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Total Part D Spending per Beneficiary
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    Region
    (Click a region name
    below to view its profile)
    Total Part D Spending per Beneficiary
    (Year: 2010; Region Levels: HRR)
    Anchorage, AK $2,913
    Birmingham, AL $2,734
    Dothan, AL $2,618
    Huntsville, AL $2,626
    Mobile, AL $2,553
    Montgomery, AL $2,632
    Tuscaloosa, AL $2,609
    Fort Smith, AR $2,512
    Jonesboro, AR $2,744
    Little Rock, AR $2,409
    Springdale, AR $2,314
    Texarkana, AR $2,359
    Mesa, AZ $2,124
    Phoenix, AZ $2,035
    Sun City, AZ $2,174
    Tucson, AZ $2,063
    Alameda County, CA $2,587
    Bakersfield, CA $2,577
    Chico, CA $2,308
    Contra Costa County, CA $2,571
    Fresno, CA $2,593
    Los Angeles, CA $3,863
    Modesto, CA $2,450
    Napa, CA $2,322
    Orange County, CA $3,289
    Palm Springs/Rancho Mira, CA $2,703
    Redding, CA $2,244
    Sacramento, CA $2,472
    Salinas, CA $2,370
    San Bernardino, CA $2,773
    San Diego, CA $2,873
    San Francisco, CA $2,689
    San Jose, CA $2,806
    San Luis Obispo, CA $2,173
    San Mateo County, CA $2,389
    Santa Barbara, CA $2,405
    Santa Cruz, CA $2,250
    Santa Rosa, CA $2,246
    Stockton, CA $2,409
    Ventura, CA $2,680
    Boulder, CO $2,425
    Colorado Springs, CO $2,210
    Denver, CO $2,332
    Fort Collins, CO $2,172
    Grand Junction, CO $1,826
    Greeley, CO $2,175
    Pueblo, CO $2,462
    Bridgeport, CT $2,707
    Hartford, CT $2,807
    New Haven, CT $2,849
    Washington, DC $2,568
    Wilmington, DE $2,559
    Bradenton, FL $2,277
    Clearwater, FL $2,652
    Fort Lauderdale, FL $2,659
    Fort Myers, FL $2,364
    Gainesville, FL $2,427
    Hudson, FL $2,283
    Jacksonville, FL $2,689
    Lakeland, FL $2,558
    Miami, FL $4,738
    Ocala, FL $2,140
    Orlando, FL $2,498
    Ormond Beach, FL $2,414
    Panama City, FL $2,911
    Pensacola, FL $2,697
    Sarasota, FL $2,303
    St. Petersburg, FL $2,939
    Tallahassee, FL $2,641
    Tampa, FL $2,838
    Albany, GA $2,529
    Atlanta, GA $2,600
    Augusta, GA $2,721
    Columbus, GA $2,641
    Macon, GA $2,724
    Rome, GA $2,708
    Savannah, GA $2,659
    Honolulu, HI $3,043
    Cedar Rapids, IA $1,944
    Davenport, IA $2,088
    Des Moines, IA $2,072
    Dubuque, IA $2,085
    Iowa City, IA $1,928
    Mason City, IA $1,858
    Sioux City, IA $2,048
    Waterloo, IA $2,078
    Boise, ID $2,141
    Idaho Falls, ID $2,040
    Aurora, IL $2,383
    Bloomington, IL $2,646
    Blue Island, IL $2,301
    Chicago, IL $2,502
    Elgin, IL $2,404
    Evanston, IL $2,476
    Hinsdale, IL $2,451
    Joliet, IL $2,482
    Melrose Park, IL $2,339
    Peoria, IL $2,382
    Rockford, IL $2,384
    Springfield, IL $2,506
    Urbana, IL $2,464
    Evansville, IN $2,595
    Fort Wayne, IN $2,634
    Gary, IN $2,416
    Indianapolis, IN $2,721
    Lafayette, IN $2,317
    Muncie, IN $2,833
    Munster, IN $2,355
    South Bend, IN $2,414
    Terre Haute, IN $2,796
    Topeka, KS $2,369
    Wichita, KS $2,195
    Covington, KY $2,808
    Lexington, KY $3,187
    Louisville, KY $2,807
    Owensboro, KY $3,083
    Paducah, KY $2,815
    Alexandria, LA $3,210
    Baton Rouge, LA $3,146
    Houma, LA $2,862
    Lafayette, LA $3,032
    Lake Charles, LA $2,809
    Metairie, LA $3,116
    Monroe, LA $3,034
    New Orleans, LA $3,007
    Shreveport, LA $2,719
    Slidell, LA $2,832
    Boston, MA $2,452
    Springfield, MA $2,570
    Worcester, MA $2,773
    Baltimore, MD $2,516
    Salisbury, MD $2,461
    Takoma Park, MD $2,586
    Bangor, ME $2,399
    Portland, ME $2,301
    Ann Arbor, MI $2,303
    Dearborn, MI $2,674
    Detroit, MI $2,577
    Flint, MI $2,398
    Grand Rapids, MI $2,423
    Kalamazoo, MI $2,379
    Lansing, MI $2,551
    Marquette, MI $2,312
    Muskegon, MI $2,325
    Petoskey, MI $2,182
    Pontiac, MI $2,450
    Royal Oak, MI $2,591
    Saginaw, MI $2,398
    St. Joseph, MI $2,289
    Traverse City, MI $2,319
    Duluth, MN $2,046
    Minneapolis, MN $1,950
    Rochester, MN $1,844
    St. Cloud, MN $1,770
    St. Paul, MN $2,087
    Cape Girardeau, MO $2,873
    Columbia, MO $2,333
    Joplin, MO $2,432
    Kansas City, MO $2,394
    Springfield, MO $2,494
    St. Louis, MO $2,675
    Gulfport, MS $2,751
    Hattiesburg, MS $2,703
    Jackson, MS $2,537
    Meridian, MS $2,575
    Oxford, MS $2,532
    Tupelo, MS $2,524
    Billings, MT $2,082
    Great Falls, MT $2,321
    Missoula, MT $1,986
    Durham, NC $2,600
    Greenville, NC $2,674
    Hickory, NC $2,601
    Raleigh, NC $2,737
    Wilmington, NC $2,799
    Winston-Salem, NC $2,780
    Lincoln, NE $2,142
    Omaha, NE $2,214
    Lebanon, NH $2,287
    Manchester, NH $2,380
    Camden, NJ $2,856
    Hackensack, NJ $3,185
    Morristown, NJ $2,757
    New Brunswick, NJ $3,030
    Newark, NJ $3,160
    Paterson, NJ $2,958
    Ridgewood, NJ $2,824
    Albuquerque, NM $1,996
    Las Vegas, NV $2,499
    Reno, NV $2,011
    Albany, NY $3,022
    Binghamton, NY $2,980
    Bronx, NY $3,474
    Buffalo, NY $3,099
    East Long Island, NY $3,364
    Elmira, NY $3,484
    Manhattan, NY $4,200
    Rochester, NY $3,183
    Syracuse, NY $3,110
    White Plains, NY $2,951
    National Average $2,670
    90th Percentile $2,994
    50th Percentile $2,568
    10th Percentile $2,112
        • DENOMINATOR DEFINITION:
        • Prescription drug utilization and spending rates use a 40% Medicare random-sample denominator file for each year from 2006 to 2010. For the 2010 Part D enrollment cohort, patients were included if they (1) were age 65 or older as of 1/1/2010, (2) were alive and continuously enrolled in a stand-alone Medicare Part D plan for all 12 months of 2010, and (3) were not enrolled in hospice or a managed Medicare plan (Medicare Advantage) at any time during 2010.

        • NUMERATOR DEFINITION:
        • Part D event records were used to calculate individual-level total Part D prescription spending.




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.