Table 4. Office-based medical provider servicesa—Median and mean expenses per person with expense and distribution of expenses by source of payment: United States, 2000 Expense per person Percent distribution of total expenses by source with an expense of payment Percent Total Population Population with expenses Out of Private characteristic (in thousands) expense Median Mean (in millions) pocket insuranceb Medicare Medicaid Otherc Total 278,406 68.8 $243 $657 $125,946 17.8 48.5 16.8 5.8 11.1 Age in years Under 65 243,624 66.1 212 592 95,400 19.9 58.1 3.2 6.6 12.2 Under 6 24,126 78.5 160 299 5,654 17.2 59.5 *0.3 15.7 7.3 6-17 48,405 60.9 127 269 7,930 23.8 57.4 *0.1 12.9 5.8 18-44 109,021 60.6 222 600 39,611 20.9 56.9 1.9 6.9 13.4 45-64 62,072 75.2 335 904 42,206 18.5 59.2 5.5 3.9 12.9 65 and over 34,782 87.6 490 1,003 30,546 11.4 18.6 59.0 3.3 7.7 Sex Male 135,882 61.9 207 614 51,693 *16.1 47.7 16.9 4.8 14.4 Female 142,524 75.4 278 691 74,253 19.0 49.1 16.6 6.5 8.8 Race/ethnicity White and other 209,401 73.2 268 703 107,778 18.2 49.4 17.1 4.6 10.7 Black 35,049 56.0 150 511 10,026 12.0 39.7 18.6 13.5 16.2 Hispanic 33,955 55.0 165 436 8,142 19.4 47.2 9.9 12.4 11.1 Health insurance statusd Under age 65: Any private 182,658 70.7 226 620 80,104 20.3 69.2 1.2 0.7 8.6 Public only 28,622 68.0 163 526 10,238 5.2 *0.0 21.1 55.7 *18.0 Uninsured 32,344 38.8 137 404 5,058 42.9 *0.0 *0.0 *0.0 57.1 Age 65 and over: Medicare only 11,515 85.6 393 783 7,720 11.3 *0.0 71.7 *0.0 17.0 Medicare and private 19,570 89.0 548 1,099 19,144 12.1 29.6 53.5 *0.2 4.5 Medicare and other public 3,568 87.8 442 1,174 3,676 8.2 *0.0 60.4 26.4 *5.0 Poverty statuse Poor 32,053 61.2 182 555 10,893 10.5 18.9 22.8 33.9 13.9 Near-poor 12,196 62.4 207 549 4,174 13.1 21.5 33.1 20.5 11.9 Low income 37,059 64.3 225 641 15,258 15.9 30.1 32.4 9.8 11.9 Middle income 90,343 68.2 238 630 38,854 15.5 49.3 17.0 2.2 15.9 High income 106,754 73.9 270 719 56,767 21.7 60.6 10.0 0.7 7.0 Expense per person Percent distribution of total expenses by source with an expense of payment Percent Total Population Population with expenses Out of Private characteristic (in thousands) expense Median Mean (in millions) pocket insuranceb Medicare Medicaid Otherc Metropolitan statistical area (MSA) MSA 226,861 68.4 $242 $650 $100,923 18.2 48.8 16.1 5.6 11.3 Non-MSA 51,545 70.5 246 688 25,023 16.3 47.3 19.3 6.7 10.5 Census region Northeast 52,636 73.2 253 647 24,946 17.1 50.7 16.3 7.0 8.9 Midwest 64,536 71.8 240 651 30,162 18.6 46.3 18.7 4.8 11.7 South 97,373 66.8 237 610 39,710 20.2 46.2 17.1 5.3 11.3 West 63,861 65.2 246 747 31,128 14.6 51.9 14.8 6.4 12.2 Perceived health status Excellent 87,890 61.1 174 438 23,514 24.0 56.4 6.8 4.1 8.7 Very good 93,499 68.8 225 574 36,923 20.3 52.6 10.8 3.6 12.6 Good 67,922 72.4 277 722 35,496 16.5 50.7 17.0 6.0 9.8 Fair 20,666 84.8 500 1,115 19,540 11.8 37.9 27.4 10.0 13.0 Poor 7,720 87.1 676 1,521 10,224 10.9 27.4 40.1 8.8 12.7 aExpenses for visits to medical providers seen in office-based settings are included. bPrivate insurance includes TRICARE (Armed-Forces-related coverage). cOther includes payments from the Department of Veterans Affairs (except TRICARE); other Federal sources (Indian Health Service, military treatment facilities, and other care provided by the Federal Government); various State and local sources (community and neighborhood clinics, State and local health departments, and State programs other than Medicaid); Workers’ Compensation; various unclassified sources (e.g., automobile, homeowner’s, or other liability insurance, and other miscellaneous or unknown sources); Medicaid payments reported for persons who were not reported as enrolled in the Medicaid program at any time during the year; and private insurance payments reported for persons without any reported private health insurance coverage during the year. dUninsured refers to persons uninsured during the entire year. Public and private health insurance categories refer to individuals with public or private insurance at any time during the period; individuals with both public and private insurance and those with TRICARE (Armed-Forces-related coverage) are classified as having private insurance. ePoor—persons in families with income less than 100 percent of the poverty line, including those whose losses exceeded their earnings, resulting in negative income; near-poor—persons in families with income from 100 percent to less than 125 percent of the poverty line; low income—persons in families with income from 125 percent to less than 200 percent of the poverty line; middle income—persons in families with income from 200 percent to less than 400 percent of the poverty line; high income—persons in families with income at or over 400 percent of the poverty line. *Relative standard error equal to or greater than 30 percent. Note: Restricted to civilian noninstitutionalized population. Percents may not add to 100 because of rounding. Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey, 2000.