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Total Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Drugs and Durable Other


Region and State of Hospital Physician & Clinical Other Professional Dental Home Other Medical Medical Nursing Personal
1
Residence Total Care Services Services Services Health Care Nondurables Products Home Care1 Health Care
($ in millions)
United States $1,551,255 $566,886 $393,713 $52,636 $81,476 $42,710 $222,412 $23,128 $115,015 $53,278

New England 91,268 33,330 20,301 3,003 4,937 3,003 12,231 1,132 8,864 4,466
Connecticut 22,167 7,029 5,155 855 1,336 708 3,246 317 2,711 810
Maine 8,593 3,035 2,075 305 363 173 1,052 92 630 869
Massachusetts 43,009 16,865 9,116 1,289 2,276 1,743 5,462 501 4,124 1,633
New Hampshire 7,050 2,519 1,757 229 471 168 962 116 548 279
Rhode Island 6,682 2,437 1,325 193 294 116 1,066 62 616 575
Vermont 3,768 1,446 874 132 198 94 444 44 235 300

Mideast 290,979 105,150 64,993 9,461 13,554 9,657 42,833 4,316 28,466 12,550
Delaware 5,226 1,917 1,228 210 279 94 769 78 409 242
District of Columbia 4,809 2,366 1,024 98 183 78 345 59 452 203
Maryland 31,044 11,559 7,891 1,034 1,553 511 4,595 503 2,419 980
New Jersey 50,384 17,024 12,265 1,919 2,903 1,427 8,317 964 4,261 1,304
New York 126,076 45,569 25,643 3,587 5,445 6,021 17,722 1,685 13,364 7,040
Pennsylvania 73,441 26,715 16,942 2,613 3,189 1,527 11,086 1,026 7,562 2,781

Great Lakes 248,089 95,214 60,373 8,578 12,836 5,265 34,875 3,534 20,477 6,936
Illinois 67,292 25,801 16,984 2,365 3,488 1,269 9,098 987 5,173 2,128
Indiana 32,951 12,761 7,869 1,002 1,606 509 4,951 470 2,871 911
Michigan 51,048 20,206 11,757 1,896 3,147 1,326 7,790 779 3,193 954
Ohio 65,622 24,822 15,322 2,285 2,901 1,519 9,205 880 6,834 1,855
Wisconsin 31,177 11,625 8,441 1,031 1,694 642 3,831 419 2,405 1,089

Plains 109,046 41,562 26,482 3,561 5,264 2,053 14,487 1,730 9,231 4,675
Iowa 15,892 6,179 3,719 557 735 310 2,021 261 1,623 487
Kansas 14,736 5,157 4,144 499 723 241 1,897 215 1,110 751
Minnesota 29,524 10,009 7,757 1,005 1,678 679 3,639 456 2,367 1,934
Missouri 31,317 12,993 6,891 958 1,336 708 4,664 424 2,479 864
Nebraska 9,782 3,938 2,287 304 423 79 1,288 261 860 341
North Dakota 3,693 1,533 763 103 174 18 537 55 387 124
South Dakota 4,103 1,753 920 135 195 20 440 60 406 173

Southeast 377,538 135,840 97,893 12,163 17,604 9,752 61,803 5,388 25,490 11,604
Alabama 23,199 7,938 6,200 681 977 661 4,241 316 1,475 710
Arkansas 13,357 5,092 3,316 463 601 325 1,938 164 1,040 420
Florida 95,223 31,494 26,439 3,529 4,494 2,876 15,545 1,574 6,503 2,769
Georgia 41,097 14,613 11,227 1,252 2,257 876 6,493 619 2,272 1,488
Kentucky 22,662 8,283 5,748 796 876 531 3,917 281 1,526 704
Louisiana 22,658 9,145 5,271 705 781 624 3,586 272 1,617 658
Mississippi 14,634 6,129 3,219 351 507 484 2,208 172 1,094 472
North Carolina 44,281 16,294 10,248 1,336 2,253 1,413 7,445 524 3,354 1,414
South Carolina 21,450 8,316 5,491 534 1,003 422 3,369 275 1,236 804
Tennessee 32,161 10,744 9,069 1,035 1,428 738 5,785 431 2,211 720
Virginia 36,032 13,361 9,220 1,123 2,043 605 5,651 630 2,448 951
West Virginia 10,783 4,432 2,444 361 384 197 1,627 129 716 494

Southwest 152,996 57,383 41,854 4,991 7,474 5,175 20,848 2,480 8,152 4,640
Arizona 23,576 8,499 6,855 932 1,457 656 3,378 422 1,023 354
New Mexico 8,498 3,315 1,925 321 425 451 1,127 141 372 420
Oklahoma 17,323 6,659 4,305 561 842 464 2,472 239 1,157 623
Texas 103,600 38,910 28,769 3,177 4,749 3,604 13,870 1,678 5,600 3,243

Rocky Mountains 44,873 16,429 12,062 1,864 3,106 844 5,573 843 2,440 1,713
Colorado 21,691 7,624 6,375 939 1,537 367 2,346 440 1,178 885
Idaho 6,197 2,298 1,466 303 468 115 834 101 361 251
Montana 4,706 1,944 1,157 172 249 89 499 85 322 188
Utah 9,618 3,468 2,393 332 718 245 1,592 171 428 270
Wyoming 2,662 1,095 670 117 134 28 302 47 150 120

Far West 236,467 81,979 69,755 9,014 16,701 6,962 29,762 3,706 11,895 6,693
Alaska 4,237 1,704 1,220 164 241 64 418 61 80 286
California 166,236 57,805 49,417 6,178 11,625 5,537 20,799 2,552 8,424 3,899
Hawaii 6,222 2,310 1,587 224 382 105 925 118 293 277
Nevada 10,656 3,459 3,386 370 679 231 1,786 211 341 194
Oregon 17,516 5,998 5,142 715 1,269 201 2,042 279 897 972
Washington 31,600 10,702 9,004 1,363 2,505 823 3,792 485 1,860 1,065
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
Per Capita Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Home Drugs and Durable Nursing Other


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Medical Home Personal
1 1
Residence Total Care Services Services Services Care Nondurables Products Care Health Care

United States $5,283 $1,931 $1,341 $179 $277 $145 $757 $79 $392 $181

New England 6,409 2,340 1,426 211 347 211 859 80 622 314
Connecticut 6,344 2,012 1,475 245 382 203 929 91 776 232
Maine 6,540 2,310 1,579 232 276 132 800 70 480 661
Massachusetts 6,683 2,620 1,416 200 354 271 849 78 641 254
New Hampshire 5,432 1,941 1,354 176 363 130 741 90 422 215
Rhode Island 6,193 2,259 1,228 178 272 107 988 57 570 533
Vermont 6,069 2,329 1,408 212 319 152 715 72 378 483

Mideast 6,151 2,223 1,374 200 287 204 905 91 602 265
Delaware 6,306 2,313 1,482 253 337 113 928 95 493 292
District of Columbia 8,295 4,081 1,767 170 315 134 594 102 780 351
Maryland 5,590 2,081 1,421 186 280 92 827 91 436 176
New Jersey 5,807 1,962 1,414 221 335 164 959 111 491 150
New York 6,535 2,362 1,329 186 282 312 919 87 693 365
Pennsylvania 5,933 2,158 1,369 211 258 123 896 83 611 225

Great Lakes 5,394 2,070 1,313 187 279 114 758 77 445 151
Illinois 5,293 2,029 1,336 186 274 100 716 78 407 167
Indiana 5,295 2,051 1,264 161 258 82 796 76 461 146
Michigan 5,058 2,002 1,165 188 312 131 772 77 316 95
Ohio 5,725 2,166 1,337 199 253 133 803 77 596 162
Wisconsin 5,670 2,114 1,535 187 308 117 697 76 437 198

Plains 5,538 2,111 1,345 181 267 104 736 88 469 237
Iowa 5,380 2,092 1,259 188 249 105 684 88 549 165
Kansas 5,382 1,883 1,513 182 264 88 693 78 406 274
Minnesota 5,795 1,965 1,523 197 329 133 714 89 465 380
Missouri 5,444 2,259 1,198 167 232 123 811 74 431 150
Nebraska 5,599 2,254 1,309 174 242 45 737 149 492 195
North Dakota 5,808 2,411 1,200 162 274 28 845 86 608 196
South Dakota 5,327 2,276 1,195 176 253 26 572 77 527 224

Southeast 5,172 1,861 1,341 167 241 134 847 74 349 159
Alabama 5,135 1,757 1,372 151 216 146 939 70 326 157
Arkansas 4,863 1,854 1,207 168 219 118 705 60 378 153
Florida 5,483 1,813 1,522 203 259 166 895 91 374 159
Georgia 4,600 1,635 1,257 140 253 98 727 69 254 167
Kentucky 5,473 2,001 1,388 192 212 128 946 68 369 170
Louisiana 5,040 2,034 1,173 157 174 139 798 60 360 146
Mississippi 5,059 2,119 1,113 121 175 167 763 60 378 163
North Carolina 5,191 1,910 1,201 157 264 166 873 61 393 166
South Carolina 5,114 1,982 1,309 127 239 101 803 66 295 192
Tennessee 5,464 1,826 1,541 176 243 125 983 73 376 122
Virginia 4,822 1,788 1,234 150 273 81 756 84 328 127
West Virginia 5,954 2,447 1,350 199 212 109 898 71 395 273

Southwest 4,542 1,703 1,242 148 222 154 619 74 242 138
Arizona 4,103 1,479 1,193 162 254 114 588 74 178 62
New Mexico 4,471 1,744 1,013 169 224 237 593 74 196 221
Oklahoma 4,917 1,890 1,222 159 239 132 702 68 329 177
Texas 4,601 1,728 1,278 141 211 160 616 74 249 144

Rocky Mountains 4,557 1,669 1,225 189 315 86 566 86 248 174
Colorado 4,717 1,658 1,386 204 334 80 510 96 256 193
Idaho 4,444 1,648 1,051 217 336 82 598 72 259 180
Montana 5,080 2,099 1,249 186 269 96 539 92 348 203
Utah 3,972 1,432 988 137 297 101 658 71 177 111
Wyoming 5,265 2,165 1,326 231 265 55 597 92 297 237

Far West 4,740 1,643 1,398 181 335 140 597 74 238 134
Alaska 6,450 2,594 1,858 249 366 98 636 93 122 435
California 4,638 1,613 1,379 172 324 154 580 71 235 109
Hawaii 4,941 1,834 1,260 178 303 84 734 94 233 220
Nevada 4,569 1,483 1,451 159 291 99 766 90 146 83
Oregon 4,880 1,671 1,433 199 354 56 569 78 250 271
Washington 5,092 1,725 1,451 220 404 133 611 78 300 172
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
1
Net Flow Ratios of Total Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Home Drugs and Durable Nursing Other


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Medical Home Personal
2 2
Residence Total Care Services Services Services Care Nondurables Products Care Health Care

United States 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

New England 99.3% 99.0% 98.9% 99.9% 99.6% 99.8% 100.0% 100.0% 99.1% 100.0%
Connecticut 100.5% 101.9% 99.6% 101.0% 100.5% 100.6% 100.0% 100.7% 99.2% 100.0%
Maine 102.2% 102.7% 103.7% 101.0% 103.8% 101.1% 100.0% 103.4% 101.4% 100.0%
Massachusetts 97.5% 96.4% 96.5% 98.3% 98.1% 99.0% 100.0% 98.9% 98.7% 100.0%
New Hampshire 100.6% 99.7% 101.7% 102.9% 99.4% 105.0% 100.0% 98.5% 101.4% 100.0%
Rhode Island 98.4% 96.7% 98.7% 99.5% 100.0% 99.9% 100.0% 101.8% 98.0% 100.0%
Vermont 105.9% 112.8% 105.4% 100.4% 103.1% 97.2% 100.0% 104.6% 98.4% 100.0%

Mideast 100.1% 99.9% 100.3% 100.5% 100.5% 100.5% 100.0% 100.1% 100.1% 100.0%
Delaware 103.2% 104.7% 104.1% 104.1% 105.6% 94.9% 100.0% 105.4% 101.4% 100.0%
District of Columbia 76.5% 64.5% 79.8% 106.7% 94.4% 109.4% 100.0% 92.4% 123.3% 100.0%
Maryland 101.3% 106.0% 99.0% 96.9% 97.9% 102.6% 100.0% 98.1% 95.1% 100.0%
New Jersey 104.2% 108.4% 105.0% 102.3% 102.0% 100.4% 100.0% 100.9% 100.1% 100.0%
New York 100.2% 99.7% 100.2% 101.9% 101.6% 100.3% 100.0% 100.9% 100.8% 100.0%
Pennsylvania 98.6% 97.1% 99.2% 98.3% 98.7% 100.6% 100.0% 99.0% 99.6% 100.0%

Great Lakes 101.6% 101.9% 102.9% 101.2% 101.3% 100.7% 100.0% 101.1% 100.1% 100.0%
Illinois 103.7% 105.1% 105.6% 102.1% 102.6% 101.8% 100.0% 101.9% 100.7% 100.0%
Indiana 99.5% 99.1% 99.2% 101.1% 100.3% 101.0% 100.0% 100.2% 99.3% 100.0%
Michigan 102.8% 103.1% 105.4% 101.8% 101.7% 101.4% 100.0% 101.7% 101.8% 100.0%
Ohio 99.8% 99.5% 100.6% 100.0% 100.1% 99.0% 100.0% 100.0% 99.2% 100.0%
Wisconsin 101.1% 101.1% 101.9% 101.4% 101.5% 100.8% 100.0% 101.7% 99.7% 100.0%

Plains 98.6% 97.9% 97.9% 99.8% 100.1% 100.0% 100.0% 99.7% 99.2% 100.0%
Iowa 105.4% 106.7% 110.6% 103.6% 106.1% 101.2% 100.0% 104.6% 99.9% 100.0%
Kansas 103.4% 104.9% 106.0% 102.3% 102.7% 105.6% 100.0% 102.4% 96.8% 100.0%
Minnesota 95.8% 95.4% 90.8% 99.4% 98.4% 100.5% 100.0% 98.7% 99.7% 100.0%
Missouri 97.0% 95.5% 95.8% 98.2% 98.6% 97.2% 100.0% 99.2% 100.1% 100.0%
Nebraska 99.2% 97.7% 101.1% 100.1% 101.2% 101.5% 100.0% 97.4% 98.8% 100.0%
North Dakota 92.7% 89.4% 91.3% 91.5% 93.9% 93.8% 100.0% 93.0% 97.7% 100.0%
South Dakota 95.8% 92.6% 97.9% 95.6% 98.0% 103.1% 100.0% 98.8% 97.9% 100.0%

Southeast 100.3% 100.6% 100.1% 99.8% 100.3% 99.6% 100.0% 100.4% 100.4% 100.0%
Alabama 101.4% 101.6% 102.0% 101.9% 102.4% 100.8% 100.0% 101.6% 101.5% 100.0%
Arkansas 104.6% 105.4% 109.3% 101.2% 102.5% 100.8% 100.0% 103.7% 101.0% 100.0%
Florida 100.1% 101.0% 99.8% 98.1% 99.2% 98.8% 100.0% 99.5% 99.8% 100.0%
Georgia 99.0% 99.2% 98.0% 98.9% 98.3% 99.1% 100.0% 98.7% 100.6% 100.0%
Kentucky 100.7% 100.7% 100.9% 99.7% 101.5% 102.2% 100.0% 101.0% 101.1% 100.0%
Louisiana 99.3% 98.5% 99.3% 100.1% 100.4% 100.1% 100.0% 100.7% 100.3% 100.0%
Mississippi 104.9% 105.5% 111.1% 103.6% 103.3% 101.3% 100.0% 102.5% 100.7% 100.0%
North Carolina 99.3% 98.4% 100.1% 99.6% 99.7% 98.2% 100.0% 100.7% 99.7% 100.0%
South Carolina 103.6% 104.7% 104.9% 104.3% 103.4% 105.6% 100.0% 102.6% 102.4% 100.0%
Tennessee 95.1% 93.2% 92.2% 97.1% 97.9% 97.7% 100.0% 98.3% 99.0% 100.0%
Virginia 100.7% 101.9% 99.8% 101.7% 100.6% 99.3% 100.0% 100.3% 99.9% 100.0%
West Virginia 106.5% 108.8% 107.8% 107.1% 114.8% 102.7% 100.0% 111.1% 104.8% 100.0%

Southwest 99.1% 99.2% 98.4% 99.7% 98.4% 99.2% 100.0% 98.6% 99.8% 100.0%
Arizona 97.2% 99.1% 93.7% 101.1% 94.5% 96.4% 100.0% 95.6% 96.9% 100.0%
New Mexico 106.3% 107.8% 113.3% 103.0% 103.5% 101.0% 100.0% 102.5% 102.1% 100.0%
Oklahoma 104.4% 105.4% 108.3% 103.4% 103.7% 99.6% 100.0% 103.2% 100.1% 100.0%
Texas 98.2% 97.6% 97.3% 98.3% 98.3% 99.4% 100.0% 98.4% 100.2% 100.0%

Rocky Mountains 100.2% 100.0% 101.0% 99.3% 100.0% 100.1% 100.0% 100.0% 99.7% 100.0%
Colorado 97.2% 96.2% 96.6% 97.1% 97.4% 100.6% 100.0% 97.9% 98.8% 100.0%
Idaho 109.7% 114.4% 116.3% 103.7% 107.6% 101.7% 100.0% 106.9% 100.5% 100.0%
Montana 102.3% 101.7% 104.7% 103.0% 105.3% 101.4% 100.0% 102.5% 100.5% 100.0%
Utah 96.6% 93.7% 97.5% 97.1% 97.0% 97.5% 100.0% 98.2% 99.0% 100.0%
Wyoming 117.2% 123.4% 127.4% 107.8% 116.2% 106.4% 100.0% 110.3% 104.7% 100.0%

Far West 99.4% 99.2% 99.1% 99.1% 99.0% 100.0% 100.0% 99.3% 100.2% 100.0%
Alaska 101.6% 102.1% 102.0% 99.0% 100.5% 101.5% 100.0% 99.7% 110.4% 100.0%
California 99.4% 99.3% 99.1% 99.1% 99.1% 100.0% 100.0% 99.4% 100.2% 100.0%
Hawaii 99.2% 98.8% 99.6% 97.3% 97.4% 99.4% 100.0% 96.8% 100.2% 100.0%
Nevada 97.9% 96.9% 97.5% 97.1% 96.1% 99.8% 100.0% 96.1% 104.5% 100.0%
Oregon 100.0% 100.0% 99.7% 100.0% 100.2% 103.1% 100.0% 100.9% 99.7% 100.0%
Washington 99.0% 98.3% 98.9% 99.3% 99.1% 99.6% 100.0% 99.7% 99.7% 100.0%
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Expenditures by State of residence divided by expenditures by State of provider. Ratios greater than 100% mean that
residents consume more health care than the state produces; ratios less than 100% mean that the state produces more
health care than it's residents consume. For Drugs and Other Medical Nondurables and Other Personal Health Care,
no adjustments were made between state-of-provider and state-of-residence (net flow ratios are 100% for all states).
2
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
Medicare Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Drugs and Durable


Region and State of Hospital Physician & Clinical Other Professional Dental Home Other Medical Medical Nursing
1 1
Residence Total Care Services Services Services Health Care Nondurables Products Home Care
($ in millions)
United States $303,417 $166,749 $81,487 $10,077 $74 $16,145 $5,248 $6,519 $17,119

New England 16,539 9,537 3,605 644 4 943 149 261 1,396
Connecticut 4,294 2,295 1,050 162 0 243 39 61 442
Maine 1,390 847 280 56 0 73 18 26 89
Massachusetts 7,913 4,689 1,616 308 3 446 66 121 665
New Hampshire 1,176 708 236 41 0 76 12 19 83
Rhode Island 1,197 641 323 56 0 59 8 23 87
Vermont 569 357 101 21 0 45 5 10 29

Mideast 56,690 32,209 15,085 2,143 16 2,212 670 900 3,454


Delaware 949 549 249 29 0 44 12 16 48
District of Columbia 674 420 165 13 0 23 7 9 37
Maryland 5,847 3,540 1,478 134 1 203 62 98 330
New Jersey 10,436 5,723 3,050 329 2 367 101 132 731
New York 22,845 12,896 6,037 1,084 7 849 281 353 1,338
Pennsylvania 15,940 9,081 4,106 554 7 726 206 291 969

Great Lakes 48,294 27,759 11,867 1,380 6 2,245 713 1,021 3,302
Illinois 12,754 7,379 3,146 340 2 611 164 245 868
Indiana 6,202 3,546 1,510 154 1 253 106 153 479
Michigan 11,517 6,691 2,833 341 1 617 151 243 640
Ohio 12,775 7,113 3,223 392 3 573 221 291 959
Wisconsin 5,046 3,031 1,154 152 1 190 71 89 357

Plains 19,247 11,781 4,546 586 4 685 309 409 927


Iowa 2,801 1,769 648 91 0 97 51 57 88
Kansas 2,742 1,681 656 90 0 115 42 63 93
Minnesota 4,418 2,662 1,024 137 2 146 68 73 307
Missouri 6,299 3,707 1,559 176 1 267 98 158 332
Nebraska 1,691 1,078 388 50 0 40 27 36 71
North Dakota 603 412 123 22 0 9 11 9 16
South Dakota 694 470 148 21 0 10 12 13 20

Southeast 81,481 43,297 22,587 2,566 18 5,033 1,678 2,044 4,259


Alabama 5,315 2,836 1,416 144 1 427 103 128 261
Arkansas 3,005 1,819 731 90 0 113 60 86 107
Florida 25,219 11,515 8,324 842 12 1,760 662 612 1,492
Georgia 7,006 3,897 1,947 169 1 411 115 176 291
Kentucky 4,495 2,642 1,085 144 0 201 81 105 237
Louisiana 5,441 2,989 1,199 308 1 480 105 153 207
Mississippi 3,407 1,924 817 64 0 311 77 92 122
North Carolina 8,441 4,764 2,191 244 1 414 142 202 484
South Carolina 4,314 2,466 1,142 116 0 203 79 107 201
Tennessee 6,272 3,458 1,593 211 1 381 105 161 361
Virginia 6,158 3,475 1,622 155 0 252 102 154 398
West Virginia 2,407 1,513 521 79 0 80 46 69 99

Southwest 30,697 16,174 8,290 1,005 5 2,548 522 824 1,328


Arizona 5,008 2,513 1,535 248 2 306 92 108 204
New Mexico 1,451 793 375 46 0 105 20 50 61
Oklahoma 3,924 2,192 957 97 0 393 70 90 126
Texas 20,314 10,677 5,423 614 2 1,744 340 576 937

Rocky Mountains 7,020 3,857 1,798 224 2 435 119 222 363
Colorado 3,332 1,739 963 104 2 190 63 99 173
Idaho 1,058 618 246 36 0 51 18 31 59
Montana 819 522 183 27 0 25 13 23 25
Utah 1,391 719 318 42 0 156 18 51 87
Wyoming 420 260 89 14 0 13 8 17 19

Far West 43,449 22,135 13,709 1,528 19 2,044 1,088 837 2,090
Alaska 356 234 84 16 0 5 4 9 4
California 31,865 15,769 10,421 1,087 14 1,584 903 577 1,509
Hawaii 1,014 578 317 32 1 26 16 14 30
Nevada 2,078 1,022 643 85 1 127 51 56 93
Oregon 3,207 1,798 882 118 1 125 50 81 152
Washington 4,929 2,734 1,362 189 2 178 64 99 301
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
Medicare Per Enrollee Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Home Drugs and Durable Nursing


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Medical Home
1 1
Residence Total Care Services Services Services Care Nondurables Products Care

United States $7,439 $4,089 $1,998 $247 $2 $396 $129 $160 $420

New England 7,592 4,378 1,655 296 2 433 68 120 641


Connecticut 8,185 4,375 2,002 309 1 463 75 117 843
Maine 6,015 3,664 1,211 242 0 318 78 114 387
Massachusetts 8,168 4,840 1,668 318 3 460 68 125 687
New Hampshire 6,302 3,795 1,264 220 0 410 65 101 447
Rhode Island 6,925 3,705 1,865 322 2 344 48 133 504
Vermont 6,028 3,783 1,073 227 0 474 56 110 305

Mideast 8,092 4,597 2,153 306 2 316 96 128 493


Delaware 7,726 4,468 2,030 237 1 359 101 134 394
District of Columbia 9,154 5,706 2,243 170 1 310 101 123 499
Maryland 8,535 5,167 2,158 196 1 296 91 143 482
New Jersey 8,512 4,668 2,487 269 1 300 83 108 596
New York 8,221 4,641 2,172 390 2 305 101 127 482
Pennsylvania 7,520 4,285 1,937 261 3 342 97 137 457

Great Lakes 7,333 4,215 1,802 210 1 341 108 155 501
Illinois 7,604 4,399 1,876 203 1 365 98 146 517
Indiana 6,973 3,987 1,698 173 1 285 119 172 538
Michigan 7,860 4,567 1,933 233 1 421 103 166 437
Ohio 7,343 4,088 1,853 225 2 330 127 167 551
Wisconsin 6,198 3,723 1,418 187 1 234 88 110 438

Plains 6,522 3,992 1,540 199 1 232 105 139 314


Iowa 5,767 3,643 1,333 187 1 200 105 116 181
Kansas 6,903 4,232 1,653 227 1 290 107 159 234
Minnesota 6,435 3,878 1,491 199 3 212 99 106 447
Missouri 7,029 4,137 1,740 197 1 298 110 177 370
Nebraska 6,532 4,165 1,500 192 0 154 103 140 276
North Dakota 5,823 3,981 1,192 211 0 90 108 87 153
South Dakota 5,640 3,825 1,199 169 0 82 95 105 164

Southeast 7,429 3,948 2,059 234 2 459 153 186 388


Alabama 7,250 3,868 1,932 197 1 583 140 175 355
Arkansas 6,529 3,951 1,587 196 0 246 130 186 233
Florida 8,462 3,864 2,793 282 4 591 222 205 500
Georgia 7,044 3,918 1,957 170 1 413 116 177 293
Kentucky 6,808 4,002 1,643 218 1 304 122 160 358
Louisiana 8,659 4,757 1,908 490 1 765 167 244 329
Mississippi 7,644 4,316 1,833 143 0 697 173 206 275
North Carolina 6,841 3,861 1,775 198 1 335 115 163 392
South Carolina 6,919 3,955 1,831 187 0 326 127 171 323
Tennessee 7,041 3,883 1,789 236 1 428 118 181 405
Virginia 6,373 3,596 1,679 160 1 261 106 160 412
West Virginia 6,861 4,311 1,484 226 1 227 132 197 283

Southwest 7,694 4,054 2,078 252 1 639 131 206 333


Arizona 6,642 3,333 2,036 329 3 406 122 143 270
New Mexico 5,652 3,088 1,462 179 1 410 78 196 238
Oklahoma 7,415 4,142 1,808 184 1 742 132 169 238
Texas 8,292 4,358 2,213 251 1 712 139 235 383

Rocky Mountains 6,210 3,412 1,591 198 2 384 106 196 321
Colorado 6,590 3,439 1,904 206 4 375 124 195 342
Idaho 5,764 3,366 1,340 196 1 277 96 169 319
Montana 5,650 3,599 1,259 189 0 176 91 162 174
Utah 6,142 3,173 1,405 184 1 688 78 227 386
Wyoming 6,019 3,726 1,277 207 0 180 114 248 266

Far West 7,271 3,704 2,294 256 3 342 182 140 350
Alaska 7,128 4,679 1,680 313 0 103 79 184 89
California 7,693 3,807 2,516 263 3 382 218 139 364
Hawaii 5,708 3,254 1,785 182 3 145 92 80 167
Nevada 7,248 3,563 2,242 298 3 444 177 196 325
Oregon 6,116 3,429 1,681 224 3 238 95 155 291
Washington 6,200 3,439 1,713 238 2 224 80 125 379
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
1
Net Flow Ratios of Medicare Personal Health Care Expenditures by Type of Service, Region,
and State of Residence: Calendar Year 2004

Home Drugs and Durable Nursing


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Medical Home
2 2
Residence Total Care Services Services Services Care Nondurables Products Care

United States 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

New England 99.4% 99.0% 100.4% 99.6% 100.0% 99.9% 100.0% 100.0% 98.8%
Connecticut 100.7% 101.4% 100.5% 100.7% 100.0% 100.1% 100.0% 100.0% 98.3%
Maine 103.2% 103.1% 105.2% 101.0% 100.0% 101.2% 100.0% 100.0% 102.6%
Massachusetts 97.1% 96.2% 98.2% 98.1% 100.0% 99.2% 100.0% 100.0% 98.3%
New Hampshire 101.4% 98.9% 107.6% 104.2% 100.0% 105.1% 100.0% 100.0% 101.8%
Rhode Island 98.7% 98.5% 98.7% 99.8% 100.0% 99.6% 100.0% 100.0% 98.2%
Vermont 111.4% 116.3% 110.1% 100.9% 100.0% 95.8% 100.0% 100.0% 102.3%

Mideast 100.1% 99.9% 100.3% 100.5% 100.0% 101.7% 100.0% 100.0% 100.5%
Delaware 104.9% 107.3% 102.5% 105.0% 100.0% 94.3% 100.0% 100.0% 103.5%
District of Columbia 72.4% 62.8% 84.9% 116.8% 100.0% 112.9% 100.0% 100.0% 189.7%
Maryland 100.2% 101.5% 98.6% 98.0% 100.0% 102.3% 100.0% 100.0% 94.2%
New Jersey 105.5% 108.1% 103.4% 102.8% 100.0% 102.5% 100.0% 100.0% 99.4%
New York 100.1% 99.7% 100.3% 100.8% 100.0% 102.4% 100.0% 100.0% 101.8%
Pennsylvania 98.1% 97.1% 99.3% 98.7% 100.0% 100.4% 100.0% 100.0% 99.8%

Great Lakes 102.0% 102.4% 102.4% 101.6% 100.0% 101.1% 100.0% 100.0% 99.8%
Illinois 105.0% 106.1% 105.3% 103.0% 100.0% 102.3% 100.0% 100.0% 100.5%
Indiana 99.2% 99.3% 98.2% 101.4% 100.0% 101.7% 100.0% 100.0% 98.6%
Michigan 102.7% 102.8% 103.6% 101.8% 100.0% 101.3% 100.0% 100.0% 102.1%
Ohio 100.0% 99.9% 100.9% 100.5% 100.0% 99.3% 100.0% 100.0% 98.4%
Wisconsin 101.9% 102.2% 102.2% 101.5% 100.0% 101.1% 100.0% 100.0% 99.3%

Plains 98.1% 97.4% 98.6% 100.1% 100.0% 99.8% 100.0% 100.0% 99.8%
Iowa 106.0% 106.9% 106.0% 103.0% 100.0% 101.1% 100.0% 100.0% 104.2%
Kansas 104.4% 104.2% 105.2% 101.4% 100.0% 116.2% 100.0% 100.0% 99.0%
Minnesota 96.6% 95.4% 97.0% 101.8% 100.0% 102.1% 100.0% 100.0% 98.9%
Missouri 95.4% 94.5% 95.9% 98.7% 100.0% 92.9% 100.0% 100.0% 99.3%
Nebraska 97.5% 96.5% 99.1% 100.0% 100.0% 100.7% 100.0% 100.0% 99.1%
North Dakota 87.3% 86.4% 86.2% 88.9% 100.0% 87.0% 100.0% 100.0% 107.5%
South Dakota 92.2% 91.5% 91.0% 96.7% 100.0% 100.0% 100.0% 100.0% 102.3%

Southeast 99.8% 100.1% 99.3% 99.6% 100.0% 99.3% 100.0% 100.0% 100.2%
Alabama 101.3% 101.5% 101.0% 101.1% 100.0% 100.9% 100.0% 100.0% 102.4%
Arkansas 104.1% 104.6% 104.2% 100.9% 100.0% 103.1% 100.0% 100.0% 103.7%
Florida 98.8% 99.9% 97.5% 98.2% 100.0% 97.7% 100.0% 100.0% 98.9%
Georgia 99.3% 99.1% 99.0% 100.2% 100.0% 99.2% 100.0% 100.0% 102.1%
Kentucky 100.4% 100.0% 101.0% 99.4% 100.0% 101.5% 100.0% 100.0% 102.5%
Louisiana 98.6% 97.4% 100.1% 99.8% 100.0% 99.6% 100.0% 100.0% 99.8%
Mississippi 105.9% 107.1% 107.1% 104.3% 100.0% 100.6% 100.0% 100.0% 102.2%
North Carolina 98.7% 98.2% 99.5% 99.4% 100.0% 98.5% 100.0% 100.0% 99.5%
South Carolina 104.7% 105.6% 104.3% 102.3% 100.0% 104.0% 100.0% 100.0% 103.1%
Tennessee 92.8% 91.2% 92.7% 96.8% 100.0% 97.5% 100.0% 100.0% 97.7%
Virginia 102.3% 103.1% 102.0% 102.9% 100.0% 100.4% 100.0% 100.0% 99.8%
West Virginia 106.1% 106.8% 105.7% 102.3% 100.0% 104.4% 100.0% 100.0% 109.5%

Southwest 99.0% 99.1% 98.6% 98.2% 100.0% 99.1% 100.0% 100.0% 99.9%
Arizona 96.8% 97.0% 95.5% 96.3% 100.0% 98.0% 100.0% 100.0% 99.9%
New Mexico 109.1% 111.4% 110.0% 103.4% 100.0% 102.5% 100.0% 100.0% 103.1%
Oklahoma 105.0% 106.1% 106.4% 104.1% 100.0% 99.0% 100.0% 100.0% 101.3%
Texas 97.8% 97.4% 97.5% 97.8% 100.0% 99.2% 100.0% 100.0% 99.6%

Rocky Mountains 101.0% 101.1% 101.6% 101.7% 100.0% 99.5% 100.0% 100.0% 99.3%
Colorado 98.4% 97.4% 99.3% 100.2% 100.0% 100.0% 100.0% 100.0% 99.1%
Idaho 110.4% 113.9% 109.5% 107.0% 100.0% 102.2% 100.0% 100.0% 99.0%
Montana 102.0% 101.6% 103.1% 103.0% 100.0% 103.3% 100.0% 100.0% 104.9%
Utah 95.2% 93.5% 96.3% 97.9% 100.0% 97.0% 100.0% 100.0% 97.0%
Wyoming 122.5% 126.4% 128.3% 109.2% 100.0% 107.5% 100.0% 100.0% 107.2%

Far West 99.7% 99.4% 99.8% 99.7% 100.0% 100.2% 100.0% 100.0% 100.2%
Alaska 109.6% 109.9% 109.6% 101.5% 100.0% 118.0% 100.0% 100.0% 158.5%
California 99.7% 99.6% 99.7% 99.7% 100.0% 99.9% 100.0% 100.0% 100.0%
Hawaii 100.0% 99.7% 100.2% 99.3% 100.0% 103.0% 100.0% 100.0% 103.0%
Nevada 97.7% 96.5% 98.4% 98.5% 100.0% 99.5% 100.0% 100.0% 102.0%
Oregon 100.4% 100.2% 100.6% 101.3% 100.0% 100.1% 100.0% 100.0% 101.0%
Washington 99.1% 98.4% 99.9% 99.4% 100.0% 102.6% 100.0% 100.0% 99.5%
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Expenditures by State of residence divided by expenditures by State of provider. Ratios greater than 100% mean that
residents consume more health care than the state produces; ratios less than 100% mean that the state produces more
health care than it's residents consume. For Dental Services, Drugs and Other Medical Nondurables and Other Personal Health Care,
no adjustments were made between state-of-provider and state-of-residence (net flow ratios are 100% for all states).
2
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
Medicaid Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Home Drugs and Other


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Nursing Personal
1 1
Residence Total Care Services Services Services Care Nondurables Home Care Health Care
($ in millions)
United States $269,892 $96,814 $27,840 $3,114 $4,041 $13,614 $36,289 $51,496 $36,684

New England 17,376 5,724 1,415 208 175 1,105 1,692 3,433 3,624
Connecticut 3,759 920 184 158 7 343 356 1,172 619
Maine 2,030 515 201 8 19 45 195 256 791
Massachusetts 8,282 3,280 755 13 100 673 721 1,526 1,214
New Hampshire 1,038 345 150 10 12 11 94 192 223
Rhode Island 1,502 495 40 2 22 11 199 224 509
Vermont 764 168 86 16 15 21 127 63 268

Mideast 66,477 22,138 4,557 379 487 4,377 9,250 16,067 9,221
Delaware 742 214 70 3 12 31 94 153 164
District of Columbia 1,122 476 212 2 1 44 118 235 35
Maryland 4,349 1,580 504 15 1 230 649 708 661
New Jersey 7,346 2,742 409 27 28 338 1,110 1,915 775
New York 40,077 13,705 2,532 220 351 3,572 4,837 9,345 5,515
Pennsylvania 12,842 3,421 830 111 95 162 2,442 3,711 2,071

Great Lakes 37,263 13,264 3,230 476 566 1,187 4,868 9,201 4,471
Illinois 10,118 4,371 586 59 72 59 1,271 2,305 1,395
Indiana 4,763 1,549 413 92 140 83 642 1,225 618
Michigan 7,029 2,863 939 6 175 490 822 1,262 473
Ohio 11,086 3,533 860 171 132 217 1,607 3,412 1,155
Wisconsin 4,267 948 432 149 48 338 525 997 831

Plains 17,588 5,810 1,401 310 200 711 2,329 3,147 3,679
Iowa 2,319 720 203 73 45 52 293 582 352
Kansas 1,742 431 114 7 24 38 245 242 640
Minnesota 5,219 1,178 345 195 45 351 573 853 1,679
Missouri 5,867 2,689 442 17 48 248 901 965 557
Nebraska 1,387 438 165 13 28 17 207 275 245
North Dakota 499 162 43 2 6 3 46 149 88
South Dakota 555 193 89 3 4 2 65 81 118

Southeast 62,062 22,461 8,905 262 971 1,360 9,805 10,979 7,320
Alabama 3,164 893 628 19 57 84 461 594 429
Arkansas 2,521 803 549 9 21 55 322 459 302
Florida 11,763 4,151 1,417 14 99 415 1,775 2,140 1,752
Georgia 8,683 4,369 1,116 78 184 119 919 1,115 782
Kentucky 3,964 1,471 631 31 62 110 613 579 467
Louisiana 4,692 1,763 523 - 38 54 736 1,132 448
Mississippi 3,289 1,324 433 5 8 31 523 650 316
North Carolina 8,096 2,340 1,391 27 184 379 1,258 1,518 998
South Carolina 3,716 1,254 701 14 72 16 517 616 527
Tennessee 6,506 2,184 925 25 183 33 1,653 1,047 456
Virginia 3,771 1,307 357 20 23 22 713 835 494
West Virginia 1,895 602 234 20 39 44 316 293 348

Southwest 24,418 10,102 2,899 1,094 523 1,224 2,271 3,351 2,955
Arizona 4,355 2,730 991 459 8 51 41 17 57
New Mexico 2,034 783 160 122 23 293 205 160 288
Oklahoma 2,508 789 332 8 45 35 352 489 459
Texas 15,521 5,799 1,416 506 447 844 1,672 2,685 2,151

Rocky Mountains 5,696 1,862 938 40 108 182 663 849 1,054
Colorado 2,478 853 385 - 50 117 271 361 440
Idaho 958 237 159 16 23 24 121 170 208
Montana 647 245 64 15 7 17 78 88 132
Utah 1,241 419 273 6 21 20 153 169 180
Wyoming 371 108 57 3 6 4 40 60 93

Far West 39,012 15,454 4,495 346 1,011 3,467 5,411 4,469 4,360
Alaska 865 317 165 5 18 33 89 62 178
California 28,957 12,034 3,173 120 780 3,100 4,022 3,361 2,366
Hawaii 842 315 136 10 36 3 114 99 128
Nevada 978 406 115 14 15 59 125 145 100
Oregon 2,427 755 353 12 2 24 290 173 818
Washington 4,943 1,628 553 185 160 248 770 628 771
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.
Medicaid Per Enrollee Personal Health Care Expenditures by Type of Service, Region, and State of Residence: Calendar Year 2004

Home Drugs and Nursing Other


Region and State of Hospital Physician & Clinical Other Professional Dental Health Other Medical Home Personal
1 1
Residence Total Care Services Services Services Care Nondurables Care Health Care

United States $6,119 $2,195 $631 $71 $92 $309 $823 $1,168 $832

New England 8,790 2,896 716 105 88 559 856 1,737 1,833
Connecticut 8,643 2,116 422 364 16 788 820 2,694 1,423
Maine 8,237 2,089 815 33 78 183 789 1,040 3,210
Massachusetts 9,150 3,624 834 14 110 744 797 1,686 1,341
New Hampshire 9,997 3,322 1,443 101 114 108 908 1,853 2,148
Rhode Island 9,479 3,126 251 13 139 72 1,255 1,411 3,212
Vermont 5,977 1,314 672 128 117 166 990 493 2,098

Mideast 9,366 3,119 642 53 69 617 1,303 2,264 1,299


Delaware 5,616 1,621 532 24 92 237 709 1,161 1,239
District of Columbia 8,317 3,525 1,572 15 8 324 873 1,739 263
Maryland 7,229 2,627 837 25 1 382 1,079 1,177 1,099
New Jersey 10,199 3,808 568 38 39 469 1,542 2,659 1,076
New York 10,173 3,479 643 56 89 907 1,228 2,372 1,400
Pennsylvania 8,181 2,179 529 71 60 103 1,556 2,364 1,319

Great Lakes 6,121 2,179 531 78 93 195 800 1,511 734


Illinois 5,576 2,409 323 32 40 33 701 1,270 769
Indiana 6,569 2,137 570 126 193 115 886 1,690 853
Michigan 5,213 2,123 696 4 129 363 610 936 351
Ohio 7,439 2,370 577 115 89 146 1,078 2,289 775
Wisconsin 6,010 1,335 608 210 68 475 740 1,404 1,170

Plains 7,444 2,459 593 131 85 301 986 1,332 1,557


Iowa 7,877 2,445 688 246 154 177 994 1,978 1,194
Kansas 6,780 1,678 446 27 94 148 954 940 2,492
Minnesota 9,191 2,074 608 343 80 618 1,009 1,502 2,957
Missouri 6,370 2,919 480 18 52 270 978 1,048 605
Nebraska 7,684 2,425 912 73 153 94 1,144 1,525 1,356
North Dakota 9,456 3,063 809 47 115 53 870 2,825 1,674
South Dakota 6,235 2,167 1,004 30 45 26 731 909 1,323

Southeast 5,524 1,999 793 23 86 121 873 977 651


Alabama 4,089 1,154 812 25 74 108 595 767 554
Arkansas 4,305 1,371 938 16 37 93 550 784 516
Florida 5,486 1,936 661 7 46 193 828 998 817
Georgia 6,551 3,296 842 59 139 90 694 841 590
Kentucky 6,200 2,301 986 48 97 171 958 906 731
Louisiana 5,562 2,089 620 - 45 64 872 1,342 530
Mississippi 5,081 2,045 668 7 12 49 807 1,004 489
North Carolina 6,735 1,947 1,158 22 153 315 1,047 1,263 830
South Carolina 4,680 1,579 882 18 90 20 652 776 663
Tennessee 4,820 1,618 686 19 136 24 1,225 776 338
Virginia 5,971 2,070 565 31 37 35 1,129 1,323 782
West Virginia 6,342 2,016 782 66 130 146 1,056 979 1,165

Southwest 5,111 2,114 607 229 110 256 475 701 618
Arizona 4,287 2,688 976 452 8 51 41 16 56
New Mexico 4,944 1,904 389 296 55 713 498 390 699
Oklahoma 5,208 1,639 688 16 94 73 731 1,015 952
Texas 5,410 2,021 494 176 156 294 583 936 750

Rocky Mountains 6,413 2,096 1,056 45 121 205 747 956 1,187
Colorado 6,426 2,213 998 - 130 305 702 937 1,141
Idaho 6,018 1,490 999 98 145 152 762 1,067 1,305
Montana 7,665 2,899 762 178 84 204 924 1,047 1,568
Utah 6,191 2,087 1,360 30 106 98 765 844 900
Wyoming 6,348 1,847 974 56 105 62 678 1,033 1,593

Far West 4,031 1,597 464 36 104 358 559 462 451
Alaska 10,417 3,817 1,984 60 211 396 1,066 743 2,141
California 3,664 1,523 402 15 99 392 509 425 299
Hawaii 4,974 1,864 802 61 210 18 676 587 756
Nevada 5,340 2,214 628 76 83 320 684 791 544
Oregon 5,880 1,828 856 29 5 59 704 419 1,981
Washington 5,339 1,758 597 200 172 267 832 679 833
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1
Includes services provided by freestanding facilities only. Additional hospital-based service expenditures
of this type are included with hospital services.