Total All Payers State Estimates by State of Residence -...

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Total All Payers State Estimates by State of Residence -...

Total All Payers State Estimates by State of Residence - Personal Health Care (Millions of Dollars)
State
1991
1992
1993
1994
1995
1996
$677,397
$733,448
$780,996
$822,982
$872,727
$921,679
41,059
10,979
3,106
19,956
2,754
2,922
1,342
43,996
11,638
3,332
21,351
3,025
3,214
1,436
46,697
12,064
3,568
22,963
3,153
3,416
1,532
48,990
12,718
3,693
24,153
3,309
3,485
1,631
52,253
13,591
4,027
25,390
3,646
3,800
1,799
54,870
14,091
4,383
26,614
3,955
3,935
1,891
58,183
14,942
4,733
28,103
4,208
4,164
2,033
62,193
15,858
5,114
30,059
4,543
4,430
2,189
64,875
16,621
5,543
30,734
4,933
4,650
2,395
69,097
17,467
5,946
32,758
5,285
4,989
2,652
75,141
18,863
6,523
35,837
5,630
5,387
2,901
82,190
20,472
7,211
39,251
6,127
5,933
3,194
88,385
21,555
7,918
42,316
6,693
6,399
3,504
95,647
23,709
8,614
45,093
7,396
6,979
3,855
101,411
24,514
9,258
47,992
8,081
7,462
4,106
108,164
25,973
9,689
51,743
8,755
7,786
4,218
115,067
27,336
10,154
55,691
9,374
8,116
4,397
120,979
28,933
10,681
58,414
9,867
8,515
4,569
126,686
30,416
11,213
61,162
10,365
8,786
4,745
6.5
5.8
7.4
6.4
7.6
6.3
7.3
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
135,598
1,966
2,792
13,518
23,227
58,028
36,067
146,344
2,130
3,071
14,527
25,459
62,489
38,669
155,909
2,307
3,221
15,536
26,903
67,074
40,869
164,462
2,514
3,268
16,537
28,776
70,841
42,526
173,496
2,697
3,278
17,320
30,602
74,557
45,043
181,290
2,825
3,361
18,280
31,743
78,683
46,399
190,285
3,079
3,380
19,166
33,460
82,167
49,033
199,024
3,242
3,493
19,536
35,091
86,738
50,924
211,092
3,570
3,666
20,983
36,780
91,775
54,319
224,498
3,792
3,698
22,554
40,069
96,687
57,699
242,139
4,094
3,880
24,794
42,461
104,589
62,322
261,213
4,509
4,173
27,158
46,307
112,672
66,395
281,843
5,053
4,414
29,594
48,875
122,386
71,521
299,804
5,468
4,811
31,769
52,125
129,474
76,157
318,295
5,895
5,031
33,783
55,966
135,806
81,814
335,865
6,272
5,266
36,629
58,636
143,545
85,516
352,516
6,706
5,552
38,720
61,362
149,958
90,218
366,360
7,111
5,802
40,715
63,682
155,047
94,003
382,506
7,497
6,209
42,616
65,924
162,845
97,414
5.9
7.7
4.5
6.6
6.0
5.9
5.7
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
112,838
31,493
14,223
24,880
29,615
12,627
121,629
34,141
15,555
26,431
31,800
13,701
129,334
36,146
16,747
27,984
33,816
14,642
136,047
38,125
17,410
29,679
35,332
15,501
144,065
40,162
18,274
31,759
37,318
16,552
152,058
42,195
18,741
33,753
39,718
17,650
159,540
44,244
20,216
35,601
40,867
18,612
166,432
46,453
21,495
36,362
42,494
19,628
176,094
48,698
22,911
37,993
45,022
21,470
187,821
52,038
24,444
40,119
48,080
23,141
203,429
55,726
26,580
42,759
52,787
25,578
219,791
60,108
28,707
45,569
57,742
27,666
235,286
63,732
31,097
48,743
62,082
29,631
250,524
67,301
33,564
51,848
66,108
31,704
265,632
71,689
35,191
54,993
69,693
34,067
281,486
75,989
37,703
58,762
72,594
36,438
296,673
81,351
39,723
61,681
75,547
38,371
305,880
83,696
41,101
63,571
78,102
39,410
318,248
87,112
42,780
65,888
81,598
40,871
5.9
5.8
6.3
5.6
5.8
6.7
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
45,570
7,160
6,519
11,629
13,042
3,799
1,695
1,726
49,277
7,623
7,036
12,520
14,304
4,131
1,824
1,838
52,291
8,047
7,364
13,383
15,263
4,369
1,918
1,946
56,062
8,540
7,830
14,503
16,394
4,658
2,039
2,098
59,519
9,002
8,353
15,565
17,185
4,921
2,222
2,272
63,248
9,606
8,848
16,411
18,273
5,344
2,327
2,438
66,979
10,093
9,416
17,428
19,366
5,639
2,437
2,600
71,996
10,973
9,953
19,049
20,611
6,055
2,618
2,737
76,197
11,644
10,485
20,193
21,698
6,500
2,696
2,981
82,191
12,363
11,276
22,007
23,405
7,130
2,846
3,165
89,337
13,301
12,120
24,215
25,402
7,880
3,073
3,346
96,585
14,120
13,013
26,282
27,655
8,446
3,378
3,691
103,716
15,206
13,838
28,329
29,725
9,074
3,538
4,005
109,995
16,021
14,793
30,126
31,295
9,756
3,785
4,218
116,423
17,091
15,713
31,928
32,784
10,452
3,960
4,494
122,830
18,141
16,516
34,040
33,858
11,247
4,210
4,818
131,026
18,947
17,406
36,222
37,094
11,783
4,491
5,082
137,271
19,818
18,356
37,306
39,423
12,274
4,697
5,397
143,979
20,822
19,107
38,994
41,681
12,649
5,005
5,721
6.6
6.1
6.2
7.0
6.7
6.9
6.2
6.9
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
154,732
10,537
5,671
39,762
16,897
8,925
11,256
5,702
15,417
8,134
12,775
14,967
4,688
168,180
11,393
6,041
43,380
18,495
9,754
12,236
6,102
16,965
8,842
14,066
15,741
5,163
180,899
12,150
6,409
46,490
20,007
10,351
13,156
6,634
18,524
9,570
15,268
16,769
5,571
192,123
12,863
6,822
49,333
21,078
10,828
13,895
7,144
20,089
10,291
16,114
17,762
5,904
205,555
13,733
7,370
52,141
22,699
11,688
14,552
7,879
21,818
10,962
17,604
18,794
6,316
219,497
14,610
7,853
55,755
24,060
12,566
15,165
8,500
23,771
11,612
18,815
20,148
6,641
234,565
15,679
8,432
59,325
25,456
13,659
15,907
9,084
25,682
12,812
19,989
21,497
7,040
245,315
15,994
8,854
61,979
26,900
14,433
16,495
9,475
26,938
13,554
20,815
22,533
7,345
260,232
16,573
9,459
66,005
28,242
15,475
17,396
9,853
29,168
14,610
21,812
23,982
7,658
281,804
17,662
10,096
72,102
30,126
16,998
18,059
10,756
32,100
15,806
23,572
26,432
8,095
305,666
18,758
10,857
78,358
32,431
18,288
19,316
11,768
35,818
17,354
25,948
27,939
8,831
330,217
20,364
11,847
84,574
35,825
19,859
20,526
12,730
38,139
18,807
27,357
30,665
9,525
356,148
22,581
12,592
91,182
38,170
20,957
22,169
13,582
41,188
20,133
29,806
33,543
10,245
385,798
23,781
13,434
99,138
41,987
22,356
23,821
14,743
44,803
21,810
32,546
36,457
10,921
410,817
25,352
14,463
106,300
44,189
23,636
24,975
15,626
48,174
23,045
34,444
39,121
11,493
437,471
26,614
15,280
113,944
47,633
25,020
25,740
16,799
51,924
24,589
36,033
41,837
12,060
461,019
27,564
16,177
120,102
50,103
26,048
27,561
17,897
54,380
25,993
37,996
44,480
12,718
482,259
28,538
17,104
126,076
51,562
27,070
29,287
18,659
57,215
27,582
38,866
47,069
13,232
504,600
29,524
17,806
132,463
53,655
28,443
30,507
19,384
60,297
28,798
40,331
49,427
13,964
6.8
5.9
6.6
6.9
6.6
6.7
5.7
7.0
7.9
7.3
6.6
6.9
6.3
Southwest
Arizona
New Mexico
Oklahoma
Texas
61,649
9,309
3,515
7,543
41,282
67,387
9,924
3,884
8,189
45,389
72,124
10,728
4,126
8,586
48,684
76,032
11,440
4,375
9,192
51,025
81,831
12,073
4,768
9,927
55,063
87,701
12,828
5,131
10,618
59,124
93,923
13,540
5,476
11,049
63,858
99,378
14,582
5,796
11,555
67,445
106,299
15,728
6,112
12,265
72,194
113,125
16,782
6,445
13,007
76,891
124,034
18,261
7,026
14,248
84,500
136,441
20,563
7,741
15,239
92,898
145,916
22,590
8,326
16,567
98,433
156,146
24,788
9,154
17,451
104,753
171,424
27,920
10,019
18,885
114,599
183,779
30,302
10,714
20,322
122,441
195,294
32,646
11,551
21,674
129,423
208,994
34,614
12,611
22,969
138,799
219,955
35,797
13,350
24,074
146,735
7.3
7.8
7.7
6.7
7.3
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
17,220
8,504
2,223
1,921
3,547
1,024
18,651
9,259
2,431
2,068
3,821
1,071
19,902
9,750
2,624
2,192
4,161
1,174
21,039
10,343
2,771
2,291
4,373
1,261
22,720
11,118
3,013
2,497
4,716
1,375
24,249
11,759
3,275
2,571
5,170
1,474
26,272
12,625
3,532
2,809
5,728
1,578
28,305
13,839
3,784
2,990
5,999
1,694
29,975
14,736
4,061
3,238
6,156
1,785
32,942
16,264
4,420
3,502
6,800
1,956
35,963
17,639
4,828
3,840
7,544
2,112
39,414
19,161
5,396
4,095
8,414
2,348
42,754
20,875
5,807
4,427
9,131
2,513
45,814
22,231
6,240
4,707
9,964
2,672
48,809
23,132
6,834
5,082
10,859
2,901
52,763
25,161
7,421
5,438
11,583
3,159
56,191
26,606
7,961
5,811
12,421
3,392
60,152
28,711
8,389
6,151
13,272
3,630
63,090
30,060
8,739
6,468
13,990
3,833
7.5
7.3
7.9
7.0
7.9
7.6
108,731
117,984
123,840
1,476
1,585
1,688
81,577
88,173
92,183
2,990
3,199
3,471
3,125
3,511
3,750
6,806
7,480
8,011
12,756
14,036
14,737
NOTE: Numbers may not add to totals shown because of rounding.
128,229
1,749
94,709
3,758
4,161
8,401
15,451
133,288
1,918
97,279
4,035
4,476
9,036
16,543
138,767
2,105
100,677
4,301
4,859
9,542
17,282
144,704
2,276
104,374
4,329
5,307
10,268
18,150
155,680
2,424
111,794
4,482
5,762
11,391
19,829
164,021
2,609
116,769
4,602
6,333
12,143
21,564
172,916
2,900
122,463
4,753
7,019
12,884
22,895
188,391
3,312
132,654
5,037
7,858
14,462
25,068
205,766
3,705
144,491
5,514
8,976
15,550
27,530
224,936
4,011
158,517
5,978
9,956
16,674
29,800
241,291
4,304
169,763
6,387
11,077
18,077
31,683
259,781
4,829
182,361
6,929
12,052
19,581
34,029
276,465
296,558
315,304
330,798
5,110
5,475
5,947
6,341
193,547
207,426
220,099
230,090
7,247
7,946
8,458
8,833
13,020
14,033
14,660
15,133
21,196
22,378
23,835
25,155
36,345
39,300
42,306
45,246
Office of the Actuary, CMS, December, 2011
6.4
8.4
5.9
6.2
9.2
7.5
7.3
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
$974,450 $1,028,324 $1,088,786 $1,164,395 $1,264,099 $1,371,617 $1,478,985 $1,585,020 $1,692,591 $1,798,822 $1,904,344 $1,997,199 $2,089,862
6.5%
Total All Payers State Estimates by State of Residence - Hospital Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$275,768
$298,476
$315,748
$328,365
$339,312
$350,798
$363,403
$374,916
$393,623
$415,530
$449,356
$486,477
$525,813
$564,514
$606,543
$648,339
$686,756
$722,144
$759,074
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
16,248
3,892
1,235
8,349
1,074
1,171
527
17,313
4,111
1,307
8,908
1,191
1,228
569
18,245
4,248
1,386
9,452
1,278
1,276
604
18,764
4,374
1,463
9,696
1,257
1,324
649
19,111
4,342
1,574
9,739
1,323
1,420
713
19,697
4,449
1,691
10,044
1,361
1,436
716
20,567
4,593
1,783
10,474
1,407
1,553
758
21,354
4,784
1,861
10,926
1,444
1,547
792
22,157
4,948
1,975
11,198
1,546
1,600
891
23,391
5,085
2,113
11,839
1,682
1,715
957
25,514
5,516
2,288
12,998
1,827
1,870
1,015
27,852
5,992
2,484
14,147
2,056
2,054
1,119
30,901
6,452
2,756
15,848
2,340
2,229
1,276
33,559
6,981
3,031
17,118
2,576
2,426
1,428
35,854
7,258
3,372
18,146
2,894
2,580
1,604
39,398
7,981
3,628
19,986
3,256
2,742
1,803
42,063
8,326
3,829
21,604
3,526
2,886
1,893
44,047
8,833
4,084
22,307
3,708
3,113
2,002
46,055
9,353
4,300
23,108
3,940
3,236
2,118
6.0
5.0
7.2
5.8
7.5
5.8
8.0
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
57,129
796
1,450
5,482
9,116
24,557
15,728
61,646
863
1,591
5,871
9,980
26,111
17,231
65,422
954
1,687
6,256
10,803
27,783
17,938
68,105
1,017
1,680
6,452
11,374
29,540
18,042
69,493
1,072
1,648
6,722
11,317
29,983
18,752
70,365
1,049
1,734
7,015
11,351
30,918
18,297
71,777
1,152
1,726
7,202
11,617
31,231
18,850
72,804
1,186
1,769
7,312
11,962
31,685
18,890
75,317
1,249
1,822
7,623
11,964
33,157
19,503
79,311
1,271
1,749
8,019
13,239
34,516
20,517
84,361
1,378
1,848
8,818
13,690
36,696
21,932
90,598
1,519
1,966
9,563
15,093
39,267
23,189
97,986
1,752
2,100
10,511
16,171
42,643
24,808
104,683
1,911
2,285
11,474
16,815
45,502
26,697
112,408
2,135
2,451
12,358
17,852
48,057
29,555
120,036
2,287
2,608
13,310
18,699
51,504
31,628
125,853
2,473
2,710
14,181
19,319
53,796
33,375
129,869
2,582
2,819
15,144
19,577
55,023
34,724
135,487
2,749
2,968
15,738
20,440
57,571
36,021
4.9
7.1
4.1
6.0
4.6
4.8
4.7
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
47,580
14,137
5,807
10,498
12,263
4,875
51,151
15,217
6,308
11,149
13,264
5,214
54,125
15,969
6,806
11,822
14,025
5,504
56,588
16,653
7,038
12,554
14,541
5,803
58,815
17,164
7,289
13,356
15,058
5,948
60,943
17,572
7,088
13,971
15,844
6,468
63,362
18,204
7,954
14,328
16,077
6,799
64,423
18,526
8,318
14,541
15,925
7,112
67,483
19,254
8,827
15,006
16,749
7,648
70,644
20,217
9,301
15,492
17,490
8,144
75,309
21,452
9,798
16,165
18,975
8,919
81,384
22,822
10,571
17,191
20,882
9,918
87,882
24,313
11,518
18,566
22,712
10,773
94,955
25,659
12,711
20,197
24,807
11,581
101,847
27,576
13,235
21,673
26,915
12,449
109,049
29,287
14,349
23,357
28,657
13,399
116,264
32,010
15,546
24,848
29,790
14,070
120,331
32,762
15,919
25,589
31,162
14,900
126,961
34,778
16,703
26,828
33,225
15,428
5.6
5.1
6.0
5.4
5.7
6.6
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
18,798
3,017
2,653
4,084
5,957
1,635
671
781
20,272
3,175
2,902
4,333
6,524
1,777
738
822
21,365
3,331
3,010
4,441
7,061
1,880
792
848
22,828
3,566
3,213
4,817
7,467
1,994
860
912
23,859
3,739
3,370
5,060
7,655
2,107
936
992
24,875
3,946
3,459
5,159
7,959
2,311
991
1,050
26,276
4,112
3,604
5,840
8,195
2,354
1,071
1,100
27,008
4,346
3,653
5,873
8,470
2,426
1,118
1,122
28,619
4,605
3,855
6,453
8,746
2,624
1,133
1,203
30,322
4,807
3,935
6,991
9,278
2,899
1,151
1,260
32,968
5,148
4,191
7,654
10,092
3,214
1,284
1,385
35,795
5,482
4,428
8,616
10,916
3,409
1,430
1,514
38,650
5,799
4,737
9,208
12,222
3,632
1,416
1,636
41,353
6,136
5,140
9,992
12,938
3,893
1,506
1,747
44,873
6,639
5,573
10,940
13,893
4,308
1,590
1,929
47,442
7,016
6,004
11,790
14,108
4,710
1,688
2,126
51,144
7,340
6,370
12,507
16,062
4,878
1,768
2,219
54,478
7,664
6,751
13,048
17,580
5,126
1,918
2,391
57,654
8,162
7,128
13,653
18,805
5,298
2,056
2,552
6.4
5.7
5.6
6.9
6.6
6.7
6.4
6.8
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
64,347
4,476
2,402
14,826
7,078
3,915
5,027
2,602
6,433
3,750
5,476
6,258
2,102
69,890
4,988
2,584
15,963
7,708
4,278
5,389
2,832
7,075
4,087
6,102
6,586
2,299
74,063
5,162
2,708
16,848
8,281
4,479
5,778
3,026
7,549
4,386
6,477
6,936
2,433
77,263
5,356
2,821
17,392
8,611
4,620
6,120
3,272
8,075
4,713
6,613
7,131
2,539
80,917
5,777
3,016
17,994
8,945
4,818
6,355
3,655
8,698
4,853
6,620
7,519
2,665
85,104
6,110
3,248
18,955
9,343
5,124
6,429
3,876
9,359
4,932
7,031
7,902
2,797
88,965
6,135
3,383
19,915
9,588
5,509
6,644
3,939
9,920
5,435
7,271
8,285
2,940
91,540
6,075
3,554
20,394
9,969
5,733
6,844
4,183
10,221
5,601
7,341
8,560
3,066
95,792
6,233
3,664
21,468
10,265
5,905
7,084
4,276
10,999
5,910
7,721
9,095
3,171
101,422
6,446
3,864
23,037
11,022
6,290
7,055
4,504
11,899
6,239
8,277
9,489
3,298
108,997
6,731
4,245
24,810
11,810
6,782
7,610
4,886
12,734
6,726
8,807
10,268
3,588
117,309
7,123
4,584
27,301
12,631
7,311
8,119
5,228
13,596
7,300
9,330
10,990
3,795
125,901
7,563
4,841
29,119
13,622
7,642
8,660
5,533
14,893
7,812
9,998
12,125
4,093
135,095
7,940
5,056
31,299
14,438
8,264
9,204
6,070
16,202
8,283
10,695
13,233
4,410
144,893
8,775
5,317
33,466
15,661
9,127
9,761
6,231
17,236
8,757
11,508
14,388
4,666
154,295
9,174
5,584
35,968
16,654
9,820
9,865
6,771
18,674
9,361
12,331
15,225
4,869
162,235
9,392
5,818
37,760
17,455
10,183
10,439
7,285
19,346
10,025
13,037
16,340
5,153
168,622
9,608
6,191
39,177
17,886
10,518
11,041
7,696
20,042
10,883
13,043
17,246
5,291
176,971
9,936
6,412
40,852
18,859
11,241
11,369
8,085
21,336
11,627
13,591
18,067
5,597
5.8
4.5
5.6
5.8
5.6
6.0
4.6
6.5
6.9
6.5
5.2
6.1
5.6
Southwest
Arizona
New Mexico
Oklahoma
Texas
25,215
3,416
1,576
3,143
17,081
27,878
3,673
1,738
3,402
19,065
29,757
3,862
1,856
3,548
20,491
30,634
4,093
1,917
3,725
20,900
31,753
4,236
1,973
3,930
21,614
33,318
4,395
2,064
4,142
22,717
34,575
4,611
2,222
4,163
23,579
36,470
4,934
2,332
4,344
24,861
38,422
5,157
2,514
4,583
26,168
40,580
5,623
2,520
4,784
27,652
44,893
6,019
2,708
5,171
30,995
49,827
6,887
2,890
5,536
34,515
53,601
7,746
2,961
6,377
36,517
57,135
8,483
3,280
6,701
38,672
62,388
9,995
3,681
7,399
41,313
66,507
10,709
3,806
7,863
44,130
70,516
11,603
4,109
8,281
46,523
76,100
12,408
4,688
8,833
50,172
80,282
13,026
4,956
9,344
52,956
6.6
7.7
6.6
6.2
6.5
6,771
3,264
867
810
1,365
466
7,344
3,539
957
869
1,505
473
7,711
3,673
1,006
914
1,608
510
8,040
3,801
1,070
954
1,671
544
8,615
4,042
1,151
1,049
1,780
593
9,020
4,167
1,255
1,026
1,942
630
9,625
4,336
1,324
1,175
2,131
659
10,001
4,532
1,425
1,264
2,091
689
10,554
4,848
1,529
1,365
2,064
749
11,562
5,365
1,617
1,435
2,338
807
12,758
5,990
1,783
1,560
2,563
862
13,850
6,482
1,964
1,642
2,819
943
14,987
6,984
2,127
1,775
3,090
1,012
16,330
7,615
2,234
1,930
3,467
1,083
17,658
7,978
2,493
2,143
3,847
1,197
19,189
8,778
2,749
2,308
4,057
1,297
20,512
9,341
2,985
2,448
4,343
1,395
22,163
10,179
3,084
2,605
4,813
1,481
23,489
10,781
3,267
2,767
5,088
1,586
7.2
6.9
7.7
7.1
7.6
7.0
39,680
42,982
45,060
630
680
725
29,897
32,157
33,598
1,195
1,304
1,423
1,123
1,226
1,325
2,367
2,652
2,844
4,468
4,964
5,145
NOTE: Numbers may not add to totals shown because of rounding.
46,143
755
34,038
1,518
1,453
2,933
5,445
46,750
847
34,062
1,588
1,505
3,098
5,650
47,476
935
34,143
1,705
1,616
3,211
5,866
48,255
1,004
34,484
1,632
1,684
3,400
6,052
51,316
1,023
36,973
1,618
1,814
3,636
6,252
55,278
1,095
39,459
1,680
2,004
3,900
7,140
58,297
1,222
41,567
1,733
2,178
4,229
7,367
64,557
1,391
45,900
1,935
2,482
4,736
8,112
69,863
1,468
49,289
2,001
2,888
5,188
9,029
75,905
1,561
53,566
2,186
3,069
5,506
10,016
81,404
1,662
57,325
2,273
3,463
5,987
10,694
86,623
1,942
60,477
2,483
3,728
6,519
11,475
92,423
98,168
106,534
112,175
2,111
2,278
2,519
2,695
64,389
67,522
73,083
76,628
2,614
2,765
3,028
3,195
4,045
4,487
4,940
5,142
7,034
7,500
7,887
8,441
12,229
13,615
15,077
16,074
Office of the Actuary, CMS, December, 2011
5.9
8.4
5.4
5.6
8.8
7.3
7.4
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
5.8%
Total All Payers State Estimates by State of Residence - Physician & Clinical Services (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$176,517
$191,260
$202,759
$212,174
$222,284
$231,280
$242,862
$257,939
$271,132
$290,019
$314,698
$340,828
$368,441
$393,616
$419,581
$441,623
$462,604
$486,486
$505,888
9,240
2,701
651
4,294
659
643
292
9,932
2,812
720
4,675
733
684
309
10,620
2,870
785
5,114
769
748
332
10,941
3,052
768
5,175
839
755
352
11,685
3,361
826
5,375
917
831
375
12,091
3,392
880
5,575
1,013
828
403
12,973
3,580
968
6,073
1,065
846
441
13,999
3,793
1,037
6,580
1,224
891
474
14,359
3,840
1,162
6,591
1,350
912
504
15,517
4,127
1,279
7,109
1,418
995
588
17,047
4,560
1,458
7,766
1,527
1,070
667
18,565
4,875
1,565
8,713
1,524
1,158
730
19,567
5,109
1,700
9,116
1,623
1,234
786
20,903
5,549
1,772
9,577
1,845
1,332
827
21,957
5,506
1,849
10,274
1,985
1,484
859
23,372
5,855
1,871
11,132
2,090
1,535
890
24,776
6,220
1,930
11,974
2,224
1,559
868
26,447
6,612
1,977
12,964
2,325
1,657
911
27,723
6,861
2,062
13,697
2,463
1,701
940
6.3
5.3
6.6
6.7
7.6
5.5
6.7
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
31,315
507
610
3,845
6,053
11,960
8,341
34,174
543
671
4,100
6,865
13,339
8,655
35,947
573
674
4,396
6,954
14,152
9,198
38,195
627
689
4,808
7,434
14,812
9,825
39,900
647
695
4,825
8,160
15,581
9,992
40,746
674
654
5,008
8,207
16,007
10,196
42,409
739
640
5,156
8,641
16,640
10,593
43,902
760
631
4,936
8,849
17,863
10,863
46,839
901
658
5,638
9,401
18,239
12,003
50,060
955
712
6,077
10,373
19,163
12,779
54,268
1,018
800
6,441
11,146
21,314
13,550
58,166
1,160
880
7,034
11,956
22,685
14,451
62,350
1,338
921
7,611
12,253
24,518
15,708
65,759
1,407
1,026
8,180
12,969
25,441
16,736
69,287
1,472
943
8,472
14,144
26,654
17,603
73,097
1,533
958
9,026
14,770
28,758
18,052
77,371
1,601
1,057
9,480
16,266
29,557
19,410
82,204
1,712
1,056
9,790
17,318
31,716
20,611
85,278
1,749
1,062
10,195
17,813
33,111
21,349
5.7
7.1
3.1
5.6
6.2
5.8
5.4
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
27,523
7,591
3,341
6,075
7,369
3,147
29,508
8,206
3,653
6,321
7,816
3,513
31,299
8,779
4,011
6,512
8,152
3,845
32,737
9,263
4,124
6,841
8,433
4,076
33,891
9,573
4,149
7,142
8,636
4,390
35,082
10,004
4,333
7,408
8,953
4,384
35,989
10,366
4,500
7,610
8,963
4,550
38,160
11,241
4,972
7,913
9,363
4,671
40,544
11,520
5,345
8,438
9,830
5,411
43,628
12,509
5,641
8,900
10,745
5,833
47,795
13,234
6,315
9,455
12,056
6,735
51,866
14,741
6,682
10,045
13,018
7,380
55,332
15,697
7,264
10,610
13,919
7,842
58,395
16,378
7,812
11,240
14,586
8,379
61,849
17,233
8,425
11,913
15,126
9,152
65,331
18,365
9,038
12,567
15,480
9,881
68,016
19,207
9,269
12,909
16,197
10,433
68,841
19,623
9,617
13,117
16,271
10,212
70,979
20,245
9,726
13,601
16,789
10,618
5.4
5.6
6.1
4.6
4.7
7.0
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
10,567
1,536
1,699
2,801
2,899
833
423
376
11,651
1,688
1,830
3,080
3,256
931
455
410
12,453
1,820
1,921
3,501
3,335
977
459
439
13,306
1,916
2,045
3,725
3,640
1,031
475
474
13,868
1,953
2,188
4,045
3,634
1,016
530
501
14,615
2,036
2,277
4,369
3,815
1,055
525
538
15,148
2,108
2,346
4,383
4,074
1,126
511
601
17,011
2,395
2,561
5,195
4,442
1,248
528
642
17,521
2,500
2,593
5,242
4,622
1,301
523
741
19,287
2,654
2,939
5,790
5,102
1,449
552
800
20,545
2,885
3,159
6,339
5,205
1,620
583
755
22,139
2,985
3,397
6,545
5,929
1,786
634
864
23,781
3,355
3,744
6,967
6,114
1,972
705
923
24,841
3,444
3,959
7,197
6,378
2,159
765
938
25,437
3,584
4,144
7,521
6,250
2,202
796
940
26,668
3,704
4,245
7,983
6,506
2,383
820
1,027
28,386
3,818
4,448
8,472
7,163
2,519
883
1,082
29,272
4,054
4,864
8,393
7,406
2,604
821
1,130
30,126
4,155
4,980
8,704
7,636
2,623
843
1,185
6.0
5.7
6.2
6.5
5.5
6.6
3.9
6.6
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
41,470
2,916
1,496
12,276
4,588
2,158
2,747
1,357
3,736
1,863
3,182
4,071
1,079
44,542
2,963
1,522
13,320
5,040
2,379
2,973
1,350
4,132
2,016
3,439
4,195
1,212
47,915
3,246
1,662
14,052
5,394
2,520
3,095
1,528
4,649
2,198
3,804
4,483
1,284
50,248
3,498
1,735
14,614
5,516
2,637
3,178
1,590
4,956
2,323
4,019
4,822
1,361
52,603
3,521
1,806
14,747
6,164
2,928
3,211
1,738
5,142
2,455
4,630
4,850
1,412
55,012
3,612
1,801
15,239
6,483
3,069
3,307
1,844
5,543
2,595
4,888
5,174
1,457
58,861
3,940
1,963
16,054
6,916
3,250
3,534
2,068
5,915
2,855
5,298
5,511
1,556
61,689
4,200
1,990
16,470
7,408
3,366
3,837
2,077
6,151
3,078
5,716
5,799
1,597
65,594
4,278
2,179
17,620
7,798
3,803
4,231
2,112
6,775
3,340
5,894
5,883
1,680
71,721
4,572
2,371
19,472
7,984
4,305
4,530
2,454
7,425
3,572
6,404
6,817
1,816
78,501
4,875
2,525
21,481
8,647
4,470
4,658
2,740
8,876
4,085
7,251
6,908
1,985
84,486
5,329
2,758
23,274
9,818
4,836
4,909
2,943
9,064
4,466
7,136
7,804
2,150
92,291
6,409
3,005
25,664
10,159
5,231
5,412
3,131
9,519
4,834
7,845
8,840
2,243
99,953
6,552
3,279
27,938
11,533
5,464
5,820
3,167
10,240
5,301
8,801
9,526
2,333
104,789
6,688
3,630
29,954
11,696
5,563
5,690
3,506
11,103
5,473
9,127
9,962
2,395
110,874
6,795
3,813
31,719
13,146
5,735
5,890
3,744
11,676
5,830
9,378
10,685
2,462
114,460
6,899
4,001
33,123
13,384
5,791
6,196
3,861
11,987
6,030
9,497
11,153
2,538
120,171
7,142
4,161
34,917
14,042
6,131
6,670
3,965
12,692
6,221
10,113
11,411
2,705
124,493
7,368
4,250
36,086
14,508
6,327
6,998
4,102
13,111
6,371
10,503
11,979
2,890
6.3
5.3
6.0
6.2
6.6
6.2
5.3
6.3
7.2
7.1
6.9
6.2
5.6
Southwest
Arizona
New Mexico
Oklahoma
Texas
16,630
2,898
822
1,857
11,053
18,032
3,049
939
2,044
12,001
18,941
3,340
988
2,109
12,504
19,880
3,378
1,042
2,224
13,235
21,313
3,469
1,125
2,333
14,386
22,435
3,671
1,259
2,455
15,050
24,342
3,875
1,346
2,678
16,443
25,777
4,136
1,402
2,814
17,425
28,476
4,485
1,409
3,050
19,532
29,951
4,619
1,476
3,245
20,611
32,818
5,131
1,545
3,647
22,495
36,849
5,943
1,665
3,837
25,404
38,665
6,282
1,836
4,046
26,501
41,749
6,906
2,030
4,106
28,706
47,033
7,552
2,144
4,430
32,907
48,863
8,077
2,317
4,719
33,750
50,008
8,630
2,473
5,041
33,864
53,302
9,170
2,690
5,267
36,175
56,125
9,519
2,891
5,469
38,245
7.0
6.8
7.2
6.2
7.1
4,421
2,289
578
434
886
234
4,825
2,538
618
469
955
246
5,093
2,620
674
485
1,042
272
5,351
2,829
687
470
1,082
283
5,654
2,959
753
519
1,117
306
5,983
3,105
798
560
1,206
315
6,486
3,329
869
597
1,349
342
7,308
3,910
927
621
1,455
395
7,617
4,076
983
668
1,490
400
8,461
4,579
1,058
745
1,605
475
9,060
4,847
1,128
826
1,751
508
10,109
5,324
1,259
938
2,003
585
11,139
5,963
1,347
1,020
2,192
618
11,830
6,223
1,466
1,090
2,402
649
12,405
6,369
1,605
1,128
2,612
692
13,477
7,046
1,725
1,199
2,769
738
13,947
7,090
1,801
1,273
3,004
780
15,097
7,809
1,946
1,351
3,135
857
15,765
8,165
1,988
1,425
3,305
882
7.3
7.3
7.1
6.8
7.6
7.7
35,352
38,595
40,491
404
424
454
27,696
30,214
31,736
848
898
977
1,032
1,164
1,218
1,840
2,040
2,148
3,532
3,855
3,959
NOTE: Numbers may not add to totals shown because of rounding.
41,516
462
32,342
1,103
1,289
2,248
4,072
43,370
496
33,419
1,234
1,400
2,414
4,407
45,315
548
34,847
1,372
1,489
2,496
4,563
46,653
585
35,638
1,375
1,683
2,710
4,662
50,093
652
37,438
1,460
1,824
3,254
5,465
50,182
696
37,147
1,410
1,908
3,322
5,699
51,394
759
37,489
1,408
2,143
3,375
6,220
54,663
891
39,250
1,380
2,381
3,959
6,803
58,647
1,065
41,698
1,516
2,676
4,064
7,629
65,317
1,155
46,436
1,640
3,139
4,623
8,324
70,187
1,277
49,770
1,722
3,497
5,080
8,840
76,825
1,408
54,696
1,817
3,850
5,524
9,528
95,398
1,786
67,727
2,413
4,470
6,716
12,288
5.7
8.6
5.1
6.0
8.5
7.5
7.2
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
79,941
85,640
91,153
1,458
1,544
1,668
56,443
61,135
65,004
1,935
2,181
2,291
4,038
4,205
4,304
5,989
5,960
6,624
10,079
10,616
11,262
Office of the Actuary, CMS, December, 2011
6.0%
Total All Payers State Estimates by State of Residence - Other Professional Services (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$18,713
$21,048
$23,181
$24,227
$26,973
$29,206
$31,677
$33,791
$34,994
$37,015
$40,612
$43,671
$46,806
$50,119
$53,059
$55,394
$59,492
$63,421
$66,781
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
1,070
271
94
499
93
74
38
1,267
374
106
561
104
77
44
1,334
392
113
619
77
85
47
1,373
372
116
662
90
86
48
1,531
405
138
723
113
93
58
1,713
456
150
825
124
97
61
1,979
558
162
950
134
108
67
2,098
599
176
985
148
113
78
2,173
605
192
1,003
168
117
88
2,260
643
197
1,025
177
122
96
2,468
696
222
1,128
186
132
103
2,622
735
234
1,193
196
153
111
2,797
772
263
1,262
212
170
118
2,981
816
301
1,315
228
189
132
3,097
838
324
1,350
245
202
139
3,214
847
336
1,405
255
223
148
3,427
917
364
1,463
279
246
158
3,668
984
374
1,576
304
263
168
3,921
1,072
373
1,694
328
277
178
7.5
7.9
7.9
7.0
7.3
7.6
8.9
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
3,803
56
45
377
833
1,530
963
4,176
65
66
426
901
1,639
1,078
4,632
73
67
462
975
1,814
1,242
4,883
83
67
507
1,029
1,897
1,301
5,327
89
70
564
1,162
1,983
1,459
5,701
85
71
594
1,251
2,125
1,574
6,176
97
75
673
1,346
2,301
1,685
6,721
103
79
714
1,439
2,580
1,806
7,194
114
81
695
1,466
2,910
1,928
7,490
125
78
733
1,444
3,139
1,971
8,248
145
81
830
1,578
3,474
2,140
8,642
163
87
926
1,647
3,648
2,170
9,045
170
90
987
1,732
3,786
2,280
9,665
184
92
1,045
1,876
3,989
2,479
10,167
198
95
1,124
1,996
4,144
2,610
10,478
201
97
1,202
2,076
4,227
2,676
11,172
214
102
1,260
2,238
4,507
2,850
11,750
228
105
1,352
2,331
4,790
2,944
12,404
236
106
1,467
2,437
5,109
3,048
6.8
8.4
4.8
7.8
6.1
6.9
6.6
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
2,807
751
331
645
764
316
3,144
855
367
721
842
360
3,743
955
412
878
1,107
391
3,810
1,022
442
937
984
425
4,296
1,123
506
1,054
1,102
511
4,691
1,240
539
1,152
1,189
571
4,986
1,320
571
1,213
1,255
626
5,210
1,398
620
1,230
1,298
664
5,201
1,419
597
1,218
1,303
666
5,572
1,569
628
1,291
1,388
696
6,095
1,725
706
1,406
1,505
753
6,538
1,868
755
1,501
1,627
788
7,166
2,153
807
1,623
1,737
846
7,639
2,241
873
1,774
1,839
914
8,166
2,443
903
1,897
1,911
1,013
8,540
2,640
948
1,955
1,964
1,031
9,029
2,866
992
2,069
2,009
1,093
9,572
3,077
1,065
2,171
2,125
1,134
9,876
3,198
1,122
2,215
2,212
1,129
7.2
8.4
7.0
7.1
6.1
7.3
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
1,141
209
178
311
268
92
39
45
1,272
212
199
348
312
109
43
50
1,328
229
205
374
304
113
50
54
1,435
241
214
402
349
117
54
58
1,674
274
243
467
428
136
60
66
1,827
292
253
524
474
150
63
71
2,016
310
285
577
541
166
63
75
2,172
334
312
633
578
170
66
79
2,243
344
321
658
582
182
70
86
2,439
352
334
712
671
210
73
87
2,559
383
365
721
686
237
74
92
2,743
407
382
777
748
258
75
95
3,000
452
419
840
806
297
78
108
3,275
491
461
950
865
306
83
120
3,510
519
503
981
952
336
88
131
3,657
540
512
1,027
1,000
353
91
135
3,915
576
547
1,091
1,085
377
96
143
4,180
603
598
1,155
1,164
402
104
154
4,375
644
630
1,202
1,209
413
112
164
7.8
6.5
7.3
7.8
8.7
8.7
6.1
7.4
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
3,621
184
132
1,134
421
184
206
100
360
163
286
364
88
4,211
208
155
1,363
502
208
242
107
420
190
308
407
101
4,743
226
164
1,515
550
237
284
119
481
210
355
491
112
5,124
235
179
1,654
587
258
320
129
519
230
382
509
123
5,677
290
212
1,786
616
302
341
144
616
259
451
528
132
6,270
335
222
1,976
664
337
359
156
651
282
538
616
135
6,882
389
265
2,187
735
371
397
177
711
324
556
622
148
7,287
408
283
2,309
748
395
406
186
768
368
590
665
161
7,353
393
306
2,293
770
419
411
165
750
345
612
713
175
7,705
418
305
2,402
826
468
431
178
802
315
614
756
190
8,531
425
330
2,732
894
497
479
208
889
364
671
835
208
9,326
454
351
2,934
1,006
537
524
249
970
414
755
895
238
10,086
493
373
3,157
1,115
585
580
267
1,076
431
806
958
244
10,969
546
399
3,394
1,173
637
637
309
1,207
477
895
1,035
260
11,934
573
419
3,830
1,255
658
652
318
1,347
530
958
1,122
273
12,430
577
432
3,918
1,302
687
670
330
1,476
582
981
1,197
276
13,513
610
490
4,214
1,412
726
735
375
1,645
646
1,074
1,298
287
14,521
649
520
4,588
1,481
778
814
420
1,756
703
1,100
1,406
306
15,345
698
534
4,903
1,522
819
850
430
1,888
728
1,143
1,506
323
8.4
7.7
8.1
8.5
7.4
8.7
8.2
8.4
9.7
8.7
8.0
8.2
7.5
Southwest
Arizona
New Mexico
Oklahoma
Texas
1,693
278
112
201
1,102
1,903
304
120
234
1,246
2,054
332
129
248
1,346
2,091
358
137
259
1,337
2,483
417
200
297
1,569
2,710
456
181
335
1,738
2,984
489
184
339
1,971
3,183
517
193
371
2,102
3,380
539
215
416
2,210
3,607
573
212
410
2,412
3,884
636
249
400
2,600
4,165
738
267
428
2,732
4,364
800
286
463
2,815
4,712
916
306
511
2,980
4,996
1,012
330
533
3,121
5,312
1,079
356
599
3,278
5,699
1,144
390
617
3,548
6,088
1,229
402
658
3,798
6,439
1,301
410
683
4,046
7.7
8.9
7.4
7.0
7.5
558
303
71
58
94
32
623
335
80
66
106
36
694
368
90
76
122
38
743
384
99
73
146
40
894
474
118
83
167
52
989
542
127
83
187
50
1,059
563
139
94
209
53
1,156
608
152
97
238
61
1,277
663
170
118
255
72
1,367
731
188
131
243
75
1,503
813
198
143
266
83
1,615
892
213
145
276
89
1,722
915
242
158
306
101
1,814
934
274
166
328
112
1,885
933
294
182
362
114
1,968
963
315
192
374
124
2,124
1,044
338
201
406
135
2,297
1,143
357
216
429
153
2,397
1,186
377
222
451
161
8.4
7.9
9.7
7.7
9.1
9.4
4,021
4,451
4,652
50
57
60
3,080
3,388
3,506
93
105
116
114
144
144
248
285
294
435
472
531
NOTE: Numbers may not add to totals shown because of rounding.
4,766
57
3,566
118
150
305
570
5,090
65
3,735
119
181
341
648
5,305
72
3,882
112
195
360
683
5,597
77
4,079
110
198
375
759
5,965
80
4,337
118
209
391
830
6,172
89
4,421
127
217
427
890
6,575
107
4,661
145
234
470
959
7,324
122
5,173
162
260
524
1,083
8,020
130
5,664
193
306
571
1,156
8,626
146
6,082
202
336
618
1,242
9,064
164
6,301
224
377
670
1,327
9,302
176
6,297
239
401
739
1,451
12,023
234
7,975
312
540
983
1,978
6.3
9.0
5.4
6.9
9.0
7.9
8.8
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
9,796
10,613
11,347
178
199
217
6,606
7,101
7,562
240
273
292
436
482
515
793
876
940
1,543
1,682
1,821
Office of the Actuary, CMS, December, 2011
7.3%
Total All Payers State Estimates by State of Residence - Dental Services (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$33,298
$37,033
$38,898
$41,452
$44,507
$46,839
$50,190
$53,512
$57,190
$62,012
$67,541
$73,366
$75,965
$81,761
$86,786
$91,360
$97,318
$102,274
$102,222
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
2,111
637
145
941
161
152
75
2,308
694
165
1,020
176
170
82
2,354
669
171
1,124
140
161
88
2,453
689
181
1,151
163
175
93
2,605
727
187
1,206
191
192
101
2,728
753
201
1,253
215
202
105
2,989
818
220
1,369
256
209
116
3,206
857
237
1,488
263
235
126
3,484
940
257
1,625
290
237
136
3,717
998
287
1,722
310
249
151
4,039
1,080
294
1,886
357
257
165
4,412
1,206
326
2,020
414
265
182
4,537
1,223
341
2,069
437
278
189
4,889
1,326
371
2,210
482
297
203
5,137
1,362
393
2,345
519
301
217
5,434
1,406
407
2,510
562
321
228
5,818
1,505
440
2,721
576
331
246
6,173
1,577
438
2,957
604
345
251
6,150
1,575
431
2,941
606
344
253
6.1
5.2
6.2
6.5
7.6
4.6
7.0
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
6,315
90
93
693
1,318
2,598
1,523
6,829
106
106
746
1,438
2,830
1,602
7,034
112
105
773
1,432
2,917
1,696
7,456
127
116
816
1,554
2,974
1,868
7,964
146
130
872
1,734
3,213
1,870
8,240
173
137
911
1,866
3,257
1,896
8,736
174
141
965
1,933
3,473
2,050
8,924
170
134
922
2,092
3,609
1,995
9,545
198
148
1,011
2,098
3,869
2,221
10,122
217
152
1,108
2,193
4,048
2,404
11,159
228
151
1,215
2,404
4,551
2,611
12,232
242
170
1,368
2,650
4,976
2,827
12,649
259
170
1,421
2,663
5,169
2,968
13,559
286
179
1,537
2,913
5,471
3,172
14,345
300
188
1,649
3,069
5,796
3,342
15,091
310
209
1,751
3,296
6,156
3,368
15,774
333
219
1,882
3,433
6,448
3,458
16,291
360
242
1,924
3,568
6,658
3,539
16,158
358
243
1,930
3,507
6,598
3,521
5.4
8.0
5.5
5.9
5.6
5.3
4.8
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
5,376
1,445
569
1,398
1,269
696
6,001
1,614
669
1,552
1,403
764
6,269
1,690
699
1,616
1,466
798
6,668
1,803
745
1,711
1,547
862
7,203
1,933
827
1,826
1,659
959
7,632
2,022
885
1,941
1,769
1,015
8,039
2,147
944
2,061
1,854
1,033
8,492
2,273
1,009
2,098
1,985
1,127
9,074
2,399
1,115
2,252
2,092
1,217
10,033
2,638
1,217
2,467
2,253
1,459
10,969
2,977
1,335
2,754
2,455
1,447
11,742
3,147
1,457
2,882
2,703
1,553
12,008
3,270
1,502
2,906
2,653
1,677
12,824
3,452
1,609
3,145
2,890
1,729
13,525
3,676
1,711
3,256
3,072
1,809
14,050
3,828
1,766
3,388
3,151
1,917
14,708
4,066
1,875
3,475
3,260
2,030
15,108
4,226
1,880
3,543
3,366
2,094
14,997
4,182
1,862
3,469
3,360
2,124
5.9
6.1
6.8
5.2
5.6
6.4
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
2,048
324
299
589
529
174
63
70
2,314
358
332
688
587
195
71
82
2,395
367
353
697
612
199
77
90
2,567
383
370
751
664
221
87
92
2,808
412
406
814
713
264
97
103
2,928
428
430
858
757
251
99
105
3,166
470
459
949
805
266
103
112
3,435
485
497
1,057
880
280
116
120
3,654
504
540
1,121
927
310
124
128
3,959
558
573
1,231
993
330
129
144
4,336
615
619
1,335
1,116
359
137
156
4,734
666
658
1,500
1,202
382
152
174
4,905
685
683
1,585
1,221
391
156
185
5,346
747
723
1,757
1,332
418
172
196
5,589
784
746
1,851
1,379
436
178
215
5,856
842
788
1,952
1,405
458
189
221
6,291
881
869
2,078
1,514
491
208
251
6,403
905
917
2,045
1,542
503
224
266
6,481
932
931
2,043
1,548
515
234
278
6.6
6.1
6.5
7.2
6.1
6.2
7.6
8.0
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
6,553
400
222
1,773
767
327
382
189
701
358
508
780
145
7,440
454
248
2,009
879
374
436
220
793
396
582
851
198
7,895
478
263
2,138
928
391
463
234
846
408
626
909
211
8,439
515
284
2,243
1,004
414
504
257
941
442
680
960
194
9,144
549
324
2,409
1,092
446
547
277
1,037
487
731
1,030
215
9,667
582
349
2,586
1,148
468
593
289
1,099
507
756
1,077
213
10,513
624
373
2,757
1,251
514
665
318
1,220
573
826
1,157
234
10,983
652
377
2,864
1,357
528
672
334
1,294
613
868
1,173
250
11,925
706
414
3,031
1,486
568
719
367
1,450
655
959
1,311
259
13,142
756
460
3,258
1,674
624
725
393
1,581
774
1,034
1,589
276
14,278
808
493
3,503
1,840
688
760
436
1,842
832
1,136
1,625
315
15,501
885
527
3,857
2,015
759
786
460
1,939
895
1,222
1,817
340
15,981
975
562
3,813
2,103
770
806
491
2,019
912
1,297
1,887
346
17,662
974
592
4,551
2,236
866
880
492
2,234
995
1,385
2,070
386
18,913
1,042
636
4,807
2,482
879
912
532
2,411
1,075
1,473
2,256
408
20,289
1,101
663
5,162
2,651
953
995
584
2,629
1,145
1,525
2,451
430
21,609
1,162
729
5,435
2,804
1,022
1,065
618
2,840
1,211
1,640
2,626
458
22,453
1,212
767
5,474
2,890
1,058
1,120
646
3,005
1,309
1,679
2,799
496
22,349
1,208
788
5,286
2,841
1,072
1,127
659
3,040
1,311
1,706
2,801
510
7.1
6.3
7.3
6.3
7.5
6.8
6.2
7.2
8.5
7.5
7.0
7.4
7.2
Southwest
Arizona
New Mexico
Oklahoma
Texas
2,672
468
149
321
1,734
3,043
517
171
371
1,984
3,244
556
174
371
2,143
3,463
596
187
395
2,284
3,777
657
215
424
2,481
4,028
701
231
451
2,645
4,369
735
249
490
2,895
5,071
816
269
534
3,452
5,495
886
288
563
3,758
5,997
1,007
316
625
4,049
6,503
1,134
347
662
4,360
6,736
1,233
383
727
4,392
6,999
1,330
406
787
4,476
7,458
1,491
434
851
4,683
7,966
1,640
471
907
4,948
8,553
1,816
492
969
5,275
9,352
1,949
551
1,058
5,795
10,549
2,020
582
1,172
6,776
10,827
1,976
611
1,166
7,073
8.1
8.3
8.2
7.4
8.1
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
1,032
513
142
94
228
55
1,161
565
168
106
262
61
1,258
612
183
112
289
62
1,369
666
206
122
305
71
1,521
743
223
133
348
75
1,598
780
236
137
364
82
1,732
839
253
150
407
83
1,905
915
277
161
463
88
2,050
1,002
296
178
479
95
2,291
1,133
339
191
528
100
2,476
1,216
364
211
574
112
2,740
1,351
422
222
623
121
2,820
1,401
424
231
640
124
3,082
1,525
460
245
718
134
3,223
1,567
490
258
758
149
3,375
1,619
529
274
796
159
3,694
1,756
571
300
883
185
3,918
1,853
616
316
935
197
3,917
1,836
606
319
951
207
7.7
7.3
8.4
7.0
8.3
7.7
7,192
7,936
8,448
102
115
126
5,241
5,730
6,084
190
217
238
169
193
197
510
555
603
979
1,127
1,199
NOTE: Numbers may not add to totals shown because of rounding.
9,037
135
6,451
247
236
662
1,306
9,485
140
6,694
262
255
731
1,403
10,018
150
7,060
265
292
775
1,477
10,647
161
7,462
264
321
840
1,599
11,497
169
8,124
264
362
888
1,689
11,961
169
8,343
287
412
950
1,801
12,751
190
8,824
298
463
1,016
1,960
13,781
201
9,506
320
510
1,098
2,146
15,268
221
10,621
352
570
1,187
2,317
16,065
232
11,274
362
619
1,195
2,383
16,941
241
11,857
377
690
1,260
2,516
18,089
257
12,732
410
728
1,327
2,635
21,343
339
14,712
478
874
1,556
3,383
6.2
6.9
5.9
5.2
9.6
6.4
7.1
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
18,712
20,071
21,379
268
297
323
13,072
13,917
14,946
412
454
473
801
883
911
1,400
1,516
1,554
2,760
3,004
3,173
Office of the Actuary, CMS, December, 2011
6.4%
Total All Payers State Estimates by State of Residence - Home Health Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$15,172
$18,730
$22,800
$27,375
$32,358
$35,822
$36,977
$34,175
$32,871
$32,425
$34,420
$36,628
$39,798
$43,809
$48,710
$52,591
$57,772
$62,080
$68,264
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
1,118
299
74
591
54
64
36
1,351
346
94
721
64
83
43
1,646
415
116
886
79
98
51
2,058
539
153
1,108
97
105
57
2,406
647
185
1,266
127
115
66
2,659
702
197
1,412
153
125
71
2,627
707
213
1,344
160
128
76
2,526
685
205
1,278
151
130
77
2,464
695
197
1,213
163
120
76
2,421
658
176
1,240
161
110
76
2,577
686
171
1,355
169
112
83
2,660
702
154
1,438
166
110
89
2,831
706
175
1,556
174
119
100
3,046
737
189
1,698
180
127
115
3,309
776
203
1,863
187
153
128
3,575
778
218
2,066
203
171
139
3,749
808
233
2,139
217
196
156
4,052
852
240
2,368
229
207
157
4,372
888
250
2,601
247
230
156
7.9
6.2
7.0
8.6
8.8
7.4
8.4
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
4,487
34
33
250
519
3,034
616
5,116
41
41
310
641
3,341
742
5,889
53
50
348
768
3,800
870
6,398
72
58
401
887
3,929
1,051
7,273
96
58
453
995
4,409
1,261
7,890
116
63
463
1,069
4,797
1,381
8,130
111
71
489
1,114
4,951
1,394
8,055
97
76
488
1,103
4,961
1,331
8,023
85
65
497
1,225
4,860
1,292
7,932
83
64
488
1,195
4,851
1,252
8,247
90
61
515
1,205
4,970
1,407
8,631
93
70
548
1,271
5,219
1,429
9,162
100
74
553
1,343
5,617
1,474
9,534
103
85
559
1,416
5,847
1,525
10,038
116
106
583
1,495
6,087
1,651
10,371
133
146
623
1,478
6,288
1,703
11,026
137
201
648
1,523
6,674
1,843
11,875
160
268
717
1,619
7,142
1,968
12,977
183
397
837
1,745
7,692
2,122
6.1
9.8
14.8
6.9
7.0
5.3
7.1
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
1,946
569
189
470
485
233
2,466
765
263
595
569
273
2,897
870
330
722
687
289
3,560
1,006
393
892
937
331
4,283
1,174
483
1,026
1,176
423
4,662
1,209
542
1,121
1,343
446
4,867
1,272
558
1,230
1,336
471
4,421
1,140
478
994
1,359
451
4,370
1,090
437
1,031
1,388
424
4,352
1,076
417
1,084
1,371
405
4,512
1,116
431
1,096
1,415
453
4,698
1,170
446
1,159
1,454
470
5,062
1,201
486
1,292
1,565
517
5,617
1,338
538
1,446
1,692
602
6,267
1,485
595
1,627
1,864
696
6,862
1,618
631
1,843
1,979
792
7,590
1,778
675
2,115
2,129
893
8,291
1,978
730
2,347
2,300
936
9,215
2,240
811
2,553
2,566
1,044
9.0
7.9
8.4
9.9
9.7
8.7
697
98
86
211
238
46
12
6
895
124
114
275
299
61
15
8
1,098
145
145
335
379
65
17
12
1,295
174
178
392
454
67
17
13
1,518
216
213
437
538
78
22
14
1,768
252
265
478
637
94
23
19
1,889
274
279
493
702
99
24
18
1,821
282
227
500
665
110
23
15
1,900
308
202
511
736
105
21
17
1,811
343
212
501
631
85
20
18
1,929
336
229
544
692
88
21
20
1,895
292
230
588
669
80
18
18
1,973
265
222
693
669
85
20
19
2,150
281
245
800
685
92
23
23
2,450
301
264
978
736
116
27
29
2,626
309
278
1,115
740
120
30
35
2,908
337
293
1,294
785
131
32
36
3,223
381
310
1,450
866
143
34
40
3,649
405
330
1,687
999
151
33
46
9.6
8.2
7.8
12.3
8.3
6.9
5.6
11.7
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
3,844
253
97
1,176
426
200
194
156
368
153
495
239
87
4,955
331
131
1,543
584
239
284
189
465
182
608
281
119
6,343
440
146
1,938
767
301
425
253
563
258
757
331
164
7,726
502
201
2,267
893
370
581
322
753
304
885
454
192
9,061
600
230
2,604
1,021
435
766
377
890
403
981
503
251
9,992
653
238
2,816
1,027
505
924
454
1,045
500
986
559
284
10,016
656
287
2,790
967
573
905
464
1,126
508
883
586
269
8,871
563
297
2,574
937
576
645
352
1,003
426
722
556
219
8,117
472
315
2,400
773
558
492
302
1,001
429
626
532
216
7,882
442
293
2,485
717
515
452
281
1,004
427
574
501
190
8,177
454
313
2,642
675
560
449
256
1,115
435
559
531
189
8,563
487
325
2,759
738
556
503
263
1,150
433
611
558
182
9,102
530
307
3,002
778
552
564
302
1,221
415
623
607
201
10,282
616
297
3,415
901
534
676
388
1,404
440
747
645
219
11,453
713
313
3,865
961
588
838
424
1,564
476
768
704
237
12,362
784
292
4,313
1,011
589
847
467
1,639
524
884
764
248
13,423
806
298
4,732
1,040
622
993
517
1,734
579
999
835
270
14,568
858
318
5,166
1,128
642
1,123
535
1,803
645
1,129
923
297
16,005
938
354
5,675
1,227
698
1,282
588
1,954
709
1,233
1,027
319
8.2
7.5
7.5
9.1
6.1
7.2
11.0
7.7
9.7
8.9
5.2
8.4
7.5
Southwest
Arizona
New Mexico
Oklahoma
Texas
1,272
149
45
130
949
1,653
178
60
172
1,244
2,188
230
78
258
1,623
2,970
394
109
423
2,043
3,940
392
165
578
2,805
4,720
440
199
662
3,420
5,170
433
222
601
3,914
4,307
378
210
459
3,261
3,461
372
162
337
2,589
3,370
388
203
334
2,445
3,836
443
316
370
2,706
4,368
460
487
402
3,019
4,949
545
636
440
3,328
5,474
620
677
485
3,692
6,253
695
789
565
4,204
6,846
701
938
619
4,589
7,564
718
1,073
702
5,070
8,250
799
1,118
788
5,545
9,436
866
1,226
873
6,471
11.8
10.3
20.2
11.2
11.3
248
127
29
35
48
10
310
160
38
41
60
12
403
205
54
46
80
18
520
243
70
81
102
24
640
300
88
90
134
28
738
357
104
85
157
35
788
391
106
74
182
35
700
369
76
67
157
31
668
366
77
74
126
26
673
341
84
70
156
22
702
339
96
77
165
24
777
363
106
89
193
27
837
389
112
81
225
30
909
414
121
83
259
32
998
437
134
93
299
34
1,045
459
139
91
323
33
1,240
603
155
101
349
32
1,296
608
163
107
383
35
1,436
670
181
109
433
43
10.2
9.7
10.8
6.5
13.0
8.3
1,559
1,983
2,336
4
5
7
1,158
1,494
1,719
16
19
25
55
85
104
94
111
138
231
270
342
NOTE: Numbers may not add to totals shown because of rounding.
2,848
12
2,068
37
197
144
388
3,238
17
2,341
51
209
176
444
3,394
17
2,476
65
204
192
441
3,489
18
2,545
78
215
216
417
3,473
13
2,552
81
185
175
469
3,869
12
2,952
81
172
178
474
3,984
12
3,131
84
160
186
411
4,439
14
3,583
94
150
188
411
5,035
25
4,151
107
162
197
391
5,882
39
4,876
109
199
224
436
6,798
59
5,565
114
241
267
552
7,941
64
6,546
146
290
290
606
11,173
58
9,113
158
463
498
883
11.6
16.3
12.1
13.4
12.5
9.7
7.7
United States
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
8,904
10,273
10,526
62
56
52
7,365
8,487
8,600
146
145
146
326
387
415
319
413
445
687
785
868
Office of the Actuary, CMS, December, 2011
8.7%
Total All Payers State Estimates by State of Residence - Prescription Drugs and Other Non-durable Medical Products (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$67,628
$70,216
$73,331
$77,369
$84,908
$94,141
$105,202
$117,001
$135,361
$152,465
$170,944
$191,467
$210,265
$226,123
$238,940
$258,499
$271,248
$279,572
$293,163
3,512
947
286
1,571
311
261
136
3,676
980
293
1,648
322
291
141
3,847
1,004
297
1,776
325
306
140
4,061
1,041
315
1,905
326
334
139
4,536
1,212
352
2,071
372
371
156
4,969
1,326
405
2,236
409
420
174
5,544
1,451
476
2,520
450
451
196
6,329
1,685
527
2,847
511
522
238
7,291
1,928
593
3,284
603
614
269
8,189
2,117
652
3,730
679
708
303
8,937
2,312
713
4,162
684
737
329
10,492
2,754
872
4,773
816
894
383
11,498
3,088
985
5,107
910
994
414
12,984
3,708
1,055
5,611
989
1,139
482
13,828
4,059
1,124
5,870
1,067
1,201
507
14,209
4,091
1,197
6,059
1,152
1,193
517
14,762
4,331
1,272
6,220
1,237
1,188
514
15,175
4,390
1,351
6,388
1,293
1,227
527
15,908
4,461
1,482
6,808
1,330
1,300
528
8.8
9.0
9.6
8.5
8.4
9.3
7.8
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
12,496
211
152
1,352
2,334
4,842
3,604
12,893
213
155
1,427
2,449
5,006
3,643
13,460
219
159
1,528
2,578
5,188
3,788
14,095
230
160
1,623
2,747
5,462
3,873
15,964
250
160
1,737
3,131
6,208
4,479
17,848
285
167
1,843
3,492
7,077
4,985
20,035
329
195
2,127
3,911
7,861
5,611
22,415
383
218
2,342
4,437
8,696
6,340
25,601
458
240
2,628
5,149
10,014
7,112
28,850
522
258
3,035
5,828
11,404
7,803
32,374
574
279
3,551
6,313
12,765
8,891
36,589
666
291
4,166
7,040
14,566
9,860
40,574
711
341
4,483
7,754
16,463
10,822
44,247
771
371
4,615
8,725
18,197
11,566
46,844
807
432
4,924
9,404
19,049
12,228
48,782
921
504
5,564
9,563
19,499
12,731
50,535
966
502
5,775
9,683
20,348
13,260
51,424
1,006
535
6,049
9,825
20,393
13,617
53,844
1,077
543
6,322
10,179
21,701
14,022
8.5
9.5
7.3
8.9
8.5
8.7
7.8
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
11,021
2,881
1,551
2,568
2,848
1,173
11,586
2,989
1,637
2,785
2,912
1,263
12,302
3,147
1,727
2,953
3,120
1,355
13,126
3,430
1,815
3,051
3,368
1,462
14,473
3,804
2,028
3,335
3,724
1,582
16,170
4,280
2,192
3,732
4,178
1,788
17,815
4,690
2,386
4,055
4,705
1,979
19,424
5,109
2,544
4,389
5,133
2,250
22,445
5,964
3,004
4,968
5,809
2,700
24,684
6,537
3,378
5,465
6,398
2,906
27,603
7,245
3,817
6,126
7,151
3,264
30,819
7,826
4,343
6,865
8,312
3,473
33,204
8,384
4,713
7,496
8,899
3,712
34,519
8,970
4,865
7,549
9,212
3,924
35,213
9,306
4,951
7,604
9,251
4,102
37,932
10,093
5,288
8,281
9,739
4,531
38,971
10,521
5,381
8,502
9,870
4,697
40,204
10,802
5,560
8,795
10,188
4,860
41,431
11,075
5,893
9,055
10,312
5,096
7.6
7.8
7.7
7.3
7.4
8.5
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
4,453
715
656
1,016
1,345
415
147
158
4,657
749
691
1,080
1,388
431
158
161
4,811
759
707
1,132
1,433
450
161
169
5,054
789
711
1,233
1,494
476
173
178
5,433
819
738
1,359
1,635
509
179
193
6,013
922
822
1,535
1,745
579
196
216
6,673
1,008
915
1,719
1,929
642
226
235
7,561
1,121
1,005
1,957
2,225
725
270
259
8,905
1,281
1,216
2,270
2,689
846
313
289
10,061
1,398
1,374
2,561
3,138
923
359
309
11,731
1,584
1,534
2,996
3,781
1,052
407
377
12,924
1,823
1,790
3,219
4,100
1,117
457
418
14,167
2,050
1,890
3,483
4,531
1,222
516
475
14,947
2,168
1,959
3,679
4,769
1,350
529
493
15,772
2,367
2,037
3,863
5,026
1,422
546
511
17,246
2,665
2,181
4,229
5,442
1,548
631
550
17,848
2,747
2,257
4,386
5,553
1,625
703
579
18,206
2,785
2,256
4,524
5,653
1,664
733
591
19,184
2,922
2,316
4,769
6,065
1,723
765
622
8.5
8.1
7.3
9.0
8.7
8.2
9.6
7.9
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
16,800
1,213
620
3,779
1,861
1,035
1,203
681
1,805
892
1,481
1,662
566
17,363
1,239
632
3,923
1,903
1,083
1,218
706
1,898
914
1,547
1,740
561
18,238
1,318
649
4,215
2,012
1,124
1,265
721
1,974
950
1,626
1,791
593
19,633
1,402
699
4,731
2,163
1,174
1,349
774
2,100
1,021
1,705
1,896
619
21,742
1,485
761
5,447
2,324
1,263
1,457
807
2,313
1,123
1,902
2,179
681
24,295
1,656
871
6,318
2,586
1,403
1,578
891
2,558
1,265
2,081
2,364
726
27,365
1,905
952
7,172
2,908
1,579
1,750
1,001
2,890
1,441
2,341
2,615
811
30,517
2,080
1,046
8,283
3,172
1,803
1,905
1,115
3,211
1,584
2,584
2,865
871
35,786
2,384
1,194
9,912
3,723
2,144
2,209
1,305
3,845
1,876
3,041
3,211
943
41,398
2,741
1,282
11,374
4,215
2,540
2,495
1,481
4,723
2,282
3,507
3,721
1,039
46,179
2,997
1,448
12,396
4,631
2,871
2,879
1,654
5,410
2,463
4,146
4,095
1,188
51,357
3,459
1,687
12,853
5,320
3,326
3,050
1,864
6,116
2,815
4,788
4,706
1,373
56,406
3,810
1,833
14,016
5,925
3,487
3,316
2,033
6,790
3,122
5,510
5,044
1,521
61,801
4,198
1,948
15,519
6,585
3,690
3,550
2,231
7,316
3,502
6,007
5,614
1,642
65,141
4,406
2,110
16,521
6,872
3,707
3,888
2,422
7,702
3,733
6,097
5,956
1,727
70,234
4,886
2,361
17,990
7,475
3,916
4,213
2,589
8,218
3,970
6,276
6,398
1,942
73,173
5,114
2,569
18,506
7,785
4,063
4,529
2,767
8,464
4,099
6,588
6,635
2,054
76,180
5,286
2,738
19,924
8,077
4,104
4,619
2,766
8,883
4,175
6,551
6,968
2,091
80,936
5,550
2,770
22,444
8,527
4,193
4,902
2,794
9,567
4,316
6,554
7,179
2,140
9.1
8.8
8.7
10.4
8.8
8.1
8.1
8.2
9.7
9.2
8.6
8.5
7.7
Southwest
Arizona
New Mexico
Oklahoma
Texas
6,903
1,015
386
864
4,639
7,172
1,059
405
881
4,828
7,522
1,168
427
884
5,043
7,913
1,241
461
927
5,284
8,610
1,372
490
999
5,749
9,536
1,522
532
1,101
6,379
10,515
1,633
565
1,186
7,130
11,625
1,915
623
1,296
7,791
13,502
2,283
728
1,534
8,958
15,213
2,532
820
1,726
10,136
16,900
2,785
921
1,944
11,250
18,157
3,025
992
2,127
12,013
20,038
3,399
1,071
2,271
13,297
21,399
3,710
1,159
2,503
14,028
23,310
4,094
1,222
2,627
15,368
26,973
4,695
1,331
2,987
17,960
29,863
5,068
1,418
3,199
20,178
31,025
5,249
1,486
3,282
21,008
32,272
5,296
1,587
3,461
21,928
8.9
9.6
8.2
8.0
9.0
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
1,829
838
239
213
430
109
1,889
878
247
219
437
110
2,029
944
266
232
471
116
2,119
988
272
229
514
116
2,269
1,050
285
238
574
122
2,502
1,109
323
269
661
141
2,911
1,316
376
299
757
162
3,218
1,488
401
320
832
176
3,609
1,686
451
359
921
191
4,003
1,865
508
395
1,027
209
4,515
2,040
580
422
1,240
233
5,055
2,191
705
455
1,441
264
5,455
2,335
786
503
1,548
284
5,691
2,455
833
513
1,587
303
6,056
2,617
887
557
1,666
328
6,784
2,955
970
640
1,825
394
7,212
3,195
1,015
688
1,891
423
7,526
3,348
1,083
694
1,959
443
7,846
3,462
1,142
714
2,061
467
8.4
8.2
9.1
6.9
9.1
8.4
10,614
10,980
11,121
145
149
153
7,639
7,880
7,841
362
362
378
370
404
449
728
747
792
1,370
1,438
1,508
NOTE: Numbers may not add to totals shown because of rounding.
11,370
158
7,912
390
503
835
1,571
11,882
171
8,174
395
565
911
1,665
12,808
184
8,692
407
649
1,039
1,837
14,346
208
9,692
450
761
1,172
2,062
15,912
233
10,735
484
865
1,292
2,303
18,221
264
12,317
543
1,044
1,448
2,606
20,066
286
13,641
568
1,174
1,570
2,827
22,705
310
15,546
603
1,346
1,742
3,158
26,075
359
17,964
733
1,559
1,981
3,478
28,923
390
20,208
814
1,722
2,068
3,720
30,535
405
21,263
952
1,851
2,171
3,893
32,776
433
22,824
1,041
2,003
2,350
4,126
41,743
572
28,983
1,289
2,357
3,155
5,386
7.9
7.9
7.7
7.3
10.8
8.5
7.9
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
36,340
38,883
39,831
476
509
537
25,191
27,021
27,621
1,091
1,184
1,228
2,246
2,369
2,333
2,667
2,883
3,002
4,668
4,918
5,110
Office of the Actuary, CMS, December, 2011
8.5%
Total All Payers State Estimates by State of Residence - Durable Medical Products (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$13,078
$13,494
$14,134
$15,311
$15,853
$17,423
$19,207
$21,333
$22,982
$25,107
$25,063
$27,038
$27,793
$28,929
$30,365
$31,932
$34,355
$35,147
$34,878
634
161
51
304
57
38
23
641
162
53
306
58
38
23
643
160
54
318
50
38
24
703
177
57
345
59
39
26
736
190
57
356
67
39
27
809
209
61
387
80
43
29
896
236
65
425
90
48
32
991
260
72
469
101
54
35
1,076
283
77
507
110
59
39
1,175
312
84
552
120
65
43
1,159
304
86
545
118
64
42
1,241
317
94
587
128
70
46
1,275
317
97
607
135
74
45
1,340
325
102
643
146
78
46
1,423
341
110
682
159
82
48
1,497
354
122
720
164
88
50
1,600
370
132
777
173
96
52
1,626
372
136
790
176
98
53
1,615
363
139
784
176
99
54
5.3
4.6
5.7
5.4
6.5
5.5
4.8
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
2,086
49
33
225
444
736
599
2,049
52
34
229
429
712
594
2,174
56
34
239
442
774
629
2,378
62
38
258
492
854
675
2,499
67
40
267
521
907
697
2,770
76
44
295
593
1,007
754
3,059
86
48
326
646
1,129
824
3,421
97
52
365
750
1,240
916
3,710
105
55
394
840
1,310
1,005
4,079
114
56
434
969
1,406
1,101
4,095
111
54
440
970
1,441
1,079
4,441
115
59
481
1,073
1,531
1,182
4,456
116
57
492
1,034
1,576
1,182
4,546
122
57
500
1,022
1,661
1,184
4,648
127
56
506
994
1,771
1,194
4,763
135
57
516
992
1,852
1,211
4,966
145
57
541
1,003
1,990
1,231
5,039
147
59
554
1,017
2,012
1,251
5,002
146
61
561
1,006
1,980
1,248
5.0
6.3
3.4
5.2
4.6
5.7
4.2
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
2,229
469
336
669
514
241
2,311
475
346
694
542
255
2,409
509
355
718
565
261
2,586
551
382
775
600
278
2,659
572
396
803
608
280
2,890
626
434
886
643
301
3,140
676
476
979
684
325
3,499
754
530
1,072
793
351
3,740
821
570
1,146
836
367
4,084
891
621
1,261
925
385
3,996
882
601
1,216
917
381
4,264
950
648
1,263
997
407
4,411
959
656
1,325
1,052
419
4,576
1,015
670
1,422
1,035
434
4,812
1,057
689
1,535
1,078
454
5,077
1,109
719
1,680
1,082
487
5,496
1,173
765
1,856
1,181
522
5,626
1,205
786
1,899
1,202
533
5,593
1,195
779
1,878
1,205
536
5.2
5.3
4.8
5.9
4.8
4.5
914
168
109
267
190
113
32
34
944
173
113
280
196
115
33
35
991
176
113
297
211
122
36
37
1,091
184
127
335
237
127
40
41
1,124
182
130
349
248
129
42
44
1,234
192
147
381
277
140
47
49
1,358
205
162
424
308
152
53
54
1,494
232
181
458
339
169
57
57
1,589
251
197
481
361
179
61
59
1,701
274
215
504
389
192
65
61
1,661
269
212
475
392
194
62
57
1,771
292
235
492
422
207
65
59
1,776
292
232
496
423
211
62
60
1,784
290
239
488
426
215
62
63
1,812
288
238
495
442
221
62
66
1,826
290
240
494
443
228
61
69
1,897
294
252
510
465
239
62
74
1,976
309
266
525
483
249
66
78
1,965
311
265
512
482
249
67
78
4.3
3.5
5.1
3.7
5.3
4.5
4.3
4.7
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
3,613
202
85
1,320
370
190
182
111
359
178
217
289
111
3,783
210
89
1,400
378
199
190
120
365
188
225
306
114
3,970
212
90
1,491
401
204
190
125
389
197
233
322
115
4,279
224
96
1,603
434
212
199
140
430
211
258
352
120
4,399
227
96
1,628
455
210
198
148
466
221
262
368
119
4,872
245
103
1,806
503
226
212
169
531
243
299
410
126
5,416
265
110
2,028
556
244
228
189
609
273
317
463
135
5,993
308
131
2,179
623
278
257
216
657
306
365
519
155
6,421
347
150
2,250
676
304
281
237
696
333
407
569
172
7,055
395
174
2,460
742
339
313
260
739
366
454
625
190
7,146
403
179
2,565
734
347
309
254
709
370
466
623
187
7,710
450
203
2,721
805
380
340
277
737
409
511
673
204
8,013
446
197
2,897
834
389
329
286
764
430
545
694
202
8,498
450
196
3,175
897
394
324
298
817
454
564
725
205
9,066
460
198
3,516
968
407
322
306
885
479
579
743
203
9,677
473
199
3,853
1,045
430
300
318
971
515
578
787
209
10,560
493
201
4,279
1,119
460
310
340
1,094
567
634
842
221
10,754
507
208
4,321
1,132
476
327
352
1,105
580
647
867
231
10,706
507
211
4,267
1,114
485
328
355
1,102
580
645
871
240
6.2
5.2
5.2
6.7
6.3
5.3
3.3
6.7
6.4
6.8
6.2
6.3
4.4
Southwest
Arizona
New Mexico
Oklahoma
Texas
1,448
285
106
151
906
1,513
291
109
159
955
1,599
306
116
169
1,008
1,734
334
127
184
1,088
1,806
347
137
193
1,131
1,958
373
154
212
1,218
2,151
414
175
235
1,327
2,396
447
196
257
1,497
2,602
477
212
275
1,638
2,836
527
237
294
1,778
2,821
538
232
283
1,769
3,094
595
250
305
1,944
3,152
631
251
298
1,972
3,241
685
258
290
2,007
3,377
766
268
286
2,057
3,560
845
285
285
2,145
3,809
958
307
290
2,253
3,993
959
321
308
2,405
3,941
942
323
305
2,371
5.7
6.9
6.4
4.0
5.5
514
255
65
44
126
23
537
264
71
45
133
24
557
270
75
48
138
26
599
288
81
53
147
29
619
297
84
55
151
32
677
324
90
61
165
37
747
355
99
67
184
42
837
404
106
77
204
46
914
447
114
86
219
47
1,011
503
124
97
238
49
987
493
120
98
230
46
1,060
529
132
110
241
48
1,094
540
139
110
258
47
1,152
562
150
110
282
47
1,233
593
165
110
318
48
1,324
629
181
112
352
49
1,438
670
204
115
397
52
1,466
684
204
119
402
56
1,441
670
200
120
395
56
5.9
5.5
6.4
5.7
6.6
5.1
1,641
1,715
1,791
28
30
31
1,080
1,122
1,170
58
61
67
66
73
80
122
131
136
286
298
307
NOTE: Numbers may not add to totals shown because of rounding.
1,942
33
1,266
77
93
146
325
2,010
35
1,310
85
103
149
329
2,214
38
1,440
98
124
163
351
2,441
41
1,583
113
141
180
382
2,701
45
1,735
121
161
205
433
2,931
49
1,865
127
180
229
481
3,168
52
1,987
134
201
259
534
3,197
52
1,995
128
206
271
545
3,457
58
2,143
133
228
298
598
3,617
59
2,251
137
256
301
613
3,793
62
2,359
142
280
313
637
3,993
65
2,466
152
309
328
674
4,613
74
2,832
176
375
376
779
5.9
5.5
5.5
6.4
10.1
6.4
5.7
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4,208
4,589
4,666
66
70
75
2,587
2,833
2,873
158
169
174
339
392
390
350
368
376
707
756
779
Office of the Actuary, CMS, December, 2011
5.6%
Total All Payers State Estimates by State of Residence - Nursing Home Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$49,386
$53,050
$56,024
$58,634
$64,478
$69,569
$74,391
$79,412
$80,793
$85,120
$90,781
$94,480
$100,141
$105,438
$112,150
$117,018
$126,518
$132,824
$136,971
4,673
1,396
359
2,258
226
309
126
4,875
1,437
375
2,325
248
363
128
5,102
1,531
387
2,390
285
374
135
5,305
1,611
386
2,497
303
367
142
5,786
1,742
411
2,735
344
399
156
6,211
1,881
425
2,941
372
421
172
6,579
1,999
440
3,118
409
433
180
6,972
2,072
458
3,374
412
475
182
6,849
2,123
458
3,169
432
486
182
7,057
2,196
477
3,255
435
501
194
7,713
2,384
513
3,592
455
551
218
7,928
2,400
526
3,716
493
573
219
8,293
2,506
559
3,866
521
606
234
8,641
2,569
600
4,036
560
628
248
9,158
2,742
636
4,246
604
664
267
9,503
2,847
647
4,426
627
680
275
10,278
3,047
678
4,873
666
716
299
10,674
3,178
716
5,041
710
729
301
10,775
3,155
750
5,121
724
727
297
4.8
4.6
4.2
4.7
6.7
4.9
4.9
11,106
138
200
902
1,713
5,155
2,997
11,904
141
207
973
1,876
5,478
3,228
12,580
151
218
1,063
1,981
5,726
3,440
13,201
163
230
1,130
2,107
5,947
3,624
14,406
179
246
1,255
2,351
6,335
4,041
15,596
192
245
1,347
2,554
6,818
4,441
16,631
205
224
1,443
2,722
7,166
4,872
17,999
235
242
1,609
2,865
7,846
5,202
18,845
241
283
1,625
2,939
8,394
5,362
19,707
268
285
1,691
3,039
8,804
5,621
21,142
306
269
1,971
3,173
9,317
6,106
22,095
296
304
2,004
3,372
9,790
6,328
23,469
312
322
2,210
3,543
10,231
6,851
24,732
364
339
2,474
3,826
10,569
7,159
26,026
404
354
2,683
4,176
10,893
7,516
26,730
398
358
2,865
4,364
10,929
7,815
28,344
463
378
3,129
4,629
11,370
8,376
29,499
524
387
3,305
4,954
11,740
8,589
30,241
581
425
3,438
5,134
11,847
8,818
5.7
8.3
4.3
7.7
6.3
4.7
6.2
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
9,716
2,429
1,491
1,560
2,942
1,294
10,393
2,593
1,633
1,685
3,131
1,351
10,857
2,674
1,688
1,747
3,302
1,446
11,154
2,742
1,705
1,801
3,410
1,495
12,050
2,956
1,826
1,967
3,665
1,636
12,854
3,112
1,909
2,118
3,976
1,738
13,633
3,307
1,974
2,273
4,242
1,838
14,321
3,467
2,052
2,395
4,516
1,891
14,778
3,652
2,033
2,435
4,781
1,877
15,413
3,817
2,138
2,570
4,933
1,955
16,659
4,049
2,348
2,815
5,357
2,089
17,003
4,121
2,389
2,919
5,470
2,104
17,871
4,234
2,515
3,094
5,804
2,224
18,688
4,439
2,658
3,222
6,039
2,330
19,657
4,661
2,882
3,392
6,274
2,448
20,406
4,852
3,037
3,565
6,415
2,538
21,993
5,340
3,289
3,792
6,872
2,701
22,891
5,621
3,449
3,961
7,055
2,805
23,335
5,716
3,607
4,082
7,036
2,894
5.0
4.9
5.0
5.5
5.0
4.6
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
4,728
756
590
1,507
1,161
356
195
164
5,011
797
609
1,633
1,231
376
195
171
5,223
826
634
1,662
1,305
410
202
184
5,345
837
654
1,651
1,341
462
200
198
5,789
901
706
1,733
1,509
507
214
218
6,195
969
757
1,756
1,687
559
225
242
6,521
1,008
819
1,769
1,857
584
229
255
6,932
1,093
870
1,871
1,936
643
241
278
6,937
1,136
853
1,862
1,905
638
257
285
7,308
1,208
919
1,950
1,971
682
274
303
7,715
1,268
974
2,071
2,094
717
284
307
8,018
1,299
996
2,154
2,178
756
306
329
8,343
1,357
1,045
2,223
2,230
794
321
372
8,648
1,439
1,095
2,292
2,285
819
331
387
9,146
1,511
1,176
2,397
2,430
882
349
400
9,374
1,574
1,194
2,454
2,517
896
363
376
10,079
1,718
1,300
2,622
2,698
957
388
397
10,567
1,822
1,343
2,734
2,852
982
410
424
10,937
1,880
1,395
2,827
2,929
1,009
447
450
4.8
5.2
4.9
3.6
5.3
6.0
4.7
5.8
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
9,352
538
407
2,433
852
659
698
342
1,043
400
786
856
338
10,281
614
442
2,688
903
727
789
382
1,153
443
881
895
362
11,103
652
462
2,890
984
787
827
399
1,279
477
987
971
388
11,855
685
496
3,159
1,061
819
781
414
1,420
517
1,067
1,038
398
13,505
785
569
3,674
1,188
941
824
452
1,618
571
1,277
1,169
436
14,991
881
624
4,075
1,323
1,039
864
496
1,789
641
1,462
1,330
468
16,447
999
685
4,371
1,461
1,152
877
547
1,974
698
1,703
1,478
502
17,444
1,081
722
4,681
1,551
1,188
935
606
2,134
762
1,718
1,535
530
17,571
1,113
727
4,632
1,533
1,160
933
627
2,090
835
1,639
1,743
540
18,547
1,142
802
4,890
1,631
1,208
973
668
2,226
891
1,689
1,870
557
19,622
1,274
769
5,072
1,756
1,289
1,064
701
2,419
995
1,748
1,949
585
20,625
1,305
856
5,502
1,840
1,314
1,126
741
2,601
980
1,755
2,003
604
22,179
1,379
919
5,890
1,950
1,411
1,223
820
2,841
1,090
1,875
2,135
647
23,681
1,462
967
6,149
2,131
1,496
1,292
940
3,125
1,165
2,007
2,241
705
25,619
1,581
1,048
6,451
2,332
1,621
1,389
1,034
3,409
1,320
2,205
2,445
782
27,026
1,655
1,097
6,830
2,403
1,690
1,394
1,096
3,573
1,456
2,383
2,627
822
29,572
1,783
1,185
7,562
2,565
1,862
1,572
1,204
3,941
1,623
2,523
2,852
901
31,097
1,872
1,260
7,926
2,688
1,989
1,679
1,271
4,091
1,712
2,608
3,045
955
32,031
1,866
1,328
8,181
2,672
2,030
1,702
1,296
4,214
1,789
2,759
3,207
987
7.1
7.2
6.8
7.0
6.6
6.4
5.1
7.7
8.1
8.7
7.2
7.6
6.1
Southwest
Arizona
New Mexico
Oklahoma
Texas
3,460
471
170
576
2,243
3,708
503
184
592
2,429
3,941
552
179
621
2,591
4,172
627
186
644
2,715
4,640
724
210
714
2,991
5,002
769
211
757
3,265
5,330
804
208
804
3,515
5,658
832
254
842
3,730
5,700
868
250
812
3,770
5,939
885
281
854
3,919
6,397
910
292
936
4,259
6,534
931
325
960
4,319
6,971
987
346
1,012
4,627
7,399
1,029
367
1,071
4,932
7,917
1,119
391
1,139
5,268
8,376
1,183
402
1,174
5,617
9,266
1,337
436
1,293
6,201
9,829
1,460
469
1,362
6,538
10,237
1,485
479
1,381
6,893
6.2
6.6
5.9
5.0
6.4
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
1,055
519
146
148
178
65
1,145
563
163
156
193
70
1,236
607
174
171
204
79
1,308
640
178
192
209
90
1,432
701
194
211
228
98
1,534
772
204
213
243
102
1,654
859
213
222
256
104
1,718
881
235
236
263
103
1,715
881
236
232
269
98
1,804
913
253
243
293
103
1,977
1,005
267
272
318
116
2,058
1,050
282
275
327
124
2,197
1,108
304
301
348
136
2,306
1,171
330
296
369
138
2,526
1,288
361
311
412
154
2,645
1,363
382
310
427
164
2,890
1,481
419
352
459
179
3,070
1,567
447
372
495
189
3,186
1,630
448
390
518
200
6.3
6.6
6.4
5.5
6.1
6.4
5,295
5,734
5,981
40
46
46
3,597
3,887
4,028
149
152
153
115
130
131
471
487
504
923
1,032
1,118
NOTE: Numbers may not add to totals shown because of rounding.
6,295
45
4,276
153
132
523
1,165
6,871
47
4,612
160
128
561
1,362
7,186
48
4,871
174
145
610
1,339
7,596
50
5,175
184
149
652
1,386
8,367
58
5,810
193
164
716
1,426
8,399
64
5,809
187
202
740
1,397
9,345
72
6,605
203
235
781
1,449
9,554
85
6,591
225
263
805
1,585
10,218
94
7,089
259
284
839
1,654
10,818
98
7,520
274
311
854
1,761
11,344
102
7,812
301
350
967
1,814
12,101
103
8,260
338
385
1,059
1,955
16,229
120
11,360
483
490
1,383
2,393
6.4
6.4
6.6
6.8
8.4
6.2
5.4
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
12,960
14,096
15,197
103
107
113
8,948
9,696
10,510
363
403
447
405
446
476
1,122
1,251
1,318
2,018
2,193
2,333
Office of the Actuary, CMS, December, 2011
5.8%
Total All Payers State Estimates by State of Residence - Other Health, Residential, and Personal Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$27,836
$30,140
$34,120
$38,074
$42,055
$46,600
$50,542
$56,246
$59,840
$64,703
$70,685
$77,663
$83,961
$90,710
$96,458
$102,065
$108,283
$113,251
$122,623
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
2,453
677
212
1,147
119
209
89
2,633
722
219
1,187
129
279
97
2,906
775
259
1,283
151
330
110
3,332
862
254
1,614
176
300
126
3,857
965
295
1,918
193
340
146
3,993
923
376
1,943
228
363
161
4,028
1,001
406
1,829
237
389
167
4,718
1,123
542
2,114
289
464
187
5,022
1,259
633
2,144
271
505
210
5,369
1,331
681
2,287
303
524
244
5,687
1,325
778
2,405
308
594
278
6,417
1,491
956
2,664
335
656
315
6,686
1,382
1,041
2,884
341
696
342
7,305
1,699
1,193
2,884
390
764
376
7,649
1,631
1,247
3,216
422
797
337
7,963
1,814
1,264
3,438
446
832
168
8,594
1,813
1,276
3,920
477
898
210
9,116
2,134
1,365
4,024
519
876
199
10,167
2,687
1,427
4,408
549
873
222
8.2
8.0
11.2
7.8
8.9
8.3
5.2
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
6,862
86
175
392
897
3,617
1,695
7,557
105
199
444
878
4,034
1,896
8,770
117
226
471
969
4,920
2,068
9,751
134
229
542
1,152
5,427
2,266
10,670
151
232
625
1,232
5,938
2,493
12,135
176
246
804
1,359
6,677
2,873
13,331
185
260
785
1,532
7,414
3,154
14,783
210
291
848
1,593
8,260
3,581
16,018
219
314
872
1,696
9,022
3,893
16,947
237
344
969
1,788
9,357
4,252
18,244
244
338
1,013
1,983
10,060
4,605
19,820
255
346
1,067
2,204
10,990
4,958
22,153
296
338
1,326
2,382
12,383
5,428
23,080
322
376
1,385
2,563
12,796
5,639
24,533
335
406
1,485
2,837
13,357
6,115
26,518
355
328
1,772
3,399
14,332
6,332
27,475
374
328
1,824
3,267
15,268
6,415
28,411
391
331
1,881
3,473
15,573
6,761
31,116
418
404
2,128
3,665
17,236
7,265
8.8
9.2
4.8
9.9
8.1
9.1
8.4
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
4,639
1,222
607
998
1,160
652
5,069
1,428
679
931
1,322
709
5,430
1,551
719
1,015
1,393
752
5,817
1,655
765
1,116
1,512
769
6,396
1,864
770
1,250
1,689
822
7,132
2,129
818
1,424
1,822
940
7,711
2,262
854
1,852
1,752
991
8,481
2,543
972
1,730
2,123
1,113
8,457
2,578
982
1,500
2,235
1,161
9,411
2,785
1,104
1,589
2,576
1,357
10,493
3,046
1,228
1,725
2,957
1,537
11,476
3,463
1,416
1,745
3,280
1,572
12,349
3,521
1,636
1,831
3,740
1,621
13,311
3,808
1,830
1,853
4,009
1,812
14,294
4,252
1,799
2,098
4,200
1,943
14,240
4,197
1,926
2,126
4,128
1,863
14,607
4,390
1,931
2,116
4,239
1,931
15,015
4,402
2,094
2,148
4,433
1,936
15,861
4,483
2,277
2,207
4,894
2,001
7.1
7.5
7.6
4.5
8.3
6.4
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
2,224
337
249
844
454
135
115
91
2,260
347
245
803
510
137
118
100
2,627
393
276
944
624
153
123
112
3,140
450
318
1,197
749
163
133
130
3,448
505
358
1,301
825
175
143
141
3,793
568
438
1,349
924
206
158
150
3,932
599
546
1,275
955
249
158
149
4,562
686
647
1,504
1,075
284
200
166
4,829
715
709
1,595
1,130
314
193
173
5,304
768
775
1,766
1,231
359
222
184
5,893
815
836
2,079
1,345
400
221
196
6,568
874
898
2,392
1,491
452
242
220
7,122
950
867
2,835
1,509
470
263
227
7,651
1,025
973
2,970
1,617
502
314
252
7,833
1,097
1,032
2,903
1,675
528
325
272
8,135
1,200
1,076
2,996
1,696
551
337
278
8,559
1,236
1,070
3,262
1,769
568
351
302
8,966
1,296
1,051
3,432
1,877
601
388
321
9,608
1,410
1,131
3,597
2,007
668
446
347
8.5
8.3
8.8
8.4
8.6
9.3
7.8
7.7
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
5,131
354
210
1,044
535
257
617
164
613
376
342
449
171
5,715
386
239
1,170
597
269
715
196
664
427
375
480
197
6,630
417
264
1,405
690
309
827
230
793
486
403
535
270
7,555
445
310
1,669
809
325
862
247
896
531
504
600
358
8,507
498
356
1,852
893
345
853
280
1,038
589
750
649
405
9,294
537
398
1,984
983
395
900
326
1,197
649
773
716
435
10,101
765
413
2,052
1,076
467
908
381
1,317
705
794
779
444
10,992
627
454
2,226
1,135
566
994
406
1,500
816
911
861
495
11,675
645
510
2,400
1,218
614
1,036
461
1,562
888
913
924
504
12,932
751
545
2,725
1,316
710
1,085
537
1,700
940
1,020
1,065
539
14,233
792
553
3,156
1,443
784
1,108
634
1,825
1,083
1,164
1,105
586
15,340
872
557
3,374
1,652
838
1,170
707
1,967
1,095
1,248
1,220
640
16,190
976
557
3,624
1,684
890
1,280
719
2,065
1,086
1,307
1,253
750
17,858
1,042
700
3,697
2,093
1,011
1,439
848
2,260
1,193
1,446
1,368
760
19,008
1,114
791
3,890
1,961
1,085
1,523
852
2,517
1,201
1,728
1,545
800
20,284
1,169
839
4,191
1,947
1,198
1,566
900
3,068
1,205
1,697
1,704
801
22,474
1,306
887
4,492
2,540
1,320
1,721
930
3,330
1,213
2,004
1,897
836
23,894
1,404
942
4,581
2,238
1,373
1,894
1,008
3,838
1,354
1,997
2,404
860
25,764
1,451
1,158
4,769
2,386
1,579
1,950
1,075
4,085
1,368
2,196
2,788
958
9.4
8.2
9.9
8.8
8.7
10.6
6.6
11.0
11.1
7.4
10.9
10.7
10.0
Southwest
Arizona
New Mexico
Oklahoma
Texas
2,356
329
151
300
1,576
2,484
352
158
335
1,639
2,876
383
179
379
1,935
3,176
420
208
411
2,137
3,511
460
254
458
2,339
3,994
500
299
503
2,692
4,487
546
305
552
3,084
4,891
607
317
640
3,326
5,261
661
333
696
3,570
5,632
628
379
736
3,888
5,982
665
415
835
4,066
6,710
752
483
916
4,559
7,176
870
533
873
4,900
7,579
947
644
934
5,054
8,183
1,047
724
1,000
5,413
8,790
1,199
787
1,106
5,697
9,216
1,237
794
1,194
5,991
9,857
1,320
856
1,300
6,381
10,396
1,385
866
1,392
6,752
8.6
8.3
10.2
8.9
8.4
793
397
87
86
193
31
815
418
90
97
171
39
920
451
102
108
208
52
989
503
108
118
196
64
1,076
552
118
119
217
70
1,208
603
138
137
246
84
1,271
637
153
130
254
97
1,463
733
185
145
296
104
1,571
766
205
160
333
107
1,770
836
250
197
372
116
1,984
896
292
232
437
126
2,149
980
314
218
490
148
2,504
1,240
327
249
525
162
2,700
1,331
370
274
552
173
2,826
1,350
406
300
585
184
2,956
1,350
430
314
660
202
3,132
1,427
474
332
689
209
3,320
1,519
489
370
723
220
3,612
1,659
530
404
788
232
8.8
8.3
10.5
9.0
8.1
11.9
3,378
3,606
3,960
73
79
86
2,188
2,301
2,500
79
81
94
80
93
102
425
472
550
532
580
627
NOTE: Numbers may not add to totals shown because of rounding.
4,314
90
2,789
115
107
604
608
4,592
99
2,932
140
130
655
636
5,051
113
3,266
104
146
696
726
5,680
132
3,716
123
155
723
832
6,356
151
4,090
142
179
834
960
7,008
171
4,457
159
195
950
1,076
7,337
200
4,558
181
231
1,000
1,167
8,169
247
5,109
189
261
1,139
1,224
9,183
285
5,873
220
303
1,224
1,279
9,782
331
6,304
254
306
1,284
1,303
11,226
333
7,512
282
327
1,362
1,410
12,131
382
8,062
303
359
1,445
1,580
16,101
463
10,760
328
421
2,049
2,081
9.1
10.8
9.3
8.2
9.6
9.1
7.9
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
13,180
14,226
14,673
387
417
444
8,946
9,713
9,901
288
373
379
383
382
376
1,522
1,610
1,690
1,654
1,731
1,884
Office of the Actuary, CMS, December, 2011
8.6%
Total All Payers Per Capita State Estimates by State of Residence - Personal Health Care (Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$2,678
$2,859
$3,005
$3,128
$3,277
$3,421
$3,574
$3,728
$3,902
$4,127
$4,435
$4,767
$5,096
$5,411
$5,726
$6,028
$6,318
$6,566
$6,815
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
3,099
3,324
2,511
3,316
2,481
2,891
2,360
3,315
3,526
2,690
3,542
2,706
3,174
2,507
3,502
3,646
2,872
3,789
2,792
3,365
2,652
3,657
3,835
2,972
3,963
2,897
3,430
2,793
3,878
4,089
3,238
4,134
3,150
3,737
3,054
4,048
4,223
3,509
4,307
3,367
3,855
3,185
4,265
4,461
3,772
4,514
3,538
4,061
3,403
4,528
4,712
4,062
4,793
3,767
4,296
3,645
4,688
4,908
4,375
4,865
4,037
4,469
3,960
4,953
5,120
4,656
5,149
4,261
4,749
4,349
5,348
5,502
5,079
5,590
4,480
5,093
4,741
5,815
5,937
5,576
6,094
4,821
5,561
5,196
6,226
6,215
6,080
6,556
5,220
5,966
5,682
6,726
6,824
6,590
6,988
5,722
6,487
6,237
7,126
7,050
7,065
7,436
6,211
6,979
6,636
7,585
7,454
7,377
8,002
6,677
7,316
6,804
8,047
7,837
7,717
8,568
7,120
7,659
7,086
8,422
8,260
8,103
8,926
7,470
8,045
7,358
8,783
8,654
8,521
9,278
7,839
8,309
7,635
6.0
5.5
7.0
5.9
6.6
6.0
6.7
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
3,077
2,878
4,647
2,777
2,972
3,202
3,010
3,297
3,066
5,139
2,951
3,231
3,425
3,209
3,487
3,265
5,410
3,125
3,384
3,650
3,372
3,657
3,503
5,546
3,292
3,591
3,838
3,495
3,840
3,696
5,646
3,416
3,786
4,025
3,693
3,995
3,812
5,872
3,576
3,895
4,233
3,797
4,175
4,097
5,954
3,716
4,071
4,404
4,010
4,343
4,247
6,180
3,754
4,234
4,625
4,159
4,578
4,606
6,429
3,993
4,400
4,860
4,429
4,840
4,822
6,467
4,247
4,753
5,090
4,697
5,194
5,150
6,709
4,614
5,002
5,479
5,068
5,575
5,604
7,198
4,994
5,420
5,880
5,387
5,988
6,196
7,639
5,389
5,693
6,363
5,786
6,346
6,611
8,296
5,737
6,054
6,709
6,148
6,720
7,016
8,644
6,058
6,493
7,026
6,589
7,074
7,350
9,019
6,534
6,803
7,417
6,860
7,399
7,750
9,476
6,881
7,110
7,722
7,207
7,664
8,111
9,835
7,205
7,356
7,966
7,483
7,970
8,480
10,349
7,492
7,583
8,341
7,730
5.4
6.2
4.5
5.7
5.3
5.5
5.4
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
2,655
2,722
2,532
2,647
2,706
2,544
2,835
2,919
2,741
2,788
2,883
2,726
2,989
3,061
2,918
2,933
3,046
2,879
3,121
3,200
3,005
3,092
3,168
3,020
3,280
3,344
3,123
3,282
3,331
3,192
3,437
3,487
3,173
3,459
3,533
3,375
3,586
3,631
3,395
3,629
3,624
3,534
3,721
3,785
3,583
3,692
3,757
3,705
3,916
3,940
3,790
3,839
3,972
4,026
4,153
4,184
4,013
4,030
4,231
4,306
4,477
4,456
4,340
4,274
4,632
4,730
4,819
4,787
4,669
4,539
5,056
5,079
5,139
5,058
5,028
4,839
5,422
5,408
5,455
5,323
5,401
5,138
5,766
5,752
5,770
5,657
5,628
5,449
6,073
6,147
6,098
5,977
5,984
5,828
6,318
6,540
6,409
6,368
6,261
6,137
6,558
6,850
6,596
6,520
6,435
6,357
6,776
7,003
6,852
6,756
6,666
6,618
7,076
7,233
5.4
5.2
5.5
5.2
5.5
6.0
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
2,554
2,559
2,609
2,619
2,522
2,381
2,667
2,452
2,734
2,705
2,778
2,785
2,742
2,563
2,859
2,579
2,872
2,837
2,881
2,938
2,896
2,688
2,991
2,695
3,050
2,996
3,034
3,146
3,079
2,842
3,162
2,870
3,209
3,139
3,212
3,340
3,195
2,970
3,430
3,079
3,381
3,335
3,384
3,482
3,364
3,193
3,578
3,285
3,553
3,491
3,573
3,659
3,533
3,344
3,751
3,493
3,792
3,780
3,741
3,957
3,733
3,571
4,043
3,669
3,983
3,991
3,915
4,143
3,901
3,813
4,184
3,973
4,265
4,222
4,187
4,461
4,175
4,162
4,438
4,188
4,613
4,541
4,487
4,860
4,502
4,588
4,829
4,409
4,964
4,820
4,799
5,238
4,870
4,898
5,334
4,846
5,305
5,182
5,087
5,609
5,203
5,236
5,601
5,229
5,596
5,445
5,420
5,930
5,437
5,602
5,956
5,457
5,890
5,793
5,735
6,252
5,649
5,970
6,241
5,770
6,170
6,118
5,997
6,612
5,780
6,393
6,619
6,122
6,534
6,358
6,275
6,978
6,281
6,662
7,044
6,388
6,797
6,618
6,567
7,133
6,624
6,895
7,333
6,721
7,085
6,921
6,782
7,409
6,967
7,048
7,749
7,056
5.8
5.7
5.5
5.9
5.8
6.2
6.1
6.0
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
2,558
2,571
2,380
2,974
2,540
2,398
2,646
2,194
2,272
2,278
2,572
2,375
2,606
2,734
2,743
2,500
3,178
2,713
2,590
2,850
2,326
2,460
2,442
2,786
2,454
2,858
2,893
2,883
2,609
3,338
2,867
2,715
3,048
2,499
2,630
2,612
2,972
2,576
3,065
3,022
3,019
2,735
3,465
2,945
2,813
3,196
2,657
2,795
2,777
3,080
2,694
3,243
3,182
3,196
2,907
3,587
3,097
3,007
3,323
2,894
2,971
2,924
3,305
2,817
3,463
3,345
3,373
3,053
3,754
3,208
3,206
3,447
3,093
3,169
3,059
3,474
2,984
3,643
3,519
3,590
3,242
3,907
3,312
3,456
3,598
3,271
3,354
3,320
3,635
3,148
3,870
3,627
3,631
3,371
4,002
3,421
3,621
3,715
3,378
3,450
3,458
3,737
3,265
4,045
3,795
3,741
3,567
4,188
3,510
3,851
3,900
3,483
3,669
3,676
3,868
3,426
4,227
4,055
3,968
3,770
4,493
3,660
4,198
4,041
3,776
3,973
3,928
4,133
3,720
4,481
4,347
4,203
4,035
4,792
3,852
4,495
4,330
4,125
4,367
4,272
4,509
3,885
4,911
4,642
4,554
4,381
5,072
4,174
4,854
4,597
4,454
4,589
4,585
4,715
4,214
5,294
4,952
5,029
4,625
5,372
4,373
5,089
4,956
4,738
4,903
4,862
5,089
4,562
5,683
5,289
5,272
4,892
5,709
4,714
5,392
5,309
5,110
5,260
5,197
5,499
4,891
6,055
5,551
5,580
5,209
5,981
4,861
5,655
5,556
5,389
5,566
5,421
5,743
5,183
6,370
5,842
5,792
5,428
6,303
5,109
5,933
6,074
5,799
5,865
5,673
5,916
5,480
6,670
6,069
5,948
5,693
6,577
5,259
6,123
6,302
6,129
6,010
5,885
6,155
5,773
7,017
6,273
6,106
5,966
6,848
5,321
6,314
6,583
6,348
6,199
6,132
6,229
6,049
7,285
6,506
6,272
6,167
7,156
5,467
6,596
6,795
6,571
6,444
6,323
6,411
6,286
7,667
5.3
5.1
5.4
5.0
4.4
5.8
5.4
6.3
6.0
5.8
5.2
5.6
6.2
Southwest
Arizona
New Mexico
Oklahoma
Texas
2,379
2,457
2,260
2,375
2,373
2,544
2,534
2,434
2,543
2,556
2,660
2,639
2,521
2,640
2,681
2,738
2,695
2,601
2,802
2,749
2,879
2,724
2,771
3,001
2,904
3,022
2,797
2,928
3,179
3,057
3,170
2,858
3,085
3,276
3,235
3,286
2,986
3,232
3,393
3,346
3,448
3,131
3,381
3,569
3,512
3,604
3,248
3,539
3,766
3,671
3,885
3,443
3,843
4,113
3,962
4,200
3,772
4,186
4,375
4,280
4,421
4,041
4,457
4,739
4,464
4,652
4,304
4,843
4,970
4,675
5,011
4,674
5,233
5,350
5,028
5,242
4,895
5,521
5,690
5,242
5,461
5,133
5,874
6,006
5,432
5,739
5,326
6,356
6,310
5,714
5,937
5,434
6,651
6,532
5,924
5.2
4.5
6.2
5.8
5.2
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
2,303
2,511
2,135
2,373
1,993
2,230
2,423
2,649
2,268
2,504
2,080
2,297
2,507
2,698
2,367
2,595
2,192
2,482
2,575
2,777
2,420
2,660
2,231
2,626
2,711
2,906
2,559
2,848
2,342
2,834
2,831
3,000
2,722
2,900
2,500
3,020
3,004
3,142
2,875
3,157
2,702
3,224
3,174
3,362
3,021
3,350
2,770
3,451
3,296
3,487
3,183
3,608
2,794
3,630
3,554
3,758
3,401
3,877
3,030
3,960
3,808
3,979
3,655
4,239
3,293
4,284
4,112
4,255
4,022
4,501
3,604
4,726
4,406
4,592
4,258
4,830
3,840
5,037
4,650
4,837
4,485
5,085
4,087
5,316
4,871
4,968
4,795
5,438
4,346
5,733
5,146
5,299
5,070
5,748
4,486
6,163
5,362
5,500
5,313
6,072
4,664
6,482
5,632
5,825
5,496
6,356
4,871
6,815
5,810
5,994
5,658
6,640
5,031
7,040
5.3
5.0
5.6
5.9
5.3
6.6
2,625
2,794
2,894
2,589
2,692
2,816
2,677
2,847
2,948
2,630
2,761
2,959
2,411
2,598
2,658
2,324
2,500
2,618
2,538
2,720
2,792
NOTE: Numbers may not add to totals shown because of rounding.
2,963
2,899
3,008
3,165
2,775
2,692
2,874
3,047
3,174
3,069
3,371
2,830
2,838
3,018
3,131
3,459
3,144
3,573
2,916
2,939
3,103
3,212
3,714
3,213
3,573
3,008
3,107
3,198
3,399
3,909
3,389
3,688
3,109
3,398
3,437
3,527
4,176
3,486
3,803
3,273
3,578
3,691
3,664
4,620
3,602
3,921
3,478
3,756
3,873
3,934
5,227
3,847
4,133
3,752
4,168
4,186
4,245
4,589
4,872
5,198
5,482
5,827
6,127
5,772
6,194
6,528
7,239
7,567
8,053
8,676
4,144
4,499
4,777
5,098
5,384
5,732
6,024
4,496
4,854
5,122
5,503
5,710
6,258
6,608
4,144
4,452
4,759
5,007
5,227
5,471
5,611
4,422
4,695
5,059
5,414
5,766
5,998
6,304
4,546
4,878
5,125
5,437
5,705
6,080
6,443
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
6,361
9,128
6,238
6,856
5,735
6,580
6,782
5.0
7.3
4.8
5.5
4.9
6.0
5.6
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
5.3%
Total All Payers Per Capita State Estimates by State of Residence - Hospital Care (Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$1,090
$1,164
$1,215
$1,248
$1,274
$1,302
$1,333
$1,359
$1,411
$1,473
$1,576
$1,691
$1,812
$1,927
$2,052
$2,172
$2,279
$2,374
$2,475
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
1,226
1,178
998
1,387
968
1,159
927
1,305
1,245
1,055
1,478
1,066
1,213
993
1,368
1,284
1,116
1,560
1,132
1,257
1,046
1,401
1,319
1,178
1,591
1,100
1,303
1,111
1,419
1,306
1,266
1,586
1,143
1,396
1,211
1,453
1,333
1,353
1,625
1,159
1,407
1,205
1,508
1,371
1,421
1,682
1,183
1,514
1,269
1,555
1,422
1,478
1,742
1,198
1,500
1,319
1,601
1,461
1,559
1,773
1,265
1,538
1,474
1,677
1,491
1,654
1,861
1,356
1,633
1,570
1,816
1,609
1,781
2,027
1,454
1,768
1,659
1,970
1,738
1,921
2,196
1,617
1,925
1,821
2,177
1,860
2,116
2,455
1,825
2,078
2,069
2,360
2,009
2,319
2,653
1,993
2,255
2,310
2,520
2,087
2,573
2,812
2,224
2,413
2,592
2,763
2,291
2,762
3,091
2,483
2,577
2,908
2,941
2,387
2,910
3,324
2,678
2,723
3,051
3,066
2,522
3,099
3,409
2,807
2,941
3,225
3,193
2,661
3,268
3,505
2,980
3,060
3,408
5.5
4.6
6.8
5.3
6.4
5.5
7.5
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
1,296
1,165
2,413
1,126
1,166
1,355
1,313
1,389
1,242
2,662
1,192
1,266
1,431
1,430
1,463
1,351
2,835
1,258
1,359
1,512
1,480
1,514
1,417
2,852
1,284
1,419
1,600
1,483
1,538
1,469
2,838
1,326
1,400
1,619
1,537
1,550
1,415
3,030
1,372
1,393
1,663
1,497
1,575
1,533
3,040
1,396
1,413
1,674
1,542
1,589
1,554
3,129
1,405
1,443
1,689
1,543
1,634
1,611
3,195
1,451
1,431
1,756
1,590
1,710
1,616
3,059
1,510
1,570
1,817
1,670
1,810
1,734
3,195
1,641
1,613
1,923
1,784
1,934
1,888
3,391
1,759
1,767
2,049
1,882
2,082
2,148
3,634
1,914
1,883
2,217
2,007
2,216
2,310
3,941
2,072
1,953
2,358
2,155
2,373
2,541
4,211
2,216
2,071
2,486
2,380
2,528
2,680
4,467
2,374
2,169
2,661
2,537
2,641
2,858
4,625
2,520
2,238
2,770
2,666
2,717
2,944
4,779
2,680
2,261
2,827
2,764
2,823
3,109
4,948
2,767
2,351
2,949
2,858
4.4
5.6
4.1
5.1
4.0
4.4
4.4
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
1,120
1,222
1,034
1,117
1,120
982
1,192
1,301
1,112
1,176
1,203
1,037
1,251
1,352
1,186
1,239
1,263
1,082
1,298
1,398
1,215
1,308
1,304
1,130
1,339
1,429
1,246
1,380
1,344
1,147
1,378
1,452
1,200
1,432
1,409
1,237
1,424
1,494
1,336
1,461
1,426
1,291
1,440
1,510
1,387
1,477
1,408
1,343
1,501
1,558
1,460
1,516
1,478
1,434
1,562
1,625
1,527
1,556
1,539
1,515
1,657
1,715
1,600
1,616
1,665
1,649
1,784
1,817
1,719
1,712
1,828
1,821
1,919
1,930
1,862
1,843
1,984
1,966
2,067
2,029
2,045
2,001
2,164
2,101
2,212
2,176
2,117
2,147
2,345
2,246
2,362
2,303
2,278
2,317
2,494
2,405
2,512
2,506
2,450
2,472
2,586
2,512
2,595
2,552
2,493
2,559
2,703
2,648
2,733
2,697
2,603
2,695
2,881
2,730
5.1
4.5
5.3
5.0
5.4
5.8
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
1,054
1,078
1,062
920
1,152
1,024
1,055
1,110
1,125
1,126
1,146
964
1,251
1,103
1,157
1,153
1,173
1,174
1,177
975
1,340
1,157
1,236
1,175
1,242
1,251
1,245
1,045
1,402
1,216
1,333
1,247
1,286
1,304
1,296
1,086
1,423
1,271
1,445
1,344
1,330
1,370
1,323
1,095
1,465
1,381
1,524
1,414
1,394
1,422
1,368
1,226
1,495
1,396
1,649
1,478
1,422
1,497
1,373
1,220
1,534
1,431
1,726
1,504
1,496
1,578
1,439
1,324
1,572
1,539
1,758
1,604
1,573
1,642
1,461
1,417
1,655
1,692
1,795
1,667
1,702
1,757
1,552
1,536
1,788
1,871
2,017
1,825
1,840
1,871
1,633
1,717
1,922
1,977
2,258
1,988
1,977
1,976
1,741
1,823
2,139
2,096
2,242
2,136
2,104
2,085
1,883
1,967
2,248
2,236
2,370
2,260
2,270
2,250
2,034
2,142
2,394
2,461
2,505
2,477
2,383
2,366
2,180
2,290
2,408
2,677
2,654
2,702
2,551
2,463
2,297
2,409
2,720
2,758
2,773
2,789
2,698
2,559
2,415
2,495
2,954
2,880
2,994
2,977
2,837
2,713
2,530
2,594
3,143
2,951
3,183
3,147
5.7
5.3
4.9
5.9
5.7
6.1
6.3
6.0
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
1,064
1,092
1,008
1,109
1,064
1,052
1,182
1,001
948
1,050
1,103
993
1,168
1,136
1,201
1,070
1,169
1,131
1,136
1,255
1,079
1,026
1,129
1,208
1,027
1,273
1,184
1,225
1,102
1,210
1,187
1,175
1,339
1,140
1,072
1,197
1,261
1,065
1,339
1,215
1,257
1,131
1,221
1,203
1,200
1,408
1,217
1,123
1,272
1,264
1,082
1,395
1,253
1,345
1,190
1,238
1,221
1,239
1,451
1,343
1,184
1,295
1,243
1,127
1,461
1,297
1,411
1,263
1,276
1,245
1,307
1,461
1,410
1,248
1,299
1,298
1,170
1,534
1,335
1,405
1,301
1,311
1,248
1,394
1,503
1,418
1,296
1,408
1,322
1,213
1,616
1,354
1,379
1,353
1,317
1,268
1,438
1,541
1,491
1,309
1,429
1,318
1,240
1,689
1,397
1,407
1,382
1,362
1,276
1,470
1,588
1,512
1,384
1,487
1,369
1,299
1,750
1,459
1,448
1,443
1,436
1,339
1,554
1,579
1,581
1,473
1,550
1,451
1,335
1,826
1,550
1,508
1,578
1,517
1,403
1,667
1,706
1,713
1,552
1,656
1,530
1,428
1,995
1,649
1,593
1,695
1,637
1,472
1,787
1,818
1,829
1,636
1,780
1,608
1,510
2,109
1,750
1,685
1,778
1,715
1,561
1,856
1,936
1,930
1,773
1,887
1,707
1,649
2,270
1,852
1,760
1,841
1,802
1,621
1,993
2,051
2,104
1,902
1,974
1,807
1,775
2,445
1,958
1,932
1,915
1,883
1,723
2,184
2,172
2,149
1,991
2,060
1,919
1,906
2,586
2,061
1,997
1,984
1,990
1,786
2,329
2,328
2,337
2,109
2,160
2,025
1,994
2,693
2,136
2,027
2,048
2,068
1,832
2,393
2,387
2,495
2,138
2,270
2,112
2,121
2,844
2,193
2,056
2,159
2,128
1,846
2,453
2,482
2,619
2,171
2,420
2,090
2,216
2,913
2,282
2,111
2,221
2,207
1,922
2,607
2,532
2,741
2,280
2,553
2,160
2,298
3,073
4.3
3.7
4.5
3.9
3.3
5.2
4.3
5.8
5.0
5.1
3.8
4.8
5.5
Southwest
Arizona
New Mexico
Oklahoma
Texas
973
902
1,013
990
982
1,052
938
1,089
1,056
1,074
1,097
950
1,134
1,091
1,128
1,103
964
1,140
1,135
1,126
1,117
956
1,147
1,188
1,140
1,148
958
1,178
1,240
1,175
1,167
973
1,252
1,234
1,194
1,206
1,010
1,300
1,276
1,233
1,246
1,026
1,391
1,333
1,273
1,293
1,088
1,384
1,385
1,320
1,406
1,135
1,481
1,493
1,453
1,534
1,263
1,563
1,589
1,590
1,624
1,386
1,585
1,824
1,656
1,702
1,473
1,735
1,908
1,726
1,824
1,673
1,922
2,096
1,813
1,897
1,730
1,961
2,201
1,889
1,972
1,824
2,090
2,295
1,953
2,090
1,909
2,363
2,426
2,066
2,167
1,977
2,469
2,535
2,138
4.5
4.5
5.1
5.4
4.4
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
906
964
832
1,000
767
1,016
954
1,012
893
1,053
819
1,016
971
1,017
907
1,082
847
1,079
984
1,021
934
1,107
852
1,133
1,028
1,056
978
1,197
884
1,221
1,053
1,063
1,043
1,158
939
1,290
1,101
1,079
1,077
1,321
1,005
1,347
1,121
1,101
1,138
1,417
965
1,404
1,160
1,147
1,199
1,520
936
1,524
1,247
1,240
1,245
1,589
1,042
1,633
1,351
1,351
1,350
1,722
1,119
1,748
1,445
1,440
1,464
1,805
1,208
1,898
1,545
1,536
1,560
1,936
1,299
2,028
1,657
1,657
1,606
2,085
1,422
2,155
1,762
1,714
1,749
2,293
1,540
2,365
1,872
1,849
1,878
2,439
1,571
2,529
1,957
1,931
1,992
2,558
1,631
2,667
2,075
2,065
2,021
2,692
1,766
2,780
2,163
2,150
2,115
2,840
1,830
2,913
5.0
4.6
5.3
6.0
4.9
6.0
958
1,018
1,053
1,105
1,155
1,210
981
1,038
1,074
1,051
1,125
1,213
866
907
939
808
887
929
889
962
975
NOTE: Numbers may not add to totals shown because of rounding.
1,066
1,251
1,081
1,278
969
940
1,013
1,069
1,402
1,075
1,327
951
973
1,031
1,071
1,536
1,066
1,416
970
989
1,053
1,071
1,638
1,061
1,347
955
1,029
1,066
1,120
1,650
1,121
1,332
979
1,085
1,084
1,189
1,753
1,178
1,388
1,036
1,149
1,222
1,235
1,947
1,223
1,430
1,079
1,233
1,246
1,348
2,196
1,331
1,588
1,185
1,365
1,355
1,441
1,549
1,644
1,733
1,833
1,929
2,070
2,287
2,411
2,521
2,910
3,126
3,350
3,675
1,414
1,520
1,613
1,691
1,791
1,866
2,000
1,632
1,775
1,823
1,972
2,060
2,177
2,365
1,333
1,372
1,488
1,549
1,624
1,749
1,891
1,475
1,551
1,676
1,802
1,914
2,010
2,086
1,491
1,640
1,730
1,833
1,919
2,106
2,296
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
2,157
3,879
2,077
2,480
1,949
2,208
2,409
4.6
7.2
4.3
4.9
4.6
5.7
5.7
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4.7%
Total All Payers Per Capita State Estimates by State of Residence - Physician & Clinical Services (Dollars)
Average
Annual %
Growth
2009 (1991-2009)
State
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
United States
$698
$746
$780
$806
$835
$859
$891
$935
$972
$1,028
$1,104
$1,184
$1,269
$1,344
$1,419
$1,480
$1,535
$1,599
$1,650
697
818
526
714
593
637
513
748
852
581
776
656
675
540
796
867
632
844
681
737
575
817
920
618
849
734
743
602
867
1,011
665
875
793
817
637
892
1,017
704
902
863
811
679
951
1,069
771
975
895
825
738
1,019
1,127
824
1,049
1,015
864
790
1,038
1,134
917
1,043
1,105
877
834
1,112
1,210
1,002
1,117
1,144
947
964
1,213
1,330
1,135
1,211
1,215
1,012
1,090
1,313
1,414
1,210
1,353
1,199
1,086
1,187
1,378
1,473
1,305
1,412
1,266
1,151
1,274
1,470
1,597
1,356
1,484
1,428
1,238
1,339
1,543
1,583
1,411
1,592
1,526
1,388
1,389
1,639
1,680
1,424
1,722
1,594
1,443
1,436
1,733
1,783
1,467
1,842
1,689
1,471
1,399
1,841
1,888
1,500
1,981
1,760
1,566
1,468
1,922
1,952
1,567
2,078
1,863
1,608
1,512
5.8
5.0
6.3
6.1
6.6
5.3
6.2
711
743
1,015
790
775
660
696
770
782
1,123
833
871
731
718
804
811
1,131
884
875
770
759
849
874
1,170
957
928
802
808
883
886
1,196
952
1,009
841
819
898
910
1,142
980
1,007
861
834
930
984
1,128
1,000
1,051
892
866
958
996
1,117
948
1,068
952
887
1,016
1,163
1,153
1,073
1,125
966
979
1,079
1,215
1,246
1,144
1,230
1,009
1,040
1,164
1,280
1,383
1,198
1,313
1,117
1,102
1,242
1,441
1,518
1,294
1,399
1,184
1,173
1,325
1,641
1,594
1,386
1,427
1,275
1,271
1,392
1,701
1,770
1,477
1,506
1,318
1,351
1,463
1,752
1,620
1,519
1,641
1,379
1,418
1,539
1,796
1,641
1,610
1,714
1,486
1,448
1,624
1,851
1,803
1,685
1,885
1,522
1,551
1,720
1,952
1,790
1,732
2,000
1,629
1,641
1,777
1,978
1,770
1,792
2,049
1,696
1,694
5.2
5.6
3.1
4.7
5.6
5.4
5.1
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
648
656
595
646
673
634
688
702
644
667
709
699
723
743
699
683
734
756
751
778
712
713
756
794
772
797
709
738
771
847
793
827
734
759
796
838
809
851
756
776
795
864
853
916
829
804
828
882
902
932
884
853
867
1,015
965
1,006
926
894
946
1,086
1,052
1,058
1,031
945
1,058
1,245
1,137
1,174
1,087
1,001
1,140
1,355
1,208
1,246
1,175
1,053
1,216
1,431
1,271
1,295
1,257
1,114
1,272
1,520
1,343
1,360
1,347
1,180
1,318
1,651
1,415
1,444
1,435
1,246
1,347
1,773
1,469
1,503
1,461
1,284
1,406
1,863
1,484
1,529
1,506
1,312
1,412
1,815
1,528
1,570
1,516
1,366
1,456
1,879
4.9
5.0
5.3
4.2
4.4
6.2
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
592
549
680
631
561
522
665
535
646
599
723
685
624
578
713
576
684
642
751
768
633
601
717
608
724
672
792
808
684
629
737
649
748
681
841
868
676
613
819
679
781
707
871
927
702
630
807
724
804
729
890
920
743
668
786
808
896
825
963
1,079
804
736
815
860
916
857
968
1,076
831
763
811
988
1,001
906
1,091
1,174
910
846
862
1,058
1,061
985
1,170
1,272
922
943
917
994
1,138
1,019
1,253
1,304
1,044
1,036
1,001
1,134
1,216
1,143
1,376
1,379
1,070
1,138
1,117
1,205
1,264
1,170
1,451
1,417
1,108
1,240
1,204
1,213
1,287
1,215
1,512
1,473
1,077
1,258
1,255
1,206
1,340
1,249
1,541
1,551
1,111
1,355
1,289
1,305
1,416
1,281
1,604
1,632
1,213
1,424
1,385
1,360
1,449
1,354
1,740
1,605
1,244
1,463
1,281
1,408
1,482
1,381
1,767
1,654
1,277
1,462
1,306
1,461
5.2
5.3
5.5
5.5
4.7
5.9
3.8
5.7
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
685
711
628
918
690
580
646
522
551
522
641
646
600
724
713
630
976
739
632
693
514
599
557
681
654
671
766
770
676
1,009
773
661
717
575
660
600
741
689
706
790
821
696
1,026
771
685
731
591
690
627
768
731
747
814
819
712
1,014
841
753
733
638
700
655
869
727
774
838
834
700
1,026
864
783
752
671
739
684
902
766
799
883
902
755
1,057
900
822
799
745
773
740
963
807
855
912
954
758
1,063
942
845
864
740
788
785
1,026
840
880
957
966
822
1,118
969
946
949
747
852
840
1,045
840
927
1,032
1,027
885
1,214
970
1,063
1,014
861
919
888
1,123
959
1,005
1,116
1,092
939
1,314
1,027
1,099
1,044
960
1,082
1,006
1,260
961
1,104
1,188
1,192
1,020
1,396
1,144
1,182
1,099
1,030
1,091
1,089
1,230
1,072
1,195
1,283
1,427
1,104
1,512
1,164
1,270
1,210
1,092
1,133
1,167
1,340
1,202
1,244
1,370
1,453
1,194
1,609
1,295
1,318
1,297
1,098
1,202
1,263
1,487
1,278
1,294
1,416
1,472
1,307
1,685
1,287
1,331
1,266
1,209
1,283
1,288
1,522
1,320
1,328
1,481
1,479
1,355
1,755
1,410
1,360
1,390
1,293
1,319
1,345
1,540
1,400
1,362
1,507
1,489
1,408
1,814
1,405
1,361
1,417
1,322
1,325
1,365
1,538
1,447
1,401
1,563
1,528
1,451
1,897
1,449
1,430
1,499
1,349
1,375
1,383
1,621
1,467
1,489
1,605
1,565
1,472
1,950
1,478
1,467
1,559
1,391
1,401
1,399
1,669
1,524
1,587
4.8
4.5
4.8
4.3
4.3
5.3
5.0
5.6
5.3
5.6
5.5
4.9
5.6
Southwest
Arizona
New Mexico
Oklahoma
Texas
642
765
528
585
635
681
779
589
635
676
699
821
604
648
688
716
796
620
678
713
750
783
654
705
759
773
800
718
735
778
822
818
759
794
833
852
847
782
826
864
924
893
779
887
950
954
894
811
940
984
1,028
967
845
1,053
1,055
1,134
1,090
900
1,102
1,170
1,172
1,124
983
1,158
1,202
1,244
1,199
1,074
1,169
1,281
1,375
1,264
1,120
1,255
1,444
1,394
1,305
1,194
1,321
1,445
1,398
1,357
1,257
1,397
1,421
1,464
1,411
1,356
1,447
1,489
1,515
1,445
1,440
1,484
1,544
4.9
3.6
5.7
5.3
5.1
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
591
676
555
536
498
509
627
726
576
568
520
527
642
725
608
574
549
575
655
760
600
545
552
589
675
773
639
592
555
631
698
792
663
632
583
645
742
829
707
671
636
699
819
950
740
696
672
805
837
964
771
744
676
812
913
1,058
814
824
715
962
959
1,093
854
912
764
1,031
1,055
1,182
938
1,031
858
1,177
1,148
1,312
988
1,112
922
1,238
1,201
1,354
1,054
1,177
985
1,292
1,238
1,368
1,126
1,207
1,045
1,367
1,314
1,484
1,179
1,267
1,072
1,439
1,331
1,466
1,202
1,330
1,128
1,491
1,414
1,584
1,275
1,396
1,151
1,608
1,452
1,628
1,287
1,463
1,189
1,621
5.1
5.0
4.8
5.7
5.0
6.6
853
914
946
709
720
757
909
975
1,015
746
775
833
797
862
863
628
682
702
703
747
750
NOTE: Numbers may not add to totals shown because of rounding.
959
766
1,027
928
860
720
757
991
821
1,054
1,031
885
758
804
1,023
901
1,088
1,140
894
769
819
1,036
955
1,097
1,135
954
820
821
1,094
1,052
1,135
1,201
984
971
947
1,079
1,114
1,109
1,165
986
979
975
1,089
1,208
1,103
1,161
1,062
984
1,052
1,142
1,406
1,138
1,132
1,137
1,141
1,136
1,210
1,333
1,417
1,537
1,585
1,683
1,771
1,659
1,784
1,937
2,111
2,158
2,270
2,433
1,196
1,318
1,400
1,529
1,570
1,689
1,779
1,236
1,331
1,381
1,443
1,524
1,718
1,790
1,235
1,403
1,503
1,600
1,621
1,639
1,647
1,156
1,302
1,422
1,527
1,629
1,597
1,752
1,260
1,363
1,430
1,522
1,582
1,642
1,715
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
1,834
2,570
1,836
1,873
1,694
1,757
1,842
4.3
7.4
4.0
5.2
4.3
5.9
5.5
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4.9%
Total All Payers Per Capita State Estimates by State of Residence - Other Professional Services (Dollars)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
$74
$82
$89
$92
$101
$108
$116
$122
$125
$131
$142
$152
$161
$171
$179
$186
$197
$209
$218
81
82
76
83
84
73
67
95
113
86
93
93
76
77
100
118
91
102
68
84
82
103
112
93
109
79
84
82
114
122
111
118
97
92
98
126
137
120
133
105
95
102
145
167
129
153
112
106
112
153
178
140
157
122
109
129
157
179
151
159
137
112
146
162
189
154
161
142
116
158
176
203
173
176
148
125
168
186
213
181
185
154
143
181
197
223
202
196
165
158
191
210
235
230
204
177
176
213
218
241
247
209
188
189
225
225
243
256
217
194
210
239
240
263
276
225
212
232
255
255
281
284
241
230
248
270
272
305
283
257
248
262
286
7.0
7.6
7.6
6.5
6.2
7.3
8.4
86
81
76
77
107
84
80
94
94
111
87
114
90
89
104
103
112
93
123
99
103
109
115
114
101
128
103
107
118
122
121
111
144
107
120
126
114
125
116
154
114
129
135
129
132
130
164
123
138
147
135
140
137
174
138
148
156
148
142
132
175
154
157
161
159
137
138
171
165
160
177
182
140
154
186
182
174
184
202
150
170
193
190
176
192
208
156
180
202
197
184
205
222
159
189
218
207
200
215
236
163
202
232
214
210
221
235
166
214
241
218
215
234
248
174
224
259
232
228
246
261
177
239
269
246
234
258
267
177
258
280
262
242
6.3
6.8
4.8
6.9
5.5
6.5
6.3
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
66
65
59
69
70
64
73
73
65
76
76
72
87
81
72
92
100
77
87
86
76
98
88
83
98
94
86
109
98
99
106
103
91
118
106
109
112
108
96
124
111
119
116
114
103
125
115
125
116
115
99
123
115
125
123
126
103
130
122
130
134
138
115
140
132
139
143
149
123
149
143
145
157
171
131
161
152
154
166
177
140
176
160
166
177
193
144
188
167
183
185
208
150
194
171
185
195
224
156
206
174
195
206
240
167
217
184
201
213
248
175
223
192
200
6.7
7.7
6.2
6.8
5.8
6.6
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
64
75
71
70
52
58
61
64
71
75
79
77
60
68
67
70
73
81
80
82
58
69
77
75
78
85
83
87
66
71
84
80
90
95
93
100
80
82
93
89
98
101
97
111
87
90
97
96
107
107
108
121
99
98
97
101
114
115
117
132
105
100
101
106
117
118
120
135
105
107
108
115
127
120
124
144
120
123
113
115
132
131
135
145
122
138
117
122
141
139
141
155
132
150
119
125
153
154
154
166
141
171
124
140
167
167
169
187
150
176
130
155
178
176
184
192
164
192
138
169
184
182
186
199
171
201
143
172
195
193
197
210
184
213
151
180
207
201
214
221
196
226
162
192
215
214
224
228
202
230
174
202
7.0
6.0
6.5
6.8
7.9
8.0
6.0
6.6
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
60
45
55
85
63
49
48
39
53
46
58
58
49
68
50
64
100
74
55
56
41
61
52
61
63
56
76
54
67
109
79
62
66
45
68
57
69
75
62
81
55
72
116
82
67
74
48
72
62
73
77
67
88
68
84
123
84
78
78
53
84
69
85
79
73
96
77
86
133
89
86
82
57
87
74
99
91
74
103
89
102
144
96
94
90
64
93
84
101
91
82
108
93
108
149
95
99
91
66
98
94
106
96
89
107
89
115
145
96
104
92
59
94
87
109
102
97
111
94
114
150
100
116
96
62
99
78
108
106
105
121
95
123
167
106
122
107
73
108
90
117
116
116
131
102
130
176
117
131
117
87
117
101
130
123
132
140
110
137
186
128
142
130
93
128
104
138
130
135
150
121
145
195
132
154
142
107
142
114
151
139
144
161
126
151
215
138
157
145
110
156
125
160
149
151
166
126
153
217
140
163
158
114
167
134
161
157
153
178
132
172
231
148
171
168
128
182
146
174
169
158
189
139
181
249
153
181
183
143
190
156
176
181
168
198
148
185
265
155
190
189
146
202
160
182
192
178
6.9
6.9
6.9
6.5
5.1
7.8
7.9
7.7
7.7
7.2
6.6
6.9
7.4
Southwest
Arizona
New Mexico
Oklahoma
Texas
65
73
72
63
63
72
78
75
73
70
76
82
79
76
74
75
84
81
79
72
87
94
116
90
83
93
99
103
100
90
101
103
104
101
100
105
106
108
109
104
110
107
119
121
107
115
111
117
119
115
122
120
136
115
122
128
135
144
123
126
132
143
153
132
128
140
159
162
145
133
146
169
172
151
137
152
174
184
168
140
159
180
198
171
149
167
189
203
181
156
174
197
204
185
163
5.6
5.7
5.9
6.2
5.4
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
75
89
68
72
53
69
81
96
75
80
57
78
87
102
81
90
64
80
91
103
87
85
74
84
107
124
101
94
83
107
115
138
106
94
90
102
121
140
113
106
99
108
130
148
122
109
110
125
140
157
133
131
116
146
148
169
144
145
108
152
159
183
150
158
116
168
168
198
159
160
118
178
177
201
177
172
129
202
184
203
197
179
134
223
188
200
206
194
145
226
192
203
216
202
145
241
203
216
225
210
153
259
215
232
234
223
157
286
221
237
244
228
162
296
6.2
5.6
7.4
6.6
6.4
8.4
97
105
109
88
97
101
101
109
112
82
91
99
88
107
102
85
95
96
87
91
101
NOTE: Numbers may not add to totals shown because of rounding.
110
95
113
100
100
98
106
116
108
118
99
115
107
118
120
118
121
93
117
111
123
124
126
126
91
112
113
134
130
128
131
97
113
117
144
133
143
132
105
112
126
152
139
171
137
119
116
137
162
153
193
150
133
124
151
181
165
176
183
186
194
209
220
203
226
249
264
264
292
316
162
173
177
176
184
196
207
157
164
180
190
189
215
228
141
150
162
166
175
188
197
162
174
188
204
216
235
249
191
203
215
232
242
260
277
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
231
337
216
242
205
257
297
4.9
7.8
4.3
6.2
4.8
6.4
7.1
State
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
6.2%
Total All Payers Per Capita State Estimates by State of Residence - Dental Services (Dollars)
State
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
United States
$132
$144
$150
$158
$167
$174
$184
$194
$205
$220
$237
$255
$262
$279
$294
$306
$323
$336
$333
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
159
193
117
156
145
151
131
174
210
133
169
158
168
144
177
202
138
185
124
159
152
183
208
146
189
142
173
159
193
219
151
196
165
189
172
201
226
161
203
183
198
177
219
244
175
220
215
204
195
233
255
188
237
218
228
210
252
277
203
257
238
228
224
266
293
225
271
250
237
247
287
315
229
294
284
243
270
312
350
252
314
326
248
295
320
353
262
321
341
259
306
344
382
284
343
373
276
328
361
392
300
363
399
281
351
381
403
310
388
429
302
367
407
431
334
419
437
313
397
430
450
332
452
457
326
404
426
448
328
446
459
325
407
5.6
4.8
5.9
6.0
6.6
4.4
6.5
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
143
132
155
142
169
143
127
154
153
177
152
183
155
133
157
158
176
156
180
159
140
166
177
197
163
194
161
154
176
200
223
172
214
173
153
182
233
239
178
229
175
155
192
232
248
187
235
186
168
195
223
238
177
252
192
163
207
255
259
192
251
205
181
218
276
266
209
260
213
196
239
286
260
226
283
238
212
261
300
293
251
310
260
229
269
317
294
259
310
269
240
287
346
309
278
338
284
256
303
357
322
296
356
300
269
318
364
358
312
382
318
270
331
385
374
335
398
332
276
341
411
410
340
412
342
282
337
405
405
339
403
338
279
4.9
6.4
5.5
4.9
5.0
4.9
4.5
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
127
125
101
149
116
140
140
138
118
164
127
152
145
143
122
169
132
157
153
151
129
178
139
168
164
161
141
189
148
185
173
167
150
199
157
194
181
176
158
210
164
196
190
185
168
213
175
213
202
194
184
228
185
228
222
212
200
248
198
271
241
238
218
275
215
268
257
251
237
287
237
285
262
260
243
288
232
306
279
273
259
312
252
314
294
290
274
323
268
326
304
301
280
336
274
344
318
318
296
346
283
362
326
329
294
354
292
372
323
324
290
348
291
376
5.3
5.4
6.0
4.8
5.3
5.6
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
115
116
120
133
102
109
99
99
128
127
131
153
113
121
111
116
132
129
138
153
116
122
121
125
140
134
143
163
125
135
135
126
151
144
156
175
133
159
149
139
157
149
164
182
139
150
152
141
168
163
174
199
147
158
159
151
181
167
187
220
159
165
179
161
191
173
201
230
167
182
192
170
205
191
213
249
177
193
201
191
224
210
229
268
198
209
215
205
243
227
243
299
212
222
240
228
251
233
251
314
214
226
246
241
272
254
265
346
231
240
271
254
283
266
272
362
238
249
281
276
294
284
286
379
240
261
297
281
314
296
313
400
256
277
325
315
317
302
328
391
259
283
350
332
319
310
331
388
259
287
363
343
5.8
5.6
5.8
6.1
5.3
5.5
7.5
7.1
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
108
98
93
133
115
88
90
73
103
100
102
124
81
121
109
103
147
129
99
102
84
115
109
115
133
110
126
113
107
154
133
103
107
88
120
112
122
140
116
133
121
114
158
140
108
116
96
131
119
130
146
107
142
128
128
166
149
115
125
102
141
130
137
154
118
147
134
136
174
153
119
135
105
146
133
140
160
117
158
143
143
182
163
130
150
115
159
149
150
169
129
162
148
144
185
173
133
151
119
166
156
156
170
137
174
159
156
192
185
141
161
130
182
165
170
187
143
189
170
172
203
203
154
162
138
196
192
181
224
153
203
181
183
214
219
169
170
153
225
205
197
226
175
218
198
195
231
235
186
176
161
233
218
211
250
189
222
217
206
225
241
187
180
171
240
220
221
257
192
242
216
216
262
251
209
196
170
262
237
234
278
214
256
229
229
270
273
210
203
184
279
253
246
299
226
271
240
235
286
284
226
235
202
297
264
250
321
238
284
251
257
298
294
240
243
212
314
274
266
341
252
292
259
267
297
298
247
252
220
326
291
269
360
273
288
257
273
286
289
249
251
223
325
288
271
356
280
5.6
5.5
6.2
4.4
5.3
5.9
5.9
6.4
6.6
6.0
5.6
6.0
7.2
Southwest
Arizona
New Mexico
Oklahoma
Texas
103
124
96
101
100
115
132
107
115
112
120
137
107
114
118
125
140
111
120
123
133
148
125
128
131
139
153
132
135
137
147
155
140
145
147
168
167
150
157
171
178
176
160
164
183
191
195
173
181
193
204
214
190
191
204
207
226
207
209
202
212
238
217
225
203
222
259
229
242
209
233
274
246
257
217
244
293
254
271
226
262
306
280
293
243
290
311
293
322
279
292
300
305
316
286
6.0
5.1
6.7
6.5
6.0
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
138
151
137
116
128
119
151
162
156
128
143
131
158
169
165
133
152
131
168
179
180
142
156
147
182
194
190
151
173
154
187
199
196
154
176
168
198
209
206
168
192
170
214
222
221
181
214
180
225
237
232
198
218
194
247
262
261
211
235
203
262
274
275
233
250
228
286
300
314
244
267
244
291
308
311
252
269
248
313
332
331
265
295
266
322
337
344
277
303
295
329
341
361
290
308
309
353
363
381
314
331
353
367
376
404
327
343
371
361
366
392
327
342
380
5.5
5.0
6.0
5.9
5.6
6.7
174
188
197
179
195
209
172
185
195
168
187
203
130
143
140
174
185
197
195
218
227
NOTE: Numbers may not add to totals shown because of rounding.
209
224
205
208
157
212
243
217
232
211
219
161
230
256
226
247
220
220
175
239
265
236
263
230
218
182
254
282
251
273
246
218
195
265
293
257
271
249
237
213
280
308
270
303
260
245
229
296
332
288
317
276
263
244
316
358
315
328
342
362
371
394
415
344
359
365
386
397
436
471
305
320
334
356
364
385
409
287
294
302
326
325
357
370
263
277
297
302
321
344
349
337
337
353
367
381
406
411
383
390
407
421
433
465
483
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
410
488
399
371
331
407
507
4.9
5.7
4.8
4.5
5.3
4.8
5.5
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
5.3%
Total All Payers Per Capita State Estimates by State of Residence - Home Health Care (Dollars)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
$60
$73
$88
$104
$122
$133
$136
$124
$118
$115
$121
$127
$137
$150
$165
$176
$192
$204
$223
84
90
60
98
49
63
64
102
105
76
120
57
82
74
123
125
93
146
70
96
88
154
163
123
182
85
103
97
179
195
149
206
109
113
112
196
210
157
228
130
122
119
193
211
170
216
134
124
128
184
204
163
204
125
126
128
178
205
155
192
133
116
126
174
193
138
195
130
104
125
183
200
133
211
134
106
136
188
204
119
223
131
103
145
199
204
135
241
136
111
163
214
212
145
263
139
118
185
233
223
155
289
144
143
207
251
223
166
320
155
161
223
262
232
177
329
165
185
251
282
243
182
362
173
196
252
303
253
190
395
187
217
250
7.4
5.9
6.7
8.0
7.8
7.1
7.9
102
49
55
51
66
167
51
115
60
69
63
81
183
62
132
74
84
70
97
207
72
142
101
99
80
111
213
86
161
132
101
89
123
238
103
174
156
111
91
131
258
113
178
148
125
95
136
265
114
176
127
134
94
133
264
109
174
109
114
95
147
257
105
171
105
111
92
142
255
102
177
114
105
96
142
260
114
184
116
121
101
149
272
116
195
123
128
101
156
292
119
202
124
146
101
164
303
123
212
138
183
104
173
315
133
218
156
251
111
171
325
137
231
158
343
115
176
344
147
248
182
455
127
187
367
157
270
207
662
147
201
394
168
5.6
8.3
14.8
6.0
6.3
4.9
6.8
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
46
49
34
50
44
47
57
65
46
63
52
54
67
74
57
76
62
57
82
84
68
93
84
65
97
98
82
106
105
82
105
100
92
115
119
85
109
104
94
125
118
89
99
93
80
101
120
85
97
88
72
104
122
80
96
86
68
109
121
75
99
89
70
110
124
84
103
93
72
115
127
86
111
95
79
128
137
94
122
106
87
143
148
109
136
117
95
161
162
126
149
127
100
183
172
142
164
139
106
210
185
159
179
154
114
235
199
166
198
174
126
256
223
185
8.5
7.3
7.6
9.5
9.4
7.9
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
39
35
34
47
46
29
19
9
50
44
45
61
57
38
23
11
60
51
57
73
72
40
27
16
70
61
69
85
85
41
26
18
82
75
82
94
100
47
33
19
95
88
102
101
117
56
36
25
100
95
106
103
128
59
37
24
96
97
85
104
121
65
35
20
99
105
75
105
132
62
33
22
94
117
79
102
113
50
32
24
100
115
85
109
123
51
33
27
97
100
85
117
118
46
28
24
101
90
82
137
117
49
32
25
109
96
90
158
119
53
36
29
124
102
96
191
127
66
42
37
132
104
101
217
126
68
47
44
145
113
106
249
133
74
51
45
160
127
111
277
145
80
53
50
180
135
117
320
167
84
51
56
8.8
7.7
7.0
11.2
7.4
6.2
5.5
10.8
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
64
62
41
88
64
54
46
60
54
43
100
38
49
81
80
54
113
86
63
66
72
67
50
120
44
66
101
104
60
139
110
79
98
95
80
70
147
51
90
122
118
81
159
125
96
134
120
105
82
169
69
106
140
140
91
179
139
112
175
138
121
108
184
75
138
152
151
92
190
137
129
210
165
139
132
182
83
156
150
150
110
184
126
145
205
167
147
132
161
86
148
131
128
113
166
119
144
145
126
128
109
130
81
121
118
107
119
152
96
139
110
107
126
108
111
76
119
113
99
109
155
87
127
101
99
124
106
101
71
105
116
102
116
162
80
138
101
90
136
107
97
74
105
120
109
120
165
86
136
113
92
138
106
105
77
101
127
118
113
177
89
134
126
105
145
100
106
83
112
141
137
108
197
101
129
151
134
165
105
126
87
121
155
157
113
217
106
141
187
146
181
112
128
93
132
165
171
104
239
108
140
200
161
185
121
145
100
137
177
174
105
259
109
146
227
177
192
131
162
108
149
189
184
111
281
116
150
252
182
195
144
181
119
164
206
199
123
307
125
162
286
199
209
156
196
131
175
6.8
6.7
6.3
7.2
3.8
6.3
10.7
6.9
7.8
7.4
3.8
7.1
7.4
Southwest
Arizona
New Mexico
Oklahoma
Texas
49
39
29
41
55
62
45
38
53
70
81
56
47
79
89
107
93
65
129
110
139
88
96
175
148
163
96
114
198
177
175
91
125
178
198
142
77
117
135
162
112
74
90
98
126
107
75
111
97
117
120
84
173
107
127
134
84
263
116
139
150
98
340
126
151
163
108
358
138
165
183
116
412
160
184
195
113
483
173
196
212
113
546
195
213
227
123
564
216
228
255
131
611
237
261
9.6
6.9
18.5
10.3
9.1
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
33
37
27
43
27
22
40
46
35
49
33
26
51
57
49
55
42
38
64
65
61
94
52
50
76
78
75
103
66
57
86
91
87
96
76
71
90
97
86
83
86
71
78
90
60
75
72
64
73
86
60
83
57
52
73
79
65
78
69
45
74
77
73
85
72
50
81
81
79
97
82
55
86
86
82
88
95
59
92
90
87
90
106
63
100
94
94
100
120
68
102
97
95
96
125
65
118
125
103
106
131
62
121
123
107
111
141
65
132
134
117
112
156
78
8.0
7.3
8.4
5.4
10.3
7.3
38
47
55
7
9
12
38
48
55
14
16
21
43
63
74
32
37
45
46
52
65
NOTE: Numbers may not add to totals shown because of rounding.
66
21
66
31
132
46
72
74
27
74
43
132
55
81
77
27
77
54
122
59
79
77
29
78
64
122
66
74
76
20
77
66
100
52
81
83
20
88
67
89
52
81
84
19
92
69
79
54
69
93
21
104
77
71
54
69
104
120
137
159
177
202
205
39
60
90
96
91
82
76
119
138
157
183
205
235
235
87
89
91
116
115
114
114
75
89
104
120
131
151
159
56
63
75
80
87
111
118
65
71
89
97
108
121
132
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
215
84
247
123
176
130
132
10.2
15.0
11.0
12.6
8.2
8.1
6.1
State
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
7.6%
Total All Payers Per Capita State Estimates by State of Residence - Prescription Drugs and Other Non-durable Medical Products (Dollars)
State
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
United States
$267
$274
$282
$294
$319
$349
$386
$424
$485
$540
$600
$665
$724
$772
$808
$866
$900
$919
$956
7.3%
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
265
287
232
261
280
258
239
277
297
237
273
288
288
246
289
303
239
293
288
302
242
303
314
253
313
286
329
238
337
365
283
337
321
365
266
367
397
324
362
348
411
292
406
433
380
405
379
440
328
461
501
418
454
424
506
396
527
569
468
520
493
591
445
587
621
511
586
547
674
496
636
674
555
649
545
696
538
742
799
674
741
642
838
623
810
890
757
791
710
927
671
913
1,067
807
870
765
1,058
780
972
1,167
858
910
820
1,123
819
996
1,174
911
937
878
1,121
835
1,032
1,242
967
957
940
1,121
829
1,056
1,253
1,025
976
979
1,159
849
1,103
1,269
1,126
1,033
1,006
1,230
849
8.2
8.6
9.2
7.9
7.4
9.1
7.3
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
284
309
254
278
299
267
301
290
306
260
290
311
274
302
301
310
268
307
324
282
313
313
320
271
323
343
296
318
353
342
275
343
387
335
367
393
384
291
360
428
381
408
440
438
343
413
476
421
459
489
502
385
450
535
464
518
555
591
422
500
616
530
580
622
664
452
572
691
600
635
694
722
482
661
744
669
723
781
828
502
766
824
760
800
862
871
591
816
903
856
876
937
933
640
833
1,013
943
934
989
960
742
883
1,091
985
985
1,027
1,079
863
993
1,109
1,008
1,021
1,061
1,117
856
1,026
1,122
1,048
1,059
1,076
1,148
906
1,070
1,135
1,048
1,084
1,122
1,219
905
1,111
1,171
1,112
1,113
7.9
7.9
7.3
8.0
7.9
8.2
7.5
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
259
249
276
273
260
236
270
256
288
294
264
251
284
266
301
310
281
266
301
288
313
318
302
285
329
317
347
345
332
305
366
354
371
382
372
342
400
385
401
413
417
376
434
416
424
446
454
425
499
483
497
502
512
506
546
526
555
549
563
541
607
579
623
612
627
604
676
623
706
684
728
638
725
665
762
744
777
677
752
709
783
748
803
712
765
734
792
753
806
740
822
794
839
821
848
813
842
823
848
846
857
839
867
841
871
880
884
864
892
859
918
910
894
902
7.1
7.1
6.9
6.9
7.1
7.7
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
250
256
263
229
260
260
231
225
258
266
273
240
266
267
247
225
264
268
277
248
272
277
251
234
275
277
275
267
281
290
268
244
293
286
284
292
304
307
276
262
321
320
314
326
321
346
301
291
354
349
347
361
352
381
347
316
398
386
378
407
403
428
416
347
465
439
454
466
483
496
486
385
522
477
510
519
560
539
560
409
606
541
568
601
670
612
639
497
664
622
660
642
722
648
722
548
725
698
695
690
793
705
816
621
760
737
718
724
828
775
832
638
798
802
743
756
866
812
860
656
866
899
792
821
929
880
993
699
890
922
814
845
940
919
1,102
727
901
930
807
865
950
935
1,144
737
944
971
822
906
1,014
960
1,185
768
7.7
7.7
6.5
7.9
7.9
7.5
9.5
7.1
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
278
296
260
283
280
278
283
262
266
250
298
264
315
282
298
261
287
279
288
284
269
275
252
306
271
311
292
313
264
303
288
295
293
272
280
259
316
275
326
309
329
280
332
302
305
310
288
292
276
326
288
340
337
346
300
375
317
325
333
297
315
300
357
327
374
370
382
339
425
345
358
359
324
341
333
384
350
398
411
436
366
472
378
399
396
360
377
373
426
383
446
451
472
398
535
403
452
429
397
411
404
464
415
480
522
538
450
629
463
534
495
462
484
472
539
459
520
596
616
479
709
512
627
558
520
585
567
615
524
575
657
672
538
758
550
706
645
580
660
606
720
569
661
722
774
624
771
620
813
683
652
736
686
825
647
763
784
849
673
826
679
847
741
709
808
754
941
686
844
847
931
709
894
739
890
791
773
859
834
1,015
753
910
880
970
760
930
756
887
865
835
890
878
1,017
789
957
938
1,063
839
995
802
929
994
894
928
916
1,030
838
1,074
963
1,103
904
1,013
817
955
1,036
948
935
928
1,067
861
1,133
991
1,131
955
1,082
833
957
1,038
941
962
928
1,050
896
1,151
1,044
1,179
959
1,213
869
972
1,092
947
1,022
948
1,042
913
1,175
7.6
8.0
7.5
8.4
6.5
7.2
7.8
7.4
7.8
7.7
7.2
7.1
7.6
Southwest
Arizona
New Mexico
Oklahoma
Texas
266
268
248
272
267
271
270
254
274
272
277
287
261
272
278
285
292
274
283
285
303
310
285
302
303
329
332
304
330
330
355
345
318
352
361
384
392
347
381
386
438
454
402
446
436
485
490
450
500
484
529
525
504
561
527
559
555
536
611
553
607
608
573
650
603
637
644
613
713
626
681
685
638
744
674
769
758
686
836
769
835
797
721
886
847
852
808
749
902
865
871
804
791
939
885
6.8
6.3
6.7
7.1
6.9
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
245
247
230
264
241
237
245
251
230
265
238
235
256
261
240
274
248
245
259
265
238
265
262
241
271
274
242
271
285
251
292
283
268
303
320
288
333
328
306
336
357
332
361
361
320
359
384
360
397
399
354
400
418
389
432
431
391
437
458
423
478
460
439
466
541
474
527
486
525
500
617
531
562
514
576
549
651
569
578
534
599
554
651
604
604
562
622
596
667
649
662
622
663
676
707
769
688
661
677
719
710
809
705
679
710
717
719
831
723
690
739
733
741
858
6.2
5.9
6.7
5.8
6.4
7.4
256
260
260
255
252
255
251
254
251
318
313
322
286
299
318
249
250
259
273
279
286
NOTE: Numbers may not add to totals shown because of rounding.
263
263
251
328
335
268
292
272
284
258
330
357
286
304
289
303
271
338
389
320
330
318
339
298
371
432
355
363
347
376
325
398
467
385
399
392
422
368
449
539
427
446
425
456
401
468
582
458
478
474
489
451
495
643
502
527
538
590
617
656
721
764
774
559
602
614
649
705
748
783
515
573
598
638
701
747
756
598
661
763
826
860
933
959
720
770
795
832
902
924
893
563
582
608
650
726
773
794
574
609
630
659
733
761
778
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
803
824
786
1,001
893
825
807
6.6
6.7
6.6
6.6
6.5
6.9
6.2
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
2008
Average
Annual %
Growth
2009 (1991-2009)
Total All Payers Per Capita State Estimates by State of Residence - Durable Medical Products (Dollars)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
$52
$53
$54
$58
$60
$65
$70
$77
$82
$89
$88
$94
$96
$99
$103
$107
$114
$116
$114
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
48
49
41
51
51
37
40
48
49
43
51
52
38
41
48
48
43
53
44
37
41
52
53
46
57
52
39
44
55
57
46
58
58
39
45
60
63
48
63
68
42
49
66
70
52
68
76
46
53
72
77
58
75
84
52
59
78
84
61
80
90
57
64
84
91
66
87
97
62
70
83
89
67
85
94
60
69
88
92
72
91
101
65
74
90
91
75
94
105
69
73
94
94
78
100
113
72
74
100
98
84
106
122
77
78
105
102
93
111
125
83
80
112
106
100
120
131
91
84
113
106
103
121
134
93
86
112
103
105
119
133
94
86
4.8
4.3
5.4
4.9
5.4
5.2
4.3
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
47
71
55
46
57
41
50
46
75
57
46
54
39
49
49
79
58
48
56
42
52
53
86
64
51
61
46
55
55
92
68
53
64
49
57
61
103
77
58
73
54
62
67
115
85
63
79
61
67
75
127
93
70
91
66
75
80
136
96
75
101
69
82
88
145
98
82
115
74
90
88
139
93
82
114
75
88
95
143
102
88
126
80
96
95
142
98
90
120
82
96
96
147
98
90
119
86
96
98
151
96
91
115
92
96
100
158
98
92
115
96
97
104
168
97
96
116
102
98
105
167
99
98
117
103
100
104
166
101
99
116
101
99
4.5
4.8
3.4
4.3
4.0
5.2
3.9
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
52
41
60
71
47
49
54
41
61
73
49
51
56
43
62
75
51
51
59
46
66
81
54
54
61
48
68
83
54
54
65
52
74
91
57
58
71
56
80
100
61
62
78
61
88
109
70
66
83
66
94
116
74
69
90
72
102
127
81
72
88
70
98
121
80
70
93
76
105
126
87
75
96
76
106
132
92
76
100
80
108
141
90
79
105
83
110
152
94
82
110
87
114
167
94
87
119
92
121
185
103
93
121
94
123
190
104
95
120
93
121
189
104
95
4.7
4.7
4.0
5.6
4.5
3.8
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
51
60
44
60
37
71
50
48
52
61
45
62
38
71
51
49
54
62
44
65
40
75
56
52
59
65
49
73
44
77
62
57
61
64
50
75
46
78
65
59
66
67
56
81
51
84
73
66
72
71
62
89
56
90
81
73
79
80
68
95
61
100
89
77
83
86
73
99
65
105
95
79
88
94
80
102
69
112
101
81
86
92
78
95
69
113
97
75
91
100
87
98
74
120
102
77
91
99
85
98
74
122
99
79
91
99
87
96
74
124
98
81
92
98
87
97
76
126
97
85
92
98
87
96
76
129
96
88
95
99
91
98
79
135
98
93
98
103
95
100
81
140
103
98
97
103
94
97
81
139
104
96
3.6
3.1
4.4
2.7
4.4
3.8
4.2
3.9
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
60
49
36
99
56
51
43
43
53
50
44
46
61
62
50
37
103
56
53
44
46
53
52
44
48
63
63
50
37
107
57
53
44
47
55
54
45
49
63
67
53
38
113
61
55
46
52
60
57
49
53
66
68
53
38
112
62
54
45
54
63
59
49
55
65
74
57
40
122
67
58
48
61
71
64
55
61
69
81
61
42
134
72
62
52
68
80
71
58
68
74
89
70
50
141
79
70
58
77
84
78
66
75
85
94
78
57
143
84
76
63
84
87
84
72
81
95
102
89
65
153
90
84
70
91
91
91
80
88
105
102
90
67
157
87
85
69
89
86
91
81
87
104
108
101
75
163
94
93
76
97
89
100
88
93
114
111
99
72
171
96
94
74
100
91
104
93
94
112
117
100
71
183
101
95
72
103
96
108
95
97
114
122
101
71
198
106
97
72
106
102
113
97
98
113
129
103
71
213
112
102
71
110
110
119
95
103
116
139
106
71
234
117
108
71
117
121
128
103
109
122
140
108
73
235
117
111
74
120
120
129
104
111
127
138
108
73
231
114
112
73
121
118
127
103
111
132
4.8
4.4
4.1
4.8
4.0
4.5
3.0
6.0
4.5
5.3
4.9
5.0
4.3
Southwest
Arizona
New Mexico
Oklahoma
Texas
56
75
68
48
52
57
74
68
49
54
59
75
71
52
55
62
79
76
56
59
64
78
79
58
60
67
81
88
63
63
73
87
99
70
67
79
92
109
75
74
84
95
117
80
80
90
102
130
85
85
88
101
127
82
83
95
109
135
88
90
96
113
134
85
89
97
119
137
83
90
99
128
140
81
90
102
136
147
80
92
107
151
156
80
95
110
148
162
85
99
106
143
161
83
96
3.6
3.6
4.9
3.1
3.4
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
69
75
63
55
71
50
70
75
67
55
72
51
70
75
68
57
73
54
73
77
71
61
75
61
74
78
71
63
75
66
79
83
75
68
80
75
85
88
80
75
87
86
94
98
85
86
94
93
100
106
89
96
99
96
109
116
95
107
106
99
105
111
91
108
101
93
111
117
98
121
103
96
113
119
102
120
108
95
117
122
108
119
116
94
123
127
115
118
127
94
129
133
124
118
136
96
137
138
136
121
149
99
137
139
134
123
147
106
133
134
130
123
142
102
3.7
3.2
4.1
4.6
3.9
4.1
40
41
42
50
50
51
35
36
37
51
53
57
51
54
56
42
44
45
57
58
58
NOTE: Numbers may not add to totals shown because of rounding.
45
56
40
65
62
47
61
46
58
41
71
65
47
60
50
62
45
82
74
50
63
54
67
49
93
80
54
67
59
73
53
100
87
61
75
63
78
56
105
93
67
82
67
83
58
111
100
76
90
67
83
58
105
98
78
91
71
74
77
80
83
90
91
90
91
94
97
98
103
109
61
64
66
69
72
78
79
109
111
114
120
125
133
136
105
114
120
129
136
153
149
85
85
88
91
95
99
99
99
100
103
108
111
117
119
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
89
107
77
136
142
98
117
4.6
4.3
4.4
5.6
5.8
4.9
4.1
State
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4.5%
Total All Payers Per Capita State Estimates by State of Residence - Nursing Home Care (Dollars)
State
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
United States
$195
$207
$216
$223
$242
$258
$273
$288
$290
$302
$318
$328
$345
$360
$379
$392
$420
$437
$447
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
353
423
290
375
204
306
221
367
435
303
386
221
359
223
383
463
312
394
252
368
233
396
486
311
410
265
361
243
429
524
330
445
297
392
265
458
564
340
476
317
412
289
482
597
350
501
344
423
302
508
616
364
538
342
460
303
495
627
361
502
353
467
300
506
644
373
512
350
477
318
549
695
400
560
362
521
357
561
696
407
577
388
537
356
584
723
430
599
406
565
380
608
739
459
626
433
584
400
644
789
485
658
464
621
431
666
817
493
685
478
639
444
719
873
515
750
506
676
482
743
907
544
770
537
689
484
747
898
570
777
548
687
478
4.3
4.3
3.8
4.1
5.7
4.6
4.4
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
252
202
333
185
219
284
250
268
204
346
198
238
300
268
281
214
367
214
249
312
284
294
227
391
225
263
322
298
319
245
424
248
291
342
331
344
259
427
263
313
367
363
365
273
395
280
331
384
398
393
307
429
309
346
418
425
409
311
497
309
352
445
437
425
341
498
318
360
463
458
454
385
465
367
374
488
497
472
368
525
369
395
511
513
499
382
558
402
413
532
554
524
440
585
447
444
548
578
549
481
609
481
484
564
605
563
466
613
511
506
565
627
595
535
644
556
536
585
669
617
598
656
585
572
603
684
630
657
708
604
590
607
700
5.2
6.8
4.3
6.8
5.7
4.3
5.9
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
229
210
266
166
269
261
242
222
288
178
284
269
251
226
294
183
297
284
256
230
294
188
306
291
274
246
312
203
327
316
291
257
323
217
354
332
306
271
331
232
376
349
320
283
342
243
399
357
329
295
336
246
422
352
341
307
351
258
434
364
367
324
383
281
470
386
373
328
389
291
479
386
390
336
407
307
507
406
407
351
428
319
527
423
427
368
461
336
547
442
442
382
482
354
558
455
475
418
518
377
597
482
494
438
540
396
612
499
502
443
562
410
610
512
4.5
4.2
4.3
5.2
4.7
3.8
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
265
270
236
339
224
223
307
233
278
283
241
363
236
233
305
240
287
291
248
365
248
252
314
255
291
294
254
358
252
282
310
271
312
314
271
372
281
306
330
296
331
337
289
373
311
334
346
326
346
349
311
371
339
346
352
343
365
376
327
389
351
379
372
372
363
389
318
382
342
374
400
379
379
412
341
395
352
398
427
401
398
433
361
416
371
417
446
405
412
443
367
429
384
438
483
433
427
463
384
440
390
458
509
486
440
489
401
451
397
471
521
501
463
512
429
469
419
504
550
514
471
531
433
477
430
509
571
477
503
576
469
505
457
541
608
499
523
609
480
523
479
552
639
529
538
625
495
537
490
562
692
555
4.0
4.8
4.2
2.6
4.4
5.3
4.6
4.9
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
155
131
171
182
128
177
164
132
154
112
158
136
188
167
148
183
197
132
193
184
146
167
122
175
140
200
178
155
188
207
141
206
192
150
182
130
192
149
214
186
161
199
222
148
213
180
154
198
139
204
157
219
209
183
225
253
162
242
188
166
220
152
240
175
239
228
203
243
274
176
265
196
180
238
169
270
197
257
247
229
264
288
190
291
198
197
258
181
310
216
276
258
245
275
302
197
298
211
216
273
194
308
222
292
256
251
274
294
191
289
209
222
263
210
291
249
298
267
256
300
305
198
298
218
235
276
221
296
263
308
279
285
286
310
209
317
239
246
295
245
304
271
326
290
292
316
330
214
321
252
259
313
239
302
275
336
308
307
337
347
223
343
273
286
338
263
320
290
359
325
324
352
354
239
361
288
326
367
278
339
301
391
346
348
378
363
257
388
309
357
394
311
368
324
434
361
360
390
378
258
401
329
378
404
336
391
344
455
389
385
417
414
269
438
360
412
436
367
409
370
497
404
400
440
431
277
464
377
432
443
381
418
391
526
413
396
460
442
272
471
379
439
450
393
439
408
542
5.6
6.3
5.7
5.1
4.3
5.6
4.8
6.9
6.2
7.2
5.8
6.3
6.1
Southwest
Arizona
New Mexico
Oklahoma
Texas
134
124
109
181
129
140
128
116
184
137
145
136
109
191
143
150
148
110
196
146
163
163
122
216
158
172
168
120
227
169
180
170
117
238
178
187
170
141
247
185
185
173
138
236
183
189
171
154
247
187
200
172
160
270
200
201
171
176
276
199
211
177
185
289
210
220
179
194
305
220
231
187
204
323
231
239
191
207
329
240
259
210
222
358
260
270
225
236
374
269
276
225
239
375
278
4.1
3.4
4.4
4.1
4.4
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
141
153
140
182
100
143
149
161
152
189
105
149
156
168
157
203
108
168
160
172
155
223
107
187
171
183
165
240
113
201
179
197
170
240
117
209
189
214
173
250
121
213
193
214
188
264
121
210
189
209
185
258
122
199
195
211
194
269
131
208
209
227
202
300
139
236
215
233
210
303
140
249
226
244
223
328
146
273
234
255
237
320
152
275
252
277
253
332
165
305
258
287
261
327
165
319
276
306
280
368
172
343
287
318
293
385
182
355
293
325
290
400
186
368
4.1
4.3
4.1
4.5
3.5
5.4
128
136
140
69
78
77
118
126
129
131
131
130
89
96
93
161
163
165
184
200
212
NOTE: Numbers may not add to totals shown because of rounding.
145
75
136
129
88
168
217
157
78
146
134
81
176
249
162
79
152
144
87
188
240
169
82
159
152
85
197
244
183
93
176
159
89
213
247
181
102
173
155
104
218
239
198
114
194
168
116
228
245
200
134
191
185
126
232
265
211
221
229
242
257
277
295
146
151
154
155
153
158
165
203
213
220
231
249
268
288
211
223
241
269
286
317
349
131
139
150
160
163
174
182
239
240
270
293
305
335
349
273
288
293
312
317
339
355
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
312
172
308
375
186
362
359
5.1
5.2
5.5
6.0
4.2
4.6
3.8
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4.7%
Total All Payers Per Capita State Estimates by State of Residence - Other Health, Residential, and Personal Care (Dollars)
State
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Average
Annual %
Growth
2009 (1991-2009)
United States
$110
$117
$131
$145
$158
$173
$185
$204
$214
$229
$248
$270
$289
$310
$326
$342
$359
$372
$400
7.4%
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
185
205
172
191
107
207
157
198
219
177
197
115
276
169
218
234
208
212
133
325
191
249
260
205
265
154
295
216
286
290
237
312
166
334
248
295
277
301
314
194
355
271
295
299
323
294
199
379
279
344
334
430
337
239
450
311
363
372
500
339
222
485
347
385
390
533
359
245
498
400
405
386
606
375
245
562
454
454
432
739
414
263
615
513
471
399
800
447
266
649
554
514
489
913
447
302
710
608
538
469
952
498
324
745
544
558
521
963
532
340
781
271
601
520
970
603
362
847
338
635
609
1,035
615
393
828
320
705
765
1,084
669
415
825
358
7.7
7.6
10.8
7.2
7.8
8.0
4.7
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
156
126
291
81
115
200
141
170
151
334
90
111
221
157
196
166
379
95
122
268
171
217
186
389
108
144
294
186
236
207
399
123
152
321
204
267
237
430
157
167
359
235
292
247
458
152
186
397
258
323
275
515
163
192
440
292
347
283
551
166
203
478
317
365
301
601
182
212
493
346
391
307
585
189
234
527
374
423
317
597
196
258
574
402
471
363
586
241
277
644
439
489
389
648
250
298
663
455
518
398
697
266
329
691
492
558
416
561
316
394
741
508
577
432
559
324
379
786
512
594
446
561
333
401
800
538
648
473
673
374
422
883
576
8.2
7.6
4.8
8.9
7.5
8.6
8.1
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
109
106
108
106
106
131
118
122
120
98
120
141
125
131
125
106
125
148
133
139
132
116
136
150
146
155
132
129
151
159
161
176
138
146
162
180
173
186
143
189
155
188
190
207
162
176
188
210
188
209
163
152
197
218
208
224
181
160
227
253
231
244
200
172
259
284
252
276
230
174
287
289
270
279
264
182
327
296
290
301
294
184
350
329
310
336
288
208
366
351
308
330
306
211
359
334
316
344
304
210
368
345
324
343
328
215
385
344
341
348
355
222
424
354
6.5
6.8
6.8
4.2
8.0
5.7
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
125
120
100
190
88
85
180
129
125
123
97
179
98
85
185
140
144
139
108
207
118
94
193
156
171
158
123
260
141
100
206
178
186
176
138
279
153
105
220
191
203
197
168
286
170
123
243
202
209
207
207
268
174
148
243
201
240
236
243
313
195
168
309
222
252
245
265
327
203
184
300
230
275
262
288
358
220
209
347
243
304
278
309
417
238
233
348
259
338
298
331
477
262
262
381
289
364
324
319
561
264
271
417
296
389
348
356
585
281
288
494
326
396
372
377
568
289
302
512
349
409
405
391
582
290
313
530
354
427
415
386
628
300
321
551
379
444
433
376
656
315
337
606
400
473
469
402
684
336
372
691
428
7.7
7.8
8.1
7.4
7.7
8.6
7.7
6.9
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
85
86
88
78
80
69
145
63
90
105
69
71
95
93
93
99
86
88
71
166
75
96
118
74
75
109
106
99
108
101
99
81
192
87
113
133
78
82
149
119
105
124
117
113
84
198
92
125
143
96
91
197
132
116
140
127
122
89
195
103
141
157
141
97
222
142
124
155
134
131
101
205
119
160
171
143
106
238
152
175
159
135
140
118
205
137
172
183
144
114
244
163
142
173
144
144
142
224
145
192
208
164
125
273
170
146
192
152
151
153
232
163
196
223
162
132
278
186
169
204
170
160
175
243
188
210
234
179
150
298
202
177
206
193
171
193
248
222
222
267
202
154
326
216
195
206
202
192
205
262
247
237
267
215
168
356
225
217
205
213
193
216
286
251
246
262
223
170
416
245
231
255
213
235
244
321
294
265
284
244
184
422
257
245
285
219
216
260
339
294
291
283
288
205
444
271
254
298
232
209
284
370
311
347
278
279
223
443
296
282
312
246
267
310
394
318
368
275
325
246
461
311
300
328
249
231
320
426
343
416
301
320
309
474
332
308
401
258
243
366
434
364
437
300
349
355
526
7.9
7.3
8.8
6.9
6.3
9.7
6.3
10.2
9.1
6.0
9.4
9.3
10.0
91
87
97
94
91
94
90
99
104
92
106
94
109
117
107
114
99
124
125
115
124
104
147
139
123
138
109
171
151
139
151
115
172
164
156
162
124
177
188
165
171
132
184
202
174
179
122
208
213
186
187
125
227
241
191
207
138
261
263
210
217
156
286
250
222
226
165
340
266
226
239
175
378
283
237
251
194
406
310
244
258
195
404
331
251
271
203
431
357
263
281
210
432
378
273
6.5
5.0
8.7
8.0
6.3
106
117
84
106
109
66
106
120
84
117
93
84
116
125
92
128
109
110
121
135
94
137
100
133
128
144
100
136
108
145
141
154
115
155
119
173
145
159
125
146
120
198
164
178
148
162
137
212
173
181
161
178
151
218
191
193
192
218
166
234
210
202
221
256
191
256
224
218
234
239
210
297
258
273
240
272
221
325
274
290
266
296
226
344
282
290
285
321
234
364
288
284
294
332
256
394
299
295
317
347
259
400
311
308
320
383
265
412
333
331
343
414
283
425
6.6
5.9
8.1
7.9
5.5
10.9
82
85
93
128
135
144
72
74
80
70
70
80
62
69
72
145
158
180
106
112
119
NOTE: Numbers may not add to totals shown because of rounding.
100
149
89
97
72
194
113
105
164
93
117
82
206
116
114
185
102
86
88
214
130
126
215
114
101
88
219
147
139
243
124
117
97
249
166
151
273
133
131
101
280
184
155
319
134
149
114
291
197
171
389
148
155
125
328
204
189
200
227
243
261
280
285
444
511
505
572
573
613
647
168
179
211
225
249
268
271
179
206
226
241
227
294
296
140
137
140
149
154
149
144
348
361
381
399
414
431
447
211
213
228
253
260
268
287
U.S. Census Bureau, Population, February, 2011; Office of the Actuary, CMS, December, 2011
310
666
292
254
160
536
312
7.7
9.6
8.1
7.4
5.4
7.5
6.2
Southwest
Arizona
New Mexico
Oklahoma
Texas
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
US State Estimates by State of Residence - US Population (in Thousands)
State
Average
Annual %
Growth (19912009
2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
252,981
256,514
259,919
263,126
266,278
269,394
272,647
275,854
279,040
282,166
285,050
287,746
290,242
292,936
295,618
298,432
301,394
304,177
306,656
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
13,248
3,303
1,237
6,018
1,110
1,011
569
13,271
3,301
1,239
6,029
1,118
1,013
573
13,334
3,309
1,242
6,061
1,129
1,015
578
13,396
3,316
1,243
6,095
1,143
1,016
584
13,473
3,324
1,243
6,141
1,158
1,017
589
13,555
3,337
1,249
6,180
1,175
1,021
594
13,642
3,349
1,255
6,226
1,189
1,025
597
13,734
3,365
1,259
6,272
1,206
1,031
600
13,838
3,386
1,267
6,317
1,222
1,040
605
13,952
3,412
1,277
6,362
1,240
1,051
610
14,050
3,428
1,284
6,411
1,257
1,058
612
14,135
3,448
1,293
6,441
1,271
1,067
615
14,197
3,468
1,302
6,455
1,282
1,072
617
14,221
3,474
1,307
6,453
1,293
1,076
618
14,230
3,477
1,310
6,454
1,301
1,069
619
14,259
3,485
1,313
6,466
1,311
1,064
620
14,300
3,488
1,316
6,500
1,316
1,060
620
14,365
3,503
1,318
6,544
1,321
1,058
621
14,424
3,515
1,316
6,592
1,322
1,057
621
0.5
0.3
0.3
0.5
1.0
0.3
0.5
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
44,071
683
601
4,868
7,815
18,123
11,982
44,392
695
598
4,923
7,881
18,247
12,049
44,717
706
595
4,972
7,949
18,375
12,120
44,970
718
589
5,023
8,014
18,459
12,166
45,186
730
581
5,070
8,083
18,524
12,198
45,384
741
572
5,112
8,150
18,588
12,220
45,580
751
568
5,157
8,219
18,657
12,228
45,822
763
565
5,204
8,287
18,756
12,246
46,106
775
570
5,255
8,360
18,883
12,264
46,380
786
572
5,311
8,431
18,997
12,284
46,620
795
578
5,374
8,488
19,087
12,297
46,851
805
580
5,438
8,543
19,162
12,324
47,067
816
578
5,492
8,586
19,235
12,361
47,241
827
580
5,538
8,610
19,298
12,387
47,364
840
582
5,577
8,620
19,329
12,416
47,482
853
584
5,606
8,619
19,354
12,466
47,646
865
586
5,627
8,631
19,420
12,518
47,802
877
590
5,651
8,657
19,464
12,563
47,991
884
600
5,688
8,694
19,523
12,602
0.5
1.4
0.0
0.9
0.6
0.4
0.3
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
42,496
11,569
5,616
9,400
10,946
4,964
42,903
11,694
5,675
9,479
11,029
5,025
43,275
11,810
5,739
9,540
11,101
5,085
43,590
11,913
5,794
9,598
11,152
5,134
43,924
12,008
5,851
9,676
11,203
5,185
44,239
12,102
5,906
9,759
11,243
5,230
44,494
12,186
5,955
9,809
11,277
5,266
44,728
12,272
5,999
9,848
11,312
5,298
44,969
12,359
6,045
9,897
11,335
5,333
45,221
12,438
6,092
9,955
11,363
5,374
45,440
12,507
6,124
10,005
11,396
5,408
45,612
12,557
6,149
10,039
11,421
5,447
45,786
12,599
6,185
10,072
11,450
5,480
45,929
12,644
6,215
10,092
11,466
5,512
46,036
12,673
6,253
10,092
11,476
5,542
46,159
12,715
6,300
10,082
11,491
5,572
46,292
12,776
6,345
10,051
11,519
5,602
46,376
12,836
6,387
9,999
11,527
5,627
46,448
12,893
6,417
9,955
11,532
5,651
0.5
0.6
0.7
0.3
0.3
0.7
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
17,843
2,798
2,499
4,441
5,171
1,596
636
704
18,026
2,818
2,532
4,496
5,217
1,612
638
713
18,210
2,837
2,557
4,556
5,271
1,626
641
722
18,381
2,851
2,581
4,610
5,324
1,639
645
731
18,550
2,867
2,601
4,660
5,378
1,657
648
738
18,705
2,880
2,615
4,713
5,432
1,674
650
742
18,851
2,891
2,635
4,763
5,481
1,686
650
744
18,988
2,903
2,661
4,813
5,522
1,696
648
746
19,131
2,918
2,678
4,873
5,562
1,705
644
750
19,271
2,928
2,693
4,934
5,606
1,713
641
756
19,368
2,929
2,701
4,982
5,643
1,718
636
759
19,457
2,929
2,712
5,017
5,679
1,725
633
762
19,549
2,935
2,720
5,050
5,713
1,733
632
766
19,658
2,942
2,729
5,080
5,756
1,741
635
773
19,765
2,951
2,740
5,107
5,804
1,751
635
779
19,907
2,965
2,754
5,148
5,858
1,759
636
787
20,052
2,980
2,774
5,191
5,906
1,769
638
796
20,196
2,995
2,795
5,230
5,952
1,780
641
803
20,322
3,008
2,817
5,263
5,982
1,795
646
811
0.7
0.4
0.7
0.9
0.8
0.7
0.1
0.8
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
60,501
4,099
2,383
13,370
6,653
3,722
4,253
2,599
6,784
3,570
4,967
6,301
1,799
61,508
4,154
2,416
13,651
6,817
3,765
4,293
2,624
6,897
3,620
5,050
6,414
1,806
62,531
4,214
2,456
13,927
6,978
3,812
4,316
2,655
7,043
3,663
5,138
6,510
1,818
63,574
4,260
2,494
14,239
7,157
3,849
4,347
2,689
7,187
3,705
5,231
6,593
1,820
64,602
4,297
2,535
14,538
7,328
3,887
4,379
2,723
7,345
3,749
5,327
6,671
1,824
65,611
4,331
2,572
14,853
7,501
3,920
4,399
2,748
7,501
3,796
5,417
6,751
1,823
66,655
4,368
2,601
15,186
7,685
3,953
4,421
2,777
7,657
3,860
5,499
6,829
1,819
67,627
4,405
2,626
15,487
7,864
3,985
4,440
2,805
7,809
3,919
5,570
6,901
1,816
68,569
4,430
2,652
15,759
8,046
4,018
4,461
2,828
7,949
3,975
5,639
7,000
1,812
69,492
4,451
2,678
16,046
8,230
4,049
4,469
2,848
8,080
4,024
5,703
7,105
1,807
70,315
4,463
2,691
16,351
8,419
4,069
4,460
2,853
8,202
4,062
5,755
7,192
1,798
71,140
4,471
2,704
16,675
8,583
4,091
4,465
2,858
8,311
4,102
5,802
7,277
1,799
71,925
4,490
2,723
16,974
8,728
4,118
4,473
2,866
8,400
4,141
5,857
7,352
1,803
72,939
4,511
2,746
17,366
8,907
4,146
4,487
2,885
8,518
4,197
5,919
7,454
1,803
74,013
4,543
2,776
17,773
9,090
4,180
4,495
2,899
8,655
4,251
5,997
7,548
1,804
74,881
4,595
2,815
18,076
9,324
4,217
4,238
2,897
8,854
4,334
6,090
7,634
1,808
75,968
4,634
2,842
18,262
9,527
4,255
4,373
2,920
9,048
4,417
6,173
7,705
1,812
76,881
4,674
2,867
18,410
9,690
4,287
4,449
2,939
9,230
4,498
6,240
7,781
1,816
77,556
4,707
2,887
18,510
9,814
4,312
4,489
2,950
9,357
4,554
6,291
7,862
1,821
1.4
0.8
1.1
1.8
2.2
0.8
0.3
0.7
1.8
1.4
1.3
1.2
0.1
Southwest
Arizona
New Mexico
Oklahoma
Texas
25,917
3,789
1,555
3,175
17,398
26,491
3,916
1,595
3,221
17,760
27,116
4,065
1,636
3,252
18,162
27,772
4,245
1,682
3,281
18,564
28,420
4,432
1,720
3,308
18,959
29,020
4,587
1,752
3,340
19,340
29,625
4,737
1,775
3,373
19,740
30,240
4,883
1,793
3,405
20,158
30,827
5,024
1,808
3,437
20,558
31,386
5,166
1,821
3,454
20,945
31,926
5,304
1,828
3,464
21,330
32,490
5,451
1,849
3,483
21,706
33,003
5,591
1,868
3,496
22,048
33,569
5,759
1,890
3,511
22,409
34,209
5,974
1,915
3,530
22,791
35,060
6,191
1,941
3,572
23,357
35,760
6,360
1,966
3,609
23,825
36,414
6,499
1,984
3,640
24,291
37,051
6,588
2,007
3,686
24,771
2.0
3.1
1.4
0.8
2.0
7,477
3,387
1,041
810
1,780
459
7,696
3,496
1,072
826
1,837
466
7,939
3,614
1,109
845
1,898
473
8,171
3,724
1,145
861
1,960
480
8,380
3,827
1,177
877
2,014
485
8,565
3,920
1,203
886
2,068
488
8,746
4,018
1,229
890
2,120
489
8,918
4,117
1,252
892
2,166
491
9,094
4,226
1,276
898
2,203
492
9,269
4,328
1,300
903
2,244
494
9,443
4,433
1,321
906
2,291
493
9,586
4,503
1,342
910
2,334
497
9,703
4,546
1,364
917
2,378
499
9,853
4,596
1,391
926
2,438
503
10,020
4,656
1,425
935
2,499
506
10,252
4,748
1,464
946
2,582
513
10,479
4,837
1,498
957
2,663
523
10,680
4,929
1,526
968
2,725
533
10,859
5,015
1,544
974
2,781
544
2.1
2.2
2.2
1.0
2.5
0.9
41,428
42,226
42,798
43,271
570
589
599
603
30,471
30,975
31,275
31,484
1,137
1,159
1,173
1,188
1,296
1,351
1,411
1,499
2,929
2,992
3,060
3,121
5,026
5,161
5,279
5,375
NOTE: Numbers may not add to totals shown because of rounding.
SOURCE: U.S. Census Bureau, Population Division, Released February 2011
43,745
604
31,697
1,197
1,582
3,184
5,481
44,314
609
32,019
1,204
1,666
3,247
5,570
45,054
613
32,486
1,212
1,764
3,304
5,675
45,798
620
32,988
1,215
1,853
3,352
5,770
46,506
625
33,499
1,210
1,935
3,394
5,843
47,195
628
33,994
1,212
2,018
3,431
5,911
47,887
634
34,482
1,219
2,094
3,470
5,988
48,475
642
34,868
1,226
2,166
3,517
6,056
49,012
648
35,237
1,232
2,236
3,551
6,109
49,527
659
35,538
1,247
2,328
3,573
6,182
49,980
667
35,771
1,259
2,407
3,617
6,259
52,004
695
36,888
1,288
2,639
3,823
6,672
1.3
1.1
1.1
0.7
4.0
1.5
1.6
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
50,430
50,895
51,463
675
680
686
35,947
36,186
36,538
1,269
1,270
1,280
2,491
2,565
2,612
3,676
3,731
3,781
6,371
6,464
6,566
Office of the Actuary, CMS, December, 2011
1.1%
Medicare State Estimates by State of Residence - Personal Health Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$117,281
$132,368
$146,235
$163,430
$179,858
$193,571
$204,203
$202,351
$205,674
$215,864
$238,781
$256,002
$273,773
$300,247
$326,375
$381,722
$407,429
$440,758
$471,260
6,810
1,711
498
3,485
387
528
201
7,737
1,933
552
3,982
445
599
226
8,642
2,139
608
4,506
483
656
249
9,547
2,389
684
4,932
550
713
279
10,603
2,664
765
5,462
617
782
314
11,474
2,846
845
5,888
677
881
337
11,900
2,941
914
6,016
724
948
357
11,588
2,882
913
5,785
728
921
359
11,679
2,900
930
5,853
719
899
379
12,273
3,094
1,003
6,047
792
920
416
13,507
3,433
1,114
6,564
902
1,027
467
14,226
3,658
1,166
6,895
965
1,053
489
15,078
3,879
1,260
7,256
1,073
1,095
515
16,451
4,281
1,389
7,856
1,178
1,188
559
17,486
4,487
1,521
8,321
1,276
1,274
607
20,411
5,225
1,812
9,616
1,511
1,501
746
21,831
5,505
1,974
10,305
1,643
1,593
811
23,355
5,882
2,117
10,977
1,791
1,713
875
24,863
6,187
2,285
11,721
1,905
1,824
941
7.5
7.4
8.8
7.0
9.3
7.1
9.0
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
25,012
349
340
2,205
3,974
9,543
8,602
27,050
340
381
2,530
4,804
10,618
8,377
29,916
375
415
2,756
5,231
11,850
9,289
32,459
419
452
2,969
5,613
13,073
9,933
35,138
451
478
3,098
6,089
14,299
10,723
37,470
499
514
3,272
6,405
15,346
11,434
39,619
522
543
3,462
6,903
16,208
11,980
40,249
555
560
3,694
7,182
16,351
11,907
41,181
562
550
3,868
7,562
16,717
11,922
43,320
606
563
4,121
8,019
17,498
12,512
47,454
695
566
4,576
9,171
18,895
13,551
50,123
752
581
4,906
9,679
19,936
14,270
52,044
822
602
5,304
9,662
20,915
14,740
55,578
947
646
5,824
9,926
22,675
15,560
60,208
1,006
694
6,313
10,731
24,531
16,933
69,462
1,166
756
7,274
12,605
27,920
19,740
74,353
1,276
762
7,665
13,678
29,912
21,060
79,769
1,428
809
8,323
14,598
32,100
22,510
84,494
1,512
856
8,748
15,526
34,081
23,771
7.0
8.5
5.3
8.0
7.9
7.3
5.8
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
19,125
5,290
2,278
4,398
5,189
1,971
21,650
5,984
2,713
4,956
5,794
2,203
23,454
6,521
2,972
5,387
6,228
2,345
26,155
7,307
3,281
6,109
6,886
2,572
28,702
7,858
3,631
6,832
7,568
2,814
30,569
8,330
3,828
7,349
8,050
3,012
32,070
8,590
4,118
7,674
8,487
3,201
31,925
8,516
4,086
7,636
8,498
3,188
32,111
8,617
4,001
7,729
8,538
3,225
33,767
9,030
4,202
8,086
9,015
3,433
37,799
10,066
4,756
9,146
9,965
3,866
40,288
10,719
5,048
9,742
10,627
4,152
43,225
11,377
5,495
10,380
11,464
4,509
47,638
12,485
6,091
11,459
12,617
4,985
51,736
13,527
6,631
12,480
13,673
5,425
60,086
15,799
7,777
14,408
15,735
6,366
63,913
16,740
8,242
15,397
16,673
6,861
69,014
17,964
8,981
16,629
18,016
7,424
73,717
19,176
9,696
17,638
19,263
7,943
7.8
7.4
8.4
8.0
7.6
8.1
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
7,678
1,234
1,117
1,664
2,524
604
254
281
8,653
1,359
1,252
1,847
2,926
661
294
315
9,315
1,437
1,350
1,953
3,212
711
320
333
10,253
1,558
1,489
2,116
3,587
788
349
365
11,228
1,679
1,654
2,346
3,894
869
382
404
11,918
1,794
1,749
2,542
4,067
948
389
429
12,573
1,901
1,851
2,674
4,258
1,032
405
454
12,517
1,886
1,807
2,717
4,234
1,023
396
455
12,780
1,932
1,846
2,767
4,277
1,077
406
475
13,543
2,061
1,943
2,978
4,476
1,163
421
502
15,177
2,313
2,146
3,387
5,001
1,303
466
559
16,177
2,411
2,276
3,684
5,299
1,410
512
585
17,248
2,537
2,489
3,928
5,620
1,499
540
635
18,924
2,768
2,715
4,371
6,123
1,657
595
694
20,623
3,061
2,901
4,832
6,630
1,806
640
752
24,262
3,633
3,323
5,694
7,861
2,124
737
890
25,783
3,832
3,526
6,028
8,446
2,229
766
956
27,499
4,078
3,744
6,481
8,980
2,356
837
1,024
29,249
4,329
4,009
6,856
9,581
2,519
859
1,096
7.7
7.2
7.4
8.2
7.7
8.3
7.0
7.8
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
29,306
2,039
1,242
8,914
2,667
1,709
2,154
1,194
2,597
1,219
2,399
2,227
944
33,889
2,376
1,334
10,523
3,141
1,921
2,453
1,390
2,956
1,416
2,760
2,526
1,094
37,476
2,628
1,409
11,842
3,376
2,097
2,735
1,533
3,264
1,598
3,109
2,747
1,139
42,701
2,949
1,596
13,555
3,753
2,338
3,230
1,749
3,709
1,951
3,510
3,108
1,254
47,139
3,235
1,769
14,790
4,176
2,540
3,610
2,003
4,259
2,136
3,875
3,381
1,363
51,001
3,437
1,898
15,899
4,457
2,734
3,969
2,262
4,649
2,359
4,178
3,651
1,508
53,750
3,606
2,006
16,689
4,672
2,929
4,155
2,381
4,964
2,537
4,333
3,900
1,577
52,491
3,391
2,006
16,363
4,463
2,880
4,030
2,217
5,039
2,612
4,078
3,856
1,555
53,589
3,507
1,989
16,807
4,593
2,902
4,007
2,176
5,239
2,736
4,069
3,999
1,563
56,289
3,669
2,096
17,683
4,788
3,085
3,957
2,282
5,540
2,980
4,321
4,262
1,627
62,561
4,047
2,370
19,374
5,276
3,531
4,262
2,535
6,316
3,417
4,836
4,770
1,827
67,326
4,370
2,529
20,767
5,721
3,806
4,535
2,737
6,865
3,649
5,273
5,145
1,931
72,912
4,744
2,721
22,484
6,234
4,071
4,766
2,994
7,630
3,944
5,677
5,591
2,056
81,117
5,272
3,006
24,947
7,053
4,490
5,439
3,357
8,569
4,340
6,265
6,097
2,282
88,060
5,692
3,274
27,087
7,653
4,937
5,775
3,624
9,389
4,769
6,859
6,588
2,413
104,054
6,705
3,851
31,647
9,386
5,825
6,435
4,227
11,281
5,694
8,437
7,732
2,834
111,237
7,085
4,165
33,575
10,083
6,272
6,856
4,505
12,167
6,139
8,938
8,354
3,099
120,188
7,597
4,405
36,628
10,857
6,791
7,339
4,847
13,021
6,700
9,598
9,028
3,377
128,692
8,042
4,657
39,119
11,743
7,162
7,854
5,205
14,105
7,211
10,337
9,736
3,521
8.6
7.9
7.6
8.6
8.6
8.3
7.5
8.5
9.9
10.4
8.5
8.5
7.6
Southwest
Arizona
New Mexico
Oklahoma
Texas
9,834
1,792
503
1,408
6,130
11,392
1,919
556
1,592
7,325
12,802
2,130
604
1,742
8,326
15,070
2,363
695
2,076
9,935
17,335
2,595
786
2,399
11,555
19,206
2,817
862
2,638
12,888
20,619
2,935
908
2,780
13,996
19,926
2,893
908
2,655
13,470
19,618
3,003
935
2,680
12,999
20,457
3,224
972
2,713
13,547
22,576
3,607
1,094
2,938
14,938
24,706
3,982
1,217
3,183
16,324
27,136
4,405
1,314
3,518
17,898
30,556
5,005
1,457
3,900
20,194
33,885
5,616
1,625
4,208
22,436
40,149
6,674
1,940
5,013
26,522
43,191
7,257
2,108
5,304
28,523
46,577
7,886
2,300
5,604
30,787
50,123
8,451
2,467
5,918
33,288
9.5
9.0
9.2
8.3
9.9
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
2,347
1,125
326
320
430
147
2,697
1,288
381
362
501
164
3,031
1,439
423
404
571
195
3,419
1,643
483
437
638
217
3,872
1,862
551
472
740
246
4,168
2,022
603
489
800
254
4,400
2,123
654
523
837
263
4,327
2,091
648
520
809
259
4,489
2,186
671
539
813
279
4,733
2,264
728
576
870
296
5,253
2,471
809
655
992
325
5,710
2,729
868
679
1,096
338
6,222
2,961
941
733
1,208
379
6,975
3,315
1,044
811
1,386
418
7,636
3,632
1,151
887
1,517
448
8,977
4,238
1,384
1,025
1,809
522
9,599
4,512
1,477
1,106
1,957
546
10,326
4,860
1,607
1,183
2,094
581
11,169
5,254
1,749
1,247
2,280
639
9.1
8.9
9.8
7.9
9.7
8.5
17,168
19,301
21,598
90
105
117
13,119
14,696
16,601
364
409
453
503
583
689
1,174
1,330
1,427
1,918
2,177
2,311
NOTE: Numbers may not add to totals shown because of rounding.
23,827
133
18,356
507
797
1,518
2,516
25,840
160
19,837
565
888
1,658
2,732
27,767
175
21,335
596
984
1,776
2,902
29,272
187
22,380
630
1,082
1,879
3,114
29,329
184
22,445
621
1,087
1,885
3,107
30,228
198
22,985
659
1,189
1,989
3,208
31,482
217
23,643
724
1,269
2,175
3,454
34,454
236
25,624
826
1,432
2,511
3,825
37,445
263
27,820
884
1,627
2,687
4,164
39,907
291
29,596
928
1,799
2,902
4,391
43,009
353
31,537
996
2,048
3,155
4,920
46,742
377
34,390
1,050
2,246
3,345
5,334
68,952
553
50,604
1,533
3,324
4,967
7,971
8.0
10.6
7.8
8.3
11.1
8.3
8.2
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
54,320
57,523
64,031
422
442
488
39,911
42,071
47,127
1,214
1,284
1,425
2,562
2,752
3,046
3,940
4,256
4,636
6,271
6,717
7,309
Office of the Actuary, CMS, December, 2011
8.0%
Medicare Per Enrollee State Estimates by State of Residence - Personal Health Care (Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$3,435
$3,801
$4,116
$4,520
$4,896
$5,196
$5,429
$5,327
$5,373
$5,571
$6,101
$6,468
$6,817
$7,362
$7,858
$9,012
$9,418
$9,930
$10,365
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
3,550
3,595
2,677
3,964
2,749
3,287
2,650
3,962
4,001
2,904
4,451
3,077
3,677
2,923
4,346
4,362
3,133
4,946
3,253
3,982
3,136
4,732
4,812
3,454
5,344
3,610
4,281
3,434
5,189
5,306
3,799
5,854
3,953
4,652
3,786
5,551
5,623
4,124
6,243
4,251
5,203
3,986
5,723
5,790
4,401
6,354
4,478
5,597
4,168
5,538
5,652
4,335
6,084
4,422
5,418
4,147
5,560
5,678
4,356
6,149
4,308
5,288
4,319
5,789
6,016
4,631
6,311
4,654
5,361
4,677
6,349
6,663
5,077
6,849
5,217
5,985
5,191
6,649
7,074
5,220
7,183
5,480
6,128
5,351
6,996
7,449
5,551
7,549
5,903
6,368
5,563
7,577
8,193
6,008
8,145
6,316
6,897
5,926
7,978
8,541
6,463
8,574
6,654
7,391
6,296
9,182
9,858
7,532
9,795
7,640
8,638
7,529
9,654
10,250
8,004
10,339
8,044
9,099
7,987
10,088
10,720
8,361
10,776
8,461
9,631
8,336
10,526
11,086
8,821
11,277
8,763
10,121
8,719
6.2
6.5
6.8
6.0
6.7
6.4
6.8
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
3,942
3,852
4,368
3,983
3,584
3,773
4,334
4,205
3,654
4,875
4,464
4,267
4,154
4,160
4,588
3,918
5,285
4,753
4,579
4,588
4,552
4,928
4,267
5,765
5,016
4,854
5,017
4,830
5,284
4,480
6,132
5,146
5,213
5,437
5,177
5,597
4,823
6,668
5,349
5,441
5,805
5,492
5,896
4,942
7,130
5,587
5,839
6,112
5,747
5,958
5,143
7,398
5,882
6,042
6,133
5,699
6,080
5,107
7,343
6,097
6,350
6,243
5,716
6,347
5,395
7,540
6,384
6,684
6,482
5,978
6,925
6,072
7,634
6,992
7,616
6,967
6,473
7,272
6,428
7,906
7,396
8,006
7,300
6,799
7,508
6,853
8,242
7,876
7,956
7,622
6,994
7,968
7,668
8,876
8,523
8,137
8,220
7,349
8,564
7,874
9,469
9,090
8,744
8,837
7,943
9,762
8,845
10,269
10,274
10,151
9,955
9,157
10,306
9,371
10,289
10,597
10,880
10,530
9,645
10,844
10,125
10,771
11,178
11,382
11,103
10,134
11,297
10,421
11,157
11,449
11,903
11,604
10,555
6.0
5.7
5.3
6.0
6.9
6.4
5.1
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
3,253
3,406
2,939
3,499
3,302
2,726
3,623
3,803
3,439
3,866
3,626
3,003
3,863
4,095
3,703
4,124
3,832
3,150
4,256
4,550
4,032
4,602
4,182
3,417
4,618
4,858
4,409
5,073
4,542
3,695
4,883
5,131
4,608
5,400
4,796
3,926
5,106
5,295
4,931
5,603
5,042
4,155
5,060
5,238
4,858
5,537
5,032
4,115
5,081
5,309
4,741
5,577
5,054
4,151
5,306
5,540
4,935
5,773
5,305
4,386
5,913
6,160
5,547
6,484
5,851
4,911
6,261
6,533
5,833
6,845
6,212
5,229
6,646
6,870
6,263
7,198
6,646
5,614
7,245
7,464
6,849
7,840
7,260
6,124
7,770
8,000
7,325
8,417
7,796
6,569
8,884
9,224
8,430
9,539
8,850
7,581
9,287
9,617
8,760
9,993
9,236
8,031
9,813
10,123
9,314
10,527
9,788
8,497
10,284
10,615
9,843
10,925
10,300
8,908
6.6
6.5
6.9
6.5
6.5
6.8
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
2,877
2,677
3,037
2,788
3,187
2,517
2,545
2,522
3,199
2,920
3,359
3,046
3,640
2,727
2,911
2,783
3,402
3,062
3,582
3,173
3,940
2,901
3,143
2,906
3,708
3,303
3,917
3,392
4,352
3,189
3,410
3,157
4,024
3,539
4,315
3,721
4,674
3,488
3,707
3,466
4,244
3,775
4,530
3,998
4,843
3,786
3,768
3,652
4,460
3,994
4,777
4,183
5,039
4,110
3,938
3,846
4,419
3,962
4,647
4,220
4,977
4,063
3,844
3,844
4,501
4,067
4,744
4,275
5,007
4,271
3,951
3,998
4,741
4,330
4,977
4,553
5,201
4,589
4,083
4,202
5,284
4,846
5,494
5,137
5,768
5,119
4,529
4,661
5,596
5,032
5,814
5,526
6,063
5,515
4,971
4,841
5,910
5,265
6,313
5,815
6,352
5,832
5,235
5,213
6,412
5,704
6,830
6,373
6,827
6,401
5,758
5,628
6,894
6,252
7,219
6,928
7,266
6,910
6,164
6,023
7,982
7,347
8,176
7,984
8,457
8,036
7,062
7,003
8,345
7,663
8,565
8,267
8,925
8,330
7,274
7,392
8,732
8,057
8,956
8,652
9,295
8,681
7,849
7,752
9,120
8,461
9,423
8,941
9,724
9,138
7,958
8,148
6.6
6.6
6.5
6.7
6.4
7.4
6.5
6.7
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
3,358
3,439
3,128
3,711
3,556
3,149
3,984
3,217
2,832
2,685
3,396
3,007
3,023
3,795
3,923
3,299
4,286
4,076
3,470
4,448
3,681
3,131
3,027
3,821
3,323
3,454
4,096
4,244
3,431
4,702
4,259
3,708
4,864
3,988
3,355
3,314
4,207
3,519
3,534
4,563
4,672
3,829
5,249
4,611
4,065
5,648
4,481
3,707
3,934
4,651
3,885
3,851
4,939
5,036
4,183
5,629
5,010
4,333
6,219
5,045
4,147
4,199
5,024
4,132
4,137
5,242
5,263
4,444
5,921
5,230
4,587
6,759
5,618
4,423
4,518
5,318
4,369
4,542
5,440
5,445
4,653
6,119
5,374
4,861
7,012
5,843
4,624
4,744
5,438
4,591
4,733
5,243
5,065
4,629
5,927
5,044
4,724
6,767
5,392
4,605
4,785
5,054
4,459
4,649
5,292
5,182
4,567
6,030
5,103
4,718
6,715
5,255
4,703
4,914
4,980
4,559
4,666
5,477
5,349
4,773
6,265
5,213
4,953
6,584
5,446
4,876
5,232
5,200
4,762
4,823
6,000
5,816
5,369
6,776
5,638
5,605
7,043
5,980
5,454
5,872
5,729
5,234
5,382
6,361
6,189
5,671
7,175
5,992
5,970
7,416
6,373
5,808
6,140
6,150
5,543
5,633
6,760
6,589
6,009
7,634
6,393
6,276
7,689
6,844
6,306
6,474
6,494
5,901
5,930
7,370
7,178
6,528
8,325
7,052
6,794
8,658
7,521
6,910
6,919
7,006
6,305
6,512
7,825
7,537
6,932
8,893
7,366
7,278
9,465
7,976
7,350
7,327
7,441
6,636
6,791
9,038
8,682
7,943
10,276
8,729
8,382
10,310
9,157
8,561
8,448
8,888
7,597
7,844
9,434
8,977
8,391
10,718
9,080
8,822
10,721
9,598
8,956
8,805
9,169
7,997
8,435
9,908
9,389
8,658
11,404
9,420
9,325
11,181
10,115
9,269
9,258
9,558
8,371
9,054
10,338
9,718
8,949
11,893
9,836
9,634
11,700
10,667
9,741
9,632
10,024
8,772
9,333
6.4
5.9
6.0
6.7
5.8
6.4
6.2
6.9
7.1
7.4
6.2
6.1
6.5
Southwest
Arizona
New Mexico
Oklahoma
Texas
3,241
3,464
2,713
3,073
3,274
3,651
3,564
2,896
3,413
3,809
3,986
3,796
3,040
3,674
4,211
4,568
4,053
3,389
4,317
4,895
5,128
4,312
3,730
4,918
5,554
5,558
4,535
3,985
5,352
6,066
5,862
4,611
4,109
5,594
6,471
5,577
4,440
4,032
5,303
6,135
5,412
4,516
4,076
5,325
5,837
5,540
4,735
4,149
5,342
5,970
6,020
5,171
4,583
5,753
6,486
6,476
5,576
4,985
6,181
6,971
6,950
5,979
5,249
6,740
7,473
7,622
6,556
5,656
7,356
8,216
8,171
7,077
6,089
7,771
8,816
9,403
8,188
7,034
9,055
10,101
9,819
8,633
7,399
9,386
10,532
10,250
9,069
7,815
9,687
10,988
10,676
9,395
8,120
10,000
11,479
6.8
5.7
6.3
6.8
7.2
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
2,781
3,044
2,406
2,663
2,600
2,743
3,097
3,367
2,743
2,955
2,924
2,982
3,375
3,631
2,966
3,223
3,224
3,421
3,698
4,010
3,306
3,421
3,501
3,719
4,086
4,423
3,684
3,632
3,958
4,096
4,293
4,672
3,939
3,706
4,173
4,131
4,447
4,798
4,196
3,929
4,285
4,202
4,301
4,636
4,070
3,871
4,087
4,077
4,393
4,770
4,143
3,982
4,034
4,337
4,542
4,839
4,396
4,215
4,212
4,521
4,953
5,196
4,784
4,732
4,705
4,901
5,287
5,644
5,006
4,841
5,085
5,031
5,628
5,994
5,259
5,134
5,457
5,535
6,148
6,543
5,638
5,589
6,082
6,014
6,522
6,953
5,987
5,994
6,399
6,314
7,423
7,850
6,935
6,756
7,353
7,209
7,687
8,083
7,149
7,104
7,702
7,369
7,978
8,390
7,500
7,376
7,929
7,635
8,331
8,727
7,880
7,576
8,326
8,165
6.3
6.0
6.8
6.0
6.7
6.2
3,635
3,992
4,359
3,408
3,726
3,914
3,914
4,296
4,744
2,779
3,015
3,215
3,337
3,624
4,003
2,707
2,992
3,144
3,046
3,377
3,508
NOTE: Numbers may not add to totals shown because of rounding.
4,710
4,210
5,153
3,485
4,339
3,286
3,736
5,001
4,768
5,460
3,782
4,577
3,537
3,973
5,274
4,995
5,771
3,893
4,807
3,745
4,140
5,492
5,132
5,987
4,036
5,061
3,940
4,395
5,429
4,822
5,933
3,904
4,876
3,916
4,329
5,523
4,959
5,999
4,072
5,135
4,109
4,429
5,651
5,182
6,071
4,379
5,223
4,433
4,693
6,093
5,401
6,496
4,904
5,640
5,045
5,121
6,516
5,765
6,957
5,156
6,156
5,312
5,478
6,816
6,119
7,285
5,315
6,497
5,631
5,649
7,215
7,120
7,650
5,604
7,125
5,989
6,170
7,672
7,269
8,187
5,776
7,566
6,197
6,494
10,191
8,812
10,954
7,652
9,692
8,247
8,497
5.9
5.4
5.9
5.8
6.1
6.4
5.9
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
8,731
9,026
9,756
7,773
7,790
8,165
9,336
9,630
10,492
6,545
6,780
7,339
8,353
8,661
9,230
7,126
7,508
7,936
7,405
7,691
8,092
Office of the Actuary, CMS, December, 2011
6.3%
Medicare Enrollment (in Thousands)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
34,139
34,822
35,532
36,156
36,739
37,252
37,617
37,983
38,278
38,749
39,136
39,582
40,160
40,784
41,536
42,356
43,259
44,385
45,467
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
1,918
476
186
879
141
161
76
1,953
483
190
895
145
163
77
1,988
490
194
911
149
165
79
2,018
497
198
923
152
167
81
2,044
502
201
933
156
168
83
2,067
506
205
943
159
169
84
2,079
508
208
947
162
169
86
2,093
510
211
951
165
170
87
2,101
511
213
952
167
170
88
2,120
514
217
958
170
172
89
2,127
515
219
958
173
172
90
2,140
517
223
960
176
172
91
2,155
521
227
961
182
172
93
2,171
523
231
965
186
172
94
2,192
525
235
971
192
172
96
2,223
530
241
982
198
174
99
2,261
537
247
997
204
175
102
2,315
549
253
1,019
212
178
105
2,362
558
259
1,039
217
180
108
1.2
0.9
1.9
0.9
2.4
0.6
2.0
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
6,345
91
78
554
1,109
2,529
1,985
6,433
93
78
567
1,126
2,556
2,014
6,520
96
79
580
1,142
2,583
2,041
6,587
98
78
592
1,156
2,606
2,057
6,650
101
78
602
1,168
2,630
2,071
6,695
103
77
612
1,177
2,644
2,082
6,720
106
76
620
1,182
2,652
2,085
6,756
108
76
628
1,189
2,666
2,089
6,773
110
75
634
1,191
2,678
2,086
6,825
112
75
646
1,200
2,699
2,093
6,853
114
74
654
1,204
2,712
2,093
6,893
117
74
663
1,209
2,731
2,099
6,932
120
73
673
1,214
2,744
2,108
6,975
123
73
683
1,220
2,759
2,117
7,031
128
73
695
1,227
2,776
2,132
7,116
132
74
708
1,242
2,805
2,156
7,215
136
74
723
1,257
2,841
2,184
7,356
141
75
745
1,283
2,891
2,221
7,479
145
77
764
1,304
2,937
2,252
0.9
2.7
-0.1
1.8
0.9
0.8
0.7
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
5,879
1,553
775
1,257
1,571
723
5,976
1,574
789
1,282
1,598
734
6,071
1,592
803
1,306
1,626
745
6,146
1,606
814
1,327
1,647
753
6,215
1,617
823
1,347
1,666
762
6,261
1,623
831
1,361
1,679
767
6,281
1,622
835
1,370
1,683
770
6,310
1,626
841
1,379
1,689
775
6,320
1,623
844
1,386
1,689
777
6,364
1,630
852
1,401
1,699
783
6,392
1,634
858
1,410
1,703
787
6,434
1,641
865
1,423
1,711
794
6,504
1,656
877
1,442
1,725
803
6,576
1,673
889
1,462
1,738
814
6,659
1,691
905
1,483
1,754
826
6,764
1,713
923
1,511
1,778
840
6,882
1,741
941
1,541
1,805
854
7,033
1,775
964
1,580
1,841
874
7,168
1,806
985
1,615
1,870
892
1.1
0.8
1.3
1.4
1.0
1.2
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
2,669
461
368
597
792
240
100
111
2,705
465
373
606
804
242
101
113
2,738
469
377
616
815
245
102
114
2,765
472
380
624
824
247
102
116
2,790
474
383
631
833
249
103
117
2,808
475
386
636
840
250
103
117
2,819
476
388
639
845
251
103
118
2,832
476
389
644
851
252
103
118
2,839
475
389
647
854
252
103
119
2,857
476
390
654
861
253
103
119
2,872
477
391
659
867
255
103
120
2,891
479
391
667
874
256
103
121
2,918
482
394
675
885
257
103
122
2,951
485
398
686
897
259
103
123
2,992
490
402
698
912
261
104
125
3,039
495
406
713
930
264
104
127
3,089
500
412
729
946
268
105
129
3,149
506
418
749
966
271
107
132
3,207
512
425
767
985
276
108
134
1.0
0.6
0.8
1.4
1.2
0.8
0.4
1.0
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
8,727
593
397
2,402
750
543
541
371
917
454
706
741
312
8,929
606
404
2,455
771
554
551
378
944
468
722
760
317
9,150
619
411
2,519
793
565
562
384
973
482
739
781
322
9,358
631
417
2,583
814
575
572
390
1,001
496
755
800
326
9,545
642
423
2,628
833
586
581
397
1,027
509
771
818
330
9,730
653
427
2,685
852
596
587
403
1,051
522
786
836
332
9,881
662
431
2,728
869
603
593
407
1,074
535
797
849
333
10,011
670
433
2,761
885
610
596
411
1,094
546
807
865
334
10,126
677
436
2,787
900
615
597
414
1,114
557
817
877
335
10,278
686
439
2,823
918
623
601
419
1,136
570
831
895
337
10,426
696
442
2,859
936
630
605
424
1,158
582
844
911
339
10,584
706
446
2,894
955
637
612
429
1,182
594
857
928
343
10,787
720
453
2,945
975
649
620
437
1,210
609
874
947
347
11,006
734
461
2,997
1,000
661
628
446
1,240
627
894
967
350
11,253
755
472
3,046
1,039
678
610
454
1,277
651
922
993
355
11,513
772
485
3,080
1,075
695
624
462
1,318
674
949
1,018
361
11,791
789
496
3,133
1,111
711
639
469
1,359
697
975
1,045
367
12,130
809
509
3,212
1,153
728
656
479
1,405
724
1,004
1,079
373
12,449
828
520
3,289
1,194
743
671
488
1,448
749
1,031
1,110
377
2.0
1.9
1.5
1.8
2.6
1.8
1.2
1.5
2.6
2.8
2.1
2.3
1.1
Southwest
Arizona
New Mexico
Oklahoma
Texas
3,034
517
186
458
1,873
3,120
538
192
466
1,923
3,211
561
199
474
1,977
3,299
583
205
481
2,030
3,381
602
211
488
2,080
3,455
621
216
493
2,125
3,517
636
221
497
2,163
3,573
651
225
501
2,196
3,625
665
229
503
2,227
3,692
681
234
508
2,269
3,750
697
239
511
2,303
3,815
714
244
515
2,342
3,904
737
250
522
2,395
4,009
763
258
530
2,458
4,147
794
267
541
2,545
4,270
815
276
554
2,626
4,399
841
285
565
2,708
4,544
870
294
578
2,802
4,695
899
304
592
2,900
2.5
3.1
2.8
1.4
2.5
844
369
135
120
166
53
871
382
139
123
171
55
898
396
143
125
177
57
924
410
146
128
182
58
948
421
150
130
187
60
971
433
153
132
192
61
989
442
156
133
195
63
1,006
451
159
134
198
64
1,022
458
162
135
202
64
1,042
468
166
137
206
65
1,061
476
169
138
211
66
1,080
484
173
140
215
67
1,106
494
179
143
221
68
1,134
507
185
145
228
70
1,171
522
192
148
237
71
1,209
540
200
152
246
72
1,249
558
207
156
254
74
1,294
579
214
160
264
76
1,341
602
222
165
274
78
2.6
2.7
2.8
1.8
2.8
2.1
5,402
38
3,783
159
223
481
718
5,473
40
3,831
162
232
484
724
5,571
42
3,894
165
243
491
736
5,655
44
3,945
168
254
498
747
5,746
46
3,999
171
264
506
760
5,855
48
4,063
175
277
515
777
5,961
50
4,122
178
287
527
797
6,092
52
4,201
182
297
540
821
6,766
63
4,620
200
343
602
938
2.0
4.9
1.8
2.4
4.7
1.8
2.2
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4,723
4,835
4,955
5,058
5,167
5,264
5,330
27
28
30
32
34
35
37
3,352
3,421
3,499
3,562
3,633
3,697
3,738
131
136
141
145
149
153
156
151
161
172
184
194
205
214
434
445
454
462
469
474
477
630
645
659
673
688
701
709
NOTE: Numbers may not add to totals shown because of rounding. Medicare enrollment figures reflect point-in-time estimates.
6,221
6,373
6,563
54
57
60
4,275
4,369
4,492
185
189
194
307
318
330
553
567
584
847
873
903
Office of the Actuary, CMS, December, 2011
1.6%
Medicaid State Estimates by State of Residence - Personal Health Care (Millions of Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$88,921
$103,417
$116,453
$126,856
$136,250
$144,510
$151,351
$158,335
$171,216
$186,941
$208,543
$230,092
$249,788
$271,168
$287,731
$283,652
$302,509
$316,476
$345,669
6,676
1,663
521
3,463
283
540
206
7,418
1,722
632
3,747
372
724
221
7,768
1,882
750
3,724
442
736
235
8,896
2,169
801
4,418
510
734
264
9,917
2,467
822
4,963
583
786
295
9,893
2,538
893
4,800
596
748
318
11,035
2,813
977
5,336
635
926
348
11,793
2,840
1,117
5,788
730
931
387
12,511
3,002
1,141
6,168
736
1,018
445
13,197
3,138
1,199
6,518
813
1,017
512
14,337
3,218
1,321
7,113
832
1,270
582
15,919
3,558
1,498
7,969
911
1,340
643
16,234
3,442
1,790
7,988
953
1,358
703
17,835
3,898
1,982
8,408
1,157
1,617
774
18,906
3,918
2,032
9,318
1,130
1,651
856
18,494
4,039
2,021
8,796
1,093
1,652
893
19,757
4,140
2,019
9,839
1,185
1,578
998
21,029
4,725
2,123
10,284
1,216
1,711
970
23,237
5,511
2,447
11,102
1,321
1,786
1,070
7.2
6.9
9.0
6.7
8.9
6.9
9.6
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
24,821
200
530
1,516
2,961
15,985
3,629
28,302
227
583
1,738
3,285
17,651
4,817
30,979
257
676
1,875
3,743
19,472
4,955
33,776
288
745
2,074
4,130
20,863
5,675
36,246
337
717
2,196
4,474
22,349
6,173
39,010
392
731
2,305
4,697
23,936
6,948
40,092
364
801
2,387
4,943
23,726
7,871
42,251
422
853
2,452
4,912
25,904
7,708
45,604
432
809
2,813
5,097
27,481
8,971
49,106
508
885
2,853
5,407
29,389
10,063
51,648
558
862
3,137
5,583
30,976
10,531
57,687
603
970
3,449
6,206
35,168
11,291
63,203
678
1,016
4,251
6,796
38,447
12,015
67,040
759
1,158
4,547
7,177
40,293
13,106
71,112
811
1,210
4,829
8,407
40,967
14,888
71,626
883
1,209
4,804
8,733
42,246
13,752
73,684
940
1,331
5,067
8,423
43,354
14,568
76,089
1,035
1,422
5,261
8,885
44,477
15,009
81,192
1,106
1,577
6,084
9,185
47,557
15,683
6.8
10.0
6.2
8.0
6.5
6.2
8.5
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
13,820
2,947
1,944
3,066
4,079
1,784
16,525
4,223
2,367
3,327
4,650
1,958
18,627
4,929
2,759
3,849
5,024
2,065
19,492
5,236
2,535
4,220
5,336
2,165
20,502
5,703
2,311
4,587
5,659
2,243
21,889
6,260
2,518
4,921
5,815
2,376
23,159
6,307
2,365
5,922
6,013
2,553
22,563
6,293
2,594
4,827
6,185
2,664
24,665
6,290
2,908
6,236
6,430
2,801
26,924
7,208
3,419
5,606
7,379
3,312
29,993
7,511
3,784
6,514
8,293
3,892
32,311
8,589
4,066
6,094
9,226
4,336
34,795
9,317
3,988
6,925
10,327
4,237
37,005
9,618
4,765
7,218
11,135
4,270
40,177
11,042
5,254
7,533
11,755
4,593
37,800
9,631
4,778
7,590
11,453
4,349
41,839
11,636
5,209
8,581
11,839
4,574
43,300
11,593
5,918
9,057
12,001
4,730
49,253
13,828
5,828
9,563
13,330
6,703
7.3
9.0
6.3
6.5
6.8
7.6
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
5,548
893
654
1,857
1,225
409
252
259
6,569
965
764
1,973
1,885
479
263
241
7,205
1,064
866
2,197
1,973
556
281
267
7,910
1,145
912
2,414
2,267
592
292
288
8,380
1,208
902
2,592
2,451
616
308
302
8,867
1,289
944
2,668
2,628
692
331
316
9,092
1,222
1,030
2,657
2,807
739
312
325
9,894
1,345
1,081
2,806
3,056
927
330
348
10,504
1,352
1,143
2,985
3,357
969
331
367
12,071
1,595
1,401
3,296
3,948
1,028
385
418
13,192
1,614
1,460
3,790
4,309
1,214
374
430
15,030
1,886
1,656
4,434
4,793
1,283
439
538
15,865
2,093
1,544
4,635
5,316
1,321
440
517
17,558
2,218
1,810
5,170
5,949
1,367
480
564
18,437
2,339
1,953
5,302
6,315
1,452
499
576
18,414
2,463
2,024
5,369
6,075
1,421
481
582
19,544
2,515
2,083
5,935
6,409
1,502
494
606
20,431
2,684
2,149
6,185
6,749
1,503
519
642
22,204
2,875
2,309
6,761
7,390
1,593
584
692
8.0
6.7
7.3
7.4
10.5
7.8
4.8
5.6
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
17,662
871
804
3,235
1,975
1,191
1,992
818
1,967
1,238
1,545
1,371
655
21,016
1,157
941
3,851
2,170
1,540
2,338
924
2,300
1,447
2,003
1,465
881
24,393
1,303
1,023
4,473
2,536
1,690
3,073
1,055
2,690
1,615
2,181
1,682
1,071
26,765
1,426
1,069
4,858
2,947
1,793
3,317
1,206
2,987
1,738
2,538
1,773
1,115
28,885
1,556
1,159
5,285
3,148
1,886
3,080
1,364
3,602
1,808
2,967
1,897
1,133
29,684
1,647
1,234
5,360
3,253
2,047
2,674
1,500
3,970
1,819
3,012
2,013
1,157
31,318
1,829
1,268
5,594
3,285
2,355
2,790
1,520
4,217
1,798
3,293
2,150
1,220
32,799
1,956
1,338
5,946
3,420
2,452
2,626
1,594
4,376
1,986
3,544
2,218
1,343
34,795
2,076
1,442
6,298
3,573
2,590
2,684
1,696
4,693
2,180
3,901
2,378
1,284
39,846
2,503
1,568
7,193
4,339
3,075
2,822
1,949
5,336
2,498
4,458
2,736
1,369
46,353
2,609
1,891
8,139
5,519
3,265
3,432
2,473
6,266
2,906
5,079
3,302
1,472
50,247
2,856
2,212
9,487
6,199
3,574
3,408
2,703
6,514
3,168
5,396
3,158
1,573
54,685
3,178
2,233
10,789
6,927
3,514
3,901
2,807
6,870
3,194
5,947
3,499
1,825
61,509
3,364
2,594
11,895
7,400
4,166
4,480
3,427
8,035
3,815
6,605
3,749
1,980
63,198
3,693
2,724
12,188
6,915
4,029
4,944
3,145
8,771
3,998
6,609
4,168
2,015
61,072
3,583
2,761
11,778
6,262
4,070
4,895
3,162
8,783
3,876
5,523
4,331
2,048
65,312
3,754
2,988
12,430
7,058
4,418
5,345
3,401
8,905
3,903
6,403
4,628
2,079
68,395
3,857
3,114
13,223
6,762
4,469
5,768
3,425
9,875
4,322
6,426
5,047
2,108
73,511
4,101
3,383
14,347
6,852
5,174
6,240
3,629
10,619
4,793
6,561
5,480
2,331
8.2
9.0
8.3
8.6
7.2
8.5
6.5
8.6
9.8
7.8
8.4
8.0
7.3
Southwest
Arizona
New Mexico
Oklahoma
Texas
6,828
778
426
906
4,718
8,380
1,048
503
1,041
5,788
9,596
1,184
583
1,071
6,759
10,587
1,334
658
1,017
7,578
11,171
1,349
743
1,069
8,009
12,026
1,426
883
1,119
8,598
12,273
1,515
912
1,174
8,671
12,658
1,608
977
1,298
8,775
13,686
1,908
1,035
1,449
9,294
14,528
1,869
1,191
1,624
9,844
16,756
2,515
1,408
2,051
10,782
19,579
3,160
1,694
2,224
12,502
21,781
3,763
1,915
2,279
13,824
24,106
4,370
2,062
2,447
15,226
26,909
4,974
2,148
2,689
17,097
27,552
5,429
2,222
2,916
16,985
30,632
5,927
2,535
3,228
18,942
32,809
6,557
2,770
3,493
19,990
36,771
7,549
2,911
3,803
22,509
9.8
13.5
11.3
8.3
9.1
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
1,751
750
246
249
412
94
2,034
926
277
274
441
117
2,255
1,003
305
316
494
136
2,448
1,119
322
332
520
154
2,663
1,252
346
343
556
165
2,849
1,283
398
371
608
189
2,945
1,387
390
365
609
193
3,257
1,529
444
409
679
196
3,503
1,725
499
350
730
199
3,967
1,889
598
481
782
217
4,351
2,028
706
532
839
246
4,746
2,264
750
494
956
283
5,170
2,393
813
542
1,092
329
5,688
2,504
964
636
1,210
374
6,131
2,702
987
686
1,362
394
6,206
2,683
1,008
692
1,398
425
6,443
2,856
1,094
706
1,351
437
6,879
3,058
1,150
768
1,425
478
7,607
3,423
1,246
851
1,577
510
8.5
8.8
9.4
7.1
7.7
9.8
11,815
13,173
15,630
190
220
277
8,751
9,629
11,521
250
270
336
232
309
349
734
838
978
1,658
1,907
2,169
NOTE: Numbers may not add to totals shown because of rounding.
16,982
270
12,419
459
365
1,142
2,328
18,487
285
13,275
620
408
1,363
2,536
20,291
320
14,765
543
425
1,443
2,795
21,437
343
15,737
568
415
1,434
2,939
23,120
358
16,997
536
480
1,640
3,109
25,948
388
19,194
566
494
1,903
3,402
27,302
479
19,900
589
558
2,036
3,740
31,915
583
23,582
599
656
2,315
4,181
34,572
705
25,417
685
801
2,496
4,469
38,054
846
28,404
739
884
2,354
4,826
40,425
838
30,134
877
1,051
2,567
4,958
42,862
923
31,890
983
1,104
2,675
5,287
51,895
1,058
38,900
1,146
1,303
3,510
5,979
8.6
10.0
8.6
8.8
10.1
9.1
7.4
United States
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
42,487
45,297
47,543
929
922
941
31,840
33,949
35,435
891
1,047
1,116
1,110
1,177
1,232
2,583
2,715
2,983
5,134
5,488
5,836
Office of the Actuary, CMS, December, 2011
7.8%
Medicaid Per Enrollee State Estimates by State of Residence - Personal Health Care (Dollars)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
$3,545
$3,616
$3,784
$3,972
$4,188
$4,465
$4,720
$5,023
$5,324
$5,474
$5,671
$5,697
$5,815
$6,089
$6,280
$6,226
$6,632
$6,705
$6,826
3.7%
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
4,845
5,387
3,811
5,132
5,737
3,675
3,353
5,286
6,130
4,169
5,720
6,155
3,881
3,214
5,227
6,291
4,797
5,049
6,693
4,767
3,222
6,049
6,846
5,081
6,026
7,048
6,714
3,242
6,563
7,437
5,315
6,783
7,307
6,181
3,435
6,502
7,526
5,724
6,546
7,458
6,050
3,479
7,059
8,358
6,379
6,929
8,055
7,586
3,392
7,092
8,339
7,239
6,760
9,392
7,447
3,553
7,379
8,623
7,242
7,170
8,889
7,543
3,988
7,632
8,923
7,368
7,496
9,895
6,905
4,417
7,765
8,675
6,062
7,807
9,947
8,849
4,883
7,851
8,695
4,938
8,392
10,054
8,890
5,179
8,344
8,052
7,625
8,887
9,511
8,678
5,499
8,948
8,889
7,881
9,231
11,043
10,115
6,054
9,211
8,855
7,775
9,784
10,444
10,244
6,746
8,773
9,198
7,523
8,778
9,857
10,262
7,063
8,584
9,225
6,936
8,447
10,523
9,960
7,907
8,625
9,968
7,248
8,162
10,355
10,812
7,150
8,983
10,933
8,077
8,278
10,302
10,780
7,389
3.5
4.0
4.3
2.7
3.3
6.2
4.5
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
5,628
4,234
5,418
4,302
5,331
7,132
3,252
5,784
4,132
5,399
4,394
5,211
7,245
3,800
5,941
4,172
5,660
4,490
5,559
7,513
3,668
6,181
4,409
6,045
4,725
5,946
7,676
3,984
6,491
4,950
6,197
4,817
6,303
8,064
4,220
6,872
5,268
5,737
4,070
6,634
8,709
4,783
6,892
4,527
6,213
3,138
7,128
8,687
5,532
7,793
5,096
7,190
5,207
7,242
9,752
5,447
8,164
4,765
6,576
5,557
7,737
9,915
6,249
8,792
5,180
7,077
5,512
8,064
10,646
7,120
9,041
5,226
6,985
6,283
7,674
10,739
7,682
9,128
5,167
7,670
6,479
8,945
10,278
7,902
9,363
5,401
7,723
7,360
9,625
10,355
8,028
9,341
5,649
8,524
7,475
9,872
10,141
8,199
9,460
5,771
8,743
7,809
11,209
9,818
8,775
9,535
6,095
8,678
8,022
11,211
10,208
8,037
9,929
6,493
9,532
8,556
10,582
10,733
8,525
9,945
6,779
10,125
8,496
10,911
10,799
8,311
9,821
6,679
10,487
8,533
10,825
10,708
8,049
3.1
2.6
3.7
3.9
4.0
2.3
5.2
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
3,194
2,333
5,558
2,861
3,431
3,931
3,478
3,033
5,473
2,968
3,514
4,067
3,765
3,336
5,814
3,293
3,775
4,174
3,842
3,357
5,080
3,577
3,996
4,337
4,077
3,587
4,550
3,997
4,380
4,558
4,539
4,033
5,478
4,386
4,774
5,053
5,017
4,159
5,288
5,417
5,353
5,858
5,076
4,368
5,676
4,472
5,861
6,451
5,675
4,713
5,648
5,888
6,327
6,649
5,943
5,211
6,009
5,332
6,988
7,030
6,135
5,221
6,000
5,807
6,808
8,106
6,041
5,418
6,029
5,069
6,896
7,904
5,958
5,334
5,695
5,452
7,061
6,418
5,984
5,208
6,456
5,282
7,365
5,924
6,170
5,660
6,861
5,233
7,354
6,063
5,795
5,211
6,104
5,127
6,988
5,627
6,253
5,983
6,531
5,566
7,266
5,880
6,223
5,563
6,972
5,728
7,336
5,855
6,416
5,773
6,229
5,703
7,469
7,584
4.0
5.2
0.6
3.9
4.4
3.7
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
4,026
4,189
3,840
5,366
2,698
3,740
6,998
5,248
4,334
4,221
5,365
5,119
3,584
3,782
5,201
4,264
4,341
4,480
4,553
5,331
3,426
4,218
5,336
4,506
4,581
4,616
5,184
5,537
3,646
4,458
5,676
4,732
4,696
4,965
4,390
5,763
3,841
4,526
6,168
4,899
4,936
5,412
4,737
5,576
4,190
4,877
6,793
5,014
5,113
5,045
5,472
5,669
4,537
4,864
6,646
5,270
5,592
5,415
6,064
6,269
4,880
5,772
7,349
5,507
5,730
6,112
6,090
6,578
4,917
5,575
7,367
5,322
6,213
7,097
7,148
7,092
5,214
5,643
8,517
5,752
6,333
6,575
6,950
7,638
5,312
6,265
7,814
5,481
6,754
7,107
7,257
8,437
5,544
6,289
8,141
6,437
6,871
7,429
6,248
8,289
5,889
7,533
7,927
5,899
7,364
7,460
6,979
9,044
6,380
7,548
9,139
6,268
7,695
7,538
7,272
9,078
6,947
8,098
9,461
6,263
7,813
7,122
7,440
9,092
7,386
7,836
9,260
6,264
8,289
7,028
7,850
9,867
7,959
8,280
9,606
6,385
8,426
7,070
7,951
9,933
8,219
8,249
9,718
6,724
8,471
6,887
8,069
9,851
8,398
8,228
10,111
6,938
4.2
2.8
4.2
3.4
6.5
4.5
2.1
1.6
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
2,989
2,348
3,443
3,113
2,998
2,622
3,618
1,981
3,445
4,136
2,210
3,488
2,889
2,977
2,641
3,556
2,650
2,757
3,018
3,908
2,224
3,329
4,093
2,442
3,083
3,496
3,151
2,775
3,764
2,683
2,944
3,159
4,936
2,318
3,508
4,095
2,411
3,211
3,995
3,337
2,982
3,951
2,991
3,144
3,286
5,218
2,664
3,631
4,111
2,564
3,163
3,947
3,419
3,359
4,210
3,435
3,216
3,436
4,874
3,039
4,100
4,100
2,165
3,296
3,807
3,581
3,339
4,400
3,858
3,315
3,740
4,352
3,412
4,391
3,977
2,257
3,517
4,194
3,772
3,697
4,313
3,713
3,415
4,395
4,754
3,619
4,599
3,709
2,504
3,864
5,284
3,931
3,886
3,996
4,013
3,607
4,678
4,560
3,907
4,789
3,604
2,762
4,113
4,788
4,053
3,970
3,777
4,049
3,815
4,977
4,453
3,888
5,097
3,750
2,943
4,437
4,854
4,441
4,400
3,862
4,173
4,773
5,637
4,471
4,036
5,563
4,035
3,315
5,229
5,315
4,713
3,921
4,176
4,254
5,534
5,705
5,004
4,414
5,937
4,196
3,514
6,228
5,571
4,785
3,940
4,350
4,584
5,485
6,001
4,474
4,582
5,869
4,233
3,766
5,751
5,603
4,959
4,234
3,932
5,018
5,423
5,604
4,777
4,621
5,893
3,882
4,385
5,921
6,179
5,414
4,301
4,379
5,485
5,532
6,462
5,208
5,241
6,641
4,775
4,829
5,815
6,588
5,419
4,554
4,382
5,390
4,991
6,146
5,489
4,729
7,082
4,982
4,966
6,095
6,580
5,360
4,652
4,507
5,302
4,745
6,098
5,392
5,051
6,831
5,250
4,477
6,241
6,467
5,919
5,138
5,332
5,872
5,685
6,534
6,077
5,688
6,879
5,635
5,186
6,686
6,553
5,977
5,066
5,561
5,858
5,249
6,480
6,199
5,616
7,277
6,198
5,147
7,031
6,470
6,050
5,086
5,871
5,855
4,835
7,089
6,371
5,850
7,275
6,606
5,150
7,088
6,886
4.0
4.4
3.0
3.6
2.7
5.7
3.2
6.2
4.2
2.6
4.8
4.0
4.9
Southwest
Arizona
New Mexico
Oklahoma
Texas
3,070
2,320
3,295
3,452
3,151
3,117
2,547
3,340
3,435
3,175
3,257
2,575
3,610
3,383
3,365
3,379
2,748
3,154
3,159
3,579
3,508
2,754
3,174
3,307
3,747
3,807
2,886
3,589
3,644
4,071
4,033
3,187
3,517
4,207
4,273
4,302
3,520
3,715
4,352
4,560
4,567
4,151
3,583
3,913
4,948
4,634
3,738
3,857
4,014
5,122
4,893
4,108
4,267
4,723
5,265
4,863
3,886
4,556
4,920
5,233
4,738
3,895
4,801
4,763
5,021
4,984
4,229
4,975
5,038
5,244
5,392
4,578
5,316
5,353
5,704
5,510
5,115
5,555
5,520
5,642
5,908
5,393
6,278
5,861
6,049
6,071
5,573
6,359
6,271
6,178
6,279
5,739
6,409
6,265
6,469
4.1
5.2
3.8
3.4
4.1
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
3,864
3,598
4,378
4,163
4,135
3,235
3,768
3,723
3,823
4,141
3,733
3,388
3,849
3,776
3,702
4,431
3,811
3,699
4,008
4,105
3,595
4,493
3,815
4,035
4,334
4,613
3,761
4,560
4,051
4,309
4,820
4,855
4,405
5,047
4,824
5,114
5,335
5,365
4,732
5,270
5,691
5,573
5,731
6,024
5,389
6,148
5,186
5,661
5,998
6,649
5,601
5,136
5,535
5,616
6,303
6,723
5,520
6,848
5,882
5,883
6,327
6,700
5,545
7,072
5,988
5,808
6,228
6,793
5,318
6,275
6,065
5,492
6,099
6,572
5,321
6,586
5,729
5,699
6,335
6,439
5,951
7,468
5,956
6,374
6,569
6,599
5,977
7,981
6,435
6,441
6,621
6,408
5,955
8,271
6,835
6,956
7,073
6,975
6,570
8,661
6,927
7,468
7,371
7,138
7,041
9,412
7,072
8,184
7,407
7,038
7,093
9,937
7,293
8,079
3.7
3.8
2.7
5.0
3.2
5.2
2,363
2,290
2,523
4,988
4,596
4,954
2,086
2,006
2,242
3,302
3,095
3,570
4,496
4,644
4,576
3,624
3,524
3,650
3,794
3,732
3,848
NOTE: Numbers may not add to totals shown because of rounding.
2,639
4,169
2,349
5,845
4,236
3,734
3,803
2,900
4,343
2,552
15,984
4,322
4,411
3,815
3,118
5,162
2,800
13,630
4,499
4,279
3,987
3,354
6,473
3,091
9,402
4,849
3,821
4,048
3,630
5,658
3,412
3,774
5,230
4,380
4,333
3,972
5,913
3,751
3,464
4,981
5,032
4,803
3,579
6,833
3,233
3,877
5,420
5,254
4,909
3,847
7,825
3,508
4,042
5,632
5,515
5,142
3,768
8,989
3,412
4,426
5,476
5,535
4,984
3,948
10,376
3,611
4,477
5,187
5,614
5,154
4,169
10,007
3,806
5,095
5,713
6,180
5,366
4,394
10,715
4,004
5,518
6,244
6,640
5,580
4,963
11,569
4,569
5,852
6,003
7,896
6,018
4.2
4.8
4.5
3.2
1.6
4.4
2.6
United States
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
4,368
4,664
4,779
10,375
10,585
10,826
4,005
4,257
4,353
5,013
5,990
6,097
6,408
6,703
6,477
6,562
7,185
7,508
5,442
5,964
6,138
Office of the Actuary, CMS, December, 2011
Medicaid Enrollment (in Thousands)
State
Average
Annual %
Growth
2009 (1991-2009)
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
25,081
28,601
30,775
31,936
32,530
32,364
32,067
31,524
32,159
34,153
36,773
40,386
42,957
44,531
45,818
45,558
45,613
47,202
50,641
New England
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
1,378
309
137
675
49
147
62
1,403
281
152
655
61
187
69
1,486
299
156
738
66
154
73
1,471
317
158
733
72
109
81
1,511
332
155
732
80
127
86
1,522
337
156
733
80
124
91
1,563
337
153
770
79
122
103
1,663
341
154
856
78
125
109
1,695
348
158
860
83
135
112
1,729
352
163
869
82
147
116
1,846
371
218
911
84
144
119
2,028
409
303
950
91
151
124
1,946
427
235
899
100
156
128
1,993
438
251
911
105
160
128
2,053
443
261
952
108
161
127
2,108
439
269
1,002
111
161
126
2,302
449
291
1,165
113
158
126
2,438
474
293
1,260
117
158
136
2,587
504
303
1,341
128
166
145
3.6
2.8
4.5
3.9
5.4
0.7
4.9
Mideast
Delaware
District of Columbia
Maryland
New Jersey
New York
Pennsylvania
4,410
47
98
353
555
2,241
1,116
4,893
55
108
396
630
2,436
1,268
5,215
62
119
418
673
2,592
1,351
5,464
65
123
439
695
2,718
1,424
5,584
68
116
456
710
2,772
1,463
5,677
75
127
566
708
2,748
1,453
5,818
80
129
761
693
2,731
1,423
5,422
83
119
471
678
2,656
1,415
5,586
91
123
506
659
2,772
1,436
5,585
98
125
518
671
2,761
1,413
5,712
107
123
499
728
2,884
1,371
6,320
117
126
532
694
3,422
1,429
6,750
126
131
578
706
3,713
1,497
7,177
134
136
608
727
3,973
1,598
7,517
141
138
618
750
4,173
1,697
7,512
145
139
599
779
4,139
1,711
7,421
145
140
592
796
4,039
1,709
7,651
153
140
619
814
4,119
1,806
8,267
166
150
713
848
4,441
1,948
3.6
7.2
2.4
4.0
2.4
3.9
3.1
Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
4,328
1,263
350
1,072
1,189
454
4,751
1,393
432
1,121
1,323
482
4,947
1,478
475
1,169
1,331
495
5,073
1,560
499
1,180
1,335
499
5,029
1,590
508
1,148
1,292
492
4,822
1,552
460
1,122
1,218
470
4,616
1,516
447
1,093
1,123
436
4,445
1,441
457
1,079
1,055
413
4,346
1,335
515
1,059
1,016
421
4,531
1,383
569
1,051
1,056
471
4,889
1,439
631
1,122
1,218
480
5,348
1,585
674
1,202
1,338
549
5,840
1,747
700
1,270
1,463
660
6,184
1,847
738
1,366
1,512
721
6,512
1,951
766
1,439
1,598
758
6,523
1,848
783
1,481
1,639
773
6,691
1,945
798
1,542
1,629
778
6,958
2,084
849
1,581
1,636
808
7,677
2,395
936
1,677
1,785
884
3.2
3.6
5.6
2.5
2.3
3.8
Plains
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
1,378
213
170
346
454
109
36
49
1,516
229
142
385
526
127
51
56
1,660
237
190
412
576
132
53
59
1,727
248
176
436
622
133
51
61
1,785
243
205
450
638
136
50
62
1,797
238
199
478
627
142
49
63
1,778
242
188
469
619
152
47
62
1,769
248
178
448
626
161
45
63
1,833
221
188
454
683
174
45
69
1,943
225
196
465
757
182
45
73
2,083
245
210
496
811
194
48
78
2,225
265
228
526
865
204
54
84
2,309
282
247
559
903
175
55
88
2,384
297
259
572
932
181
53
90
2,396
310
269
584
909
179
53
92
2,357
346
272
591
823
181
52
93
2,358
358
265
601
805
181
51
95
2,425
380
270
623
821
182
53
96
2,621
418
286
686
880
194
58
100
3.6
3.8
2.9
3.9
3.7
3.2
2.7
4.0
Southeast
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
5,909
371
234
1,039
659
454
551
413
571
299
699
393
227
7,059
438
265
1,453
787
510
598
415
691
354
820
475
252
7,740
469
272
1,667
862
535
623
455
767
394
905
524
268
8,022
478
271
1,624
937
546
636
453
823
423
990
560
282
8,449
463
275
1,539
979
549
632
449
879
441
1,371
575
298
8,290
493
280
1,389
981
547
614
440
904
457
1,335
572
276
8,304
495
294
1,506
962
536
587
420
917
485
1,315
556
231
8,344
503
335
1,482
948
524
576
408
914
551
1,283
539
280
8,584
523
382
1,556
937
520
603
436
921
581
1,326
536
264
8,972
569
406
1,724
909
545
631
483
959
619
1,345
523
258
9,835
665
453
1,913
997
572
686
560
1,055
692
1,445
530
264
10,501
725
509
2,070
1,130
596
762
590
1,110
748
1,433
549
281
11,028
751
568
2,150
1,277
627
817
607
1,166
823
1,356
591
295
11,361
782
592
2,169
1,338
645
860
654
1,210
799
1,368
645
301
11,662
811
622
2,261
1,385
656
901
665
1,239
803
1,331
684
306
11,393
770
613
2,221
1,320
667
908
626
1,286
738
1,234
694
317
11,035
731
560
2,117
1,242
676
880
598
1,295
693
1,235
692
317
11,443
761
560
2,257
1,288
690
930
610
1,357
697
1,248
718
326
12,151
806
576
2,450
1,417
730
979
620
1,460
726
1,274
773
339
4.1
4.4
5.1
4.9
4.3
2.7
3.3
2.3
5.4
5.0
3.4
3.8
2.3
Southwest
Arizona
New Mexico
Oklahoma
Texas
2,224
335
129
263
1,497
2,688
411
151
303
1,823
2,946
460
161
317
2,008
3,134
485
209
322
2,117
3,185
490
234
323
2,137
3,159
494
246
307
2,112
3,043
476
259
279
2,029
2,942
457
263
298
1,924
2,997
460
289
370
1,878
3,135
500
309
405
1,922
3,424
612
330
434
2,048
4,026
813
372
452
2,389
4,597
966
399
479
2,753
4,837
1,033
415
486
2,903
4,990
1,086
404
502
2,997
5,000
1,061
400
528
3,011
5,185
1,099
404
551
3,131
5,404
1,176
436
557
3,235
5,856
1,315
454
607
3,479
5.5
7.9
7.2
4.8
4.8
453
208
56
60
100
29
540
249
73
66
118
34
586
266
82
71
130
37
611
273
90
74
136
38
614
271
92
75
137
38
591
264
90
73
126
37
552
259
82
69
107
35
568
254
82
67
131
35
584
259
89
68
132
35
629
281
108
70
133
37
688
303
127
75
140
42
762
333
141
79
158
51
848
364
153
82
191
58
898
389
162
85
203
59
933
409
165
86
212
61
937
419
169
84
204
61
911
409
167
81
195
58
933
428
163
82
201
58
1,027
486
176
86
216
63
4.7
4.8
6.5
2.0
4.4
4.4
5,000
5,751
6,196
6,435
6,374
6,507
6,392
38
48
56
65
66
62
53
4,195
4,801
5,138
5,287
5,202
5,272
5,092
76
87
94
79
39
40
60
52
66
76
86
94
94
86
203
238
268
306
309
337
375
437
511
564
612
665
701
726
NOTE: Numbers may not add to totals shown because of rounding. Enrollees are measured in calendar person-years.
6,370
63
4,981
142
92
374
718
6,532
66
5,117
164
99
378
708
7,629
70
6,154
152
103
388
762
8,295
74
6,723
148
116
420
813
9,175
78
7,448
155
146
451
897
9,639
82
7,866
165
170
419
936
9,696
84
7,917
172
184
415
924
9,755
86
7,963
178
177
403
947
10,456
91
8,513
196
217
445
993
4.2
5.0
4.0
5.4
8.3
4.5
4.7
United States
Rocky Mountains
Colorado
Idaho
Montana
Utah
Wyoming
Far West
Alaska
California
Hawaii
Nevada
Oregon
Washington
9,727
9,711
9,949
90
87
87
7,949
7,976
8,141
178
175
183
173
176
190
394
378
397
943
920
951
Office of the Actuary, CMS, December, 2011
4.0%