Child Vaccination Costs Analysis 2020-2021
Explore the charged, allowed, and paid costs associated with child vaccinations under the age of 21 in the years 2020 and the third quarter of 2024. Analyze total costs, number of claims by age group, cost averages, and more to gain insights into vaccination expenses.
Uploaded on | 0 Views
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Charged, Allowed, and Paid Costs Child Vaccinations (21 and younger) Rate and Form Compliance Division Commissioner Vicki Schmidt Director Julie Holmes Anthony Depner Research Analyst 6/10/2025
Query Information The primary code in this query is Z23 . Z23 Encounter for immunization(s) Anyone over the age of 21 was excluded from this report. For this report, the years that were queried were 2020 through the third quarter of 2024. For each year, the cut off year changed since it needed to be 21 years before the year that was being queried. There may be some overlap with people who would be 21 in multiple years, but this was the simplest method to query the data. Lastly, each decade was separated into its own group. For example, all patients from the 2000-2004 are being grouped together under the 2000-2004 category. For every year, the grouping of years for patients were different since the years that were being included changed every year. 2
Total Costs by Type of Cost $1,417,897,580.64 $1,600,000,000.00 $1,400,000,000.00 $1,200,000,000.00 $730,418,858.34 $803,998,796.58 $1,000,000,000.00 COST($) $800,000,000.00 $600,000,000.00 $400,000,000.00 $200,000,000.00 $- Charged Allowed TYPE OF COST Paid 4
Number of Claims by Age Group 107,735 233,140 1,269,988 766,878 1999s (21) 2000-2004 (20-16) 2004-2009 (15-11) 2010-2014 (10-6) 2015-2019 (5-1) 2020s (0) 445,297 574,739 5
Cost Averages by Age Group $1,000.00 $900.00 $800.00 COST OF VACCIANTION($) $700.00 $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 1999s (21) $426.75 $219.56 $194.54 2000-2004 (20-16) $392.82 $220.37 $198.74 2004-2009 (15-11) $370.54 $223.05 $201.94 2010-2014 (10-6) $293.20 $177.92 $159.16 2015-2019 (5-1) $411.55 $240.28 $219.99 2020s (0) $917.53 $466.63 $435.00 Charged Allowed Paid YEAR RANGE (AGES) Allowed Charged Paid 6
Analytic Overview Total Costs: Charged - $1,417,897,580.64 Allowed - $803,998,796.58 Paid - $730,418,858.34 The range 2000-2004 (20-16 age range) had the highest number of claims at 1,269,988 claims. The year 1999 (21) had the lowest number at 107,735. For averages per type of cost: The year 2020 (0) had the highest average for all three types, with charged at $917.53, allowed at $466.63, and paid at $435.00. The range of 2010-2014 (10-6) had the lowest for all three types, with charged at $293.20, allowed at $177.92, and paid at $159.16. 7
Total Costs by Type of Cost $2,188,351,443.79 $2,500,000,000.00 $2,000,000,000.00 $1,171,847,720.32 $1,068,486,218.82 $1,500,000,000.00 COST($) $1,000,000,000.00 $500,000,000.00 $- Charged Allowed TYPE OF COST Paid 9
Number of Claims by Age Group Total Vaccinations 648,798 1,248,242 2000-2004 (21-17) 2005-2009 (16-12) 2010-2014 (11-7) 2015-2019 (6-2) 2020-2021 (1-0) 726,211 734,047 1,110,821 10
Cost Averages by Age Group Average Child Vaccination Cost $1,200.00 $1,000.00 COST OF VACCINATION($) $800.00 $600.00 $400.00 $200.00 $- 2000-2004 (21-17) $422.28 $216.45 $189.89 2005-2009 (16-12) $411.07 $234.40 $213.49 2010-2014 (11-7) $388.70 $227.68 $211.20 2015-2019 (6-2) $320.93 $185.27 $158.42 2020-2021 (1-0) $1,057.69 $523.46 $499.73 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 11
Analytic Overview Total Costs: Charged - $2,188,351,443.79 Allowed - $1,171,847,720.32 Paid - $1,068,486,218.82 The range 2000-2004 (20-17) had the highest number of claims at 1,248,242 claims. The year 2020-2021 (1-0) had the lowest number at 648,798. For averages per type of cost: The year 2020-2021 (1-0) had the highest average for all three types, with charged at $1,057.69, allowed at $523.46, and paid at $499.73. The range of 2015-2015 (6-2) had the lowest for all three types, with charged at $320.93, allowed at $185.27, and paid at $158.42. 12
Total Costs by Type of Cost $1,331,277,531.73 $1,400,000,000.00 $1,200,000,000.00 $1,000,000,000.00 $707,831,812.42 $653,364,079.81 $800,000,000.00 COST($) $600,000,000.00 $400,000,000.00 $200,000,000.00 $- Charged Allowed TYPE OF COST Paid 14
Number of Claims by Age Group Total Vaccinations 389,318 649,272 2001-2004 (21-18) 2005-2009 (17-13) 2010-2014 (12-8) 2015-2019 (8-3) 2020-2022 (2-0) 566,641 570,060 513,398 15
Cost Averages by Age Group Averages Child Vaccination Cost $900.00 $800.00 COST OF VACCINATION($) $700.00 $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 2001-2004 (21-18) $540.14 $287.43 $263.93 2005-2009 (17-13) $451.63 $247.70 $225.10 2010-2014 (12-8) $347.62 $202.76 $186.12 2015-2019 (8-3) $302.07 $168.39 $151.50 2020-2022 (2-0) $792.29 $393.49 $371.40 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 16
Analytic Overview Total Costs: Charged - $1,331,277,531.73 Allowed - $707,831,812.42 Paid - $653,364,079.81 The range 2020-2022 (2-0) had the highest number of claims at 649,272 claims. The year 2001-2004 (16-12) had the lowest number at 389,318. For averages per type of cost: The year 2020-2022 (2-0) had the highest average for all three types, with charged at $792.29, allowed at $393.49, and paid at $371.40. The range of 2015-2019 (7-3) had the lowest for all three types, with charged at $302.07, allowed at $168.39, and paid at $151.50. 17
Total Costs by Type of Cost $989,515,108.91 $1,000,000,000.00 $900,000,000.00 $800,000,000.00 $471,444,641.99 $512,956,053.00 $700,000,000.00 $600,000,000.00 COST($) $500,000,000.00 $400,000,000.00 $300,000,000.00 $200,000,000.00 $100,000,000.00 $- Charged Allowed TYPE OF COST Paid 19
Number of Claims by Age Group Total Vaccinations 194,087 575,242 2002-2004 (21-19) 2005-2009 (18-14) 2010-2014 (13-9) 2015-2019 (8-4) 2020-2023 (3-0) 411,958 366,112 343,343 20
Cost Averages by Age Group Average Child Vaccination Cost $800.00 $700.00 COST OF VACCINATION($) $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 2002-2004 (21-19) $574.63 $260.54 $232.86 2005-2009 (18-14) $505.80 $262.27 $240.07 2010-2014 (13-9) $441.15 $253.14 $233.15 2015-2019 (8-4) $316.29 $179.64 $159.19 2020-2023 (3-0) $699.45 $350.58 $328.59 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 21
Analytic Overview Total Costs: Charged - $989,515,108.91 Allowed - $512,956,053.00 Paid - $471,444,641.99 The range 2020-2023 (3-0) had the highest number of claims at 575,242 claims. The year 2002-2004 (21-19) had the lowest number at 194,087. For averages per type of cost: The year 2020-2023 (3-0) had the highest average for all three types, with charged at $699.45, allowed at $350.58, and paid at $328.59. The range of 2015-2019 (8-4) had the lowest for all three types, with charged at $316.29, allowed at $179.64, and paid at $159.19. 22
Total Costs by Type of Cost $319,313,091.58 $350,000,000.00 $300,000,000.00 $250,000,000.00 $150,225,716.75 $163,284,532.30 $200,000,000.00 COST($) $150,000,000.00 $100,000,000.00 $50,000,000.00 $- Charged Allowed TYPE OF COST Paid 24
Number of Claims by Age Group 91,512 202,008 2003-2005 (21-19) 2006-2009 (18-15) 2010-2014 (14-10) 2015-2019 (9-5) 2020-2024 (4-0) 114,971 69,268 96,799 25
Cost Averages by Age Group Average Child Vaccination Cost $800.00 $700.00 COST OF VACCINATION($) $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $- 2003-2004 (21-20) $538.32 $275.15 $250.71 2005-2009 (19-15) $461.73 $242.62 $216.33 2010-2014 (14-10) $478.79 $280.96 $262.31 2015-2019 (9-5) $397.90 $201.38 $178.76 2020-2024 (4-0) $708.18 $341.89 $319.98 Charged Allowed Paid YEAR RANGE (AGES) Charged Allowed Paid 26
Analytic Overview Total Costs: Charged - $319,313,091.58 Allowed - $163,284,532.30 Paid - $150,225,716.75 The range 2020-2024 (4-0 age range) had the highest number of claims at 202,008 claims. The year 2015-2019 (9-5) had the lowest number at 69,268. For averages per type of cost: The year 2020-2024 (4-0) had the highest average for all three types, with charged at $708.18, allowed at $341.89, and paid at $319.98. The range of 2015-2019 (9-5) had the lowest for all three types, with charged at $397.90, allowed at $201.38, and paid at $178.76. 27
Total Costs by Type of Cost 2020 - 2024 $2,500,000,000.00 $2,188,351,443.79 $2,000,000,000.00 $1,417,897,580.64 $1,331,277,531.73 $1,500,000,000.00 $989,515,108.91 $1,171,847,720.32 $803,998,796.58 $319,313,091.58 $1,000,000,000.00 $707,831,812.42 $1,068,486,218.82 $512,956,053.00 $163,284,532.30 $730,418,858.34 $500,000,000.00 $653,364,079.81 $150,225,716.75 $471,444,641.99 $- 2019 2020 2021 2022 2023 2024 2025 Charged Allowed Paid 28
Total Number of Claims 2020 - 2024 4,468,119 4,500,000 3,397,777 4,000,000 2,688,689 3,500,000 NUBER OF DATA POINTS 3,000,000 1,890,742 2,500,000 2,000,000 1,500,000 574,558 1,000,000 500,000 - 2020 2021 2022 YEAR 2023 2024 29
Total Number of Claims by Age Group (All years) Counts 3,500,000 3,120,547 3,000,000 2,710,896 2,457,016 2,500,000 NUMBER OF CLAIMS 2,203,760 2,071,690 2,000,000 1,500,000 1,000,000 500,000 107,735 - 1999s 2000-2004 2004-2009 2010-2014 2015-2019 2020s AGE RANGES 30
Total Overview 2021 had the highest cost of claims for charged, allowed and paid. That year also had the highest number of total claims by far. This can mostly be attributed by the Covid-19 vaccination becoming available in Kansas in 2021. It seemed that the youngest age group every year (except 2020) had the most expensive vaccination costs on average. In 2020, the 2000-2004 (ages 20-16) had the most charged, allowed and paid. In 2020 and 2021, those born from 2000- 2004 had the most claims. For 2022-2025, those born from 2020 and later had the most claims. 31
Contact Us 785-296-3071 KDOI@ks.gov insurance.kansas.gov @KSinsurancedept 1300 SW Arrowhead Road, Topeka, KS 66604
