{ "generated_utc": "2026-08-23T20:45:03Z", "beneficiaries": 116352, "bene_sex": { "M": 52005, "F": 64347 }, "bene_race": { "1": 96349, "5": 2729, "2": 12343, "3": 4931 }, "age_band_2008": { "85+": 14803, "65-74": 49547, "<65": 19120, "75-84": 32882 }, "deaths_recorded": 5461, "death_years": { "2010": 1863, "2009": 1784, "2008": 1814 }, "cc_prevalence_pct_2010": { "Ischemic Heart Disease": 36.2, "Diabetes": 28.3, "Heart Failure": 25.1, "Depression": 17.2, "Alzheimer's/Dementia": 16.1, "Chronic Kidney Disease": 13.4, "Osteoporosis": 12.6, "Rheumatoid/Osteo Arthritis": 9.4, "COPD": 8.7, "Cancer": 4.9, "Stroke/TIA": 2.5 }, "events_total": 11151319, "events_by_type": { "inpatient": 66773, "outpatient": 790790, "carrier": 4741335, "pde": 5552421 }, "unique_claims_by_type": { "inpatient": 66705, "outpatient": 779815, "carrier": 4741335, "pde": 5552421 }, "bene_active_in_claims": 103935, "linkage": { "linked_by_type": { "inpatient": 66773, "outpatient": 790790, "carrier": 4741335, "pde": 5552421 }, "unlinked_by_type": { "inpatient": 0, "outpatient": 0, "carrier": 0, "pde": 0 } }, "cost_percentiles": { "inpatient": { "10": 3000.0, "25": 4000.0, "33": 5000.0, "50": 7000.0, "66": 10000.0, "75": 11000.0, "90": 19000.0, "95": 29000.0, "99": 57000.0 }, "outpatient": { "10": 20.0, "25": 40.0, "33": 50.0, "50": 80.0, "66": 100.0, "75": 200.0, "90": 800.0, "95": 1700.0, "99": 3300.0 }, "carrier": { "10": 10.0, "25": 30.0, "33": 40.0, "50": 60.0, "66": 80.0, "75": 100.0, "90": 200.0, "95": 340.0, "99": 660.0 }, "pde": { "10": 10.0, "25": 10.0, "33": 10.0, "50": 20.0, "66": 60.0, "75": 90.0, "90": 170.0, "95": 250.0, "99": 570.0 } }, "cost_sums": { "inpatient": 639260180.0, "outpatient": 224524710.0, "carrier": 414603690.0, "pde": 340943210.0 }, "top_dx": { "inpatient": [ [ "4019", 23512 ], [ "25000", 11987 ], [ "2724", 11898 ], [ "41401", 10449 ], [ "4280", 10218 ], [ "42731", 10127 ], [ "5990", 8805 ], [ "53081", 8078 ], [ "2449", 6952 ], [ "496", 6617 ], [ "5849", 6544 ], [ "486", 6064 ], [ "2859", 5411 ], [ "40390", 5150 ], [ "41400", 4834 ], [ "27651", 4620 ], [ "2761", 4547 ], [ "3051", 4202 ], [ "2768", 4049 ], [ "2720", 3983 ], [ "5859", 3643 ], [ "49121", 3574 ], [ "311", 3370 ], [ "71590", 3327 ], [ "2948", 3306 ] ], "outpatient": [ [ "4019", 93932 ], [ "25000", 45218 ], [ "2724", 42390 ], [ "V5869", 36302 ], [ "4011", 35664 ], [ "V5861", 28242 ], [ "2720", 23901 ], [ "42731", 20913 ], [ "2449", 20045 ], [ "78079", 15564 ], [ "53081", 14699 ], [ "2859", 14624 ], [ "496", 14376 ], [ "4280", 13808 ], [ "28521", 13751 ], [ "41400", 13065 ], [ "41401", 11269 ], [ "2809", 11164 ], [ "58881", 10484 ], [ "3051", 9719 ], [ "2722", 9023 ], [ "73300", 8398 ], [ "311", 8152 ], [ "V5883", 7834 ], [ "5990", 7677 ] ], "carrier": [ [ "4019", 310654 ], [ "4011", 264695 ], [ "2724", 166879 ], [ "25000", 146903 ], [ "2720", 100668 ], [ "42731", 81981 ], [ "V5869", 70983 ], [ "2449", 70262 ], [ "78079", 69359 ], [ "2859", 65669 ], [ "7295", 60875 ], [ "2722", 59449 ], [ "4280", 59145 ], [ "496", 57372 ], [ "78650", 53705 ], [ "7242", 53015 ], [ "41400", 52950 ], [ "41401", 48125 ], [ "V5861", 43711 ], [ "5990", 42946 ], [ "53081", 41764 ], [ "72252", 37311 ], [ "78605", 36962 ], [ "78659", 34584 ], [ "7802", 33227 ] ] }, "top_ip_procs": [ [ "4019", 3266 ], [ "9904", 1861 ], [ "2724", 1659 ], [ "8154", 1646 ], [ "25000", 1566 ], [ "3893", 1424 ], [ "0066", 1401 ], [ "41401", 1360 ], [ "3995", 1284 ], [ "42731", 1171 ], [ "4280", 1161 ], [ "4516", 1049 ], [ "53081", 1026 ], [ "3722", 982 ], [ "5990", 806 ] ], "top_hcpcs_outpatient": [ [ "36415", 221899 ], [ "97110", 162090 ], [ "A4657", 134778 ], [ "Q4081", 130928 ], [ "85025", 129941 ], [ "90999", 123847 ], [ "80053", 98819 ], [ "85610", 94280 ], [ "J2501", 75754 ], [ "80048", 67865 ], [ "80061", 56601 ], [ "97530", 54910 ], [ "99213", 47227 ], [ "93005", 43763 ], [ "97116", 42308 ] ], "top_hcpcs_carrier": [ [ "99213", 600006 ], [ "99214", 429649 ], [ "36415", 369023 ], [ "99232", 253417 ], [ "85025", 174739 ], [ "80053", 147680 ], [ "85610", 123820 ], [ "80061", 122920 ], [ "97110", 119740 ], [ "99212", 118284 ], [ "93010", 116120 ], [ "71010", 114672 ], [ "99233", 108599 ], [ "71020", 87358 ], [ "98941", 86613 ] ], "top_ndc": [ [ "00002840001", 206 ], [ "54868540600", 193 ], [ "64378033202", 187 ], [ "00065033230", 183 ], [ "54569489700", 182 ], [ "62381840001", 179 ], [ "00078048634", 177 ], [ "62381897101", 174 ], [ "00002897101", 174 ], [ "00065033209", 173 ], [ "52959081303", 173 ], [ "58016089232", 170 ], [ "00247219630", 169 ], [ "54569562500", 168 ], [ "66267056520", 168 ], [ "54569560600", 167 ], [ "58016060618", 166 ], [ "60312096001", 165 ], [ "66267052340", 165 ], [ "00002840099", 165 ] ], "top_ip_drg": [ [ "882", 282 ], [ "177", 281 ], [ "886", 275 ], [ "887", 274 ], [ "880", 264 ], [ "181", 264 ], [ "189", 260 ], [ "883", 259 ], [ "876", 259 ], [ "OTH", 258 ], [ "183", 257 ], [ "939", 253 ], [ "202", 252 ], [ "198", 252 ], [ "175", 252 ] ], "carrier_provider_stats": { "distinct_providers_sampled": 615438, "lines_sampled": 4742114, "top1pct_line_share_pct": 23.9 }, "utilization": { "active_beneficiaries": 103935, "mean_events_per_active": 107.3, "max_events_one_bene": 410, "top20pct_event_share_pct": 42.4 }, "empty_dx_rate_pct": { "inpatient": 0.1, "outpatient": 0.7, "carrier": 0.0, "pde": 0.0 }, "annual_money_totals": { "2008": { "BENRES_OP": 22979780.0, "MEDREIMB_OP": 72397300.0, "BENRES_CAR": 38250430.0, "MEDREIMB_CAR": 135212180.0, "PPPYMT_CAR": 2135740.0, "BENRES_IP": 28977866.0, "MEDREIMB_IP": 257624360.0, "PPPYMT_OP": 2993060.0, "PPPYMT_IP": 11535400.0 }, "2009": { "BENRES_CAR": 42896300.0, "MEDREIMB_CAR": 153232790.0, "BENRES_IP": 28603046.0, "BENRES_OP": 26767940.0, "MEDREIMB_IP": 250842760.0, "MEDREIMB_OP": 88139830.0, "PPPYMT_CAR": 2429440.0, "PPPYMT_IP": 9940000.0, "PPPYMT_OP": 3461740.0 }, "2010": { "BENRES_CAR": 27085550.0, "BENRES_IP": 16241170.0, "MEDREIMB_CAR": 95573590.0, "MEDREIMB_IP": 139989740.0, "MEDREIMB_OP": 48755220.0, "BENRES_OP": 14744380.0, "PPPYMT_CAR": 1450970.0, "PPPYMT_IP": 5090300.0, "PPPYMT_OP": 1551930.0 } } }