Others titles

Geographic Variation Medicare Public Use Files Adult Beneficiaries
Medicare Hospital Referral Region Adult Beneficiaries
Medicare Geographic Variation Reports Adult Beneficiaries

Keywords

Medicare Geographic Variation
Medicare Hospital Referral Region
Medicare HHR Variation
Medicare Beneficiaries
Medicare Part A
Medicare Part B
Medicare Adult Beneficiaries
Medicare Costs
Medicare Quality Indicators
Medicare Public Use Files

Medicare Cost Adults With Utilization And Quality Indicators by HRR

Name: Medicare Cost Adults With Utilization And Quality Indicators by HRR
Creator: John Snow Labs

This dataset shows the Geographic Variation Public Use File that serves as an evaluation of the utilization and quality of healthcare services according to the geographic area of the population covered by Medicare. This dataset incorporates hospital referral region (HRR) level data that covers demographic, cost utilization and quality data for ages 18 to 65.

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Description

The Centers for Medicare and Medicaid Services (CMS) has developed data that enables researchers and policymakers to evaluate geographic variation in the utilization and quality of healthcare services for the Medicare fee-for-service population. This dataset has been aggregated into a Geographic Variation Public Use File that has demographic, spending, utilization, and quality indicators at the state level (including the District of Columbia, Puerto Rico, and the Virgin Islands), hospital referral region (HRR) level, and county level. The Geographic Variation Public Use File has twelve separate files – two files with state and county-level data, four files with only state-level data, and six files with HRR-level data. The HRR-level dataset is presented for beneficiaries under the age of 65, beneficiaries that are 65 or older, and all beneficiaries regardless of age. However, the county-level data are available for all beneficiaries. Each file has a brief Methods section outlining the sample population and methodology that was used to calculate these indicators and a documentation section which explains the individual indicators in more detail.

The data was collected from the CMS Chronic Conditions Data Warehouse, which contains 100% of Medicare claims for beneficiaries who are enrolled in the fee-for-service (FFS) program as well as enrollment and eligibility data and facilitates analyzing differences in cost and/or utilization for the settings inpatient hospital, outpatient hospital, multiple post-acute care settings, hospice, physicians, laboratories and suppliers of durable medical equipment. The dataset incorporates measures on Prevention Quality Indicators of the Agency for Healthcare Research and Quality, that includes hospital admission rates for ambulatory care sensitive conditions. Beneficiaries who were enrolled at any time in a Medicare Advantage Plan, Plan A or B alone, were excluded.

The study population is described as “FFS Beneficiaries” and is comprised of Medicare beneficiaries that

– had no months of Medicare Advantage enrollment, and
– had both Part A and Part B who were enrolled in a Medicare Advantage (MA) plan for at least one month during the year (a beneficiary must have both Part A and Part B in order to enroll in an MA plan)

Data on beneficiaries who died in the year are also included.

CMS developed a risk-adjustment model that uses HCCs (hierarchical condition categories) to assign risk scores. Those scores estimate how beneficiaries’ FFS spending will compare to the overall average for the entire Medicare population. The risk score for the overall average is set at 1.0. Beneficiaries with scores greater than that are expected to have above-average spending, and vice versa. Risk scores are based on a beneficiary’s age and sex, whether the beneficiary is eligible for Medicaid, first qualified for Medicare on the basis of disability, or lives in an institution (usually a nursing home) and the beneficiary’s diagnoses from the previous year. CMS uses total risk scores to adjust spending data at the geographic level. CMS uses the risk scores to adjust spending data at the beneficiary level rather than in aggregate. As a result, the aggregate standardized, risk-adjusted spending in a region does not equal the aggregate standardized costs divided by the average HCC risk score. In addition, the HCC model was not designed to risk adjust spending at the service level and therefore is not applied to service-level spending.

CMS presents actual total Medicare spending, standardized total Medicare spending, and a risk-adjusted, standardized total Medicare spending. Also present are both actual spending measures and standardized spending measures for certain major types of Medicare covered services. Spending measures were developed based on the amount Medicare pays for services and do not include beneficiary cost sharing. The standardized spending removes geographic differences in payment rates for individual services as a source of variation. To standardize spending, CMS examined Medicare’s various FFS payment systems and identified the factors that lead to different payment rates for the same service. In general, those factors are adjustments that Medicare makes to account for local wages or input prices, and extra payments that Medicare makes to advance other program goals, such as compensating certain hospitals for the cost of training doctors. CMS then estimated what Medicare would have paid for each claim without those adjustments.

CMS presents three different types of utilization measures for certain major types of Medicare-covered services:

– the number of times beneficiaries used a particular service,
– the number of beneficiaries who used a particular service, and
– the percentage of beneficiaries who used a particular service.

Readmissions are defined as admissions that occur within 30 days of the initial discharge and the readmission rates presented are not risk-adjusted. CMS presents two readmission measures:

– number of readmissions, and
– a readmission rate.

CMS presents two measures of Emergency Department (ED) utilization:

– a total count of ED visits, and
– ED visits per 1000 beneficiaries.

ED visits include both visits to the ED that result in an admission and visits that do not result in an admission.

CMS presents Agency for Healthcare Research and Quality Prevention (AHRQ) Quality Indicators (PQIs) which measure hospital admission rates for ambulatory care sensitive conditions. CMS limited the analyses to measures that were applicable to the Medicare-aged population and measures where the sample size was large enough for analyses at the HRR or state level.

The state of Maryland has a unique waiver that exempts it from Medicare’s prospective payment systems for inpatient and outpatient care. Maryland instead uses an all-payer rate setting commission to determine its payment rates. Medicare claims for hospitals in other states break out additional payments for indirect medical education (IME) costs and disproportionate share hospital (DSH) adjustments, and CMS removed those amounts when the payments were standardized in those states. However, the claims for Maryland’s hospitals do not identify IME or DSH payments. Until 2011, to standardize claims for Maryland’s hospitals CMS worked with Maryland’s Health Services Cost Review Commission to develop a series of the year and hospital-specific factors that would back out Maryland’s equivalent of IME/DSH spending from the state’s hospital payments for both inpatient and outpatient services. Starting in 2011, CMS standardized claims for Maryland’s hospitals using the same methodology that was employed in all other states.

Counts for less than 11 beneficiaries were suppressed.

About this Dataset

Data Info

Date Created	2011-07-01
Last Modified	2019-02-20
Version	2019-02-20
Update Frequency	Annual
Temporal Coverage	2017
Spatial Coverage	United States
Source	John Snow Labs; Centers for Medicare and Medicaid Services;
Source License URL
Source License Requirements	N/A
Source Citation	N/A
Keywords	Medicare Geographic Variation, Medicare Hospital Referral Region, Medicare HHR Variation, Medicare Beneficiaries, Medicare Part A, Medicare Part B, Medicare Adult Beneficiaries, Medicare Costs, Medicare Quality Indicators, Medicare Public Use Files
Other Titles	Geographic Variation Medicare Public Use Files Adult Beneficiaries, Medicare Hospital Referral Region Adult Beneficiaries, Medicare Geographic Variation Reports Adult Beneficiaries

Data Fields

Name	Description	Type	Constraints
State_Abbreviation	The abbreviated name of state	string	-
Hospital_Referral_Region	The hospital referral region name	string	-
Hospital_Referral_Region_Code	The hospital referral region number	string	-
Beneficiaries_Part_A_B	The number of Medicare beneficiaries who have both Part A and Part B coverage; suppressed where count of Part A and Part B beneficiaries < 11 or count of MA beneficiaries is < 11 and count of FFS beneficiaries >= 11	integer	level : Ratio
Medicare_Fee_For_Service_Beneficiaries	The number of Medicare fee-for-service (FFS) beneficiaries; suppressed where count of FFS beneficiaries < 11	integer	level : Ratio
Medicare_Advantage_Beneficiaries	The number of beneficiaries who are enrolled in a Medicare Advantage (MA) program; suppressed where count of MA beneficiaries < 11 or count of MA beneficiaries is >= 11 and count of FFS beneficiaries < 11	integer	level : Ratio
Medicare_Advantage_Participation_Rate	The proportion of Part A and Part B beneficiaries who are in enrolled in a MA program; suppressed where count of MA beneficiaries < 11 or count of MA beneficiaries is >= 11 and count of FFS beneficiaries < 11	number	level : Ratio
Beneficiaries_Average_Age	The average age of the Medicare fee-for-service beneficiaries	number	level : Ratio
Percent_Of_Females	The proportion of Medicare fee-for-service female beneficiaries	number	level : Ratio
Percent_Of_Males	The proportion of Medicare fee-for-service male beneficiaries	number	level : Ratio
Percent_Of_Non_Hispanic_White	The proportion of Medicare fee-for-service non-Hispanic White beneficiaries	number	level : Ratio
Percent_Of_African_American	The proportion of Medicare fee-for-service African American beneficiaries	number	level : Ratio
Percent_Of_Hispanic	The proportion of Medicare fee-for-service Hispanic beneficiaries	number	level : Ratio
Percent_Of_Other_Or_Unknown_Race_Ethnicity	The proportion of Medicare fee-for-service beneficiaries of other or unknown race/ethnicity	number	level : Ratio
Percent_Of_Eligible_Medicaid	The proportion of Medicare fee-for-service beneficiaries, eligible for Medicaid for at least one month in the year	number	level : Ratio
Average_Hierarchical_Condition_Categories_Score	The average Hierarchical Condition Category (HCC) Score level	number	level : Ratio
Total_Actual_Cost	The total actual Medicare cost	number	level : Ratio
Total_Standardized_Cost	The total standardized Medicare cost	number	level : Ratio
Total_Standardized_Risk_Adjusted_Cost	The total standardized, risk-adjusted Medicare cost	number	level : Ratio
Actual_Cost_Per_Capita	The actual Medicare cost, per capita	number	level : Ratio
Standardized_Cost_Per_Capita	The standardized Medicare costs, per capita	number	level : Ratio
Standardized_Risk_Adjusted_Cost_Per_Capita	The standardized risk-adjusted Medicare cost, per capita	number	level : Ratio
Hospital_Inpatient_Actual_Cost	The actual Medicare cost for hospital inpatient (IP) services	number	level : Ratio
Percent_Of_Hospital_Inpatient_Actual_Cost	The proportion of actual Medicare costs for hospital inpatient (IP) services from the total actual Medicare costs	number	level : Ratio
Hospital_Inpatient_Actual_Cost_Per_Capita	The actual Medicare costs for hospital inpatient (IP) services, per capita	number	level : Ratio
Hospital_Inpatient_Actual_Cost_Per_User	The actual Medicare costs for hospital inpatient (IP) services, per user	number	level : Ratio
Hospital_Inpatient_Standardized_Cost	The standardized Medicare costs for hospital inpatient (IP) services	number	level : Ratio
Percent_Of_Hospital_Inpatient_Standardized_Cost	The proportion of standardized Medicare costs for hospital inpatient (IP) services from the total standardized Medicare costs	number	level : Ratio
Hospital_Inpatient_Standardized_Cost_Per_Capita	The standardized Medicare costs for hospital inpatient (IP) services, per capita	number	level : Ratio
Hospital_Inpatient_Standardized_Cost_Per_User	The standardized Medicare costs for hospital inpatient (IP) services, per user	number	level : Ratio
Hospital_Inpatient_Users_With_A_Covered_Stay	The number of beneficiaries who used hospital inpatient (IP) services with at least one covered stay	integer	level : Ratio
Percent_Of_Hospital_Inpatient_Beneficiaries	The proportion of beneficiaries who used hospital inpatient (IP) services with at least one covered stay	number	level : Ratio
Hospital_Inpatient_Covered_Stays_Per_1000	The ratio of hospital inpatient (IP) covered admissions per 1,000 Medicare beneficiaries	integer	level : Ratio
Hospital_Inpatient_Covered_Days_Per_1000	The ratio of hospital inpatient (IP) covered days per 1,000 Medicare beneficiaries	integer	level : Ratio
Long_Term_Care_Hospital_Actual_Cost	The actual Medicare costs for long term care hospital	number	level : Ratio
Percent_Of_Long_Term_Care_Hospital_Actual_Cost	The proportion of actual Medicare costs for long term care hospital (LTCH) from the total Medicare actual costs	number	level : Ratio
Long_Term_Care_Hospital_Actual_Cost_Per_Capita	The actual Medicare costs for long term care hospital (LTCH), per capita	number	level : Ratio
Long_Term_Care_Hospital_Actual_Cost_Per_User	The actual Medicare costs for long term care hospital (LTCH), per user	number	level : Ratio
Long_Term_Care_Hospital_Standardized_Cost	The standardized Medicare costs for long term care hospital (LTCH)	number	level : Ratio
Percent_Of_Long_Term_Care_Hospital_Standardized_Cost	The proportion of standardized Medicare costs for long term care hospital (LTCH) from the total standardized Medicare costs	number	level : Ratio
Long_Term_Care_Hospital_Standardized_Cost_Per_Capita	The standardized Medicare costs for long term care hospital (LTCH), per capita	number	level : Ratio
Long_Term_Care_Hospital_Standardized_Cost_Per_User	The standardized Medicare costs for long term care hospital (LTCH), per user	number	level : Ratio
Long_Term_Care_Hospital_Users_With_A_Covered_Stay	The number of beneficiaries using long term care hospital (LTCH) services with at least one covered stay	integer	level : Ratio
Percent_Of_Long_Term_Care_Hospital_Beneficiaries	The proportion of beneficiaries using long term care hospital (LTCH) services with at least one covered stay	number	level : Ratio
Long_Term_Care_Hospital_Covered_Stays_Per_1000	The ratio of long term care hospital (LTCH) covered stays per 1,000 Medicare beneficiaries	integer	level : Ratio
Long_Term_Care_Hospital_Covered_Days_Per_1000	The ratio of long term care hospital (LTCH) covered days per 1,000 Medicare beneficiaries	integer	level : Ratio
Inpatient_Rehabilitation_Actual_Cost	The actual Medicare costs for inpatient rehabilitation facilities (IRF) services	number	level : Ratio
Percent_Of_Inpatient_Rehabilitation_Actual_Cost	The proportion of actual Medicare costs for inpatient rehabilitation facilities (IRF) services from the total actual Medicare costs	number	level : Ratio
Inpatient_Rehabilitation_Actual_Cost_Per_Capita	The actual Medicare costs for inpatient rehabilitation facilities (IRF) services, per capita	number	level : Ratio
Inpatient_Rehabilitation_Actual_Cost_Per_User	The actual Medicare costs for inpatient rehabilitation facilities (IRF) services, per user	number	level : Ratio
Inpatient_Rehabilitation_Standardized_Cost	The standardized Medicare costs for inpatient rehabilitation facilities (IRF) services	number	level : Ratio
Percent_Of_Inpatient_Rehabilitation_Standardized_Cost	The proportion of standardized costs for inpatient rehabilitation facilities (IRF) services from the total standardized Medicare costs	number	level : Ratio
Inpatient_Rehabilitation_Standardized_Cost_Per_Capita	The standardized Medicare costs for inpatient rehabilitation facilities (IRF) services, per capita	number	level : Ratio
Inpatient_Rehabilitation_Standardized_Cost_Per_User	The standardized Medicare costs for inpatient rehabilitation facilities (IRF) services, per user	number	level : Ratio
Inpatient_Rehabilitation_Users_With_A_Covered_Stay	The number of beneficiaries who used inpatient rehabilitation facilities (IRF) services with at least one covered stay	integer	level : Ratio
Percent_Of_Inpatient_Rehabilitation_Beneficiaries	The proportion of beneficiaries who used inpatient rehabilitation facilities (IRF) services with at least one covered stay	number	level : Ratio
Inpatient_Rehabilitation_Covered_Stays_Per_1000	The ratio of inpatient rehabilitation facilities (IRF) covered stays per 1,000 Medicare beneficiaries	integer	level : Ratio
Inpatient_Rehabilitation_Covered_Days_Per_1000	The ratio of inpatient rehabilitation facilities (IRF) covered days per 1,000 Medicare beneficiaries	integer	level : Ratio
Skilled_Nursing_Actual_Cost	The actual Medicare costs for skilled nursing facilities (SNF) services	number	level : Ratio
Percent_Of_Skilled_Nursing_Actual_Cost	The proportion of actual Medicare costs for skilled nursing facilities (SNF) services from the total actual Medicare costs	number	level : Ratio
Skilled_Nursing_Actual_Cost_Per_Capita	The actual Medicare costs for skilled nursing facilities (SNF) services, per capita	number	level : Ratio
Skilled_Nursing_Actual_Cost_Per_User	The actual Medicare costs for skilled nursing facility (SNF) services, per user	number	level : Ratio
Skilled_Nursing_Standardized_Cost	The standardized Medicare costs for skilled nursing facilities (SNF) services	number	level : Ratio
Percent_Of_Skilled_Nursing_Standardized_Cost	The proportion of standardized Medicare costs for skilled nursing facilities (SNF) services from the total standardized Medicare costs	number	level : Ratio
Skilled_Nursing_Standardized_Cost_Per_Capita	The standardized Medicare costs for skilled nursing facilities (SNF) services, per capita	number	level : Ratio
Skilled_Nursing_Standardized_Cost_Per_User	The standardized Medicare costs for skilled nursing facilities (SNF) services, per user	number	level : Ratio
Skilled_Nursing_Users_With_A_Covered_Stay	The number of beneficiaries who used skilled nursing facilities (SNF) services with at least one covered stay	number	level : Ratio
Percent_Of_Skilled_Nursing_Beneficiaries	The proportion of beneficiaries who used skilled nursing facilities (SNF) services with at least one covered stay	number	level : Ratio
Skilled_Nursing_Covered_Stays_Per_1000	The ratio of skilled nursing facilities (SNF) covered stays per 1,000 Medicare beneficiaries	integer	level : Ratio
Skilled_Nursing_Covered_Days_Per_1000	The ratio of skilled nursing facilities (SNF) covered days per 1,000 Medicare beneficiaries	integer	level : Ratio
Home_Health_Actual_Cost	The actual Medicare costs for home health (HH) services	number	level : Ratio
Percent_Of_Home_Health_Actual_Cost	The proportion of actual Medicare costs for home health (HH) services from the total actual Medicare costs	number	level : Ratio
Home_Health_Actual_Cost_Per_Capita	The actual Medicare costs for home health (HH) services, per capita	number	level : Ratio
Home_Health_Actual_Cost_Per_User	The actual Medicare costs for home health (HH) services, per user	number	level : Ratio
Home_Health_Standardized_Cost	The standardized Medicare costs for home health (HH) services	number	level : Ratio
Percent_Of_Home_Health_Standardized_Cost	The proportion of standardized Medicare costs for home health (HH) services from the total standardized Medicare costs	number	level : Ratio
Home_Health_Standardized_Cost_Per_Capita	The standardized Medicare costs for home health (HH) services, per capita	number	level : Ratio
Home_Health_Standardized_Cost_Per_User	The standardized Medicare costs for home health (HH) services, per user	number	level : Ratio
Home_Health_Users	The number of beneficiaries who used home health (HH) services	integer	level : Ratio
Percent_Of_Home_Health_Beneficiaries	The proportion of beneficiaries who used home health (HH) services	number	level : Ratio
Home_Health_Episodes_Per_1000	The ratio of home health (HH) episodes per 1,000 Medicare beneficiaries	integer	level : Ratio
Home_Health_Visits_Per_1000	The ratio of home health (HH) visits per 1,000 Medicare beneficiaries	integer	level : Ratio
Hospice_Actual_Cost	The actual Medicare costs for hospice services	number	level : Ratio
Percent_Of_Hospice_Actual_Cost	The proportion of actual Medicare costs for hospice services from the total actual Medicare costs	number	level : Ratio
Hospice_Actual_Cost_Per_Capita	The actual Medicare costs for hospice services, per capita	number	level : Ratio
Hospice_Actual_Cost_Per_User	The actual Medicare costs for hospice services, per user	number	level : Ratio
Hospice_Standardized_Cost	The standardized Medicare costs for hospice services	number	level : Ratio
Percent_Of_Hospice_Standardized_Cost	The proportion of standardized Medicare costs for hospice services from the total standardized Medicare costs	number	level : Ratio
Hospice_Standardized_Cost_Per_Capita	The standardized Medicare costs for hospice services, per capita	number	level : Ratio
Hospice_Standardized_Cost_Per_User	The standardized Medicare costs for hospice services, per user	number	level : Ratio
Hospice_Users_With_A_Covered_Stay	The number of beneficiaries who used hospice services with at least one covered stay	integer	level : Ratio
Percent_Hospice_Beneficiaries	The proportion of beneficiaries ho used hospice services with at least one covered stay	number	level : Ratio
Hospice_Covered_Stays_Per_1000	The ratio of hospice covered stays per 1,000 Medicare beneficiaries	integer	level : Ratio
Hospice_Covered_Days_Per_1000	The ratio of hospice covered days per 1,000 Medicare beneficiaries	integer	level : Ratio
Hospital_Outpatient_Actual_Cost	The actual Medicare costs for hospital outpatient (OP) services	number	level : Ratio
Percent_Of_Hospital_Outpatient_Actual_Cost	The proportion of actual Medicare costs for hospital outpatient (OP) services from the total actual Medicare costs	number	level : Ratio
Hospital_Outpatient_Actual_Cost_Per_Capita	The actual Medicare costs for hospital outpatient (OP) services, per capita	number	level : Ratio
Hospital_Outpatient_Actual_Cost_Per_User	The actual Medicare costs for hospital outpatient (OP) services, per user	number	level : Ratio
Hospital_Outpatient_Standardized_Cost	The standardized Medicare costs for hospital outpatient (OP) services	number	level : Ratio
Percent_Of_Hospital_Outpatient_Standardized_Cost	The proportion of standardized Medicare costs for hospital outpatient (OP) services from the total standardized Medicare cost	number	level : Ratio
Hospital_Outpatient_Standardized_Cost_Per_Capita	The standardized Medicare costs for hospital outpatient (OP) services, per capita	number	level : Ratio
Hospital_Outpatient_Standardized_Cost_Per_User	The standardized Medicare costs for hospital outpatient (OP) services, per user	number	level : Ratio
Hospital_Outpatient_Users	The number of beneficiaries who used hospital outpatient (OP) services	integer	level : Ratio
Percent_Of_Hospital_Outpatient_Beneficiaries	The proportion of beneficiaries who used hospital outpatient (OP) services	number	level : Ratio
Hospital_Outpatient_Visits_Per_1000	The ratio of hospital outpatient (OP) visits per 1,000 Medicare beneficiaries	integer	level : Ratio
Federally_And_Rural_Centers_Actual_Cost	The actual Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services	number	level : Ratio
Percent_Of_Federally_And_Rural_Centers_Actual_Cost	The proportion of actual Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services from the total actual Medicare costs	number	level : Ratio
Federally_And_Rural_Centers_Actual_Cost_Per_Capita	The actual Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services, per capita	number	level : Ratio
Federally_And_Rural_Centers_Actual_Cost_Per_User	The actual Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services, per user	number	level : Ratio
Federally_And_Rural_Centers_Standardized_Cost	The standardized Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services	number	level : Ratio
Percent_Of_Federally_And_Rural_Centers_Standardized_Cost	The proportion of standardized Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services from the total standardized Medicare costs	number	level : Ratio
Federally_And_Rural_Centers_Standardized_Cost_Per_Capita	The standardized Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services, per capita	number	level : Ratio
Federally_And_Rural_Centers_Standardized_Cost_Per_User	The standardized Medicare costs for federally qualified health centers (FQHC)/rural health centers (RHC) services, per user	number	level : Ratio
Federally_And_Rural_Centers_Users	The number of beneficiaries who used federally qualified health centers (FQHC)/rural health centers (RHC) services	integer	level : Ratio
Percent_Of_Federally_And_Rural_Centers_Beneficiaries	The proportion of beneficiaries who used federally qualified health centers (FQHC)/rural health centers (RHC) services	number	level : Ratio
Federally_And_Rural_Centers_Visits_Per_1000	The ratio of federally qualified health centers (FQHC)/rural health centers (RHC) events per 1,000 Medicare beneficiaries	integer	level : Ratio
Outpatient_Dialysis_Actual_Cost	The actual Medicare costs for outpatient dialysis facilities services	number	level : Ratio
Percent_Of_Outpatient_Dialysis_Actual_Cost	The proportion of actual Medicare costs for outpatient dialysis facilities services from the total actual Medicare costs	number	level : Ratio
Outpatient_Dialysis_Actual_Cost_Per_Capita	The actual Medicare costs for outpatient dialysis facilities services, per capita	number	level : Ratio
Outpatient_Dialysis_Actual_Cost_Per_User	The actual Medicare costs for outpatient dialysis facilities services, per user	number	level : Ratio
Outpatient_Dialysis_Standardized_Cost	The standardized Medicare costs for outpatient dialysis facilities services	number	level : Ratio
Percent_Of_Outpatient_Dialysis_Standardized_Cost	The proportion of standardized Medicare costs for outpatient dialysis facilities services from the total standardized Medicare cost	number	level : Ratio
Outpatient_Dialysis_Standardized_Cost_Per_Capita	The standardized Medicare costs for outpatient dialysis facilities services, per capita	number	level : Ratio
Outpatient_Dialysis_Standardized_Cost_Per_User	The standardized Medicare costs for outpatient dialysis facilities services, per user	number	level : Ratio
Outpatient_Dialysis_Users	The number of beneficiaries who used outpatient dialysis facilities services	integer	level : Ratio
Percent_Of_Outpatient_Dialysis_Beneficiaries	The proportion of beneficiaries who used outpatient dialysis facilities services	number	level : Ratio
Outpatient_Dialysis_Per_1000	The ratio of outpatient dialysis facilities events per 1,000 Medicare beneficiaries	integer	level : Ratio
Ambulatory_Surgical_Center_Actual_Cost	The actual Medicare costs for ambulatory surgery centers (ASC) services	number	level : Ratio
Percent_Of_Ambulatory_Surgical_Center_Actual_Cost	The proportion of actual Medicare costs for ambulatory surgery centers (ASC) services from the total actual Medicare costs	number	level : Ratio
Ambulatory_Surgical_Center_Actual_Cost_Per_Capita	The actual Medicare costs for ambulatory surgery centers (ASC) services, per capita	number	level : Ratio
Ambulatory_Surgical_Center_Actual_Cost_Per_User	The actual Medicare costs for ambulatory surgery centers (ASC) services, per user	number	level : Ratio
Ambulatory_Surgical_Center_Standardized_Cost	The standardized Medicare costs for ambulatory surgery centers (ASC) services	number	level : Ratio
Percent_Of_Ambulatory_Surgical_Center_Standardized_Cost	The proportion of standardized Medicare costs for ambulatory surgery centers (ASC) services from the total standardized Medicare cost	number	level : Ratio
Ambulatory_Surgical_Center_Standardized_Cost_Per_Capita	The standardized Medicare costs for ambulatory surgery centers (ASC) services, per capita	number	level : Ratio
Ambulatory_Surgical_Center_Standardized_Cost_Per_User	The standardized Medicare costs for ambulatory surgery centers (ASC) services, per user	number	level : Ratio
Ambulatory_Surgical_Center_Users	The number of beneficiaries who used the ambulatory surgery centers (ASC) services	integer	level : Ratio
Percent_Beneficiaries_Using_Ambulatory_Surgical_Center	The proportion of beneficiaries who used the ambulatory surgery centers (ASC) services	number	level : Ratio
Ambulatory_Surgical_Center_Events_Per_1000	The ratio of the number of beneficiaries who used the ambulatory surgery centers (ASC) events per 1,000 Medicare beneficiaries	integer	level : Ratio
Evaluation_And_Management_Actual_Cost	The actual Medicare costs for evaluation and management (E&M) services	number	level : Ratio
Percent_Of_Evaluation_And_Management_Actual_Cost	The proportion of actual Medicare costs for evaluation and management (E&M) services from the total actual Medicare costs	number	level : Ratio
Evaluation_And_Management_Actual_Cost_Per_Capita	The actual Medicare costs for evaluation and management (E&M) services, per capita	number	level : Ratio
Evaluation_And_Management_Actual_Cost_Per_User	The actual Medicare costs for evaluation and management (E&M) services, per user	number	level : Ratio
Evaluation_And_Management_Standardized_Cost	The standardized Medicare costs for evaluation and management (E&M) services	number	level : Ratio
Percent_Of_Evaluation_And_Management_Standardized_Cost	The proportion of standardized Medicare costs for evaluation and management (E&M) services from the total standardized Medicare cost	number	level : Ratio
Evaluation_And_Management_Standardized_Cost_Per_Capita	The standardized Medicare costs for evaluation and management (E&M) services, per capita	number	level : Ratio
Evaluation_And_Management_Standardized_Cost_Per_User	The standardized Medicare costs for evaluation and management (E&M) services, per user	number	level : Ratio
Evaluation_And_Management_Users	The number of beneficiaries who used the evaluation and management (E&M) type services	integer	level : Ratio
Percent_Of_Evaluation_And_Management_Beneficiaries	The proportion of beneficiaries who used the evaluation and management (E&M) type services	number	level : Ratio
Evaluation_And_Management_Events_Per_1000	The ratio of evaluation and management (E&M) events per 1,000 Medicare beneficiaries	integer	level : Ratio
Procedures_Actual_Cost	The actual Medicare costs for procedures	number	level : Ratio
Percent_Of_Procedures_Actual_Cost	The proportion of actual Medicare costs for procedures from the total actual Medicare costs	number	level : Ratio
Procedures_Actual_Cost_Per_Capita	The actual Medicare costs for procedures, per capita	number	level : Ratio
Procedures_Actual_Cost_Per_User	The actual Medicare costs for procedures, per user	number	level : Ratio
Procedures_Standardized_Cost	The standardized Medicare costs for procedures	number	level : Ratio
Percent_Of_Procedures_Standardized_Cost	The proportion of standardized Medicare costs for procedures from the total standardized Medicare cost	number	level : Ratio
Procedures_Standardized_Cost_Per_Capita	The standardized Medicare costs for procedures, per capita	number	level : Ratio
Procedures_Standardized_Cost_Per_User	The standardized, per user Medicare costs for procedures	number	level : Ratio
Procedures_Users	The number of beneficiaries who used procedure type services	integer	level : Ratio
Percent_Of_Procedures_Beneficiaries	The proportion of beneficiaries who used procedure type services	number	level : Ratio
Procedures_Events_Per_1000	The number of procedure events per 1,000 Medicare beneficiaries	integer	level : Ratio
Imaging_Actual_Cost	The actual Medicare costs for imaging services	number	level : Ratio
Percent_Of_Imaging_Actual_Cost	The proportion of actual Medicare costs for imaging services from the total actual Medicare costs	number	level : Ratio
Imaging_Actual_Cost_Per_Capita	The actual Medicare costs for imaging services, per capita	number	level : Ratio
Imaging_Actual_Cost_Per_User	The actual Medicare costs for imaging services, per user	number	level : Ratio
Imaging_Standardized_Cost	The standardized Medicare costs for imaging services	number	level : Ratio
Percent_Of_Imaging_Standardized_Cost	The proportion of standardized Medicare costs for imaging services from the total standardized Medicare cost	number	level : Ratio
Imaging_Standardized_Cost_Per_Capita	The standardized Medicare costs for imaging services, per capita	number	level : Ratio
Imaging_Standardized_Cost_Per_User	The standardized Medicare costs for imaging services, per user	number	level : Ratio
Imaging_Users	The number of beneficiaries who used imaging services	integer	level : Ratio
Percent_Of_Imaging_Beneficiaries	The proportion of beneficiaries who used imaging services	number	level : Ratio
Imaging_Events_Per_1000	The ratio of imaging events per 1,000 Medicare beneficiaries	integer	level : Ratio
Medical_Equipment_Actual_Cost	The actual Medicare costs for durable medical equipment (DME)	number	level : Ratio
Percent_Of_Medical_Equipment_Actual_Cost	The proportion of actual Medicare costs for durable medical equipment (DME) from the total actual Medicare costs	number	level : Ratio
Medical_Equipment_Actual_Cost_Per_Capita	The actual Medicare costs for durable medical equipment (DME), per capita	number	level : Ratio
Medical_Equipment_Actual_Cost_Per_User	The actual Medicare costs for durable medical equipment (DME), per user	number	level : Ratio
Medical_Equipment_Standardized_Cost	The standardized Medicare costs for durable medical equipment (DME)	number	level : Ratio
Percent_Of_Medical_Equipment_Standardized_Cost	The proportion of standardized Medicare costs for durable medical equipment (DME) from the total standardized Medicare cost	number	level : Ratio
Medical_Equipment_Standardized_Cost_Per_Capita	The standardized Medicare costs for durable medical equipment (DME), per capita	number	level : Ratio
Medical_Equipment_Standardized_Cost_Per_User	The standardized Medicare costs for durable medical equipment (DME), per user	number	level : Ratio
Medical_Equipment_Users	The number of beneficiaries who used durable medical equipment (DME)	integer	level : Ratio
Percent_Of_Medical_Equipment_Beneficiaries	The proportion of beneficiaries who used durable medical equipment (DME)	number	level : Ratio
Medical_Equipment_Events_Per_1000	The ratio of durable medical equipment (DME) events per 1,000 Medicare beneficiaries	integer	level : Ratio
Tests_Actual_Cost	The actual Medicare costs for tests	number	level : Ratio
Percent_Of_Tests_Actual_Cost	The proportion of actual Medicare costs for tests from the total actual Medicare costs	number	level : Ratio
Tests_Actual_Cost_Per_Capita	The actual Medicare costs for tests, per capita	number	level : Ratio
Tests_Actual_Cost_Per_User	The actual Medicare costs for tests, per user	number	level : Ratio
Tests_Standardized_Cost	The standardized Medicare costs for tests	number	level : Ratio
Percent_Of_Tests_Standardized_Cost	The proportion of standardized Medicare costs for tests from the total standardized Medicare cost	number	level : Ratio
Tests_Standardized_Cost_Per_Capita	The standardized Medicare costs for tests, per capita	number	level : Ratio
Tests_Standardized_Cost_Per_User	The standardized Medicare costs for tests, per user	number	level : Ratio
Tests_Users	The number of beneficiaries who used test type services	integer	level : Ratio
Percent_Of_Tests_Beneficiaries	The proportion of beneficiaries who used test type services	number	level : Ratio
Tests_Events_Per_1000	The test events per 1,000 Medicare beneficiaries	integer	level : Ratio
Ambulance_Actual_Cost	The actual Medicare costs for ambulance services	number	level : Ratio
Percent_Of_Ambulance_Actual_Cost	The proportion of actual Medicare costs for ambulance services from the total actual Medicare costs	number	level : Ratio
Percent_Of_Ambulance_Actual_Cost_Per_Capita	The actual Medicare costs for ambulance services, per capita	number	level : Ratio
Percent_Of_Ambulance_Actual_Cost_Per_User	The actual Medicare costs for ambulance services, per user	number	level : Ratio
Ambulance_Standardized_Cost	The standardized Medicare costs for ambulance services	number	level : Ratio
Percent_Of_Ambulance_Standardized_Cost	The proportion of standardized Medicare costs for ambulance services from the total standardized Medicare cost	number	level : Ratio
Ambulance_Standardized_Cost_Per_Capita	The standardized Medicare costs for ambulance services, per capita	number	level : Ratio
Ambulance_Standardized_Cost_Per_User	The standardized Medicare costs for ambulance services, per user	number	level : Ratio
Ambulance_Users	The number of beneficiaries who used ambulance services	integer	level : Ratio
Percent_Of_Ambulance_Beneficiaries	The percent of beneficiaries who used ambulance services	number	level : Ratio
Ambulance_Events_Per_1000	The ratio of ambulance events per 1,000 beneficiaries	integer	level : Ratio
Part_B_Drugs_Actual_Cost	The actual Medicare costs for Part B drugs	number	level : Ratio
Percent_Of_Part_B_Drugs_Actual_Cost	The proportion of actual Medicare costs for Part B drugs from the total actual Medicare costs	number	level : Ratio
Percent_Of_Part_B_Drugs_Actual_Cost_Per_Capita	The actual Medicare costs for Part B drugs, per capita	number	level : Ratio
Percent_Of_Part_B_Drugs_Actual_Cost_Per_User	The actual Medicare costs for Part B drugs, per capita	number	level : Ratio
Part_B_Drugs_Standardized_Cost	The standardized Medicare costs for Part B drugs	number	level : Ratio
Percent_Of_Part_B_Drugs_Standardized_Cost	The proportion of standardized Medicare costs for Part B drugs from the total standardized Medicare cost	number	level : Ratio
Part_B_Drugs_Standardized_Cost_Per_Capita	The standardized Medicare costs for Part B drugs, per capita	number	level : Ratio
Part_B_Drugs_Standardized_Cost_Per_User	The standardized Medicare costs for Part B drugs, per user	number	level : Ratio
Part_B_Drugs_Users	The number of beneficiaries who used Part B drugs	integer	level : Ratio
Percent_Of_Part_B_Drugs_Beneficiaries	The percent of beneficiaries who used Part B drugs	number	level : Ratio
Emergency_Department_Visits	The total number of inpatient or hospital outpatient emergency department visits	integer	level : Ratio
Acute_Hospital_Readmissions	The total number of inpatient readmissions within 30 days of an acute hospital stay during the reference period	integer	level : Ratio
Hospital_Readmission_Rate	The proportion of inpatient readmissions within 30 days of an acute hospital stay during then reference period	number	level : Ratio
Emergency_Department_Visits_Per_1000	The ratio of inpatient or hospital outpatient emergency department visits per 1,000 beneficiaries	integer	level : Ratio
Diabetes_Long_Term_Complication_Admission_Rate_Under_65	The ratio of hospital admissions for diabetes long term complications to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 3)	integer	level : Ratio
COPD_Or_Asthma_Admission_Rate_Age_40_64	The ratio of hospital admissions for chronic obstructive pulmonary disease (COPD) or asthma to Medicare beneficiaries ages 40-64 per 100,000 beneficiaries (Prevention Quality Indicator 5)	integer	level : Ratio
Hypertension_Admission_Rate_Under_65	The ratio of hospital admissions for hypertension to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 7)	integer	level : Ratio
Congestive_Heart_Failure_Admission_Rate_Under_65	The ratio of hospital admissions for congestive heart failure (CHF) to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 8)	integer	level : Ratio
Dehydration_Admission_Rate_Under_65	The ratio of hospital admissions for dehydration to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 10)	integer	level : Ratio
Bacterial_Pneumonia_Admission_Rate_Under_65	The ratio of hospital admissions for bacterial pneumonia to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 11)	integer	level : Ratio
Urinary_Tract_Infection_Admission_Rate_Under_65	The ratio of hospital admissions for urinary tract infections (UTI) to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 12)	integer	level : Ratio
Asthma_Admission_Rate_Under_40	The ratio of hospital admission for asthma of younger adults to Medicare beneficiaries ages less than 40 per 100,000 beneficiaries (Prevention Quality Indicator 15)	integer	level : Ratio
Lower_Extremity_Amputation_Admission_Rate_Under_65	The ratio of hospital admission for lower extremity amputation to Medicare beneficiaries ages less than 65 per 100,000 beneficiaries (Prevention Quality Indicator 16)	integer	level : Ratio

Data Preview

State Abbreviation	Hospital Referral Region	Hospital Referral Region Code	Beneficiaries Part A B	Medicare Fee For Service Beneficiaries	Medicare Advantage Beneficiaries	Medicare Advantage Participation Rate	Beneficiaries Average Age	Percent Of Females	Percent Of Males	Percent Of Non Hispanic White	Percent Of African American	Percent Of Hispanic	Percent Of Other Or Unknown Race Ethnicity	Percent Of Eligible Medicaid	Average Hierarchical Condition Categories Score	Total Actual Cost	Total Standardized Cost	Total Standardized Risk Adjusted Cost	Actual Cost Per Capita	Standardized Cost Per Capita	Standardized Risk Adjusted Cost Per Capita	Hospital Inpatient Actual Cost	Percent Of Hospital Inpatient Actual Cost	Hospital Inpatient Actual Cost Per Capita	Hospital Inpatient Actual Cost Per User	Hospital Inpatient Standardized Cost	Percent Of Hospital Inpatient Standardized Cost	Hospital Inpatient Standardized Cost Per Capita	Hospital Inpatient Standardized Cost Per User	Hospital Inpatient Users With A Covered Stay	Percent Of Hospital Inpatient Beneficiaries	Hospital Inpatient Covered Stays Per 1000	Hospital Inpatient Covered Days Per 1000	Long Term Care Hospital Actual Cost	Percent Of Long Term Care Hospital Actual Cost	Long Term Care Hospital Actual Cost Per Capita	Long Term Care Hospital Actual Cost Per User	Long Term Care Hospital Standardized Cost	Percent Of Long Term Care Hospital Standardized Cost	Long Term Care Hospital Standardized Cost Per Capita	Long Term Care Hospital Standardized Cost Per User	Long Term Care Hospital Users With A Covered Stay	Percent Of Long Term Care Hospital Beneficiaries	Long Term Care Hospital Covered Stays Per 1000	Long Term Care Hospital Covered Days Per 1000	Inpatient Rehabilitation Actual Cost	Percent Of Inpatient Rehabilitation Actual Cost	Inpatient Rehabilitation Actual Cost Per Capita	Inpatient Rehabilitation Actual Cost Per User	Inpatient Rehabilitation Standardized Cost	Percent Of Inpatient Rehabilitation Standardized Cost	Inpatient Rehabilitation Standardized Cost Per Capita	Inpatient Rehabilitation Standardized Cost Per User	Inpatient Rehabilitation Users With A Covered Stay	Percent Of Inpatient Rehabilitation Beneficiaries	Inpatient Rehabilitation Covered Stays Per 1000	Inpatient Rehabilitation Covered Days Per 1000	Skilled Nursing Actual Cost	Percent Of Skilled Nursing Actual Cost	Skilled Nursing Actual Cost Per Capita	Skilled Nursing Actual Cost Per User	Skilled Nursing Standardized Cost	Percent Of Skilled Nursing Standardized Cost	Skilled Nursing Standardized Cost Per Capita	Skilled Nursing Standardized Cost Per User	Skilled Nursing Users With A Covered Stay	Percent Of Skilled Nursing Beneficiaries	Skilled Nursing Covered Stays Per 1000	Skilled Nursing Covered Days Per 1000	Home Health Actual Cost	Percent Of Home Health Actual Cost	Home Health Actual Cost Per Capita	Home Health Actual Cost Per User	Home Health Standardized Cost	Percent Of Home Health Standardized Cost	Home Health Standardized Cost Per Capita	Home Health Standardized Cost Per User	Home Health Users	Percent Of Home Health Beneficiaries	Home Health Episodes Per 1000	Home Health Visits Per 1000	Hospice Actual Cost	Percent Of Hospice Actual Cost	Hospice Actual Cost Per Capita	Hospice Actual Cost Per User	Hospice Standardized Cost	Percent Of Hospice Standardized Cost	Hospice Standardized Cost Per Capita	Hospice Standardized Cost Per User	Hospice Users With A Covered Stay	Percent Hospice Beneficiaries	Hospice Covered Stays Per 1000	Hospice Covered Days Per 1000	Hospital Outpatient Actual Cost	Percent Of Hospital Outpatient Actual Cost	Hospital Outpatient Actual Cost Per Capita	Hospital Outpatient Actual Cost Per User	Hospital Outpatient Standardized Cost	Percent Of Hospital Outpatient Standardized Cost	Hospital Outpatient Standardized Cost Per Capita	Hospital Outpatient Standardized Cost Per User	Hospital Outpatient Users	Percent Of Hospital Outpatient Beneficiaries	Hospital Outpatient Visits Per 1000	Federally And Rural Centers Actual Cost	Percent Of Federally And Rural Centers Actual Cost	Federally And Rural Centers Actual Cost Per Capita	Federally And Rural Centers Actual Cost Per User	Federally And Rural Centers Standardized Cost	Percent Of Federally And Rural Centers Standardized Cost	Federally And Rural Centers Standardized Cost Per Capita	Federally And Rural Centers Standardized Cost Per User	Federally And Rural Centers Users	Percent Of Federally And Rural Centers Beneficiaries	Federally And Rural Centers Visits Per 1000	Outpatient Dialysis Actual Cost	Percent Of Outpatient Dialysis Actual Cost	Outpatient Dialysis Actual Cost Per Capita	Outpatient Dialysis Actual Cost Per User	Outpatient Dialysis Standardized Cost	Percent Of Outpatient Dialysis Standardized Cost	Outpatient Dialysis Standardized Cost Per Capita	Outpatient Dialysis Standardized Cost Per User	Outpatient Dialysis Users	Percent Of Outpatient Dialysis Beneficiaries	Outpatient Dialysis Per 1000	Ambulatory Surgical Center Actual Cost	Percent Of Ambulatory Surgical Center Actual Cost	Ambulatory Surgical Center Actual Cost Per Capita	Ambulatory Surgical Center Actual Cost Per User	Ambulatory Surgical Center Standardized Cost	Percent Of Ambulatory Surgical Center Standardized Cost	Ambulatory Surgical Center Standardized Cost Per Capita	Ambulatory Surgical Center Standardized Cost Per User	Ambulatory Surgical Center Users	Percent Beneficiaries Using Ambulatory Surgical Center	Ambulatory Surgical Center Events Per 1000	Evaluation And Management Actual Cost	Percent Of Evaluation And Management Actual Cost	Evaluation And Management Actual Cost Per Capita	Evaluation And Management Actual Cost Per User	Evaluation And Management Standardized Cost	Percent Of Evaluation And Management Standardized Cost	Evaluation And Management Standardized Cost Per Capita	Evaluation And Management Standardized Cost Per User	Evaluation And Management Users	Percent Of Evaluation And Management Beneficiaries	Evaluation And Management Events Per 1000	Procedures Actual Cost	Percent Of Procedures Actual Cost	Procedures Actual Cost Per Capita	Procedures Actual Cost Per User	Procedures Standardized Cost	Percent Of Procedures Standardized Cost	Procedures Standardized Cost Per Capita	Procedures Standardized Cost Per User	Procedures Users	Percent Of Procedures Beneficiaries	Procedures Events Per 1000	Imaging Actual Cost	Percent Of Imaging Actual Cost	Imaging Actual Cost Per Capita	Imaging Actual Cost Per User	Imaging Standardized Cost	Percent Of Imaging Standardized Cost	Imaging Standardized Cost Per Capita	Imaging Standardized Cost Per User	Imaging Users	Percent Of Imaging Beneficiaries	Imaging Events Per 1000	Medical Equipment Actual Cost	Percent Of Medical Equipment Actual Cost	Medical Equipment Actual Cost Per Capita	Medical Equipment Actual Cost Per User	Medical Equipment Standardized Cost	Percent Of Medical Equipment Standardized Cost	Medical Equipment Standardized Cost Per Capita	Medical Equipment Standardized Cost Per User	Medical Equipment Users	Percent Of Medical Equipment Beneficiaries	Medical Equipment Events Per 1000	Tests Actual Cost	Percent Of Tests Actual Cost	Tests Actual Cost Per Capita	Tests Actual Cost Per User	Tests Standardized Cost	Percent Of Tests Standardized Cost	Tests Standardized Cost Per Capita	Tests Standardized Cost Per User	Tests Users	Percent Of Tests Beneficiaries	Tests Events Per 1000	Ambulance Actual Cost	Percent Of Ambulance Actual Cost	Percent Of Ambulance Actual Cost Per Capita	Percent Of Ambulance Actual Cost Per User	Ambulance Standardized Cost	Percent Of Ambulance Standardized Cost	Ambulance Standardized Cost Per Capita	Ambulance Standardized Cost Per User	Ambulance Users	Percent Of Ambulance Beneficiaries	Ambulance Events Per 1000	Part B Drugs Actual Cost	Percent Of Part B Drugs Actual Cost	Percent Of Part B Drugs Actual Cost Per Capita	Percent Of Part B Drugs Actual Cost Per User	Part B Drugs Standardized Cost	Percent Of Part B Drugs Standardized Cost	Part B Drugs Standardized Cost Per Capita	Part B Drugs Standardized Cost Per User	Part B Drugs Users	Percent Of Part B Drugs Beneficiaries	Emergency Department Visits	Acute Hospital Readmissions	Hospital Readmission Rate	Emergency Department Visits Per 1000	Diabetes Long Term Complication Admission Rate Under 65	COPD Or Asthma Admission Rate Age 40 64	Hypertension Admission Rate Under 65	Congestive Heart Failure Admission Rate Under 65	Dehydration Admission Rate Under 65	Bacterial Pneumonia Admission Rate Under 65	Urinary Tract Infection Admission Rate Under 65	Asthma Admission Rate Under 40	Lower Extremity Amputation Admission Rate Under 65
National			54577161	33725823	20851338	38.21	72	54.77	45.23	79.57	9.28	5.71	5.45	20.37	1.0	348396197603.56	329204404222.65	347066332266.18	10330.25	9761.2	10290.82	113700640878.4	32.64	3371.32	19752.14	92619645965.49	28.13	2746.25	16089.93	5756371	17.07	273	1437	3824408194.66	1.1	113.4	40160.96	3922329001.78	1.19	116.3	41189.25	95227	0.28	3	79	7450126485.24	2.14	220.9	22397.84	7390748162.67	2.25	219.14	22219.33	332627	0.99	11	139	25878188201.36	7.43	767.31	15909.56	26781817394.2	8.14	794.1	16465.1	1626581	4.82	67	1674	16643721260.15	4.78	493.5	5293.82	17305509930.31	5.26	513.12	5504.32	3143989	9.32	175	2908	11202321071.33	3.22	332.16	11791.42	11480319369.7	3.49	340.4	12084.04	950040	2.82	30	1994	53668910102.23	15.4	1591.33	2409.17	52690247248.32	16.01	1562.31	2365.24	22276916	66.05	4535	1781986377.11	0.51	52.84	519.12	1903292588.87	0.58	56.43	554.46	3432676	10.18	458	8762335469.26	2.52	259.81	23422.88	8820614878.34	2.68	261.54	23578.67	374093	1.11	1465	3612173358.21	1.04	107.1	1041.74	3660557353.17	1.11	108.54	1055.7	3467429	10.28	173	33070447009.69	9.49	980.57	1090.33	33529560234.83	10.19	994.18	1105.47	30330642	89.93	13869	21978809071.42	6.31	651.69	995.91	22120874472.86	6.72	655.9	1002.34	22069124	65.44	5367	7408773420.46	2.13	219.68	315.44	7354481796.77	2.23	218.07	313.13	23487188	69.64	3903	5853665127.75	1.68	173.57	659.38	5822454100.34	1.77	172.64	655.87	8877513	26.32	1559	9125846315.65	2.62	270.59	341.3	9199629492.64	2.79	272.78	344.06	26738592	79.28	9128	4614476607.92	1.32	136.82	1173.98	4573828505.85	1.39	135.62	1163.63	3930639	11.65	382	15108563198	4.34	448	826	15290858025	4.64	453	836	18281370	54.21	23132841	1543318	18.04	686	733	1539	243	1306	442	407	306	169.0	219
AK	Anchorage	10	82526	80931	1595	1.93	70	50.51	49.49	74.04	2.6	2.56	20.8	23.13	0.83	773231419.81	569899000.44	724071791.41	9554.21	7041.79	8946.78	313096887.46	40.49	3868.69	28944.89	181262693.95	31.81	2239.72	16757.21	10817	13.37	195	1158	12748441.93	1.65	157.52	70433.38	9248282.48	1.62	114.27	51095.48	181	0.22	2	90	7081855.65	0.92	87.5	27663.5	5894016.56	1.03	72.83	23023.5	256	0.32	3	44	30813897.48	3.99	380.74	28063.66	25263075.4	4.43	312.16	23008.27	1098	1.36	16	395	13405610.43	1.73	165.64	5581.02	11160358.67	1.96	137.9	4646.28	2402	2.97	48	745	8699674.96	1.13	107.49	10519.56	7850494.65	1.38	97.0	9492.74	827	1.02	11	579	156844659.22	20.28	1938.0	3178.53	130902699.88	22.97	1617.46	2652.81	49345	60.97	4290	4617960.98	0.6	57.06	627.01	3980037.82	0.7	49.18	540.4	7365	9.1	349	15173985.21	1.96	187.49	27538.99	13041066.55	2.29	161.14	23668.0	551	0.68	979	12438139.34	1.61	153.69	1486.57	10621135.58	1.86	131.24	1269.41	8367	10.34	161	58874702.26	7.61	727.47	872.02	47542938.6	8.34	587.45	704.18	67515	83.42	8883	48716145.76	6.3	601.95	1162.12	40258603.48	7.06	497.44	960.37	41920	51.8	3747	16923658.74	2.19	209.11	348.27	14458533.87	2.54	178.65	297.54	48594	60.04	3062	7780812.62	1.01	96.14	511.76	7455291.86	1.31	92.12	490.35	15204	18.79	1009	13568197.27	1.75	167.65	253.03	12703422.47	2.23	156.97	236.9	53623	66.26	5203	18782490.69	2.43	232.08	2214.46	14972461.29	2.63	185.0	1765.26	8482	10.48	241	27521349	3.56	340	847	27974439	4.91	346	861	32489	40.14	46968	2162	14.61	580	383	945	122	854	296	192	122		183
AL	Birmingham	1	466155	269757	196398	42.13	70	55.09	44.91	80.06	18.01	0.63	1.3	23.1	1.02	2563896555.36	2815763022.01	2982936353.35	9504.47	10438.15	11057.86	781605169.76	30.49	2897.44	15280.65	803727096.55	28.54	2979.45	15713.14	51150	18.96	305	1734	25709727.13	1.0	95.31	31429.98	30412784.53	1.08	112.74	37179.44	818	0.3	3	76	70545808.11	2.75	261.52	19503.96	82102861.55	2.92	304.36	22699.16	3617	1.34	15	188	150255818.58	5.86	557.0	11255.96	191813916.9	6.81	711.06	14369.16	13349	4.95	65	1593	146836318.65	5.73	544.33	4972.78	185835250.41	6.6	688.9	6293.53	29528	10.95	229	3962	133130661.95	5.19	493.52	13526.79	153715360.54	5.46	569.83	15618.31	9842	3.65	40	3531	348757804.3	13.6	1292.86	2010.25	392255750.52	13.93	1454.11	2260.97	173490	64.31	3242	8441645.53	0.33	31.29	315.32	10325037.05	0.37	38.28	385.67	26772	9.92	401	70658367.87	2.76	261.93	21066.9	80166224.34	2.85	297.18	23901.68	3354	1.24	1662	17810113.47	0.69	66.02	862.02	20600992.62	0.73	76.37	997.1	20661	7.66	129	234672303.0	9.15	869.94	955.3	260233533.41	9.24	964.7	1059.35	245654	91.06	13354	162509756.92	6.34	602.43	866.74	179867598.58	6.39	666.78	959.31	187496	69.51	5832	59744877.15	2.33	221.48	305.33	64432626.46	2.29	238.85	329.28	195675	72.54	4314	53155623.36	2.07	197.05	668.3	52571771.69	1.87	194.89	660.96	79538	29.49	1765	82317725.24	3.21	305.16	366.8	85703178.67	3.04	317.71	381.88	224423	83.19	10526	44556448.73	1.74	165.17	1288.7	44127699.07	1.57	163.58	1276.3	34575	12.82	494	140273972	5.47	520	861	143265134	5.09	531	879	162948	60.41	198095	13456	17.79	734	605	1824	269	1255	580	496	352	120.0	206
AL	Dothan	2	82075	59904	22171	27.01	70	54.85	45.15	78.82	18.83	1.01	1.34	27.18	1.01	564950103.02	630613007.21	669225381.93	9430.92	10527.06	11171.63	156842928.38	27.76	2618.24	14081.79	169155898.26	26.82	2823.78	15187.28	11138	18.59	293	1538	7498018.4	1.33	125.17	31112.11	9613766.87	1.52	160.49	39891.15	241	0.4	4	102	18781498.34	3.32	313.53	19342.43	23313475.07	3.7	389.18	24009.76	971	1.62	19	228	34217733.45	6.06	571.21	12048.5	43002728.05	6.82	717.86	15141.81	2840	4.74	62	1575	36063907.17	6.38	602.03	4757.14	46340764.03	7.35	773.58	6112.75	7581	12.66	248	4305	29819035.56	5.28	497.78	13389.78	34525186.37	5.47	576.34	15503.0	2227	3.72	40	3558	76605593.11	13.56	1278.81	1825.99	85673094.62	13.59	1430.17	2042.12	41953	70.03	3730	2740338.81	0.49	45.75	378.29	3262701.58	0.52	54.47	450.4	7244	12.09	473	13621488.2	2.41	227.39	20956.14	15722629.88	2.49	262.46	24188.66	650	1.09	1471	7662959.04	1.36	127.92	895.62	9008453.63	1.43	150.38	1052.88	8556	14.28	277	53201118.4	9.42	888.11	964.59	57910784.41	9.18	966.73	1049.98	55154	92.07	13633	38652726.17	6.84	645.24	917.31	42135461.0	6.68	703.38	999.96	42137	70.34	5858	11932158.37	2.11	199.19	267.78	12922071.29	2.05	215.71	290.0	44559	74.38	4229	11813904.42	2.09	197.21	622.21	11694304.87	1.85	195.22	615.91	18987	31.7	1908	16616287.4	2.94	277.38	328.52	17274610.15	2.74	288.37	341.54	50579	84.43	9475	9213833.32	1.63	153.81	1316.03	8668286.56	1.37	144.7	1238.11	7001	11.69	417	31894485	5.65	532	902	32344731	5.13	540	915	35350	59.01	49756	2872	17.64	831	653	1413	330	1253	390	480	390		203
AL	Huntsville	5	120532	85360	35172	29.18	71	55.71	44.29	85.07	11.96	0.94	2.04	16.98	0.99	816792406.71	890076491.02	981947551.26	9568.8	10427.33	11503.6	229179532.22	28.06	2684.86	14663.74	241010935.28	27.08	2823.46	15420.75	15629	18.31	291	1621	4149636.54	0.51	48.61	30967.44	4623814.61	0.52	54.17	34506.08	134	0.16	2	36	16442420.08	2.01	192.62	20199.53	18452584.67	2.07	216.17	22669.02	814	0.95	11	140	52863720.78	6.47	619.3	12236.97	64733366.3	7.27	758.36	14984.58	4320	5.06	70	1634	40894815.16	5.01	479.09	5129.81	49718112.41	5.59	582.45	6236.59	7972	9.34	186	3255	41077193.12	5.03	481.22	14164.55	46349944.32	5.21	542.99	15982.74	2900	3.4	37	3394	109120488.54	13.36	1278.36	1740.11	119978210.97	13.48	1405.56	1913.25	62709	73.46	3942	1706164.04	0.21	19.99	319.03	2051252.06	0.23	24.03	383.55	5348	6.27	257	20012026.62	2.45	234.44	21199.18	22190594.66	2.49	259.96	23506.99	944	1.11	1418	8672545.3	1.06	101.6	880.28	9791553.3	1.1	114.71	993.86	9852	11.54	190	79837293.86	9.77	935.3	1005.06	88631877.53	9.96	1038.33	1115.78	79435	93.06	14334	58275218.48	7.13	682.7	943.25	64162952.55	7.21	751.67	1038.55	61781	72.38	6885	22149946.08	2.71	259.49	344.93	22516784.86	2.53	263.79	350.65	64215	75.23	4612	16806638.7	2.06	196.89	662.07	16769042.16	1.88	196.45	660.59	25385	29.74	1744	25465186.55	3.12	298.33	353.89	26761976.88	3.01	313.52	371.92	71956	84.3	9703	12204867.69	1.49	142.98	1127.16	12827752.09	1.44	150.28	1184.68	10828	12.69	435	68287701	8.36	800	1250	69290167	7.78	812	1268	54636	64.01	60135	3988	17.46	704	930	2319	186	1426	530	461	310		241
AL	Mobile	6	169832	90785	79047	46.54	70	53.9	46.1	77.92	19.26	0.91	1.91	18.25	0.99	836956411.46	932166354.12	1015078670.51	9219.1	10267.85	11181.13	248076816.55	29.64	2732.57	14644.44	265550560.98	28.49	2925.05	15675.95	16940	18.66	301	1623	9848533.13	1.18	108.48	41207.25	12173361.11	1.31	134.09	50934.57	239	0.26	3	76	12021451.47	1.44	132.42	18812.91	14599371.34	1.57	160.81	22847.22	639	0.7	8	97	50388564.15	6.02	555.03	12429.34	64217099.5	6.89	707.35	15840.43	4054	4.47	59	1472	47381026.6	5.66	521.9	4667.16	59900079.57	6.43	659.8	5900.32	10152	11.18	221	3597	40240313.85	4.81	443.25	12238.54	46665200.8	5.01	514.02	14192.58	3288	3.62	40	3092	115397942.65	13.79	1271.11	1885.25	130745827.39	14.03	1440.17	2135.99	61211	67.42	3829	3644975.58	0.44	40.15	308.77	4409359.99	0.47	48.57	373.52	11805	13.0	512	26725550.43	3.19	294.38	21657.66	30541804.18	3.28	336.42	24750.25	1234	1.36	1815	9809394.35	1.17	108.05	891.36	11576075.5	1.24	127.51	1051.89	11005	12.12	212	80990077.25	9.68	892.11	986.48	89681356.07	9.62	987.84	1092.34	82100	90.43	13499	57529453.64	6.87	633.69	914.49	63412520.63	6.8	698.49	1008.0	62909	69.29	6047	21167671.13	2.53	233.16	322.24	22883082.48	2.45	252.06	348.35	65690	72.36	4276	18523435.31	2.21	204.04	691.84	18457649.42	1.98	203.31	689.39	26774	29.49	1711	23876724.53	2.85	263.0	320.33	24974486.05	2.68	275.09	335.05	74538	82.1	9315	12373547.57	1.48	136.3	1070.33	11994945.9	1.29	132.12	1037.58	11561	12.73	370	49710992	5.94	548	942	50554605	5.42	557	958	52763	58.12	63109	4703	18.24	695	812	1491	289	1480	353	497	449	373.0	155
AL	Montgomery	7	87287	47764	39523	45.28	70	54.94	45.06	65.33	32.43	0.51	1.73	21.98	1.02	447686226.06	496922482.17	518621396.91	9372.88	10403.7	10858.0	134853522.93	30.12	2823.33	15258.38	140351276.9	28.24	2938.43	15880.43	8838	18.5	307	1667	4435443.24	0.99	92.86	28615.76	5430870.04	1.09	113.7	35037.87	155	0.32	3	81	16669930.34	3.72	349.01	19565.65	19791771.99	3.98	414.37	23229.78	852	1.78	21	251	22786798.18	5.09	477.07	10876.75	29462762.33	5.93	616.84	14063.37	2095	4.39	58	1454	21229518.46	4.74	444.47	4590.17	26950635.77	5.42	564.25	5827.16	4625	9.68	193	3215	17378563.49	3.88	363.84	11993.49	20081353.24	4.04	420.43	13858.77	1449	3.03	33	2600	71853130.57	16.05	1504.34	2303.58	82101233.85	16.52	1718.89	2632.12	31192	65.3	2983	2069903.97	0.46	43.34	434.95	2540965.62	0.51	53.2	533.93	4759	9.96	400	19613241.91	4.38	410.63	21411.84	22430967.87	4.51	469.62	24487.96	916	1.92	2446	3850641.33	0.86	80.62	863.18	4562250.31	0.92	95.52	1022.7	4461	9.34	142	40152154.45	8.97	840.64	934.29	44781613.86	9.01	937.56	1042.01	42976	89.98	12790	30782532.29	6.88	644.47	935.18	34318027.66	6.91	718.49	1042.59	32916	68.91	5661	9904184.93	2.21	207.36	286.43	10751615.52	2.16	225.1	310.94	34578	72.39	4342	10782466.8	2.41	225.74	802.33	10779741.92	2.17	225.69	802.12	13439	28.14	1708	15631579.31	3.49	327.27	388.18	16287262.66	3.28	340.99	404.46	40269	84.31	11138	8045504.85	1.8	168.44	1330.9	8152798.03	1.64	170.69	1348.65	6045	12.66	531	11887113	2.66	249	432	12081984	2.43	253	439	27515	57.61	37150	2561	18.94	778	912	1847	246	2189	410	511	556		201
AL	Tuscaloosa	9	50127	34152	15975	31.87	68	54.7	45.3	66.52	31.92	0.38	1.18	28.73	1.02	330838711.95	357288155.93	373040287.87	9687.24	10461.71	10922.94	109956395.54	33.24	3219.62	16186.72	107853132.32	30.19	3158.03	15877.1	6793	19.89	333	1923	5765314.03	1.74	168.81	31677.55	6877186.69	1.92	201.37	37786.74	182	0.53	6	138	6972679.72	2.11	204.17	19103.23	7958339.51	2.23	233.03	21803.67	365	1.07	11	150	19196653.33	5.8	562.09	10376.57	24268042.86	6.79	710.59	13117.86	1850	5.42	72	1642	18479076.92	5.59	541.08	4933.02	23153759.59	6.48	677.96	6180.93	3746	10.97	232	3867	12024708.24	3.63	352.09	11823.71	13746860.0	3.85	402.52	13517.07	1017	2.98	32	2296	47951268.31	14.49	1404.05	2209.13	53839475.12	15.07	1576.47	2480.4	21706	63.56	3689	2289278.77	0.69	67.03	413.9	2634715.88	0.74	77.15	476.35	5531	16.2	665	9409290.56	2.84	275.51	20105.32	10818617.09	3.03	316.78	23116.7	468	1.37	1823	2687276.56	0.81	78.69	671.32	3142374.46	0.88	92.01	785.0	4003	11.72	176	31536628.55	9.53	923.42	1025.75	34856979.34	9.76	1020.64	1133.74	30745	90.02	13705	19666958.5	5.94	575.87	841.94	21944178.82	6.14	642.54	939.43	23359	68.4	5866	7758730.86	2.35	227.18	307.89	8471760.65	2.37	248.06	336.18	25200	73.79	4602	5671674.32	1.71	166.07	560.83	5627088.19	1.57	164.77	556.42	10113	29.61	1656	10022411.07	3.03	293.46	359.02	10454212.88	2.93	306.11	374.49	27916	81.74	8834	6109610.25	1.85	178.89	1355.28	5813579.44	1.63	170.23	1289.61	4508	13.2	508	10405679	3.15	305	530	10673309	2.99	313	544	19623	57.46	28404	1989	19.11	832	736	1765	437	1660	368	527	457		239
AR	Fort Smith	16	78091	56710	21381	27.38	70	53.75	46.25	87.02	2.33	1.49	9.17	25.17	0.98	532947004.67	585548013.22	628336794.94	9397.76	10325.3	11079.82	160523395.82	30.12	2830.6	15749.94	163152977.78	27.86	2876.97	16007.95	10192	17.97	294	1534	10699166.48	2.01	188.66	33645.18	13154300.26	2.25	231.96	41365.72	318	0.56	6	144	25579327.51	4.8	451.05	18180.05	30154421.93	5.15	531.73	21431.71	1407	2.48	28	322	37244374.67	6.99	656.75	14514.57	48016104.93	8.2	846.7	18712.43	2566	4.52	64	1667	40656350.6	7.63	716.92	6003.6	50846090.64	8.68	896.6	7508.28	6772	11.94	344	5927	16831550.42	3.16	296.8	8910.3	19421894.62	3.32	342.48	10281.57	1889	3.33	34	1938	82852281.22	15.55	1460.98	2222.61	91062608.45	15.55	1605.76	2442.86	37277	65.73	3728	3935542.59	0.74	69.4	471.04	4681561.81	0.8	82.55	560.33	8355	14.73	579	8970278.82	1.68	158.18	20248.94	10302238.51	1.76	181.67	23255.62	443	0.78	1127	4667434.02	0.88	82.3	856.41	5402652.18	0.92	95.27	991.31	5450	9.61	155	42854641.21	8.04	755.68	849.65	47481494.07	8.11	837.27	941.38	50438	88.94	11762	25951986.21	4.87	457.63	765.91	28782189.44	4.92	507.53	849.43	33884	59.75	3590	9484572.98	1.78	167.25	242.94	10338197.14	1.77	182.3	264.8	39041	68.84	4095	11851327.94	2.22	208.98	742.98	11780403.8	2.01	207.73	738.54	15951	28.13	1905	14970488.63	2.81	263.98	334.81	15445013.1	2.64	272.35	345.42	44714	78.85	8019	8944867.12	1.68	157.73	1249.24	7961263.02	1.36	140.39	1111.87	7160	12.63	306	19461184	3.65	343	683	19820592	3.38	350	696	28481	50.22	43797	2811	18.48	772	599	1419	210	1472	372	510	412		299
AR	Jonesboro	18	50014	38773	11241	22.48	70	55.65	44.35	95.25	3.06	0.69	1.0	24.87	0.95	367305853.81	398961141.41	438398094.93	9473.24	10289.66	11306.79	115964291.14	31.57	2990.85	15379.88	120398205.23	30.18	3105.21	15967.93	7540	19.45	323	1694	2759088.42	0.75	71.16	50165.24	3187744.96	0.8	82.22	57959.0	55	0.14	2	46	25326564.77	6.9	653.2	19709.39	28956242.37	7.26	746.81	22534.04	1285	3.31	39	462	24313859.33	6.62	627.08	14062.38	30470534.48	7.64	785.87	17623.21	1729	4.46	66	1677	12906735.96	3.51	332.88	4316.63	15861166.96	3.98	409.08	5304.74	2990	7.71	146	2552	8244468.79	2.24	212.63	7407.43	9532550.92	2.39	245.86	8564.74	1113	2.87	29	1379	63823591.63	17.38	1646.08	2255.09	68620167.42	17.2	1769.79	2424.57	28302	72.99	4792	4134890.19	1.13	106.64	464.8	4877263.66	1.22	125.79	548.25	8896	22.94	1260	6425640.01	1.75	165.72	19650.28	7319718.3	1.83	188.78	22384.46	327	0.84	1204	4151924.88	1.13	107.08	1068.71	4691535.74	1.18	121.0	1207.6	3885	10.02	167	30602725.51	8.33	789.28	873.74	33977107.32	8.52	876.31	970.08	35025	90.33	12599	18327185.03	4.99	472.68	735.59	20261801.14	5.08	522.58	813.24	24915	64.26	4084	5715369.6	1.56	147.41	202.24	6035573.52	1.51	155.66	213.57	28261	72.89	4150	9293478.59	2.53	239.69	756.74	9230189.39	2.31	238.06	751.58	12281	31.67	2188	9335382.48	2.54	240.77	288.94	9681466.71	2.43	249.7	299.65	32309	83.33	9898	7219189.54	1.97	186.19	1322.68	6629468.27	1.66	170.98	1214.63	5458	14.08	420	14276769	3.89	368	660	14489126	3.63	374	670	21631	55.79	30970	2213	19.23	799	573	2288	316	1006	480	573	363		164