2014 Health Center Data

National Data

:
Table 3A through 9E

1278 Grantees


Table 3A - Patients by Age and Gender

Age Groups MALE PATIENTS
(a)
FEMALE PATIENTS
(b)
All Patients
1. Under Age 1 315,060  301,176  616,236 
2. Age 1 211,300  203,346  414,646 
3. Age 2 199,617  192,941  392,558 
4. Age 3 209,745  202,423  412,168 
5. Age 4 227,529  219,821  447,350 
6. Age 5 230,395  222,344  452,739 
7. Age 6 216,782  208,878  425,660 
8. Age 7 208,465  199,924  408,389 
9. Age 8 197,182  189,894  387,076 
10. Age 9 185,809  178,522  364,331 
11. Age 10 179,604  173,219  352,823 
12. Age 11 184,581  179,457  364,038 
13. Age 12 182,085  179,075  361,160 
14. Age 13 174,891  173,654  348,545 
15. Age 14 173,235  180,515  353,750 
16. Age 15 165,374  184,441  349,815 
17. Age 16 160,185  193,355  353,540 
18. Age 17 150,282  199,256  349,538 
Subtotal Patients (sum lines 1-18)  3,572,121  3,582,241  7,154,362 
19. Age 18 124,230  198,069  322,299 
20. Age 19 99,212  191,884  291,096 
21. Age 20 94,722  199,585  294,307 
22. Age 21 94,828  206,502  301,330 
23. Age 22 97,637  218,176  315,813 
24. Age 23 100,863  227,987  328,850 
25. Age 24 104,492  231,935  336,427 
26. Ages 25 - 29 533,638  1,123,994  1,657,632 
27. Ages 30 - 34 559,702  1,065,301  1,625,003 
28. Ages 35 - 39 534,650  925,461  1,460,111 
29. Ages 40 - 44 556,685  876,663  1,433,348 
30. Ages 45 - 49 606,391  857,713  1,464,104 
31. Ages 50 - 54 675,344  898,140  1,573,484 
32. Ages 55 - 59 617,352  812,853  1,430,205 
33. Ages 60 - 64 479,786  659,246  1,139,032 
Subtotal Patients (sum lines 19-33)  5,279,532  8,693,509  13,973,041 
34. Ages 65 - 69 286,833  411,386  698,219 
35. Ages 70 - 74 179,544  252,739  432,283 
36. Ages 75 - 79 113,112  168,617  281,729 
37. Ages 80 - 84 66,245  109,632  175,877 
38. Ages 85 and over 51,167  106,565  157,732 
Subtotal Patients (sum lines 34-38)  696,901  1,048,939  1,745,840 
39. Total Patients (sum lines 1-38)  9,548,554   13,324,689   22,873,243  
Percent of Total  41.7%   58.3%    

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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)
Number
(a)
Number
(b)
Number
(c)
% of Total Patients1 Number
(d)
% of Total Patients1 % of Known Race2
1. Asian 19,034  726,305      745,339  3.3%  3.8% 
2a. Native Hawaiian 8,523  43,017      51,540  0.2%  0.3% 
2b. Other Pacific Islander 33,529  146,014      179,543  0.8%  0.9% 
2. Total Hawaiian/Pacific Islander (Sum lines 2a+2b) 42,052  189,031       231,083   1.0%  1.2% 
3. Black/African American 163,723  4,428,616      4,592,339  20.1%  23.4% 
4. American Indian/Alaska native 39,956  221,612      261,568  1.1%  1.3% 
5. White 4,868,558  8,225,869      13,094,427  57.2%  66.6% 
6. More than one race 513,513  212,793      726,306  3.2%  3.7% 
6a. Total Known (Sum lines 1+2+3+4+5+6) 5,646,836  14,004,226      19,651,062     
7. Unreported/Refused to report Race 2,111,618  452,480  658,083  2.9%  3,222,181  14.1%    
 8. Total Patients (Sum lines 1+2+3 through 7)  7,758,454   14,456,706   658,083   2.9%   22,873,243  100.0%    
Total Known Ethnicity (Sum line 8, columns a + b) 22,215,160
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of NonHispanic/ Latino of Total Known Ethnicity3
(b)
 
 9.  Total Patients  34.9%   65.1%   
 
PATIENTS BY LANGUAGE Number
(a)
% of Total
12. Patients best served in a language other than English 5,295,742  23.2% 
  1. Total Patients is reported on line 8, column D.
  2. Known Race is reported on line 6a, column D.
  3. Known Ethnicity is shown on the line titled ‘Total Known Ethnicity'.

Percents may not equal 100% due to rounding

 

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Table 4 - Selected Patient Characteristics

Characteristic Number of Patients
(a)
 
% of Total  % of Known 
Income as Percent of Poverty Level 
1. 100% and Below 12,029,627  52.6%  71.2% 
2. 101 - 150% 2,501,594  10.9%  14.8% 
3. 151 - 200% 1,080,880  4.7%  6.4% 
4. Over 200% 1,288,454  5.6%  7.6% 
5. Unknown 5,972,688  26.1%   
6. Total (sum lines 1-5)  22,873,243   100.0%     
Principal Third Party Medical Insurance Source  0-17 Years old (a)  18 and Older (b)  TOTAL  % 
7. None/Uninsured 1,017,869  5,355,260  6,373,129  27.9% 
8a. Regular Medicaid (Title XIX) 5,105,356  5,423,214  10,528,570  46.0% 
8b. CHIP Medicaid 121,422  22,160  143,582  0.6% 
8. Total Medicaid (Sum lines 8a+8b)  5,226,778  5,445,374  10,672,152  46.7% 
9. Medicare (Title XVIII)  6,716  1,958,112  1,964,828  8.6% 
10a. Other Public Insurance Non-CHIP 19,787  135,886  155,673  0.7% 
10b. Other Public Insurance CHIP 105,258  31,970  137,228  0.6% 
10. Total Public Insurance
(Sum lines 10a+10b)
 
125,045  167,856  292,901  1.3% 
11. Private Insurance  777,954  2,792,279  3,570,233  15.6% 
12. Total (Sum Lines 7+8+9+10+11)  7,154,362  15,718,881  22,873,243   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 36,956,502  672,298  549,611  1,668,710  39,847,121 
13b. Fee-for-service Member months 32,489,210  1,520,938  869,852  2,226,535  37,106,535 
13c. Total Member Months
(Sum lines 13a+13b)
 
69,445,712  2,193,236  1,419,463  3,895,245  76,953,656 
Characteristics - Special Populations  Number of Patients
(a)
 
%   
14. Migratory (330g Health Centers only) 299,705  33.6%   
15. Seasonal (330g grantees only) 509,928  57.2%   
  Migratory/Seasonal (non330g Health Centers) 82,163  9.2%   
16. Total Migratory/Seasonal Agricultral Worker or Dependent
(All Grantees Report This Line)
 
891,796  100.0%   
17. Homeless Shelter (330h grantees only) 262,341  22.8%   
18. Transitional (330h grantees only) 105,727  9.2%   
19. Doubling Up (330h grantees only) 226,869  19.7%   
20. Street (330h grantees only) 70,801  6.2%   
21. Other (330h grantees only) 99,260  8.6%   
22. Unknown (330h grantees only) 67,794  5.9%   
  Homeless (non-330h grantees) 318,254  27.6%   
23. Total Homeless (All Grantees Report This Line)  1,151,046 100.0%*  
24. Total School Based Health Center Patients
(All Grantees Report This Line)
 
569,107     
25. Total Veterans (All Grantees Report this Line)  289,391     
26. TOTAL PUBLIC HOUSING PATIENTS
(ALL HEALTH CENTERS REPORT THIS LINE)
429,251     


Percents may not equal 100% due to rounding

 

 

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Table 5 - Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs
(a)
Clinic Visits
(b)
Patients
(c)
1. Family Physicians 5,172.05   16,748,307   
2. General Practitioners 407.42  1,396,216   
3. Internists 1,777.10  5,435,938   
4. Obstetrician/Gynecologists 1,120.54  3,325,916   
5. Pediatricians 2,380.37  8,215,343   
7. Other Specialty Physicians 345.31  1,192,012   
8. Total Physicians (Sum lines 1-7)  11,202.79  36,313,732   
9a. Nurse Practitioners 5,879.12  15,514,610   
9b. Physician Assistants 2,594.06  7,618,433   
10. Certified Nurse Midwives 618.62  1,444,747   
10a. Total NPs, PAs, CNMs (Sum lines 9a - 10)  9,091.80  24,577,790   
11. Nurses 14,329.98  2,942,087   
12. Other Medical Personnel 23,363.50     
13. Laboratory Personnel 2,094.72     
14. X-Ray Personnel 810.62     
15. Total Medical Services (Sum lines 8+10a through 14)  60,893.41  63,833,609  19,495,235  
16. Dentists 3,730.33  9,838,509   
17. Dental Hygienists 1,692.62  2,094,495   
18. Dental Assistants, Aides, Techs 7,454.45     
19. Total Dental Services (Sum lines 16-18)  12,877.40  11,933,004  4,776,465 
20a. Psychiatrists 520.48  1,337,971   
20a1. Licensed Clinical Psychologists 583.79  618,245   
20a2. Licensed Clinical Social Workers 2,022.15  1,905,979   
20b. Other Licensed Mental Health Providers 1,496.40  1,490,031   
20c. Other Mental Health Staff 1,749.08  861,953   
20. Total Mental Health Services (Sum lines 20a-20c)  6,371.90  6,214,179  1,251,498 
21. Substance Abuse Services  897.79  977,074  100,238 
22. Other Professional Services  1,163.48  1,461,700  530,537 
22a. Ophthalmologist  39.34  114,303   
22b. Optometrist  185.41  482,947   
22c. Other Vision Care Staff  201.90     
22d. Total Vision Services (Sum lines 22a-22c)  426.65  597,250  433,086 
23. Pharmacy Personnel  3,674.44     
24. Case Managers 5,702.80  3,696,422   
25. Patient/Community Education Specialists 2,381.69  1,666,203   
26. Outreach Workers 2,655.36     
27. Transportation Staff 539.05     
27a. Eligibility Assistance Workers 4,586.96     
27b. Interpretation Staff 929.19     
28. Other Enabling Services 454.80     
29. Total Enabling Services (Sum lines 24-28)  17,249.85  5,362,625  2,205,003 
29a. Other Programs/Services  5,015.32     
30a. Management and Support Staff 16,430.50     
30b. Fiscal and Billing Staff 10,206.13     
30c. IT Staff 2,643.04     
31. Facility Staff 4,072.95     
32. Patient Support Staff 28,408.41     
33. Total Facility and Non-Clinical Support Services(Lines 30a through 32)  61,761.03     
34. Total (Sum lines 15+19+20+21+22+23+29+29a+33)  170,331.27  90,379,441   


 

Table 5: Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total
1. Family Physicians 8.5%  3.0%  26.2%  18.5% 
2. General Practitioners 0.7%  0.2%  2.2%  1.5% 
3. Internists 2.9%  1.0%  8.5%  6.0% 
4. Obstetrician/Gynecologists 1.8%  0.7%  5.2%  3.7% 
5. Pediatricians 3.9%  1.4%  12.9%  9.1% 
7. Other Specialty Physicians 0.6%  0.2%  1.9%  1.3% 
8. Total Physicians (Sum lines 1-7)  18.4%   6.6%   56.9%   40.2% 
9a. Nurse Practitioners 9.7%  3.5%  24.3%  17.2% 
9b. Physician Assistants 4.3%  1.5%  11.9%  8.4% 
10. Certified Nurse Midwives 1.0%  0.4%  2.3%  1.6% 
10a. Total Mid-Levels (Sum lines 9a-10)  14.9%   5.3%   38.5%   27.2%  
11. Nurses 23.5%  8.4%  4.6%  3.3% 
12. Other Medical Personnel 38.4%  13.7%     
13. Laboratory Personnel 3.4%  1.2%     
14. X-Ray Personnel 1.3%  0.5%     
15. Total Medical (Sum lines 8+10a through 14)  100.0%   35.7%   100.0%   70.6%  
16. Dentists 29.0%   2.2%   82.4%   10.9%  
17. Dental Hygienists 13.1%   1.0%   17.6%   2.3%  
18. Dental Assistants, Aides, Techs 57.9%   4.4%      
19. Total Dental Services (Sum lines 16-18)  100.0%   7.6%   100.0%   13.2%  
20a. Psychiatrists 8.2%   0.3%   21.5%   1.5%  
20a1. Licensed Clinical Psychologists 9.2%   0.3%   9.9%   0.7%  
20a2. Licensed Clinical Social Workers 31.7%   1.2%   30.7%   2.1%  
20b. Other Licensed Mental Health Providers 23.5%   0.9%   24.0%   1.6%  
20c. Other Mental Health Staff 27.4%   1.0%   13.9%   1.0%  
20. Mental Health (Sum lines 20a-c)  100.0%   3.7%   100.0%   6.9%  
21. Substance Abuse Services  100.0%   0.5%   100.0%   1.1%  
22. Other Professional Services  100.0%   0.7%   100.0%   1.6%  
22a. Ophthalmologist  9.2%  0.0%  19.1%  0.1% 
22b. Optometrist  43.5%   0.1%   80.9%   0.5%  
22c. Other Vision Care Staff  47.3%   0.1%      
22d. Total Vision Services (Sum lines 22a-22c)  100.0%   0.3%   100.0%   0.7%  
23. Pharmacy Personnel  100.0%   2.2%      
24. Case Managers 33.1%   3.3%   68.9%   4.1%  
25. Patient/Community Education Specialists 13.8%   1.4%   31.1%   1.8%  
26. Outreach Workers 15.4%   1.6%      
27. Transportation Staff 3.1%   0.3%      
27a. Eligibility Assistance Workers 26.6%   2.7%      
27b. Interpretation Staff 5.4%   0.5%      
28. Other Enabling Services 2.6%   0.3%      
29. Total Enabling Services (Sum lines 24-28)  100.0%   10.1%   100.0%   5.9%  
29a. Other Programs/Services  100.0%   2.9%      
PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total 
30a. Management and Support Staff   9.6%      
30b. Fiscal and Billing Staff   6.0%      
30c. IT Staff   1.6%      
31. Facility Staff   2.4%      
32. Patient Support Staff   16.7%      
33. Total Facility and Non-Clinical Support Services (Lines 30a through 32) 100.0%   36.3%      
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

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Health Center Staff Full and part time Locum, On-call, etc
Persons (a) Total months (b) Persons (c) Total months (d)
1 Family Physicians 7,016 476,703 1,468 33,748
2 General Practitioners 607 42,732 75 692
3 Internists 2,461 195,751 775 20,643
4 Obstetrician/Gynecologists 1,700 111,288 547 20,625
5 Pediatricians 3,060 248,478 640 23,653
7 Other Specialty Physicians 1,058 110,916 511 23,650
9a Nurse Practitioners 7,964 406,297 468 14,262
9b Physician Assistants 3,284 201,053 190 7,209
10 Certified Nurse Midwives 856 58,905 115 5,395
11 Nurses 17,833 1,075,509 667 31,548
16 Dentists 5,186 270,613 469 15,703
17 Dental Hygienists 2,340 141,198 111 2,521
20a Psychiatrists 991 58,112 182 5,650
20a1 Licensed Clinical Psychologists 842 53,461 27 540
20a2 Licensed Clinical Social Workers 2,749 147,319 100 2,257
20b Other Licensed Mental Health Providers 2,634 133,517 77 1,812
22a Ophthalmologist 121 14,480 56 3,972
22b Optometrist 307 23,935 88 5,220
30a1 Chief Executive Officer 1,290 159,522 2 74
30a2 Chief Medical Officer 1,221 90,547 9 267
30a3 Chief Financial Officer 1,199 87,670 20 841
30a4 Chief Information Officer 531 41,998 12 617

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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)
Selected Infectious and Parasitic Diseases 
1-2 Symptomatic and Asymptomatic HIV 042.xx; 079.53, V08 582,834  134,540 
1-2a First-time diagnosis of HIV    
3. Tuberculosis 010.xx - 018.xx 17,669  9,169 
4. Syphilis and other sexually transmitted diseases 090.xx - 099.xx 151,291  96,642 
4a. Hepatitis B 070.20, 070.22, 070.30, 070.32 58,806  28,337 
4b. Hepatitis C 070.41, 070.44, 070.51, 070.54, 070.70, 070.71 378,474  167,816 
Selected Diseases of the Respiratory System 
5. Asthma 493.xx 2,134,267  1,137,617 
6. Chronic bronchitis and Emphysema 490.xx - 492.xx 496,980  335,692 
Selected Other Medical Conditions 
7. Abnormal Breast Findings, Female 174.xx; 198.81; 233.0x;
238.3; 793.8x
172,511  109,655 
8. Abnormal Cervical Findings 180.xx; 198.82;
233.1x; 795.0x
235,935  149,768 
9. Diabetes Mellitus 250.xx; 648.0x; 775.1x 6,823,848  2,005,338 
10. Heart Disease (selected) 391.xx - 392.0x
410.xx - 429.xx
1,662,248  639,639 
11. Hypertension 401.xx - 405.xx 9,879,784  3,808,106 
12. Contact Dermatitis and other Eczema 692.xx 817,865  643,466 
13. Dehydration 276.5x 58,242  41,390 
14. Exposure to Heat or Cold 991.xx - 992.xx 8,960  6,479 
14a. Overweight and obesity I C D-9 : 278.0 – 278.02 or V85.xx (Excluding V85.0, V85.1, V85.51 V85.52) 5,154,025  2,822,118 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders 381.xx - 382.xx 1,159,189  803,237 
16. Selected Perinatal Medical Conditions 770.xx; 771.xx; 773.xx;
774.xx - 779.xx
(Excluding 779.3x)
155,878  90,018 
17. Lack of expected normal physiological development (such as delayed milestone; failure to gain weight; failure to thrive); Nutritional deficiencies in children only. Does not include sexual or mental development. 260.xx - 269.xx;
779.3x;
783.3x - 783.4x;
1,100,486  653,658 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders 291.xx, 303.xx;
305.0x; 357.5x
827,366  252,486 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) 292.1x - 292.8x;
304.xx; 305.2x - 305.9x;
357.6x; 648.3x
1,393,238  314,148 
19a. Tobacco Use Disorders 305.1 2,070,765  1,175,700 
20a. Depression and Other Mood Disorders 296.xx; 300.4
301.13; 311.xx
5,638,339  1,799,436 
20b. Anxiety Disorders Including PTSD 300.0x; 300.2x;
300.3; 308.3; 309.81
3,614,085  1,221,126 
20c. Attention Deficit and Disruptive Behavior Disorders 312.8x; 312.9x; 313.81;
314.xx
1,431,856  405,607 
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)
3,206,366  1,094,292 
Diagnostic Category  Applicable ICD-9-CM or CPT-4 Codes  Number of Visits
(a)
 
Number of Patients
(b)
 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV Test CPT - 4: 86689;
86701 - 86703;
87390 - 87391
1,322,317  1,194,684 
21a. Hepatitis B Test CPT-4: 88704, 88705, 87515-17 421,482  359,714 
21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 432,947  387,597 
22. Mammogram CPT-4: 77052, 77057 OR ICD-9: V76.11; V76.12 515,913  470,976 
23. Pap Test CPT - 4: 88141 - 88155;
88164 - 88167; 88174-88175 OR
ICD - 9:V72.3; V72.31;
V76.2 88174-88175
1,876,599  1,750,863 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenza B (HiB), 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
3,771,322  2,725,722 
24a. Seasonal Flu Vaccine CPT-4: 90655 - 90662 3,365,104  3,093,653 
25. Contraceptive Management ICD - 9: V25.xx 2,389,223  1,336,111 
26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99391 - 99393; 99381 - 99383 4,381,982  2,834,403 
26a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: 83655 437,804  404,528 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408-99409 402,421  229,288 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406 and 99407; S9075 1,075,568  682,359 
26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 389,506  332,563 
Service Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 249,813  213,136 
28. II. Oral Exams ADA: D0120, D0140, D0145,
D0150, D0160, D0170, D0180
5,124,448  3,882,984 
29. Prophylaxis - Adult or Child ADA: D1110, D1120 2,948,977  2,364,787 
30. Sealants ADA: D1351 431,514  341,307 
31. Flouride Treatment - adult or child ADA: D1203, D1204, D1206 1,868,303  1,478,627 
32. III. Restorative Services ADA: D21xx - D29xx 2,698,756  1,401,811 
33. IV. Oral Surgery
(Extractions and other Surgical Procedures)
ADA: D7111, D7140, D7210,
D7220, D7230, D7240, D7241,
D7250, D7260, D7261, D7270,
D7272, D7280
1,146,759  860,430 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx, D5xxx,
D6xxx, D8xxx
1,137,280  595,613 

Sources of codes:

  • International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2010/2012. American Medical Association.
  • Current Procedural Terminology, (CPT) 2010/2012. 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.

 

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Table 6B - Quality of Care Measures

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 1,100  0.2% 
2. Ages 15 - 19 59,726  11.3% 
3. Ages 20 - 24 155,540  29.5% 
4. Ages 25 - 44 310,432  58.8% 
5. Ages 45 and Over 1,276  0.2% 
6. Total Patients (Sum lines 1-5)  528,074  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 358,540  67.9%  22,794  4.3%  72.2% 
8. Second Trimester 104,923  19.9%  11,541  2.2%  22.1% 
9. Third Trimester 23,497  4.4%  6,779  1.3%  5.7% 

Section C: Childhood Immunization
Childhood Immunization Total Number Patients with 3rd Birthday
During Measurement Year
(a)
Estimated number patients immunized
(b)
Estimated % patients immunized
(c)
10. MEASURE: Children who have received age appropriate vaccines prior to reaching their 3rd birthday during measurement year (on or prior to 31 December). * 306,241  236,381  77.2% 

*Measure was revised in 2014 and is not comparable to calendar year 2013 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. MEASURE: 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 6,072,396  3,421,045  56.3% 

 

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. MEASURE: Children and adolescents aged 3 until 17 during measurement year (on or prior to 31 December) with a BMI percentile, and counseling on nutrtion and physical activity documented for the current year 4,482,081  2,538,507  56.6% 

 

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. MEASURE: Patients aged 18 and older with (1) BMI charted and (2) follow-up plan documented if patients are overweight 13,150,304  7,382,249  56.1% 

 

Section G – Tobacco Use Screening and Cessation Intervention
Tobacco Use Screening and Cessation Intervention Total Patients Aged 18 and Older
(a)
Number Charts Sampled or EHR Total Number of Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
14a. MEASURE: Patients aged 18 and older who (1) were screened for tobacco use one or more times in the measurement year or the prior year and (2) for those found to be a tobacco user, received cessation counseling intervention or medication 11,537,277  9,350,227  81.0% 

 

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. MEASURE: Patients aged 5 through 40 diagnosed with asthma who have an acceptable pharmacological treatment plan 388,135  313,463  80.8% 

 

Section I – Coronary Artery Disease (CAD): Lipid Therapy
Lipid Therapy Total Patients Aged 18 and Older with CAD Diagnosis
(a)
Estimated Number Patients Prescribed a Lipid Lowering Therapy Estimated % Patients Prescribed a Lipid Lowering Therapy
17. MEASURE: Patients aged 18 and older with a diagnosis of CAD who were prescribed a lipid lowering therapy 268,518  210,551  78.4% 

 

Section J – Ischemic Vascular Disease (IVD): Aspirin or Antithrombotic Therapy
Aspirin or Other Antithrombotic Therapy Total Patients Aged 18 And Over With IVD Diagnosis or AMI, CABG, or PTCA Procedure
(a)
Estimated Number Patients with Aspirin or other Antithrombotic Therapy Estimated % Patients with Aspirin or other Antithrombotic Therapy
18. MEASURE: Patients aged 18 and older with a diagnosis of IVD or AMI,CABG, or PTCA procedure with aspirin or another antithrombotic therapy 436,419  335,367  76.8% 

 

Section K – Colorectal Cancer Screening
Colorectal Cancer Screening Total Patient 51 through 74 Years of Age
(a)
Estimated Number Patients with Appropriate Screening for Colorectal Cancer Estimated % Patients with Appropriate Screening for Colorectal Cancer
19. MEASURE: Patients age 51 through 74 years of age during measurement year (on or prior to 31 December) with appropriate screening for colorectal cancer 4,411,674  1,523,524  34.5% 

 

Section L – HIV Linkage to Care
HIV Linkage to Care Total Patients First Diagnosed with HIV
(a)
Estimated Number Patients Seen Within 90 Days of First Diagnosisof HIV Estimated % Patients Seen Within 90 Days of First Diagnosis of HIV
20. MEASURE: Patients whose first ever HIV diagnosis was made by health center staff between October 1, of the prior year and September 30, of the measurement year and who were seen for follow-up treatment within 90 days of that first ever diagnosis 8,233  6,363  77.3% 

 

Section M – Patients Screened for Depression and Follow-up
Patients Screened for Depression and Follow-up Total Patients Aged 12 and Older(a) Estimated Number Patients Screened for Depression and Follow-up Plan Documented as Appropriate Estimated % Patients Screened for Depression and Follow-up Plan Documented as Appropriate
21. MEASURE: Patients aged 12 and older who were (1) screened for depression with a standardized tool and if screening was positive (2) had a follow-up plan documented 13,607,995  5,283,552  38.8% 

% may not equal 100% due to rounding

Estimated % Patients for the Childhood Immunization, Pap Tests, Weight Assessment and Counseling, Weight Screening and Follow up, Tobacco Assessment and Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy, Colorectal Cancer Screening, HIV Cases and Depression follow up 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.

* Measure was revised in 2014. Changes in measure criteria limit comparability to prior years.

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Table 7 - Health Outcomes and Disparities

Total (i)
HIV Positive Pregnant Women 790
Deliveries Performed by Grantee Provider 187,424
 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) 10,871 3.9% 87 640 10,026 6.8%
Native Hawaiian (b1) 650 0.2% 17 42 553 9.6%
Pacific Islander (b2) 3,824 1.4% 50 237 3,511 7.6%
Black/ African American (c) 52,291 18.6% 1,100 4,520 46,686 10.7%
Hispanic/Latino 2,720 1.0% 49 187 2,376 9.0%
Non-Hispanic/Latino 49,571 17.6% 1,051 4,333 44,310 10.8%
American Indian/ Alaska Native (d) 3,163 1.1% 40 182 2,968 7.0%
White (e) 154,752 55.0% 1,505 8,247 142,604 6.4%
Hispanic/Latino 93,095 33.1% 865 4,376 85,047 5.8%
Non-Hispanic/Latino 61,657 21.9% 640 3,871 57,557 7.3%
More than one race (f) 10,336 3.7% 97 588 9,807 6.5%
Race Unreported/ Refused to Report (g) 39,124 13.9% 556 2,002 37,526 6.4%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 275,011 97.8% 3,452 16,458 253,681 7.3%
 By Ethnicity
Hispanic/Latino (section 1) 140,369 49.9%  1,509 6,780 129,730 6.0%
Non-Hispanic/Latino (section 2) 134,642 47.9% 1,943 9,678 123,951 8.6%
Sub-total (Sum section 1 + section 2) 275,011 97.8% 3,452 16,458 253,681 7.3%
Unreported / Refused to Report Race and Ethnicity (h) 6,258 2.2% 106 444 6,624 7.7%
Total (i) 281,269 100.0% 3,558  16,902 260,305  7.3%

* %'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) 109,012 69.2%
Native Hawaiian (b1) 6,365 62.6%
Pacific Islander (b2) 15,818 60.6%
Black/ African American (c) 797,259 57.5%
Hispanic/Latino 17,403 60.2%
Non-Hispanic/Latino 779,856 57.5%
American Indian/ Alaska Native (d) 29,005 61.8%
White (e) 1,762,654 65.7%
Hispanic/Latino 499,911 66.5%
Non-Hispanic/Latino 1,262,743 65.3%
More than one race (f) 73,093 68.8%
Race Unreported/ Refused to Report (g) 228,971 66.3%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 3,022,177  
By Ethnicity
Hispanic/Latino (section 1) 773,400 66.8%
Non-Hispanic/Latino (section 2) 2,248,777 62.7%
Sub-total (Sum section 1 + section 2) 3,022,177  
Unreported / Refused to Report Race and Ethnicity (h) 60,972 60.8%
Total (i) 3,083,149 63.7%

* %'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%
By Race
Asian (a) 56,705 79.9% 67.0%
Native Hawaiian (b1) 3,950 59.4% 48.3%
Pacific Islander (b2) 13,217 58.2% -
Black/ African American (c) 364,758 67.5% 55.8%
Hispanic/Latino 9,648 72.9% 59.9%
Non-Hispanic/Latino 355,110 67.4% 55.7%
American Indian/ Alaska Native (d) 17,677 64.2% 52.7%
White (e) 927,502 68.9% 56.7%
Hispanic/Latino 368,444 67.0% -
Non-Hispanic/Latino 559,058 70.1% -
More than one race (f) 41,645 72.5% 59.8%
Race Unreported/ Refused to Report (g) 179,898 68.1% 54.9%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 1,605,352    
By Ethnicity
Hispanic/Latino (section 1) 571,471 67.7% 54.6%
Non-Hispanic/Latino (section 2) 1,033,881 69.4% 57.7%
Sub-total (Sum section 1 + section 2) 1,605,352    
Unreported / Refused to Report Race and Ethnicity (h) 32,084 66.6% -
Total (i) 1,637,436 68.8% -

% 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.

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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 5,471,091,392  3,001,922,047  8,473,013,439
2. Lab and X-ray 354,404,709  179,901,979  534,306,688 
3. Medical/Other Direct 1,035,783,905  549,599,749  1,585,383,654 
4. Total Medical Care Services (Sum lines 1-3)  6,861,280,006  3,731,423,775  10,592,703,781 
Financial Costs for Other Clinical Services 
5. Dental 1,396,393,988  699,963,077  2,096,357,065 
6. Mental Health 617,899,881  312,769,054  930,668,935 
7. Substance Abuse 69,756,599  40,693,779  110,450,378 
8a. Pharmacy not including pharmaceuticals 449,995,941  236,251,050  686,246,991 
8b. Pharmaceuticals 837,482,512    837,482,512 
9. Other Professional 124,208,920  56,896,138  181,105,058 
9a. Vision 52,645,242  27,576,141  80,221,383 
10. Total Other Clinical Services (Sum lines 5-9a)  3,548,383,083  1,374,149,239  4,922,532,322 
Financial Costs of Enabling and Other Program Related Services 
11a. Case Management 317,209,261    317,209,261 
11b. Transportation 37,560,239    37,560,239 
11c. Outreach 144,706,859    144,706,859 
11d. Patient and Community Education 139,663,037    139,663,037 
11e. Eligibility Assistance 202,939,736    202,939,736 
11f. Interpretation Services 50,311,348    50,311,348 
11g. Other Enabling Services 31,307,579    31,307,579 
11. Total Enabling Services Cost (Sum lines 11a-11g)  923,698,059  439,829,620  1,363,527,679 
12. Other Related Services 409,063,219  155,860,410  564,923,629 
13. Total Enabling and Other Services (Sum lines 11-12)  1,332,761,278  595,690,030  1,928,451,308 
Facility and Non-Clinical Support Services and Totals 
14. Facility 1,352,865,908     
15. Non-Clinical Support Services 4,348,397,136     
16. Total Facility and Non-Clinical Support Services (Sum lines 14 and 15) 5,701,263,044     
17. Total Accrued Costs (Sum lines 4+10+13+16)  17,443,687,411    17,443,687,411 
18. Value of Donated Facilities, Services and Supplies     436,451,241 
19. Total with Donations (Sum lines 17 and 18)      17,880,138,652 

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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 4,412,937,356  47.0%  24.7%  3,523,269,136  46.2%  30.9%  79.8% 
2a. Medicaid Managed Care (capitated) 1,922,940,362  20.5%  10.8%  1,789,483,666  23.4%  15.7%  93.1% 
2b. Medicaid Managed Care (fee-for-service) 3,043,957,072  32.5%  17.0%  2,319,165,519  30.4%  20.3%  76.2% 
3. Total Medicaid (Sum lines 1+2a+2b)  9,379,834,790  100.0%  52.5%  7,631,918,321  100.0%  66.9%  81.4% 
4. Medicare Non-Managed Care 1,416,227,548  81.3%  7.9%  926,817,876  84.4%  8.1%  65.4% 
5a. Medicare Managed Care (capitated) 96,889,419  5.6%  0.5%  60,151,563  5.5%  0.5%  62.1% 
5b. Medicare Managed Care (fee-for-service) 229,000,508  13.1%  1.3%  111,051,159  10.1%  1.0%  48.5% 
6. Total Medicare (Sum lines 4+5a+5b)  1,742,117,475  100.0%  9.8%  1,098,020,598  100.0%  9.6%  63.0% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 308,694,312  67.1%  1.7%  177,819,041  64.4%  1.6%  57.6% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 29,225,231  6.4%  0.2%  27,476,491  9.9%  0.2%  94.0% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 121,925,088  26.5%  0.7%  70,973,609  25.7%  0.6%  58.2% 
9. Total Other Public (Sum lines 7+8a+8b)  459,844,631  100.0%  2.6%  276,269,141  100.0%  2.4%  60.1% 
10. Private Non-Managed Care 2,120,703,673  83.1%  11.9%  1,218,494,620  83.0%  10.7%  57.5% 
11a. Private Managed Care (Capitated) 109,442,619  4.3%  0.6%  71,138,396  4.8%  0.6%  65.0% 
11b. Private Managed Care (fee-for-service) 322,495,514  12.6%  1.8%  177,718,068  12.1%  1.6%  55.1% 
12. Total Private (Sum lines 10+11a+11b)  2,552,641,806  100.0%  14.3%  1,467,351,084  100.0%  12.9%  57.5% 
13. Self Pay 3,723,811,991  100.0%  20.9%  942,910,953  100.0%  8.3%  25.3% 
14. Total (Sum lines 3+6+9+12+13)  17,858,250,693    100.0%  11,416,470,097    100.0%  63.9% 

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 382,734,508  120,094,130  37,510,618  10,208,372  530,130,884  12.0%  790,505,658  17.9% 
2a. Medicaid Managed Care (capitated) 719,016,819  107,824,421  95,122,650  7,811,986  914,151,904  47.5%  132,947,546  6.9% 
2b. Medicaid Managed Care (fee-for-service) 574,739,855  158,166,183  38,914,707  7,271,634  764,549,111  25.1%  620,881,525  20.4% 
3. Total Medicaid (Sum lines 1+2a+2b)  1,676,491,182  386,084,734  171,547,975  25,291,992  2,208,831,899  23.5%  1,544,334,729  16.5% 
4. Medicare Non-Managed Care 7,315,327  11,545,921  7,625,277  1,948,674  24,537,851  1.7%  381,304,583  26.9% 
5a. Medicare Managed Care (capitated) 1,803,884  448,996  2,031,661  2,577 4,281,964  4.4%  36,637,750  37.8% 
5b. Medicare Managed Care (fee-for-service) 4,778,767  3,057,927  927,557  35,688  8,728,563  3.8%  90,320,548  39.4% 
6. Total Medicare (Sum lines 4+5a+5b)  13,897,978  15,052,844  10,584,495  1,986,939  37,548,378  2.2%  508,262,881  29.2% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 918,385  1,747,551  370,333  378,397  2,657,872  0.9%  121,245,573  39.3% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 2,579,905  1,482,748  4,629,640  354,310  8,337,983  28.5%  1,333,859  4.6% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 1,724,141  3,556,053  310,261  181,388  5,409,067  4.4%  45,922,468  37.7% 
9. Total Other Public (Sum lines 7+8a+8b)  5,222,431  6,786,352  5,310,234  914,095  16,404,922  3.6%  168,501,900  36.6% 
10. Private Non-Managed Care     5,289,144  152,983  5,136,161  0.2%  753,263,658  35.5% 
11a. Private Managed Care (Capitated)     2,117,404  2,117,404  1.9%  38,454,965  35.1% 
11b. Private Managed Care (fee-for-service)     2,265,666  46,520  2,219,146  0.7%  117,820,285  36.5% 
12. Total Private (Sum lines 10+11a+11b)      9,672,214  199,503  9,472,711  0.4%  909,538,908  35.6% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  1,695,611,591  407,923,930  197,114,918  28,392,529  2,272,257,910  12.7%  3,130,638,418  17.5% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
2,281,916,031  376,004,011 

Percents may not equal 100% due to rounding

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Table 9E - Other Revenues

Source Amount (a) % Group Total
BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 
1a. Migrant Health Center 244,685,058  7.6% 
1b. Community Health Center 2,417,139,724  75.3% 
1c. Health Care for the Homeless 246,842,822  7.7% 
1e. Public Housing Primary Care 40,052,515  1.2% 
1g. Total Health Center Cluster (Sum lines 1a through 1e) 2,948,720,119  91.9% 
1j. Capital Improvement Program Grants (excluding ARRA and ACA) 42,320,824  1.3% 
1k. Affordable Care Act (ACA) Capital Development Grants 218,557,456  6.8% 
1. Total BHPC Grants (Sum lines 1g + 1j + 1k)  3,209,598,399  100.0% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 76,884,907  16.0% 
3. Other Federal Grants 212,722,929  44.2% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 119,240,578  24.8% 
4a. American Recovery and Reinvestment Act (ARRA) Capital Improvement Project (CIP) and Facility Investment Program (FIP) 72,110,105  15.0% 
5. Total Other Federal Grants (Sum lines 2- 4a)  480,958,519  100.0% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 597,828,228  27.8% 
6a. State/Local Indigent Care Programs 445,683,700  20.7% 
7. Local Government Grants and Contracts 486,778,715  22.6% 
8. Foundation/Private Grants and Contracts 619,876,655  28.8% 
9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8)  2,150,167,298  100.0% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  729,835,818  100.0% 
11. Total Revenue (Sum lines 1+5+9+10)  6,570,560,034   

Percents may not equal 100% due to rounding

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