PolicyMap, Quantitative Innovations (QI), AHRQ, and Census: Medical Spending Estimates

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Details Estimated aggregated total spending, estimated aggregated out of pocket spending, estimated average out of pocket spending per person
Topics Economy, healthcare, spending
Source PolicyMap, Quantitative Innovations, U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, and U.S. Census American Community Survey
Years Available 2022
Geographies Census tract, ZCTA, Census place, city, county, CBSA, state
Public Edition or Subscriber-only Premium subscriber-only
Download Available yes
For more information https://meps.ahrq.gov/mepsweb/
Last updated on PolicyMap September 2024

Description:

PolicyMap and Quantitative Innovations (QI) developed Medical Spending data by combining information on payments for medical care from the Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) Medical Expenditure Panel Survey (2022) with demographic and health data from the U.S. Census American Community Survey (2018-2022). Medical Spending data provides estimates of two main kinds of medical payments aggregated to various geographies, 1) the total amount paid to the healthcare provider by the patient or their family and through health insurance, and 2) the amount paid out of pocket by the patient or their family. For out of pocket payments, PolicyMap also estimated average payments per person spent on medical care.

Medical Spending data expense categories include all medical costs, prescription medications, medical office visits, dental care, and eyeglasses and contact lenses. Spending on office visits includes visits to physicians, physician’s assistants, nurses, chiropractors, midwives, optometrists, therapists, social workers, and other healthcare providers. Dental care costs include visits to dentists, dental hygienists, orthodontists, and other dental care providers.

Quantitative Innovations is a data strategy and applied analytics advisory firm that helps clients turn their data into strategic insights and actions.

The Medical Expenditure Panel Survey, conducted by the Agency for Healthcare Research and Quality, is an annual survey administered to both households and healthcare providers. Household surveys cover health conditions of household members, healthcare spending, access to healthcare, and more.

The American Community Survey (ACS), conducted by the Census Bureau, replaced the long form from the Decennial Census for 2010. The ACS provides estimates for many demographic, social, economic and housing characteristics for a moving five-year window.

Available Data Layers & Indicators
Indicator Name Geographies Measurement Type Time Frame Coverage
Aggregate cost of medical office visits Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Total dollars 2022
Average annual dollars spent out of pocket per person on medical office visits Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Dollars 2022
Aggregate cost of eyeglasses or contact lenses Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Total dollars 2022
Aggregate cost of prescription medications Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Total dollars 2022
Average annual dollars spent out of pocket per person on dental care Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Dollars 2022
Aggregate cost of medical care Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Total dollars 2022
Aggregate cost of dental care Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Total dollars 2022
Average annual dollars spent out of pocket per person on prescription medications Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Dollars 2022
Average annual dollars spent out of pocket per person on eyeglasses or contact lenses Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Dollars 2022
Average annual dollars spent out of pocket per person on medical care Nation, State, County, Census Tract, Zip Code Tabulation Area, City, County Subdivision, Metro Area Dollars 2022