Table 3

Total Medicare Claims (Charges) and Reimbursements (Payments) for COPD Patients with versus without Anemia After Index Date

COPD with Anemia (n = 27,932)

Non-anemic COPD (n = 104,492)

Type of Resource Utilization

Total Number of Claims

Total Claim Amount

Average Claim per 12 M Enrollment

Average Payment per 12 M Enrollment

Total Number of Claims

Total Claim Amount

Average Claim per 12 M Enrollment

Average Payment per 12 M Enrollment

DME

200,952

$78,660,190

$162

$71

693,549

$262,757,934

$101

$44

HHA

34,113

$59,075,953

$121

$96

83,185

$129,983,681

$50

$39

Hospice

5,182

$13,823,214

$28

$27

13,204

$35,768,474

$14

$13

Inpatient

43,129

$965,219,860

$1,985

$788

107,793

$2,061,627,072

$789

$342

Outpatient

181,577

$110,476,975

$227

$62

700,001

$375,269,221

$144

$36

Part B

1,347,897

$324,691,886

$668

$254

3,781,373

$878,749,293

$336

$121

SNF

18,907

$153,345,595

$315

$168

34,515

$280,467,242

$107

$54

Total*

1,831,757

$1,705,293,673

$3,506

$1,466

5,413,620

$4,024,622,917

$1,541

$649

*Claims and payments significantly different between patients with and without anemia, p < 0.001 Note: 1997–2001 data inflation-adjusted to 2004 $ using the Medical Consumer Price Index

Abbreviations: 12 M – 12 months of continuous Medicare enrollment, DME – durable medical equipment, HHA – home health assistance, SNF – skilled nursing facility

Halpern et al. Cost Effectiveness and Resource Allocation 2006 4:17   doi:10.1186/1478-7547-4-17