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Percent of Male Medicare Beneficiaries Age 75 and Older Having a Screening PSA Test
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    Region
    (Click a region name
    below to view its profile)
    Percent of Male Medicare Beneficiaries Age 75 and Older Having a Screening PSA Test
    (Year: 2014; Region Levels: State)
    Alabama 23.2%
    Alaska 12.6%
    Arizona 18.9%
    Arkansas 18.2%
    California 18.9%
    Colorado 12.8%
    Connecticut 16.7%
    Delaware 17.2%
    District of Columbia 15.0%
    Florida 23.0%
    Georgia 21.9%
    Hawaii 19.9%
    Idaho 14.2%
    Illinois 18.0%
    Indiana 17.1%
    Iowa 14.3%
    Kansas 18.3%
    Kentucky 18.0%
    Louisiana 20.5%
    Maine 9.6%
    Maryland 15.9%
    Massachusetts 15.1%
    Michigan 20.8%
    Minnesota 10.5%
    Mississippi 19.8%
    Missouri 16.8%
    Montana 14.0%
    Nebraska 16.1%
    Nevada 15.3%
    New Hampshire 12.0%
    New Jersey 21.2%
    New Mexico 13.3%
    New York 21.6%
    North Carolina 17.7%
    North Dakota 16.1%
    Ohio 17.3%
    Oklahoma 18.6%
    Oregon 12.6%
    Pennsylvania 17.0%
    Rhode Island 16.7%
    South Carolina 19.9%
    South Dakota 15.8%
    Tennessee 20.8%
    Texas 19.0%
    Utah 14.1%
    Vermont 9.7%
    Virginia 15.3%
    Washington 12.6%
    West Virginia 17.2%
    Wisconsin 12.1%
    Wyoming 11.1%
    National Average 18.2%
    90th Percentile 20.8%
    50th Percentile 16.8%
    10th Percentile 12.1%
        • FOOTNOTES:
        • PSA screening rates are not adjusted; because the measure is already restricted by age and sex, statistical adjustments to correct for underlying population differences are not relevant.

        • DENOMINATOR DEFINITION:
        • The denominator consisted of male Medicare enrollees age 75-99 on January 1, 2012 who were eligible for Medicare Parts A and B and not enrolled in risk-bearing HMOs at any time during the year. Excluded from the analysis were men who had a PSA test for a presumed screening indication, men who had any history of prostate disease (prostate cancer, prostate surgery, or diagnosis of elevated PSA in the prior three years), and men who had prostate cancer-like symptoms in the three months before a PSA test based on diagnostic codes billed on visits and hospitalizations.

        • NUMERATOR DEFINITION:
        • PSA screening was defined as any, but only one occurrence per patient during 2012 of CPT codes G0103 and 84153.




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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.