Table 2.
Condition Prevalence and Per Capita Utilization for 2005, by Condition and Number of Chronic Conditions
| Chronic Condition |
Prevalence (%) |
Number of Beneficiaries | Avg # Inpatient Discharges | Avg # Inpatient Days | Avg # SNF Days | Avg # HH Visits | Avg # OP Visits | Avg # Physician Office Visits1 |
| Study Cohort2 | 1,649,574 | 0.39 | 2.32 | 1.91 | 2.77 | 3.96 | 6.88 | |
| Condition | ||||||||
| Cancer | 6.3% | 103,850 | 0.69 | 4.29 | 2.71 | 3.79 | 6.39 | 11.28 |
| CKD | 9.0% | 149,220 | 1.35 | 9.51 | 7.30 | 8.84 | 8.09 | 10.28 |
| COPD | 10.9% | 179,554 | 1.25 | 8.18 | 6.29 | 7.90 | 6.45 | 10.24 |
| Depression | 11.5% | 190,282 | 0.97 | 6.49 | 6.94 | 6.62 | 6.81 | 8.99 |
| Diabetes | 24.3% | 400,268 | 0.66 | 4.18 | 3.40 | 5.58 | 5.53 | 9.06 |
| HF | 17.7% | 292,776 | 1.10 | 7.28 | 6.44 | 8.43 | 6.64 | 9.74 |
| # Conditions | ||||||||
| None | 50.7% | 836,428 | 0.12 | 0.50 | 0.36 | 0.77 | 2.40 | 4.86 |
| One | 29.0% | 478,449 | 0.35 | 1.80 | 1.45 | 2.36 | 4.40 | 7.89 |
| Two | 12.7% | 209,360 | 0.78 | 4.65 | 3.98 | 5.74 | 6.30 | 9.97 |
| Three + | 7.6% | 125,337 | 1.76 | 12.50 | 10.54 | 12.70 | 8.78 | 11.36 |
1Office visits are identified with Berenson-Eggers Type of Service codes in the line item trailer group(s) in the following ranges of HCPCS (CPT-4) codes: M1A: 99201-99205, M1B: 99211-99215.
2Includes random 5% sample of Medicare beneficiaries who were eligible for or enrolled in Medicare on or after January 1, 2005, with at least 11 months of Part A and B coverage and no more than one month of managed care coverage.