Top 10 Inpatient Medicare Payments by State

The following data includes all inpatient fee-for-service claims for federal fiscal year 2010, or Oct. 1, 2009 through Sept. 30, 2010. The first number after the state name reflects the total Medicare payment, which is then broken down into urban and rural payments.

All data is from "Rural Relevance Under Healthcare Reform" from iVantage Health Analytics.

1. California — $10,881,804,008
• Urban payments: $10,389,254,737 — 95.47 percent
• Rural payments: $492,547,271 — 4.53 percent

2. Texas — $10,342,906,050
• Urban payments: $8,182,815,274 — 79.12 percent
• Rural payments: $2,160,090,776 — 20.88 percent

3. Florida — $9,005,608,252
• Urban payments: $8,194,638,306 — 90.99 percent
• Rural payments: $810,969,946 — 9.01 percent

4. New York — $8,916,046,504
• Urban payments: $8,124,460,887 — 91.12 percent
• Rural payments: $791,585,617 — 8.88 percent

5. Illinois — $6,657,968,208
• Urban payments: $5,526,932,381 — 83.01 percent
• Rural payments: $1,131,035,827 — 16.99 percent

6. Michigan — $5,840,406,296
• Urban payments: $4,647,836,315 — 79.58 percent
• Rural payments: $1,192,569,982 — 20.42 percent

7. Pennsylvania — $5,678,149,300
• Urban payments: $4,604,560,921 — 81.09 percent
• Rural payments: $1,073,588,379 — 18.91 percent

8. Ohio — $5,315,990,485
• Urban payments: $4,148,855,862 — 78.04 percent
• Rural payments: $1,167,134,624 — 21.96 percent

9. New Jersey — $4,598,078,243
• Urban payments: $4,598,078,243 — 100 percent
• Rural payments: 0

10. North Carolina — $4,509,362,330
• Urban payments: $2,635,706,231 — 58.45 percent
• Rural payments: $1,873,656,099 — 41.55 percent

More on Medicare Payments:

MedPAC: Hospital Payments Should Increase by 1%
Moody's: Lower-Rated Hospitals Depend More on Medicare
House Bill Would Boost Payments to Rural Hospitals