Skip to main content
Payer

Medicare

Government payer.

Members
3,118
28% of all patients · across all payers: #3 of 10 by members
Visits billed
153,499
24% of all billed visits · across all payers: #2 of 10 by visits
  • 61% ambulatory visits
  • 13% wellness visits
  • 6.0 median years covered per member
  • $8,533,384 out of pocket
  • $37,850,927 in premiums
  • $238,225,401 paid by the insurer

The three money flows are across 16,031 annual snapshots, and they do not add up to one total.

Members arrive most often from Dual Eligible and No insurance, and leave most often for Dual Eligible and No insurance.

Ages covered

Medicare: median 60 across all visits: median 48

Ages covered Bar chart. Ages covered. 153,499 visits in all; the largest group is 70 to 79 with 41,508; Medicare: median 60 years; across all visits: median 48 years. 0 20,000 40,000 0 to 9: 2,053 visits 10 to 19: 5,007 visits 20 to 29: 3,737 visits 30 to 39: 4,541 visits 40 to 49: 11,352 visits 50 to 59: 22,052 visits 60 to 69: 37,603 visits 70 to 79: 41,508 visits 80 to 89: 14,938 visits 90 and over: 10,708 visits 0 10 20 30 40 50 60 70 80 90 100 years
Half of these visits were by someone 60 or older. Across all visits, half were by someone 48 or older. The 70 to 79 hold the most, 41,508 visits.

Share of billed money covered

Share of billed money covered Bar chart. Share of billed money covered. 10 insurers ranked by covered share; Medicare is 81%, ranked 3 of 10. Dual Eligible: 99% of what it is billed, ranked 1 of 10 Dual Eligible 99% Medicaid: 98% of what it is billed, ranked 2 of 10 Medicaid 98% Medicare: 81% of what it is billed, ranked 3 of 10 Medicare 81% UnitedHealthcare: 78% of what it is billed, ranked 4 of 10 UnitedHealthcare 78% Anthem: 78% of what it is billed, ranked 5 of 10 Anthem 78% Blue Cross Blue Shield: 68% of what it is billed, ranked 6 of 10 Blue Cross Blue Shield 68% Cigna Health: 65% of what it is billed, ranked 7 of 10 Cigna Health 65% Humana: 63% of what it is billed, ranked 8 of 10 Humana 63% Aetna: 62% of what it is billed, ranked 9 of 10 Aetna 62% No insurance: 0% of what it is billed, ranked 10 of 10 No insurance 0%
Every insurer in the graph, by the share of what it is billed that it covers. This one is 3 of 10.