Table B.2a. Medicare beneficiary prevalence* for chronic conditions**
using fee-for-service (FFS) claims, 2010–2019 |
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Prev = prevalence |
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Totals |
2019 numerator |
2019 |
2018 numerator |
2018 |
2017 numerator |
2017 |
2016 numerator |
2016 |
2015 numerator |
2015 |
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Total
denominator† |
31,860,990 |
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32,184,841 |
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32,483,529 |
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32607998 |
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32,179,757 |
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Denominator
— males only▲ |
14,448,754 |
45.30% |
14,557,985 |
45.20% |
14,663,165 |
45.10% |
14680123 |
45.00% |
14,465,415 |
45.00% |
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Denominator
— females only‡ |
17,412,231 |
54.70% |
17,626,850 |
54.80% |
17,820,358 |
54.90% |
17927869 |
55.00% |
17,714,337 |
55.00% |
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👇sort by |
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Chronic
condition** |
2019 numerator# |
2019 Prev Rate |
2018 numerator# |
2018 Prev Rate |
2017 numerator# |
2017 Prev Rate |
2016 numerator# |
2016 Prev Rate |
2015 numerator# |
2015 Prev Rate |
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Hypertension |
18,792,401 |
59.00% |
18,938,578 |
58.80% |
19,060,192 |
58.70% |
19105483 |
58.60% |
18,750,064 |
58.30% |
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Hyperlipidemia |
15,925,681 |
50.00% |
15,787,069 |
49.10% |
15,686,586 |
48.30% |
15146099 |
46.40% |
15,216,792 |
47.30% |
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Rheumatoid
arthritis/Osteoarthritis |
11,209,201 |
35.20% |
11,152,441 |
34.70% |
11,108,321 |
34.20% |
10908057 |
33.50% |
10,342,805 |
32.10% |
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Ischemic
heart disease |
8,856,093 |
27.80% |
8,917,499 |
27.70% |
9,018,718 |
27.80% |
9122052 |
28.00% |
9,083,042 |
28.20% |
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Diabetes |
8,771,622 |
27.50% |
8,919,842 |
27.70% |
9,081,954 |
28.00% |
9163634 |
28.10% |
9,062,604 |
28.20% |
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Chronic
kidney disease |
8,280,804 |
26.00% |
8,145,457 |
25.30% |
8,048,628 |
24.80% |
7531754 |
23.10% |
6,228,879 |
19.40% |
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Anemia |
7,195,348 |
22.60% |
7,239,463 |
22.50% |
7,306,548 |
22.50% |
7324867 |
22.50% |
7,362,976 |
22.90% |
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Depression |
6,172,840 |
19.40% |
6,066,669 |
18.80% |
5,966,519 |
18.40% |
5812110 |
17.80% |
5,741,768 |
17.80% |
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Cataract |
5,614,119 |
17.60% |
5,685,874 |
17.70% |
5,787,577 |
17.80% |
5856642 |
18.00% |
5,834,323 |
18.10% |
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Benign
prostatic hyperplasia▲ |
2,604,982 |
18.00% |
2,513,186 |
17.30% |
2,466,882 |
16.80% |
2372143 |
16.20% |
2,241,647 |
15.50% |
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Acquired
hypothyroidism |
5,262,192 |
16.50% |
5,223,485 |
16.20% |
5,179,377 |
15.90% |
5154798 |
15.80% |
5,010,087 |
15.60% |
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Heart
failure |
4,657,176 |
14.60% |
4,655,713 |
14.50% |
4,665,730 |
14.40% |
4690896 |
14.40% |
4,652,637 |
14.50% |
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Chronic
obstructive pulmonary disease |
3,730,918 |
11.70% |
3,820,446 |
11.90% |
3,926,203 |
12.10% |
3927067 |
12.00% |
3,850,136 |
12.00% |
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Alzheimer’s
disease, related disorders, or senile dementia |
3,540,308 |
11.10% |
3,620,471 |
11.20% |
3,668,111 |
11.30% |
3625188 |
11.10% |
3,474,060 |
10.80% |
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Glaucoma |
3,068,702 |
9.60% |
3,080,540 |
9.60% |
3,107,902 |
9.60% |
2392332 |
7.30% |
3,081,627 |
9.60% |
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Atrial
fibrillation |
2,805,567 |
8.80% |
2,806,009 |
8.70% |
2,811,985 |
8.70% |
2806954 |
8.60% |
2,789,063 |
8.70% |
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Cancer,
prostate▲ |
1,091,738 |
7.60% |
1,067,853 |
7.30% |
1,055,251 |
7.20% |
1041335 |
7.10% |
1,016,376 |
7.00% |
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Osteoporosis |
2,291,912 |
7.20% |
2,190,226 |
6.80% |
2,137,230 |
6.60% |
2082581 |
6.40% |
2,066,638 |
6.40% |
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Cancer,
female breast‡ |
1,072,697 |
6.20% |
1,052,717 |
6.00% |
1,039,940 |
5.80% |
1023455 |
5.70% |
997,882 |
5.60% |
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Asthma |
1,651,510 |
5.20% |
1,648,710 |
5.10% |
1,719,783 |
5.30% |
1726018 |
5.30% |
1,756,685 |
5.50% |
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Alzheimer's
disease |
1,255,744 |
3.90% |
1,322,474 |
4.10% |
1,385,665 |
4.30% |
1411457 |
4.30% |
1,385,135 |
4.30% |
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Stroke/Transient
ischemic attack |
1,238,014 |
3.90% |
1,256,114 |
3.90% |
1,270,729 |
3.90% |
1262036 |
3.90% |
1,270,383 |
3.90% |
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Cancer,
colorectal |
393,852 |
1.20% |
397,189 |
1.20% |
402,658 |
1.20% |
404897 |
1.20% |
406,155 |
1.30% |
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Cancer,
lung |
365,414 |
1.10% |
359,102 |
1.10% |
356,189 |
1.10% |
351744 |
1.10% |
348,239 |
1.10% |
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Acute
myocardial infarction |
304,933 |
1.00% |
306,038 |
1.00% |
308,640 |
1.00% |
300868 |
0.90% |
281,530 |
0.90% |
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Cancer,
endometrial‡ |
125,525 |
0.70% |
121,327 |
0.70% |
117,856 |
0.70% |
112644 |
0.60% |
105,032 |
0.60% |
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Hip/Pelvic
fracture |
235,452 |
0.70% |
236,967 |
0.70% |
239,523 |
0.70% |
234798 |
0.70% |
254,791 |
0.80% |
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Cancer,
male breast▲ |
9,027 |
0.10% |
8,863 |
0.10% |
8,801 |
0.10% |
8548 |
0.10% |
8,495 |
0.10% |
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*
Includes all Medicare beneficiaries who were eligible for or enrolled in
Medicare on or after January 1, YYYY. The Chronic Conditions Warehouse (CCW)
team calculates period prevalence for these rates: beneficiaries with full or
nearly full FFS coverage during the year who had claim(s) for the condition
within the condition-specified look back period (chronic conditions have a
one- to three-year look-back period). Refer to the CCW website for more
information, including the algorithms, for these CCW Condition Categories. |
**
The CCW team may have counted beneficiaries in more than one chronic
condition category. |
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† Denominator: Includes
beneficiaries with full or nearly full FFS coverage (i.e., 11 or 12 months of
Medicare Parts A and B [or coverage until time of death] and one month or
less of health maintenance organization [HMO] coverage). |
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‡ Denominator includes only
females for cancer, endometrial and female breast. |
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▲ Denominator includes only males for benign prostatic
hyperplasia and cancer, prostate and cancer, male breast. # The CCW team
defines the numerator as evidence of claims for the condition. |
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