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Total Payments for Physician Visits per Decedent during the Last Two Years of Life
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    Region
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    Total Payments for Physician Visits per Decedent during the Last Two Years of Life
    (Year: 2014; Region Levels: State)
    Wyoming $3,577
    Wisconsin $3,739
    West Virginia $4,328
    Washington $4,176
    Virginia $4,852
    Vermont $3,665
    Utah $3,308
    Texas $5,762
    Tennessee $4,570
    South Dakota $3,483
    South Carolina $4,244
    Rhode Island $5,192
    Pennsylvania $5,664
    Oregon $3,189
    Oklahoma $3,803
    Ohio $5,218
    North Dakota $3,565
    North Carolina $4,361
    New York $7,251
    New Mexico $3,861
    New Jersey $8,312
    New Hampshire $4,415
    Nevada $6,782
    Nebraska $3,992
    Montana $3,181
    Missouri $4,471
    Mississippi $4,146
    Minnesota $3,669
    Michigan $6,057
    Massachusetts $5,754
    Maryland $5,838
    Maine $3,842
    Louisiana $4,850
    Kentucky $4,638
    Kansas $4,277
    Iowa $3,457
    Indiana $4,533
    Illinois $6,316
    Idaho $2,978
    Hawaii $4,546
    Georgia $4,786
    Florida $7,448
    District of Columbia $5,927
    Delaware $5,644
    Connecticut $6,453
    Colorado $4,679
    California $6,588
    Arkansas $3,977
    Arizona $5,932
    Alaska $3,849
    Alabama $4,403
    National Average $5,472
    90th Percentile $6,588
    50th Percentile $4,471
    10th Percentile $3,457
        • FOOTNOTES:
        • Part B reimbursements for evaluation & management (E&M) services include payments for physician visits and consultations in all settings included in the Part B Physician Supplier file. Payments for visits to rural health centers and federally qualified health centers, obtained from the Outpatient file, were added to the Part B E&M spending rate.

        • 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.