Volume 51 | Number 2 | April 2016

Abstract List

Dana B. Mukamel Ph.D., Laura M. White M.S., Robert S. Nocon M.H.S., Elbert S. Huang M.D., M.P.H., Ravi Sharma Ph.D., Leiyu Shi, Quyen Ngo‐Metzger M.D., M.P.H.


To compare total annual costs for Medicare beneficiaries receiving primary care in federally funded health centers (s) to Medicare beneficiaries in physician offices and outpatient clinics.

Data Sources/Study Settings

Part A and B fee‐for‐service Medicare claims from 14 geographically diverse states. The sample was restricted to beneficiaries residing within primary care service areas (s) with at least one .

Study Design

We modeled separately total annual costs, annual primary care costs, and annual nonprimary care costs as a function of patient characteristics and fixed effects.

Data Collection

Data were obtained from the Centers for Medicare & Medicaid Services.

Principal Findings

Total median annual costs (at $2,370) for Medicare patients were lower by 10 percent compared to patients in physician offices ($2,667) and by 30 percent compared to patients in outpatient clinics ($3,580). This was due to lower nonprimary care costs in s, despite higher primary care costs.


s may offer lower total cost practice style to the Centers for Medicare & Medicaid Services, which administers Medicare. Future research should examine whether these lower costs reflect better management by practitioners or more limited access to specialty care by patients.