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Average Number of Unique Clinicians Seen per Beneficiary, by Cohort
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    Region
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    Average Number of Unique Clinicians Seen per Beneficiary, by Cohort
    (Cohort: All Beneficiaries; Year: 2012; Region Levels: State)
    Alabama 3.4
    Alaska 2.6
    Arizona 3.6
    Arkansas 3.0
    California 3.2
    Colorado 3.1
    Connecticut 3.8
    Delaware 3.7
    District of Columbia 3.4
    Florida 4.0
    Georgia 3.5
    Hawaii 3.0
    Idaho 2.8
    Illinois 3.2
    Indiana 3.2
    Iowa 3.0
    Kansas 3.1
    Kentucky 3.3
    Louisiana 3.3
    Maine 2.8
    Maryland 3.6
    Massachusetts 3.6
    Michigan 3.3
    Minnesota 2.8
    Mississippi 3.3
    Missouri 3.1
    Montana 2.7
    Nebraska 3.0
    Nevada 3.2
    New Hampshire 3.2
    New Jersey 3.7
    New Mexico 3.0
    New York 3.7
    North Carolina 3.6
    North Dakota 2.9
    Ohio 3.3
    Oklahoma 2.9
    Oregon 2.8
    Pennsylvania 3.3
    Rhode Island 3.7
    South Carolina 3.5
    South Dakota 2.7
    Tennessee 3.3
    Texas 3.3
    Utah 2.9
    Vermont 3.0
    Virginia 3.5
    Washington 3.1
    West Virginia 3.0
    Wisconsin 3.0
    Wyoming 2.7
    National Average 3.4
    90th Percentile 3.7
    50th Percentile 3.2
    10th Percentile 2.8
        • DENOMINATOR DEFINITION:
        • The denominator for this measure was 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.

        • NUMERATOR DEFINITION:
        • The number of unique clinicians (physicians and nurse practitioners) was determined by the National Provider Identifier (NPI), using bills from the Carrier file and the Outpatient file (to obtain claims from Rural Health Centers and Federally Qualified Health Centers where a specialty was assigned). The occurrence of a visit in an ambulatory setting was determined using the following CPT codes: 99201-99205, 99211-99215, 99381-99387, 99391-99397, 99304-99350, G0402, G0438, and G0439.

        • 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.