Share of Doctors Who Opt-Out of Medicare
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2024
Location Number of Active Physicians Number of Opt-Out Physicians Percentage of Physicians Who Opt-Out
United States 1013480 12244 0.012
Alabama 12504 68 0.005
Alaska 1977 55 0.028
Arizona 18052 274 0.015
Arkansas 7403 40 0.005
California 114238 1912 0.017
Colorado 15949 369 0.023
Connecticut 14953 222 0.015
Delaware 3015 31 0.01
District of Columbia 5524 158 0.029
Florida 60267 760 0.013
Georgia 27609 331 0.012
Hawaii 4085 46 0.011
Idaho 3618 79 0.022
Illinois 42196 418 0.01
Indiana 16842 133 0.008
Iowa 8107 37 0.005
Kansas 8393 109 0.013
Kentucky 11864 61 0.005
Louisiana 12867 90 0.007
Maine 4894 73 0.015
Maryland 25256 411 0.016
Massachusetts 33964 307 0.009
Michigan 37872 244 0.006
Minnesota 18419 85 0.005
Mississippi 6672 28 0.004
Missouri 20109 166 0.008
Montana 2727 33 0.012
Nebraska 6197 19 0.003
Nevada 6333 77 0.012
New Hampshire 4181 36 0.009
New Jersey 30825 399 0.013
New Mexico 6340 65 0.01
New York 84619 1613 0.019
North Carolina 29990 351 0.012
North Dakota 2321 3 0.001
Ohio 41323 198 0.005
Oklahoma 9551 118 0.012
Oregon 12609 210 0.017
Pennsylvania 49912 391 0.008
Rhode Island 4329 39 0.009
South Carolina 13364 143 0.011
South Dakota 2429 9 0.004
Tennessee 19406 154 0.008
Texas 67516 958 0.014
Utah 7878 51 0.006
Vermont 2464 19 0.008
Virginia 24740 351 0.014
Washington 22501 377 0.017
West Virginia 5354 11 0.002
Wisconsin 18460 86 0.005
Wyoming 1462 26 0.018
2023
Location Number of Active Physicians Number of Opt-Out Physicians Percentage of Physicians Who Opt-Out
United States 983,037 11,039 0.011
Alabama 11,746 60 0.005
Alaska 1,771 55 0.031
Arizona 17,500 250 0.014
Arkansas 7,141 34 0.005
California 106,715 1,753 0.016
Colorado 13,816 323 0.023
Connecticut 15,386 205 0.013
Delaware 2,837 30 0.011
District of Columbia 7,220 143 0.02
Florida 56,094 623 0.011
Georgia 24,407 298 0.012
Hawaii 3,491 42 0.012
Idaho 3,104 64 0.021
Illinois 42,543 384 0.009
Indiana 16,123 106 0.007
Iowa 8,727 36 0.004
Kansas 7,662 104 0.014
Kentucky 11,527 56 0.005
Louisiana 13,302 86 0.006
Maine 4,604 56 0.012
Maryland 23,801 385 0.016
Massachusetts 35,380 264 0.007
Michigan 39,841 208 0.005
Minnesota 17,954 71 0.004
Mississippi 6,526 27 0.004
Missouri 20,141 151 0.007
Montana 2,210 27 0.012
Nebraska 5,401 19 0.004
Nevada 6,158 71 0.012
New Hampshire 4,134 32 0.008
New Jersey 29,354 357 0.012
New Mexico 5,595 61 0.011
New York 89,219 1,479 0.017
North Carolina 27,725 331 0.012
North Dakota 2,093 2 0.001
Ohio 41,692 182 0.004
Oklahoma 9,158 103 0.011
Oregon 11,812 186 0.016
Pennsylvania 51,290 340 0.007
Rhode Island 5,202 37 0.007
South Carolina 12,619 127 0.01
South Dakota 1,957 6 0.003
Tennessee 17,998 139 0.008
Texas 62,958 870 0.014
Utah 6,618 45 0.007
Vermont 2,228 13 0.006
Virginia 23,009 322 0.014
Washington 21,285 334 0.016
West Virginia 5,587 12 0.002
Wisconsin 17,179 77 0.004
Wyoming 1,197 27 0.023
2022
Location Number of Active Physicians Number of Opt-Out Physicians Percentage of Physicians Who Opt-Out
United States 969,883 10,105 0.01
Alabama 11,552 55 0.005
Alaska 1,764 59 0.033
Arizona 17,081 221 0.013
Arkansas 7,014 35 0.005
California 106,028 1,632 0.015
Colorado 13,957 303 0.022
Connecticut 15,170 187 0.012
Delaware 2,798 23 0.008
District of Columbia 7,031 133 0.019
Florida 55,321 536 0.01
Georgia 23,949 272 0.011
Hawaii 3,431 41 0.012
Idaho 3,095 57 0.018
Illinois 41,705 362 0.009
Indiana 16,000 92 0.006
Iowa 8,521 32 0.004
Kansas 7,515 94 0.013
Kentucky 11,462 53 0.005
Louisiana 13,245 80 0.006
Maine 4,588 47 0.01
Maryland 23,476 365 0.016
Massachusetts 34,934 237 0.007
Michigan 39,083 183 0.005
Minnesota 17,647 65 0.004
Mississippi 6,415 29 0.005
Missouri 19,813 132 0.007
Montana 2,227 25 0.011
Nebraska 5,261 17 0.003
Nevada 6,001 63 0.01
New Hampshire 4,099 28 0.007
New Jersey 28,953 322 0.011
New Mexico 5,556 56 0.01
New York 87,849 1,384 0.016
North Carolina 27,293 304 0.011
North Dakota 2,064 2 0.001
Ohio 40,968 157 0.004
Oklahoma 9,185 86 0.009
Oregon 11,750 176 0.015
Pennsylvania 50,462 310 0.006
Rhode Island 5,101 32 0.006
South Carolina 12,497 110 0.009
South Dakota 1,973 3 0.002
Tennessee 17,954 128 0.007
Texas 61,684 784 0.013
Utah 6,475 37 0.006
Vermont 2,220 10 0.005
Virginia 22,895 301 0.013
Washington 20,991 324 0.015
West Virginia 5,598 6 0.001
Wisconsin 17,047 65 0.004
Wyoming 1,185 22 0.019
Notes
Physician counts include active allopathic and osteopathic medicine physicians. Pediatricians excluded from analysis. Select other clinicians with doctorates (chiropractors, optometrists, oral surgeons, and podiatrists) who have opted out of Medicare are not included.
Sources
KFF analysis of Physician counts from Redi-Data, Inc, using American Medical Association (AMA) Physician Masterfile and Centers for Medicare & Medicaid Services Opt-Out Affidavits.