payments for Medicare Physician and Supplier Services, by Place of Service: Calendar Year 2012
- Table 9.5 - Persons Served, Services, Submitted and Allowed Charges, Program Payments, and Balance Billing for Medicare Physician and Supplier Services, by Physician Specialty: Calendar Year 2012
- Table 9.6 - Persons Served, Services, Submitted and Allowed Charges, Program Payments, and Balance Billing for Medicare Physician and Supplier Services, by Area of Residence: Calendar Year 2012
- Table 9.7 - Persons Served, Services, Allowed Charges, and Program Payments for Medicare Physician and Supplier Services, by Leading BETOS Classifications: Calendar Year 2012
- Table 9.8 - Services, Submitted and Allowed Charges, and Program Payments for Medicare Physician and Supplier Services, by Principal Diagnosis Within Major Diagnostic Classifications (MDCs): Calendar Year 2012
- Table 9.9 - Services, Submitted and Allowed Charges, and Program Payments for Medicare Physician and Supplier Services, by Leading HCPCS Codes: Calendar Year 2012
Chapter 10: Medicare Hospital Outpatient Services:
- Table 10.1 - Supplementary Medical Insurance (SMI) Medicare Enrollees, Hospital Outpatient Charges and Program Payments, by Type of Entitlement: Selected Calendar Years 1974-2012
- Table 10.2 - Covered Charges for Hospital Outpatient Services Under Medicare, by Demographic Characteristics, Type of Entitlement, and Type of Service: Calendar Year 2012
- Table 10.3 - Persons Served and Program Payments for Hospital Outpatient Services Under Medicare, by Area of Residence: Calendar Year 2012
- Table 10.4 - Hospital Outpatient Bills, Covered Charges, and Program Payments Under Medicare, by Selected Reasons for the Visit: Calendar Year 2012
- Table 10.5 - Hospital Outpatient Procedures, Covered Charges, and Program Payments for Medicare Beneficiaries, by the Leading Principal HCPCS Surgical Procedures: Calendar Year 2012
Chapter 11: End Stage Renal Disease: (ZIP)
- Table 11.1 - End Stage Renal Disease (ESRD) Population, by Treatment and Medicare Status as of December 31: 1991-2011
- Table 11.2 - End Stage Renal Disease (ESRD) Population, by Age, Sex, Race, Primary Diagnosis, and Medicare Status as of December 31, 2010
- Table 11.3 - End Stage Renal Disease (ESRD) Population, by Area of Residence and Medicare Status, as of December 31, 2010
Chapter 12: Medicare Managed Care: (ZIP)
- Table 12.1 - Health Maintenance Organization (HMO) and Cost Contract Enrollment Growth: Selected Calendar Years 1990-2012
- Table 12.2 - Percent of Medicare Population with Access to at Least One Risk/Medicare+Choice (M+C)/Medicare Advantage (MA) CCP (1993-2012), Private Fee-for-Service (PFFS) (2000-2012), or M+C/MA Plan of Either Type (2000-2012)
- Table 12.3 - Medicare Risk/Medicare+Choice/Medicare Advantage Contracts: Calendar Years 1987-2012
- Table 12.4 - Risk/Local Coordinated Care Plans (CCP) Contracts Non-Renewals, by Percent of Plans: Calendar Years 1986-2012
- Table 12.5 - Number and Percent of Medicare+Choice/Medicare Advantage Coordinated Care Plans (CCP) Contracts Available to Beneficiaries: Calendar Years 1998 and 2012
- Table 12.6 - Percent Distribution of Disabled and Aged Beneficiaries in Medicare Advantage Plans and Fee-for-Service: December 2012
- Table 12.7 - Percent Distribution of Disabled and Aged Beneficiaries, Medicare Advantage Plans Versus Fee-for-Service: December 2012
- Table 12.8 - Medicare Advantage and Other Private Health Plan Penetration, (Percent of Medicare Beneficiaries Enrolled), by Geographic Area: December 2012
- Table 12.9 - Historical Prevalence of Zero Premiums and Drug Coverage in Medicare Risk/Medicare+Choice Contracts: Calendar Years 1987-1998
- Table 12.10 - Changes in Access to or Coverage Under a Zero Premium Plan: Calendar Years 1999-2012
- Table 12.11 - Access to Medicare+Choice (M+C)/Medicare Advantage (MA) Coordinated Care Plans (CCP), Private Fee-for-Service (PFFS) Plans, or Preferred Provider Organization (PPO) Demonstration Projects, Rural Areas, by Type of Coverage: Calendar Years 1999-2012
Chapter 13: Medicaid:
- Table 13.1 - Medicaid Medical Assistance Payments: Fiscal Years 1975-2011
- Table 13.2 - Medicaid Expenditures, by Provider Type and Area of Residence: Fiscal Year 2011
- Table 13.3 - Medicaid Expenditures, Eligibles, and Average Expenditure per Eligible, by Area of Residence: Fiscal Year 2011
- Table 13.4 - Number of Medicaid Persons Served (Beneficiaries), by Eligibility Group: Fiscal Years 1975-2011
- Table 13.5 - Medicaid Persons Served (Beneficiaries), All Eligibility Groups, by Selected Type of Service: Fiscal Years 1975-2011
- Table 13.6 - Medicaid Persons Served (Beneficiaries), Children, by Selected Type of Service: Fiscal Years 1975-2011
- Table 13.7 - Medicaid Persons Served (Beneficiaries), Adults, by Selected Type of Service: Fiscal Years 1975-2011
- Table 13.8 - Medicaid Persons Served (Beneficiaries), Aged, by Selected Type of Service: Fiscal Years 1975-2011
- Table 13.9 - Medicaid Persons Served (Beneficiaries), Disabled, by Selected Type of Service: Fiscal Years 1975-2011
- Table 13.10 - Medicaid Payments, by Eligibility Group: Fiscal Years 1975-2011
- Table 13.11 - Medicaid Payments per Person Served (Beneficiary), by Eligibility Group: Fiscal Years 1975-2011
- Table 13.12 - Medicaid Payments per Person Served (Beneficiary), All Eligibility Groups, by Type of Service: Fiscal Years 1975-2011
- Table 13.13 - Medicaid Payments per Person Served (Beneficiary), Children, by Type of Service: Fiscal Years 1975-2011
- Table 13.14 - Medicaid Payments per Person Served (Beneficiary), Adults, by Type of Service: Fiscal Years 1975-2011
- Table 13.15 - Medicaid Payments per Person Served (Beneficiary), Aged, by Type of Service: Fiscal Years 1975-2011
- Table 13.16 - Medicaid Payments per Person Served (Beneficiary), Disabled, by Type of Service: Fiscal Years 1975-2011
- Table 13.17 - Medicaid Payments, All Eligibility Groups, by Type of Service: Fiscal Years 1975-2011
- Table 13.18 - Medicaid Payments, Children, by Type of Service: Fiscal Years 1975-2011
- Table 13.19 - Medicaid Payments, Adults, by Type of Service: Fiscal Years 1975-2011
- Table 13.20 - Medicaid Payments, Aged, by Type of Service: Fiscal Years 1975-2011
- Table 13.21 - Medicaid Payments, Disabled, by Type of Service: Fiscal Years 1975-2011
- Table 13.22 - Medicaid Persons Served (Beneficiaries), by Basis of Eligibility and Area of Residence: Fiscal Year 2011
- Table 13.23 - Medicaid Payments, by Basis of Eligibility and Area of Residence: Fiscal Year 2011
- Table 13.24 - Medicaid Payments per Person Served (Beneficiary), by Basis of Eligibility and Area of Residence: Fiscal Year 2011
- Table 13.25 - Medicaid Persons Served (Beneficiaries), by Type of Service and Area of Residence: Fiscal Year 2011
- Table 13.26 - Medicaid Payments, by Type of Service and Area of Residence: Fiscal Year 2011
- Table 13.27 - Medicaid Payment per Person Served (Beneficiary), by Type of Service and Area of Residence: Fiscal Year 2011
Chapter 14: Medicare Part D: (ZIP)
- Table 14.1 - Medicare Part D: Type of Plan or Retiree Drug Subsidy for Part D Enrollees, by Area of Residence: July 1, 2012
- Table 14.2 - Medicare Part D: Type of Entitlement for Part D Enrollees, by Type of Plan and Demographic Characteristics: July 1, 2012
- Table 14.3 - Medicare Part D: Type of Organization Category for Part D Enrollees, by Area of Residence: July 1, 2012
- Table 14.4 - Medicare Part D: Type of Organization Category for Part D Enrollees, by Demographic Characteristics: July 1, 2012
- Table 14.5 - Medicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, by Area of Residence: July 1, 2012
- Table 14.6 - Medicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, by Demographic Characteristics: Calendar Year 2012
- Table 14.7 - Medicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status, by Area of Residence: July 1, 2012
- Table 14.8 - Medicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status, by Demographic Characteristics: July 1, 2012
Downloads
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Medicare Short Stay Hospitals 5.1-5.12 (ZIP) -
Personal Health Care Expenditures 1.1-1.4 (ZIP) -
Brief Summaries and Glossary (ZIP) -
Medicare Hospice Tables 8.1-8.3 (ZIP) -
Medicare Managed Care 12.1-12.11 (ZIP) -
Medicare Home Health Agencies 7.1-7.7 (ZIP) -
Medicare Hospital Outpatient Services 10.1-10.4 (ZIP) -
Medicare Skilled Nursing Facilities 6.1-6.9 (ZIP) -
Medicare Program Payments 3.1-3.6 (ZIP) -
Medicare Cost Sharing 4.1-4.4 (ZIP) -
Medicare Part D 14.1-14.8 (ZIP) -
Medicare Enrollment Tables 2.1-2.8 (ZIP) -
Medicare Physicians Services Tables 9.1 - 9.8 (ZIP) -
Medicaid 13.1 - 13.27 (ZIP) -
End Stage Renal Disease 11.1-11.3 (ZIP)
Page Last Modified:
09/10/2024 06:06 PM