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. 2013 Sep 10;3(3):mmrr.003.03.a06. doi: 10.5600/mmrr.003.03.a06

Exhibit 5. Ten Highest and Lowest HRRs, in Terms of PMPM, for Actual and Standardized Payments.

10 Highest HRRs
Actual PMPM $ Standardized PMPM $
NY–Bronx $9,638.62 FL–Miami $7,518.42
NY–Manhattan $9,366.84 TX–McAllen $7,061.13
NJ–Newark $8,710.50 TX–Harlingen $6,857.73
FL–Miami $8,630.27 MI–Dearborn $6,794.02
CA–Los Angeles $8,268.99 NJ–Newark $6,657.88
IL–Chicago $7,911.02 IL–Chicago $6,592.19
TX–McAllen $7,802.97 LA–Monroe $6,510.06
CA–Contra Costa County $7,760.87 CA–Los Angeles $6,499.02
NY–East Long Island $7,753.67 LA–Baton Rouge $6,407.84
TX–Harlingen $7,698.02 LA–New Orleans $6,388.22
10 Lowest HRRs
Actual PMPM $ Standardized PMPM $
ND–Bismarck $3,484.62 CO–Grand Junction $3,608.43
ID–Idaho Falls $3,552.26 ID–Idaho Falls $3,631.69
IA–Sioux City $3,654.73 ND–Bismarck $3,747.12
IA–Waterloo $3,680.91 NY–Binghamton $3,759.45
MT–Missoula $3,683.78 IA–Sioux City $3,760.77
IA–Dubuque $3,766.63 IA–Waterloo $3,775.34
NY–Binghamton $3,798.76 MT–Missoula $3,804.36
CO–Grand Junction $3,798.84 OR–Medford $3,807.52
IA–Cedar Rapids $3,803.19 OR–Bend $3,829.57
KY–Paducah $3,978.64 OR–Eugene $3,830.38

SOURCE: Calculations based on CCW Medicare enrollment and Part A and B fee-for-service claims, 2007–2008, Dartmouth Atlas HRRs 2007, and other data sources.