Economic Assignment

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NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE OF FUNDS: CALENDAR YEARS 1960 to 2012
LEVELS in $Millions 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Total National Health Expenditures 27359 29229 31907 34727 38544 41957 46254 51780 58755 66215 74853 83240 93141 103365 117157 133585 153011 173979 195528 221658 255784 296739 334699 368986 406512 444608 476891 519116 581697 647465 724277 791524 857909 921491 972686 1027431 1081848 1142623 1208934 1286463 1377167 1493352 1637958 1778017 1905746 2035377 2166731 2302925 2411693 2504235 2599000 2692781 2793394
Out of pocket 13051 13422 14299 15361 16981 18262 18647 18587 20628 22657 25015 26380 28724 31716 34467 37372 40767 44996 48169 52473 58396 65629 72739 78924 86824 95977 104034 110161 120828 127313 138643 141689 144215 145301 143458 146356 152194 163789 179387 190427 201725 208997 221878 238223 251679 267254 277346 293647 300708 300669 305551 316128 328156
Health Insurance 7464 8187 8935 9827 10900 11951 15600 21039 24302 27490 31688 36644 42519 47918 55848 66213 78938 92960 106407 122553 142155 167534 190437 212507 237236 259152 274647 300069 338359 387493 439458 492819 543976 594268 638025 682911 724242 761223 795329 848239 920393 1015193 1122318 1222758 1322367 1416685 1520783 1611780 1703189 1798526 1873866 1943432 2014409
Private Health Insurance 5779 6419 7113 7887 8982 10000 10223 10382 11754 13287 15424 17757 20593 22884 25972 30461 37295 45538 52347 60768 69047 81608 94012 104893 118884 131190 136025 149210 175906 204997 234230 255603 275578 296285 309497 326771 345802 362458 387934 419622 459233 502520 561424 615741 659957 703218 740217 777652 807811 833074 859624 888765 916959
Medicare 0 0 0 0 0 0 1842 4924 6218 7045 7672 8443 9325 10730 13428 16336 19694 22891 26668 30922 37387 44769 52351 59559 66207 71829 76829 83081 88965 101137 110182 120617 135996 149965 167670 184393 198750 210376 209420 213173 224829 247686 265381 282697 311162 339801 403728 432833 467867 499903 520158 546246 572484
Medicaid (Title XIX) 0 0 0 0 0 0 1304 3141 3541 4174 5290 6695 8314 9423 11073 13446 15188 17464 19465 22332 26032 30307 32011 35266 38233 40937 45383 50339 55080 61952 73661 93211 108186 122373 134414 144862 152170 160849 169029 183534 200483 224236 248218 269105 290917 309538 306865 326157 344916 375395 398116 407728 421199
Federal 0 0 0 0 0 0 632 1525 1835 2298 2842 3810 4547 4933 6277 7409 9153 9896 10919 12705 14521 16902 17843 19587 21096 22594 25187 27868 30995 35077 42607 56847 68602 76961 81052 85945 91099 94954 98661 107200 116919 132288 145339 160895 172437 177644 174074 185751 203526 248109 267455 248309 237854
State and Local 0 0 0 0 0 0 672 1616 1707 1877 2447 2886 3766 4490 4797 6037 6036 7568 8547 9627 11511 13405 14168 15679 17137 18343 20196 22471 24085 26876 31054 36364 39585 45412 53363 58917 61071 65896 70368 76334 83564 91948 102878 108210 118480 131895 132792 140406 141390 127286 130662 159419 183345
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 1723 3012 4167 5485 6296 7167 7566 8366 9117 10210 11106 11552 11988 12624
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 1199 2097 2913 3832 4410 4982 5254 5756 6317 7126 7812 8061 8376 8793
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 524 915 1253 1653 1887 2185 2313 2610 2801 3084 3293 3492 3613 3832
Department of Defense 788 836 860 925 861 831 1078 1324 1445 1499 1582 1766 1997 2235 2475 2590 2695 2922 3067 3457 3949 4588 5158 5393 5842 6864 7634 8202 8778 9272 10446 11536 11621 12025 11833 12045 11953 12052 12214 12679 13753 15502 19027 22402 25213 26759 29746 32173 34033 36653 38353 39829 40522
Department of Veterans Affairs 897 933 961 1015 1058 1119 1153 1268 1344 1484 1719 1983 2291 2646 2900 3381 4066 4146 4859 5073 5740 6261 6905 7396 8070 8332 8775 9236 9629 10134 10939 11852 12594 13621 14612 14840 15567 15488 16333 17509 19082 21083 22782 26517 27951 29802 31861 33848 38353 42396 46063 48877 50620
Other Third Party Payers and Programs 3906 4347 4723 5227 5682 6359 6252 6023 6871 7789 9012 9666 10277 11365 13025 14609 16440 18238 20952 24247 28685 32958 36494 39043 41614 47025 53316 59323 67076 70908 77494 82842 88450 93965 97687 101310 105299 110598 117339 121564 124457 131100 139672 152928 159173 167804 176591 187390 181852 184716 194899 202087 215803
Worksite Health Care 64 68 74 81 90 99 112 132 150 174 200 221 250 285 331 377 452 534 621 723 829 954 1043 1157 1306 1392 1520 1681 1859 2024 2214 2325 2463 2588 2707 2839 2950 3084 3190 3291 3483 3619 3740 3893 4066 4242 4347 4488 4496 4520 4648 4860 5115
Other Private Revenues 310 346 384 441 509 595 689 805 1017 1218 1501 1684 1952 2072 2387 2623 3742 4146 5161 6189 8614 10685 12696 14081 15613 18498 20830 22985 26936 28262 29554 31918 34341 36886 38724 42837 46495 51099 56143 58243 57446 56403 58675 64136 66251 70469 77551 86441 81255 86146 93848 95812 103778
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 255 307 375 412 448 509 506 559 645 721 713 757 806 798 996 1213 1444 1487 1507 1654 1633 1740 1754 1837 1982 2201 2196 2333 2458 2488 2591 2686 2822 3175 3557 3589 3813
Workers' Compensation 615 644 705 742 807 870 991 1100 1244 1372 1532 1570 1715 2051 2382 2669 3031 3506 4026 4945 5606 6189 6929 7285 7661 8937 10083 11957 13816 15519 17530 18958 21100 22607 22189 21914 22050 22140 22364 23931 26198 29724 33402 37750 38982 41264 41398 41126 38914 35294 35156 38007 42025
General Assistance 102 110 102 103 112 122 182 240 299 359 417 477 582 691 827 1000 1131 1281 1358 1548 1899 2226 2437 2649 2875 3189 3422 3552 3742 4138 5032 5187 5531 5037 5451 5437 5414 5167 4928 3874 3940 4819 5138 5591 5904 6195 6721 6928 7146 7155 7071 6669 6423
Maternal/Child Health 116 172 180 201 220 244 291 324 377 435 409 453 482 467 525 565 619 665 701 775 864 879 935 1081 1111 1290 1391 1510 1580 1604 1649 1821 1978 2064 2151 2189 2244 2359 2418 2529 2686 2681 2668 2661 2626 2643 2660 2797 2837 2686 2583 2473 2351
Federal 27 44 48 50 60 80 114 142 167 190 148 191 234 204 243 276 297 311 330 339 344 339 343 398 348 407 395 433 459 476 478 518 565 578 594 587 580 582 588 603 609 619 636 634 635 622 598 600 594 591 591 581 566
State and Local 89 127 133 150 159 164 176 182 210 244 261 263 248 264 282 290 322 354 371 436 520 540 593 683 763 883 996 1078 1121 1128 1171 1303 1413 1485 1558 1602 1664 1777 1830 1926 2077 2062 2032 2027 1992 2022 2062 2196 2243 2095 1992 1892 1785
Vocational Rehabilitation 20 22 25 29 33 41 58 88 115 131 155 180 184 190 202 210 210 219 220 224 223 229 233 246 257 262 270 289 300 308 318 332 343 338 360 360 352 367 378 389 421 449 463 469 468 461 498 497 489 518 558 552 531
Federal 12 14 15 18 20 27 42 66 86 100 121 140 144 149 158 164 163 170 168 171 170 172 172 183 195 200 207 223 232 238 246 257 264 253 271 271 263 276 286 293 317 342 355 359 361 355 377 373 374 398 435 432 412
State and Local 8 8 10 11 13 15 16 22 29 31 34 40 40 41 44 46 48 49 52 53 53 57 61 62 62 62 63 66 68 70 72 75 79 85 89 89 89 91 92 96 104 107 108 110 106 106 121 124 115 120 122 120 120
Other Federal Programs* 337 447 598 715 750 831 653 463 489 621 927 1102 963 980 1086 695 823 854 948 1116 1343 1334 1184 1044 1065 1108 1133 1197 1271 1331 1556 1844 2050 2265 2472 2552 2841 3118 3395 3855 4462 5295 5676 6015 6272 6363 6421 6721 6924 7301 7740 9550 10229
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 537 581 689 663 825 799 636 599 607 515 533 644 884 698 1372 1656 1685 1714 1889 2067 1783 1500 2026 2395 2564 2812 3006 3093 3125 3219 3153 3166 3206 3309 3385 3447 3448
Other State and Local Programs** 2221 2398 2510 2772 3012 3389 3090 2656 2937 3217 3580 3671 3827 4282 4906 5303 5205 5636 6293 7052 7369 8446 9141 9547 9628 10193 12436 13712 14782 15041 15981 16224 16099 17426 18536 17676 17648 17986 18547 18890 18791 20408 21821 23955 25827 27098 27683 28641 29674 30406 32073 32823 33692
School Health 122 140 147 143 151 168 187 215 242 263 290 308 321 346 377 400 433 509 559 600 663 708 753 795 847 919 986 1040 1099 1185 1293 1363 1416 1553 1701 1785 1890 2037 2197 2330 2483 2689 2888 3032 3193 3363 3567 3898 4088 4205 4279 4305 4399
Public Health Activity 371 409 456 509 572 621 733 861 969 1174 1356 1676 1855 2123 2584 2967 3213 3815 4588 5375 6445 7531 8621 9251 9842 11212 12387 13572 15267 17775 19996 22127 24371 26776 29591 30993 32373 34827 37455 40729 43047 46789 52047 54107 55122 57195 60868 65925 71519 74096 75287 73293 74991
Federal 102 108 140 208 226 214 294 401 470 564 594 791 893 854 969 1043 1110 1152 1154 1108 1235 1216 1141 1232 1298 1326 1340 1529 1795 2030 2262 2605 2912 3164 3626 3655 3755 3926 4063 4544 4876 5775 8013 8892 8957 9125 9482 9652 9824 11916 13993 10314 10844
State and Local 269 302 316 301 347 407 439 460 499 610 762 885 962 1269 1615 1924 2104 2663 3434 4267 5210 6316 7480 8019 8544 9886 11047 12043 13472 15745 17734 19522 21459 23613 25964 27338 28618 30901 33392 36185 38170 41013 44035 45215 46165 48070 51386 56274 61695 62180 61294 62979 64147
Investment 2566 2863 3493 3802 4408 4765 5021 5269 5984 7105 7783 8874 9765 10244 11233 12425 13653 13970 15411 17009 20103 23087 26409 29261 30996 31241 32507 35991 40168 43977 48686 52047 56898 61180 63926 65861 67740 72185 79424 85504 87546 91274 102042 110000 117405 126438 131143 144183 154425 146227 149397 157841 160035
Research 694 886 1068 1219 1366 1521 1624 1775 1877 1924 1953 2109 2357 2502 2767 3372 3707 3864 4438 4805 5429 5705 6025 6543 7608 8320 9002 10025 10836 11738 12678 13819 15091 16472 17758 18670 17808 19640 21506 23369 25465 28510 32016 34863 38508 40322 41481 42438 44044 45369 49066 49669 48136
Structures & Equipment 1872 1977 2425 2582 3042 3244 3397 3495 4107 5181 5830 6765 7408 7741 8466 9053 9945 10105 10974 12204 14674 17383 20384 22718 23389 22921 23504 25967 29332 32238 36008 38228 41806 44708 46168 47192 49932 52545 57917 62135 62080 62764 70026 75137 78897 86116 89663 101745 110381 100858 100331 108172 111899
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 3146 8065 9759 11220 12962 15138 17639 20153 24501 29782 34883 40354 46133 53254 63419 75077 84361 94825 104440 112766 122212 133420 144045 163089 183842 213827 244183 272338 302084 329255 350919 371226 378848 398429 428324 476089 519084 558098 609246 656906 718959 768108 822993 886404 929827 965962 1006307
POPULATION 186 189 192 195 197 200 202 204 206 208 210 213 215 217 218 220 222 224 226 228 230 233 235 237 239 242 244 246 248 251 254 257 260 263 266 269 271 274 277 280 282 285 288 290 293 295 298 301 304 307 309 311 313
Health Consumption Expenditures 24793 26366 28414 30925 34136 37193 41233 46511 52771 59110 67070 74365 83376 93121 105924 121160 139358 160009 180116 204649 235681 273652 308290 339725 375515 413366 444385 483125 541530 603488 675591 739477 801012 860310 908760 961570 1014108 1070437 1129510 1200959 1289621 1402079 1535916 1668017 1788341 1908939 2035587 2158742 2257268 2358007 2449603 2534940 2633359
Out of pocket 13051 13422 14299 15361 16981 18262 18647 18587 20628 22657 25015 26380 28724 31716 34467 37372 40767 44996 48169 52473 58396 65629 72739 78924 86824 95977 104034 110161 120828 127313 138643 141689 144215 145301 143458 146356 152194 163789 179387 190427 201725 208997 221878 238223 251679 267254 277346 293647 300708 300669 305551 316128 328156
Health Insurance 7464 8187 8935 9827 10900 11951 15600 21039 24302 27490 31688 36644 42519 47918 55848 66213 78938 92960 106407 122553 142155 167534 190437 212507 237236 259152 274647 300069 338359 387493 439458 492819 543976 594268 638025 682911 724242 761223 795329 848239 920393 1015193 1122318 1222758 1322367 1416685 1520783 1611780 1703189 1798526 1873866 1943432 2014409
Private Health Insurance 5779 6419 7113 7887 8982 10000 10223 10382 11754 13287 15424 17757 20593 22884 25972 30461 37295 45538 52347 60768 69047 81608 94012 104893 118884 131190 136025 149210 175906 204997 234230 255603 275578 296285 309497 326771 345802 362458 387934 419622 459233 502520 561424 615741 659957 703218 740217 777652 807811 833074 859624 888765 916959
Medicare 0 0 0 0 0 0 1842 4924 6218 7045 7672 8443 9325 10730 13428 16336 19694 22891 26668 30922 37387 44769 52351 59559 66207 71829 76829 83081 88965 101137 110182 120617 135996 149965 167670 184393 198750 210376 209420 213173 224829 247686 265381 282697 311162 339801 403728 432833 467867 499903 520158 546246 572484
Medicaid (Title XIX) 0 0 0 0 0 0 1304 3141 3541 4174 5290 6695 8314 9423 11073 13446 15188 17464 19465 22332 26032 30307 32011 35266 38233 40937 45383 50339 55080 61952 73661 93211 108186 122373 134414 144862 152170 160849 169029 183534 200483 224236 248218 269105 290917 309538 306865 326157 344916 375395 398116 407728 421199
Federal 0 0 0 0 0 0 632 1525 1835 2298 2842 3810 4547 4933 6277 7409 9153 9896 10919 12705 14521 16902 17843 19587 21096 22594 25187 27868 30995 35077 42607 56847 68602 76961 81052 85945 91099 94954 98661 107200 116919 132288 145339 160895 172437 177644 174074 185751 203526 248109 267455 248309 237854
State and Local 0 0 0 0 0 0 672 1616 1707 1877 2447 2886 3766 4490 4797 6037 6036 7568 8547 9627 11511 13405 14168 15679 17137 18343 20196 22471 24085 26876 31054 36364 39585 45412 53363 58917 61071 65896 70368 76334 83564 91948 102878 108210 118480 131895 132792 140406 141390 127286 130662 159419 183345
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 1723 3012 4167 5485 6296 7167 7566 8366 9117 10210 11106 11552 11988 12624
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 1199 2097 2913 3832 4410 4982 5254 5756 6317 7126 7812 8061 8376 8793
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 524 915 1253 1653 1887 2185 2313 2610 2801 3084 3293 3492 3613 3832
Department of Defense 788 836 860 925 861 831 1078 1324 1445 1499 1582 1766 1997 2235 2475 2590 2695 2922 3067 3457 3949 4588 5158 5393 5842 6864 7634 8202 8778 9272 10446 11536 11621 12025 11833 12045 11953 12052 12214 12679 13753 15502 19027 22402 25213 26759 29746 32173 34033 36653 38353 39829 40522
Department of Veterans Affairs 897 933 961 1015 1058 1119 1153 1268 1344 1484 1719 1983 2291 2646 2900 3381 4066 4146 4859 5073 5740 6261 6905 7396 8070 8332 8775 9236 9629 10134 10939 11852 12594 13621 14612 14840 15567 15488 16333 17509 19082 21083 22782 26517 27951 29802 31861 33848 38353 42396 46063 48877 50620
Other Third Party Payers and Programs 3906 4347 4723 5227 5682 6359 6252 6023 6871 7789 9012 9666 10277 11365 13025 14609 16440 18238 20952 24247 28685 32958 36494 39043 41614 47025 53316 59323 67076 70908 77494 82842 88450 93965 97687 101310 105299 110598 117339 121564 124457 131100 139672 152928 159173 167804 176591 187390 181852 184716 194899 202087 215803
Worksite Health Care 64 68 74 81 90 99 112 132 150 174 200 221 250 285 331 377 452 534 621 723 829 954 1043 1157 1306 1392 1520 1681 1859 2024 2214 2325 2463 2588 2707 2839 2950 3084 3190 3291 3483 3619 3740 3893 4066 4242 4347 4488 4496 4520 4648 4860 5115
Other Private Revenues 310 346 384 441 509 595 689 805 1017 1218 1501 1684 1952 2072 2387 2623 3742 4146 5161 6189 8614 10685 12696 14081 15613 18498 20830 22985 26936 28262 29554 31918 34341 36886 38724 42837 46495 51099 56143 58243 57446 56403 58675 64136 66251 70469 77551 86441 81255 86146 93848 95812 103778
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 255 307 375 412 448 509 506 559 645 721 713 757 806 798 996 1213 1444 1487 1507 1654 1633 1740 1754 1837 1982 2201 2196 2333 2458 2488 2591 2686 2822 3175 3557 3589 3813
Workers' Compensation 615 644 705 742 807 870 991 1100 1244 1372 1532 1570 1715 2051 2382 2669 3031 3506 4026 4945 5606 6189 6929 7285 7661 8937 10083 11957 13816 15519 17530 18958 21100 22607 22189 21914 22050 22140 22364 23931 26198 29724 33402 37750 38982 41264 41398 41126 38914 35294 35156 38007 42025
General Assistance 102 110 102 103 112 122 182 240 299 359 417 477 582 691 827 1000 1131 1281 1358 1548 1899 2226 2437 2649 2875 3189 3422 3552 3742 4138 5032 5187 5531 5037 5451 5437 5414 5167 4928 3874 3940 4819 5138 5591 5904 6195 6721 6928 7146 7155 7071 6669 6423
Maternal/Child Health 116 172 180 201 220 244 291 324 377 435 409 453 482 467 525 565 619 665 701 775 864 879 935 1081 1111 1290 1391 1510 1580 1604 1649 1821 1978 2064 2151 2189 2244 2359 2418 2529 2686 2681 2668 2661 2626 2643 2660 2797 2837 2686 2583 2473 2351
Federal 27 44 48 50 60 80 114 142 167 190 148 191 234 204 243 276 297 311 330 339 344 339 343 398 348 407 395 433 459 476 478 518 565 578 594 587 580 582 588 603 609 619 636 634 635 622 598 600 594 591 591 581 566
State and Local 89 127 133 150 159 164 176 182 210 244 261 263 248 264 282 290 322 354 371 436 520 540 593 683 763 883 996 1078 1121 1128 1171 1303 1413 1485 1558 1602 1664 1777 1830 1926 2077 2062 2032 2027 1992 2022 2062 2196 2243 2095 1992 1892 1785
Vocational Rehabilitation 20 22 25 29 33 41 58 88 115 131 155 180 184 190 202 210 210 219 220 224 223 229 233 246 257 262 270 289 300 308 318 332 343 338 360 360 352 367 378 389 421 449 463 469 468 461 498 497 489 518 558 552 531
Federal 12 14 15 18 20 27 42 66 86 100 121 140 144 149 158 164 163 170 168 171 170 172 172 183 195 200 207 223 232 238 246 257 264 253 271 271 263 276 286 293 317 342 355 359 361 355 377 373 374 398 435 432 412
State and Local 8 8 10 11 13 15 16 22 29 31 34 40 40 41 44 46 48 49 52 53 53 57 61 62 62 62 63 66 68 70 72 75 79 85 89 89 89 91 92 96 104 107 108 110 106 106 121 124 115 120 122 120 120
Other Federal Programs* 337 447 598 715 750 831 653 463 489 621 927 1102 963 980 1086 695 823 854 948 1116 1343 1334 1184 1044 1065 1108 1133 1197 1271 1331 1556 1844 2050 2265 2472 2552 2841 3118 3395 3855 4462 5295 5676 6015 6272 6363 6421 6721 6924 7301 7740 9550 10229
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 537 581 689 663 825 799 636 599 607 515 533 644 884 698 1372 1656 1685 1714 1889 2067 1783 1500 2026 2395 2564 2812 3006 3093 3125 3219 3153 3166 3206 3309 3385 3447 3448
Other State and Local Programs** 2221 2398 2510 2772 3012 3389 3090 2656 2937 3217 3580 3671 3827 4282 4906 5303 5205 5636 6293 7052 7369 8446 9141 9547 9628 10193 12436 13712 14782 15041 15981 16224 16099 17426 18536 17676 17648 17986 18547 18890 18791 20408 21821 23955 25827 27098 27683 28641 29674 30406 32073 32823 33692
School Health 122 140 147 143 151 168 187 215 242 263 290 308 321 346 377 400 433 509 559 600 663 708 753 795 847 919 986 1040 1099 1185 1293 1363 1416 1553 1701 1785 1890 2037 2197 2330 2483 2689 2888 3032 3193 3363 3567 3898 4088 4205 4279 4305 4399
Public Health Activity 371 409 456 509 572 621 733 861 969 1174 1356 1676 1855 2123 2584 2967 3213 3815 4588 5375 6445 7531 8621 9251 9842 11212 12387 13572 15267 17775 19996 22127 24371 26776 29591 30993 32373 34827 37455 40729 43047 46789 52047 54107 55122 57195 60868 65925 71519 74096 75287 73293 74991
Federal 102 108 140 208 226 214 294 401 470 564 594 791 893 854 969 1043 1110 1152 1154 1108 1235 1216 1141 1232 1298 1326 1340 1529 1795 2030 2262 2605 2912 3164 3626 3655 3755 3926 4063 4544 4876 5775 8013 8892 8957 9125 9482 9652 9824 11916 13993 10314 10844
State and Local 269 302 316 301 347 407 439 460 499 610 762 885 962 1269 1615 1924 2104 2663 3434 4267 5210 6316 7480 8019 8544 9886 11047 12043 13472 15745 17734 19522 21459 23613 25964 27338 28618 30901 33392 36185 38170 41013 44035 45215 46165 48070 51386 56274 61695 62180 61294 62979 64147
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 3146 8065 9759 11220 12962 15138 17639 20153 24501 29782 34883 40354 46133 53254 63419 75077 84361 94825 104440 112766 122212 133420 144045 163089 183842 213827 244183 272338 302084 329255 350919 371226 378848 398429 428324 476089 519084 558098 609246 656906 718959 768108 822993 886404 929827 965962 1006307
Personal Health Care 23355 24797 26673 29091 32054 34736 38443 43518 49219 55531 63090 69473 77202 86197 98835 113283 129393 146760 164332 187234 217203 252045 283353 311981 342072 376931 409526 448538 499514 551629 616816 677651 733647 781171 823142 872857 921847 974619 1029218 1089699 1165389 1265324 1371925 1482141 1592284 1700956 1809229 1920978 2017148 2117434 2192907 2271244 2360432
Out of pocket 13051 13422 14299 15361 16981 18262 18647 18587 20628 22657 25015 26380 28724 31716 34467 37372 40767 44996 48169 52473 58396 65629 72739 78924 86824 95977 104034 110161 120828 127313 138643 141689 144215 145301 143458 146356 152194 163789 179387 190427 201725 208997 221878 238223 251679 267254 277346 293647 300708 300669 305551 316128 328156
Health Insurance 6606 7251 7911 8772 9744 10592 13984 19328 22211 25615 29582 33912 38712 43733 52012 61991 72940 84458 96377 112076 131942 155398 176188 195894 215143 235622 253911 281391 314212 355698 403238 455481 504092 546309 587320 630701 670031 705391 736711 782062 844922 932338 1020129 1103546 1194912 1281279 1370998 1454631 1545428 1639822 1699857 1762262 1829908
Private Health Insurance 4932 5495 6103 6845 7839 8655 8791 9003 10128 11940 13997 15755 17643 19710 23357 27634 33005 38804 44456 52594 61383 72390 82755 91636 100583 111999 119850 135428 157382 179538 205090 226081 244319 258224 270863 287986 304707 322597 347285 373465 406742 445340 488082 527181 566351 606469 639024 673029 705964 736053 753174 778912 807025
Medicare 0 0 0 0 0 0 1722 4731 5931 6735 7276 8036 8851 10182 12748 15610 18815 22136 25666 29900 36260 43457 51060 58116 64599 69795 74769 80951 86404 98277 107266 117273 132368 146235 163430 179858 193573 204204 202559 206035 216333 239111 256551 274030 300136 326317 382335 408790 442908 471349 489430 513483 538023
Medicaid (Title XIX) 0 0 0 0 0 0 1252 3019 3385 3984 5039 6411 7973 9013 10590 12839 14429 16520 18406 21134 24697 28795 30418 33486 36181 38761 43019 47719 52173 58651 69693 88921 103417 116453 126856 136250 144510 151352 158316 171281 186943 208435 230096 249447 270885 287720 283383 301715 318159 346831 366627 374593 386341
Federal 0 0 0 0 0 0 605 1461 1753 2195 2708 3643 4360 4697 5994 7048 8661 9317 10220 11906 13692 15930 16811 18527 19891 21270 23777 26376 29339 33168 40330 54409 66021 73680 77341 81742 86876 89651 92721 100296 109322 123488 135177 149729 161220 165533 161549 172191 188470 231145 248343 229159 218720
State and Local 0 0 0 0 0 0 647 1558 1632 1788 2331 2767 3612 4316 4596 5790 5768 7203 8186 9228 11006 12865 13608 14959 16289 17491 19242 21344 22834 25483 29364 34512 37396 42774 49515 54507 57635 61701 65594 70985 77622 84948 94919 99718 109665 122187 121834 129524 129688 115686 118285 145434 167621
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 1489 2530 3489 4561 5305 6162 6460 7194 7808 8695 9536 9735 10051 10634
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 1036 1762 2441 3191 3720 4283 4485 4948 5409 6070 6715 6796 7030 7413
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 453 768 1048 1370 1585 1879 1975 2246 2399 2625 2821 2939 3021 3221
Department of Defense 786 834 858 923 859 830 1077 1319 1436 1489 1569 1749 1976 2210 2449 2563 2666 2890 3035 3423 3912 4546 5105 5320 5774 6796 7552 8103 8667 9144 10293 11406 11453 11853 11639 11842 11746 11819 11939 12357 13372 14970 18171 21223 23629 24725 27385 29570 31416 33740 34865 36379 37295
Department of Veterans Affairs 887 922 950 1004 1046 1108 1141 1256 1332 1468 1701 1962 2268 2619 2867 3344 4025 4108 4813 5026 5690 6210 6850 7336 8006 8271 8722 9189 9585 10088 10895 11800 12534 13544 14532 14765 15495 15420 16264 17436 19002 20993 22669 26359 27748 29587 31677 33719 38287 42313 46026 48845 50590
Other Third Party Payers and Programs 3698 4123 4463 4958 5329 5882 5812 5603 6380 7259 8493 9181 9766 10748 12356 13920 15685 17305 19786 22684 26864 31018 34426 37163 40105 45332 51580 56985 64475 68618 74935 80481 85340 89561 92364 95801 99623 105438 113121 117209 118742 123989 129918 140372 145692 152423 160886 172701 171012 176943 187499 192854 202367
Worksite Health Care 64 68 74 81 90 99 112 132 150 174 200 221 250 285 331 377 452 534 621 723 829 954 1043 1157 1306 1392 1520 1681 1859 2024 2214 2325 2463 2588 2707 2839 2950 3084 3190 3291 3483 3619 3740 3893 4066 4242 4347 4488 4496 4520 4648 4860 5115
Other Private Revenues 310 346 384 441 509 595 689 805 1017 1218 1501 1684 1952 2072 2387 2623 3742 4146 5161 6189 8614 10685 12696 14081 15613 18498 20830 22985 26936 28262 29554 31918 34341 36886 38724 42837 46495 51099 56143 58243 57446 56403 58675 64136 66251 70469 77551 86441 81255 86146 93848 95812 103778
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 247 297 363 399 435 495 493 544 629 706 699 742 789 777 970 1181 1409 1450 1469 1617 1590 1696 1706 1783 1923 2136 2129 2265 2390 2420 2523 2618 2754 3099 3464 3493 3704
Workers' Compensation 435 460 495 525 565 600 681 751 830 922 1052 1131 1253 1482 1765 2038 2379 2687 2981 3512 3925 4400 5030 5570 6317 7421 8528 9805 11413 13432 15199 16846 18261 18508 17188 16728 16711 17311 18490 19951 20884 23044 24091 25640 25949 26327 26151 26909 28528 28007 28507 29884 30248
General Assistance 102 110 102 103 112 122 182 240 299 359 417 477 582 691 827 1000 1131 1281 1358 1548 1899 2226 2437 2649 2875 3189 3422 3552 3742 4138 5032 5187 5531 5037 5451 5437 5414 5167 4928 3874 3940 4819 5138 5591 5904 6195 6721 6928 7146 7155 7071 6669 6423
Maternal/Child Health 109 161 169 188 206 229 273 304 353 407 383 424 451 436 492 536 580 615 654 722 804 818 872 1009 1040 1209 1305 1417 1483 1505 1546 1708 1856 1936 2018 2054 2105 2213 2270 2373 2521 2518 2504 2498 2465 2480 2497 2624 2664 2523 2425 2322 2208
Federal 26 43 47 49 59 79 113 140 164 187 145 187 229 199 239 271 292 306 325 333 338 333 337 395 346 405 392 430 456 473 475 514 562 575 590 583 576 578 584 600 606 615 632 630 631 618 595 597 591 588 587 578 562
State and Local 83 117 123 139 147 150 160 163 189 220 238 237 222 237 254 265 289 310 329 389 466 486 535 614 694 804 912 987 1027 1032 1072 1193 1294 1361 1428 1471 1529 1635 1686 1773 1915 1902 1872 1868 1835 1862 1903 2027 2073 1935 1838 1744 1646
Vocational Rehabilitation 19 21 24 28 31 39 55 84 108 123 146 169 173 178 187 192 193 202 201 204 201 206 209 221 232 236 242 259 270 276 285 298 306 300 325 325 315 326 335 344 373 400 412 418 415 411 445 443 436 461 495 490 471
Federal 12 13 15 17 19 26 40 63 81 94 114 132 135 139 146 150 149 157 154 156 153 154 154 165 176 180 186 200 209 213 220 230 236 225 244 245 236 246 253 259 281 305 316 320 321 317 337 332 334 354 387 384 365
State and Local 7 8 9 11 12 14 16 21 28 29 32 37 38 38 41 43 44 45 47 48 47 51 55 56 56 56 57 59 61 63 65 68 70 76 80 80 80 81 81 85 92 96 96 97 94 94 108 110 103 107 108 106 106
Other Federal Programs* 327 432 577 693 709 760 606 438 463 597 923 1096 957 976 1084 695 793 824 913 1079 1309 1291 1124 996 1016 1058 1084 1154 1233 1292 1511 1800 2001 2206 2413 2487 2756 3049 3328 3781 4384 5209 5579 5908 6167 6256 6306 6606 6826 7177 7367 8819 8966
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 564 529 574 681 655 815 789 628 593 603 511 530 639 868 686 1350 1631 1657 1671 1832 2016 1748 1469 1988 2349 2514 2744 2941 3037 3064 3160 3094 3105 3144 3244 3321 3377 3364
Other State and Local Programs** 2211 2385 2491 2755 2956 3269 3028 2635 2916 3195 3580 3671 3827 4282 4906 5303 5205 5636 6293 7052 7369 8446 9141 9547 9628 10193 12436 13712 14782 15041 15981 16224 16099 17426 18536 17676 17648 17986 18547 18890 18791 20408 21821 23955 25827 27098 27683 28641 29674 30406 32073 32823 33692
School Health 122 140 147 143 151 168 187 215 242 263 290 308 321 346 377 400 433 509 559 600 663 708 753 795 847 919 986 1040 1099 1185 1293 1363 1416 1553 1701 1785 1890 2037 2197 2330 2483 2689 2888 3032 3193 3363 3567 3898 4088 4205 4279 4305 4399
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 2975 7750 9316 10719 12315 14447 16824 19194 23338 28449 33244 38656 44072 51034 60957 72252 81478 91602 100780 108556 117788 128671 138577 156928 176959 206194 235785 262688 290286 316108 338083 355556 361224 378805 405806 451035 491207 528783 577184 620497 672912 718312 769762 827716 865792 898126 934998
Total Hospital Expenditures 8985 9777 10432 11507 12501 13545 15298 17798 20537 23367 27168 30224 33846 37920 44139 51234 59402 67023 75621 86162 100517 117480 133647 144745 154366 164576 175629 189545 206455 225968 250439 275768 298477 315749 328366 339313 350799 363404 374917 393624 415531 449358 486479 526163 566013 609369 651921 692476 729000 776808 812562 840754 882269
Out of pocket 1855 1898 1953 2209 2505 2687 2306 1811 2160 2156 2452 2458 2976 3598 4005 4318 4534 4864 5020 5198 5392 6284 7224 7639 8119 8804 8508 9014 9819 10344 11208 11917 12358 12173 10705 10147 10302 11070 12014 12766 13493 13839 15218 16901 18156 19534 20886 22383 23341 25027 26095 27467 29761
Health Insurance 4553 5069 5509 6006 6548 7129 9279 12444 14323 16630 19410 22015 24485 27379 32220 38250 45178 51777 58983 67973 80059 93862 107332 117351 126167 133858 141894 152989 166162 184904 206772 229632 250947 267379 280318 292280 302815 312430 320381 337448 358016 390546 424433 457041 493503 532557 568023 601379 640133 680906 709422 734696 770087
Private Health Insurance 3200 3669 4108 4546 5083 5606 5592 5615 6358 7482 8833 9876 10906 12044 14400 17052 20207 23427 26965 31707 36867 42707 49391 53384 55953 58903 62637 68547 76429 86067 96904 102514 106102 107479 107476 107690 109939 114337 120950 129056 141565 153970 169995 185571 201005 217490 236965 249922 265118 280782 290073 303234 320889
Medicare 0 0 0 0 0 0 1255 3225 4108 4811 5359 5920 6537 7537 9388 11502 13902 16187 18639 21647 26278 31521 36662 40989 45415 48644 50822 53495 56337 62162 67403 73322 83068 91524 99879 108286 114540 119392 118145 121103 123371 135048 143531 150929 162772 176449 184730 193169 206313 216021 221482 229450 239785
Medicaid (Title XIX) 0 0 0 0 0 0 726 1624 1703 2031 2647 3316 3738 3990 4226 5014 5766 6602 7008 7774 9214 11062 11782 12947 13961 14624 15963 17773 19712 22269 26663 36545 43940 49458 53671 56800 58871 59630 61787 66913 71202 77697 84852 90730 97697 104813 110149 119389 125238 136960 147653 150225 156375
Federal 0 0 0 0 0 0 351 786 882 1120 1423 1882 2063 2065 2404 2747 3568 3708 3875 4347 5018 6028 6423 7075 7578 7931 8723 9707 10975 12505 15861 24955 31651 34615 35592 36732 37868 37762 38079 40966 42831 47179 50989 55559 59696 61070 63016 68607 74287 90654 99486 92418 88707
State and Local 0 0 0 0 0 0 375 838 821 912 1224 1434 1675 1926 1822 2267 2198 2893 3133 3427 4196 5034 5360 5872 6383 6693 7240 8066 8737 9764 10801 11590 12290 14843 18079 20068 21003 21868 23708 25948 28371 30518 33862 35171 38001 43743 47134 50782 50951 46307 48167 57807 67668
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 465 932 1389 1813 2053 2611 2662 2352 2650 3136 3206 3169 3332 3425
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 324 645 958 1246 1411 1783 1813 1601 1811 2152 2217 2182 2299 2355
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 141 287 432 568 641 828 850 751 839 984 989 987 1033 1070
Department of Defense 543 559 533 542 508 519 684 869 988 1020 1067 1182 1325 1519 1708 1797 1852 2000 2220 2517 2819 3275 3694 3887 4200 4917 5441 5828 6034 6310 7053 7815 7847 8173 7855 7963 7629 7617 7579 7434 7641 8047 9036 10377 11447 12008 12890 13695 14225 15617 16581 17070 16948
Department of Veterans Affairs 810 842 867 918 957 1004 1021 1110 1165 1287 1504 1721 1979 2288 2498 2886 3452 3561 4151 4328 4879 5297 5804 6144 6637 6770 7031 7346 7650 8096 8749 9437 9990 10744 11436 11541 11836 11454 11771 12475 13304 14394 15206 17382 17972 19134 20938 22554 26104 28320 30464 31385 32666
Other Third Party Payers and Programs 2578 2810 2970 3293 3448 3728 3714 3542 4054 4581 5306 5751 6385 6944 7915 8665 9690 10382 11618 12991 15066 17334 19091 19755 20081 21915 25227 27543 30474 30720 32459 34219 35172 36198 37343 36885 37682 39904 42522 43411 44022 44973 46827 52220 54354 57279 63012 68714 65526 70874 77046 78591 82421
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 110 134 157 190 224 261 314 392 510 640 881 1015 1178 1152 1302 1424 2313 2449 2949 3376 5066 6065 6942 7269 7322 8263 9029 9641 11258 10596 10324 11069 11532 12085 12821 14168 15559 17944 19899 21040 21645 20279 21011 24361 25127 26874 31590 35820 31251 36330 41210 41608 44013
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 162 193 229 241 239 279 286 320 365 409 403 421 447 437 535 647 767 783 786 860 849 902 902 943 1010 1110 1111 1185 1253 1273 1331 1380 1443 1647 1849 1866 1982
Workers' Compensation 152 161 173 184 198 210 240 255 348 486 525 565 634 743 897 1048 1238 1386 1566 1842 2068 2325 2692 2945 3241 3637 4092 4605 5225 6096 6870 7608 8244 8340 7717 7431 7368 7547 7896 8486 8803 9685 10124 10781 10941 11201 11225 11605 12318 12318 12674 13294 13499
General Assistance 81 88 82 83 91 100 142 180 211 254 296 339 414 491 589 727 817 926 974 1093 1301 1536 1704 1833 1945 2104 2140 2141 2171 2487 3171 3367 3596 3100 3308 3091 3061 2836 2616 1641 1481 1928 1875 1730 1819 1730 1935 2159 2414 2123 2244 2129 2738
Maternal/Child Health 19 29 29 30 30 34 42 45 53 63 59 65 69 67 76 82 89 94 100 111 124 127 135 139 135 151 160 169 169 170 172 189 205 205 207 201 198 204 199 208 218 218 215 216 215 219 226 238 243 233 225 215 203
Federal 5 9 9 9 10 14 19 23 26 30 23 29 36 31 38 43 46 48 51 52 53 53 54 57 47 53 50 52 53 54 53 58 63 62 62 59 56 54 53 54 54 54 56 56 56 56 55 55 55 55 55 54 53
State and Local 14 20 20 21 20 20 23 22 27 33 36 36 33 35 38 40 43 46 49 58 71 74 81 82 88 99 111 117 117 116 119 131 142 143 145 142 142 149 146 154 164 163 160 161 159 164 171 183 188 178 169 160 150
Vocational Rehabilitation 7 8 10 13 15 19 26 46 64 72 82 94 97 103 100 99 92 96 92 91 89 96 96 93 90 86 84 83 82 83 90 90 83 74 86 82 73 70 72 82 107 120 123 124 120 116 131 118 108 118 132 134 131
Federal 4 5 6 8 9 13 19 34 48 55 64 73 76 80 78 77 71 75 71 70 68 73 72 70 69 66 65 65 64 64 70 70 66 56 65 63 55 52 55 61 80 92 94 95 93 89 99 89 82 90 103 105 102
State and Local 3 3 4 5 6 7 7 12 16 17 18 21 21 22 22 22 22 21 21 21 21 24 24 23 21 20 19 18 18 19 20 20 17 18 20 19 18 17 17 21 27 29 29 29 27 27 31 29 25 28 29 29 30
Other Federal Programs* 178 225 295 342 351 370 263 192 199 221 322 426 430 428 439 283 341 359 389 418 412 398 348 146 172 177 182 195 203 221 244 276 299 315 303 303 337 337 377 451 637 1012 1117 1156 1209 1220 1281 1282 1277 1342 1332 1714 1727
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 74 76 85 78 91 83 62 54 51 40 38 43 56 43 81 165 126 86 86 86 121 129 165 186 174 182 185 178 172 163 162 162 162 166 159 138 143
Other State and Local Programs** 2030 2165 2223 2451 2540 2734 2686 2433 2668 2845 3141 3248 3563 3961 4512 4795 4564 4804 5232 5741 5676 6424 6826 6956 6759 7047 9100 10245 10863 10588 10972 10810 10321 11208 12029 10663 10116 9936 10397 10374 9946 10438 11067 12490 13498 14482 15131 15950 16311 16597 17222 17493 17985
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 1981 4849 5811 6842 8006 9236 10275 11527 13614 16516 19668 22789 25647 29421 35492 42583 48444 53936 59376 63268 66785 71268 76049 84431 94066 109867 127008 140982 153550 165086 173411 179022 180081 188481 195505 214134 230196 243712 263080 283924 297231 315208 334687 356187 372304 383007 399585
Total Physician and Clinical Expenditures 5630 5842 6256 7075 8109 8587 9309 10448 11344 12716 14331 15917 17706 19559 22215 25309 28672 33112 35833 41192 47714 55606 61623 68644 77412 90857 100712 112909 128638 143294 158944 176530 191255 202747 212178 222278 231289 242861 258664 271883 290881 315716 340850 367987 393267 417199 438800 461768 486465 503176 518974 540141 564996
Out of pocket 3384 3438 3613 4049 4658 4897 4858 4843 5138 5780 6462 6883 7376 7805 8458 9092 10102 11387 11644 12913 14220 16160 17366 18642 20725 24268 26999 27998 29542 29874 30087 30738 30312 29314 27641 26044 26798 28322 30030 30848 32491 33876 35385 37602 39741 42652 44609 46838 48653 47906 50940 52251 54855
Health Insurance 1837 1952 2150 2497 2871 3049 3776 4896 5476 6203 6991 8026 9183 10399 12126 13976 16090 18853 20779 24191 28516 33527 37696 42483 47805 55755 61093 70179 82027 94377 107797 122678 135526 146683 157025 167358 174610 183076 194491 205380 222736 243689 265387 287732 310127 330231 349239 368030 390926 409872 420512 438090 455946
Private Health Insurance 1593 1677 1825 2117 2518 2735 2801 2881 3153 3655 4209 4775 5436 6099 6995 7944 9311 11055 12050 14216 16625 19524 21672 24018 27556 33285 35415 40814 49962 58163 66998 77872 86967 94877 100587 106252 110358 114636 122771 128334 138004 150557 163662 178005 189698 202390 211921 222392 233046 238144 241649 249426 258345
Medicare 0 0 0 0 0 0 443 1226 1457 1570 1643 1855 2027 2271 2854 3467 4100 4980 5872 6871 8315 9838 11757 13860 15401 17010 19460 22514 24426 27703 30460 32021 33700 35320 38798 42262 44649 47663 50240 53823 58729 63727 68041 73525 80543 85576 91345 95956 103794 111472 115103 121571 128081
Medicaid (Title XIX) 0 0 0 0 0 0 141 348 429 519 649 846 1093 1353 1539 1783 1822 1897 1991 2153 2432 2839 2793 3092 3190 3521 4028 4477 4913 5600 7026 9113 11152 12683 13695 14788 15241 16312 16735 17510 19246 21391 23916 25078 27732 29799 31527 33222 35594 39929 42580 44456 45624
Federal 0 0 0 0 0 0 68 169 223 286 349 481 594 706 873 976 1041 1075 1103 1215 1366 1603 1582 1761 1798 1977 2280 2540 2847 3272 4119 5305 6678 7658 8073 8628 8954 9491 9799 10256 11357 12666 14140 15508 16995 17818 18773 19621 21981 27598 29691 28213 27099
State and Local 0 0 0 0 0 0 73 180 207 233 300 365 499 647 666 807 780 822 888 937 1066 1235 1211 1331 1392 1544 1748 1937 2065 2327 2907 3808 4474 5025 5622 6160 6287 6821 6936 7254 7889 8725 9776 9570 10736 11981 12754 13601 13613 12331 12889 16243 18525
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 494 731 1001 1192 1435 1607 1656 2520 2654 2746 2966 3066 3046 3166
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 338 506 702 840 1015 1127 1161 1718 1834 1906 2065 2121 2117 2193
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 155 226 299 351 421 480 495 802 820 840 902 945 930 973
Department of Defense 218 248 298 352 324 284 359 408 403 420 448 502 568 605 659 681 728 798 717 797 971 1131 1250 1264 1389 1662 1872 2019 2351 2530 2893 3201 3198 3229 3303 3357 3551 3584 3700 4128 4718 5479 6820 7509 8161 8308 9226 10235 11441 12058 12336 13222 14163
Department of Veterans Affairs 25 27 27 28 29 30 31 32 34 39 41 48 59 70 80 100 129 123 148 154 173 195 224 248 268 277 318 354 376 382 419 471 510 574 642 698 810 881 988 1092 1307 1534 1757 2179 2386 2503 2700 3571 4305 5302 5779 6369 6567
Other Third Party Payers and Programs 409 452 493 529 579 641 675 709 730 733 878 1008 1147 1355 1631 2241 2480 2872 3409 4088 4977 5918 6561 7520 8883 10835 12620 14732 17069 19043 21061 23114 25417 26750 27512 28876 29881 31463 34143 35654 35654 38151 40079 42653 43399 44316 44952 46901 46885 45398 47522 49800 54195
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 73 78 84 93 106 128 150 156 176 199 225 255 302 359 428 514 626 786 1061 1434 1848 2487 3009 3594 4534 5781 6880 8144 9409 10586 11306 12411 13781 14895 16174 17574 18822 20089 22060 22755 21980 22949 24219 25734 26208 26930 27689 29011 27982 26663 28438 29758 33587
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 56 65 79 99 127 133 130 146 167 192 195 213 231 227 279 339 404 414 419 464 458 495 503 526 568 626 626 665 699 703 726 751 785 875 985 994 1060
Workers' Compensation 252 267 288 305 328 348 393 443 424 370 454 486 530 634 747 853 985 1127 1222 1448 1612 1806 2032 2274 2652 3289 3853 4504 5346 6355 7175 8011 8689 8803 8183 7994 7980 8292 8966 9652 10132 11197 11668 12412 12523 12624 12425 12719 13490 13042 13153 13784 13939
General Assistance 9 10 9 9 9 9 19 24 32 41 51 62 79 99 123 152 176 202 224 245 313 354 380 422 473 524 604 665 712 610 625 576 645 656 613 633 625 638 625 464 469 504 498 607 623 638 696 790 897 993 979 614 808
Maternal/Child Health 4 7 8 10 11 14 20 25 31 38 33 38 43 40 46 51 55 58 62 66 72 72 74 79 76 94 100 109 114 118 118 131 142 142 144 140 138 141 142 148 155 156 155 155 154 154 154 159 161 151 145 140 133
Federal 2 3 4 4 5 8 13 18 22 26 20 26 32 27 33 37 40 42 45 46 47 46 46 50 43 53 52 57 60 63 62 68 74 73 74 71 68 67 67 69 69 70 72 72 72 70 68 68 67 66 65 64 62
State and Local 2 3 4 5 6 6 7 7 9 12 12 13 12 13 13 14 15 16 17 21 25 26 28 29 33 41 47 52 54 55 56 63 68 68 70 69 70 74 75 79 86 85 83 84 82 83 86 91 93 86 80 76 71
Vocational Rehabilitation 8 9 10 11 12 15 23 30 34 39 49 58 59 58 67 73 81 85 86 88 87 85 88 101 111 118 125 138 148 151 150 160 172 175 182 184 184 196 200 199 201 210 218 221 222 220 235 242 246 256 269 263 251
Federal 5 6 6 7 7 10 16 22 26 30 38 45 46 46 52 57 64 66 66 67 67 64 65 74 84 90 95 106 114 117 115 123 131 131 136 138 137 148 151 151 152 160 167 170 171 170 178 181 188 197 211 207 195
State and Local 3 4 4 4 5 5 6 8 9 9 11 13 13 13 15 16 18 19 20 21 21 21 24 26 28 29 30 32 34 34 35 37 41 44 46 46 47 48 49 48 49 50 51 52 51 50 57 61 58 59 59 57 56
Other Federal Programs* 29 39 49 54 52 52 31 14 18 29 53 93 119 149 204 184 155 179 242 299 419 504 469 550 515 540 558 577 595 590 660 715 782 809 858 874 898 931 979 1094 1256 1529 1673 1821 1913 1990 1982 2188 2288 2367 2532 3303 3403
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 328 351 410 388 476 454 356 330 330 274 281 355 484 373 717 740 769 829 914 982 743 644 635 785 864 942 969 985 1003 1002 988 983 975 989 959 878 947
Other State and Local Programs** 34 41 46 47 61 74 41 17 15 16 13 16 15 16 16 18 18 19 23 21 22 23 24 25 24 24 26 27 30 31 30 32 34 26 25 32 34 36 34 31 30 39 52 53 55 56 58 59 61 61 63 65 66
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 584 1574 1886 2089 2292 2701 3120 3624 4393 5250 5922 6877 7863 9024 10747 12677 14550 16952 18591 20531 23488 26991 29339 33303 37486 41134 44852 48003 52493 57050 59890 63975 67031 71827 78706 86119 93149 100038 109882 117031 125392 131832 142134 154367 160749 169073 176871
Total Dental Services Expenditures 1987 2103 2224 2371 2616 2818 2992 3446 3704 4216 4711 5226 5566 6379 7139 8023 9042 10129 11039 11984 13426 15817 17085 18408 19980 21819 23293 25455 27531 29517 31742 33545 37285 39160 41715 44775 47105 50457 53780 57448 62271 67821 73684 76279 82053 87017 91442 97338 102369 102482 105378 107656 110937
Out of pocket 1907 2018 2135 2275 2516 2704 2827 3150 3322 3789 4241 4671 4933 5605 6129 6532 6963 7584 7918 8237 8838 10084 10550 11010 11575 12242 12658 13118 13845 14485 15264 15757 17149 17493 18336 19369 20137 22138 23765 25232 27651 29332 32308 33758 36073 38301 40193 42976 45451 43058 43636 45000 46776
Health Insurance 64 64 66 71 71 81 146 284 362 403 449 530 604 739 965 1433 2009 2459 3026 3647 4475 5592 6388 7245 8245 9390 10446 12148 13501 14840 16298 17587 19913 21430 23125 25142 26680 28009 29708 31907 34271 38155 41060 42238 45669 48388 50898 53979 56498 58940 61196 62154 63623
Private Health Insurance 38 37 38 41 43 55 68 104 113 180 212 248 292 378 550 939 1486 1909 2502 3070 3813 4838 5730 6580 7618 8684 9680 11331 12647 13953 15269 16324 18391 19405 21029 22961 24417 25624 27122 29209 31284 34336 36554 37398 40514 42897 45117 47591 49061 49950 51297 52128 53370
Medicare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 2 16 17 34 40 54 74 89 99 78 81 86 79 70 71 86 103 164 221 296 242 294 368
Medicaid (Title XIX) 0 0 0 0 0 0 43 138 201 168 162 179 183 228 295 364 390 424 392 440 503 581 485 501 456 510 554 591 617 638 756 945 1196 1675 1741 1807 1872 1975 2124 2141 2316 2990 3472 3748 3925 4147 4275 4555 5458 6751 7368 7260 7290
Federal 0 0 0 0 0 0 21 67 104 93 87 101 100 120 166 200 233 241 217 247 275 317 264 273 249 277 304 324 345 359 425 529 684 950 960 994 1042 1101 1187 1204 1311 1684 1954 2211 2303 2382 2454 2624 3282 4571 5078 4461 3919
State and Local 0 0 0 0 0 0 22 71 98 75 75 77 83 109 128 164 158 184 175 192 227 264 221 228 207 233 250 267 272 279 331 417 512 724 782 813 830 874 937 937 1004 1306 1518 1538 1622 1765 1821 1932 2176 2179 2290 2798 3371
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 146 234 328 452 391 401 464 489 665 702 770 1047 1166 1305
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 103 165 234 324 283 288 331 348 474 502 549 732 814 910
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 44 69 94 128 108 113 133 141 191 200 222 315 351 394
Department of Defense 25 26 27 29 27 26 34 41 44 46 50 60 78 80 76 77 77 81 87 97 111 127 142 146 157 183 200 213 225 239 263 292 294 305 303 309 305 309 321 323 346 403 491 614 733 750 847 941 990 1095 1169 1225 1215
Department of Veterans Affairs 1 1 1 1 1 1 1 2 3 9 26 43 51 52 44 53 56 44 45 40 49 45 30 18 13 12 11 10 10 8 8 10 14 12 11 12 12 12 11 10 11 12 13 17 26 44 68 62 65 77 73 80 75
Other Third Party Payers and Programs 16 21 23 25 30 32 19 12 20 23 21 24 29 35 45 58 70 86 94 101 113 141 147 154 161 187 189 189 185 192 180 201 223 237 255 263 288 310 307 308 348 335 316 283 311 328 351 383 420 485 546 502 537
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 4 7 11 15 19 22 27 27 39 43 44 51 73 81 86 80 84 61 65 68 74 80 82 120 130 134 142 173 141 70 43 49 56 61 64 71 78 90 87 108
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 14 16 19 21 22 24 24 27 31 35 33 34 37 34 41 54 66 68 71 80 78 84 86 93 105 119 116 125 134 138 148 155 165 181 197 200 212
Workers' Compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
General Assistance 1 1 1 1 1 1 1 3 8 9 11 13 16 19 23 24 28 37 37 37 47 60 62 64 62 60 55 47 46 52 58 60 64 70 79 76 65 70 61 46 41 45 100 86 100 105 113 134 154 198 233 183 187
Maternal/Child Health 2 3 3 3 2 2 3 6 8 9 8 10 11 10 11 12 13 14 15 16 18 18 18 18 17 20 20 22 22 21 21 22 24 24 25 25 25 26 26 28 30 30 30 29 29 29 29 30 30 28 26 25 24
Federal 1 1 1 1 1 1 2 4 5 6 5 6 8 6 8 9 9 10 10 11 11 11 11 11 9 11 10 11 11 11 10 11 12 12 12 12 11 12 12 12 12 13 13 12 12 12 12 12 12 11 11 11 10
State and Local 1 2 2 2 1 1 1 2 3 3 3 3 3 3 4 4 4 4 5 5 7 7 7 7 8 9 10 11 11 11 11 11 12 12 13 13 13 15 15 16 17 17 17 16 16 16 17 18 19 16 15 14 13
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 7 10 11 13 14 13 7 3 3 3 1 2 2 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 6 8 8 9 13 16 7 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 43 138 201 168 162 179 183 228 295 364 390 424 392 440 503 581 485 501 456 511 555 592 618 640 758 961 1213 1709 1781 1861 1946 2064 2255 2365 2631 3404 4003 4209 4397 4697 4867 5384 6381 7817 8657 8720 8963
Total Other Professional Services Expenditures 392 409 429 451 486 533 572 608 644 678 726 793 893 1022 1163 1337 1564 2058 2403 2847 3478 4276 4924 5663 7350 8143 9326 11389 13805 14597 17408 18713 21048 23181 24227 26973 29206 31677 33791 34994 37015 40612 43671 46729 50267 52671 54961 59492 63988 66788 69842 73076 76380
Out of pocket 341 343 351 361 383 395 389 375 364 348 324 287 310 393 440 643 743 1021 1200 1394 1699 2019 2248 2478 3196 3317 3618 4304 5174 5250 6202 6370 6969 7421 7427 7956 8269 9313 10051 10771 11279 11946 12549 13191 13899 14121 14713 16098 17230 17463 18293 18779 19371
Health Insurance 8 12 16 20 25 30 49 75 84 86 100 128 161 223 286 418 513 690 801 972 1207 1560 1866 2246 2996 3403 4035 5094 6311 6783 8412 9292 10686 12144 13033 15013 16718 17874 19236 19735 21281 24074 26323 28830 31364 33375 34914 37607 40675 43176 45148 47676 50122
Private Health Insurance 8 12 16 20 25 30 34 37 40 42 43 49 65 99 130 219 288 445 550 672 859 1134 1394 1686 2375 2682 3169 4072 5156 5505 6834 7367 8452 9428 9875 11060 12011 12728 12907 13540 14254 15650 17014 18519 19706 20086 20849 22796 24239 24589 25635 27049 28237
Medicare 0 0 0 0 0 0 3 10 13 15 18 22 27 34 47 63 74 87 106 131 167 201 259 332 383 465 568 680 794 913 1132 1376 1639 1882 2299 2937 3500 3835 5004 4727 5406 6461 6743 7468 8287 9448 10211 10956 12382 13766 14541 15706 16944
Medicaid (Title XIX) 0 0 0 0 0 0 11 28 31 29 40 56 69 90 108 136 150 158 144 169 181 225 214 228 238 256 298 342 362 366 445 549 594 834 859 1016 1207 1311 1319 1425 1565 1889 2446 2730 3264 3719 3682 3701 3891 4647 4804 4716 4719
Federal 0 0 0 0 0 0 6 14 16 16 21 32 37 47 61 75 86 89 80 95 98 121 115 123 128 138 162 187 202 204 249 304 344 502 499 579 693 748 758 822 899 1083 1404 1657 1942 2164 2131 2140 2369 3153 3312 2914 2461
State and Local 0 0 0 0 0 0 6 15 15 13 18 24 31 43 47 61 65 68 64 75 84 104 99 105 109 118 136 154 160 162 197 245 250 332 361 437 515 563 561 603 667 806 1043 1073 1323 1556 1551 1561 1521 1494 1493 1802 2258
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 42 55 74 120 113 106 121 173 153 163 174 167 206 223
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 29 40 52 83 78 74 84 118 107 115 123 118 145 156
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 13 15 22 37 34 32 37 55 47 49 51 49 61 67
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Third Party Payers and Programs 43 54 62 70 78 108 134 157 195 243 301 378 422 406 437 276 308 347 402 480 572 697 811 940 1158 1423 1672 1991 2319 2564 2794 3051 3394 3615 3767 4004 4218 4491 4503 4488 4455 4592 4799 4708 5004 5175 5334 5787 6082 6149 6402 6621 6887
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 11 12 13 14 16 19 22 23 26 30 34 38 45 54 64 77 93 117 158 214 275 371 448 536 676 862 1025 1214 1402 1578 1685 1850 2054 2220 2411 2619 2805 2994 2942 2826 2724 2729 2892 2733 2996 3162 3327 3661 3873 4006 4257 4436 4704
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 13 14 15 16 17 18 20 23 25 29 32 35 38 46 54 62 73 86 99 117 134 152 177 202 246 284 330 397 482 557 655 713 790 822 769 779 799 846 912 978 1022 1135 1189 1259 1275 1281 1265 1322 1416 1385 1419 1492 1513
General Assistance 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 3 3 4 4 5 6 7 7 7 10 14 21 26 41 45 39 42 48 51 59 54 46 41 36 54 49 57 56 58 79 82 92 109 71 77 66 22 34
Maternal/Child Health 16 26 29 33 38 46 60 77 92 102 102 116 126 120 127 134 137 138 139 143 156 165 177 193 224 262 293 351 391 381 412 443 498 519 525 547 564 604 609 627 657 666 656 652 647 643 643 689 715 673 650 626 596
Federal 4 7 8 9 11 16 27 39 50 53 46 59 70 63 70 77 79 79 80 79 79 81 84 94 94 110 112 133 149 149 157 166 188 193 194 197 197 201 201 203 203 208 212 210 211 205 196 201 203 201 201 199 194
State and Local 12 19 21 25 28 30 33 37 43 49 56 57 56 57 57 57 58 59 59 64 77 83 93 99 130 152 182 218 242 232 255 276 311 325 331 350 368 403 408 424 454 458 445 442 436 438 447 488 512 472 449 428 403
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 1 1 3 4 3 19 28 33 50 82 133 187 210 184 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 31
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 2 2 3 3 4 5 3 1 1 1 1 1 1 1 1 1 1 1 2 1 2 2 2 2 2 2 2 3 3 3 3 3 4 3 3 4 4 5 4 4 4 5 6 6 7 7 7 7 8 8 8 8 9
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 14 38 44 44 58 78 96 124 155 199 224 245 250 300 348 426 473 560 621 721 866 1022 1156 1279 1577 1925 2233 2716 3158 3953 4707 5146 6329 6194 7026 8424 9309 10311 11657 13288 14066 14810 16436 18587 19512 20628 21886
Total Home Health Care Expenditures 57 61 65 69 75 89 108 164 238 272 220 194 220 276 423 623 896 1147 1556 1899 2378 2938 3482 4237 5129 5647 6388 6660 8426 10238 12567 15172 18730 22800 27375 32358 35822 36977 34175 32871 32425 34420 36628 39798 43809 48710 52591 57772 62291 67249 71153 74038 77781
Out of pocket 7 8 8 8 9 11 13 14 21 24 21 19 23 29 47 79 119 152 229 283 363 437 513 625 769 890 1101 1148 1648 1962 2247 2550 3018 3651 4162 5184 5994 6373 7124 6932 6355 6478 6135 5890 5865 6256 5915 5460 5438 4924 5088 5614 6032
Health Insurance 3 3 3 4 4 4 15 57 80 94 83 82 96 120 197 330 498 643 824 1043 1277 1700 2125 2642 3229 3552 3941 4208 5170 6455 8313 10458 13334 16550 20392 24079 26558 27358 23882 22572 23155 25050 27737 31236 35261 39714 44165 49851 54527 60200 63962 66204 69312
Private Health Insurance 1 2 2 2 2 2 2 3 5 7 7 7 9 14 25 48 83 121 190 255 349 445 549 695 884 1051 1332 1414 2063 2486 2875 3287 3910 4746 5418 6749 7792 8261 8814 8374 7728 6747 6476 6309 5928 6139 5634 5095 4822 4508 4633 4979 5582
Medicare 0 0 0 0 0 0 9 48 67 75 59 52 61 79 128 189 272 352 434 538 638 830 1074 1316 1554 1597 1570 1558 1725 2188 3263 4641 6446 8305 11084 12964 14025 13850 9422 8191 8546 9900 11338 13235 15536 18208 21060 24264 27074 30335 31802 32374 33776
Medicaid (Title XIX) 0 0 0 0 0 0 2 3 5 9 15 20 22 22 38 86 134 162 191 240 277 412 488 615 774 886 1019 1213 1358 1754 2144 2495 2939 3456 3841 4313 4676 5170 5558 5906 6771 8283 9791 11521 13617 15108 17196 20129 22166 24743 26688 27905 28940
Federal 0 0 0 0 0 0 1 2 3 5 7 11 12 12 21 48 79 92 106 134 148 220 259 327 407 465 542 646 735 940 1147 1310 1585 1889 2051 2302 2534 2777 3000 3196 3657 4486 5295 6474 7538 8161 9290 10885 12548 16079 17552 16339 15512
State and Local 0 0 0 0 0 0 1 2 2 5 7 8 10 10 17 38 56 70 85 106 129 192 228 288 366 421 477 567 623 813 997 1185 1354 1567 1791 2011 2142 2393 2557 2711 3115 3796 4496 5046 6079 6947 7906 9243 9617 8664 9136 11567 13427
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 5 7 10 14 13 14 13 15 15 15 19 23 25
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 4 5 7 10 9 10 9 11 11 11 13 17 18
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 3 4 4 4 4 5 5 4 5 7 7
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 2 2 2 2 2 2 2 2 3 3 3 3 4 5 6 7 8 9 10 11 12 13 15 16 17 18 21 23 25 28 32 35 39 44 48 53 66 77 87 96 105 114 122 158 168 245 262 348 449 600 821 922 989
Other Third Party Payers and Programs 46 50 53 57 62 74 79 93 137 153 116 92 101 128 180 214 279 352 503 574 739 801 844 970 1131 1205 1345 1304 1608 1820 2007 2164 2378 2599 2821 3095 3270 3245 3169 3367 2915 2891 2756 2672 2683 2739 2511 2460 2327 2124 2102 2220 2437
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 38 41 44 48 52 62 64 70 104 115 85 65 70 89 119 127 154 193 278 315 370 409 441 492 555 589 668 639 841 918 963 1003 1088 1207 1261 1440 1527 1488 1553 1732 1372 1173 1053 1100 1082 1196 1121 1036 968 870 873 901 1019
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
General Assistance 0 0 0 0 0 0 0 0 0 1 1 1 1 1 3 3 3 3 3 4 3 4 5 7 8 8 9 19 16 16 20 35 42 45 63 72 80 74 68 55 24 32 32 53 67 91 118 157 144 184 198 230 270
Maternal/Child Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 22
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 8 8 9 9 10 12 15 22 32 37 30 26 30 38 58 85 122 157 222 255 365 388 398 471 568 609 668 647 751 887 1024 1126 1248 1348 1497 1583 1662 1683 1548 1580 1518 1687 1671 1519 1534 1451 1272 1268 1215 1070 1030 1064 1127
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 11 51 72 84 74 72 83 101 166 275 406 514 625 778 915 1242 1562 1931 2328 2483 2589 2771 3083 3942 5407 7136 9385 11761 14925 17277 18701 19020 14981 14102 15322 18190 21139 24770 29166 33330 38269 44408 49255 55093 58509 60302 62741
Total Non-Durable Medical Products Expenditures 1626 1764 1901 1944 2083 2211 2377 2527 2750 2967 3325 3470 3672 3983 4491 4949 5433 6083 7137 8450 9801 11296 12581 13755 14976 15955 17063 18265 19376 20819 22446 23247 23213 23742 24310 25100 26004 27581 28574 30624 31568 32250 33292 36199 38088 40805 43733 47752 49472 50328 51246 52806 53741
Out of pocket 1626 1764 1901 1944 2083 2211 2375 2522 2744 2960 3316 3460 3659 3968 4470 4921 5399 6039 7078 8376 9703 11166 12413 13536 14722 15668 16734 17885 18958 20343 21889 22505 22348 22783 23290 23893 24777 26248 27224 29296 30134 30669 31614 34338 36063 38663 41436 45212 46755 47532 48354 49814 50635
Health Insurance 0 0 0 0 0 0 2 5 6 7 9 10 13 15 21 28 34 44 59 74 98 130 168 219 254 287 329 380 418 476 557 742 865 959 1020 1207 1227 1333 1350 1327 1434 1581 1678 1861 2025 2142 2297 2540 2717 2796 2892 2990 3105
Private Health Insurance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare 0 0 0 0 0 0 2 5 6 7 9 10 13 15 21 28 34 44 59 74 98 130 168 219 254 287 329 380 418 476 557 742 865 959 1020 1207 1227 1333 1350 1327 1434 1581 1678 1861 2025 2142 2297 2540 2717 2796 2892 2990 3105
Medicaid (Title XIX) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Third Party Payers and Programs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternal/Child Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 2 5 6 7 9 10 13 15 21 28 34 44 59 74 98 130 168 219 254 287 329 380 418 476 557 742 865 959 1020 1207 1227 1333 1350 1327 1434 1581 1678 1861 2025 2142 2297 2540 2717 2796 2892 2990 3105
Total Prescription Drug Expenditures 2676 2718 3029 3159 3347 3715 3985 4227 4742 5149 5497 5877 6324 6817 7422 8052 8722 9196 9891 10744 12049 13398 15029 17323 19617 21795 24290 26888 30646 34757 40290 44381 47003 49589 53059 59808 68137 77621 88427 104736 120893 138687 158163 177004 192967 205312 224472 235945 242552 254542 255656 262174 263287
Out of pocket 2570 2595 2889 3005 3138 3441 3594 3712 4120 4362 4531 4752 5035 5341 5724 6093 6519 6813 7200 7575 8592 8983 10440 11446 12731 13855 15744 16692 18694 20581 22867 23553 23663 23891 23282 23351 24468 25986 27782 30852 33934 36625 40947 45644 48304 51509 51363 52052 49830 49450 45993 46926 46834
Health Insurance 39 42 46 47 85 133 288 445 540 703 907 1061 1217 1396 1608 1856 2087 2261 2563 2991 3242 4170 4312 5556 6504 7443 7914 9482 11110 13159 16217 19595 22087 24465 28476 35097 42261 50120 58925 71956 84675 99340 114095 127750 140953 149908 169001 180067 189071 201538 206235 211536 214002
Private Health Insurance 35 38 42 43 82 130 182 238 317 399 484 558 643 742 855 967 1097 1202 1433 1731 1810 2534 2610 3614 4244 5047 4836 5957 7126 8862 10860 13212 14786 16214 19146 24376 29942 35922 42335 51913 60702 70634 79924 87239 95158 102207 102061 107421 110896 117985 118528 119488 117027
Medicare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 21 44 75 102 139 185 231 293 372 496 722 1011 1259 1561 1919 2096 2448 2473 2470 3371 3931 39637 45954 50644 54546 58949 63274 68241
Medicaid (Title XIX) 0 0 0 0 0 0 103 205 219 300 417 495 563 644 739 871 969 1036 1107 1236 1408 1611 1669 1907 2219 2332 2986 3396 3814 4083 5077 6043 6883 7721 8627 9700 10824 12225 14015 16613 19760 23316 27443 32133 35727 36351 19149 18378 19179 20184 19998 19752 19620
Federal 0 0 0 0 0 0 50 99 114 165 224 281 308 336 419 478 576 587 613 701 815 923 952 1092 1263 1319 1691 1916 2183 2342 2919 3445 4029 4551 4974 5543 6238 6999 7992 9504 11289 13346 15637 19155 21019 20823 10947 10552 11414 13446 13511 11776 10692
State and Local 0 0 0 0 0 0 53 106 106 135 193 214 255 308 321 392 394 449 493 536 593 688 717 815 956 1013 1295 1480 1631 1741 2158 2598 2854 3169 3653 4157 4586 5226 6023 7110 8471 9970 11806 12978 14708 15528 8202 7826 7765 6738 6487 7976 8928
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 173 302 407 603 953 931 1055 978 997 1162 1378 1427 1414 1459
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 122 213 289 427 676 663 748 690 701 828 987 1019 1015 1045
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 51 89 118 176 277 269 307 288 297 334 390 408 399 414
Department of Defense 0 0 0 0 0 0 0 0 1 2 3 5 6 5 6 9 10 11 11 11 11 13 20 22 27 34 38 43 57 65 84 98 114 145 179 213 261 309 339 472 667 1040 1825 2723 3289 3660 4423 4699 4760 4970 4779 4862 4969
Department of Veterans Affairs 4 4 4 4 3 3 3 3 3 3 3 4 5 5 7 9 12 11 12 12 13 13 13 12 11 10 10 10 11 9 10 10 10 12 28 86 223 405 628 866 1148 1495 1827 2231 2478 2704 2753 2617 2429 2475 2553 2746 2684
Other Third Party Payers and Programs 67 81 94 107 124 140 104 69 82 83 59 65 73 80 90 104 115 122 128 179 215 245 277 321 382 497 633 715 842 1017 1206 1232 1254 1233 1302 1361 1408 1515 1720 1928 2283 2722 3121 3609 3710 3895 4108 3826 3652 3554 3428 3713 2452
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 2 2 2 2 3 3 4 4 4 4 4 5 6 8 8 8 9 9 10 10 11 12 14 14 15 16 17 18 19 20 23 27 27 29
Workers' Compensation 9 9 10 11 11 12 14 15 17 19 21 23 25 30 33 36 40 42 45 51 55 59 67 78 91 106 125 144 172 208 245 271 287 290 276 290 317 357 413 500 567 662 729 799 823 833 854 875 906 890 875 905 882
General Assistance 4 4 3 4 4 4 8 15 27 27 29 31 35 39 43 53 60 63 65 109 141 167 191 221 270 366 481 542 640 779 929 924 927 904 985 1027 1045 1107 1253 1365 1646 1983 2311 2726 2801 2974 3163 2858 2652 2570 2454 2587 1369
Maternal/Child Health 1 1 2 2 3 3 5 6 8 9 8 9 10 9 11 12 13 14 15 16 16 16 16 18 17 20 21 23 24 25 26 29 31 31 32 33 36 39 42 49 56 59 62 65 65 65 68 70 69 66 62 59 55
Federal 1 1 1 1 2 2 3 5 6 7 5 7 8 7 8 9 10 11 11 12 12 11 11 13 11 13 13 14 14 15 16 17 18 18 19 19 20 22 23 27 29 31 34 35 35 35 35 35 34 33 32 31 29
State and Local 0 0 1 1 1 1 1 1 2 2 3 3 2 2 3 3 3 3 3 4 4 5 5 5 6 7 9 9 10 10 11 12 12 13 13 14 15 18 19 23 27 28 29 30 30 31 33 35 35 32 30 28 25
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 28 36 44 53 53 53 38 20 17 15 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 130 112
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 26 30 34 38 53 68 38 13 13 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 2 2 2 2 2 3 4 5 5 5 5 6 6 6 6 6 6
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 103 205 219 300 417 495 563 644 739 871 969 1036 1107 1236 1408 1611 1669 1907 2221 2353 3030 3471 3916 4222 5262 6274 7176 8093 9123 10422 11835 13484 15623 18705 22158 26171 30519 35556 40029 41337 59764 65329 70985 76108 80374 84440 89320
Total Durable Medical Equipment Expenditures 740 765 910 901 1004 1105 1242 1128 1317 1512 1747 1799 2032 2247 2506 2801 2987 3205 3446 3781 4054 4330 4570 5250 6141 7056 8066 9466 11078 11886 13766 13079 13496 14136 15314 15855 17426 19210 21349 23013 25156 25125 27121 28036 29453 30870 32330 34337 34897 35022 36978 39068 41255
Out of pocket 686 707 843 833 928 1021 1130 990 1149 1299 1503 1532 1721 1889 2062 2259 2390 2507 2629 2794 2964 3087 3159 3576 4235 4900 5625 6654 7833 8184 9493 8579 8543 8669 9266 9081 10029 11110 12985 14167 15443 14541 15289 15379 16268 16928 17504 18837 18479 18638 19854 21553 23069
Health Insurance 40 40 49 50 55 62 85 108 130 169 197 213 254 297 374 464 516 612 724 885 984 1137 1300 1547 1758 1980 2236 2573 2966 3383 3906 4143 4590 5108 5688 6426 7036 7712 7937 8377 9212 10078 11303 12116 12638 13393 14276 14932 15847 15829 16549 16919 17594
Private Health Insurance 40 40 49 50 55 62 75 82 91 113 133 151 186 210 252 306 334 397 459 553 568 572 566 619 708 790 873 1002 1226 1343 1523 1391 1357 1449 1644 1731 1970 2261 2706 2953 3268 3085 3260 3287 3502 3648 3715 4004 3884 3950 4215 4508 4688
Medicare 0 0 0 0 0 0 6 16 21 25 28 35 42 51 71 94 115 148 198 247 326 447 573 748 865 973 1106 1268 1380 1556 1801 2031 2344 2597 2769 3169 3411 3836 3644 3750 4065 4479 5273 6020 6230 6434 6885 7016 7891 7489 7625 7664 8197
Medicaid (Title XIX) 0 0 0 0 0 0 5 9 18 32 35 27 26 36 51 65 68 66 67 86 90 118 160 181 185 217 256 303 360 484 583 721 889 1062 1276 1526 1655 1615 1582 1644 1837 2470 2697 2745 2848 3246 3614 3825 3987 4315 4621 4642 4591
Federal 0 0 0 0 0 0 3 6 11 18 20 15 15 21 28 36 35 36 37 47 51 67 90 102 104 123 146 173 202 277 333 428 534 635 762 898 978 949 923 972 1082 1455 1589 1721 1736 1919 2110 2242 2405 2928 3165 2811 2614
State and Local 0 0 0 0 0 0 2 3 7 14 14 12 11 15 22 28 33 30 29 39 40 52 71 79 81 95 110 130 158 207 250 294 355 427 514 629 677 666 660 672 755 1015 1108 1024 1112 1327 1505 1583 1582 1386 1456 1831 1977
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 30 43 44 73 64 58 66 62 87 85 76 88 104 118
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 21 29 32 51 46 42 48 45 63 63 56 64 76 86
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 13 12 21 18 15 18 17 24 22 20 24 28 32
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Third Party Payers and Programs 15 17 18 19 20 22 27 31 37 44 48 54 57 61 71 77 80 86 93 102 105 106 111 127 148 175 205 239 279 319 366 358 362 359 359 349 361 389 427 468 501 506 528 540 548 549 550 568 571 555 576 596 593
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 2 2 2 2 3 3 3 3 3 4 4 5 5 5 5 5 5 5 5 6 6 5 6 6 6 6 6 6 7 9 9 10
Workers' Compensation 9 9 10 11 11 12 14 15 17 19 21 23 25 30 34 39 42 45 48 55 56 58 62 72 87 105 127 155 189 216 254 243 251 252 242 234 247 269 303 335 359 365 381 390 387 387 382 388 397 372 386 409 414
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 6 8 5 5 17 21 22 13 10 12 9 8 6 6 12 14 13 18 21 32 31 31 40 34 43 42 28 25
Maternal/Child Health 2 3 3 4 4 4 5 7 10 12 11 12 14 13 15 16 17 18 20 21 22 22 21 23 24 29 32 37 40 39 41 39 40 40 42 40 42 46 48 52 56 51 51 49 48 48 48 49 48 44 43 41 39
Federal 1 1 1 1 1 2 3 4 6 7 6 7 9 8 9 10 11 12 12 13 13 12 11 12 11 14 14 16 17 17 18 16 17 17 17 16 17 17 18 19 20 18 19 18 18 17 17 16 16 15 15 15 14
State and Local 2 2 2 2 2 2 3 3 4 5 5 5 5 5 6 6 6 7 7 9 10 10 10 11 13 15 18 21 23 22 24 23 23 23 25 24 26 29 30 33 36 33 32 31 30 30 31 33 33 29 28 27 25
Vocational Rehabilitation 4 4 4 4 4 5 6 8 9 12 15 17 17 17 20 21 19 21 23 24 24 24 25 28 30 32 34 38 40 42 45 48 51 51 57 59 58 61 62 63 65 69 71 72 73 75 80 83 83 87 94 93 89
Federal 2 2 2 3 3 3 5 6 7 9 12 13 13 13 15 16 15 16 17 18 19 18 18 21 23 24 26 29 31 32 34 37 39 38 43 44 43 46 47 48 49 53 54 56 57 58 60 62 63 67 73 73 69
State and Local 1 1 2 2 2 2 2 2 2 3 3 4 4 4 4 5 5 5 5 6 6 6 7 7 7 8 8 9 9 10 10 11 12 13 14 15 15 15 15 15 16 17 17 17 17 17 20 21 19 20 20 20 20
Other Federal Programs* 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 12
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 2 2 2 2 2 2 2 2 2 2 3 3
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 11 25 39 57 63 62 68 87 122 159 183 214 265 333 416 565 733 929 1050 1190 1362 1571 1740 2040 2384 2752 3233 3659 4045 4695 5066 5451 5230 5424 5945 6993 8043 8829 9136 9746 10561 10928 11963 11880 12334 12410 12906
Total Nursing Care Facilities and Continuing Care Retirement Communities 811 841 876 1009 1168 1408 1732 2234 2851 3411 4034 4551 5227 5974 6928 8022 9057 10259 11845 13344 15270 17343 19494 21701 23750 26253 28712 30731 34325 38673 44890 49386 53050 56024 58634 64478 69569 74391 79412 80793 85120 90781 94480 100313 105758 112472 117309 126414 132570 138546 143028 149224 151548
Out of pocket 606 579 527 593 666 791 1047 1056 1476 1789 1998 2136 2493 2865 2888 3196 3737 4340 4936 5345 6218 6886 8127 9185 9857 11017 11987 12279 14103 14955 18084 18435 18592 18486 17789 19681 19364 20831 25139 26104 27195 27615 27941 30498 31787 33356 34805 37746 39218 39949 40318 41588 43279
Health Insurance 0 0 0 0 0 9 225 852 990 1038 1151 1583 2336 2648 3521 4245 4670 5216 6080 7057 7919 9148 9792 10669 11816 12813 14061 15613 16820 19849 21924 25622 28705 31379 35238 38247 43463 46426 47840 48114 52040 57656 60881 63577 67415 71778 74745 79166 84663 89369 92449 97395 97160
Private Health Insurance 0 0 0 0 0 1 2 3 5 7 9 12 17 23 29 38 54 75 104 136 193 261 376 519 684 940 1253 1584 1947 2192 2794 2984 3134 3232 4116 5511 6398 6767 7431 7761 7473 7736 8180 7504 6876 7332 8281 9027 9630 10413 10938 11586 12033
Medicare 0 0 0 0 0 0 0 190 244 216 143 121 120 165 200 220 260 267 268 283 307 337 367 392 423 454 458 499 732 2503 1700 1962 2888 3963 5603 6690 9475 11234 11401 9460 10822 13338 15026 15772 18259 20535 22356 24841 27647 30051 32012 35183 34421
Medicaid (Title XIX) 0 0 0 0 0 0 204 628 706 771 940 1367 2099 2338 3149 3810 4129 4646 5421 6327 7055 8138 8567 9204 10053 10695 11538 12656 13223 14229 16433 19563 21480 22838 24038 24516 25978 26809 27320 29113 31859 34529 35482 37762 39615 41131 41290 42061 43791 45006 45464 46332 46324
Federal 0 0 0 0 0 0 98 304 366 425 505 779 1140 1226 1775 2094 2448 2619 3007 3587 3984 4558 4776 5110 5547 5882 6371 6985 7410 8008 9247 10866 12239 13121 13515 13683 14596 14920 15221 16385 18510 21206 21515 22126 22947 23212 23265 23713 25674 30061 30894 28121 26431
State and Local 0 0 0 0 0 0 105 324 340 346 436 588 959 1112 1374 1716 1681 2026 2414 2740 3071 3580 3791 4094 4507 4813 5167 5670 5813 6221 7186 8697 9241 9717 10522 10833 11382 11889 12099 12727 13349 13323 13967 15636 16668 17919 18025 18348 18117 14945 14570 18211 19893
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 9 5 5 3 4 4 5 2 5 4 5 7 7
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 10 7 4 4 2 3 3 3 1 3 3 4 5 5
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 1 1 1 1 1 1 1 2 1 2 2 2
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 7 19 31 36 44 59 84 100 122 142 176 227 228 287 310 364 412 483 554 656 724 811 874 918 926 997 1114 1204 1346 1481 1531 1613 1616 1684 1766 1877 2048 2189 2536 2661 2775 2813 3235 3590 3894 4029 4286 4374
Other Third Party Payers and Programs 205 261 348 417 502 608 461 327 384 584 885 832 399 461 519 581 651 703 829 942 1132 1309 1574 1846 2077 2424 2664 2839 3401 3868 4882 5329 5753 6159 5607 6550 6742 7133 6433 6574 5885 5510 5657 6238 6556 7338 7759 9502 8689 9228 10262 10240 11109
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 49 51 52 60 69 75 89 107 133 155 183 207 240 282 315 357 398 415 499 571 702 824 1032 1240 1419 1696 1870 1989 2449 2783 3608 3942 4261 4576 3920 4717 4759 5009 4647 4726 4295 3832 3799 4177 4328 4939 5218 6717 5883 6313 6863 6825 7461
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
General Assistance 4 4 4 3 4 4 6 12 12 16 17 17 19 19 20 10 11 14 14 15 22 20 20 24 21 22 25 29 35 48 67 60 66 78 114 99 109 114 139 143 148 155 148 193 261 310 363 433 340 340 346 341 523
Maternal/Child Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 67 100 151 190 198 215 160 89 91 176 339 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 84 107 142 163 231 314 206 118 148 237 347 325 140 160 185 214 241 274 316 357 409 465 522 582 637 706 769 821 918 1037 1207 1327 1426 1505 1573 1733 1874 2010 1648 1705 1442 1523 1710 1868 1967 2089 2178 2352 2466 2575 3052 3074 3124
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 204 818 950 987 1083 1488 2219 2503 3349 4030 4389 4913 5689 6610 7362 8475 8934 9596 10476 11149 11996 13155 13955 16732 18133 21525 24368 26801 29641 31206 35453 38043 38725 38587 42690 47872 50513 53537 57878 61670 63651 66904 71443 75061 77481 81522 80752
Total Other Health, Residential, and Personal Care Expenditures 451 518 552 604 665 725 828 939 1093 1243 1330 1423 1716 2019 2409 2934 3617 4547 5562 6831 8516 9562 10918 12254 13350 14829 16047 17229 19234 21879 24322 27830 30090 34043 37963 41920 46489 50439 56129 59713 64531 70555 77558 83634 90610 96532 101669 107684 113544 122493 128090 132308 138237
Out of pocket 70 73 79 85 96 103 108 115 133 149 166 181 198 223 245 240 261 290 317 358 406 522 697 788 895 1017 1060 1069 1212 1335 1300 1285 1263 1420 1559 1650 2055 2400 3271 3457 3750 4076 4493 5022 5524 5935 5920 6045 6312 6720 6981 7136 7544
Health Insurance 62 67 72 77 84 94 120 161 220 280 285 264 363 518 695 991 1344 1903 2536 3244 4166 4572 5210 5935 6371 7141 7962 8727 9725 11469 13042 15731 17440 20212 23006 25852 28663 31052 32961 35245 38101 42170 47231 51164 55957 59792 63441 67082 70372 77197 81494 84602 88958
Private Health Insurance 17 20 23 26 30 34 34 39 46 56 67 79 88 100 121 120 146 173 204 255 299 375 468 520 562 619 654 707 827 967 1033 1130 1220 1393 1572 1655 1881 2061 2247 2324 2464 2624 3018 3349 3965 4279 4482 4781 5267 5732 6206 6514 6855
Medicare 0 0 0 0 0 0 4 11 14 16 18 21 25 29 38 48 57 70 89 110 131 153 201 261 302 342 411 481 489 635 762 932 1109 1279 1440 1568 1660 1713 1693 1655 1783 2044 2368 2679 3041 3508 3711 3929 4225 4576 4781 4975 5104
Medicaid (Title XIX) 0 0 0 0 0 0 18 35 72 124 135 106 180 312 445 711 1000 1529 2084 2709 3536 3809 4259 4811 5104 5721 6377 6968 7814 9229 10567 12947 14344 16727 19108 21784 24186 26304 27876 30016 32386 35871 39998 43000 46462 49406 52501 56455 58855 64297 67451 69304 72858
Federal 0 0 0 0 0 0 8 15 36 67 71 61 91 165 247 395 597 869 1181 1533 1936 2094 2350 2664 2817 3159 3558 3896 4440 5260 6029 7268 8277 9758 10917 12385 13973 14903 15762 16991 18386 20383 22654 25318 27046 27985 29564 31807 34510 42656 45654 42106 41285
State and Local 0 0 0 0 0 0 10 20 35 57 64 45 89 146 198 316 403 660 904 1176 1599 1715 1909 2147 2287 2561 2818 3072 3374 3969 4537 5679 6066 6969 8191 9400 10213 11401 12114 13025 14000 15488 17343 17682 19416 21421 22936 24648 24345 21641 21798 27198 31573
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 120 218 234 293 281 431 418 605 584 680 947 747 752 906
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 86 153 166 207 200 294 287 416 408 490 705 542 543 645
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 34 65 68 85 81 136 130 189 176 190 242 205 209 261
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 45 47 49 51 54 60 64 76 88 84 65 59 70 77 91 113 141 131 159 171 200 234 282 344 403 459 520 571 595 638 681 722 767 814 885 844 935 975 1095 1131 1249 1396 1555 1855 2059 2181 2143 1333 1344 1645 2307 3057 3235
Other Third Party Payers and Programs 318 378 402 442 485 528 600 663 740 814 880 977 1155 1278 1469 1703 2012 2355 2710 3228 3944 4468 5011 5530 6084 6671 7025 7433 8297 9075 9980 10814 11387 12410 13398 14418 15771 16987 19897 21010 22679 24309 25834 27448 29128 30805 32308 34557 36859 38576 39616 40570 41735
Worksite Health Care 64 68 74 81 90 99 112 132 150 174 200 221 250 285 331 377 452 534 621 723 829 954 1043 1157 1306 1392 1520 1681 1859 2024 2214 2325 2463 2588 2707 2839 2950 3084 3190 3291 3483 3619 3740 3893 4066 4242 4347 4488 4496 4520 4648 4860 5115
Other Private Revenues 29 31 34 38 43 48 48 56 68 80 93 104 118 133 153 114 143 166 194 253 326 490 781 906 1056 1235 1276 1271 1497 1718 1607 1580 1557 1828 2057 2237 2904 3444 4909 5023 5257 5300 5631 5988 6461 7312 8544 10133 11227 11885 12118 12198 12885
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 14 21 33 36 44 55 49 47 60 64 62 67 66 71 108 131 160 172 181 198 191 200 200 205 222 261 257 270 283 284 294 307 334 366 397 398 412
Workers' Compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
General Assistance 3 3 3 3 3 4 5 7 9 10 12 14 17 20 24 29 32 33 37 41 67 78 70 69 84 87 80 77 76 84 104 101 130 122 217 376 375 281 125 94 69 103 100 118 124 234 210 248 441 627 510 534 468
Maternal/Child Health 64 91 94 106 118 125 137 138 151 174 164 174 178 177 207 228 255 278 303 349 396 399 431 539 547 632 678 706 723 749 756 855 915 976 1043 1068 1102 1152 1203 1261 1351 1338 1334 1333 1308 1323 1330 1389 1399 1329 1275 1216 1158
Federal 13 21 22 23 29 36 45 47 49 59 41 53 67 57 73 86 96 104 115 121 124 119 121 157 131 152 142 148 152 163 159 177 190 200 212 210 208 205 212 217 219 220 228 228 227 223 213 210 205 207 208 204 200
State and Local 51 71 72 83 89 89 92 91 101 115 122 121 111 120 133 143 159 174 189 228 272 281 310 381 416 481 535 558 570 586 597 678 725 776 832 858 894 947 992 1044 1131 1117 1106 1105 1081 1100 1118 1179 1193 1122 1067 1012 958
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 16 21 25 37 38 39 78 86 85 71 73 103 193 211 245 227 297 286 281 362 478 388 307 300 329 341 344 382 435 480 607 810 920 1081 1251 1311 1521 1781 1972 2236 2490 2668 2789 2931 3045 3046 3044 3136 3261 3468 3496 3588 3652
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 127 147 185 189 248 253 211 208 222 197 211 241 328 270 551 726 762 756 832 948 885 696 1188 1378 1476 1620 1787 1874 1890 1995 1944 1960 2007 2089 2203 2361 2274
Other State and Local Programs** 21 24 26 34 42 44 32 29 36 42 47 54 78 106 132 188 257 380 495 675 894 1142 1367 1509 1635 1804 1869 1968 2214 2493 2741 2923 3064 3334 3407 3657 3954 4313 4913 5192 5848 6712 7307 8012 8759 9006 9028 8998 9607 10086 10690 11110 11372
School Health 122 140 147 143 151 168 187 215 242 263 290 308 321 346 377 400 433 509 559 600 663 708 753 795 847 919 986 1040 1099 1185 1293 1363 1416 1553 1701 1785 1890 2037 2197 2330 2483 2689 2888 3032 3193 3363 3567 3898 4088 4205 4279 4305 4399
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 22 46 86 140 153 127 205 341 483 759 1057 1599 2173 2819 3667 3962 4460 5072 5406 6063 6788 7449 8303 9864 11329 13879 15453 18006 20548 23352 25846 28017 29619 31791 34387 38149 42659 45960 49934 53332 56817 60968 63760 69820 72979 75031 78868
Total Administration and Total Net Cost of Health Insurance Expenditures 1067 1160 1284 1324 1509 1836 2057 2132 2582 2405 2625 3217 4318 4802 4504 4911 6752 9435 11195 12039 12033 14075 16316 18493 23602 25224 22472 21015 26748 34085 38779 39699 42994 52363 56028 57719 59887 60991 62837 70531 81186 89966 111943 131769 140935 150788 165490 171839 168601 166478 181409 190403 197936
Out of pocket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Health Insurance 859 936 1023 1055 1156 1359 1617 1711 2091 1875 2107 2732 3808 4184 3836 4222 5998 8502 10030 10476 10213 12136 14248 16613 22093 23530 20736 18677 24147 31795 36220 37339 39884 47959 50705 52210 54211 55832 58618 66177 75470 82855 102189 119213 127455 135406 149785 157150 157761 158704 174009 181170 184501
Private Health Insurance 847 924 1011 1042 1143 1345 1432 1379 1626 1347 1427 2002 2950 3174 2614 2826 4289 6734 7891 8174 7664 9218 11257 13258 18300 19191 16176 13782 18523 25459 29140 29522 31259 38061 38633 38785 41095 39861 40649 46157 52491 57180 73342 88560 93605 96749 101193 104623 101847 97021 106449 109853 109934
Medicare 0 0 0 0 0 0 120 193 287 310 397 407 474 548 680 726 879 754 1002 1022 1127 1313 1290 1443 1608 2034 2061 2129 2561 2860 2916 3343 3628 3730 4240 4535 5177 6172 6861 7138 8496 8575 8830 8667 11026 13484 21393 24044 24959 28555 30728 32763 34461
Medicaid (Title XIX) 0 0 0 0 0 0 52 122 156 191 251 284 341 411 483 607 759 944 1059 1198 1335 1512 1593 1780 2052 2176 2364 2620 2907 3301 3968 4290 4769 5920 7558 8613 7660 9498 10713 12253 13540 15801 18122 19657 20031 21818 23483 24443 26757 28564 31489 33135 34858
Federal 0 0 0 0 0 0 26 64 81 102 135 166 187 236 283 360 492 579 699 799 829 972 1032 1060 1205 1324 1410 1493 1656 1909 2278 2438 2580 3281 3710 4203 4223 5303 5939 6904 7598 8800 10162 11166 11217 12111 12525 13560 15056 16963 19112 19150 19134
State and Local 0 0 0 0 0 0 25 59 75 88 116 118 154 175 200 247 267 365 361 399 506 540 560 720 847 852 954 1127 1251 1392 1690 1852 2189 2639 3848 4409 3437 4195 4774 5349 5942 7001 7959 8492 8814 9708 10958 10883 11701 11600 12377 13985 15724
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 233 482 678 924 991 1005 1106 1171 1309 1515 1570 1818 1937 1990
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 163 335 472 641 689 699 769 808 907 1056 1097 1265 1345 1379
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 71 147 205 283 302 306 338 363 402 459 472 553 592 611
Department of Defense 2 2 2 2 2 2 2 5 9 11 13 17 21 25 26 26 29 32 32 35 37 42 53 73 68 68 82 99 111 129 152 131 168 172 194 203 207 233 275 322 381 532 856 1179 1585 2033 2361 2603 2618 2913 3489 3450 3227
Department of Veterans Affairs 10 10 11 11 12 12 12 12 12 16 19 21 23 26 32 37 41 38 46 47 50 52 55 60 64 61 53 47 45 46 44 53 60 76 80 75 72 68 69 73 80 89 114 158 203 215 184 128 66 82 36 32 31
Other Third Party Payers and Programs 209 224 261 269 353 477 440 420 491 531 519 485 511 617 668 689 754 932 1166 1563 1820 1939 2068 1881 1509 1694 1736 2338 2601 2290 2559 2360 3109 4404 5323 5509 5677 5160 4219 4355 5715 7111 9754 12556 13480 15382 15705 14689 10840 7774 7400 9233 13436
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 9 11 12 13 14 14 14 15 16 14 15 16 21 26 32 35 37 38 37 42 44 47 54 60 65 67 68 68 68 68 68 68 76 93 96 109
Workers' Compensation 180 184 209 216 241 269 310 350 414 450 480 439 462 569 618 631 652 820 1045 1433 1682 1789 1899 1715 1344 1516 1555 2152 2402 2087 2330 2113 2839 4099 5001 5186 5340 4829 3875 3980 5314 6680 9311 12110 13033 14936 15247 14218 10386 7287 6650 8123 11777
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternal/Child Health 7 11 11 12 14 15 18 20 24 27 26 29 31 32 33 29 39 49 48 53 59 61 63 73 71 82 87 94 97 99 102 113 122 128 133 135 139 146 148 157 165 163 163 163 161 163 163 173 173 163 157 151 143
Federal 1 1 1 1 1 1 2 2 2 3 3 4 5 5 4 4 5 5 6 6 6 6 5 4 2 3 2 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3
State and Local 7 10 10 11 12 14 16 18 21 24 23 26 27 27 29 25 34 44 42 47 54 55 58 69 69 79 84 91 94 96 99 110 119 124 129 132 135 143 145 153 162 160 160 159 157 159 160 169 169 160 154 147 140
Vocational Rehabilitation 1 1 1 2 2 2 3 5 7 8 9 10 11 12 15 18 18 18 18 20 22 24 24 25 25 26 28 30 31 32 33 34 37 38 36 35 37 41 43 44 47 49 51 51 52 50 53 54 53 58 62 62 60
Federal 1 1 1 1 1 1 2 3 5 6 7 8 8 10 12 14 14 14 14 15 17 18 18 18 19 20 21 23 24 24 26 27 28 29 27 26 27 31 32 33 36 37 39 39 40 38 40 41 40 44 48 48 46
State and Local 0 0 1 1 1 1 1 1 2 2 2 2 2 3 3 4 4 4 4 5 5 6 6 6 6 6 6 7 7 7 7 8 9 9 9 9 9 10 10 11 12 12 12 12 12 11 13 13 12 13 14 13 13
Other Federal Programs* 10 14 20 22 40 70 47 25 26 24 4 6 6 4 3 0 30 30 35 37 34 43 60 48 49 50 49 43 39 40 45 43 49 59 59 65 84 69 67 73 79 86 97 107 106 107 115 114 98 125 373 731 1263
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 8 7 9 8 10 9 8 7 4 4 4 5 15 12 22 25 27 43 56 51 35 31 39 46 50 68 65 57 60 58 59 62 62 65 64 70 83
Other State and Local Programs** 10 13 18 17 56 120 63 21 21 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 172 315 443 501 648 691 815 959 1163 1333 1638 1698 2061 2220 2462 2825 2883 3223 3660 4210 4425 4749 5468 6161 6884 7633 8397 9650 11798 13148 12837 15670 17625 19624 22518 25054 27876 29315 32062 36408 46047 49796 53231 58689 64035 67835 71309
State and Local Administration Expenditures 30 38 43 44 85 150 123 118 138 157 166 169 210 237 273 321 362 481 480 532 652 696 719 906 1063 1105 1289 1546 1737 1939 2247 2557 2932 3117 4205 4616 3607 4156 4399 4645 5584 6857 8197 9439 9760 10538 10539 9846 9421 9016 8597 8983 8896
Out of pocket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Health Insurance 0 0 0 0 0 0 25 58 73 86 113 114 150 170 195 240 260 357 352 390 495 529 546 695 809 807 911 1082 1183 1290 1550 1708 1985 2336 3468 3911 2827 3446 3922 4303 4761 5454 5860 6391 6558 6997 7911 7833 8252 8495 8429 8786 8690
Private Health Insurance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicaid (Title XIX) 0 0 0 0 0 0 25 58 73 86 113 114 150 170 195 240 260 357 352 390 495 529 546 695 809 807 911 1082 1183 1290 1550 1708 1985 2336 3468 3911 2827 3446 3913 4262 4671 5341 5717 6235 6400 6819 7736 7626 8028 8270 8186 8512 8396
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 25 58 73 86 113 114 150 170 195 240 260 357 352 390 495 529 546 695 809 807 911 1082 1183 1290 1550 1708 1985 2336 3468 3911 2827 3446 3913 4262 4671 5341 5717 6235 6400 6819 7736 7626 8028 8270 8186 8512 8396
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 41 90 113 143 156 158 177 175 208 224 225 243 274 295
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 41 90 113 143 156 158 177 175 208 224 225 243 274 295
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Third Party Payers and Programs 30 38 43 44 85 150 98 60 65 71 53 54 60 67 78 81 102 123 127 142 157 167 173 211 253 298 378 464 553 649 697 849 947 781 738 704 780 710 478 343 823 1403 2337 3048 3202 3541 2628 2012 1169 522 167 197 205
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 13 14 14 15 16 16 18 20 21 23 28 27 31 37 46 53 64 76 81 90 98 106 109 135 178 213 287 366 452 545 590 731 819 648 600 564 636 557 323 179 649 1232 2166 2877 3034 3371 2455 1830 987 348 0 36 52
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternal/Child Health 7 10 10 11 12 14 16 18 21 24 23 26 27 27 29 25 34 44 42 47 54 55 58 69 69 79 84 91 94 96 99 110 119 124 129 132 135 143 145 153 162 160 160 159 157 159 160 169 169 160 154 147 140
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 7 10 10 11 12 14 16 18 21 24 23 26 27 27 29 25 34 44 42 47 54 55 58 69 69 79 84 91 94 96 99 110 119 124 129 132 135 143 145 153 162 160 160 159 157 159 160 169 169 160 154 147 140
Vocational Rehabilitation 0 0 1 1 1 1 1 1 2 2 2 2 2 3 3 4 4 4 4 5 5 6 6 6 6 6 6 7 7 7 7 8 9 9 9 9 9 10 10 11 12 12 12 12 12 11 13 13 12 13 14 13 13
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 1 1 1 1 1 1 2 2 2 2 2 3 3 4 4 4 4 5 5 6 6 6 6 6 6 7 7 7 7 8 9 9 9 9 9 10 10 11 12 12 12 12 12 11 13 13 12 13 14 13 13
Other Federal Programs* 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 10 13 18 17 56 120 63 21 21 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 25 58 73 86 113 114 150 170 195 240 260 357 352 390 495 529 546 695 809 807 911 1082 1183 1290 1550 1708 1985 2336 3468 3911 2827 3446 3922 4303 4761 5454 5860 6391 6558 6996 7911 7834 8252 8495 8429 8786 8691
Federal Administration Expenditures 24 29 36 38 57 87 211 303 421 470 574 625 719 849 1035 1172 1499 1461 1846 1975 2118 2457 2517 2683 2950 3425 3472 3558 4104 4585 4932 5393 5704 6118 6734 7052 7223 8062 8778 9842 11501 12251 13881 15060 16613 17775 18232 19442 20010 20802 21945 23786 24746
Out of pocket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Health Insurance 12 12 13 13 13 13 159 272 387 436 559 606 699 829 1014 1140 1432 1393 1768 1892 2035 2363 2407 2585 2850 3323 3375 3461 3995 4473 4797 5249 5546 5930 6533 6852 7014 7866 8571 9613 11252 11966 13583 14755 16299 17462 17905 19105 19686 20430 21285 22755 23175
Private Health Insurance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare 0 0 0 0 0 0 120 193 287 310 397 407 474 548 680 726 879 754 1002 1022 1127 1308 1279 1416 1549 1912 1867 1858 2238 2474 2455 2812 3002 2801 3057 3023 3279 3228 3431 3671 4676 4522 5099 5182 6288 6494 6673 6680 6873 6974 7309 8224 8568
Medicaid (Title XIX) 0 0 0 0 0 0 26 62 79 99 130 161 181 230 276 351 482 568 688 788 821 962 1019 1036 1168 1281 1372 1457 1601 1824 2145 2253 2317 2881 3202 3552 3456 4337 4774 5445 5901 6555 7183 7876 7863 8313 8290 9220 9608 9927 9871 10416 10673
Federal 0 0 0 0 0 0 26 62 79 99 130 161 181 230 276 351 482 568 688 788 821 962 1019 1036 1168 1281 1372 1457 1601 1824 2145 2253 2317 2881 3202 3552 3456 4337 4774 5445 5901 6555 7183 7876 7863 8313 8290 9220 9608 9927 9871 10416 10673
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 101 214 269 331 360 360 407 396 473 523 534 580 633 675
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 101 214 269 331 360 360 407 396 473 523 534 580 633 675
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Defense 2 2 2 2 2 2 2 5 9 11 13 17 21 25 26 26 29 32 32 35 37 42 53 73 68 68 82 99 111 129 152 131 168 172 194 203 207 233 275 322 381 532 856 1179 1585 2033 2361 2603 2618 2913 3489 3450 3227
Department of Veterans Affairs 10 10 11 11 12 12 12 12 12 16 19 21 23 26 32 37 41 38 46 47 50 52 55 60 64 61 53 47 45 46 44 53 60 76 80 75 72 68 69 73 80 89 114 158 203 215 184 128 66 82 36 32 31
Other Third Party Payers and Programs 12 17 23 25 43 74 52 31 34 34 15 19 20 20 21 32 67 68 79 83 84 94 110 99 100 102 97 97 109 112 135 144 158 188 201 200 209 196 207 229 249 284 297 305 314 313 327 337 325 372 660 1031 1571
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 9 11 12 13 14 14 14 15 16 14 15 16 21 26 32 35 37 38 37 42 44 47 54 60 65 67 68 68 68 68 68 68 76 93 96 109
Workers' Compensation 0 0 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 4 4 4 4 4 5 8 10 9 7 9 11 12 13 14 15 17 17 17 17 18 18 18 21 25 26 30 36 38 41 48 53 59 79 91 106
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternal/Child Health 1 1 1 1 1 1 2 2 2 3 3 4 5 5 4 4 5 5 6 6 6 6 5 4 2 3 2 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3
Federal 1 1 1 1 1 1 2 2 2 3 3 4 5 5 4 4 5 5 6 6 6 6 5 4 2 3 2 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vocational Rehabilitation 1 1 1 1 1 1 2 3 5 6 7 8 8 10 12 14 14 14 14 15 17 18 18 18 19 20 21 23 24 24 26 27 28 29 27 26 27 31 32 33 36 37 39 39 40 38 40 41 40 44 48 48 46
Federal 1 1 1 1 1 1 2 3 5 6 7 8 8 10 12 14 14 14 14 15 17 18 18 18 19 20 21 23 24 24 26 27 28 29 27 26 27 31 32 33 36 37 39 39 40 38 40 41 40 44 48 48 46
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 10 14 20 22 40 70 47 25 26 24 4 6 6 4 3 0 30 30 35 37 34 43 60 48 49 50 49 43 39 40 45 43 49 59 59 65 84 69 67 73 79 86 97 107 106 107 115 114 98 125 371 722 1224
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 8 7 9 8 10 9 8 7 4 4 4 5 15 12 22 25 27 43 56 51 35 31 39 46 50 68 65 57 60 58 59 62 62 65 64 70 83
Other State and Local Programs** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 146 255 366 409 527 568 655 778 956 1077 1361 1322 1690 1810 1948 2270 2298 2452 2717 3193 3239 3315 3839 4298 4600 5065 5319 5682 6259 6575 6735 7565 8227 9217 10791 11346 12613 13418 14511 15214 15359 16373 17004 17435 17760 19273 19916
Net Cost of Health Insurance Expenditures 1013 1093 1205 1243 1367 1598 1723 1711 2022 1779 1885 2422 3389 3715 3197 3418 4891 7492 8869 9532 9263 10922 13080 14904 19589 20695 17711 15911 20908 27561 31601 31749 34357 43128 45089 46052 49057 48774 49660 56045 64100 70858 89865 107269 114563 122475 136720 142551 139170 136659 150867 157635 164294
Out of pocket
Health Insurance 847 924 1011 1042 1143 1345 1433 1382 1630 1353 1435 2011 2959 3185 2627 2842 4306 6752 7910 8194 7684 9244 11296 13333 18434 19401 16450 14134 18969 26032 29873 30382 32353 39693 40704 41446 44369 44520 46125 52261 59457 65434 82745 98067 104599 110947 123969 130211 129823 129779 144295 149629 152635
Private Health Insurance 847 924 1011 1042 1143 1345 1432 1379 1626 1347 1427 2002 2950 3174 2614 2826 4289 6734 7891 8174 7664 9218 11257 13258 18300 19191 16176 13782 18523 25459 29140 29522 31259 38061 38633 38785 41095 39861 40649 46157 52491 57180 73342 88560 93605 96749 101193 104623 101847 97021 106449 109853 109934
Medicare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 11 26 59 122 194 271 323 386 460 531 627 929 1182 1512 1898 2943 3430 3467 3820 4053 3731 3485 4738 6990 14720 17363 18086 21581 23419 24539 25893
Medicaid (Title XIX) 0 0 0 0 0 0 1 3 4 6 8 9 9 10 13 15 17 18 19 20 19 22 28 49 75 88 81 81 122 187 273 329 467 703 889 1149 1376 1715 2026 2547 2968 3905 5222 5546 5768 6686 7457 7597 9121 10367 13432 14207 15789
Federal 0 0 0 0 0 0 1 2 2 3 4 5 5 6 7 9 10 10 11 11 9 10 13 24 37 42 38 36 55 85 132 185 264 400 508 652 767 966 1165 1460 1697 2245 2979 3290 3354 3798 4234 4339 5448 7036 9241 8734 8461
State and Local 0 0 0 0 0 0 0 1 2 2 3 4 4 4 5 6 7 8 8 9 11 12 15 25 38 46 43 45 68 102 140 144 204 303 380 498 609 749 861 1087 1271 1660 2243 2256 2414 2888 3222 3257 3673 3331 4191 5473 7328
CHIP (Title XIX and Title XXI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 91 178 296 450 476 488 522 600 628 769 811 995 1030 1020
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 62 121 203 310 329 339 362 412 434 533 563 686 712 704
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 30 57 92 140 146 149 160 188 194 236 248 309 318 316
Department of Defense 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Department of Veterans Affairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Third Party Payers and Programs 167 170 194 200 225 253 291 329 392 426 450 411 430 530 570 576 585 741 960 1338 1579 1678 1785 1571 1156 1294 1261 1777 1939 1529 1727 1367 2005 3435 4384 4605 4687 4254 3534 3783 4644 5423 7120 9202 9964 11528 12751 12340 9347 6880 6572 8006 11659
Worksite Health Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Private Revenues 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indian Health Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Workers' Compensation 167 170 194 200 225 253 291 329 392 426 450 411 430 530 570 576 585 741 960 1338 1579 1678 1785 1571 1156 1294 1261 1777 1939 1529 1727 1367 2005 3435 4384 4605 4687 4254 3534 3783 4644 5423 7120 9202 9964 11528 12751 12340 9347 6880 6570 7996 11619
General Assistance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternal/Child Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vocational Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Federal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
State and Local 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Federal Programs* 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 9 40
SAMHSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other State and Local Programs** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
School Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total CMS Programs (Medicaid, CHIP and Medicare) 0 0 0 0 0 0 1 3 4 6 8 9 9 10 13 15 17 18 19 20 19 26 39 75 134 210 275 352 445 573 733 860 1094 1632 2071 2661 3274 4658 5476 6105 6966 8254 9403 9507 10994 14198 22777 25588 27976 32759 37846 39776 42702
Public Health Activity 371 409 456 509 572 621 733 861 969 1174 1356 1676 1855 2123 2584 2967 3213 3815 4588 5375 6445 7531 8621 9251 9842 11212 12387 13572 15267 17775 19996 22127 24371 26776 29591 30993 32373 34827 37455 40729 43047 46789 52047 54107 55122 57195 60868 65925 71519 74096 75287 73293 74991
Federal Funds 102 108 140 208 226 214 294 401 470 564 594 791 893 854 969 1043 1110 1152 1154 1108 1235 1216 1141 1232 1298 1326 1340 1529 1795 2030 2262 2605 2912 3164 3626 3655 3755 3926 4063 4544 4876 5775 8013 8892 8957 9125 9482 9652 9824 11916 13993 10314 10844
State/Local Funds 269 302 316 301 347 407 439 460 499 610 762 885 962 1269 1615 1924 2104 2663 3434 4267 5210 6316 7480 8019 8544 9886 11047 12043 13472 15745 17734 19522 21459 23613 25964 27338 28618 30901 33392 36185 38170 41013 44035 45215 46165 48070 51386 56274 61695 62180 61294 62979 64147
Research 694 886 1068 1219 1366 1521 1624 1775 1877 1924 1953 2109 2357 2502 2767 3372 3707 3864 4438 4805 5429 5705 6025 6543 7608 8320 9002 10025 10836 11738 12678 13819 15091 16472 17758 18670 17808 19640 21506 23369 25465 28510 32016 34863 38508 40322 41481 42438 44044 45369 49066 49669 48136
Private 139 147 153 162 170 176 186 198 208 213 215 233 227 232 252 264 267 220 236 254 292 312 390 456 507 539 782 800 839 882 961 1091 1208 1298 1432 1563 1676 1870 2040 2149 2420 2464 2550 2738 2991 3347 3556 3782 4005 4117 4166 4323 4512
Federal Gov't 504 680 849 983 1112 1251 1335 1466 1539 1555 1556 1662 1893 2022 2245 2809 3119 3267 3760 4082 4616 4790 4955 5331 6269 6830 7114 7989 8618 9314 9981 10854 11902 13125 14149 14733 13554 15037 16616 18124 19695 22437 25569 27905 31001 32389 33116 33406 34279 35274 38852 39144 37143
State and Local Gov't 51 58 66 74 84 94 103 111 130 156 183 213 237 248 270 298 321 377 442 469 520 602 680 756 832 951 1107 1236 1379 1542 1737 1874 1981 2049 2177 2374 2578 2733 2850 3096 3350 3608 3897 4221 4516 4586 4808 5250 5760 5978 6047 6202 6482
Total Structures and Equipment 1872 1977 2425 2582 3042 3244 3397 3495 4107 5181 5830 6765 7408 7741 8466 9053 9945 10105 10974 12204 14674 17383 20384 22718 23389 22921 23504 25967 29332 32238 36008 38228 41806 44708 46168 47192 49932 52545 57917 62135 62080 62764 70026 75137 78897 86116 89663 101745 110381 100858 100331 108172 111899
Private 1345 1479 1887 1961 2356 2532 2623 2546 2973 3892 4469 5035 5634 5817 6156 6463 7098 7424 8041 9024 10719 13073 15905 17547 17516 16576 16454 18133 21330 23299 26434 27709 30929 32818 34465 35273 37216 39811 44268 48151 47984 48440 54863 58890 62822 68408 72172 82183 88450 78034 77421 82673 85408
Federal Gov't 119 121 126 203 229 210 237 207 290 324 352 345 407 521 496 653 643 558 745 655 1023 1315 1227 1926 2391 2562 3033 3419 3309 3629 3747 4395 4291 4935 5037 5098 5863 5243 5779 6060 5852 5735 5820 6562 5732 6389 6015 6488 7758 9051 9548 11531 11165
State and Local Gov't 408 377 412 418 457 502 537 742 844 965 1009 1385 1367 1403 1814 1937 2204 2123 2188 2525 2932 2995 3252 3245 3482 3783 4017 4415 4693 5310 5827 6124 6586 6955 6666 6821 6853 7491 7870 7924 8244 8589 9343 9685 10343 11319 11476 13074 14173 13774 13362 13968 15326
Structures 1480 1544 1918 1923 2340 2553 2558 2522 2986 3945 4523 5193 5686 5649 5977 6515 7071 6867 6970 7432 8585 9996 11567 12483 12199 11225 11105 12508 14438 14978 17047 16802 18341 19929 20837 20922 21635 23153 23746 25405 25374 26118 29258 30947 33063 36136 40735 46542 51675 46880 46104 47325 50315
Private 1066 1163 1509 1505 1886 2035 2079 1945 2306 3177 3731 4242 4730 4716 4805 4831 5126 4995 5092 5386 6213 7580 9147 10271 9914 8849 8570 9668 11614 12138 13800 13417 14586 15862 17052 16892 17471 18582 19541 21581 21560 22081 24271 26059 27971 30465 35277 39802 44584 39014 38130 38573 41046
Federal Gov't 72 71 71 85 92 120 103 43 58 67 93 129 116 97 116 218 266 334 382 370 439 570 528 505 595 640 698 829 799 733 832 728 743 925 853 989 1156 1346 1018 852 774 723 873 711 659 681 746 1014 944 1763 2127 2589 2507
State and Local Gov't 341 310 338 333 363 397 377 534 622 701 700 821 840 836 1057 1466 1679 1538 1496 1675 1933 1845 1892 1708 1690 1737 1837 2011 2025 2107 2415 2657 3013 3142 2932 3041 3008 3225 3187 2972 3040 3314 4114 4177 4433 4990 4712 5726 6147 6103 5847 6163 6762
Equipment 392 433 507 659 702 691 838 973 1122 1236 1306 1573 1722 2093 2489 2538 2874 3238 4004 4772 6089 7387 8817 10235 11189 11696 12399 13459 14893 17260 18961 21426 23465 24779 25331 26270 28297 29392 34171 36730 36706 36646 40768 44190 45834 49980 48928 55203 58706 53978 54228 60847 61584
Private 279 317 378 456 470 496 544 600 667 715 738 793 904 1102 1351 1632 1972 2429 2949 3638 4506 5492 6758 7276 7601 7727 7885 8465 9715 11162 12634 14292 16344 16957 17413 18381 19745 21229 24727 26570 26424 26359 30592 32831 34851 37943 36895 42381 43866 39019 39291 44100 44362
Federal Gov't 47 50 55 118 137 90 134 164 232 257 259 216 291 424 380 435 377 224 363 285 584 745 699 1421 1796 1922 2335 2590 2510 2896 2915 3667 3548 4010 4184 4109 4707 3897 4761 5208 5078 5012 4947 5851 5073 5708 5269 5474 6814 7288 7421 8942 8658
State and Local Gov't 67 67 74 85 94 105 160 208 222 264 309 564 527 567 757 471 525 585 692 850 999 1150 1360 1537 1792 2046 2180 2404 2668 3203 3412 3467 3573 3813 3734 3780 3845 4266 4683 4952 5204 5275 5229 5508 5910 6329 6764 7348 8026 7671 7515 7805 8564
* Other Federal Programs include OEO, Federal General and Medical, Federal General and Medical NEC, and High Risk Pools under ACA
** Other State and Local Programs include State and Local Subsidies and TDI