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Average Number of Contact Days with the Health Care System per Beneficiary, by Cohort
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    Region
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    Average Number of Contact Days with the Health Care System per Beneficiary, by Cohort
    (Cohort: All Beneficiaries; Year: 2012; Region Levels: State)
    Wyoming 13.3
    Wisconsin 13.8
    West Virginia 15.2
    Washington 14.1
    Virginia 16.3
    Vermont 12.0
    Utah 13.5
    Texas 17.1
    Tennessee 16.6
    South Dakota 12.4
    South Carolina 17.0
    Rhode Island 19.3
    Pennsylvania 18.0
    Oregon 12.8
    Oklahoma 15.3
    Ohio 16.5
    North Dakota 12.3
    North Carolina 16.5
    New York 21.5
    New Mexico 13.7
    New Jersey 21.2
    New Hampshire 14.1
    Nevada 17.3
    Nebraska 13.8
    Montana 11.4
    Missouri 14.8
    Mississippi 15.5
    Minnesota 12.1
    Michigan 16.8
    Massachusetts 18.0
    Maryland 17.9
    Maine 13.3
    Louisiana 16.8
    Kentucky 16.5
    Kansas 15.0
    Iowa 13.5
    Indiana 15.5
    Illinois 16.8
    Idaho 12.3
    Hawaii 16.5
    Georgia 16.8
    Florida 21.3
    District of Columbia 16.4
    Delaware 19.3
    Connecticut 19.1
    Colorado 14.7
    California 17.9
    Arkansas 15.2
    Arizona 18.1
    Alaska 11.9
    Alabama 16.4
    National Average 17.1
    90th Percentile 19.1
    50th Percentile 16.3
    10th Percentile 12.3
        • DENOMINATOR DEFINITION:
        • The denominator comprised the Medicare population age 65-99 on January 1, 2012 that was eligible for Medicare Parts A and B. Patients enrolled in risk-bearing HMOs at any time during the year were excluded. Age, gender, race, and eligibility were determined using the Denominator file.

        • NUMERATOR DEFINITION:
        • The numerator consisted of contact days with the health care system—acute care hospital stays, ambulatory visits to clinicians, procedures, tests, and imaging—indicated by a claim in either the Medicare Provider Analysis and Review (MedPAR) file or the Carrier (Physician/Supplier Part B claims) file. If more than one claim occurred on the same date, the day was only counted once.

        • ADJUSTMENTS:
        • Rates were adjusted for age, sex, and race using the indirect method.




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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.