| 2019 Totals | Total claims | Inpatient | Skilled nursing facility (SNF) | Home health agency (HHA) | Hospice | Outpatient (OP) | Physician/ Supplier† | Durable medical equipment (DME)† | |||||||||||
| Table D.1. Total Medicare* fee-for-service (FFS) reimbursements** (in millions) by setting 2010–2019 [2019] | 1128985085 | $138,660 | $27,171 | $17,999 | $20,935 | $80,902 | $106,376 | $8,502 | |||||||||||
| Table C.1a. Total number of Medicare* fee-for-service (FFS) claims** by setting, 2010–2019 [2019] | 1128985085 | 10668696 | 4451224 | 6203636 | 5423396 | 176142536 | 871655241 | 54440356 | |||||||||||
| Table C.2. Total number of Medicare fee-for-service (FFS) claims paid* by setting and chronic condition classification, 2010–2019 | |||||||||||||||||||
| 👇sort by | |||||||||||||||||||
| 2019 Chronic Condition | FFS BeneCnt [b2a] | Prev Rate [b2a] | Total | Inpatient | Skilled nursing facility (SNF) | Home health agency (HHA) | Hospice | Outpatient (OP) | Physician/ Supplier† | Durable medical equipment (DME)† | |||||||||
| Hypertension | 18792401 | 59.00% | 862566079 | 9426103 | 4142642 | 5629366 | 2496195 | 130606690 | 666777966 | 43487117 | |||||||||
| Hyperlipidemia | 15925681 | 50.00% | 729335923 | 7681578 | 3253592 | 4362658 | 1339921 | 106707855 | 570232551 | 35757768 | |||||||||
| Rheumatoid arthritis/Osteoarthritis | 11209201 | 35.20% | 574560844 | 5694847 | 2764970 | 4010474 | 1505701 | 85153686 | 448892970 | 26538196 | |||||||||
| Ischemic heart disease | 8856093 | 27.80% | 484927429 | 6196591 | 2732546 | 3521773 | 1824008 | 69502589 | 375868536 | 25281386 | |||||||||
| Diabetes | 8771622 | 27.50% | 441514335 | 4953990 | 2247240 | 3009477 | 1332515 | 65066642 | 335425589 | 29478882 | |||||||||
| Chronic kidney disease | 8280804 | 26.00% | 483729487 | 6694401 | 3064529 | 3706560 | 1854867 | 70077100 | 370760120 | 27571910 | |||||||||
| Anemia | 7195348 | 22.60% | 468334606 | 6720383 | 3252814 | 3689784 | 1499762 | 65497050 | 366405456 | 21269357 | |||||||||
| Depression | 6172840 | 19.40% | 361265084 | 4633013 | 2596586 | 2753183 | 1307141 | 53684155 | 279480973 | 16810033 | |||||||||
| Benign prostatic hyperplasia▲ | 2604982 | 18.00% | 142339215 | 1842154 | 844509 | 1001433 | 338558 | 18893486 | 113005701 | 6413374 | |||||||||
| Cataract | 5614119 | 17.60% | 223580520 | 1436429 | 701280 | 800825 | 267277 | 33277199 | 177729347 | 9368163 | |||||||||
| Acquired hypothyroidism | 5262192 | 16.50% | 265556924 | 2868225 | 1399512 | 1792417 | 763608 | 38966693 | 207272169 | 12494300 | |||||||||
| Heart failure | 4657176 | 14.60% | 320596690 | 5056078 | 2460439 | 2878148 | 1694227 | 44465295 | 245821323 | 18221180 | |||||||||
| Chronic obstructive pulmonary disease | 3730918 | 11.70% | 249764451 | 3831145 | 1693905 | 2084689 | 906988 | 34896546 | 186838628 | 19512550 | |||||||||
| Alzheimer’s disease, related disorders, or senile dementia | 3540308 | 11.10% | 207190971 | 3190263 | 2584063 | 2427888 | 2849296 | 25315514 | 162109065 | 8714882 | |||||||||
| Glaucoma | 3068702 | 9.60% | 126858055 | 828623 | 359440 | 580007 | 172399 | 17968213 | 101375879 | 5573494 | |||||||||
| Atrial fibrillation | 2805567 | 8.80% | 188924722 | 2642384 | 1284885 | 1384866 | 532814 | 26974245 | 147602639 | 8502889 | |||||||||
| Cancer, prostate▲ | 1091738 | 7.60% | 55175176 | 556139 | 208270 | 267589 | 132986 | 8399742 | 43435019 | 2175431 | |||||||||
| Osteoporosis | 2291912 | 7.20% | 122262888 | 1301802 | 776968 | 1008452 | 285985 | 18008169 | 95649388 | 5232124 | |||||||||
| Cancer, female breast‡ | 1072697 | 6.20% | 58747851 | 544942 | 246766 | 321631 | 140350 | 9822908 | 45479758 | 2191496 | |||||||||
| Asthma | 1651510 | 5.20% | 106250535 | 1334243 | 466216 | 714843 | 132128 | 15559623 | 81484139 | 6559343 | |||||||||
| Alzheimer's disease | 1255744 | 3.90% | 64006860 | 900180 | 869546 | 802394 | 1388030 | 7596831 | 49995073 | 2454806 | |||||||||
| Stroke/Transient ischemic attack | 1238014 | 3.90% | 91144419 | 1568654 | 870225 | 781495 | 327054 | 11117055 | 72945621 | 3534315 | |||||||||
| Cancer, colorectal | 393852 | 1.20% | 25548512 | 390853 | 154339 | 185025 | 110702 | 4013771 | 19510995 | 1182827 | |||||||||
| Cancer, lung | 365414 | 1.10% | 28916384 | 424342 | 129047 | 173821 | 173286 | 4687215 | 21830337 | 1498336 | |||||||||
| Acute myocardial infarction | 304933 | 1.00% | 26753484 | 748914 | 237202 | 222456 | 82243 | 3082853 | 21386699 | 993117 | |||||||||
| Cancer, endometrial‡ | 125525 | 0.70% | 8085410 | 111682 | 45277 | 52391 | 22152 | 1403046 | 6155865 | 294997 | |||||||||
| Hip/Pelvic fracture | 235452 | 0.70% | 20005601 | 497863 | 486933 | 254422 | 114512 | 2034954 | 15921859 | 695058 | |||||||||
| Cancer, male breast▲ | 9027 | 0.10% | |||||||||||||||||
| Total Bene Cnt [b2a] | 126523772 | ||||||||||||||||||
| Total from each setting | 6737942455 | 82075821 | 39873741 | 48418067 | 23594705 | 972779125 | 5229393665 | 341807331 | |||||||||||
| Total from Row5 [c1a] color code | 1128985085 | 10668696 | 4451224 | 6203636 | 5423396 | 176142536 | 871655241 | 54440356 | |||||||||||
| Yellow Row/color code Row | 5.968141249 | 7.693144598 | 8.957927303 | 7.804788514 | 4.350540694 | 5.5226815 | 5.999383035 | 6.278565317 | |||||||||||
| * The number of claims represents the total of all FFS claims (regardless of the diagnosis on the claim) of that type for all beneficiaries who were eligible for or enrolled in Medicare on or after January 1, YYYY and identified with that chronic condition. The Chronic Conditions Warehouse (CCW) team has excluded denied claims for noninstitutional claim types | |||||||||||||||||||
| ** The CCW team may have counted beneficiaries in more than one chronic condition category and/or claim type. | |||||||||||||||||||
| NOTE: These counts consider FFS administrative claims only. The beneficiaries included in these counts may have any combination of Medicare coverage, including full or partial FFS and/or health maintenance organization (HMO) coverage. The application of coverage restrictions/criteria will impact the size of these samples | |||||||||||||||||||