Which states have the highest concentration of ASCs per Medicare beneficiary?

MedPAC's 2019 commission report to Congress outlined data on ASC characteristics, including where the centers are located, and whether they're for profit or nonprofit.

The geographic distribution of ASCs is uneven, according to MedPAC data from 2017. The state that had the most ASCs per Medicare beneficiary was Maryland, with 40 ASCs per 100,000 Part B beneficiaries. Wyoming, Alaska and Georgia followed Maryland at approximately 20 ASCs per 100,000 Part B beneficiaries. Washington, D.C., West Virginia, Alabama and Vermont all had the fewest ASCs per beneficiary at four per 100,000 beneficiaries. According to the 2017 data, Vermont had only one ASC in the whole state.

2018 MedPAC provider services file data from CMS shows that most ASCs are for profit and urban:

For profit
Open in 2012: 93.6 percent
Open in 2017: 93.8 percent
New in 2017: 92.6 percent

Nonprofit
Open in 2012: 3.8 percent
Open in 2017: 3.5 percent
New in 2017: 5.8 percent

Government
Open in 2012: 2.7 percent
Open in 2017: 2.7 percent
New in 2017: 1.6 percent

Urban
Open in 2012: 92.5 percent
Open in 2017: 92.9 percent
New in 2017: 94.2 percent

Rural
Open in 2012: 7.4 percent
Open in 2017: 7.1 percent
New in 2017: 5.8 percent

Note: Some totals don't add up to 100 percent due to rounding.

More articles on benchmarking:
Top 20 procedures performed in ASCs in 2017
The top 10 cheapest states for healthcare in the US
6 key insights to know on benchmarking

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