Table B.2b. Medicare beneficiary prevalence* for other chronic or
disabling conditions** using fee-for-service (FFS) claims, 2010–2019 |
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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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👇sort by |
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Other chronic or disabling
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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Fibromyalgia,
chronic pain, and fatigue |
7,354,751 |
23.10% |
7,258,130 |
22.60% |
6,969,392 |
21.50% |
6,045,548 |
18.50% |
4,671,360 |
14.50% |
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Obesity |
6,701,715 |
21.00% |
6,559,576 |
20.40% |
5,870,290 |
18.10% |
5,018,550 |
15.40% |
4,126,007 |
12.80% |
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Anxiety
disorders |
5,972,803 |
18.70% |
5,848,948 |
18.20% |
5,666,004 |
17.40% |
5,346,168 |
16.40% |
4,814,382 |
15.00% |
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Depressive
disorders |
5,700,967 |
17.90% |
5,642,672 |
17.50% |
5,533,939 |
17.00% |
5,516,712 |
16.90% |
5,425,067 |
16.90% |
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Peripheral
vascular disease (PVD) |
4,161,955 |
13.10% |
4,120,466 |
12.80% |
4,113,394 |
12.70% |
4,116,589 |
12.60% |
3,907,849 |
12.10% |
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Tobacco
use |
3,137,763 |
9.80% |
3,213,846 |
10.00% |
3,031,387 |
9.30% |
2,779,411 |
8.50% |
2,761,652 |
8.60% |
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Sensory
— deafness and hearing impairment |
1,997,233 |
6.30% |
1,916,241 |
6.00% |
1,828,861 |
5.60% |
1,752,465 |
5.40% |
1,657,088 |
5.10% |
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Liver
disease, cirrhosis and other liver conditions, except hepatitis |
1,647,361 |
5.20% |
1,581,811 |
4.90% |
1,507,103 |
4.60% |
1,393,667 |
4.30% |
1,254,941 |
3.90% |
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Pressure
and chronic ulcers |
1,503,293 |
4.70% |
1,506,601 |
4.70% |
1,508,930 |
4.60% |
1,545,166 |
4.70% |
1,565,032 |
4.90% |
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Drug
use disorders |
1,177,261 |
3.70% |
1,165,375 |
3.60% |
1,132,782 |
3.50% |
1,020,399 |
3.10% |
818,499 |
2.50% |
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Bipolar
disorder |
1,126,617 |
3.50% |
1,138,082 |
3.50% |
1,140,178 |
3.50% |
1,155,688 |
3.50% |
1,124,472 |
3.50% |
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Migraine
and chronic headache |
1,112,246 |
3.50% |
1,075,914 |
3.30% |
1,033,856 |
3.20% |
936,146 |
2.90% |
780,849 |
2.40% |
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Mobility
impairments |
959,343 |
3.00% |
969,610 |
3.00% |
977,167 |
3.00% |
943,326 |
2.90% |
873,355 |
2.70% |
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Schizophrenia
and other psychotic disorders |
940,228 |
3.00% |
987,563 |
3.10% |
1,030,212 |
3.20% |
1,151,629 |
3.50% |
1,281,148 |
4.00% |
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Epilepsy |
894,409 |
2.80% |
906,696 |
2.80% |
909,836 |
2.80% |
893,338 |
2.70% |
848,574 |
2.60% |
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Opioid
use disorder |
763,502 |
2.40% |
778,761 |
2.40% |
783,882 |
2.40% |
680,267 |
2.10% |
484,905 |
1.50% |
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Alcohol
use disorders |
681,687 |
2.10% |
687,561 |
2.10% |
739,505 |
2.30% |
797,387 |
2.40% |
698,051 |
2.20% |
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Leukemias
and lymphomas |
569,515 |
1.80% |
559,932 |
1.70% |
551,245 |
1.70% |
534,535 |
1.60% |
490,255 |
1.50% |
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Schizophrenia |
573,787 |
1.80% |
596,169 |
1.90% |
610,488 |
1.90% |
617,969 |
1.90% |
604,093 |
1.90% |
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Personality
disorders |
486,044 |
1.50% |
502,527 |
1.60% |
516,426 |
1.60% |
443,707 |
1.40% |
257,830 |
0.80% |
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Post-traumatic
stress disorder (PTSD) |
439,409 |
1.40% |
420,994 |
1.30% |
397,069 |
1.20% |
373,316 |
1.10% |
332,636 |
1.00% |
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Viral
hepatitis (general) |
371,130 |
1.20% |
398,665 |
1.20% |
417,015 |
1.30% |
418,630 |
1.30% |
398,504 |
1.20% |
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ADHD,
conduct disorders, and hyperkinetic syndrome |
347,061 |
1.10% |
340,277 |
1.10% |
328,301 |
1.00% |
333,252 |
1.00% |
317,658 |
1.00% |
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Intellectual
disabilities and related conditions |
350,938 |
1.10% |
356,057 |
1.10% |
355,445 |
1.10% |
353,970 |
1.10% |
342,665 |
1.10% |
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Cystic
fibrosis and other metabolic developmental disorders |
303,244 |
1.00% |
294,437 |
0.90% |
281,760 |
0.90% |
260,333 |
0.80% |
209,847 |
0.70% |
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Spinal
cord injury |
243,131 |
0.80% |
241,114 |
0.70% |
246,624 |
0.80% |
206,000 |
0.60% |
118,350 |
0.40% |
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Multiple
sclerosis and transverse myelitis |
191,762 |
0.60% |
193,738 |
0.60% |
194,724 |
0.60% |
192,281 |
0.60% |
185,538 |
0.60% |
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Sensory
— blindness and visual impairment |
146,426 |
0.50% |
170,617 |
0.50% |
205,415 |
0.60% |
235,727 |
0.70% |
264,081 |
0.80% |
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Traumatic
brain injury and nonpsychotic mental disorders due to brain damage |
148,476 |
0.50% |
150,209 |
0.50% |
150,098 |
0.50% |
149,500 |
0.50% |
142,457 |
0.40% |
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Cerebral
palsy |
116,665 |
0.40% |
117,123 |
0.40% |
116,529 |
0.40% |
114,630 |
0.40% |
110,363 |
0.30% |
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Autism
spectrum disorders |
92,751 |
0.30% |
85,325 |
0.30% |
78,205 |
0.20% |
71,621 |
0.20% |
62,340 |
0.20% |
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Human
immunodeficiency virus and/or acquired immunodeficiency syndrome (HIV/AIDS) |
110,434 |
0.30% |
115,415 |
0.40% |
119,574 |
0.40% |
121,653 |
0.40% |
120,572 |
0.40% |
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Learning
disabilities |
80,590 |
0.30% |
77,321 |
0.20% |
73,427 |
0.20% |
59,366 |
0.20% |
37,350 |
0.10% |
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Spina
bifida and other congenital anomalies
of the nervous system |
52,764 |
0.20% |
49,427 |
0.20% |
48,928 |
0.20% |
50,979 |
0.20% |
51,010 |
0.20% |
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Muscular
dystrophy |
21,341 |
0.10% |
22,016 |
0.10% |
22,567 |
0.10% |
21,991 |
0.10% |
19,466 |
0.10% |
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Other
developmental delays |
43,574 |
0.10% |
41,690 |
0.10% |
40,021 |
0.10% |
43,419 |
0.10% |
44,281 |
0.10% |
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Sickle
cell disease |
12,723 |
0.04% |
13,283 |
0.04% |
13,813 |
0.04% |
14,187 |
0.04% |
14,139 |
0.04% |
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Viral
hepatitis (general) |
371,130 |
1.20% |
398,665 |
1.20% |
417,015 |
1.30% |
418,630 |
1.30% |
398,504 |
1.20% |
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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 lookback period (chronic conditions have a
one- to five-year look-back period). Refer to the CCW website for more
information, including algorithms, for these other chronic or disabling
conditions. |
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**
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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‡
The CCW team defines numerator as evidence of claims for the condition |
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NOTE:
The application of different Medicare coverage restrictions/criteria will
impact the size of these samples |
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