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					                                PLASTIC SURGEONS
                                                                                      Lowest           Highest
                                  National                                           Estimate          Estimate
                   Total          Average                          Estimated         of Needs          of Needs
                 Medicaid       Annual Visits    Medicaid          Medicaid         Based On          Based On         Access
Area Covered    Annual Visits   per Physician   Beneficiaries       Access          Population        Population      Indicator
Pensacola                75         4,992          65,719              0.02              0.20             1.89             1
Tallahassee             691         4,992          83,962              0.14              0.25             2.42             2
Gainesville             762         4,992         144,798              0.15              0.43             4.17             1
Jacksonville            803         4,992         130,575              0.16              0.39             3.76             1
Saint
                        306         4,992          86,343              0.06              0.26             2.49             1
Petersburg
Tampa                  1,198        4,992         149,641              0.24              0.45             4.31             2
Orlando                 177         4,992         134,454              0.04              0.40             3.87             1
Fort Myers              121         4,992          80,848              0.02              0.24             2.33             1
W. Palm
                        474         4,992         107,782              0.09              0.32             3.10             1
Beach
Ft Lauderdale           595         4,992          94,069              0.12              0.28             2.71             1
Miami                  1,256        4,992         306,962              0.25              0.92             8.84             1
State
                       6,458        4,992       1,385,152              1.29              4.16            39.89             1
Totals/Avg




 Total Medicaid Annual Visits    Sum of paid claims to type of specialist based on FY2000-01 Medicaid claims excluding
                                 claims for the dually eligible and claims for months beneficiary is enrolled in an HMO.

 National Average Annual         As reported in the American Medical Association’s Physician Journal 1999-2000 Edition,
                                 the average number visits per physician specialist per week times the average number of
                                 weeks worked (48). If a specialist was not included, the average for all physicians, or 4,992
                                 per year, was used.

 Medicaid Recipients             The total case months (divided by 12) for persons enrolled in Medicaid in FY2000-01
                                 minus those case months for the dually eligible or HMO beneficiaries.

 Estimated Medicaid Access       The total Medicaid annual visits divided by annual visits per physician.

 Lowest Estimate of Need         The lowest projection of need per 100,000 population found in the literature by type of
 Based on Population             specialist adjusted to Medicaid beneficiaries in the area.

 Highest Estimate of Need        The highest projection of need per 100,000 population found in the literature by type of
 Based on Population             specialist adjusted to Medicaid beneficiaries in the area.

 Access Indicator                Compares estimated Medicaid physician specialist access to projection of need and classi-
                                 fies it as follows:
                                       (1) A score of 1 indicates that access is less than 50% of the lowest estimate of need.
                                       (2) A score of 2 indicates that access is greater than 50% of the lowest estimate of
                                            need, but less than the lowest estimate.
                                       (3) A score of 3 indicates that access is greater than the lowest estimate, but less than
                                            the average of the lowest estimate and the highest estimate.
                                       (4) A score of 4 indicates that access is greater than the average of the lowest estimate
                                            and the highest estimate, but less than the highest estimate.
                                       (5) A score of 5 indicates that access is greater than the highest estimate of need.
56                                                                                    Agency for Health Care Administration
                                                 Tallahassee
Pensacola                                              Area 2
 Area 1                                                                                                 Jacksonville
                                                                                                        Area 4

                                                                                 Gainesville
                                                                                        Area 3




                                                                                              Orlando
                                                                                                    Area 7

                                                                                     Tampa
                                                                                        Area 6
                                                                St. Petersburg
                                                                       Area 5




                                                                                                                        West
                                                                                                                        Palm Beach
                                                                                                                               Area 9
                                                                                 Ft. Meyers
                                                                                      Area 8                           Ft. Lauderdale
                                                                                                                       Area 10

                                                                                                                       Miami
                                                                                                                       Area 11




                                                            Legend
            Access is less than 50% of the lowest estimate of need
            Access is greater than 50% of the lowest estimate of need, but less than the lowest estimate
            Access is greater than the lowest estimate, but less than the average of the lowest estimate and the highest estimate
            Access is greater than the average of the lowest estimate and the highest estimate, but less than the highest estimate
            Access is greater than the highest estimate of need
                                Medicaid Physician Access Versus Projected Need by Specialty Area for FY 2000 - 2001

				
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