1. USRDS USRDS 2002 adr Period prevalent ESRD patient, deaths, & ESRD expenditures figure 12.1

2. USRDS USRDS 2002 adr Costs of the ESRD & Medicare programs figure 12.2, dollars in 2000 are inflated by 2% to account for costs incurred not reported

3. USRDS USRDS 2002 adr Percent change in allowable PMPM table 12.a, incident dialysis patients, 1999

4. USRDS USRDS 2002 adr Relative costs: diabetic figure 12.3, incident hemodialysis patients, 1999, adjusted

5. USRDS USRDS 2002 adr Relative costs: non-diabetic figure 12.3, incident hemodialysis patients, 1999, adjusted

6. USRDS USRDS 2002 adr Relative costs: hemodialysis figure 12.3, incident hemodialysis patients, 1999, adjusted

7. USRDS USRDS 2002 adr Relative costs: peritoneal dialysis figure 12.3, incident hemodialysis patients, 1999, adjusted

8. USRDS USRDS 2002 adr Relative costs: diabetic Part A figure 12.4, incident hemodialysis patients, 1999, adjusted, reference population indicated by patterned bars

9. USRDS USRDS 2002 adr Relative costs: diabetic Part B figure 12.4, incident hemodialysis patients, 1999, adjusted, reference population indicated by patterned bars

10. USRDS USRDS 2002 adr Relative costs: non-diabetic Part A figure 12.4, incident hemodialysis patients, 1999, adjusted, reference population indicated by patterned bars

11. USRDS USRDS 2002 adr Relative costs: non-diabetic Part B figure 12.4, incident hemodialysis patients, 1999, adjusted, reference population indicated by patterned bars

12. USRDS USRDS 2002 adr Unadjusted allowable per member per month (PMPM) costs: diabetic figure 12.5, incident hemodialysis patients, 1999

13. USRDS USRDS 2002 adr Unadjusted allowable per member per month (PMPM) costs: non-diabetic figure 12.5, incident hemodialysis patients, 1999

14. USRDS USRDS 2002 adr Unadjusted allowable per member per month (PMPM) costs: hemodialysis figure 12.6, incident dialysis patients, 1999

15. USRDS USRDS 2002 adr Unadjusted allowable per member per month (PMPM) costs: peritoneal dialysis figure 12.6, incident dialysis patients, 1999

16. USRDS USRDS 2002 adr Part A & Part B Medicare payments table 12.b, incident hemodialysis patients, 1999

17. USRDS USRDS 2002 adr Patient characteristics: age figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

18. USRDS USRDS 2002 adr Patient characteristics: gender figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

19. USRDS USRDS 2002 adr Patient characteristics: race figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

20. USRDS USRDS 2002 adr Patient characteristics: Hispanic ethnicity figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

21. USRDS USRDS 2002 adr Patient characteristics: primary diagnosis figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

22. USRDS USRDS 2002 adr Patient characteristics: diabetic status figure 12.7, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

23. USRDS USRDS 2002 adr Medicare allowable PMPM net pay: total costs figure 12.8, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

24. USRDS USRDS 2002 adr Medicare allowable PMPM net pay: Part A costs, diabetic figure 12.9, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

25. USRDS USRDS 2002 adr Medicare allowable PMPM net pay: Part A costs, non-diabetic figure 12.9, incident ESRD patients, 1999 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

26. USRDS USRDS 2002 adr Medicare allowable PMPM net pay: Part B costs, diabetic figure 12.10, incident ESRD patients, 1999, by diabetic status 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

27. USRDS USRDS 2002 adr Medicare allowable PMPM net pay: Part B costs, non-diabetic figure 12.10, incident ESRD patients, 1999, by diabetic status 1·All 2·Medicaid only 3·Medicare only 7·DVA or other 8·EGHP only 9·None 4·Medicare with other 5·Medicare & Medicaid 6·Medicare & EGHP

28. USRDS USRDS 2002 adr Medicare ESRD inpatient utilization hospitalizations table 12.c, per 100 patient years, period prevalent dialysis patients

29. USRDS USRDS 2002 adr Medicare ESRD inpatient utilization hospitalizations: age & gender figure 12.11, per 100 patient years, period prevalent dialysis patients

30. USRDS USRDS 2002 adr Medicare ESRD inpatient utilization hospitalizations: race & primary diagnosis figure 12.11, per 100 patient years, period prevalent dialysis patients

31. USRDS USRDS 2002 adr Trends in total expenditures & expenditures per patient year figure 12.12, period prevalent ESRD patients

32. USRDS USRDS 2002 adr Change in total expenditures & subgroups, 1991–2000: all patients figure 12.13, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

33. USRDS USRDS 2002 adr Change in total expenditures & subgroups, 1991–2000: dialysis only figure 12.13, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

34. USRDS USRDS 2002 adr Change in total expenditures & subgroups, 1991–2000: new transplant within the year figure 12.13, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

35. USRDS USRDS 2002 adr Change in total expenditures & subgroups, 1991–2000: functioning graft figure 12.13, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

36. USRDS USRDS 2002 adr Change in total expenditures & subgroups, 1991–2000: graft failure during the year figure 12.13, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

37. USRDS USRDS 2002 adr Change in expenditures per patient year, 1991–2000: all patients figure 12.14, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

38. USRDS USRDS 2002 adr Change in expenditures per patient year, 1991–2000: dialysis only figure 12.14, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

39. USRDS USRDS 2002 adr Change in expenditures per patient year, 1991–2000: new transplant within the year figure 12.14, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

40. USRDS USRDS 2002 adr Change in expenditures per patient year, 1991–2000: functioning graft figure 12.14, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

41. USRDS USRDS 2002 adr Change in expenditures per patient year, 1991–2000: graft failure during the year figure 12.14, period prevalent ESRD patients Pts · Total patients Total · Total expenditures IP · Inpatient OP · Outpatient SN · Skilled nursing HH · Home health HS · Hospice PS · Physician/supplier

42. USRDS USRDS 2002 adr Trends in the Medicare risk population: ESRD risk patients figure 12.15, period prevalent patients in each year

43. USRDS USRDS 2002 adr Trends in the Medicare risk population: ESRD risk months figure 12.15, period prevalent patients in each year

44. USRDS USRDS 2002 adr Trends in the Medicare risk population: general Medicare risk patients figure 12.15, period prevalent patients in each year

45. USRDS USRDS 2002 adr Percent of Medicare risk patients: 1990 figure 12.16, ESRD patients enrolled in Medicare + Choice managed care organizations Percent of patients 6.34+ (7.66) 1.87 to <6.34 1.00 to <1.87 0.31 to <1.00 below 0.31 (0.10)

46. USRDS USRDS 2002 adr Percent of Medicare risk patients: 1995 figure 12.16, ESRD patients enrolled in Medicare + Choice managed care organizations Percent of patients 6.34+ (9.34) 1.87 to <6.34 1.00 to <1.87 0.31 to <1.00 below 0.31 (0.14)

47. USRDS USRDS 2002 adr Percent of Medicare risk patients: 2000 figure 12.16, ESRD patients enrolled in Medicare + Choice managed care organizations Percent of patients 6.34+ (11.76) 1.87 to <6.34 1.00 to <1.87 0.31 to <1.00 below 0.31 (0.13)

48. USRDS USRDS 2002 adr Medicare risk patients: Modality distribution in HMO & non-HMO groups figure 12.17, point prevalent ESRD patients on 1/1/2000

49. USRDS USRDS 2002 adr Number of Medicare risk patients, by metropolitan statistical areas figure 12.18, period prevalent ESRD patients, 2000 Metropolitan Statistical Areas (MSAs) with the greatest numbers of Medicare risk patients 1-Los Angeles-Long Beach, CA11. Boston, MA 2-New York, NY12. Ft. Lauderdale, FL 3-Philadelphia, PA13.Orange County, CA 4-Riverside-San Bernardino, CA14. Pittsburgh, PA 5-Oakland, CA15. Sacramento, CA 6-Chicago, IL16. Denver, CO 7-Miami, FL17. Tampa-St. Petersburg, FL 8-Phoenix, AZ18. Cleveland, OH 9-San Diego, CA19. San Jose, CA 10-San Francisco20. Houston, TX 21. Portland, OR 22. St. Louis, MO 23. Washington, DC 24. Palm Beach, FL 25. San Antonio, TX MSA (see table for details)

50. USRDS USRDS 2002 adr Percent of Medicare risk patients figure 12.18, period prevalent ESRD patients, 2000, by MSA & HSA, unadjusted Percent of patients 3.43+ (9.03) 0.67 to <3.43 0.27 to <0.67 0.11 to <0.27 below 0.11 (0.06)

51. USRDS USRDS 2002 adr Distribution of Medicare risk patients: ESRD network table 12.d, period prevalent ESRD patients, 2000

52. USRDS USRDS 2002 adr Distribution of Medicare risk patients: demographics table 12.d, period prevalent ESRD patients, 2000

53. USRDS USRDS 2002 adr Characteristics of patients with Medicare risk coverage: incident patients figure 12.19, ESRD patients, 2000, by age & gender

54. USRDS USRDS 2002 adr Percent of patients with Medicare risk coverage: incident patients figure 12.19, ESRD patients, 2000, by race/ethnicity & primary diagnosis

55. USRDS USRDS 2002 adr Percent of patients with Medicare risk coverage: prevalent patients figure 12.20, ESRD patients, 2000, by age & gender

56. USRDS USRDS 2002 adr Percent of patients with Medicare risk coverage: prevalent patients figure 12.20, ESRD patients, 2000, by race/ethnicity & primary diagnosis

57. USRDS USRDS 2002 adr Per member per month (PMPM) costs: dialysis & EPO figure 12.21, period prevalent patients All · All units Chain 1 ·Fresenius Chain 2 ·Gambro Chain 3 ·DaVita Chain 4·Renal Care Group Chain 5 ·Dialysis Clinics, Inc. O · All other chain-affiliated units NC · Non-chain units HB · Hospital-based units U · Unknown affiliation

58. USRDS USRDS 2002 adr Per member per month (PMPM) costs: IV iron & vitamin D hormones figure 12.21, period prevalent patients All · All units Chain 1 ·Fresenius Chain 2 ·Gambro Chain 3 ·DaVita Chain 4·Renal Care Group Chain 5 ·Dialysis Clinics, Inc. O · All other chain-affiliated units NC · Non-chain units HB · Hospital-based units U · Unknown affiliation

59. USRDS USRDS 2002 adr Per member per month (PMPM) costs: other injectables & laboratory figure 12.21, period prevalent patients All · All units Chain 1 ·Fresenius Chain 2 ·Gambro Chain 3 ·DaVita Chain 4·Renal Care Group Chain 5 ·Dialysis Clinics, Inc. O · All other chain-affiliated units NC · Non-chain units HB · Hospital-based units U · Unknown affiliation

60. USRDS USRDS 2002 adr Per member per month (PMPM) costs: EPO & iron figure 12.22, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 568+ (623) 521 to <568 482 to <521 431 to <482 below 431 (389)

61. USRDS USRDS 2002 adr Per member per month (PMPM) costs: vitamin D hormones & other injectables figure 12.22, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 149+ (175) 130 to <149 116 to <130 103 to <116 below 103 (85)

62. USRDS USRDS 2002 adr Per member per month (PMPM) costs: inpatient figure 12.23, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 1,400+ (1,577) 1,330 to <1,400 1,280 to <1,330 1,220 to <1,280 below 1,220 (1,128)

63. USRDS USRDS 2002 adr Per member per month (PMPM) costs: outpatient figure 12.23, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 2,030+ (2,093) 1,990 to <2,030 1,950 to <1,990 1,900 to <1,950 below 1,900 (1,833)

64. USRDS USRDS 2002 adr Per member per month (PMPM) Part A Costs: inpatient figure 12.24, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 1,400+ (1,577) 1,330 to <1,400 1,280 to <1,330 1,220 to <1,280 below 1,220 (1,128)

65. USRDS USRDS 2002 adr Per member per month (PMPM) Part A Costs: outpatient figure 12.24, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 921+ (987) 868 to <921 829 to <868 782 to <829 below 782 (738)

66. USRDS USRDS 2002 adr Per member per month (PMPM) Part A Costs: dialysis figure 12.24 period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 1,150+ (1,202) 1,110 to <1,150 1,090 to <1,110 1,070 to <1,090 below 1,070 (1,036)

67. USRDS USRDS 2002 adr Per member per month (PMPM), Part B costs figure 12.24, period prevalent dialysis patients, 2000, by HSA, unadjusted PMPM (dollars) 868+ (964) 795 to <868 741 to <795 663 to <741 below 663 (601)

68. USRDS USRDS 2002 adr Part A relative costs: inpatient figure 12.25, period prevalent patients, 2000, by HSA, adjusted for age, gender, race, & diabetic status Relative cost 1.80+ (2.51) 1.20 to <1.80 0.81 to <1.20 0.44 to <0.81 below 0.44 (0.26)

69. USRDS USRDS 2002 adr Part A relative costs: outpatient figure 12.25, period prevalent patients, 2000, by HSA, adjusted for age, gender, race, & diabetic status Relative cost 1.09+ (1.16) 1.03 to <1.09 0.98 to <1.03 0.92 to <0.98 below 0.92 (0.84)

70. USRDS USRDS 2002 adr Part A relative costs: dialysis figure 12.25, period prevalent patients, 2000, by HSA, adjusted for age, gender, race, & diabetic status Relative cost 1.04+ (1.09) 1.01 to <1.04 0.99 to <1.01 0.96 to <0.99 below 0.96 (0.90)

71. USRDS USRDS 2002 adr Part B relative costs figure 12.25, period prevalent patients, 2000, by HSA, adjusted for age, gender, race, & diabetic status Relative cost 1.13+ (1.26) 1.04 to <1.13 0.97 to <1.04 0.85 to <0.97 below 0.85 (0.76)

72. USRDS USRDS 2002 adr Trends in total access procedures figure 12.26, Medicare ESRD Part B vascular access claims identified by CPT codes

73. USRDS USRDS 2002 adr Trends in access costs figure 12.27, Medicare ESRD Part B vascular access claims identified by CPT codes

74. USRDS USRDS 2002 adr Trends in location of access procedures figure 12.28, by setting, Medicare Part B vascular access claims identified by CPT codes, location identified from CMS “place of service variable”

75. USRDS USRDS 2002 adr Percent of procedures that are access only figure 12.29

76. USRDS USRDS 2002 adr Vascular access spending: dollars by intervention type & location of service figure 12.30

77. USRDS USRDS 2002 adr Vascular access spending: dollars by access type & intervention figure 12.31

78. USRDS USRDS 2002 adr Vascular access spending: dollars by access type & physician specialty figure 12.32

79. USRDS USRDS 2002 adr Fistula insertion costs per procedure: 1991 figure 12.33, by state Cost per procedure 9,800+ (10,756) 7,450 to <9,800 6,440 to <7,450 4,710 to <6,440 below 4,710 (4,379)

80. USRDS USRDS 2002 adr Fistula insertion costs per procedure: 2000 figure 12.33, by state Cost per procedure 9,800+ (11,055) 7,450 to <9,800 6,440 to <7,450 4,710 to <6,440 below 4,710 (3,647)

81. USRDS USRDS 2002 adr Fistula insertion costs per procedure: percent change 1991–2000 figure 12.33, by state Percent change in costs, 1991-2000 -30.6+ (-3.6) -46.5 to <-30.6 -72.8 to <-46.5 -125.5 to <-72.8 below -125.5 (-180.0)

82. USRDS USRDS 2002 adr Synthetic graft insertion costs per procedure: 1991 figure 12.34, by state Cost per procedure 10,800+ (12,622) 9,200 to <10,800 7,700 to <9,200 7,000 to <7,700 below 7,000 (6,203)

83. USRDS USRDS 2002 adr Synthetic graft insertion costs per procedure: 2000 figure 12.34, by state Cost per procedure 10,800+ (12,197) 9,200 to <10,800 7,700 to <9,200 7,000 to <7,700 below 7,000 (5,407)

84. USRDS USRDS 2002 adr Synthetic graft insertion costs per procedure: percent change 1991–2000 figure 12.34, by state Percent change in costs, 1991-2000 -18.9+ (-8.6) -37.3 to <-18.9 -57.1 to <-37.3 -79.2 to <-57.1 below -79.2 (-115.4)

85. USRDS USRDS 2002 adr Catheter insertion costs per procedure: 1991 figure 12.35, by state Cost per procedure 8,760+ (10,450) 7,750 to <8,760 6,470 to <7,570 5,250 to <6,470 below 5,250 (4,243)

86. USRDS USRDS 2002 adr Catheter insertion costs per procedure: 2000 figure 12.35, by state Cost per procedure 8,760+ (9,679) 7,750 to <8,760 6,470 to <7,570 5,250 to <6,470 below 5,250 (4,074)

87. USRDS USRDS 2002 adr Catheter insertion costs per procedure: percent change 1991–2000 figure 12.35, by state Percent change in costs, 1991-2000 -23.4+ (-10.9) -40.0 to <-23.4 -52.4 to <-40.0 -75.9 to <-52.4 below -75.9 (-136.7)

88. USRDS USRDS 2002 adr Vascular access complications costs per event: 1991 figure 12.36, by state Cost 7,530+ (8,931) 5,080 to <7,530 2,830 to <5,080 2,420 to <2,830 below 2,420 (N/A)

89. USRDS USRDS 2002 adr Vascular access complications costs per event: 2000 figure 12.36, by state Cost 7,530+ (NA) 5,080 to <7,530 2,830 to <5,080 2,420 to <2,830 below 2,420 (1,897)

90. USRDS USRDS 2002 adr Vascular access complications costs per event: percent change 1991–2000 figure 12.36, by state Percent change in costs, 1991-2000 -117+ (-85) -159 to <-117 -210 to <-159 -247 to <-210 below -247 (-304)