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Part B Spending per Decedent, by Interval Before Death and Type of Service
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    Region
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    Part B Spending per Decedent, by Interval Before Death and Type of Service
    (Interval Before Death: Last Six Months of Life; Type of Service: Overall; Year: 2014; Region Levels: State)
    Wyoming $4,035
    Wisconsin $3,650
    West Virginia $4,661
    Washington $4,037
    Virginia $5,125
    Vermont $3,295
    Utah $3,563
    Texas $5,839
    Tennessee $4,808
    South Dakota $3,134
    South Carolina $4,727
    Rhode Island $5,118
    Pennsylvania $5,362
    Oregon $3,574
    Oklahoma $4,228
    Ohio $5,033
    North Dakota $3,549
    North Carolina $4,336
    New York $6,606
    New Mexico $4,363
    New Jersey $7,787
    New Hampshire $3,941
    Nevada $7,108
    Nebraska $4,187
    Montana $2,699
    Missouri $4,278
    Mississippi $4,132
    Minnesota $3,545
    Michigan $5,415
    Massachusetts $5,210
    Maryland $5,718
    Maine $3,555
    Louisiana $4,629
    Kentucky $4,597
    Kansas $4,356
    Iowa $3,481
    Indiana $5,022
    Illinois $6,003
    Idaho $2,773
    Hawaii $4,463
    Georgia $5,039
    Florida $7,290
    District of Columbia $5,777
    Delaware $5,390
    Connecticut $5,961
    Colorado $4,383
    California $6,591
    Arkansas $4,609
    Arizona $6,433
    Alaska $5,094
    Alabama $4,853
    National Average $5,393
    90th Percentile $6,591
    50th Percentile $4,629
    10th Percentile $3,481
        • FOOTNOTES:
        • Overall Part B spending was calculated and adjusted for differences in age, sex, race, and primary chronic diagnosis. Payments were then partitioned into type of service components based on the proportional distribution of the crude component spending rates using the Berenson-Eggers Type of Service (BETOS) code on each claim.

        • DENOMINATOR DEFINITION:
        • Click here to read about changes in methods between the 2001-05 and 2003-07 analyses. The study population includes beneficiaries with one of nine chronic conditions who were enrolled in traditional (fee-for-service) Medicare and died during the measurement period. To allow for two years of follow-back for all patients, the population is restricted to those whose age on the date of death was 67 to 99 years, and to those having full Part A and Part B entitlement throughout the last two years of life. Persons enrolled in managed care organizations were excluded from the analysis. For the hospital-specific analyses, patients had to be hospitalized for chronic illness at least once during their last two years of life to be included. For regional analyses, all patients diagnosed with a chronic illness were included.

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex, race, primary chronic condition, and the presence of more than one chronic condition using ordinary least squares regression.




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.