Top 3 ASC Payors by Region

Here are the top five payors by volume by CMS region, according to Genascis. Note: Data may not be available for all states.

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Region 1 (Conn., Mass., Maine, N.H., R.I., Vt.)

•    Medicare — 27.6 percent
•    Medicare PPO — 26.8 percent
•    Workers’ compensation — 10.2 percent

Region 2 (N.J., N.Y., V.I., P.R.)

•    Other HMO — 25.9 percent
•    Medicare — 20.4 percent
•    BCBS PPO — 13.2 percent

Region 3 (Del., D.C., Md., Md., Pa., Va., W.Va.)

•    Medicare — 23 percent
•    Medicare PPO — 21. 3 percent
•    BCBS PPO  — 16.1 percent

Region 4 (Ala., Fla., Ga., Ky., Miss., N.C., S.C., Tenn.)

•    Medicare — 41.8 percent
•    BCBS PPO — 15.9 percent
•    Medicare PPO — 13 percent

Region 5 (Ill., Ind., Mich., Minn., Ohio, Wis.)

•    Medicare — 38 percent
•    Medicare PPO  — 13.9 percent
•    BCBS PPO — 13 percent

Region 6 (Ark., La., N.M., Okla., Texas)

•    Medicare — 49.2 percent
•    Medicare PPO — 11.9 percent
•    BCBS PPO — 9.6 percent

Region 7 (Iowa, Kan., Mo., Neb.)

•    Medicare —  27.5 percent
•    BCBS PPO — 19.3  percent
•    Medicare PPO — 11.3 percent

Region 8 (Colo., Mont., N.D., S.D., Utah, Wyo.)

•    Medicare — 21.1 percent
•    Medicare PPO — 16.5 percent
•    BCBS Anthem — 9.3 percent

Region 9 (A.S., Ariz., Calif., M.P., Guam, Hawaii, Nev.)

•    Medicare — 33.8 percent
•    BCBS PPO — 9.6 percent
•    Medicare HMO — 8 percent

Region 10 (Alaska, Idaho, Ore., Wash.)

•    BCBS PPO — 25 percent
•    Other PPO — 18.7 percent
•    Medicare — 17.9 percent

Source:  Genascis.

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