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Diabetes Care Quality Improvement: Resource Guide

Table 2.3 Estimates of the Direct, Indirect and Total Cost Burden of Diabetes for 50 States and the District of Columbia, 2002

State Population Estimates (in 1,000s)a Diabetes Prevalence (in 1,000s)b Percent of Population With Diabetes Direct Medical Cost of Diabetesc Indirect Cost of Diabetesd Total Cost Burden of Diabetes
United States 288,369 15,139 5.2% $115,071,539,000 $49,792,171,000 $164,863,710,000
Alabama 4,487 301 6.7% $2,287,901,000 $989,989,000 $3,277,890,000
Alaska 644 19 3.0% $144,419,000 $62,491,000 $206,910,000
Arizona 5,456 249 4.6% $1,892,649,000 $818,961,000 $2,711,610,000
Arkansas 2,710 156 5.8% $1,185,756,000 $513,084,000 $1,698,840,000
California 35,116 1,795 5.1% $13,643,795,000 $5,903,755,000 $19,547,550,000
Colorado 4,507 153 3.4% $1,162,953,000 $503,217,000 $1,666,170,000
Connecticut 3,461 157 4.5% $1,193,357,000 $516,373,000 $1,709,730,000
Delaware 807 44 5.5% $334,444,000 $144,716,000 $479,160,000
District of Columbia 571 37 6.5% $281,237,000 $121,693,000 $402,930,000
Florida 16,713 1,038 6.2% $7,889,838,000 $3,413,982,000 $11,303,820,000
Georgia 8,560 454 5.3% $3,450,854,000 $1,493,206,000 $4,944,060,000
Hawaii 1,245 61 4.9% $463,661,000 $200,629,000 $664,290,000
Idaho 1,341 57 4.3% $433,257,000 $187,473,000 $620,730,000
Illinois 12,601 646 5.1% $4,910,246,000 $2,124,694,000 $7,034,940,000
Indiana 6,159 331 5.4% $2,515,931,000 $1,088,659,000 $3,604,590,000
Iowa 2,937 139 4.7% $1,056,539,000 $457,171,000 $1,513,710,000
Kansas 2,716 122 4.5% $927,322,000 $401,258,000 $1,328,580,000
Kentucky 4,093 228 5.6% $1,733,028,000 $749,892,000 $2,482,920,000
Louisiana 4,483 252 5.6% $1,915,452,000 $828,828,000 $2,744,280,000
Maine 1,294 71 5.5% $539,671,000 $233,519,000 $773,190,000
Maryland 5,458 281 5.1% $2,135,881,000 $924,209,000 $3,060,090,000
Massachusetts 6,428 287 4.5% $2,181,487,000 $943,943,000 $3,125,430,000
Michigan 10,050 571 5.7% $4,340,171,000 $1,878,019,000 $6,218,190,000
Minnesota 5,019 182 3.6% $1,383,382,000 $598,598,000 $1,981,980,000
Mississippi 2,872 201 7.0% $1,527,801,000 $661,089,000 $2,188,890,000
Missouri 5,673 293 5.2% $2,227,093,000 $963,677,000 $3,190,770,000
Montana 909 37 4.1% $281,237,000 $121,693,000 $402,930,000
Nebraska 1,729 74 4.3% $562,474,000 $243,386,000 $805,860,000
Nevada 2,173 97 4.5% $737,297,000 $319,033,000 $1,056,330,000
New Hampshire 1,275 55 4.3% $418,055,000 $180,895,000 $598,950,000
New Jersey 8,590 439 5.1% $3,336,839,000 $1,443,871,000 $4,780,710,000
New Mexico 1,855 81 4.4% $615,681,000 $266,409,000 $882,090,000
New York 19,158 1,025 5.4% $7,791,025,000 $3,371,225,000 $11,162,250,000
North Carolina 8,320 462 5.6% $3,511,662,000 $1,519,518,000 $5,031,180,000
North Dakota 634 28 4.4% $212,828,000 $92,092,000 $304,920,000
Ohio 11,421 674 5.9% $5,123,074,000 $2,216,786,000 $7,339,860,000
Oklahoma 3,494 187 5.4% $1,421,387,000 $615,043,000 $2,036,430,000
Oregon 3,522 160 4.5% $1,216,160,000 $526,240,000 $1,742,400,000
Pennsylvania 12,335 717 5.8% $5,449,917,000 $2,358,213,000 $7,808,130,000
Rhode Island 1,070 51 4.8% $387,651,000 $167,739,000 $555,390,000
South Carolina 4,107 263 6.4% $1,999,063,000 $865,007,000 $2,864,070,000
South Dakota 761 36 4.7% $273,636,000 $118,404,000 $392,040,000
Tennessee 5,797 373 6.4% $2,835,173,000 $1,226,797,000 $4,061,970,000
Texas 21,780 1,150 5.3% $8,741,150,000 $3,782,350,000 $12,523,500,000
Utah 2,316 73 3.2% $554,873,000 $240,097,000 $794,970,000
Vermont 617 26 4.2% $197,626,000 $85,514,000 $283,140,000
Virginia 7,294 356 4.9% $2,705,956,000 $1,170,884,000 $3,876,840,000
Washington 6,069 272 4.5% $2,067,472,000 $894,608,000 $2,962,080,000
West Virginia 1,802 134 7.4% $1,018,534,000 $440,726,000 $1,459,260,000
Wisconsin 5,441 225 4.1% $1,710,225,000 $740,025,000 $2,450,250,000
Wyoming 499 19 3.8% $144,419,000 $62,491,000 $206,910,000

a Source: Population Division, US Census Bureau; Release Date: December 20 2002. Table ST-EST2002-01 Available at: http://www.census.gov/popest/archives/2000s/vintage_2002/ST-EST2002-01.html.
b Source: CDC Diabetes Surveillance System. Available at: http://apps.nccd.cdc.gov/DDTSTRS/StateSurvData.aspx
cThe estimated direct medical cost per person with diabetes is $7,601 in excess of the cost of people without diabetes, adjusting for age. American Diabetes Association (ADA) (2003). Economic costs of diabetes in the US in 2002. Diabetes Care 26(3):917-932.
d The estimated indirect cost per person with diabetes is $3,289. American Diabetes Association (ADA) (2003). Economic costs of diabetes in the US in 2002. Diabetes Care 26(3):917-932.

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