Data Request for Medicare Spending and Utilization Data for Advanced Care Planning ( Services Methods Data Source: The data source for these data is the CMS Chronic Condition Data Warehouse (CCW), a with 100% of Medicare enrollment and fee-for-service claims data. For complete information regarding the CCW, visit http://ccwdata.org/index.php. Study Population: Providers submitting Medicare Part B non-institutional, Part B institutional (hospit outpatient), and/or Hospice claims for ACP services from January 1, 2016 through December 31, 2016 Years: Calendar Year 2016 Aggregation Level: Provider State including the 50 U.S. States and District of Columbia Advanced Care Planning Services: Advanced Care Planning Services were identified by line items institutional claims) and/or revenue centers (institutional claims) with HCPCS (CPT) code values of '99 '99498'. Data Request for Medicare Spending and Utilization Data for Advanced Care Plan Documentation Short Name Provider State Number of Providers Number of Medicare Beneficiaries Number of Claims Number of Services Average Length of Service Total Submitted Charge Amount Total Medicare Payment Amount are Spending and Utilization Data for Advanced Care Planning (ACP) Services Documentation Description The state where the provider is located, as reported on claims. Number of distinct providers who submitted claims for ACP services. Number of distinct Medicare beneficiaries receiving ACP services. Number of claims for ACP services. Number of ACP services provided. Each line item or revenue center identified with HCPCS code values of '99497' or '99498' is counted as a service. A single claim may have more than one ACP service with each service representing 30 minutes of care. Number of ACP Services multiplied by 30 (minutes of care) divided by the Number of Claims. The total charges submitted by providers for ACP services. Amount that Medicare paid after deductible and coinsurance amounts have been deducted for ACP services. Medicare Spending and Utilization Data for Advanced Care Planning (ACP) Services by Sta Note: Data reflect ACP claims with dates of service from January 1 through December 31. Provider State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana National Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Number of Providers1 375 45 355 151 2,314 461 333 79 43 1,368 657 238 109 871 387 113 269 351 243 179 777 984 559 146 158 246 98 22,864 135 184 98 1,108 77 1,781 913 14 751 Number of Medicare Beneficiaries1 13,627 175 10,325 5,891 58,901 6,435 7,363 1,544 1,877 54,143 28,481 6,342 1,100 20,126 5,778 2,565 4,894 9,056 4,782 1,265 17,675 13,498 13,404 637 6,406 8,390 1,273 574,621 3,568 5,073 1,085 36,338 1,834 43,978 19,056 134 14,356 Number of Claims 14,255 205 10,719 6,122 69,084 6,739 7,755 1,571 2,222 56,413 29,738 7,534 1,225 22,122 6,146 2,914 5,040 9,570 5,023 1,377 19,103 14,759 13,993 704 6,515 8,649 1,423 624,246 3,769 5,584 1,193 38,953 1,892 51,091 20,946 134 15,328 Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 235 347 930 117 390 38 639 1,471 119 63 683 762 149 117 31 6,757 3,693 19,631 2,218 9,822 1,032 21,959 47,782 1,048 284 15,541 9,469 2,243 1,748 261 6,815 3,972 20,961 2,507 10,658 1,039 22,942 51,755 1,116 326 16,815 11,067 2,360 1,818 285 Providers and beneficiaries may be counted in more than a single state but are counted only once 1 anning (ACP) Services by State, Calendar Year 2016 hrough December 31. Number of Services 14,324 242 10,841 6,133 73,236 6,813 7,933 1,578 2,342 57,131 30,021 7,572 1,257 22,884 6,313 3,316 5,130 9,718 5,090 1,468 19,402 15,343 14,151 741 6,562 8,718 1,582 640,923 4,088 5,790 1,242 39,793 1,897 53,836 21,494 137 15,623 Average Length of Service 30.1 35.4 30.3 30.1 31.8 30.3 30.7 30.1 31.6 30.4 30.3 30.2 30.8 31.0 30.8 34.1 30.5 30.5 30.4 32.0 30.5 31.2 30.3 31.6 30.2 30.2 33.4 30.8 32.5 31.1 31.2 30.6 30.1 31.6 30.8 30.7 30.6 Total Submitted Charge Amount $1,455,410 $79,978 $1,449,460 $756,301 $11,070,759 $930,083 $995,384 $220,821 $314,060 $8,073,822 $3,853,301 $972,872 $125,474 $3,231,936 $1,033,550 $555,741 $646,046 $1,067,123 $745,179 $227,373 $2,925,740 $2,803,292 $1,747,363 $95,147 $714,975 $1,143,177 $203,681 $93,025,538 $536,882 $940,914 $179,952 $6,102,128 $292,807 $9,218,095 $3,595,232 $14,270 $2,143,749 Total Medicare Payment Amount $909,771 $20,330 $755,637 $382,401 $5,025,116 $460,832 $572,250 $109,620 $169,076 $4,060,492 $2,105,283 $433,753 $76,124 $1,592,762 $407,462 $193,486 $351,711 $633,971 $328,608 $78,748 $1,356,363 $1,022,707 $955,062 $41,427 $430,525 $630,454 $99,071 $43,357,881 $263,760 $382,253 $72,640 $2,913,095 $128,217 $3,768,235 $1,293,328 $7,218 $1,026,209 6,847 4,079 21,254 2,775 10,954 1,044 23,073 52,571 1,185 332 17,024 11,422 2,407 1,915 300 30.1 30.8 30.4 33.2 30.8 30.1 30.2 30.5 31.9 30.6 30.4 31.0 30.6 31.6 31.6 $1,052,827 $642,482 $2,727,752 $375,346 $1,351,447 $111,383 $3,599,017 $7,117,555 $175,617 $42,048 $2,832,725 $1,872,037 $303,193 $297,326 $62,709 tate but are counted only once at the National level. $496,042 $253,068 $1,435,031 $178,507 $711,213 $100,219 $1,469,951 $3,469,809 $76,752 $18,193 $1,131,006 $680,426 $142,498 $117,833 $19,336 ACP Utilization (ACP Benes / Total Number of Medicare Eligibles, Benes) 12/2016 999,564 87,729 1,200,503 613,777 5,892,594 839,238 648,002 188,701 91,002 4,215,693 1,602,503 254,754 298,179 2,137,422 1,192,007 593,555 504,871 889,459 825,248 317,877 973,168 1,260,168 1,964,716 957,901 578,727 1,177,180 211,886 56,557,217 326,532 479,179 276,537 1,542,508 390,253 3,454,854 1,847,267 122,679 2,228,452 1.36% 0.20% 0.86% 0.96% 1.00% 0.77% 1.14% 0.82% 2.06% 1.28% 1.78% 2.49% 0.37% 0.94% 0.48% 0.43% 0.97% 1.02% 0.58% 0.40% 1.82% 1.07% 0.68% 0.07% 1.11% 0.71% 0.60% 1.02% 1.09% 1.06% 0.39% 2.36% 0.47% 1.27% 1.03% 0.11% 0.64% 704,496 795,178 2,616,742 209,826 987,545 163,702 1,280,498 3,819,243 362,839 137,068 1,417,063 1,253,294 427,648 1,097,371 100,019 0.96% 0.46% 0.75% 1.06% 0.99% 0.63% 1.71% 1.25% 0.29% 0.21% 1.10% 0.76% 0.52% 0.16% 0.26%