Table 135Medicare fee-for-service beneficiaries with a substance abuse claim and treatment expenditures, by substance abuse treatment modality: number and expenditures, United States, 2007–2011

[Data are from national Medicare claims]

Treatment modalityNumber of beneficiaries with substance abuse claims who received substance abuse services1Substance abuse expenditures1 (millions of dollars)
2007200820092010201120072008200920102011
All substance abuse services497,520510,440550,880599,900653,240$574$619$646$719$740
 Inpatient65,68062,16062,20064,82066,040403425426479499
 Outpatient2127,580128,620135,140143,180156,0606570778484
 Physician/supplier3301,340315,940350,120388,580427,1008596119132124
 Home health agency/hospice/skilled nursing facility2,9203,7203,4203,3204,0402128242433
1

Beneficiaries were considered to be using a substance abuse service if they had a claim with a substance abuse diagnosis as the primary diagnosis. Substance abuse diagnoses included International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 291–292 and 303–305. The number of beneficiaries with substance abuse claims is the unique number of patients who had a substance abuse claim in each calendar year.

2

Outpatient services refer to services rendered in outpatient facilities, such as hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, and community mental health centers.

3

Physician or supplier services refer to services provided by noninstitutional providers, such as physicians, physician assistants, psychologists, clinical social workers, and nurse practitioners, that are submitted on a standard Medicare claim form.

NOTES: Estimates do not include expenditures on prescription medications. Estimates of inpatient, home health, hospice, and skilled nursing facilities used 100 Percent Standard Analytical Files, and estimates of outpatient services and physician/supplier services used 5 Percent Standard Analytical Files. Data include all 50 states and U.S. territories.

Expenditure estimates were adjusted to 2012 dollars using the GDP Price Index. The index is compiled by the U.S. Department of Commerce's Bureau of Economic Analysis.

As an example of how to interpret the estimates in the table, in 2007, 65,680 Medicare beneficiaries with a substance abuse claim received inpatient services.

SOURCE: Medicare Standard Analytical Files. Centers for Medicare & Medicaid Services; 2007–2011. .

Beneficiaries were considered to be using a substance abuse service if they had a claim with a substance abuse diagnosis as the primary diagnosis. Substance abuse diagnoses included International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 291–292 and 303–305. The number of beneficiaries with substance abuse claims is the unique number of patients who had a substance abuse claim in each calendar year.

Outpatient services refer to services rendered in outpatient facilities, such as hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, and community mental health centers.

Physician or supplier services refer to services provided by noninstitutional providers, such as physicians, physician assistants, psychologists, clinical social workers, and nurse practitioners, that are submitted on a standard Medicare claim form.

From: 5, TABLES

Cover of Behavioral Health, United States, 2012
Behavioral Health, United States, 2012.

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