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. Author manuscript; available in PMC: 2010 Feb 22.
Published in final edited form as: Health Aff (Millwood). 2009 Jul–Aug;28(4):1154–1160. doi: 10.1377/hlthaff.28.4.1154

EXHIBIT 1. Outlier Payments For Isolated Coronary Artery Bypass Graft (CABG) Procedures, Based On Nationwide Medicare Data, 2000–2006.

Indicator 2000 2001 2002 2003 2004 2005 2006 p value
Total number of patients 150,917 146,008 144,586 134,128 126,126 114,738 104,329 a
Total number of patients receiving outlier payments 20,031 19,207 18,020 11,561 8,712 9,329 9,432 a
Percent of patients receiving outlier payments 13.3 13.2 12.5 8.6 6.9 8.1 9.0 <0.0001
Mean of total outlier payments $17,127 $19,469 $23,045 $24,922 $21,033 $19,688 $18,699 <0.0001
Ratio of total outlier payments/total Medicare payments (%) 8.6 9.3 10.1 7.5 5.0 5.3 5.4 0.02
Total outlier payments (millions) $343 $374 $415 $288 $183 $184 $176 a
Total Medicare payments (millions) $3,997 $4,024 $4,097 $3,827 $3,645 $3,487 $3,252 a

SOURCE: Authors' analysis based on Medicare Provider Analysis and Review (MedPAR) data, 2000–2006.

a

Not applicable.