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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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2012 Health Center Data

2012 National Data

Table 3A - Patients by Age and Gender

Age Groups MALE PATIENTS
(a)
FEMALE PATIENTS
(b)
All Patients
1. Under Age 1 307,967  294,188  602,155 
2. Age 1 203,773  197,718  401,491 
3. Age 2 196,386  189,177  385,563 
4. Age 3 207,673  201,905  409,578 
5. Age 4 224,703  219,223  443,926 
6. Age 5 219,180  212,608  431,788 
7. Age 6 192,413  185,209  377,622 
8. Age 7 180,922  173,792  354,714 
9. Age 8 173,364  167,063  340,427 
10. Age 9 163,761  159,059  322,820 
11. Age 10 160,774  156,806  317,580 
12. Age 11 169,210  166,539  335,749 
13. Age 12 167,551  164,858  332,409 
14. Age 13 157,087  157,126  314,213 
15. Age 14 155,700  162,875  318,575 
16. Age 15 148,940  169,342  318,282 
17. Age 16 145,606  180,469  326,075 
18. Age 17 139,679  192,372  332,051 
19. Age 18 121,298  198,263  319,561 
20. Age 19 97,598  195,081  292,679 
Subtotal Patients (sum lines 1-20)  3,533,585  3,743,673  7,277,258 
21. Age 20 92,939  204,223  297,162 
22. Age 21 92,572  209,874  302,446 
23. Age 22 94,011  216,719  310,730 
24. Age 23 94,232  216,363  310,595 
25. Age 24 95,705  216,530  312,235 
26. Ages 25 - 29 495,492  1,073,049  1,568,541 
27. Ages 30 - 34 512,262  989,133  1,501,395 
28. Ages 35 - 39 480,711  849,759  1,330,470 
29. Ages 40 - 44 524,215  825,671  1,349,886 
30. Ages 45 - 49 582,020  826,736  1,408,756 
31. Ages 50 - 54 606,780  820,901  1,427,681 
32. Ages 55 - 59 527,348  711,282  1,238,630 
33. Ages 60 - 64 389,351  566,656  956,007 
Subtotal Patients (sum lines 21-33)  4,587,638  7,726,896  12,314,534 
34. Ages 65 - 69 238,825  345,440  584,265 
35. Ages 70 - 74 153,019  217,584  370,603 
36. Ages 75 - 79 97,449  148,153  245,602 
37. Ages 80 - 84 60,627  102,828  163,455 
38. Ages 85 and over 45,947  100,727  146,674 
Subtotal Patients (sum lines 34-38)  595,867  914,732  1,510,599 
39. Total Patients (sum lines 1-38)  8,717,090   12,385,301   21,102,391  
Percent of Total  41.3%   58.7%    

Table 3B - Patients by Hispanic or Latino Ethnicity /Race/ Language

PATIENTS BY RACE PATIENTS BY HISPANIC OR LATINO ETHNICITY
Hispanic/Latino (a) Non-Hispanic/Latino (b) Unreported/Refused to
Report Ethnicity (c)
Total (d)
    Number % of Total Number
(d)
Percent
Total
% of
Known
1. Asian 10,726  603,838      614,564  2.9%  3.5% 
2a. Native Hawaiian 5,785  45,842      51,627  0.2%  0.3% 
2b. Other Pacific Islander 29,421  141,742      171,163  0.8%  1.0% 
2. Total Hawaiian/Pacific Islander (Sum lines 2a+2b) 35,206  187,584       222,790   1.1%  1.3% 
3. Black/African American 135,451  4,159,047      4,294,498  20.4%  24.2% 
4. American Indian/Alaska native 58,239  208,288      266,527  1.3%  1.5% 
5. White 4,036,569  7,614,941      11,651,510  55.2%  65.6% 
6. More than one race 537,660  183,344      721,004  3.4%  4.1% 
6a. Total Known (Sum lines 1+2+3+4+5+6) 4,813,851  12,957,042      17,770,893     
7. Unreported/Refused to report Race 2,211,608  413,191  706,699  3.3%  3,331,498  15.8%    
 8.  Total Patients(Sum lines 1+2+3 to 7)  7,025,459   13,370,233   706,699   3.3%   21,102,391  -    
  % of Known (a) % of Known (b)  
 9.  Total Patients  34.4%   65.6%   
 
PATIENTS BY LANGUAGE Number
(a)
% of Total
12. Patients best served in a language other than English 4,839,798  22.9% 

Percents may not equal 100% due to rounding

 

Table 4 - Selected Patient Characteristics

Characteristic Number of Patients
(a)
 
% of Total  % of Known 
Income as Percent of Poverty Level 
1. 100% and Below 11,638,435  55.2%  71.9% 
2. 101 - 150% 2,296,952  10.9%  14.2% 
3. 151 - 200% 1,057,619  5.0%  6.5% 
4. Over 200% 1,201,769  5.7%  7.4% 
5. Unknown 4,907,616  23.3%   
6. Total (sum lines 1-5)  21,102,391   100.0%     
Principal Third Party Medical Insurance Source  Ages 0 - 19 (a)  Ages 20+ (b)  TOTAL  % 
7. None/Uninsured 1,278,502  6,317,843  7,596,345  36.0% 
8a. Regular Medicaid (Title XIX) 4,782,873  3,429,515  8,212,388  38.9% 
8b. CHIP Medicaid 135,622  16,255  151,877  0.7% 
8. Total Medicaid (Sum lines 8a+8b)  4,918,495  3,445,770  8,364,265  39.6% 
9. Medicare (Title XVIII)  5,430  1,690,014  1,695,444  8.0% 
10a. Other Public Insurance Non-CHIP 37,142  221,808  258,950  1.2% 
10b. Other Public Insurance CHIP 211,854  24,113  235,967  1.1% 
10. Total Public Insurance
(Sum lines 10a+10b)
 
248,996  245,921  494,917  2.3% 
11. Private Insurance  825,835  2,125,585  2,951,420  14.0% 
12. Total (Sum Lines 7+8+9+10+11)  7,277,258  13,825,133  21,102,391   100.0%  
Managed Care Utilization 
Payor Category  Medicaid
(a)
 
Medicare
(b)
 
Other Public Including Non-Medicaid CHIP
(c)
 
Private
(d)
 
Total
(e)
 
13a. Capitated Member months 25,889,010  558,446  1,520,603  1,449,259  29,417,318 
13b. Fee-for-service Member months 25,239,196  1,206,165  1,216,700  1,603,110  29,265,171 
13c. Total Member Months
(Sum lines 13a+13b)
 
51,128,206  1,764,611  2,737,303  3,052,369  58,682,489 
Characteristics - Special Populations  Number of Patients
(a)
 
%   
14. Migrant (330g grantees only) 327,987  36.3%   
15. Seasonal (330g grantees only) 473,733  52.5%   
  Migrant/Seasonal (non-330g grantees) 101,369  11.2%   
16. Total Migrant/Seasonal Agricultral Worker or Dependent
(All Grantees Report This Line)
 
903,089  100.0%   
17. Homeless Shelter (330h grantees only) 264,942  23.6%   
18. Transitional (330h grantees only) 106,553  9.5%   
19. Doubling Up (330h grantees only) 216,443  19.3%   
20. Street (330h grantees only) 70,745  6.3%   
21. Other (330h grantees only) 91,637  8.2%   
22. Unknown (330h grantees only) 73,683  6.6%   
  Homeless (non-330h grantees) 297,034  26.5%   
23. Total Homeless (All Grantees Report This Line)  1,121,037 100.0%*  
24. Total School Based Health Center Patients
(All Grantees Report This Line)
 
434,833     
25. Total Veterans (All Grantees Report this Line)  251,188     


Percents may not equal 100% due to rounding

 

 

Table 5 - Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs
(a)
Clinic Visits
(b)
Patients
(c)
1. Family Physicians 4,809.40   16,467,684   
2. General Practitioners 382.50  1,455,706   
3. Internists 1,690.67  5,420,449   
4. Obstetrician/Gynecologists 1,022.16  3,232,111   
5. Pediatricians 2,190.69  7,757,077   
7. Other Specialty Physicians 349.28  1,120,408   
8. Total Physicians (Sum lines 1-7)  10,444.70  35,453,435   
9a. Nurse Practitioners 4,678.29  12,863,245   
9b. Physician Assistants 2,312.34  6,993,893   
10. Certified Nurse Midwives 564.34  1,371,726   
10a. Total NPs, PAs, CNMs (Sum lines 9a - 10)  7,554.97  21,228,864   
11. Nurses 12,551.21  3,163,758   
12. Other Medical Personnel 19,666.29     
13. Laboratory Personnel 2,047.52     
14. X-Ray Personnel 798.09     
15. Total Medical Services (Sum lines 8+10a through 14)  53,062.78  59,846,057  18,034,338  
16. Dentists 3,326.01  8,837,458   
17. Dental Hygienists 1,435.58  1,854,820   
18. Dental Assistants, Aides, Techs 6,398.25     
19. Total Dental Services (Sum lines 16-18)  11,159.84  10,692,278  4,332,314 
20a. Psychiatrists 451.59  1,145,706   
20a1. Licensed Clinical Psychologists 491.79  531,282   
20a2. Licensed Clinical Social Workers 1,573.27  1,502,680   
20b. Other Licensed Mental Health Providers 1,120.03  1,196,282   
20c. Other Mental Health Staff 1,578.38  891,430   
20. Total Mental Health Services (Sum lines 20a-20c)  5,215.06  5,267,380  1,035,537 
21. Substance Abuse Services  842.60  1,017,634  114,037 
22. Other Professional Services  1,014.23  1,280,525  439,423 
22a. Ophthalmologist  42.33  124,669   
22b. Optometrist  148.97  379,131   
22c. Other Vision Care Staff  148.68     
22d. Total Vision Services (Sum lines 22a-22c)  339.98  503,800  346,573 
23. Pharmacy Personnel  3,263.82     
24. Case Managers 4,739.26  3,574,884   
25. Patient/Community Education Specialists 2,166.36  1,583,595   
26. Outreach Workers 1,972.17     
27. Transportation Staff 507.30     
27a. Eligibility Assistance Workers 2,419.40     
27b. Interpretation Staff 863.00     
28. Other Enabling Services 475.72     
29. Total Enabling Services (Sum lines 24-28)  13,143.21  5,158,479  1,970,511 
29a. Other Programs/Services  4,593.10     
30a. Management and Support Staff 14,778.49     
30b. Fiscal and Billing Staff 9,708.47     
30c. IT Staff 2,344.78     
31. Facility Staff 3,687.12     
32. Patient Support Staff 25,091.62     
33. Total Facility and Non-Clinical Support Services(Lines 30a through 32)  55,610.48     
34. Total (Sum lines 15+19+20+21+22+23+29+29a+33)  148,245.10  83,766,153   


 

Table 5: Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total
1. Family Physicians 9.1%  3.2%  27.5%  19.7% 
2. General Practitioners 0.7%  0.3%  2.4%  1.7% 
3. Internists 3.2%  1.1%  9.1%  6.5% 
4. Obstetrician/Gynecologists 1.9%  0.7%  5.4%  3.9% 
5. Pediatricians 4.1%  1.5%  13.0%  9.3% 
7. Other Specialty Physicians 0.7%  0.2%  1.9%  1.3% 
8. Total Physicians (Sum lines 1-7)  19.7%   7.0%   59.2%   42.3% 
9a. Nurse Practitioners 8.8%  3.2%  21.5%  15.4% 
9b. Physician Assistants 4.4%  1.6%  11.7%  8.3% 
10. Certified Nurse Midwives 1.1%  0.4%  2.3%  1.6% 
10a. Total Mid-Levels (Sum lines 9a-10)  14.2%   5.1%   35.5%   25.3%  
11. Nurses 23.7%  8.5%  5.3%  3.8% 
12. Other Medical Personnel 37.1%  13.3%     
13. Laboratory Personnel 3.9%  1.4%     
14. X-Ray Personnel 1.5%  0.5%     
15. Total Medical (Sum lines 8+10a through 14)  100.0%   35.8%   100.0%   71.4%  
16. Dentists 29.8%   2.2%   82.7%   10.6%  
17. Dental Hygienists 12.9%   1.0%   17.3%   2.2%  
18. Dental Assistants, Aides, Techs 57.3%   4.3%      
19. Total Dental Services (Sum lines 16-18)  100.0%   7.5%   100.0%   12.8%  
20a. Psychiatrists 8.7%   0.3%   21.8%   1.4%  
20a1. Licensed Clinical Psychologists 9.4%   0.3%   10.1%   0.6%  
20a2. Licensed Clinical Social Workers 30.2%   1.1%   28.5%   1.8%  
20b. Other Licensed Mental Health Providers 21.5%   0.8%   22.7%   1.4%  
20c. Other Mental Health Staff 30.3%   1.1%   16.9%   1.1%  
20. Mental Health (Sum lines 20a-c)  100.0%   3.5%   100.0%   6.3%  
21. Substance Abuse Services  100.0%   0.6%   100.0%   1.2%  
22. Other Professional Services  100.0%   0.7%   100.0%   1.5%  
22a. Ophthalmologist  12.5%  0.0%  24.7%  0.1% 
22b. Optometrist  43.8%   0.1%   75.3%   0.5%  
22c. Other Vision Care Staff  43.7%   0.1%      
22d. Total Vision Services (Sum lines 22a-22c)  100.0%   0.2%   100.0%   0.6%  
23. Pharmacy Personnel  100.0%   2.2%      
24. Case Managers 36.1%   3.2%   69.3%   4.3%  
25. Patient/Community Education Specialists 16.5%   1.5%   30.7%   1.9%  
26. Outreach Workers 15.0%   1.3%      
27. Transportation Staff 3.9%   0.3%      
27a. Eligibility Assistance Workers 18.4%   1.6%      
27b. Interpretation Staff 6.6%   0.6%      
28. Other Enabling Services 3.6%   0.3%      
29. Total Enabling Services (Sum lines 24-28)  100.0%   8.9%   100.0%   6.2%  
29a. Other Programs/Services  100.0%   3.1%      
PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total 
30a. Management and Support Staff   10.0%      
30b. Fiscal and Billing Staff   6.5%      
30c. IT Staff   1.6%      
31. Facility Staff   2.5%      
32. Patient Support Staff   16.9%      
33. Total Facility and Non-Clinical Support Services (Lines 30a through 32) 100.0%   37.5%      
34. Total (Sum lines 15+19+20+21+22+23+29+29a+33)    100.0%     100.0%  

 

Visits are shown only for personnel that generate reportable Visits
Subtotals may differ from the sum of cells due to rounding
Percents may not equal 100% due to rounding

Health Center Staff Full and part time Locum, On-call, etc
Persons (a) Total months (b) Persons (c) Total months (d)
1 Family Physicians 6,359 430,188 1,204 31,415
2 General Practitioners 560 40,057 69 1,534
3 Internists 2,261 177,910 644 20,138
4 Obstetrician/Gynecologists 1,549 109,293 345 19,236
5 Pediatricians 2,800 218,137 371 12,826
7 Other Specialty Physicians 1,058 106,806 537 24,037
9a Nurse Practitioners 6,283 359,611 368 13,989
9b Physician Assistants 2,925 191,823 134 4,140
10 Certified Nurse Midwives 785 52,067 131 6,123
11 Nurses 15,704 980,152 635 23,644
16 Dentists 4,301 237,657 415 12,299
17 Dental Hygienists 1,998 114,680 113 1,781
20a Psychiatrists 855 45,446 131 4,904
20a1 Licensed Clinical Psychologists 703 43,158 23 680
20a2 Licensed Clinical Social Workers 2,181 114,550 64 1,779
20b Other Licensed Mental Health Providers 1,800 93,568 66 2,866
22a Ophthalmologist 102 10,676 60 3,305
22b Optometrist 262 21,858 56 2,830
30a1 Chief Executive Officer 1,206 151,630 5 46
30a2 Chief Medical Officer 1,120 94,225 10 148
30a3 Chief Financial Officer 1,106 84,351 20 610
30a4 Chief Information Officer 493 37,102 13 349

Table 6A - Selected Diagnoses and Services Rendered

Diagnostic Category Applicable ICD-9-CM Codes Number of Visits by Primary Diagnosis
(a)
Number of Patients with Primary Diagnosis
(b)
Visits Per Patient
Selected Infectious and Parasitic Diseases 
1. Symptomatic HIV, Asymptomatic HIV 042.xx; 079.53, V08 571,696  114,881  4.98 
2.
3. Tuberculosis 010.xx - 018.xx 18,480  9,755  1.89 
4. Syphilis and other sexually transmitted diseases 090.xx - 099.xx 143,146  95,500  1.50 
4a. Hepatitis B 070.20, 070.22, 070.30, 070.32 48,080  21,890  2.20 
4b. Hepatitis C 070.41, 070.44, 070.51, 070.54, 070.70, 070.71 303,713  132,078  2.30 
Selected Diseases of the Respiratory System 
5. Asthma 493.xx 1,893,763  1,010,145  1.87 
6. Chronic bronchitis and Emphysema 490.xx - 492.xx 452,253  296,561  1.52 
Selected Other Medical Conditions 
7. Abnormal Breast Findings, Female 174.xx; 198.81; 233.0x;
238.3; 793.8x
140,356  84,098  1.67 
8. Abnormal Cervical Findings 180.xx; 198.82;
233.1x; 795.0x
284,664  171,572  1.66 
9. Diabetes Mellitus 250.xx; 648.0x; 775.1x 5,970,535  1,777,364  3.36 
10. Heart Disease (selected) 391.xx - 392.0x
410.xx - 429.xx
1,436,115  546,077  2.63 
11. Hypertension 401.xx - 405.xx 8,757,760  3,402,868  2.57 
12. Contact Dermatitis and other Eczema 692.xx 703,267  553,053  1.27 
13. Dehydration 276.5x 65,050  41,379  1.57 
14. Exposure to Heat or Cold 991.xx - 992.xx 6,314  4,673  1.35 
14a. Overweight and obesity I C D-9 : 278.0 – 278.02 or V85.xx (Excluding V85.0, V85.1, V85.51 V85.52) 2,894,399  1,678,544  1.72 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders 381.xx - 382.xx 1,248,487  831,056  1.50 
16. Selected Perinatal Medical Conditions 770.xx; 771.xx; 773.xx;
774.xx - 779.xx
(Excluding 779.3x)
139,971  79,607  1.76 
17. Lack of Expected Normal Physiological Development (Such as delayed milestone; Failure to gain weight; Failure to thrive) - does not include sexual or mental development; Nutritional Deficiencies 260.xx - 269.xx;
779.3x;
783.3x - 783.4x;
729,678  414,576  1.76 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders 291.xx, 303.xx;
305.0x; 357.5x
734,420  209,125  3.51 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) 292.1x - 292.8x;
304.xx; 305.2x - 305.9x;
357.6x; 648.3x
1,271,028  254,348  5.00 
19a. Tobacco Use Disorders 305.1 1,530,454  922,451  1.66 
20a. Depression and Other Mood Disorders 296.xx; 300.4
301.13; 311.xx
4,543,848  1,436,409  3.16 
20b. Anxiety Disorders Including PTSD 300.0x; 300.2x;
300.3; 308.3; 309.81
2,740,614  980,043  2.80 
20c. Attention Deficit and Disruptive Behavior Disorders 312.8x; 312.9x; 313.81;
314.xx
1,206,174  342,696  3.52 
20d. Other Mental Disorders,Excluding Drug or Alcohol Dependence (includes mental retardation) 290.xx; 293.xx - 302.xx; (Excluding 296.xx; 300.0x; 300.2x; 300.3; 300.4; 301.13);
306.xx - 319.xx (Excluding 308.3; 309.81; 311.xx; 312.8x;312.9x; 313.81; 314.xx)
2,619,593  892,793  2.93 
Diagnostic Category  Applicable ICD-9-CM or CPT-4 Codes  Number of Visits
(a)
 
Number of Patients
(b)
 
Visits Per Patient 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV Test CPT - 4: 86689;
86701 - 86703;
87390 - 87391
1,099,241  999,484  1.10 
21a. Hepatitis B Test CPT-4: 88704, 88705, 87515-17 354,677  294,400  1.20 
21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 293,950  255,775  1.15 
22. Mammogram CPT-4: 77052, 77057 OR ICD-9: V76.11; V76.12 397,404  369,953  1.07 
23. Pap Test CPT - 4: 88141 - 88155;
88164 - 88167; 88174-88175 OR
ICD - 9:V72.3; V72.31;
V76.2 88174-88175
2,020,870  1,873,507  1.08 
24. Selected Immunizations (Hepatitis A, Hemophilus Influenza B (HiB), Influenza virus, Pneumococcal Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: 90633 - 90634, 90645 - 90648;
90670; 90696 - 90702;
90704 - 90716; 90718 - 90723;
90743 - 90744; 90748
3,743,063  2,673,131  1.40 
24a. Seasonal Flu Vaccine CPT-4: 90655 - 90662 3,035,824  2,793,076  1.09 
24b. H1N1 Flu Vaccine CPT-4: 90663; 90470 - 
25. Contraceptive Management ICD - 9: V25.xx 2,243,132  1,249,932  1.79 
26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99391 - 99393; 99381 - 99383 4,025,306  2,568,346  1.57 
26a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: 83655 434,373  392,826  1.11 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408-99409 147,883  109,682  1.35 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406 and 99407; S9075 713,858  490,168  1.46 
26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 302,927  259,111  1.17 
Diagnostic Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Visits Per Patient
Selected Dental Services 
27. I. Emergency Services ADA: D9110 281,967  225,752  1.25 
28. II. Oral Exams ADA: D0120, D0140, D0145,
D0150, D0160, D0170, D0180
4,542,990  3,429,455  1.32 
29. Prophylaxis - Adult or Child ADA: D1110, D1120 2,545,435  2,063,264  1.23 
30. Sealants ADA: D1351 425,515  317,781  1.34 
31. Flouride Treatment - adult or child ADA: D1203, D1204, D1206 1,753,928  1,391,057  1.26 
32. III. Restorative Services ADA: D21xx - D29xx 2,491,506  1,295,980  1.92 
33. IV. Oral Surgery
(Extractions and other Surgical Procedures)
ADA: D7111, D7140, D7210,
D7220, D7230, D7240, D7241,
D7250, D7260, D7261, D7270,
D7272, D7280
1,149,400  852,491  1.35 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Orhto) ADA: D3xxx, D4xxx, D5xxx,
D6xxx, D8xxx
983,672  522,511  1.88 

Sources of codes:

  • International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2010/2011. American Medical Association.
  • Current Procedural Terminology, (CPT) 2010/2011. American Medical Association.
  • Current Dental Terminology, (CDT) 2010/2011. American Dental Association.

Note: x in a code denotes any number including the absence of a number in that place.

 

Table 6B - Quality of Care Indicators

Section A: Age Categories for Prenatal Patients
(Grantees Who Provide Prenatal Care Only)
Demographic Characteristics of Prenatal Care Patients
AGE Number of Patients
(a)
Percent
1. Less than 15 Years 1,401  0.3% 
2. Ages 15 - 19 65,086  13.1% 
3. Ages 20 - 24 151,336  30.5% 
4. Ages 25 - 44 276,768  55.8% 
5. Ages 45 and Over 1,067  0.2% 
6. Total Patients (Sum lines 1-5)  495,658  100.0% 

Section B - Trimester of Entry Into Prenatal Care
Trimester of First Known Visit for Women Receiving Prenatal Care During Reporting Year Women Having First Visit with Grantee Women Having First Visit with Another Provider % Total
(a) % (b) %
7. First Trimester 327,686  66.1%  20,274  4.1%  70.2% 
8. Second Trimester 108,393  21.9%  10,494  2.1%  24.0% 
9. Third Trimester 23,597  4.8%  5,214  1.1%  5.8% 

Section C: Childhood Immunization
Childhood Immunization Total Number Patients with 2nd Birthday
During Measurement Year
(a)
Estimated number patients immunized
(b)
Estimated % patients immunized
(c)
10. Children who have received age appropriate vaccines who had their 2nd birthday during the measurement year.* 320,329  135,999  42.5% 

*Measure was revised in 2012 and is not comparable to calendar year 2011 and prior.

 

Section D - Cervical Cancer Screening
Pap Tests Total number of female patients 24-64 years of age
(a)
Estimated number patients tested
(b)
Estimated % patients tested
(c)
11. Female patients aged 24-64 who had at least one Pap test performed during the measurement year or during one of the previous two years 5,834,902  3,340,221  57.2% 

 

Section E – Weight Assessment And Counseling For Children And Adolescents
Child and Adolescent Weight Assessment and Counseling Total Patients Aged 3 – 17 on December 31
(a)
Estimated Number Patients Assessed and Counseled Estimated % Patients Assessed and Counseled
12. Children and adolescents aged 3 - 17 with a BMI percentile, and counseling on nutrition and physical activity documented for the current year 4,156,294  1,942,257  46.7% 

 

Section F – Adult Weight Screening and Follow-Up
Adult Weight Screening and Follow-Up Total Patients 18 and Over
(a)
Estimated Number Patients with BMI Charted and Follow-Up Plan Documented as Appropriate Estimated % Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
13. Patients aged 18 and over with (1) BMI charted and (2) follow-up plan documented if patients are overweight or underweight 12,067,042  5,759,314  47.7% 

 

Section G1 – Tobacco Use Assessment
Tobacco Assessmant Total Patients 18 and Over
(a)
Estimated Number Patients Assessed for Tobacco Use Estimated % Patients Assessed for Tobacco Use
14. Patients queried about tobacco use one or more times in the measurement year or prior year. 10,747,924  9,195,876  85.6% 

 

Section G2 – Tobacco Cessation Intervention
Tobacco Cessation Intervention Total Patients with Diagnosed Tobacco Dependence
(a)
Estimated Number Patients Advised to Quit Estimated % Patients Advised to Quit
15. Tobacco users aged 18 and above who have received cessation advice or medication 2,442,540  1,406,981  57.6% 

 

Section H – Asthma Pharmacological Therapy
Asthma Treatment Plan Total Patients Aged 5-40 with Persistent Asthma
(a)
Estimated Number with Acceptable Plan Estimated % Patients with Acceptable Plan
16. Patients aged 5 through 40 diagnosed with asthma who have an acceptable pharmacological treatment plan1 464,073  338,804  73.0% 

% may not equal 100% due to rounding

Estimated % Patients for the Childhood Immunization, Pap Test, Weight Assessment and Counseling, Weight Screening and Follow-up, Tobacco Assessment and Counseling, Tobacco Cessation Advice, and Asthma Treatment Plan is based on the total of the estimated number of patients included in column b for each health center, for each measure, divided by the total number of patients in the applicable category (i.e., the Universe) for each measure.

Table 7 - Health Outcomes and Disparities

Total (i)
HIV Positive Pregnant Women 730
Deliveries Performed by Grantee Provider 173,698
 Section A: DELIVERIES AND BIRTH WEIGHT
  Prenatal care patients who delivered during the year
(1a)
Live Births < 1500 grams
(1b)
Live Births 1500-2499 grams
(1c)
Live Births >= 2500 grams
(1d)
% Low and Very Low Birth Weight
 By Race
Asian (a) 10,434 3.9% 108 550 9,359 6.6%
Native Hawaiian (b1) 571 0.2% 9 33 497 7.8%
Pacific Islander (b2) 3,662 1.4% 37 247 3,368 7.8%
Black/ African American (c) 49,082 18.3% 1,071 4,108 43,108 10.7%
Hispanic/Latino 2,291       0.9%       58       136       2,084       8.5%      
Non-Hispanic/Latino 46,791       17.4%       1,013       3,972       41,024       10.8%      
American Indian/ Alaska Native (d) 3,076 1.1% 41 168 2,880 6.8%
White (e) 144,070 53.7% 1,602 7,002 131,509 6.1%
Hispanic/Latino 85,460       31.9%       876       3,760       77,447       5.6%      
Non-Hispanic/Latino 58,610       21.9%       726       3,242       54,062       6.8%      
More than one race (f) 9,972 3.7% 103 576 9,323 6.8%
Race Unreported/ Refused to Report (g) 42,578 15.9% 503 2,239 40,013 6.4%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 263,445 98.2% 3,474 14,923 240,057 7.1%
 By Ethnicity
Hispanic/Latino (section 1) 135,465 50.5%  1,458 6,339 123,784 5.9%
Non-Hispanic/Latino (section 2) 127,980 47.7% 2,016 8,584 116,273 8.4%
Sub-total (Sum section 1 + section 2) 263,445 98.2% 3,474 14,923 240,057 7.1%
Unreported / Refused to Report Race and Ethnicity (h) 4,761 1.8% 98 446 6,374 7.9%
Total (i) 268,206 100.0% 3,572  15,369 246,431  7.1%

* %'s shown are rounded to the .1% level for table display purposes; calculations are made using %'s to 8 decimal places

 
 SECTION B: HYPERTENSION
Patients 18 to 85 diagnosed with hypertension whose last blood pressure was less than 140/90
  Total Hypertensive Patients
(2a)
Estimated % Patients with Controlled Blood Pressure
By Race
Asian (a) 83,455 69.1%
Native Hawaiian (b1) 5,583 60.0%
Pacific Islander (b2) 13,479 57.7%
Black/ African American (c) 739,782 58.0%
Hispanic/Latino 14,167       62.9%      
Non-Hispanic/Latino 725,615       57.9%      
American Indian/ Alaska Native (d) 27,980 61.2%
White (e) 1,506,775 65.6%
Hispanic/Latino 391,495       65.8%      
Non-Hispanic/Latino 1,115,280       65.6%      
More than one race (f) 76,013 67.2%
Race Unreported/ Refused to Report (g) 239,593 66.7%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 2,692,660  
By Ethnicity
Hispanic/Latino (section 1) 680,967 66.3%
Non-Hispanic/Latino (section 2) 2,011,693 62.8%
Sub-total (Sum section 1 + section 2) 2,692,660  
Unreported / Refused to Report Race and Ethnicity (h) 75,684 61.9%
Total (i) 2,768,344 63.6%

* %'s shown are rounded to the .1% level for table display purposes; calculations are made using %'s to 8 decimal places
** Percents by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories.

 
 SECTION C: DIABETES
Patients 18 to 75 diagnosed with Type I or Type II diabetes: Most recent test results
  Total Patients With Diabetes
(3a)
Estimated % Patients with Hba1c <= 9% Estimated % Patients with Hba1c < 8% Estimated % Patients with Hba1c < 7%
By Race
Asian (a) 42,216 81.2% 70.4% 48.3%
Native Hawaiian (b1) 3,313 60.3% 49.6% 32.3%
Pacific Islander (b2) 10,991 55.3% 41.1% 23.8%
Black/ African American (c) 324,240 68.9% 57.6% 40.3%
Hispanic/Latino 7,640       70.9%       54.5%       38.0%
Non-Hispanic/Latino 316,600       68.8%       57.7%       40.4%
American Indian/ Alaska Native (d) 15,438 63.2% 53.2% 35.8%
White (e) 776,303 70.5% 58.9% 40.5%
Hispanic/Latino 287,509       67.5%       55.0%       36.8%
Non-Hispanic/Latino 488,794       72.3%       61.2%       42.7%
More than one race (f) 44,509 70.1% 57.0% 39.3%
Race Unreported/ Refused to Report (g) 172,049 68.4% 55.9% 36.3%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 1,389,059      
By Ethnicitya
Hispanic/Latino (section 1) 485,795 68.0% 55.3% 36.6%
Non-Hispanic/Latino (section 2) 903,264 71.1% 60.0% 41.7%
Sub-total (Sum section 1 + section 2) 1,389,059      
Unreported / Refused to Report Race and Ethnicity (h) 31,506 69.6% 60.7% 43.0%
Total (i) 1,420,565 70.0% 58.4% 40.0%

% shown are rounded to the .1% level for table display purposes; calculations are made using % to 8 decimal places

% by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories.

Table 8A - Financial Costs

Accrued Cost
(a)
Allocation of Facility and Non-Clinical Support Services
(b)
Total Cost After Allocation of Facility and Non-Clinical Support Services
(c)
Financial Costs for Medical Care 
1. Medical Staff 4,643,297,434  2,531,187,635  7,174,485,069
2. Lab and X-ray 358,837,708  179,584,468  538,422,176 
3. Medical/Other Direct 895,034,572  454,578,680  1,349,613,252 
4. Total Medical Care Services (Sum lines 1-3)  5,897,169,714  3,165,350,783  9,062,520,497 
Financial Costs for Other Clinical Services 
5. Dental 1,175,426,099  591,968,624  1,767,394,723 
6. Mental Health 489,824,080  244,602,278  734,426,358 
7. Substance Abuse 64,388,764  38,842,906  103,231,670 
8a. Pharmacy not including pharmaceuticals 338,567,310  189,612,610  528,179,920 
8b. Pharmaceuticals 586,203,856    586,203,856 
9. Other Professional 100,075,082  45,698,559  145,773,641 
9a. Vision 41,760,536  21,683,752  63,444,288 
10. Total Other Clinical Services (Sum lines 5-9a)  2,796,245,727  1,132,408,729  3,928,654,456 
Financial Costs of Enabling and Other Program Related Services 
11a. Case Management 262,589,423    262,589,423 
11b. Transportation 32,824,533    32,824,533 
11c. Outreach 100,713,674    100,713,674 
11d. Patient and Community Education 121,830,628    121,830,628 
11e. Eligibility Assistance 98,092,042    98,092,042 
11f. Interpretation Services 40,758,383    40,758,383 
11g. Other Enabling Services 26,555,646    26,555,646 
11. Total Enabling Services Cost (Sum lines 11a-11g)  683,364,329  337,584,495  1,020,948,824 
12. Other Related Services 337,820,561  140,721,860  478,542,421 
13. Total Enabling and Other Services (Sum lines 11-12)  1,021,184,890  478,306,355  1,499,491,245 
Facility and Non-Clinical Support Services and Totals 
14. Facility 1,108,843,369     
15. Non-Clinical Support Services 3,667,222,498     
16. Total Facility and Non-Clinical Support Services (Sum lines 14 and 15) 4,776,065,867     
17. Total Accrued Costs (Sum lines 4+10+13+16)  14,490,666,198    14,490,666,198 
18. Value of Donated Facilities, Services and Supplies     486,635,983 
19. Total with Donations (Sum lines 17 and 18)      14,977,302,181 

Table 9D - Patient Related Revenue

Payor Category Charges Collections
Full Charges
This Period
(a)
% of Payor % of Total Amount Collected
This Period
(b)
% of Payor % of Total % of Charges
1. Medicaid Non-Managed Care 3,598,573,091  50.9%  24.0%  2,906,113,995  50.6%  32.2%  80.8% 
2a. Medicaid Managed Care (capitated) 1,312,120,679  18.6%  8.7%  1,154,618,912  20.1%  12.8%  88.0% 
2b. Medicaid Managed Care (fee-for-service) 2,153,350,983  30.5%  14.3%  1,683,680,703  29.3%  18.7%  78.2% 
3. Total Medicaid (Sum lines 1+2a+2b)  7,064,044,753  100.0%  47.0%  5,744,413,610  100.0%  63.7%  81.3% 
4. Medicare Non-Managed Care 1,214,066,762  84.5%  8.1%  780,187,545  86.9%  8.6%  64.3% 
5a. Medicare Managed Care (capitated) 69,677,152  4.9%  0.5%  41,913,104  4.7%  0.5%  60.2% 
5b. Medicare Managed Care (fee-for-service) 152,370,755  10.6%  1.0%  75,465,975  8.4%  0.8%  49.5% 
6. Total Medicare (Sum lines 4+5a+5b)  1,436,114,669  100.0%  9.6%  897,566,624  100.0%  9.9%  62.5% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 421,120,706  68.9%  2.8%  239,718,933  62.5%  2.7%  56.9% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 79,296,144  13.0%  0.5%  73,646,783  19.2%  0.8%  92.9% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 110,448,936  18.1%  0.7%  70,046,228  18.3%  0.8%  63.4% 
9. Total Other Public (Sum lines 7+8a+8b)  610,865,786  100.0%  4.1%  383,411,944  100.0%  4.2%  62.8% 
10. Private Non-Managed Care 1,605,433,019  84.4%  10.7%  925,891,902  85.2%  10.3%  57.7% 
11a. Private Managed Care (Capitated) 72,129,131  3.8%  0.5%  46,213,885  4.3%  0.5%  64.1% 
11b. Private Managed Care (fee-for-service) 223,554,112  11.8%  1.5%  114,050,290  10.5%  1.3%  51.0% 
12. Total Private (Sum lines 10+11a+11b)  1,901,116,262  100.0%  12.7%  1,086,156,077  100.0%  12.0%  57.1% 
13. Self Pay 4,009,966,099  100.0%  26.7%  912,688,538  100.0%  10.1%  22.8% 
14. Total (Sum lines 3+6+9+12+13)  15,022,107,569    100.0%  9,024,236,793    100.0%  60.1% 

Payor Category Retroactive Settlements, Receipts, and Paybacks (c) Allowances
Collection of
recon./wrap
around Current
Year
(c1)
Collection of
recon./wrap
around
Previous Years
(c2)
Collection of
other
retroactive
payments
(c3)
Penalty/
Payback
(c4)
Net Retros Net Retros
% of
Charges
Allowances
(d)
Allowances
% of
Charges
1. Medicaid Non-Managed Care 276,662,390  112,833,231  14,203,573  7,542,437  396,156,757  11.0%  672,248,332  18.7% 
2a. Medicaid Managed Care (capitated) 453,400,488  71,062,018  48,707,983  2,379,873  570,790,616  43.5%  148,371,308  11.3% 
2b. Medicaid Managed Care (fee-for-service) 391,908,156  141,623,569  30,807,322  6,481,466  557,857,581  25.9%  427,706,174  19.9% 
3. Total Medicaid (Sum lines 1+2a+2b)  1,121,971,034  325,518,818  93,718,878  16,403,776  1,524,804,954  21.6%  1,248,325,814  17.7% 
4. Medicare Non-Managed Care 6,207,589  10,438,590  6,758,468  2,288,812  21,115,835  1.7%  358,542,125  29.5% 
5a. Medicare Managed Care (capitated) 768,040  123,593  1,346,034  19,788 2,217,879  3.2%  27,558,998  39.6% 
5b. Medicare Managed Care (fee-for-service) 1,972,489  939,284  796,862  350,083  3,358,552  2.2%  67,347,243  44.2% 
6. Total Medicare (Sum lines 4+5a+5b)  8,948,118  11,501,467  8,901,364  2,658,683  26,692,266  1.9%  453,448,366  31.6% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 3,530,451  1,988,007  599,969  835,360  5,283,067  1.3%  162,839,656  38.7% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 18,585,343  12,615,241  7,373,604  16,299  38,557,889  48.6%  5,881,989  7.4% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 2,260,810  3,752,619  826,981  33,607  6,806,803  6.2%  37,990,568  34.4% 
9. Total Other Public (Sum lines 7+8a+8b)  24,376,604  18,355,867  8,800,554  885,266  50,647,759  8.3%  206,712,213  33.8% 
10. Private Non-Managed Care     2,096,385  120,200  1,976,185  0.1%  586,332,449  36.5% 
11a. Private Managed Care (Capitated)     2,419,481  2,419,481  3.4%  25,758,313  35.7% 
11b. Private Managed Care (fee-for-service)     3,278,159  11,915  3,266,244  1.5%  91,692,928  41.0% 
12. Total Private (Sum lines 10+11a+11b)      7,794,025  132,115  7,661,910  0.4%  703,783,690  37.0% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  1,155,295,756  355,376,152  119,214,821  20,079,840  1,609,806,889  10.7%  2,612,270,083  17.4% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
2,572,242,492  362,615,394 

Percents may not equal 100% due to rounding

Table 9E - Other Revenues

Source Amount (a) % Group Total
BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 
1a. Migrant Health Center 190,043,941  7.3% 
1b. Community Health Center 1,905,630,760  72.9% 
1c. Health Care for the Homeless 200,221,893  7.7% 
1e. Public Housing Primary Care 35,393,599  1.4% 
1g. Total Health Center Cluster (Sum lines 1a through 1e) 2,331,290,193  89.2% 
1j. Capital Improvement Program Grants (excluding ARRA and ACA) 6,025,456  0.2% 
1k. Affordable Care Act (ACA) Capital Development Grants 276,806,628  10.6% 
1. Total BHPC Grants (Sum lines 1g + 1j + 1k)  2,614,122,277  100.0% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 76,697,722  10.2% 
3. Other Federal Grants 180,836,934  24.1% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 220,816,257  29.4% 
4. American Recovery and Reinvestment Act (ARRA) New Access Point (NAP) and Increased Demand for Services (IDS)
4a. American Recovery and Reinvestment Act (ARRA) Capital Improvement Project (CIP) and Facility Investment Program (FIP) 272,214,386  36.3% 
5. Total Other Federal Grants (Sum lines 2- 4a)  750,565,299  100.0% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 575,882,262  28.1% 
6a. State/Local Indigent Care Programs 483,090,674  23.6% 
7. Local Government Grants and Contracts 451,780,031  22.0% 
8. Foundation/Private Grants and Contracts 539,352,073  26.3% 
9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8)  2,050,105,040  100.0% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  561,480,236  100.0% 
11. Total Revenue (Sum lines 1+5+9+10)  5,976,272,852   

Percents may not equal 100% due to rounding

Electronic Health Record (EHR) Information

Health Centers that have an EHR installed Number of Grantees % of Total
1a. Available for all providers at all sites 950  79.3% 
1b. Limited to some sites or some providers 128  10.7% 
  Total Health Centers with EHR installed (sum 1a + 1b) 1,078  90.0% 
1c. No EHR installed 120  10.0% 
Total Health Centers reported 1,198  100.0% 
EHR Functionalities1,2 Number of Grantees3 % of Total3
2a. Patient history and demographic information 1,077  99.9% 
2b. Clinical notes 1,075  99.7% 
2c. Computerized provider order entry (CPOE) for lab tests 1,061  98.4% 
2d. Computerized provider order entry (CPOE) for radiology tests 864  80.1% 
2e. Electronic entry of prescriptions 1,072  99.4% 
2f. Reminders for guideline-based interventions or screening tests 1,041  96.6% 
2g. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically 940  87.2% 
2h. Notifiable diseases: notification sent electronically 488  45.3% 
2i. Reporting to immunization registries done electronically 737  68.4% 
2j. Ability to provide patients with a copy of their health information on request 1,013  94.0% 
2k. Capacity to provide clinical summaries for patients for each office visit 1,062  98.5% 
2l. Protection of electronic health information 1,075  99.7% 
UDS Use1 Number of Grantees % of Total3
3 Use an EHR to report clinical UDS data (Table 6B and 7) 848  78.7% 

1 For Health Centers with an EHR installed

2 Meaningful Use functionalities include lines 2a, 2c, 2f, 2g, 2i, 2j, 2k and 2l

3 Includes Health Centers whose systems have the capability but it is turned off or not used.