Exhibit 4. Medicaid Personal Health Care Spending Per Enrollee, Average Annual Growth and Share of State's Total Personal Health Care Spending, By Region & State Of Residence; Calendar Years 1998, 2004, & 2009.
| Region and State of residence | Medicaid personal health care spending | |||||||
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| Spending per enrollee in dollars | Average annual growth in per enrollee spending | As share (%) of state's personal health care spending | ||||||
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| 1998 | 2004 | 2009 | 1998– 2004 | 2004– 2009 | 1998 | 2004 | 2009 | |
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| United States | $5,023 | $6,089 | $6,826 | 3.3% | 2.3% | 15.4% | 17.1% | 16.5% |
| New England | 7,092 | 8,948 | 8,983 | 3.9 | 0.1 | 19.0 | 18.6 | 18.3 |
| Connecticut | 8,339 | 8,889 | 10,933 | 1.1 | 4.2 | 17.9 | 16.4 | 18.1 |
| Maine | 7,239 | 7,881 | 8,077 | 1.4 | 0.5 | 21.8 | 23.0 | 21.8 |
| Massachusetts | 6,760 | 9,231 | 8,278 | 5.3 | -2.2 | 19.3 | 18.6 | 18.2 |
| New Hampshire | 9,392 | 11,043 | 10,302 | 2.7 | -1.4 | 16.1 | 15.6 | 12.7 |
| Rhode Island | 7,447 | 10,115 | 10,780 | 5.2 | 1.3 | 21.0 | 23.2 | 20.3 |
| Vermont | 3,553 | 6,054 | 7,389 | 9.3 | 4.1 | 17.7 | 20.1 | 22.5 |
| Mideast | 7,793 | 9,341 | 9,821 | 3.1 | 1.0 | 21.2 | 22.4 | 21.2 |
| Delaware | 5,096 | 5,649 | 6,679 | 1.7 | 3.4 | 13.0 | 13.9 | 14.7 |
| District of Columbia | 7,190 | 8,524 | 10,487 | 2.9 | 4.2 | 24.4 | 24.1 | 25.4 |
| Maryland | 5,207 | 7,475 | 8,533 | 6.2 | 2.7 | 12.6 | 14.3 | 14.3 |
| New Jersey | 7,242 | 9,872 | 10,825 | 5.3 | 1.9 | 14.0 | 13.8 | 13.9 |
| New York | 9,752 | 10,141 | 10,708 | 0.7 | 1.1 | 29.9 | 31.1 | 29.2 |
| Pennsylvania | 5,447 | 8,199 | 8,049 | 7.1 | -0.4 | 15.1 | 17.2 | 16.1 |
| Great Lakes | 5,076 | 5,984 | 6,416 | 2.8 | 1.4 | 13.6 | 14.8 | 15.5 |
| Illinois | 4,368 | 5,208 | 5,773 | 3.0 | 2.1 | 13.5 | 14.3 | 15.9 |
| Indiana | 5,676 | 6,456 | 6,229 | 2.2 | -0.7 | 12.1 | 14.2 | 13.6 |
| Michigan | 4,472 | 5,282 | 5,703 | 2.8 | 1.5 | 13.3 | 13.9 | 14.5 |
| Ohio | 5,861 | 7,365 | 7,469 | 3.9 | 0.3 | 14.6 | 16.8 | 16.3 |
| Wisconsin | 6,451 | 5,924 | 7,584 | -1.4 | 5.1 | 13.6 | 13.5 | 16.4 |
| Plains | 5,592 | 7,364 | 8,471 | 4.7 | 2.8 | 13.7 | 16.0 | 15.4 |
| Iowa | 5,415 | 7,460 | 6,887 | 5.5 | -1.6 | 12.3 | 13.8 | 13.8 |
| Kansas | 6,064 | 6,979 | 8,069 | 2.4 | 2.9 | 10.9 | 12.2 | 12.1 |
| Minnesota | 6,269 | 9,044 | 9,851 | 6.3 | 1.7 | 14.7 | 17.2 | 17.3 |
| Missouri | 4,880 | 6,380 | 8,398 | 4.6 | 5.7 | 14.8 | 19.0 | 17.7 |
| Nebraska | 5,772 | 7,548 | 8,228 | 4.6 | 1.7 | 15.3 | 14.0 | 12.6 |
| North Dakota | 7,349 | 9,139 | 10,111 | 3.7 | 2.0 | 12.6 | 12.7 | 11.7 |
| South Dakota | 5,507 | 6,268 | 6,938 | 2.2 | 2.1 | 12.7 | 13.4 | 12.1 |
| Southeast | $3,931 | $5,414 | $6,050 | 5.5% | 2.2% | 13.4% | 15.9% | 14.6% |
| Alabama | 3,886 | 4,301 | 5,086 | 1.7 | 3.4 | 12.2 | 14.1 | 13.9 |
| Arkansas | 3,996 | 4,379 | 5,871 | 1.5 | 6.0 | 15.1 | 19.3 | 19.0 |
| Florida | 4,013 | 5,485 | 5,855 | 5.3 | 1.3 | 9.6 | 12.0 | 10.8 |
| Georgia | 3,607 | 5,532 | 4,835 | 7.4 | -2.7 | 12.7 | 17.6 | 12.8 |
| Kentucky | 4,678 | 6,462 | 7,089 | 5.5 | 1.9 | 17.0 | 18.6 | 18.2 |
| Louisiana | 4,560 | 5,208 | 6,371 | 2.2 | 4.1 | 15.9 | 18.8 | 20.5 |
| Mississippi | 3,907 | 5,241 | 5,850 | 5.0 | 2.2 | 16.8 | 23.2 | 18.7 |
| North Carolina | 4,789 | 6,641 | 7,275 | 5.6 | 1.8 | 16.2 | 17.9 | 17.6 |
| South Carolina | 3,604 | 4,775 | 6,606 | 4.8 | 6.7 | 14.7 | 17.5 | 16.6 |
| Tennessee | 2,762 | 4,829 | 5,150 | 9.8 | 1.3 | 17.0 | 20.3 | 16.3 |
| Virginia | 4,113 | 5,815 | 7,088 | 5.9 | 4.0 | 9.8 | 10.3 | 11.1 |
| West Virginia | 4,788 | 6,588 | 6,886 | 5.5 | 0.9 | 18.3 | 18.1 | 16.7 |
| Southwest | 4,302 | 4,984 | 6,279 | 2.5 | 4.7 | 12.7 | 15.4 | 16.7 |
| Arizona | 3,520 | 4,229 | 5,739 | 3.1 | 6.3 | 11.0 | 17.6 | 21.1 |
| New Mexico | 3,715 | 4,975 | 6,409 | 5.0 | 5.2 | 16.9 | 22.5 | 21.8 |
| Oklahoma | 4,352 | 5,038 | 6,265 | 2.5 | 4.5 | 11.2 | 14.0 | 15.8 |
| Texas | 4,560 | 5,244 | 6,469 | 2.4 | 4.3 | 13.0 | 14.5 | 15.3 |
| Rocky Mountains | 5,731 | 6,335 | 7,407 | 1.7 | 3.2 | 11.5 | 12.4 | 12.1 |
| Colorado | 6,024 | 6,439 | 7,038 | 1.1 | 1.8 | 11.0 | 11.3 | 11.4 |
| Idaho | 5,389 | 5,951 | 7,093 | 1.7 | 3.6 | 11.7 | 15.4 | 14.3 |
| Montana | 6,148 | 7,468 | 9,937 | 3.3 | 5.9 | 13.7 | 13.5 | 13.2 |
| Utah | 5,186 | 5,956 | 7,293 | 2.3 | 4.1 | 11.3 | 12.1 | 11.3 |
| Wyoming | 5,661 | 6,374 | 8,079 | 2.0 | 4.9 | 11.6 | 14.0 | 13.3 |
| Far West | 3,630 | 4,169 | 4,963 | 2.3 | 3.5 | 14.9 | 16.8 | 15.7 |
| Alaska | 5,658 | 10,007 | 11,569 | 10.0 | 2.9 | 14.8 | 19.5 | 16.7 |
| California | 3,412 | 3,806 | 4,569 | 1.8 | 3.7 | 15.2 | 17.8 | 16.9 |
| Hawaii | 3,774 | 5,095 | 5,852 | 5.1 | 2.8 | 12.0 | 13.7 | 13.0 |
| Nevada | 5,230 | 5,713 | 6,003 | 1.5 | 1.0 | 8.3 | 9.5 | 8.6 |
| Oregon | 4,380 | 6,180 | 7,896 | 5.9 | 5.0 | 14.4 | 14.2 | 14.0 |
| Washington | 4,333 | 5,366 | 6,018 | 3.6 | 2.3 | 15.7 | 15.7 | 13.2 |
NOTE: Enrollees are measured in calendar person-years.
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.