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Total Medicare Reimbursements per Decedent, by Interval Before Death
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    • Interval Before Death:

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      • INDICATOR:
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    Region
    (Click a region name
    below to view its profile)
    Total Medicare Reimbursements per Decedent, by Interval Before Death
    (Interval Before Death: Last Two Years of Life; Year: 2003-2007; Region Levels: HRR)
    Anchorage, AK $49,257
    Birmingham, AL $48,021
    Dothan, AL $44,128
    Huntsville, AL $46,779
    Mobile, AL $49,214
    Montgomery, AL $49,638
    Tuscaloosa, AL $48,068
    Fort Smith, AR $47,360
    Jonesboro, AR $44,607
    Little Rock, AR $48,490
    Springdale, AR $43,281
    Texarkana, AR $50,951
    Mesa, AZ $52,155
    Phoenix, AZ $50,827
    Sun City, AZ $54,512
    Tucson, AZ $49,220
    Alameda County, CA $69,632
    Bakersfield, CA $54,101
    Chico, CA $48,114
    Contra Costa County, CA $67,144
    Fresno, CA $50,340
    Los Angeles, CA $84,944
    Modesto, CA $52,717
    Napa, CA $53,103
    Orange County, CA $74,163
    Palm Springs/Rancho Mira, CA $60,399
    Redding, CA $47,777
    Sacramento, CA $50,115
    Salinas, CA $62,264
    San Bernardino, CA $63,618
    San Diego, CA $60,864
    San Francisco, CA $63,754
    San Jose, CA $64,819
    San Luis Obispo, CA $48,153
    San Mateo County, CA $61,808
    Santa Barbara, CA $49,487
    Santa Cruz, CA $56,942
    Santa Rosa, CA $53,712
    Stockton, CA $50,729
    Ventura, CA $60,718
    Boulder, CO $54,953
    Colorado Springs, CO $46,489
    Denver, CO $51,639
    Fort Collins, CO $45,521
    Grand Junction, CO $42,350
    Greeley, CO $47,874
    Pueblo, CO $45,306
    Bridgeport, CT $65,759
    Hartford, CT $57,272
    New Haven, CT $62,961
    Washington, DC $59,224
    Wilmington, DE $56,396
    Bradenton, FL $50,250
    Clearwater, FL $55,410
    Fort Lauderdale, FL $65,474
    Fort Myers, FL $52,318
    Gainesville, FL $52,990
    Hudson, FL $54,132
    Jacksonville, FL $54,725
    Lakeland, FL $50,711
    Miami, FL $83,504
    Ocala, FL $46,753
    Orlando, FL $55,147
    Ormond Beach, FL $48,174
    Panama City, FL $51,407
    Pensacola, FL $47,456
    Sarasota, FL $52,077
    St. Petersburg, FL $58,719
    Tallahassee, FL $42,674
    Tampa, FL $54,366
    Albany, GA $43,428
    Atlanta, GA $49,524
    Augusta, GA $47,321
    Columbus, GA $40,631
    Macon, GA $46,823
    Rome, GA $44,835
    Savannah, GA $48,520
    Honolulu, HI $46,772
    Cedar Rapids, IA $40,196
    Davenport, IA $41,875
    Des Moines, IA $39,375
    Dubuque, IA $35,527
    Iowa City, IA $37,955
    Mason City, IA $36,662
    Sioux City, IA $40,579
    Waterloo, IA $41,788
    Boise, ID $40,822
    Idaho Falls, ID $41,470
    Aurora, IL $54,773
    Bloomington, IL $44,368
    Blue Island, IL $65,724
    Chicago, IL $72,547
    Elgin, IL $59,567
    Evanston, IL $63,171
    Hinsdale, IL $58,069
    Joliet, IL $59,037
    Melrose Park, IL $61,376
    Peoria, IL $44,442
    Rockford, IL $46,144
    Springfield, IL $43,249
    Urbana, IL $42,564
    Evansville, IN $45,818
    Fort Wayne, IN $43,721
    Gary, IN $55,232
    Indianapolis, IN $48,427
    Lafayette, IN $44,110
    Muncie, IN $43,879
    Munster, IN $64,239
    South Bend, IN $44,728
    Terre Haute, IN $48,615
    Topeka, KS $43,003
    Wichita, KS $46,255
    Covington, KY $48,314
    Lexington, KY $48,868
    Louisville, KY $47,644
    Owensboro, KY $42,153
    Paducah, KY $42,696
    Alexandria, LA $58,985
    Baton Rouge, LA $55,908
    Houma, LA $49,262
    Lafayette, LA $57,049
    Lake Charles, LA $56,473
    Metairie, LA $65,431
    Monroe, LA $62,512
    New Orleans, LA $64,957
    Shreveport, LA $60,821
    Slidell, LA $59,462
    Boston, MA $65,254
    Springfield, MA $53,104
    Worcester, MA $63,032
    Baltimore, MD $66,381
    Salisbury, MD $52,827
    Takoma Park, MD $66,976
    Bangor, ME $43,659
    Portland, ME $45,247
    Ann Arbor, MI $56,178
    Dearborn, MI $60,797
    Detroit, MI $62,201
    Flint, MI $56,642
    Grand Rapids, MI $44,716
    Kalamazoo, MI $49,748
    Lansing, MI $48,302
    Marquette, MI $41,538
    Muskegon, MI $46,853
    Petoskey, MI $40,815
    Pontiac, MI $62,092
    Royal Oak, MI $62,601
    Saginaw, MI $48,324
    St. Joseph, MI $47,600
    Traverse City, MI $42,825
    Duluth, MN $42,293
    Minneapolis, MN $45,030
    Rochester, MN $44,862
    St. Cloud, MN $42,588
    St. Paul, MN $46,120
    Cape Girardeau, MO $43,394
    Columbia, MO $43,122
    Joplin, MO $44,587
    Kansas City, MO $48,370
    Springfield, MO $42,221
    St. Louis, MO $49,393
    Gulfport, MS $57,252
    Hattiesburg, MS $48,912
    Jackson, MS $51,783
    Meridian, MS $52,833
    Oxford, MS $47,759
    Tupelo, MS $43,557
    Billings, MT $37,719
    Great Falls, MT $45,060
    Missoula, MT $41,211
    Durham, NC $44,734
    Greenville, NC $46,164
    Hickory, NC $44,129
    Raleigh, NC $50,045
    Wilmington, NC $48,251
    Winston-Salem, NC $45,982
    Lincoln, NE $45,292
    Omaha, NE $46,929
    Lebanon, NH $49,755
    Manchester, NH $48,381
    Camden, NJ $60,884
    Hackensack, NJ $72,256
    Morristown, NJ $62,048
    New Brunswick, NJ $69,470
    Newark, NJ $71,759
    Paterson, NJ $68,227
    Ridgewood, NJ $70,343
    Albuquerque, NM $43,922
    Las Vegas, NV $65,122
    Reno, NV $48,682
    Albany, NY $46,839
    Binghamton, NY $38,406
    Bronx, NY $83,973
    Buffalo, NY $43,475
    East Long Island, NY $73,091
    Elmira, NY $41,290
    Manhattan, NY $89,596
    Rochester, NY $42,282
    Syracuse, NY $41,596
    White Plains, NY $66,929
    National Average $53,441
    90th Percentile $63,721
    50th Percentile $48,381
    10th Percentile $41,290
        • FOOTNOTES:
        • Sum of the per decedent spending rates from the combined 100% sample files (MedPAR, Home Health Agency, Hospice and DME), the Part B file, and the Outpatient file.

        • 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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