2018 Health Center Data

National Migrant Health Centers Program Grantee Data

:
Tables 3A through 6A

174 Grantees


Table 3A : Patients by Age and by Sex Assigned at Birth

Line Age Groups Male Patients
(a)
Female Patients
(b)
All Patients
1. Under Age 1 9,034  9,080  18,114 
2. Age 1 7,186  7,011  14,197 
3. Age 2 7,571  7,231  14,802 
4. Age 3 7,796  7,457  15,253 
5. Age 4 8,692  8,120  16,812 
6. Age 5 9,021  8,981  18,002 
7. Age 6 9,268  9,184  18,452 
8. Age 7 9,573  9,326  18,899 
9. Age 8 9,605  9,422  19,027 
10. Age 9 9,676  9,432  19,108 
11. Age 10 9,936  9,755  19,691 
12. Age 11 10,360  9,937  20,297 
13. Age 12 9,590  9,679  19,269 
14. Age 13 8,979  8,608  17,587 
15. Age 14 8,553  8,684  17,237 
16. Age 15 8,519  8,535  17,054 
17. Age 16 7,903  8,802  16,705 
18. Age 17 7,821  8,656  16,477 
19. Age 18 6,434  7,884  14,318 
20. Age 19 5,257  6,586  11,843 
21. Age 20 5,117  6,452  11,569 
22. Age 21 5,119  6,364  11,483 
23. Age 22 5,109  6,311  11,420 
24. Age 23 5,347  6,468  11,815 
25. Age 24 5,616  6,670  12,286 
26. Ages 25 - 29 28,792  35,528  64,320 
27. Ages 30 - 34 27,919  37,845  65,764 
28. Ages 35 - 39 27,900  38,682  66,582 
29. Ages 40 - 44 26,533  36,868  63,401 
30. Ages 45 - 49 25,399  33,238  58,637 
31. Ages 50 - 54 23,352  27,963  51,315 
32. Ages 55 - 59 21,166  22,490  43,656 
33. Ages 60 - 64 17,189  17,138  34,327 
34. Ages 65 - 69 10,928  10,026  20,954 
35. Ages 70 - 74 6,430  5,856  12,286 
36. Ages 75 - 79 3,418  3,323  6,741 
37. Ages 80 - 84 1,804  1,828  3,632 
38. Age 85 and over 1,154  1,303  2,457 
39. Total Patients (Sum Lines 1–38)   419,066   476,723   895,789  
% of Total 46.78%   53.22%     

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Table 3B : Demographic Characteristics

Patients By Hispanic or Latino Ethnicity

Line Patients by Race Hispanic/Latino
(a)
Non-Hispanic/Latino
(b)
Unreported/Refused to Report Ethnicity
(c)
Total (d)
(Sum Columns a+b+c)
Number
(a)
Number
(b)
Number
(c)
% of Total Patients1 Number
(d)
% of Total Patients1 % of Known Race2
1. Asian 460  7,482      7,942  0.89%  1.13% 
2a. Native Hawaiian 118  127      245  0.03%  0.03% 
2b. Other Pacific Islander 1,558  1,170      2,728  0.30%  0.39% 
2. Total Native Hawaiian/Other Pacific Islander
(Sum Lines 2a+2b)
1,676  1,297       2,973   0.33%  0.42% 
3. Black/African American 7,398  14,014      21,412  2.39%  3.05% 
4. American Indian/Alaska Native 5,262  1,279      6,541  0.73%  0.93% 
5. White 590,865  56,352      647,217  72.25%  92.06% 
6. More than one race 13,652  3,275      16,927  1.89%  2.41% 
6a. Total Known
(Sum Lines 1+2+3+4+5+6)
619,313  83,699      703,012     
7. Unreported/Refused to report Race 180,391  4,601  7,785  0.87%  192,777  21.52%    
8. Total Patients
(Sum Lines 1+2+3 to 7)
 799,704   88,300   7,785     895,789  100.00%    
Total Known Ethnicity
(Sum line 8, columns a+b)
888,004
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of Non-Hispanic/ Latino of Total Known Ethnicity3
(b)
 
9.  Total Patients  90.06%   9.94%   
 
Line Patients by Linguistic Barriers to Care Number
(a)
% of Total
12. Patients Best Served in a Language Other Than English 579,430  64.68% 
  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'.

% may not equal 100% due to rounding.

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Table 4 : Selected Patient Characteristics

Income as Percent of Poverty Guideline Number of Patients
(a)
 
% of Total  % of Known 
1. 100% and Below 550,745  61.48%  70.50% 
2. 101 - 150% 146,191  16.32%  18.71% 
3. 151 - 200% 54,546  6.09%  6.98% 
4. Over 200% 29,733  3.32%  3.81% 
5. Unknown 114,574  12.79%   
6. TOTAL (Sum Lines 1-5)  895,789   100.00%     



Principal Third-Party Medical Insurance   Ages 0-17
(a)
 
Ages 18+
(b)
 
Total  % 
7. None/Uninsured 45,018  279,919  324,937  36.27% 
8a. Medicaid (Title XIX) 252,450  191,070  443,520  49.51% 
8b. CHIP Medicaid 2,422  1,217  3,639  0.41% 
8. Total Medicaid (Sum Lines 8a + 8b)  254,872  192,287  447,159  49.92% 
9a. Dually Eligible (Medicare and Medicaid)  48  21,349  21,397  2.39% 
9. Medicare (Inclusive of dually eligible and other Title XVIII beneficiaries)  166  34,895  35,061  3.91% 
10a. Other Public Insurance (Non-CHIP) 184  2,956  3,140  0.35% 
10b. Other Public Insurance CHIP 3,261  204  3,465  0.39% 
10. Total Public Insurance
(Sum Lines 10a+10b) 
3,445  3,160  6,605  0.74% 
11. Private Insurance  13,482  68,545  82,027  9.16% 
12. TOTAL (Sum Lines 7+8+9+10+11)  316,983  578,806  895,789   100.00%  


Managed Care Utilization  Medicaid
(a)
 
Medicare
(b)
 
Other Public Including Non-Medicaid CHIP
(c)
 
Private
(d)
 
Total
(e)
 
13a. Capitated Member months          
13b. Fee-for-service Member months          
13c. Total Member Months
(Sum Lines 13a+13b) 
         


Special Populations  Number of Patients
(a)
 
% 
14. Migratory (330g awardees only) 281,992  31.77% 
15. Seasonal (330g awardees only) 605,755  68.24% 
  Migrant/Seasonal (non-330g awardees) -8  0.00% 
16. Total Agricultural Workers or Dependents
(All health centers report this line) 
887,739  100.00% 
17. Homeless Shelter (330h awardees only) - 
18. Transitional (330h awardees only) - 
19. Doubling Up (330h awardees only) - 
20. Street (330h awardees only) - 
21. Other (330h awardees only) - 
22. Unknown (330h awardees only) - 
Homeless (non-330h awardees) 45,682  100.00% 
23. Total Homeless
(All health centers report this line)  
45,682 100.00% 
24. Total School Based Health Center Patients
(All health centers report this line) 
15,915 
25. Total Veterans
(All health centers report this line) 
7,036 
26. Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site
(All health centers report this line)
146,488 


Percents may not equal 100% due to rounding

 

 

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Table 5 : Staffing and Utilization

Line Personnel by Major Service Category FTEs (a) Clinic Visits (b) Patients (c)
1. Family Physicians -   586,956   
2. General Practitioners 29,355   
3. Internists 95,497   
4. Obstetrician/Gynecologists 162,054   
5. Pediatricians 317,863   
7. Other Specialty Physicians 24,040   
8. Total Physicians (Sum Lines 1-7)  -  1,215,765   
9a. Nurse Practitioners 562,358   
9b. Physician Assistants 583,701   
10. Certified Nurse Midwives 37,073   
10a. Total NPs, PAs, and CNMs (Sum Lines 9a–10)   -  1,183,132   
11. Nurses 64,719   
12. Other Medical Personnel    
13. Laboratory Personnel    
14. X-ray Personnel    
15. Total Medical (Sum Lines 8+10a through 14)  -  2,463,616  729,878  
16. Dentists 660,839   
17. Dental Hygienists 95,541   
17a. Dental Therapists  
18. Other Dental Personnel    
19. Total Dental Services (Sum Lines 16-18)  -  756,380  260,472 
20a. Psychiatrists 10,155   
20a1. Licensed Clinical Psychologists 21,655   
20a2. Licensed Clinical Social Workers 42,805   
20b. Other Licensed Mental Health Providers 20,628   
20c. Other Mental Health Staff 18,127   
20. Total Mental Health (Sum Lines 20a–c)  -  113,370  36,175 
21. Substance Use Disorder Services  6,418  1,936 
22. Other Professional Services  86,537  35,356 
22a. Ophthalmologists  11,416   
22b. Optometrists  52,295   
22c. Other Vision Care Staff     
22d. Total Vision Services (Sum Lines 22a-c)  -  63,711  47,673 
23. Pharmacy Personnel     
24. Case Managers 199,493   
25. Patient/Community Education Specialists 181,444   
26. Outreach Workers    
27. Transportation Staff    
27a. Eligibility Assistance Workers    
27b. Interpretation Staff    
27c. Community Health Workers    
28. Other Enabling Services    
29. Total Enabling Services (Sum Lines 24-28)  -  380,937  157,459 
29a. Other Programs/Services     
29b. Quality Improvement Staff     
30a. Management and Support Staff    
30b. Fiscal and Billing Staff    
30c. IT Staff    
31. Facility Staff    
32. Patient Support Staff    
33. Total Facility and Non-Clinical Support Staff
(Sum Lines 30a–32) 
-     
34. Grand Total
(Sum Lines 15+19+20+21+22+22d+23+29+29a+29b+33) 
-  3,870,969   


Line Personnel by Major Service Category FTEs Clinic Visits
% Group % Total % Group % Total
1. Family Physicians -   23.82%   15.16% 
2. General Practitioners -   1.19%   0.76% 
3. Internists -   3.88%   2.47% 
4. Obstetrician/Gynecologists -   6.58%   4.19% 
5. Pediatricians -   12.90%   8.21% 
7. Other Specialty Physicians -   0.98%   0.62% 
8. Total Physicians (Sum Lines 1-7)  -   -  49.35%   31.41% 
9a. Nurse Practitioners -   22.83%   14.53% 
9b. Physician Assistants -   23.69%   15.08% 
10. Certified Nurse Midwives -   1.50%   0.96% 
10a. Total NPs, PAs, and CNMs (Sum Lines 9a–10)   -   -  48.02%   30.56% 
11. Nurses -   2.63%   1.67% 
12. Other Medical Personnel -      
13. Laboratory Personnel -      
14. X-ray Personnel -      
15. Total Medical (Sum Lines 8+10a through 14)  -   -  100.00%   63.64% 
16. Dentists -   87.37%   17.07% 
17. Dental Hygienists -   12.63%   2.47% 
17a. Dental Therapists -   0.00%   0.00% 
18. Other Dental Personnel -      
19. Total Dental Services (Sum Lines 16-18)  -   -  100.00%   19.54% 
20a. Psychiatrists -   8.96%   0.26% 
20a1. Licensed Clinical Psychologists -   19.10%   0.56% 
20a2. Licensed Clinical Social Workers -   37.76%   1.11% 
20b. Other Licensed Mental Health Providers -   18.20%   0.53% 
20c. Other Mental Health Staff -   15.99%   0.47% 
20. Total Mental Health (Sum Lines 20a–c)  -   -  100.00%   2.93% 
21. Substance Use Disorder Services  -   100.00%   0.17% 
22. Other Professional Services  -   100.00%   2.24% 
22a. Ophthalmologists  -   17.92%   0.29% 
22b. Optometrists  -   82.08%   1.35% 
22c. Other Vision Care Staff  -      
22d. Total Vision Services (Sum Lines 22a-c)  -   -  100.00%   1.65% 
23. Pharmacy Personnel  -      
24. Case Managers -   52.37%   5.15% 
25. Patient/Community Education Specialists -   47.63%   4.69% 
26. Outreach Workers -      
27. Transportation Staff -      
27a. Eligibility Assistance Workers -      
27b. Interpretation Staff -      
27c. Community Health Workers -      
28. Other Enabling Services -      
29. Total Enabling Services (Sum Lines 24-28)  -   -     
29a. Other Programs/Services     
29b. Quality Improvement Staff  -      
30a. Management and Support Staff      
30b. Fiscal and Billing Staff      
30c. IT Staff      
31. Facility Staff      
32. Patient Support Staff      
33. Total Facility and Non-Clinical Support Staff
(Sum Lines 30a–32) 
-   -     
34. Grand Total
(Sum Lines 15+19+20+21+22+22d+23+29+29a+29b+33) 
  -    100.00% 

 

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

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Table 5A : Tenure for Health Center Staff

Line Health Center Staff Full- and Part-time Locum, On-Call, etc
Persons
(a)
Total Months
(b)
Persons
(c)
Total Months
(d)
1. Family Physicians 8,171 584,041 1,768 53,966
2. General Practitioners 709 51,791 41 2,539
3. Internists 2,898 238,633 716 22,777
4. Obstetrician/Gynecologists 2,050 134,892 448 21,960
5. Pediatricians 3,858 320,973 561 15,407
7. Other Specialty Physicians 1,521 125,876 609 22,370
9a. Nurse Practitioners 12,238 644,349 521 16,345
9b. Physician Assistants 4,037 252,309 199 7,377
10. Certified Nurse Midwives 1,016 65,939 93 5,631
11. Nurses 23,503 1,379,685 469 28,827
16. Dentists 6,482 373,776 514 19,885
17. Dental Hygienists 3,378 205,204 113 2,441
17a. Dental Therapists 42 2,166 0 0
20a. Psychiatrists 1,475 80,563 217 7,106
20a1. Licensed Clinical Psychologists 1,277 74,605 38 1,551
20a2. Licensed Clinical Social Workers 5,244 242,792 82 2,964
20b. Other Licensed Mental Health Providers 4,731 197,986 112 3,938
22a. Ophthalmologists 132 11,907 64 4,957
22b. Optometrists 558 35,895 92 4,586
30a1. Chief Executive Officer 1,364 173,814 3 21
30a2. Chief Medical Officer 1,288 100,095 8 174
30a3. Chief Financial Officer 1,244 99,460 27 1,127
30a4. Chief Information Officer 549 49,452 16 912

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Table 6A : Selected Diagnoses and Services Rendered

Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b)
Selected Infectious and Parasitic Diseases 
1-2. Symptomatic/Asymptomatic HIV B20, B97.35, O98.7-, Z21 2,613  837 
3. Tuberculosis A15- through A19-, O98.01 316  189 
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 4,963  3,525 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 1,224  867 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 2,687  1,183 
Selected Diseases of the Respiratory System 
5. Asthma J45- 46,688  25,643 
6. Chronic lower respiratory diseases J40- through J44-, J47- 17,861  10,724 
Selected Other Medical Conditions 
7. Abnormal breast findings, female C50.01-, C50.11-, C50.21-, C50.31-, C50.41-, C50.51-, C50.61-, C50.81-, C50.91-, C79.81, D05-, D48.6-, D49.3-, N60-, N63-, R92- 14,482  9,678 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 11,028  5,876 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 270,251  78,332 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 27,500  10,981 
11. Hypertension I10- through I16- 259,411  100,599 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 23,586  18,451 
13. Dehydration E86- 1,605  1,330 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 247  204 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 362,581  184,367 
Selected Childhood Conditions (limited to ages 0 through 17) 
15. Otitis media and Eustachian tube disorders H65- through H69- 36,154  24,941 
16. Selected perinatal medical conditions A33-, P19-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92- , P96.81), R78.81, R78.89 5,905  3,386 


Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b)
Selected Childhood Conditions (limited to ages 0 through 17) 
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. E40- through E46-, E50- through E63-, P92-, R62- (exclude R62.7), R63.3 24,592  16,365 
Selected Mental Health Conditions and Substance Use Disorders 
18. Alcohol-related disorders F10-, G62.1, O99.31 11,205  5,540 
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 10,698  4,514 
19a. Tobacco use disorder F17-, O99.33 16,011  10,542 
20a. Depression and other mood disorders F30- through F39- 82,480  33,060 
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 92,644  38,143 
20c. Attention deficit and disruptive behavior disorders F90- through F91- 18,972  5,962 
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09- (exclude F06.4), F20- through F29-, F43- through F48- (exclude F43.0- and F43.1-), F50- through F99- (exclude F55-, F84.2, F90-, F91-, F93.0, F98-), O99.34, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 61,416  31,097 

 

Line Diagnostic Category Applicable ICD-10-CM Code or CPT4/II Code  Number of Visits (a)  Number of Patients (b) 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV test CPT-4: 86689, 86701 through 86703, 87389 through 87391, 87534 through 87539, 87806 45,415  41,743 
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 17,797  15,748 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 18,173  16,708 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR
ICD-10: Z12.31
19,401  16,344 
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 OR
ICD-10: Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419)
65,538  60,804 
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal; diphtheria; tetanus; pertussis (DTaP) (DTP) (DT); mumps; measles; rubella (MMR); poliovirus; varicella; hepatitis B CPT-4: 90632, 90633, 90634, 90636, 90643, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90696, 90697, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90718, 90720, 90721, 90723, 90730, 90731, 90732, 90740, 90743, 90744, 90745, 90746, 90747, 90748 167,838  130,238 
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 187,398  170,423 
25. Contraceptive management ICD-10: Z30- 113,182  62,193 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 173,302  122,788 
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88
CPT-4: 83655
16,371  15,301 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409
HCPCS: G0396, G0397, H0050
54,708  19,179 
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR
HCPCS: S9075 OR
CPTII: 4000F, 4001F, 4004F
23,983  17,071 
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 40,211  38,307 


Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b)
Selected Dental Services 
27. Emergency Services ADA: D9110 3,273  2,958 
28. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 284,041  194,208 
29. Prophylaxis - adult or child ADA: D1110, D1120 184,727  137,407 
30. Sealants ADA: D1351 31,851  24,452 
31. Fluoride treatment – adult or child ADA: D1206, D1208
CPT-4: 99188
160,022  115,080 
32. Restorative services ADA: D21xx through D29xx 197,394  88,538 
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 42,915  32,625 
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 100,393  45,928 

Sources of codes:

Note: “X” in a code denotes any number including the absence of a number in that place. “–” (Dashes) in a code indicate that additional characters are required. ICD­10­CM codes all have at least four digits. These codes are not intended to reflect if a code is billable or not. Instead they are used to point out that other codes in the series are to be considered.

 

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