CASE 2-33: Medicare Provider Analysis and Review (MEDPAR) Data Analysis Based on the data in Tables 2-18 and 2-19, identify/answer the following: · 1. The top 20 MS-DRGs by number of discharges · 2. The top 10 MS-DRGs by patient days · 3. The highest 5 MS-DRGs by ALOS · 4. What state is the most efficient, based on ALOS? · 5. What state is the most efficient, based on cost-of-stay average charge? · 6. How can MEDPAR be used by a hospital? Table 2-18: Medicare Provider Analysis and Review (MEDPAR) Data 2010 by Diagnosis-Related Group Short Stay Inpatient by State Centers for Medicare & Medicaid Services 100% MEDPAR Inpatient Hospital Fiscal Year 2010 Short Stay Inpatient by State State      Total Charges      Covered Charges      Medicare Reimbursement      Total Days      Number of Discharges      Avg Tot Days      ALABAMA $10,147,574,758 $10,038,072,172 $1,871,880,274 1,510,549 282,003    5.4 ALASKA $577,259,995 $566,639,626 $178,507,545 63,829 12,412    5.1 ARIZONA $12,131,537,372 $12,004,545,106 $1,890,455,415 1,259,379 268,233    4.7 ARKANSAS $4,650,893,942 $4,617,340,101 $1,198,753,807 859,328 163,926    5.2 CALIFORNIA $76,320,204,015 $75,110,250,884 $11,191,656,553 5,991,233 1,159,833    5.2 COLORADO $6,904,049,450 $6,859,514,264 $1,117,218,735 682,982 145,861    4.7 CONNECTICUT $6,139,247,809 $6,046,063,110 $1,797,610,980 1,018,530 179,172    5.7 DELAWARE $1,196,604,851 $1,188,116,227 $444,808,903 244,161 43,237    5.6 DISTRICT OF CO $1,801,374,695 $1,758,124,064 $535,615,255 244,515 38,178    6.4 FLORIDA $52,617,494,107 $52,293,923,852 $7,587,899,229 5,830,082 1,099,252    5.3 GEORGIA $12,774,675,044 $12,670,647,571 $2,971,580,228 1,993,096 366,794    5.4 HAWAII $1,155,327,643 $1,128,511,837 $303,609,640 210,869 32,879    6.4 IDAHO $1,070,859,131 $1,068,209,787 $282,670,824 172,290 39,761    4.3 ILLINOIS $23,220,247,028 $22,986,364,994 $5,506,557,400 3,167,766 616,325    5.1 INDIANA $10,046,158,605 $9,974,718,544 $2,644,144,815 1,667,772 322,776    5.2 IOWA $3,500,727,854 $3,471,430,275 $987,181,870 620,740 124,562    5 KANSAS $4,298,673,428 $4,272,076,840 $967,292,484 596,333 118,347    5 KENTUCKY $7,569,184,626 $7,505,177,124 $2,044,026,403 1,379,637 264,888    5.2 LOUISIANA $8,235,304,586 $8,133,823,924 $1,647,692,129 1,279,408 231,488    5.5 MAINE $1,447,797,039 $1,434,223,961 $533,523,616 304,584 61,257    5 MARYLAND $3,946,237,184 $3,883,076,774 $3,223,158,908 1,367,904 276,931    4.9 MASSACHUSETTS $9,139,634,478 $9,036,823,618 $3,389,376,309 1,843,260 357,214    5.2 MICHIGAN $15,619,449,714 $15,466,296,055 $4,996,125,348 2,958,671 555,665    5.3 MINNESOTA $6,935,040,451 $6,873,436,755 $1,829,860,224 952,088 205,607    4.6 MISSISSIPPI $5,382,816,252 $5,340,100,260 $1,317,180,432 957,191 169,249    5.7 MISSOURI $11,736,910,838 $11,455,708,404 $2,690,755,303 1,782,840 344,361    5.2 MONTANA $865,186,366 $858,204,690 $266,045,718 158,962 34,071    4.7 NEBRASKA $2,758,111,247 $2,737,944,914 $670,223,142 380,521 74,966    5.1 NEVADA.

1. CASE 2-33: Medicare Provider Analysis and Review
(MEDPAR) Data Analysis
Based on the data in Tables 2-18 and 2-19, identify/answer the
following:
· 1. The top 20 MS-DRGs by number of discharges
· 2. The top 10 MS-DRGs by patient days
· 3. The highest 5 MS-DRGs by ALOS
· 4. What state is the most efficient, based on ALOS?
· 5. What state is the most efficient, based on cost-of-stay
average charge?
· 6. How can MEDPAR be used by a hospital?
Table 2-18: Medicare Provider Analysis and Review (MEDPAR)
Data 2010 by Diagnosis-Related Group Short Stay Inpatient by
State
Centers for Medicare & Medicaid Services
100% MEDPAR Inpatient Hospital Fiscal Year 2010
Short Stay Inpatient by State
State
Total Charges
Covered Charges
Medicare Reimbursement
Total Days
Number of Discharges
Avg Tot Days
ALABAMA
$10,147,574,758
$10,038,072,172
$1,871,880,274
1,510,549
282,003
5.4
ALASKA
$577,259,995
$566,639,626

2. $178,507,545
63,829
12,412
5.1
ARIZONA
$12,131,537,372
$12,004,545,106
$1,890,455,415
1,259,379
268,233
4.7
ARKANSAS
$4,650,893,942
$4,617,340,101
$1,198,753,807
859,328
163,926
5.2
CALIFORNIA
$76,320,204,015
$75,110,250,884
$11,191,656,553
5,991,233
1,159,833
5.2
COLORADO
$6,904,049,450
$6,859,514,264
$1,117,218,735
682,982
145,861
4.7
CONNECTICUT
$6,139,247,809
$6,046,063,110
$1,797,610,980

3. 1,018,530
179,172
5.7
DELAWARE
$1,196,604,851
$1,188,116,227
$444,808,903
244,161
43,237
5.6
DISTRICT OF CO
$1,801,374,695
$1,758,124,064
$535,615,255
244,515
38,178
6.4
FLORIDA
$52,617,494,107
$52,293,923,852
$7,587,899,229
5,830,082
1,099,252
5.3
GEORGIA
$12,774,675,044
$12,670,647,571
$2,971,580,228
1,993,096
366,794
5.4
HAWAII
$1,155,327,643
$1,128,511,837
$303,609,640
210,869

4. 32,879
6.4
IDAHO
$1,070,859,131
$1,068,209,787
$282,670,824
172,290
39,761
4.3
ILLINOIS
$23,220,247,028
$22,986,364,994
$5,506,557,400
3,167,766
616,325
5.1
INDIANA
$10,046,158,605
$9,974,718,544
$2,644,144,815
1,667,772
322,776
5.2
IOWA
$3,500,727,854
$3,471,430,275
$987,181,870
620,740
124,562
5
KANSAS
$4,298,673,428
$4,272,076,840
$967,292,484
596,333
118,347

5. 5
KENTUCKY
$7,569,184,626
$7,505,177,124
$2,044,026,403
1,379,637
264,888
5.2
LOUISIANA
$8,235,304,586
$8,133,823,924
$1,647,692,129
1,279,408
231,488
5.5
MAINE
$1,447,797,039
$1,434,223,961
$533,523,616
304,584
61,257
5
MARYLAND
$3,946,237,184
$3,883,076,774
$3,223,158,908
1,367,904
276,931
4.9
MASSACHUSETTS
$9,139,634,478
$9,036,823,618
$3,389,376,309
1,843,260
357,214
5.2

6. MICHIGAN
$15,619,449,714
$15,466,296,055
$4,996,125,348
2,958,671
555,665
5.3
MINNESOTA
$6,935,040,451
$6,873,436,755
$1,829,860,224
952,088
205,607
4.6
MISSISSIPPI
$5,382,816,252
$5,340,100,260
$1,317,180,432
957,191
169,249
5.7
MISSOURI
$11,736,910,838
$11,455,708,404
$2,690,755,303
1,782,840
344,361
5.2
MONTANA
$865,186,366
$858,204,690
$266,045,718
158,962
34,071
4.7
NEBRASKA

7. $2,758,111,247
$2,737,944,914
$670,223,142
380,521
74,966
5.1
NEVADA
$6,179,609,713
$6,115,884,991
$775,757,239
522,179
98,868
5.3
NEW HAMPSHIRE
$1,476,037,830
$1,467,436,682
$460,132,445
252,953
47,692
5.3
NEW JERSEY
$28,489,630,729
$28,080,939,035
$4,101,798,474
2,516,729
425,674
5.9
NEW MEXICO
$2,050,325,541
$2,036,148,735
$484,642,557
304,839
63,606
4.8
NEW YORK
$36,991,790,908

8. $36,109,494,617
$9,804,172,781
6,583,804
983,092
6.7
NORTH CAROLINA
$13,298,007,382
$13,194,616,158
$4,018,966,039
2,479,974
465,217
5.3
NORTH DAKOTA
$724,008,854
$716,854,958
$266,956,934
148,920
30,999
4.8
OHIO
$21,264,776,632
$20,950,208,271
$4,548,391,978
3,306,485
647,345
5.1
OKLAHOMA
$6,358,089,969
$6,288,927,901
$1,464,254,308
992,113
192,253
5.2
OREGON
$3,968,392,976
$3,947,051,190

9. $858,307,627
594,065
128,713
4.6
PENNSYLVANIA
$37,410,926,656
$36,256,231,748
$5,280,683,810
4,378,798
787,788
5.6
PUERTO RICO
$603,859,499
$598,657,220
$177,973,749
432,535
63,620
6.8
RHODE ISLAND
$1,756,908,758
$1,729,754,707
$405,756,528
313,857
55,596
5.6
SOUTH CAROLINA
$8,807,688,270
$8,737,287,659
$1,858,440,523
1,228,448
218,321
5.6
SOUTH DAKOTA
$1,167,580,116
$1,155,116,775
$335,715,909

10. 181,462
36,146
5
TENNESSEE
$12,746,772,706
$12,679,779,976
$2,742,276,783
2,041,124
383,981
5.3
TEXAS
$42,875,387,649
$41,971,787,681
$7,851,225,314
5,031,311
928,834
5.4
UTAH
$1,901,227,466
$1,883,723,968
$463,159,245
277,474
62,834
4.4
VERMONT
$420,145,959
$416,954,353
$217,601,470
93,556
17,870
5.2
VIRGIN ISLANDS
$39,504,740
$38,982,645
$18,577,125
15,343

11. 1,957
7.8
VIRGINIA
$10,757,693,488
$10,689,967,199
$2,651,053,226
1,724,897
326,211
5.3
WASHINGTON
$8,468,518,610
$8,424,232,175
$1,933,437,855
1,009,585
217,781
4.6
WEST VIRGINIA
$2,628,845,839
$2,610,209,963
$819,069,756
648,423
118,769
5.5
WISCONSIN
$6,857,942,766
$6,804,514,268
$1,750,294,339
1,074,539
219,821
4.9
WYOMING
$418,561,455
$413,241,167
$150,892,761
65,075
14,116

12. 4.6
UNKNOWN
$26,501,628
$25,960,389
$11,968,865
17,531
2,325
7.5
TOTAL LINE
$559,877,318,647
$552,123,330,164
$117,536,919,129
75,734,539
14,128,677
5.4
Courtesy of the Centers for Medicare and Medicaid Services.
Table 2-19: Medicare Provider Analysis and Review (MEDPAR)
Inpatient National Data by Short Stay Inpatient Diagnosis-
Related Groups (DRGs)
Centers for Medicare & Medicaid Services
100% MEDPAR Inpatient Hospital National Data for Fiscal
Year 2010
Short Stay Inpatient Diagnosis Related Groups
Blank cells represent ten or less discharges in order to conform
to CMS guidelines, zero means no discharges, therefore, sum of
columns will not equal total
Drg
Total Charges
Covered Charges
Medicare Reimbursement
Total Days
Number of Discharges
Avg Tot Days
1
$1,117,985,829

13. $1,090,743,161
$286,358,414
56,582
1,528
37
2
$140,502,546
$140,205,825
$32,065,545
6,165
340
18.1
3
$11,615,298,430
$11,376,271,614
$2,730,104,797
932,325
25,937
35.9
4
$6,883,608,321
$6,772,437,052
$1,644,116,325
700,736
26,334
26.6
5
$536,660,556
$523,614,813
$105,731,995
25,975
1,264
20.5
6
$81,182,083
$78,643,466

14. $12,279,994
3,048
354
8.6
7
$262,789,035
$255,603,053
$45,062,614
11,773
604
19.5
8
$175,972,939
$168,897,085
$22,564,644
6,887
574
12
9
$567,469,241
$552,460,131
$143,027,966
56,323
2,741
20.5
10
$30,143,942
$29,339,199
$4,450,723
1,444
147
9.8
11
$295,466,194
$291,834,258
$69,624,418

15. 32,296
2,130
15.2
12
$220,515,688
$217,391,636
$49,339,587
24,976
2,495
10
13
$68,341,801
$67,433,386
$13,652,721
8,189
1,247
6.6
20
$368,647,928
$361,900,643
$82,162,628
24,660
1,470
16.8
21
$107,157,847
$106,458,732
$22,749,702
8,204
575
14.3
22
$20,739,902
$20,659,675
$4,041,955
1,365

16. 177
7.7
23
$882,403,654
$870,985,336
$188,705,591
70,583
6,053
11.7
24
$211,292,564
$209,850,830
$41,041,146
16,299
2,212
7.4
25
$2,056,624,169
$2,041,667,831
$462,265,665
183,111
16,773
10.9
26
$1,037,741,879
$1,031,428,875
$215,109,592
92,916
13,338
7
27
$938,564,429
$931,288,046
$178,589,497
58,276
15,651

17. 3.7
28
$360,938,746
$358,080,879
$77,931,794
32,524
2,481
13.1
29
$318,517,999
$316,380,961
$68,427,214
26,899
4,397
6.1
30
$184,224,557
$182,526,420
$36,746,483
13,956
4,341
3.2
31
$173,582,626
$171,584,124
$44,375,603
19,300
1,577
12.2
32
$156,840,627
$155,387,108
$33,741,779
16,172
3,121
5.2

18. 33
$141,216,554
$140,686,167
$27,489,347
10,181
3,915
2.6
34
$118,484,660
$112,734,822
$22,045,991
8,889
1,246
7.1
35
$156,693,536
$153,558,341
$29,191,285
8,195
2,758
3
36
$318,194,476
$313,455,607
$57,042,777
11,487
7,291
1.6
37
$558,705,110
$541,710,113
$110,947,634
56,225
7,049
8
38

19. $663,459,914
$650,504,718
$113,810,384
54,956
16,362
3.4
39
$1,467,780,661
$1,445,653,303
$225,954,554
88,434
53,289
1.7
40
$675,720,893
$664,811,989
$159,007,555
81,513
7,032
11.6
41
$430,266,157
$426,250,341
$88,988,681
50,934
8,080
6.3
42
$196,761,257
$193,527,177
$37,239,920
14,329
4,321
3.3
52
$64,478,116

20. $64,288,652
$13,713,327
9,749
1,591
6.1
53
$13,912,886
$13,704,326
$2,374,719
2,002
593
3.4
54
$439,551,450
$436,952,029
$98,859,323
68,392
11,313
6
55
$400,739,058
$397,030,153
$76,306,161
63,288
14,148
4.5
56
$673,144,943
$661,893,296
$172,953,789
152,636
18,259
8.4
57
$1,762,289,022
$1,698,820,233

21. $479,004,212
594,899
74,367
8
58
$45,473,713
$45,059,972
$10,761,922
7,957
1,189
6.7
59
$95,925,712
$94,490,314
$18,579,888
17,903
3,637
4.9
60
$86,275,941
$85,352,841
$14,830,908
15,766
4,158
3.8
61
$303,534,322
$301,979,724
$62,785,937
30,852
3,938
7.8
62
$292,681,977
$290,401,883
$52,904,980

22. 29,706
5,496
5.4
63
$93,631,735
$92,948,688
$15,017,877
7,915
2,091
3.8
64
$4,165,859,831
$4,130,693,605
$887,553,425
610,353
91,703
6.7
65
$3,739,821,756
$3,715,714,395
$709,881,578
597,729
130,125
4.6
66
$1,874,477,204
$1,861,269,708
$302,910,888
268,945
85,258
3.2
67
$91,666,056
$90,527,880
$17,218,443
12,986

23. 2,490
5.2
68
$278,442,031
$274,768,848
$44,341,378
35,650
11,356
3.1
69
$2,270,920,888
$2,204,521,964
$351,122,407
305,759
114,296
2.7
70
$721,068,555
$716,136,757
$172,440,683
122,776
18,332
6.7
71
$360,513,934
$357,002,930
$79,997,297
72,164
14,273
5.1
72
$125,914,525
$122,942,941
$21,696,240
19,651
6,428

24. 3.1
73
$459,906,672
$443,526,776
$104,529,023
79,799
14,916
5.3
74
$767,701,926
$751,178,923
$139,159,755
131,995
34,430
3.8
75
$81,220,873
$80,530,175
$15,665,469
11,834
1,730
6.8
76
$19,995,516
$19,939,781
$3,020,745
3,175
847
3.7
77
$98,962,837
$98,245,725
$22,289,287
14,426
2,392
6

25. 78
$61,771,373
$61,499,474
$11,552,504
9,803
2,460
4
79
$20,579,935
$20,411,125
$3,250,367
3,063
1,048
2.9
80
$81,719,854
$80,803,237
$17,445,095
13,545
2,761
4.9
81
$123,771,316
$122,160,079
$23,030,351
22,293
6,505
3.4
82
$192,610,201
$189,635,866
$43,276,897
20,564
3,449
6
83

26. $116,508,233
$115,635,333
$23,117,464
14,834
3,161
4.7
84
$79,371,849
$78,724,245
$13,896,808
8,702
3,234
2.7
85
$602,495,271
$599,433,741
$135,603,700
81,601
11,637
7
86
$512,097,684
$508,595,175
$107,049,762
76,144
17,309
4.4
87
$353,029,120
$350,741,571
$63,635,135
48,146
16,995
2.8
88
$52,123,005

27. $51,653,662
$10,009,231
6,832
1,307
5.2
89
$92,022,041
$90,873,741
$15,145,663
12,051
3,487
3.5
90
$64,244,798
$63,194,789
$9,033,489
6,732
3,010
2.2
91
$546,743,309
$538,741,266
$120,226,771
82,538
14,241
5.8
92
$482,576,545
$474,718,229
$95,977,558
84,169
21,007
4
93
$287,305,154
$281,420,478

28. $47,719,708
43,392
15,681
2.8
94
$162,878,697
$161,386,841
$37,494,905
21,515
1,870
11.5
95
$80,816,719
$80,329,493
$15,291,728
9,744
1,286
7.6
96
$32,833,801
$32,704,454
$5,623,946
3,575
630
5.7
97
$139,767,442
$138,923,630
$30,010,680
18,748
1,701
11
98
$54,244,525
$53,637,349
$11,631,965

29. 8,493
1,167
7.3
99
$19,197,976
$18,867,079
$3,382,557
3,067
580
5.3
100
$1,042,382,685
$1,029,639,675
$229,736,675
155,295
27,234
5.7
101
$1,309,231,621
$1,298,479,928
$249,514,325
210,895
64,450
3.3
102
$53,845,199
$53,078,191
$10,322,064
8,551
1,968
4.3
103
$287,876,714
$282,667,679
$43,453,447
44,864

30. 15,676
2.9
113
$44,199,886
$43,975,117
$9,550,671
4,552
820
5.6
114
$13,314,633
$13,070,519
$2,309,893
1,299
481
2.7
115
$36,741,207
$36,210,753
$7,273,100
4,581
1,066
4.3
116
$22,334,037
$22,037,584
$4,550,527
2,669
645
4.1
117
$13,963,838
$13,760,670
$2,403,393
1,479
693

31. 2.1
121
$24,204,277
$23,997,958
$5,499,582
4,948
943
5.2
122
$9,316,207
$9,290,432
$1,826,740
2,154
583
3.7
123
$78,974,117
$78,357,268
$11,813,644
9,683
3,672
2.6
124
$40,154,874
$39,906,521
$9,538,965
6,865
1,434
4.8
125
$89,190,669
$88,156,933
$15,697,255
15,463
4,978
3.1

32. 129
$127,372,855
$125,980,332
$26,296,324
10,442
1,960
5.3
130
$50,086,953
$49,558,605
$9,128,562
3,905
1,371
2.8
131
$97,402,936
$95,473,068
$19,287,298
8,575
1,494
5.7
132
$34,484,428
$33,752,352
$6,152,445
2,546
948
2.7
133
$136,459,949
$134,346,800
$26,368,075
15,338
2,820
5.4
134

33. $79,903,514
$77,408,087
$12,894,042
6,678
3,137
2.1
135
$29,926,811
$29,723,602
$5,977,225
3,343
531
6.3
136
$13,630,402
$13,451,629
$2,139,710
1,080
452
2.4
137
$44,325,989
$43,357,312
$9,800,096
6,243
1,257
5
138
$20,483,067
$19,788,568
$3,372,745
2,219
937
2.4
139
$41,975,662

34. $41,413,561
$6,239,919
2,798
1,614
1.7
146
$51,784,219
$51,281,702
$13,176,019
8,459
1,036
8.2
147
$48,481,198
$47,428,742
$10,285,854
8,539
1,524
5.6
148
$14,442,276
$14,170,359
$2,589,196
2,177
704
3.1
149
$743,770,603
$734,564,391
$115,171,049
107,940
43,026
2.5
150
$61,943,914
$61,478,716

35. $15,634,487
10,602
2,149
4.9
151
$105,780,894
$105,032,624
$20,204,477
19,788
7,243
2.7
152
$124,781,537
$123,308,045
$24,212,896
19,994
4,451
4.5
153
$242,394,350
$240,096,842
$39,926,300
44,124
14,675
3
154
$130,848,670
$128,978,937
$29,369,840
21,473
3,864
5.6
155
$147,209,699
$145,683,468
$29,240,390

36. 26,081
6,587
4
156
$68,118,583
$67,532,447
$11,549,067
11,793
4,232
2.8
157
$83,862,663
$82,933,469
$19,338,742
13,994
2,159
6.5
158
$105,030,831
$103,925,739
$22,495,262
18,960
4,691
4
159
$29,521,332
$28,923,064
$5,031,204
5,001
1,938
2.6
163
$2,148,988,542
$2,122,990,512
$467,990,473
239,050

37. 17,620
13.6
164
$1,428,503,330
$1,416,187,936
$290,008,331
155,304
22,343
7
165
$635,065,976
$629,869,374
$121,650,158
58,546
13,737
4.3
166
$2,602,377,375
$2,558,347,321
$571,477,012
331,466
28,637
11.6
167
$986,753,487
$978,536,248
$198,578,496
134,123
19,833
6.8
168
$171,133,027
$169,729,606
$31,693,069
20,968
5,092

38. 4.1
175
$908,434,177
$901,544,105
$187,762,074
155,868
23,706
6.6
176
$1,145,112,074
$1,135,932,979
$221,223,610
211,070
45,889
4.6
177
$4,457,215,315
$4,410,141,327
$1,026,870,149
769,347
93,710
8.2
178
$2,210,955,688
$2,191,984,480
$504,295,472
423,990
66,133
6.4
179
$416,452,790
$413,729,949
$88,940,008
85,851
18,001
4.8

39. 180
$1,284,827,495
$1,275,227,770
$267,397,650
210,791
28,937
7.3
181
$900,643,038
$894,087,677
$174,525,389
149,223
28,809
5.2
182
$74,627,956
$73,946,822
$12,773,248
11,867
3,372
3.5
183
$133,995,790
$133,159,511
$26,866,618
22,577
3,724
6.1
184
$166,959,982
$165,241,033
$27,861,734
26,537
6,356
4.2
185

40. $47,847,724
$47,489,201
$7,097,912
7,651
2,591
3
186
$536,208,140
$531,832,943
$116,459,021
92,287
14,007
6.6
187
$312,622,387
$310,522,201
$61,692,027
53,418
11,674
4.6
188
$75,631,809
$75,038,645
$13,695,045
13,329
3,933
3.4
189
$3,590,091,019
$3,550,434,146
$781,915,284
616,572
115,177
5.4
190
$5,331,771,619

41. $5,289,374,429
$1,111,789,327
995,302
189,511
5.3
191
$3,689,361,712
$3,650,203,391
$729,422,772
711,098
162,090
4.4
192
$2,692,247,215
$2,660,353,427
$477,513,733
543,919
155,808
3.5
193
$6,243,397,348
$6,195,818,601
$1,322,133,496
1,123,406
181,973
6.2
194
$4,921,375,189
$4,883,990,900
$990,294,781
980,308
209,875
4.7
195
$1,758,688,273
$1,743,970,112

42. $312,650,422
367,395
103,594
3.5
196
$370,607,649
$368,183,979
$75,034,953
65,006
9,427
6.9
197
$183,324,916
$181,958,814
$36,158,386
32,771
6,957
4.7
198
$74,695,848
$73,872,183
$13,751,232
13,061
3,654
3.6
199
$234,239,513
$232,886,330
$51,398,777
41,391
5,382
7.7
200
$245,730,432
$243,776,253
$46,709,755

43. 45,429
10,195
4.5
201
$65,104,991
$64,449,799
$12,042,391
13,097
3,801
3.4
202
$992,312,330
$981,557,749
$187,196,484
189,539
47,117
4
203
$518,293,194
$513,434,275
$85,833,193
105,622
34,348
3.1
204
$514,004,502
$504,954,010
$86,285,130
75,196
28,778
2.6
205
$336,993,851
$331,603,762
$69,630,226
52,310

44. 10,130
5.2
206
$451,201,658
$443,573,581
$79,099,834
69,705
22,999
3
207
$5,702,119,183
$5,579,978,300
$1,254,886,214
633,080
42,918
14.8
208
$5,264,999,423
$5,213,278,590
$1,080,395,088
622,232
89,338
7
215
$61,906,042
$61,904,603
$16,289,873
2,283
174
13.1
216
$3,330,212,592
$3,308,675,457
$746,726,517
221,193
13,396

45. 16.5
217
$1,187,916,590
$1,177,729,466
$249,437,008
73,142
7,137
10.2
218
$210,233,723
$209,394,595
$39,929,011
11,866
1,498
7.9
219
$3,987,383,021
$3,967,068,540
$901,413,865
244,055
19,726
12.4
220
$2,683,783,071
$2,671,122,329
$556,621,399
150,475
20,307
7.4
221
$646,800,897
$644,093,321
$126,057,893
34,213
5,777
5.9

46. 222
$811,192,645
$807,397,813
$179,064,971
43,619
3,746
11.6
223
$587,022,770
$583,764,460
$124,946,036
20,797
3,773
5.5
224
$721,353,404
$716,034,555
$155,780,185
36,019
3,704
9.7
225
$733,128,582
$726,367,167
$149,196,830
23,896
4,925
4.9
226
$1,656,132,471
$1,641,666,802
$371,808,538
86,896
10,124
8.6
227

47. $4,035,699,852
$3,954,850,755
$856,394,315
90,993
33,030
2.8
228
$618,592,717
$614,674,857
$137,393,898
42,423
3,133
13.5
229
$358,705,703
$356,979,074
$71,860,245
23,628
2,954
8
230
$83,037,450
$82,577,817
$16,210,423
4,805
875
5.5
231
$398,652,372
$396,310,272
$79,354,500
23,829
1,896
12.6
232
$200,525,637

48. $199,131,757
$35,663,391
11,383
1,335
8.5
233
$3,842,777,812
$3,812,450,251
$746,416,238
285,786
21,817
13.1
234
$3,650,691,817
$3,621,451,085
$642,646,014
256,771
29,990
8.6
235
$1,977,345,263
$1,966,583,917
$407,384,819
144,929
13,746
10.5
236
$2,745,488,842
$2,732,094,916
$499,422,455
184,221
28,981
6.4
237
$4,303,532,591
$4,275,617,709

49. $923,429,349
308,910
31,163
9.9
238
$3,607,244,778
$3,591,024,121
$702,553,151
180,646
47,152
3.8
239
$1,474,534,842
$1,435,999,300
$360,819,184
205,246
14,360
14.3
240
$632,020,795
$627,316,204
$139,530,545
99,207
11,296
8.8
241
$65,740,454
$65,263,114
$14,047,673
11,389
1,911
6
242
$2,515,393,506
$2,500,122,270
$564,491,048

50. 224,447
30,221
7.4
243
$2,539,964,225
$2,521,364,135
$533,810,848
184,404
40,943
4.5
244
$2,503,763,489
$2,463,796,482
$483,296,132
142,626
50,600
2.8
245
$491,284,046
$485,917,677
$104,733,081
18,236
4,758
3.8
246
$4,025,327,252
$4,000,624,351
$755,223,155
234,732
45,966
5.1
247
$9,653,692,665
$9,448,373,471
$1,482,828,905
374,698

51. 168,099
2.2
248
$1,648,080,726
$1,637,690,703
$315,173,096
122,803
20,154
6.1
249
$2,568,258,357
$2,498,806,459
$381,070,979
131,374
48,671
2.7
250
$983,685,801
$974,727,474
$194,312,123
81,308
11,786
6.9
251
$2,298,034,095
$2,283,366,953
$350,055,848
113,779
40,632
2.8
252
$4,258,539,051
$4,191,951,486
$960,671,651
428,200
53,716

52. 8
253
$3,003,481,089
$2,960,285,132
$583,151,731
273,367
48,656
5.6