, v y ■ A- PHYSICIANS ° DENTISTS o o NURSES ° ° ° CLINICS o o PHARMACISTS Commonwealth op Pennsylvania N *V Department op Public Assistance Howard L. Russell • Secretary Pennsylvania Medical Assistance Program PREPARED BY Bureau op Research & Statistics Emmett H. Welch • Director OCTOBER 23. 1939 i47 North Cameron Street . Harrisburg, Pennsylvania TABLE OF CONTENTS Part I Page Description of Pennsylvania’s Medical Assistance Program •••.••••«.»•• 1 Scope of Program •••••.•»•.... 1 Administrative Organization-Professional Committees 1 Control over Expenditures 2 Control over an Inflated Demand for Service 2 Securing Medical Aid 3 Maximum Service Charges •••••,.•••••••••••••.• 3 Part II Statistical Summary: September, 1938 - July, 1939 5 Number of Patients Receiving Service *•••••#•••*,• .......... 6 Approved Bills for Medical Service • •*•••.■>••••••••*••*.•»••#••••• 7 Reductions in Bills by County Committees »•»••••*••••#*••••#•.••* 8 Size of Individual Apprpved Bills •••••»•••«•••*#••*«»•••*••••••. 10 Proration of Bills »•••«••*»•*,«##••......•.•.»• 11 Effect of Controls on Expenditures *••••.•••••••••••#•••»••.*•••• 11 Participation in the Program 12 Number of Visits 13 Special Services 13 Chart I. Amounts Charged, Amounts Approved, and Amounts Paid (Pharmaceutical Bills Excluded): September, 1938 - April, 1939 . Fallowing Page 12 Appendix Tables I* Allocations, Amounts Paid to Participants by Class of Parti- cipant, and Proration of Bills after Approval by County Healing Arts Assistance Committees, by Month: September, 1938 - September, 1939 ••••••••••• *•*•••«••••*•• .... i II* Percentage Proration of Approved Bills for Participants other than Pharmacists, by Month and by County: September, 1938 - July, 1939 , * ii III. Total Amounts Paid to Participants, by Month and by County: September, 1938 - July, 1939 •••»••••.••••••••••.••••••••*•••*' ill IV, Percentage Share of Each Glass of Participant in Total Amounts Paid, by County: March, 1939 iv V* Total Amounts Approved by County Healing Arts Assistance Com- mittees, by Month and by County: September, 1938 - July, 1939# v VI# Average Approved Amount per Person on Assistance Rolls, by Month and by County: September, 1938 - July, 1939 »•••.»•••••• vi VII* Average Approved Amount per Person on Assistance Rolls, by Type of Assistance and by Month: September, 1938 - June, 1939 * vii-viii Appendix Tables (Continued) VTII-A* Average (Median) Approved Amount per Physician and Frequency Distribution of Participating Physicians, by Amount of Approved Bills and by County: March, 1939 ix-x VIII-B. Average (Median) Approved Amount per Dentist and Frequency Distribution of Participating Dentists, by Amount of Approved Bills and by County: March, 1939 xi-xii VIII-G, Average (Median) Approved Amount per Pharmacy and Fre- quency Distribution of Participating Pharmacies, by Amount of Approved Bills and by Comity: March, 1939 xiii-xiv IX, Average Approved Amount per Patient Receivin'* Service, by Type of Assistance and by Month: September, 1938 - April, 1939 •••«•;•«»,• , .... xv X. Per Gent Reductions Made by County Healing Arts Assistance Committees before Approving Bills, by Month and by County: September, 1938 - duly, 1939 0.«»•»•.••••• xvi XI-A. Number of Physicians Submitting Bills Reduced by County- Healing Arts Assistance Committees and Frequency Distri- bution of Physicians with Reduced Bills, by Per Cent of Reduction and by County: March, 1939 D...••»•••••••••••*•• xyii-xriii XI-B. Number of Dentists Submitting Bills Reduced by County Heeling Arts Assistance Committees and Frequency Distri- bution of Dentists with Reduced Bills, by Per Cent of Re- duction and by County: March, 1939 ......... xix-xx Number of Professional Practitioners Participating in Program and Ratio of Number Participating to Total Number Registered, by Class of Participant and by Month: September, 1938 - June, 1939 • .... xxi-xxii XIII, Number of Patients Receiving Service, by County and by Month: September, 1938 - April, 1939 xxiii XIV. Ratio of Number of Patients Receiving Service to Total Number of Persons on Assistance Rolls, by County and by Month: September, 1938 - April, 1939 xxiv XV. Number of Patients Receiving Service and Ratio of Number Receiving Service to Total Number of Persons on Assistance Rolls, by Type of Service, by Type of Assistance and by Month; September, 1938 - April, 1939 o'.*....***.** xxv-xzvi XVI. Incidence of Diagnoses, by Month; September, 1938 - March, 1939 ••••••••••...o.. xxvii XVII. Average Number of Visits per Diagnosis, by Type of Visit and by Diagnosis ; March, 1939 «*•••••<>.»••••.. xxviii XVIII. Number of Special Services Rendered and Amounts Approved for Special Service, by Class of Participant and by Type of Service: March, 1939 xxix PART I DESCRIPTION OF PENN 3S LVANIA * S MEDICAL ASSISTANCE PROGRAM Along with food, clothing, shelter, and fuel, medical care is a fundamental necessity Included in the Pennsylvania pu lie assistance program* However, the cost of medical service, unlike that of the other basic needs, is impossible to predict on an individual basis. Therefore, recipients of public assistance are given no budget allowance for medical care, but it is provided "in kind" to those who need it. Scope of the Program* Pennsylvania’s present medical assistance program pro- vides for necessary medical, nursing, and pharmaceutical service, and emergency dental care* V/hon the program was launched on September 15, 1938, it included the services of physicians (allopathic, homeopathic, and osteopathic), dentists, and pharmacists. Nursing service was added in November, 1938, and clinical service in February, 1939, All regularly licensed members of the healing arts professions included in the program are eligible to participate, and the assistance recipient is allowed a Tree choice of practitioner. Admin1 strative Orpanization—Prof essional Ccmmittees, The Pennsylvania medical assistance program lias been placed under the supervision of a State Healing Arts Assistance Committee and local county committees* The State Committee is composed of one member from each of the professions participating in the program* Policies relating to the medical assistance program are recommended to the State Board of Public Assistance by the State Healing Arts Assistance Committee* The program is supervised in each county by a local County Healing Arts Assistance Committee which comprises one practicing member of each of the following participating professional groups: Medical Society of Pennsylvania Homeopathic Medical Society of Pennsylvania Pennsylvania Osteopathic Association Pennsylvania State Dental Society Pennsylvania State Nurses Association \j Assistance recipients referred to in this report arc those person receiving aid under any of the four programs ( :n«ral assistance, old-age assistance, aid to dependent children, and blind pensions) a chain Is tered by the Department of Public Assist -nee* Hospital Association of Pennsylvania Pennsylvania Pharmaceutical Association Tlie principal duty of the county committee is to pass upon, approve, disapprove, reduce, or prorate bills for services rendered by individual partici- pants# Bills are reviewed by subcommittees which consist of the practitioner who represents a particular professional group on the County Committee and two other practitioners of the same profession. For example, the dental subcommittee consists of the dentist on the County Committee and two other practicing dentists# Control over Expenditures. In order to keep expenditures within the limits of available resources, a monthly allocation is made to :ach county on the basis of a certain amount for each person on County assistance rolls# -i Once it is mad© for a given month, the allocation may not be increased or decreased; nor may an available balance from one month be carried forward and applied to the allo- cation for the next month0 Approved pharmaceutical bills are paid in full, since they represent charges for materials as well as for services# When the available balance of the allocation after deducting the full amount of approved pharmaceutical bills is not sufficient to cover the amount of approved bills for other participants, the latter bills are reduced on a prorata basis in order to bring them within the limits of available funds* Control ovor an Inflated Demand for Service# All persons receiving assistance are eligible for medical aid# Determination of medical need, however, requires professional competence and is the responsibility of the participating prac- titioners# It is the duty of professional participants to give treatment only where the symptoms indicate an actual need and to confine that treatment to a minimum adequate service. It is the duty of the local professional committee to disapprove invoices for any service which is rendered unnecessarily and to reduce invoices for any service which is more than a minimum consistent with good professional practice. For instance, a physician submits an invoice showing 5 home visits at $2.00 each for treatment of a given illness. If it has been the experience of the county committee that similar cases require an average of only 3 visits the physician*s bill is reduced from $10.00 to $6.00#Such 2/ Monthly p.r person allowances from September, 1938, through September, 1339, were as follows; September 15-3.) (9 month) --Philadelphia, 5' 7; and oil other counties 7,>3. October and November --Philadelphia II*', all other counties 15h December I county (Philadelphia) I lr/t 1)6 counties 15f/, 20 counties 2u$» January —I county (Philadelphia) I l;7, 33 counties 157, 33 counties ?O0. February I county (Philadelphia) I I26 counties 15(7, 40 counties ?.!)./,, March-Septembc.r —all counties 20 7. 3/ If the information on the invoice is not sufficient for the committee to determine the adequacy of service, the invoice may be h.;M for further information. reductions are made before the bills are approved and should not be confused with the pro rata reductions or prorations which are applied, if necessary, to approved bills in order to bring them within the monthly allocation. Securing Medical Aid, When in need of medical attention, an assistance recipient may go directly to the physiexan of his choice or to a hospital clinic. If unable to leave his home, he may request the physician to make a home visit, ’When proper treatment of the patient requires medicines which are not ordinarily dispensed by the physician or hospital clinic, the physician fills in a standard prescription blank which may bo presented by the patient to any pharmacist. Scrums and anti-toxins may not bo proscribed. Pneumonia serums, diphtheria anti-toxins, tetanus anti-toxin, anti-moningococcic serums, etc,, are furnished free of charge by the State Department of Health and by the city health departments in Philadelphia and Pittsburgh, Drugs for syphilitic patients are also furnished by the State Department of HGa.ith, An assistance recipient suffering from a d ntal condition which can bo relieved only by the extraction of one or more teeth may go directly to the dentist of his choice. Dental care provided under the medical assist- ance program is limited to emergency extractions for the relief of pain. Nursing service may be requested by the patient, the family, the Department of Public Assistance, the physician, or by friends. All requests are answered, but nursing care is continued only when a physician is in attendance. Wherever possible, nursing service is provided through existing nursing agencies. Otherwise, nursing care may be rendered by graduate regis- tered nurses. Nursing visits are limited to a minimum in accordance with the physician’s orders and the nursing needs of the case. The program makes no provision for hospitalization. Assistance recipients who require hospitalization are taken care of through facilities in the State-aided and State-owned hospitals. Maximum Service Charges. Physicians are allowed CO per office visit and $2,00 per hone visit. On a visit to a household containing more than one assistance recipient in need of medical attention, the physician is expected to cover all patients on ono charge, A fee of $25,00 is allowed for obstetric cases. This includes delivery and adequate pre and post-natal care. Special medical services such as treatment of fractures and operations are permitted. In these cases 50 per cent of the usual fee is the working basis for determining the amount allowed the participating physician. For each mile traveled beyond a radius of five miles from his office, the physician is allowed 5 cents per mile. Dentists are allowed $2*00 for the extraction of the first tooth and $1.00 for each additional tooth. Fees are limited to $5,00 for one person on any one invoice* Additional members of the same family or assistance group applying to the dentist at the some time may be charged for at the rate of $1,00 for the extraction of each tooth, but the fee is limited to a maximum of $4*00 for each such additional person. If conditions indicate an unusual number of extractions, special arrangements may bo made with the County Healing Arts Assistance Committee* Nurses are allowed 95 cents per visit and $5.00 for assisting a physician during a delivery. For travel beyond a radius of 5 miles from headquarters, nurses are allowed the same mileage charge as physicians. Hospital clinics are allowed 50 cents per visit. In cases whore an X-ray is necessary to determine the presence or absence of fractures, the allowed X-ray fee is $5*00, For proscriptions containing a single U.S.lu or N.F. ingredient, pharmacists may charge cost of ingredients plus 5 cents for container plus 85 cents professional fee. Whore a prescription calls for two or more U.S.P, or N.F* ingredients or compounds, the pharmacist is allowed the cost of ingredients plus 5 cents for container plus 50 cents professional fee. Other prescriptions are limited to certain specified ingredients and may be charged for at cost plus 30 per cent mark-up. PART II STATISTICAL SUMMARY . SEPTEMBER. 1938—JULY. 1939-' The medical assistance program recognizes the principle that health service is a basic necessity, and that the provision of medical care to the needy sick is the responsibility of government and not alone that of the practitioners of the healing arts professions. It should be borne in mind, however, that the program is frankly of an emergency nature and is not conceived to bo a complete health service. No attempt is made here to evaluate the adequacy of tho medical service provided or to deal with tho technical medical aspects of the program. This report is confined to a summary of statistics dealing with the administration of the program and with the volume and cost of medical assistance. Tho principle findings are briefly summarized as follows: Since the inception of the program in September 1938, there has boon a rapid rise in volume of service rendered. This rise has boon reflected in an increase in number of patients treated as well as in the amount of approved bills* There is marked variation among the four assistance groups in the per capita cost of supplying medical care. For the State as a whole reductions in bih s by local professional committees are relatively small, but seme county committees are consistently severe in cutting bills while others are consistently lenient. The typical approved bill was relatively small, but there were a few instances where bills were approved for large amounts. In most counties during the first few months of the program, it was not necessary to prorate bills to any great extent, but as the program got under way and broadened in scope, allocations became inadequate despite the fact that they were increased to tho limit allowed by the financial situation of the Department, During tho summer months allocations were more nearly adequate because of the normal seasonal decline in volume of illness. During tho month of March 1939 (when the volume of medical service rondorod roachod its peak), participants in the program included 36 per cent of the registered physicians in the State, 29 per cent of tho registered dentists and 53 per cent of the registered pharmacies* In addition to these, 225 nurses and nursing agencies and 126 hospital clinics participated in the program. Of every dollar spent (prorated amount) for medical service during March 1939, 64 cents went to physicians, 7 cents to dentists, 21 cents to pharam<£*“ cists, 3 cents to nurses and 5 cents to clinics (see Appendix Table IV). Medical service rendered during March involved approximately 135,500 physicians* visits, 8,000 dental visits, 8,900 nursing visits, and 30,400. clinical visits. Special service (obstetrical, X-ray, etc.) was extended during March to 14,390 cases* Clinics were ablo to render special service much more economi- cally than were private physicians. in J+/ Invoices fiileci/anJ submitted by professional participants are the principal source of statistical data concerning the medical assistance program. Because of delayed receipt of invoices from the counties, data for the months of May, June, and July are incomplete t footnote to Appendix Table l). Numbor of Patients Receiving Service. The total number of different patients receiving service under the medical assistance program rose from 22,500 in October, 1933, (the first complete month during which the program was in operation) to a peak of 75,604 in March, 1939. The 75,604 patients receiving service during March were treated for a total of about 79,000 illnesses.2' This represented an incidence rate of 812 illnesses for every 10,000 persons on assistance rolls (see Appendix Table XVI for monthly incidence of specific diagnoses). In April the number of patients dropped to 64,574 and available figures indicate further declines in May and Juno. Although changes in the State-total assistance popu- lation during the period would naturally affect the number of patients receiving service, such changes have been only a minor factor in the rapid extension of medical service to a greater number of patients. This is demonstrated in the tabulation below which shows that regardless of increases and decreases in the number of persons receiving assistance there was a steady rise from September through March in number of patients receiving medical service, and in the proportion of the total assistance population which those patients represented. Patients deceiving Medical Service Total Persons on State Assistance Rolls Total Number per 1,000 of Assistance Po Month Number September, 1933 October 846,310 842,798 789,758 817,818 905,037 967,880 4,645 22,497 25,123 29,987 42,747 67,575 November December January, 1939 February March April 968,905 940,211 Undupl icatfe Hofents r once. i[3ee Appendix Tabl 75,604 78 64,574 69 eceiving more than one type of service are counted only es XIII and XIV for numb**-.'of patients by county, and Appendix Table XV for number of patients by type of assistance and by type of service). The marked rise in volume of service from September through March was reflection of (1) the increasing familiarily of relief recipients with the pro- gram as it got under way, (2) the expansion of the program to include the service of nurses and clinics, and (3) the normal seasonal increase in volume of illness which reaches its peak in March. The decline from March to April is accounted for by the seasonal decrease in incidence of illness. According to the normal 5/ The same patient may be treated for more than one illness in the same month. - 6 - seasonal pattern this decline should continue through June, -1 Approved Bills for Medical Service. Paralleling month to month changes in the 7 / number of patients, the amount of approved bills for medical service- increased from $88,000 (10 cents per person on assistance rolls) in October, 1938, to $290,000 (30 cents per person on assistance rolls) in March, 1939, and then dropped to $242,000 (26 cents per person on assistance rolls) in April. (See Appendix Tables V, VI, and VII). It is interesting to note that the average approved amount per person on assistance rolls varied considerably among the different types of assistance. This is primarily attributable to tho fact that the four assistance groups differ in ago composition. Tho following tabulation for tho month of March 1939 shows tho dif- ferences among assistance groups in relative number of patients receiving service, in the average approved amount for each patient receiving service, and in the average approved amount per person on assistance rolls* Typo of Assistance Number of Patients Receiving Service per 1,000 of Assistance Population (See Appendix Table XT) Average Approved Amount per Patient Receiving Service (See Appendix Table IX) Average Approved Amount per Person on Assistance Rolls (Se o Appe nd i x Tab le TH) (1) (2) (3) General Assistance 80 $ 3*64 $ 0*29 Old-Age Assistance 86 5.47 0.47 Aid to Dependent Children 58 3*44 0.20 Blind Pension 64 5*77 0.37 The average approved amount per person on assistance rolls (Column 3) was considerably higher for recipients of old-age assistance than for recipients of any other typo of assistance. As may be noted in tho above tabulation the relatively greater approved amount for service rendered to the old-age assistance group results primarily from tho fact that the average approved amount per patient receiving service (Column 2) was high, and secondarily from the fact that a relat- ively greater number of patients (Column l) was treated. 6/ Based on seasonal variation in mortality from all causes in Pennsylvania, 1936. Seasonal variations in illness are fairly well represented by variations in mortality rates, 7/ The amount of approved biI I a is the best index of volume of service rendered in accordance with the rules of the program since actual expenditures (amounts paid) art I imi ted to monthly allocations. 8/ Age composition of each assistance group is as follows! Gen err I Assistance -- All ages. Oid-Ape Assistance — Over 70 years of age. Aid" to Dependent Children — About 70% children under 16 years of age and 30/' mothers of these children who are almost all between 21 and 55 years of age. Blind.Pens ions — Over 2! years of age. About 75$ of the blind pensioners are over 60 years of ago. Among blind pensioners (who represent almost as old a group as do old-age assistance recipients) the average approved amount per patient receiving service (column 2) was also high, but the number of patients receiving service per 1,CCC of assistance population (column l) was comparatively low. 2/ Consequently the average approved amount per assistance recipient (column 3) was not as great for the group receiving blind pensions as it was for the group receiving old-age assistance. The greater per patient approved amounts (column 2) associated with the old-age assistance and blind pension groups reflect the fact that illness is more severe among the older age groups and consequently requires more treat- ment, Furthermore the aged and the blind, being less able to move about, require relatively more treatment in their own homes which is much more costly than treatment in physicians* offices or hospital clinics. For the aid to dependent children group the average approved amount per person on assistance rolls (column 3) was lower than for any other group.il/This is traceable primarily to the fact that relatively fewer patients (column l) re- ceived service and secondarily to the fact that the average approved amount per patient receiving service (column 2) was comparatively low. Reductions in Bills by County Committees, In any organized system of medical care for assistance recipients, the administration much exercise certain controls in order to prevent extreme demands for service by patients as well as to prevent the tendency of a very few professional participants to provide an excessive amount of service. As described above, control over excessive service is oxcerciscd by local professional committees which review bills and eliminate charges for any service which is considered unnecessary or excessive. As may be noted in the tabulation on the following page, reductions in bills for the State as a whole were not very large, the greatest reduction for all bills being about 8 per cent in March, 9/ A probable reason for ths relatively low number of Mind pensioners receiving medical service is the fact that tbs blind pension procram is the only program under the Department of Public Assistance which is not administered strictly on the basis of need# It is possible for a blind person to be eligible for a pension even though he has a certain amount of income and liquid property resources. Some blind persons with outside income have probably preferred to obtain medical service without making use of the medical assistance program. 10/ On the surface it would seem that a group composed of 7) per cent children would require a relatively high amount of medical service since there are so many diseases to which children are susceptible. However, volume of illness among children is abnormally high only at ages under 6 years. It should be noted that at out 80 per cent of the children on aid to dependent children rolls are six years of age or over. The volume of illness among children between <3 and 15 years of are is below the average for all age groups. Per Cent Reductions Made by County Healing Arts Committees Before Approving Bills. Assistance Month Total Physicians Dentists Nurses Clinics September, 1938 4 • 0 'Jo 4.4$ 0.0 % -% October 6,6 7.1 2.7 - - November 5.3 5.8 1.5 0.8 - December 6.4 7.1 1.7 0.6 - January, 1939 7.5 8,4 2.3 0.5 - February 7.8 8.9 3.1 0.4 2.2 March 8.2 9.5 2.9 0.7 1.7 April 7.5 8.7 2.5 0.3 1.8 Note: Pharmaceutical bills arc excluded in calculating p r cent reductions. The greatest percentage of reduction was ap. lied to physician’s bills# Even here, however, the monthly reductions were relatively small, not exceeding about 9 per cent of amounts charged. Monthly reductions applied to dental and clinical bills did not exceed approximately 2 or 3 per cent, and reductions of nurses’ bills were practically negligible. During the month of March (when the volume of service rendered reached its peak and bills were reduced by the greatest relative amounts) 1,741 or 37 per cent of the participating physicians and 198 or 11 per cent of the participating dentists were affected in some measure by reduction of bills* Physicians and dentists who submitted bills which were reduced are distributed below according to tho percentage of reduction (Figures for March, 1939)#-~-/ Per Cent of Physicians Affected Dentists Affected Reduction By Reductions By Reductions Number Per Cent Number Per Cent Total 1,741 100.0 198 100.0 6.1 - 5.C *}o 352 20,2 34 17.2 5.1 - 1C.C 332 19.1 42 21,3 10,1 - 15,0 232 13.3 23 11.6 15,1 - 20.0 205 11,8 25 12.6 20.1 - 25,0 150 8,6 23 11.6 25.1 - 30.0 109 6*3 12 6.1 30,1 - 35.0 106 6.1 14 7.1 35,1 - 40.0 70 4.0 9 4.5 40.1 - 45.0 45 2.6 4 2,0 ix5.1 "• 50,0 61 3.5 5 2.5 50,1 and over 79 4,5 7 3.5 In almost two-thirds of the cases where charges for physicians1 services were disallowed, the reduction amounted to 20$ or less of the particular physician’s total bill* The average (median) reduction was about 14 per cent of ii/ Sotf Appendix Tab lea XI A arid XI R for county distribution. the total amount charged. Dentists affected by reductions were distributed in approximately the same manner. (See tabulation on preceding page). Severity exercised by local committees in cutting bills varied considerably among the counties. During the month of March, for example, there were no reductions whatsoever in Cameron, Forest, Pike, and Sullivan Counties; whereas among other counties, reductions ranged from less than 1 per cent in Warren to 29 per cent in Lancaster (see Appendix Table X). Some count}?- committees, notably Lancaster and Chester, wore consistently severe in cutting bills while others, notably Forest, Pike, and Sullivan, applied very little reduction. Presumably this wide variation among counties in the size of reductions is not the result of any corresponding variation in the amount of excessive service rendered. Rather it is a reflection of differences in policy among local committees. Some committees probably use reductions as a method of keeping the total amount of approved bills somewhere near the amount of the allocation so that a large pro rata reduction may be avoided. In some counties there was evidence that the committee had suddenly changed its policy with regard to reductions. The most notable example of this was in Armstrong where the monthly reductions, which from September through March had never exceeded approximately 10 per cent of amounts charged, suddenly jumped to 28 per cent in April, 35 per cent in May, and 36 per cent in June (see Appendix Table X), Size of Individual Approved Bills. Appendix Tables VIII A, VIII B, and VIII C contain distributions of physicians, dentists, and pharmacies participating in the program during March, 1939 by size of individual approved bills. The average (median) approved bill was $24.95 for physicians, $8.79 for dentists, and $8.74 for pharmacies. Although the typical individual approved bill was very small there were a few instances in which very large amounts were approved. One physician in Allegheny County submitted a bill for the month of March which was approved for $1,230. largest approved dental and pharmaceutical bills in the State during March were $154 and $441 respectively. It should bo kept in mind, however, that instances of extremely large bills are relatively rare. Proration of Bills. During the early months of the program in most counties it was not necessary to prorate approved bills to any great extent (see Appendix Table II)* Monthly allocations at the inception of the program were 11 cents per person on assistance rolls in Philadelphia and 15 cents in all other counties. During the months of December, January, and February allocations were increased to 20 cents per person on assistance rolls in many counties. As the program broadened in scope, however, and the volume of service grow, allocations became definitely inadequate. The critical financial situation confronting tho Department made it impossible to increase allocations sufficiently to meet the sharp rise in the amount of approved bills. In February, 1939, amounts paid to participants the average (median) county represented only SC- por cent of approved bills. Since March, 1939, a flat monthly allocation of 20 cents per person on assistance rolls has been made to every county in the State. In March participants-"''in the average (median) county were paid 65 per cent of approved bills. This figure rose to 74 por cent in April and available figures indicate that allocations were more nearly adequate in most counties during the months of May and June when there was a seasonal decline in incidence of illness. Effect of Controls on Expenditures. There are three distinct sets of financial data associated with the medical assistance program. These are (1) "amounts charged" - the amount of bills as originally submitted by professional partici- pants, (2) "amounts approved" - the amount of bills after review and approval by County Healing Arts Assistance Committees, and (3) "amounts paid" - the amount of approved bills after proration (the amount actually paid to partici- pants). Amounts paid as reported here may differ slightly from actual ex- penditures because of certain adjustments made after auditing invoices in the State Office. Tho tabulation on tho foHoning page shows hox? expenditures for modical assistance aro affected by the application of controls for the conser- vation of funds. Since pharmaceutical bills are not subject to proration, they are not included in the tabulation. If there were no control whatsoever tho cost of the same amount of service ’would be represented in column (1). If control were confined to tho elimination of excessive service (review of bills I 2! Refers to participants other than pharm- , i sts. Approv-.ri ph.-rmacouti cnl ia i I ! a are paid in foil. by local professional commit toes) the cost of the service rendered under the program (exclusive of pharmaceutical service) would be represented in column (2)# Proration of bills in order to bring expenditures within the limits of availa- ble funds has resulted in the final amounts paid (column 3). Amount Amount Amount Month Charged Approved Paid (1) (2) (3) September, 1938 $ 16,181 $ 15,530 $ 15,431 October 87,942 82,173 77,074 November 1C 5,160 99,570 88,222 December 125,827 117,83C 97,138 January, 1939 176,362 163,147 109,569 February 239,817 221,060 107,352 March 272,225 249,883 152,068 April 226,5C1 209,594 151,606 These figures are presented graphically in Chart I. Participation in the Program* During the month of March, 1939 (when the volume of medical service rendered reached its peak), there were 4,689 phy- sicians, 1,744 dentists, and 2,191 pharmacies participating in the program throughout the State* These participants represented 36 per cent of the registered physicians in the State, 29 per cent of the registered dentists, and 53 per cent of the registered pharmacies (see Appendix Table XII)* In addition to these there were 225 nurses and nursing agencies 126 hospital clinics participating in the program. Among physicians and dentists the percentage of participation was about twice as high in the less thickly populated counties as it was in the metropolitan counties of Allegheny and Philadelphia* This is partially accounted for by the fact that large cities contain a great many specialists who do not ordinarily participate in a program of this nature* On the other hand, many small counties contain so few registered practitioners that it would be neces- sary for a large percentage of them to participate if the program were to operate at all. The two metropolitan counties had a somewhat greater percentage of pharmacies participating in the program than did the remaining 65 counties taken as a group. 13/ Wherever possible nursing earn is provided through existing nursing agencies, Where impossible, it may be provided through graduate registered nurses. Therefore.a nursing participant may be either nurse or ?. nursing agency. '• nursing agency is counted as one participant rt endless of ho* many individual nurses participate, through the agency. Q < o_ on I— Z) O < o 0 1 u > o Q_ o_ < on o' Z- no 3 e 9 = S Q- <_ ** oS ° £S no — 0 U 0 — X *—1 l_lj 1 U c^L 1 n CQ t-/') < H Si —i u < u U°) ° h I— z -y Z> i=< O ol :> < ..-lor of Visits* —/ Medical service rendered during March involved approxi- mately 135,500 physicians* visits (67,300 home and 68,200 office) or an average of a little more than two visits (about one home and one office) for each casein/ receiving the services of a physician. In addition there were about 8,000 dental visits, 8,900 nursing visits and 30,400 clinical visits. The average number of visits per case for certain broadly defined diagnosis groups is shown in Appendix Table XVII* Special Services, Obstetrical service, X-rays, operations and other special services were extended during the month of March to 14,390 cases and approved bills for special service totaled $34,793 (see Appendix Table XVIII)• Clinics were able to render special service much more economically than were private physicians* For example, approved bills for 99 X-rays taken by physicians totaled $267*00 whereas approved bills for 230 X-rays taken in clinics totaled only $235*50* Thus the average approved amount por X-ray was $2*70 when taken by a physician as compared with $1.02 when taken in a clinic. I nj Visits as used here means the number of visits approved by local professional committees. In other words the number of visits should represent a minimum consistent with good professional practice. i■,/ Each illness is counted as a case. The same patient may represent more than one case if he has more than rne illness in the same month. APPENDIX TABLES APPENDIX TABLE I ALLOCATIONS, AMOUNTS PAID TO PARTICIPANTS BY CLASS OF PARTICIPANT AND PROBATION OF BILLS AFTER APPROVAL BY COUNTY HEALING ARTS ASSISTANCE COMMITTEES, BY MONTH September, 1958 - September, 1959 AMOUNTS PAID-/ Amount Paid to Part i c i- pants other than Pharma cists Amount of Approved P 1 us "Held" Bills for Pract i- t i oners other than Pharma- c i sts Per Cent Pro . rat i on—' Month Allo- cation Total Pharma-. c 1 sts Phys 5- c i ana Dent i sts Nurses Cl inics 0) (?) (5) (4) (5) (6) (7) (8) (9) (to) 1938 September^/ $ 58,925 $ 16,120 $ 689 $ 13,954 V 1,477 $ - 9 - $ 15,431 $ 15,550 995? October 117,845 85,213 6,139 67,297 9,777 - - 77,074 82,175 93 November 111,625 97,154 6,952 77,289 8,291 2,642 - 88,222 99,570 88 December 112,845 108,318 11,180 04,152 7,620 5,578 - 97,138 117,850 82 1^2 January 127,160 125,021 15,452 94,057 10,571 4,961 - 109,569 165,147 67 February 141,640 140,094 55,542 89,279 10,250 3,800 4,023 107,352 221,854 40 M.tcH 195,295 •91,799 59,751 123,231 15,849 4,089 10,099 152,068 250,823 60 April 107,760 104,529 52,723 122,266 15,218 5,147 10,975 151,606 211,147 72 May 183,875 - - - - - - - - - June 101,705 - - - - - - - - - July 104,550 - - - - - - - - - August 202,445 - - - - - - - - - September 204,395 - - - - - - - - - .a/ Amounts paid as reported here may differ slightly from actual expenditures because of adjustments made after auditing invoices in the State office. b/ Fractions of one per cent have been dropped; e.g», 05 per cent has been used instead of 05*63 per cent. £/ The program started on September 15. Therefore, figures for September cover only the latter half of the month, Notet Because of delayed receipt of invoices, May and June figures are not available for Allegheny and Philadelphia, and July figures are not available For Allegheny, Armstrong, Bedford, Blair, Cambria, Centre, Chester, Clearfield, Clinton, Columbia, Fayette, Fulton, Indiana, Lackawanna, Lancaster, Luzerne, Montour, Northampton, NorthumberI and, Philadelphia, Schuylkill, Union, Westmoreland, York, There are no figures, other than allocations, available for August and September. APPENDIX TABLE II PERCENTAGE PRORAT I OF APPROVED BILLS FOR PARTICIPANTS OTHER THAN PHARMACISTS, BY MONTH AND BY COUNTY September, 1958 - July, 1959 I 3 3 8 1 9 5 9 County September October November December January February March Apr i 1 May June July (0 (2) (5) (4) (5) (6) (7) (8) (9) (10) 00 STATE 99* 95* 88* 82* 67* 48* 60* 72* -* -* -* Sir,IE excluding Allegheny and Phi 1adelphia 33 90 81 77 66 59 62 72 79 84 Adams 100 83 45 70 70 72 62 84 6? 63 63 A11e ghcny 100 100 100 82 6? 56 45 61 b/ b/ y Armstrong 100 100 79 74 54 46 51 79 86 §2 y Beaver 100 100 80 02 71 ?l 7? 06 100 99 s? Bcdfor d too 100 77 72 56 54 03 100 100 100 b/ w Berks 100 100 100 c? 72 52 46 54 ""6"l Blair 100 100 85 60 59 66 62 74 71 74 b/ Bradford 100 100 59 50 54 55 5i 53 67 61 ?3 Ducks - 100 100 68 76 58 52 63 75 68 11 But 1 er 100 100 75 ,54 4? 81 61 90 . 85 _ 85 96 O '-mbr | a 100 100 92 80 47 60 64 79 ll b/ Cameron 100 66 62 49 62 100 09 50 42 62 100 Carbon 100 37 66 84 56 52 4? 55 74 72 73 Centre 1 00 ICO 72 70 69 60 66 75 95 86 y Chester 100 100 100 100 85 69 too 94 100 100 y Clarion • too 100 72 62 68 70 62 7 4 63 66 C1 e .rf ie 1 cl too 100 IOC 88 68 91 03 100 100 100 y C1 Inton 100 75 47 35 41 52 76 90 93 99 y Columbia 100 ?? 86 76 55 45 65 67 00 82 b/ Ci afford I 00 ICO 74 25 22 12 7? 86 95 too 100 Cumber 1 and ICO 52 5S 82 73 77 65 76 73 " 11 58 Dauphin 100 100 78 54 50 49 50 50 52 53 58 De1 aware too ICO 100 100 100 1 00 100 too 100 100 100 Elk 100 58 35 4? 50 58 60 67 63 76 52 Erie 100 100 100 100 73 71 11 90 94 Fayette 100 100 100 100 100 ' 82 88 94 100 100 y Forest 100 too 100 53 100 86 78 64 81 100 73 Frink!In too 100 100 100 70 86 62 83 98 94 09 FuI ton 100 100 64 41 65 52 68 81 74 100 y Greene ICQ 02 too too ICC 100 100 too 100 too 100 Huntingdon too 63 70 77 65 71 72 60 91 s6 74 Indiana 100 100 IOC 88 64 51 64 64 76 88 y Jefferson 1 CO 100 76 75 51 86 67 96 96 96 100 Junlata too 73 40 79 70 100 35 100 95 84 69 Lackawanna 100 100 100 01 5? 32 49 74 83 9? y Lancaster 100 too 90 04 69 57 76 02 92 92 b/" Lawrence « 100 too 93 70 60 67 86 100 100 99 Lebanon 100 100 71 47 40 46 57 6:0 68 85 too Lehigh 1 00 67 59 69 70 64 46 48 55 60 50 Luzerne 100 too too 100 81 64 65 84 90 100 y Lycoming 100 5*4 40 50 46 45 4! 45 51 64 48 McK:an 100 100 100 100 100 56 00 85 94 90 65 Mercer 100 66 62 78 53 66 49 61 59 62 54 Miff 1 In 100 100 too 47 62 58 65 72 90 84 76 a o J, 100 .6 i &L_ 100 01 _ 11 58 „„ 55 _ „__55_„. 6£ M ntgomery too 100 100 100 72 50 75 86 92 97 80 M ntour 100 95 55 45 63 72 87 100 130 100 y Northampton 100 ICO 72 69 5? 5? 49 Co 66 73 b/ Northumber1 and 100 75 77 65 50 61 71 95 90 96 b/ Perry 100 60 5!‘ 63 92 68 76 „ 75 100 71, 7o PLi1ade1ph i a 100 100 ICO ICO 69 29 70 00 _7_. rJ y Pike 100 100 100 100 72 100 91 I0U ICO 84 Potter * - 100 61 40 33 26 31 35 45 51 SchuyIkl 1 1 - 100 100 85 61 40 59 71 05 36 y Snyder 100 81 r4 65 J22 95 2L_ 13 82 100 92 Somerset ICO 81 ?r 63 75 60 55 67 69 71 82 Su1 1 I van 71 Jf 66 32 54 100 56 42 54 39 81 65 Susquehanna 100 56 5* 80 49 52 44 49 54 60 56 T i oga 100 7-3 76 VI 70 52 47 60 61 92 62 Union 100 85 29 65 68 100 64 16 67 71 bf Venango too 100 76 49 69 69 50 65 69 82 13 Warren 100 100 1D0 100 76 72 90 35 ICG 90 70 WashIngton 100 100 10 0 100 75 71 17 86 100 too 96 Wayne 1 00 100 100 100 66 79 53 65 09 100 69 Westmcre1 and 100 100 100 100 70 52 59 00 82 98 y Wyoming 100 61 65 90 72 53 T42 59 “T? 69 33 York 100 86 40 63 52 58 55 53 64 76 y 2,1 Fractions of one per cent have teen dropped, e»g«, 35 per cent has been used instead of 35.63 per cent, b/ Not available. APPENDIX TABLE III TOTAL. AMOUNTS PAID-' TO PARTICIPANTS, BY MONTH AND BY COUNTY September, 1938 - duly, 1939 { County 1 9 3 _ 6 I 9 3 9 Seotember-/ October November December January February March Apr i I May June Ju I ) ! STATE f STaTE excludinq Allegheny and Phi i adelphi a Adams [ A||eghany 1 Armstrong Beaver Bedford (l) £10,120 12|353 57 3,126 99 354 65 (2) $83,213 53,kk8 135 17, k 11 893 1,667 493 w) (k) $97,15k $108,318 5k,782 62,525 165 260 21,963 21,597 1,06! 1,0k8 1,605 1,670 k87 k92 UJ $125,021 76,011 3kk 23,349 1,183 1,999 530 '~W ■ $ 140,39k 80,7k8 425 24,993 1,315 2,275 580 (7) $191,799 108,131 435 33,406 1,795 2,852 851 is) $184,329 103,051 klk 31,937 1,682 2,593 779 W) $ - 102,897 418 d 1 ,729 2,131 .015 TToJ $ - 98,416 391 d 1,494 2,31 i 740 THT $ - 362 d d 2,237 cl Berks 10 667 1,262 1,7k5 1,938 2,170 2,910 2,811 2,765 2,635 2,836 Blair 327 1,728 I,6k9 1 ,k93 1,590 2,345 2,505 2,365 2,415 2,52! d Bradford 13 506 491 685 80k 935 930 965 91 1 323 795 Bucks - 192 2k8 502 800 805 900 856 305 692 6 94 Butler 137 908 98 k 9kk 1,065 1 ,570 1 .500 1,443 1,365 1,257 1.21: Cambr i a O 'J t d 2,597 2,55k 2,kk2 2,72 6 3,C‘ 9 4,330 4,106 4,287 3,452 c / Cameron 26 7k 57 77 93 O' 100 95 90 73 5 Carbon 55 366 329 k65 559 640 695 670 675 603 611> Centre 44 kio 332 532 656 813 075 002 740 660 d Chester 17k 622 601 650 1.000 1.135 I .495 1 .462 1.163 \ .051 c7 Clarion - 126 293 3k 7 578 645 645 618 657 601 563 Clearfield 375 1,138 1,073 1,155 1,375 2,035 2,160 1,807 i ,603 1,788 d Cl inton 200 50 7 413 kio 6k2 740 784 750 724 703 c/ Co 1umb i a 169 627 5k 1 5k0 606 655 890 854 743 734 c/ Crawford 172 690 635 720 810 885 1,175 1 .029 922 868 803 Cumber I and 103 315 289 kko 561 S:>5 707 598 553 537 523 Dauphin 3k 086 1,221 !, 25k 1,891 2,159 2,275 2,123 2,062 1,981 1,993 Dc1 aware 31 31 1 509 565 692 1,699 1,951 1,337 1,985 1,705 1,755 Elk 93 295 '"43 337 kio 475 505 494 52k 454 483 Er i e 380 1,296 I | Ob*4 1,011 2,036 2,299 3, 109 2,812 2,365 2,763 2,767 Fayette 202 1,706 1,302 2,62k 3,428 4,103 3,590 5,543 6,060 5,984 c/ Forest 20 kk 39 k8 72 110 115 1 2k 120 102 74 Frank 1 in 66 231 321 361 52k 850 865 735 640 579 5o3 Fu1 ton 12 3k 50 75 87 101 97 85 100 66 d Greene 126 kos 166 136 198 143 231 237 189 165 131 Hun t ingdon 225 k59 kG7 635 682 015 845 824 35k 733 636 1 nd i ana 237 878 1,17k 1,523 1,659 1,820 2,505 2,307 2,492 2,267 cj Jefferson 103 756 690 700 820 1,220 1,240 1,150 1 ,091 1,027 1,214 Jun i ata ko 120 105 Iks 195 213 265 270 239 213 262 Leckawann a 591 JLl287 3,580 3.505 4,059 4,kio £.075 6.121 6.646 7.454 cl Lancaster 296 1,050 1,2kl i ,30k 1,439 1,510 2,0 70 1,951 1,090 1,310 d L wrcnce - 1,075 1, 16k 1,260 1 ,k59 1,595 2,100 2,022 1,353 1,770 2,039 Lebanon 35 186 28k 23k 336 505 525 501 468 456 39.0 Leh i gh koo 1,22k 1,166 1,572 1,79k 1,975 1,915 1,737 1,613 1,499 1,467 Luzerne 1 .277 5.516 k.030 k.962 6.501 6.940 9, 135 8*886 9.302 9,340 ci Lycoming k'9I 1,0(9 970 1,288 I ,448 1,715 1,770 1,764 1,695 1,565 1,564 McKean 37 kki 413 k!8 589 600 920 879 720 665 660 Mercer 6IS 1,531 1,398 1,73k 1 ,885 2,0.55 1,945 1,835 1 ,767 1,647 1,583 Mi ffI in kk kk7 k'99 538 I 03 970 984 959 895 863 860 Monroe 106 2k2 263 358 438 595 595 547 4 3 k 393 343 Montgomery 362 972 1,070 1,120 1,363 1,595 2,155 2,040 1,915 1,732 1,665 Mon tour 59 159 ISO 15k 236 290 300 263 264 243 :/ Northampton 53 1,050 933 1,1*13 1,607 1,770 1,775 1,650 1,516 1,416 c/ Northurober1 and 475 1,520 I ,k88 1,518 1,750 I,'80 2,675 2,751 2,677 2,706 C1 Perry 19 139 125 130 229 300 287 245 204 1 3 Phi1ade1ph i a 6k I i 2,35k 20,k09 2k,196 25,661 27,1SJ 50,102 49,341 cl d C, Pike - 3 k6 29 70 105 1 29 ikk 103 60 T Potter — - 1 13 18k 282 335 370 37k 336 325 333 Schuy1k i1 I - 1,232 1,73k 1,916 2,35k 2,640 3,760 4,065 4,62k 4,322 d Sn yder 102 255 259 365 4 29 500 510 478 444 392 471 Somerset 5k 2 1,782 t,6ko 1,5k7 2,203 2,330 2,430 2,343 2,135 2,045 2, 165 Su 1 1 i van 65 120 1 15 107 146 185 195 199 162 159 164 Susquehanna 126 k35 kk2 629 752 830 855 847 810 757 828 T i opa 133 325 311 335 48k 615 600 696 595 60 2 605 Un i on 67 135 120 17k 2 Ik 269 295 283 257 233 cl Venango 119 663 01 1 850 1,261 1,395 1,438 1,453 i ,334 1,133 1,204 Warren 2? 102 295 285 449 545 760 635 599 563 520 Washington 3k 2 1,657 1, . 02 1,875 2,371 2,777 3,748 3,702 3,990 3,304 3,523 W yr, e 10 165 ikk 235 285 415 kio 37? 347 299 313 Wostmore1 and 577 3.537 3.200 3.76k k. 001 4,607 6.425 5.071 6.114 5.863 cl W/oming 62 265 270 3Bk 459 490 490 452 440 394 4 ok York 195 1,056 1 ,016 1,375 1,632 1,965 1,960 1,796 1 ,722 1,664 9.1 a/ Amounts paid as reported here may differ slightly from actual expenditures because of adjustments made after auditing invoices in the State Office, t/ The program started on September 15. Therefore, figures for September cover only the latter half of the month cJ Not available. APPENDIX TABLE IV PERCENTAGE SHAPE OF EACH CLASS OF PARTICIPANT IN TOTAL AMOUNTS PAID, BY COUNTY March, 1959 Per Cent of Total Paid To County Phys1ci ans Dent 1 sis Pharmac i sts Nurses Cl inlcs (1) (2) (5) 00 (5) STATE 64,5$ 7.2$ 20.7$ 2.5$ 5.3 i STATE excluding Al1egheny and Ph i1ade i ph i a 74.8 8.6 12.7 2.6 1.3 Adams 88.5 3.1 5.0 0.0 5.4 Allegheny 50.5 5.1 35.5 3.8 5.1 Armstrong 85.4 5.4 8.4 0.6 0.2 Beaver 86,2 4.3 9.5 0.0 0.0 Bedford . 89.4 8.3 0,9 1.4 0.0 Berks 69.5 2.2 8.1 8.6 Ti ,S— Blair 81.6 8.4 6.6 3.0 0.4 Bradford 71.5 6.5 20.8 0.1 1.3 Bucks 9l.l 4.6 2.9 0.5 0.9 Butler 75.8 6.7 19.1 0.4 0.0 , CambrI a 75.5 9.9 1 1 .0 2.2 1.4 Cameron 57.0 18.? 9.9 14.4 0.0 Carbon 77.3 12.6 9.6 0.0 0.0 Centre 73.0 9.7 9.9 2.4 0,0 Chester 82.1 2*0 5.2 5.7 2.0 Clarion 5.1 874 0.0 0,1 Clearfleid 71.5 16.4 0.0 3.2 0.3 C1 Inton 71.7 11.6 9.1 7.6 0.0 Columbla 78.0 14,6 6.0 1.3 0,1 Crawford 82.4 11.2 5.8 0.6 0.0 Cumber 1 and 93TT“ 2.V 2.2 1.5 6.5 Dauphin 82.5 3.6 9.1 0.9 5.9 Do 1 aware 69.3 5.8 12.5 7.5 5.1 Elk 77.5 5.9 16.5 0.0 0.5 Erie 77.9 7.2 I i.i 3.0 a/ Fayette 76.8 13.2 6.3 3.7 0.0 Forest 89.3 9.6 O.C 0.0 0.0 FranklIn 89.3 0.0 2.2 0.0 0,0 Fulton 81.0 16.4 1.8 0.0 0,0 Greene 45.4 25.1 26.0 5.3 0,2 Huntingdon 84.9 1 0. 1 5.7 1.5 0,0 Indiana 75.2 9.4 14.5 0.8 0.3 Jefferson 76.9 9.3 0.6 4.5 0.7 Junlata 91.6 7.1 1.3 0.0 0,0 Lackawanna _ 52.3 7.7 54.7 4.7 0.6 Lancaster 88.5 2.S 5.7 2.4 1.0 Lawrence 59.4 14.2 26.5 0. 1 0.0 Lebanon 84.2 2.6 2.6 10.6 0,0 Leh|gh 86.1 4.1 5.5 0.9 3.4 Luzerne 61.6 12.8 18.5 4.2 . 2*9 Lycoming 6t>. 9 5X 24,9 1.5 1.3 McKean 70,0 9.1 20.9 0.0 0.0 Mercer 74.4 6.5 16.1 1.2 0.0 Mifflin 89.1 9.1 1.0 0.8 0.0 Monroe 81.6 5*6 9.9 2.9 0,0 Montgomery 07.2 3.9 4.8 0.9 3.2 Montour 76.4 7.9 4.5 0.0 11.2 Northampton 79.7 5.2 4.1 7.7 3.5 Northumber1 and 75.9 10. c (4.6 0.9 0.6 Perry 92.3 5.4 1.0 0.0 0.8 Phi 1ade!phI a 50.3 5.6 23.2 1.5 13.9 Pike 00.6 G. 2 5.2 0.0 0.0 Potter 66.5 5.1 20.4 0.0 0,0 Schuylkll 1 79.9 3.9 15.4 0.4 0.4 Snyder 01.7 14.2 4,1 0.0 0.0 Somerset 79.7 13.5 4,9 1.7 0.2 Su11 Ivan 63,9 0.7 22.4 0.0 0.0 Susquehanna 56.0 10.4 18.5 14.5 0,0 Tioga 79.1 6. i 14.0 0.0 0,0 Ur i on 92.1 6,4 0.2 0.0 1.3 Venango 75.9 0.2 11.4 2.3 1.7 Warren 74.5 12,0 •2.5 0.2 0,0 Washington 79.1 12.1 7.9 0.7 0.2 Wayne 75.2 9.2 13.3 4.3 0.0 Westmore1 and 69.3 10.0 10.8 1.7 0.2 Wyoming 00.1 M.7 7.5 0.7 0,0 York 82.8 2.9 6.0 6.2 2.1 Lesa than I/20 of I per cent. APPENDIX TABLE V TOTAL AMOUNTS APPROVED BY COUNTY HEALING ARTS ASSISTANCE COMMITTEES, BY MONTH AND BY COUNTY September, 1938 - July, 1939 1 9 3 8 SStSKKSSJBSKssaKSSSrss ' 1 9 3 9 Ccunty Sep t,ll Oct. Nov. Dec. Jan, Feb, Mar, Apr. May June July STATE $16,219 $88,312 $108,502 $129,010 $178,599 $254,602 $289,614 $242,318 £ $ - f v - STATE excluding Allegheny and Phil tide 1 p h i a 12,452 58,546 66,132 79,439 111,450 142,058 164,736 137,185 126,285 114,636 Adams 57 219 351 365 483 580 635 480 612 610 564 A|Iegheny 3,126 17,412 21,962 25,375 32,598 51,616 59,785 46,435 b / b/ li/ Armstrong 98 893 1,337 1,398 2,113 2,717 3,359 2,097 i ,907 1,792 b/ Beaver 354 1,667 1,976 2,004 2,747 3,108 3,623 2,967 2,131 2,333 2,301 Bedford 65 493 624 677 938 1,062 1 ,014 779 815 740 b / Berks 13 667 1,263 2,001 2,679 4,342 5,972 5,023 4,301 4,004 4,009 Blair 327 1,728 1,914 2,151 2,611 3,475 3,900 3,140 3,343 3,347 b/ Bradford 13 506 806 1,235 1,417 1,565 1,723 1,667 1,281 1,271 1,390 Bucks - 192 249 734 1,050 1,407 1,600 1,343 1,066 1,008 819 Butler 107 98 S 1.203 1,623 2.056 1 .660 2.330 1.468 1 .570 1 .450 1.263 Cambria 872 2,597 2,752 3,028 4,180 6,053 6,906 6,226 5,326 5,016 b / Cameron 26 103 89 148 141 70 1 1 1 152 108 109 56 Carbon 35 377 431 549 965 1,166 1,303 1,210 902 323 833 Centre 44 410 522 740 935 1,161 1,275 1,045 790 756 b / Che ster 174 622 602 650 1,168 1, o 1 3 1,495 1,553 1,163 1,051 J-/ Clarion - 126 293 467 911 928 894 960 Vr 926 838 Clearfield 375 1,138 1,079 1,285 1,941 2,212 2,543 1,007 1,693 1,788 b / Cli n t on 208 675 812 1,036 1,458 1,348 999 833 773 714 b/ Colunh ja 169 803 623 707 1,071 1,392 1,333 1,240 919 869 b/ Crawford 172 699 9C5 820 937 1.199 1 ,.494 1.188 969 868 808 Cumber 1 an d 103 338 502 531 760 088 1,069 783 748 689 870 Dauph in 34 886 1,548 2,234 3,167 4,157 4,238 3,995 3,722 3,537 3,276 De1 aware 31 31 1 500 565 692 1,700 1,951 1,937 1,985 1,705 1,755 Elk 93 493 669 688 660 767 775 701 780 569 830 Erie 388 1.296 1.664 1.811 2.640 3.643 JixJ 2j 3.822 3.622 3.036 2.924 Fayette 282 1,706 1,301 2,624 3,428 4,927 6,290 5,662 6,068 5,984 b/ Forest 20 44 39 90 72 126 146 193 148 102 101 Frank 1 in 66 231 321 361 737 98? 1,331 917 653 614 567 FuI ton 12 34 77 174 132 188 139 104 134 66 b / Greene 126 489 1 66 136 198 142 231 237 109 165 151 Huntingdon 225 710 660 319 1,030 1,125 1,157 1,348 935 S46 914 Indiana 237 870 1,175 1,717 2,52 r 3,267 3,679 3,434 3,100 2,545 b/ Jefferson 103 756 891 908 1,508 1,393 1,707 1,192 1,132 1,047 1,214 Jun i ata 41 161 212 (81 247 213 308 270 251 259 379 Lackawanna 591. 2.987 3.681 4.204 6.524 9.991 10.059 7.792 7.749 7.648 b / Lancaster 297 1,050 1,375 1,542 2,041 2,587 2,677 2,359 2,046 1,960 b / Lawrence - 1,075 1,164 1,335 1,979 2,378 2,965 2,274 1,053 1,770 2,056 L.banon 34 186 364 594 831 1 ,075 905 821 635 535 390 Lehigh 498 1,795 1,916 2,261 2,532 3,024 3,974 3,535 2,875 2,451 2,861 Luzerne 1 ,27? 5.316 4.030 M62 ._ 7.826 10.022 13.101 10.298 10,181 9.340 b/ L ycoming 491 1,766 2,105 2,381 2,085 3,350 3,612 3,424 3,041 2,313 2,917 McKean 37 441 410 418 589 1,049 1,095 1,002 755 742 920 Mercer 610 2,225 2,140 2,101 3,099 2,956 3,579 2,02? 2,812 2,536 2,727 Mifflin 44 447 499 1,144 1,293 1,636 1,439 1,330 993 1,024 1,129 Monroe 106 382 496 353 596 758 972 893 090 583 459 Montgomery 362 972 1,071 1,1 23 1,868 3,062 2,829 2,360 2,071 1,782 2, C 56 Montour 59 166 150 325 364 396 342 264 264 248 b / N orthampton 53 1,050 1,293 2,043 2,756 3,048 3,498 2,714 2,260 1,925 b/ b / Northumber1 and 475 1,955 1,865 2,190 2,793 2,901 3,571 2,876 2,936 2,807 P erry 19 229 220 281 240 419 391 391 245 236 270 Phi 1adelphi a 641 12,354 20,408 24,196 34,551 60,928 65,093 58,698 y UJ b / Pike - 3 46 29 70 141 128 158 103 00 93 Potter - - 1 13 296 680 907 1,116 S78 777 609 575 Schuy(kill - 1,233 1,784 2,203 3,690 5,062 5,884 5,122 5,336 5,520 1/ Snyder 102 311 452 551 473 521 663 595 532 392 51 1 Somerset 542 2,173 2,143 2,402 7, 54 3,776 4,296 3,460 3,! 26 2,042 2,620 Su11i van 154 172 137 182 146 307 399 324 341 184 231 Susquehanna 126 744 816 773 1,444 1,484 1,719 1,560 1,354 1,148 1,320 Ti oga Ln i on 133 408 398 459 660 1,095 1,324 1,075 900 645 910 67 294 393 266 310 269 454 371 382 333 b/ Venango 119 663 1,056 i,703 1 #793 1,957 2,777 2,157 11599 1,360 1,486 Warren 27 182 295 286 580 728 833 786 616 *653 Washington 342 1,657 1,701 1,875 3,123 3,026 4,760 4,263 3,990 3,304 3,665 Wayne 10 165 144 235 414 508 697 572 3C5 299 437 Westmoreland 577 3.537 3.201 . 3,764 5.64j 8.002 10.050 . 7,126 7,277 5.975 b/ Wyoming 62 433 413 425 631 892 1,099 746 647 556 408 York 195 1,224 2,038 2, 1 28 3,049 3,275 3,425 3,040 2,623 2,162 b/ a/ The program started/'September 15. Therefore, the figures for September cover only the latter half of the month, b/ Not ava i(able. a/ AVERAGE APPROVED AMOUNT" PER PERSON ON ASSISTANCE ROLLS, BY MONTH AND BY COUNTY APPENDIX TABLE VI September, 1938 - July, 1939 1 9 3 8 1 9 3 9 County boptember-/ October November December J anuary February March Apr i 1 May June July (1) (2) (3) (>0 (5) (6) (7) (8) (?) (10) (11) STATE 1.90' 10.5'/ 13.7/ 15.8/ 19.7/ 26.5/ 29.9/ 25.8/ - i ** 0 - STATE excluding Allegheny and Ph iIadelphi a 2.7 12.8 15.8 17.9 22.2 26.1 30.2 25.8 23.5 22. ! Adams >4.5 18.5 30.4 25. 1 25.5 26.0 31.9 23,2 29.7 31.8 31.6 A I!egheny 2.0 1 1.2 15.0 17.1 20.3 30.4 35,3 28.6 d d d Armstrong 1.3 12.0 19.1 19.1 25.4 30.9 37.6 24.8 23,9 24.5 d Seaver 2.8 13.6 17.7 17.1 18.9 20.3 25.5 22.2 17.4 20.3 19.0 Bedford 1.3 13.6 19.0 19.6 25.4 25.5 23.4 17.3 17.9 17.2 d Berks 0.1 5,4 10.4 16,9 19.5 27.7 41.4 35.3 31.7 28.8 27.0 Blair 2.5 13.9 IB. 2 2! ,3 23.6 28.5 31.4 25.5 27.1 26.4 d radford 0.3 14.4 24.6 35.7 32.3 32.7 34.7 34.3 29.0 31.3 35.0 bucks - 5.8 7.6 20.3 25.2 33.0 37.6 31.1 27.5 30.3 25.8 Bu 11 er 2.8 Iki2 19.1 24.9 27.4 23.2 30.0 20.6 23.4 23.5 20.3 Cambr i a 4.3 13.9 16.6 17.5 21.7 28.; 31.4 30.3 24.6 25,2 d Cameron 4.6 22.4 22.8 34.7 29.6 14..j 21.8 32.6 44,6 29,9 14.2 Carbon 2.1 15.9 21.5 21.7 32.6 34.6 40.0 36.0 27.5 27.5 25.3 Cen tre 1.4 14.1 19.6 24.9 25.3 26.9 29.8 26.4 22.1 21 .6 c / Chester 3.5 12.0 1 1 .0 10.5 16.8 20.6 19.3 21.4 17.4 16.6 c / C 1 a r ion _ 4.5 1 I. 1 17.2 30.0 23.6 28.0 30.8 26.0 31 .9 29.2 Clearfield 3.6 1 1 .8 13.6 15.6 20.1 21.3 23.2 15.3 13.9 15.7 c/ Cli n ton 6.1 20.5 29.3 35.4 42.3 35.2 25.3 22.0 21.4 20.3 d Columbia 3.9 19.0 17.1 17.8 24,9 31.3 29.7 29.7,/ 23. 2~ 25.7 23.5 d Crawford 3.3 14.8 19.3 16.0 16.7 20.0 25.8 20.8 20.3 19.4 Cumber 1 and 4.6 16.5 25.0 21.2 24.3 24.4 30.8 26.4 26. 1 26.1 32.2 Dauphin 0.4 10.6 19,0 25.2 32.1 36.9 33.1 37.0 36.0 35.7 31.6 De1 aware 0.3 3.4 5.5 5.5 6.3 14.5 16.9 16.3 19.1 17.8 18.6 Elk 4.5 25.4 38.5 36.3 50.4 31.7 30.8 28.1 30.5 23.5 31.2 Er i o 3.1 10.1 13.5 14.2 18.4 23.1 26.9 26.9 25.3 21.8 20.3 Fayette t.O 6.2 7.4 11.2 13.4 17.6 22.4 19.3 17.5 17.8 d Forest 3.6 12.1 12.7 2 4.2 14,0 22.1 25.1 30.7 25.4 19.3 20.8 Franklin 3.0 10.7 13.3 I 2.4 19,3 22.6 32.2 23.6 21.1 22.4 22.7 Fulton 2.8 3.6 22.9 43.7 29.-.; 35.5 28.7 23.9 27.2 16.9 d Greene 4.9 17.0 6.3 4.9 6.5 4.2 6.3 4.5 3. 1 4.2 39.0 Hunt ingdon 7.0 22.3 21 . 1 24.4 28.6 ' 26.9 27.5 32.3 21.7 24.9 25.5 Indi ana 3.1 9.3 1 1.9 16.4 22.1 26.3 29.3 29.0 25.9 22.5 d Jefferson 2.0 15.1 19.8 13.5 26.1 22.3 29.4 20.9 21.4 19.8 18.1 Jun i ata 5.2 20.7 30.9 21.6 24.2 17.1 23.4 20.1 21.9 22.5 27.2 L ackawanna 2.5 1 ! .8 15.3 17.0 22.9 33.6 32.7 25.1 22.2 19.7 d Lancaster 3.5 13.0 16.4 - ‘ 17.0 20.4" 2571 ‘ TvT.S ~~ 24TT ' 22.0 d Lawrence - 12.1 13.9 15.2 19.5 22,0 27.0 23.0 19.0 IG.G 19.3 Lebanon 1.5 9.1 19.5 27.8 35.3 41.2 34.8 32.8 29.6 23.5 17.2 Lehigh 6.2 22.0 24,6 27,4 26,3 30.5 42.3 40.5 34.4 33.4 38.3 Lu zerne 2.8 11.5 10.9 12.2 17.5 21.4 28.7 23.0 21.6 18.4 d Lycoming 7.0 25.7 34.4 35.9 36.3 38.7 ""50.5 38.3 37.0 29.7 ~16.3 McKean 1.2 13.6 13.3 11.4 14.3 22,6 23.9 23.0 19.8 22.3 27.0 Mercer 6.0 21.9 23.8 24.6 30.7 30.3 28.3 37.1 30.5 32.3 31.5 32.5 Mifflin 1.3 13.2 14.5 29.0 33.0 30.2 27.9 22.4 23.8 26.1 Monroe 7. 1 22.8 27.6 16.2 21.9 24.7 33.0 33.3 37.8 31.9 26.8 Montgomery 4Te 12. i 13.6 13.4 19.3 23.2 "2675 23.1 22.4 20. S 24.5 Montour 5.4 15.6 15.9 29.4 27.5 26.1 22.9 18.4 20.3 18.0 d Northampton 0.7 14,4 IB.3 26.6 32.3 33.8 39.6 33.2 30.5 27.8 d Nurthumber1 and 4.5 19.1 18.7 20.9 22.4 22.6 26.5 20.7 22.1 19.8 c / Perry 1.9 24.3 27.4 29.0 19.3 29.1 26,4 27.5 21 .4 28.3 28.1 Philadelphi a 0.3 5.4 9.1 10.7 14,2 24.1 25.6 23.9 d d d Pike - 0,7 1 i .2 6.5 1 1.2 19.6 15.7 23.0 20.8 19.1 22.4 P tter • - 9.5 22.7 44.6 52.2 59.3 52.9 46.5 37.0 33.7 Schuy1 kill - 9.5 14.9 15.8 22.3 28.3 30.5 24.1 22.6 21 .9 d Snyder 6.2 17.9 25.4 28.4 20.6 20.6 2§>x3_ 24.5 23.7 16.6 21.4 Somerset 4.4 18.4 20.0 22.1 25.3 31.6 35.0 23.9 29.2 27.3 23.3 Su11i van If.9 21.4 13.1 24. 1 17.5 32.6 40.4 33.1 43.3 23.1 26.4 Susquehanna 4.4 25.6 27.4 22.5 36.3 35.0 39.6 37.0 34.2 30.6 29.5 T i ooa 5.6 19.3 18.1 19.3 23.3 34.5 33.4 30.5 27.7 21.4 29.2 Un i on 7.4 34.7 49.3 28.3 26.3 19.0 31.0 26.1 30.9 27.7 d Ven an go 2.3 12.3 18.8 23.0 27.0 27.4 35.8 29.8 29.3 22.0 24.’ Warren 1.3 8.3 14.1 10.5 17.7 19.3 22.3 25.2 13.5 22.6 24.3 Washington 1.9 9.9 11.8 12. 1 18.4 19.9 25.6 21.6 16.9 18.0 19.3 Wayne 0.6 9.6 8.8 13.7 20.9 24.6 34.6 30.7 23.3 19.9 26.0 WestmoreI and 1.3 1 1 .5 12.0 14.3 19.7 25.1 31.0 23.8 23.4 19.9 c/ . Wyoming 3.7 24.5 22,2 20.8 27.4 36.1 45.5 32.8 30.2 29.0 18.9 V o r k 2.7 17.4 30.5 28.8 34.! 32.6 35.5 33.5 30.6 26.0 d a/ Amounts approved by County Healing Arts Assistance Committees. b; fhe program started on September 15. Therefore, figures for September cover only the latter half of the mont! c/ Not available. d/ Fievised since previous publication. APPENDIX TABLE V!I AVERAGE APPROVED AMOUNT-' PER PERSON ON ASSISTANCE ROLLS, BY TYPE OF ASSISTANCE AND BY MONTH September, 1938 - June, 1939 Month Total General .-si stance 01d-Age Ass i stance Aid to Dependent Ch i1dren Blind Pens j ons (1) (2) (3) (4) (5) 1958 - STATE f.9* 2.00 2.40 0.70 1.1* AI 1cgheny 2.0 2.5 0.7 0.3 1.7 Phj1adeI ph i a 0.5 0.5 0,2 0.0 0,0 STATE excluding 2.7 2.9 5.1 1.0 1.3 Allegheny and Ph|Iade1ph i a OCTOBER - STATE ■ 0.5 10.6 13.6 4.6 8.8 A1 Iegheny 1 1 .2 12,2 5.9 2.9 4.5 Phi 1ade1ph 1 a 5.4 5.4 6.4 1.8 5.9 STATE excludina 12.8 13.0 16.5 5.9 10.1 A11egneny and PhI 1ade1 phi a NOVEMBER - STATE 15.7 13.6 19.2 6.7 15.5 Al1egheny 15.0 16.3 9.1 5.4 12,2 Ph11ade1ph 1 a 9.1 9.0 15.1 5.6 9.6 STATE excluding 15.8 15.6 22.5 7.7 14.7 AJ1egheny and Philadelphia DECEMBER - STATE 15.8 15.4 24.3 8.2 15.4 Al’egheny 17.1 18.2 I5.i 6.1 11,4 Phj!ade1ph i a 10.7 10.5 16.2 5.9 10,1 STAVE excluding 17.9 17.2 27.8 9.2 17.4 A1!egheny and Ph i1ade1ph j a >939 JANUARY - STATE 19.7 19.4 29.4 11.1 18.3 ft!i egheny 20.5 21.5 15.9 9.6 9.8 Ph?1adeI phi a 14.2 14.4 18.9 7.5 16.7 STATE excluding 22.2 21.5 54.2 12.5 20,0 At’egneny and Phi1ade1phi a ay Amounts approved by County Healing Arts Assistance Committees, bj The program started on September I5» Therefore, figures for September cover only the latter half of ttie month. APPENDIX TABLE VII (CONTINUED) AVERAGE APPROVED AMOUNT”7 PER PERSON ON ASSISTANCE ROLLS, BY TYPE OF ASSISTANCE AND BY MONTH September, 1938 - June, 1939 r--, 1 r-m, ■ ti.in.r- - , ■ . t „, , Month Total General Ass{stance 01d-Age Assi stance Aid to Dependent Ch i1dren 13! Ind Pensions 0) (2) (5) ■oo (5) 1959 ; FEBRUARY - STATE 26.31 25.92 37.52 17.62 29.92 A|i egheny 30. 4 31.5 26.4 20.8 22.3 Ph i1ade1 phi a 2*1,1 24.3 51.5 16,3 20.2 STATE excluding 26.1 24.8 40,8 17.4 33.5 Allegheny and . . '• ' • • • • Phi 1ade1 phi a MARCH - STATE 29.9 29.0 47.0 19.8 56.7 Allegheny 35.3 56.3 40,0 21.8 28,2 Ph|Iade1 phi a 25,6 25.7 39.0 16.1 24.5 STATE excluding 30.2 28.3 50.1 20.9 41.1 Allegheny and Phi 1adclphla ' APRIL - STATE 25.8 24.9 41.6 17.5 52.0 AIlegheny 28.6 •29.3 32.0 18.9 23.7 Philadelphia 23.9 25.7 35.8 17.7 24.8 STATE excluding 25,8 24.0 44.6 17.1 55.1 Allegheny and ” Philadelphia j MAY - STATE c/ &! c/ c/ c/ Allegheny c/ sJ c/ cl c/ Philadelphia £/ I\ c/ ' £/ c/ ST. fE excluding 25.5 21.6 43.2 >5.5 53.S Al1egheny and Ph11ade1ph) a JUNE - STATE c/ sJ c/ c/ fi/ Allegheny c/ £/' c/ cl c/ Phi 1ade1phi a c/ c/ c/ £/ STATE excluding 22.1 20,4 38.8 15.1 34.4 Allegheny and Philadelphia a/ Amounts approved by County Healing Arts Assistance Committees, Cj/ Not avaj (able. APPENDIX AVERAGE (MED I AM) APPROVED AMOUNT-' PER PHYSICIAN AND BY AMOUNT OF APPROVED March, ... , -t™-« l n —~ Number of Partic irating Physicians Average Total Number of — ... —— . Approved Amount Participating $ 0.00 !0.00 $90.00 $60.00 $80,00 County Per Physician Phys i c i ans -19.99 -9.99 -59.99 -79.39 -99.99 (0 (2) (3) N (5) (6) (?) STATE $29.95 9,689 2,086 ! , 099 555 323 189 STATE excluding 29.5? 5,521 1,987 7 GO 912 292 122 Allegheny and Ph i 1 ado 1 ph i a Adams 13.16 25 19 2 1 2 0 A1 1egheny 53.08 542 201 107 59 31 33 Armstrong 30.00 52 21 10 6 5 1 Beaver 28.73 73 26 29 7 5 9 Bedford 18.96 29 13 2 4 ...... . 1, . 1. _ 3 Berks '30-.00 95 39 17 ‘15 9 4 B 1 a j r 30.03 82 28 29 19 7 5 Bradford 28.75 ’ 31 12 ' 8 '6 0 0 Bucks 20.83 * 51 25 * 12 ‘7 2 t Butler 61 7 0 17 5 2 9 Cambr 1 a 27.06- 1 ! 0 99 17 15 7 9 Cameron 12.50 5 9 0 l 0 0 Carbon 22.22 36 1? y 5 5 5 Centre 18.10 90 22 1: 5 5 1 Chester .15-32 72 9? ‘ 1 ? I l 0 C1 arion 19.29 21 19 1 5 2 1 C 1 earf1 eld Id..7 •55 29 • 10 6 5 2 C 1 i nton • 23.33 19 9 ' 5 ‘ 5 1 1 Co!unb i a '13.53 23 0 3 ‘ 5 6 I Crawford 22.00 52 29 20 9 3 ... . U Cumber 1 :nd 257$ $ 19 15 0 6 0 Dauphin 20.82 85 35 22 9 7 2 Do I aware t’l.j'j 70 9? 1? 1 3 I Elk 16.92 22 13 ' C 0 1 Erie 23.20 96 99 26 12 2 „ 2 rayettd * ■41 .59 76 25 * 12 ‘13 5 2 Forest 16.07 5 X J 1 1 0 Frank I in’ 27:50 37 19 12 7 2 1 Fulton 16.6? 5 J 1 0 1 G Greene 15.00 5 2 r. 0 1 Huntingdon 25.00 30 '5 b 3 5 2 1ndi ana 33.00 57 20 13 7 5 9 Jefferson 91.93 ■'29 ? 7 •7 9 2 JunI ata 2o.:o 8 9 1 0 1 2 Lackawanna 3- .7? 196 59 - 26 29 18 5. Lancaster 16.7? 139 f' 2o" 3 I 1 L avvrenco 25:29 ’ 55 23 1? '5 9 9. Lebanon 29.49 28 12 9 9 2 1 Lch i gh 21 .! 1 09 91 18 11 9 2 Luzerne 27,:9 221 93 99 52 I? 11 Lycoming 9o.?i 59 21 8 19 5 3 McKean I6». >9 32 19 c 5 2 1 Mercer 28.57 OG 25 21 O 9 3 Mifflin • 26.25 55 15 3 6 1 2 Monroe 38.00 , 19 5 5 5 1 1 Montgomery I JG U 23 I j, . ... 3 Montour 23.33 9 9 5 1 0 1 Northampton 25.57 77 56 19 12 £ 3 NortHumber 1 and 32.53 66 25 16 1 1 6 9 Perry _ '7.7? 16 . .... 9 2 1 0 Ph i1adcIph i a 21. 32(a 390 177 39 50 39 P i ke I 5* 30 ‘ 6 9 1 1 0 c Potter 33.33 10 7 3 2 1 0 Schuy1k i1! 39.6? 32 50 '5 10 5 9 Snyder 10.13 . .... 22 12 6 2 l 1 Somerset 56.92 3Z 17 15 5 5 Sullivan 15.90 9 6 0 1 0 Susquehanna 23.33 29 19 5 9 n Tioga 57.19 26 7 7 c 9 0 Un i on 33.33 . 12 9 7 _3 1 0 Venango 2 j . 30 " 1 22 3 J 9 0 Warren 17.19 29 19 5 2 1 2 Washi ngt on 39.00 8? 59 •9 12 9 o Wayne 15.80 2 ? i? 5 3 0 2 Westmore1 and .11,71. . 169 53 41 21 19 9 Wy omi ng JO • V J 2': 8 9 9 1 York 19.11 06 96 13 10 5 3 a/ Amount ipproved by County Healing Arts Assistance Committees, TABLE VIII-A FREQUENCY DISTRIBUTION OF PARTICIPATING PHYSICIANS, BILLS AND BY COUNTY 1939 01 as3 i f i ed by Amount of Approved Bills 1. argo st Approved ’Bill County *100.00 -H9.99 $120.00 -135.99 *140.00 -159.99 $!60.00 -179.99 $ 180.00 -199.99 $200.00- And Over (8) (9) (lo) (M) (12) (13) (14) 143 92 6b 40 53 1 ! 8 O o o K"\ Cm STATE 105 59 44 23 (9 48 724.00 STATE excluding A 1 1 egheny anc Ph i ! ade 1 ph i a 0 o 0 A 0 ! 206.00 Adams *9 25 9 i 4 7 3? t,250.00 Ai iop'r.oy 2 J ( 1 0 n c 592.40 Armstrong 2 0 5 0 1 i 352.00 Beaver 0 0 0 1 0 j 177.90 Bedford 2 i 2 X j* 1 2 sctio Berks 1 i 1 i 1 1 204.00 Blair 1 i 1 i i o 191.90 Bradford G i 1 o 0 153.50 Bucks 1 0 1 0 \ o ■ 193.60 Butler 8 2 < > 1 4 458.00 Cambr i a 0 0 c o 0 V 44.00 Cameron 1 0 0 c 0 G Is)'. ,03 Carbon 1 0 c« 0 0 105.50 Centre c 0 3 0 69«00 Chester c ! 0 0 'j 128.5? Clarion 3 1 ! 0 : 0 16b.00 C 1 oarf i e i c 0 2 0 0 0 155.00 C1 inton 1 'j 1 V r 144.00 - Co Iumb i a 1 G o 0 3 105.00 Cr wf ore 1 6 0 b 0 10;.00 Cumber 1ano 4 i i 0 0 4 298.20 Dauphir 0 i 0 0 0 0 126.75 Do I aware 0 0 0 0 o 1 224.70 . Elk 7 1 0 1 1 249.00 Erie 2 n 7 2 1 5 • 374.OO Fayette 0 0 o 0 0 Q 77.50 Forest 0 o A •J 0 0 ! 262.50 Frank 1i n 0 0 0 . 0 66. GO Fu i ton 0 o Q c 9*. '0 Greene 1 0 0 0 0 3 ! 14.75 Hunt ingdon 3 2 2 J 0 2 258.00 Indiane Q 0 1 o 1 J 187.00 Jeffersor 0 G 0 0 o C 84.25 dun i ata 4 u 1 j j 296.00 L ackawanne j 'J o n (21.00 L ancaster 1 Q 0 0 0 i 225.00 L awrence o 3 2 0 0 87.00 Lebanon 5 0 2 0 r i ?24A0 Leh i gf ? b 1 o 2 283.00 Luzerne 2 4 ! 0 i 212.0 Lycoming 1 * 0 0 0 0 106.00 McKean 3 2 0 1 0 } 529.00 Mercer z 0 0 0 . . 1 250.00 Miff! in 1 1 u r\ A fj 1 do.00 Monroe (J 0 b 0 i 222,40 Montgomery c j 0 0 0 •J 87.70 Mon tour 2 ! o i. G 1 ?8 . 0 Northampton I J 2 i o , 0 .0 153..O Nor thumborlane 0 o 0 65. j0 Perry 19 e J 3 5 7 33 499..? Ph i1ade1phi ? c u 0 0 0 0 43.00 Pike 2 2 Q 1 o 0 167.30 Potter 7 / 2 o 1 5 427.00 Schuy1k i i1 0 J 0 u 85.50, Soy der ? & 2 5 ! i 310.75 Somerset 2 0 0 o sI8.95 Su11i van 1 1 0 0 <’} 0 139.9 1 Susquehanna 2 0 (J 117.ro T i og.. 1 0 0 ■ 0 0 103.50 Un i on 1 0 2 0 0 2 541.10 Venango Q c A 0 0 89.00 Warren 6 4 0 1 1 i 225.00 Wash ington u 0 0 r* 0 0 92.00 Wayne 4 4 2 7 V 5 31B.C3 Westnore1 and 1 0 1 0 0 2l9.r0 Wyoni nc 2 0 0 o 1 308.00 Y ork APPENDIX AVERAGE (MEDIAN) APPROVED AMOUNT-' PER DENTIST AND FREQUENCY DISTRIBUTION OF March, Average (Median) Total Number of Number of Particioatinq Dentists Approved Amount Participating $0.00 $5.00 $10.00 $15.00 $20.00 ounty per Dentist anti sts -4.99 -9.99 -14.99 -19.99 -24.99 (0 (2) (3) (4) (5) (6) k i CATC- $8.73 1,744 471 529 301 138 85 .TATE excluding 8.77 1,200 322 369 211 95 60 Allegheny and Ph i1 ado 1 phi a - Adams 5.83 C ? 3 0 0 0 A 11egheny 9.76 264 73 62 43 28 16 Armstrong 4.77 21 1 1 1 5 2 0 Beaver 5.00 30 15 I 2 2 I 0 Bedford 7.00 Q 2 5 0 0 0 Berks 5.00 20 10 5 4 0 0 Blair 1 . u3 30 1 13 8 6 1 Bradford 10.00 1.0 3 2 3 0 0 Bucks 7.50 9 3 3 1 2 0 Butler 6.56 19 7 8 2 0 0 Cambr i a 1 1 .07 39 6 12 7 3 1 Cameron 5.75 a 0 2 I 0 0 Carbon 1 1 .67 1 2 2 3 3 1 1 Centre 0.33 16 2 9 4 1 0 Chester 7.50 15 5 5 4 1 0 Clarion 5.S3 7 3 3 0 0 I Clearfield 13.50 27 5 5 5 4 2 C1i nton 27.50 5 I 0 0 0 1 Columbia 9.50 1 1 1 5 2 0 I Crawford 7.27 22 6 1 1 2 3 0 Cumber 1 and 2.92 7 6 0 1 0 0 Dauphin i 1.25 13 1 5 2 3 2 De1 aware 5.83 16 7 6 2 1 0 Elk 3.75 9 6 2 0 0 1 Er i e 7.1 2 35 12 1 3 6 2 0 Fayette 14.17 44 9 8 6 4 4 Forest 6.25 3 1 2 0 0 0 Frank 1 in 7.36 14 3 7 3 0 1 Fulton 7.50 3 I I 1 0 0 Greene o. 75 5 1 2 1 0 0 Hunt i nodon 9.17 9 2 3 0 2 0 1nd1 ana 12.00 26 5 6 5 4 2 Jefferson 9-64 , 22.QC-' 15 I 7 2 3 1 'un1 at a I 0 0 0 0 1 .ackawanna 10.60 75 9 25 20 5 7 Lancaster 5.42 13 6 6 1 0 0 L awrence 12.06 29 6 6 6 3 4 Lebanon 7.50 3 1 I 0 1 0 Lehi gh 6.67 18 8 3 2 2 2 Lu zerne 13.71 106 24 26 21 5 1 1 Lycoming 6.00 24 9 5 5 3 1 McKean 6.25 1 1 5 2 C 1 0 Mercer 9.25 27 5 10 7 2 I Mifflin 1 1.67 10 2 o 3 1 I Monroe 7.50 8 3 2 3 0 0 Montgomery .33 23 15 6 1 1 0 Montour 15.00 2 0 0 1 1 0 Northampton 7.50 23 6 ! 1 3 2 0 Northumber1 an d 7.25 33 12 10 5 2 1 p«rry 7.50 3 1 1 1 0 0 Phi 1 a de1ph i a 8.27 280 76 90 42 15 9 Pike 2.50 3 3 0 0 0 0 Potter 7.50 5 2 1 1 0 0 1 Schuylkill 7.22 32 12 9 8 2 Sn vder 8,75 0 t 4 1 0 1 Somerset 16.67 24 1 3 7 3 I Sullivan 5.00 o £. 1 C 0 0 0 Susquehann a 12.50 13 3 2 3 0 0 Tioga 4.17 10 6 2 1 0 0 Union 3,75 3 2 0 0 0 I Venango 8.50 22 4 10 3 1 o Warren 7.00 12 4 c 1 0 1 W 53hinglon 0.59 47 12 16 6 6 I W1 yn o 7.50 11 2 7 2 0 0 W -stmore1 and 12.88 73 13 16 13 1 ! 6 Wyoming 8.50 7 0 5 0 0 0 York 6.08 I 1 4 U 2 0 o a/ Amount approved by County Healing Art Assistance Committees, b_/ Since there is only one participating ntist in the county, the actual amount of his approved bill is used. TABLE VI Il-B PARTICIPATING DENTISTS, BY AMOUNT OF APS’ROVED BILLS AND DY COUNTY 1939 ... [ Classified bv Amount of Approved Bi! 1 s Largest 1 *25.00 $30.00 $35.00 $*40.00 $*45.00 $50.00 Approved -29,99 -3*!. 99 -39,9Q -*4*4.99 -*49.99 and Over Bi 1 I County (3) (*) (10) ' 1) (12) (13) OK) 60 *4l 32 1*4 16 57 $15*4.00 STATE *42 30 21 1 I II 28 150.00 STATE excluding AI 1 egheny and Phi 1 adel phi a 0 0 0 0 0 0 5.00 Adams 9 6 6 0 1 15 132.00 A1!egheny 2 0 0 0 0 0 29.00 Armstrong 0 0 0 0 0 0 19.00 Beaver 0 0 0 0 1 0 *49,.00 Bedford b 1 0 0 0 0 33.00 Berks 0 1 0 0 0 0 3*4.00 Blair i 1 0 0 0 0 3*4.00 Bradford 0 0 0 0 0 0 18.00 Bucks 0 1 0 0 1 0 *45.00 Butler 1 3 1 1 2 2 113.00 Cambr i,a 0 0 f) 0 0 0 10.00 Cameron I 0 0 0 0 1 59.00 Carbon Q 0 0 0 0 0 13.00 Centre 0 0 0 o 0 0 17.00 Chester 0 0 0 0 0 0 22.00 C1ar i on *4 0 0 I 0 1 50.00 C1earf i e1d 1 1 ! 0 0 0 35.00 C1 inton 0 0 I 0 0 1 82.00 Columb i a 0 0 0 0 0 , 0 19.00 Crawford 0 0 0 0 0 0 10.00 Cumber 1 and 0 0 0 0 0 0 2*4.00 Dauph in 0 0 0 0 0 0 17.00 Oe1 aware 0 0 0 0 0 0 20.00 Eik 0 0 1 0 0 f 52.00 Erie u 3 ! 3 0 2 03.00 Fayette 0 0 0 0 0 0 5.00 Forest 0 0 0 0 0 0 2*4.00 Frank 1 in 0 0 0 0 0 0 1 >4.00 Fu1 ton 0 1 0 0 0 0 3*4.00 Greene 1 1 0 0 0 0 32,00 Hunt i n gdon I 1 1 ! 0 0 *42.00 Indiana 1 0 0 ■ 0 0 0 25.00 Jef ferson 0 0 0 0 0 0 22.00 Jun i at?. 2 3 3 1 0 0 *4*4.00 Lackawanna 0 0 0 0 0 0 1 2.00 Lancaster 1 1 0 0 0 2 7*4.00 Lawrence 0 0 0 0 0 c 16.00 Lebanon I 0 0 0 0 0 28.00 Lehigh u *4 3 I I 6 150.00 Luzerne 0 0 I 0 0 0 29.00 Lycomi ng 0 0 1 0 0 0 36.00 McKean 0 0 0 0 0 2 57.00 Mercer 0 0 0 0 1 0 *49.00 Mi ff I in 0 0 0 0 0 0 1*4.00 Monroe 0 0 0 0 0 0 17.00 Montgomery 0 0 0 0 0 0 15.00 Montour 0 I 0 0 0 0 31.00 Northampton 0 0 0 0 r\ c 1 60.00 Northumber1 and 0 0 0 0 0 0 10.00 Perry 9 5 5 3 *4 i *4 15*4.00 Phi 1adelphi a 0 0 0 0 0 0 *4.00 Pike 0 0 0 0 0 1 50.00 Potter 0 Q 0 0 0 0 20.00 Scbuy 1ki11 Q 1 0 0 0 0 3*4,. 00 Snyder 2 0 2 0 0 5 68.00 Somerset 0 0 I 1 0 0 0 36.00 Su11 ivan *4 0 0 0 c 32.00 Susquehanna Q 0 0 1 0 c *40.00 Tioga 0 0 0 0 0 0 23.00 Un i on 3 0 1 0 0 0 59.00 Venango 1 0 1 0 0 0 0 29.00 Warren 2 I 0 I 1 69.00 Washington o 0 0 0 0 0 1 2.00 VI ayne 5 3 2 1 2 I 57.00 Westmore 1 an .1 0 1 0 0 0 1 68.00 Wyoming 0 0 0 1 0 0 >4 2.00 York APPENDIX TABLE AVERAGE (MEDIAN) APPROVED AMOUNT-1' PER PHARMACY AND FREQUENCY DISTRIBUTION OF (March, bounty Average (Median) Approved Amount per Pharmacy Total Number of Participating fo.OO Pharmacies -4.99 Number of P $5.00 $:0.00 -9.99 -14.99 antic i£at i n£ $15.00 -19.99 Pharrnac i es "2o75o -24.99 (1) (2) (3) 00 (5) (6) (7) TATE $8.74 2.191 770 425 253 177 95 jTATE excluding Al1egheny and Phi 1ade1phi a 6.88 vD CO v^n 4)6 203 100 65 36 dams 5.15 5 4 l 0 0 0 A11egheny 12.40 400 107 68 52 3l+ 15 Armstrong 7.50 9 4 1 1 1 0 leaver 6-50 . 7.,it 5“/ 27 12 5 4 2 1 icdf crd ( 0 i 0 0 0 Berks 6.45 20 8 7 2 0 0 Blair 5.65 19 15 2 0 2 0 Bradfor d 7.50 12 5 2 0 1 1 Bucks 2.92 7 6 0 1 0 0 But 1er 10. ' " 19 5 4 4 1 1 Cambri a 8. 5 26 9 2 5 j0 Cameron 5.00 2 l 1 0 0 0 C arbon 3.44 1 1 8 2 0 0 0 Centre 12.50 7 2 0 3 1 1 0 Chester 5.86 17 1 1 4 1 0 Clarion 5.00 8 4 2 l 1 0 Clearfield 8.55 16 4 6 0 1 3 Cl inton 4.58 7 4 1 0 0 1 Co 1umb i a 7.53 5 2 1 1 0 A '■J Crawford 4.06 . 13 8 1 4 A Cumber 1 an d 3.13 5 7 7 J’ Dauphi n 5.63 24 1 1 8 2 0 2 De1 aware 4.20 42 25 11 0 2 1 Elk 5-CO 10 5 1 2 1 0 Lr i e ...... ,?.C8, _ 12 7 6 1 1 1 Fayette *0.50 ro V* 9 2 5 1 2 Forest .65k/ 1 1 0 0 0 Frank 1 in 5.00 , 4 2 1 1 0 r\ V.) Fu1 ton 1.76^/ 1 1 0 0 2 0 Greene 7.5') 5 2 1 1 Hunti ngdon 7.50 3 1 1 1 V 1ndi ana Q. 1 5 19 7 4 1 2 g Jefferson 5.00 # 10 5 0 2 0 Jun i ata 3.44k/ l 1 0 Q g Lackawanna 91 15 22 14 11 2 Lancaster 5.50 17 0 V; 3 0 0 Lawrence 23.33 10 3 1 1 2 3 Lebanon 5.00 4 2 2 0 0 0 L high 4.58 1 1 6 5 0 0 0 Luzerne 9.34 . . 101 54 19 14 6 4 Lycom i n g 9.29 22 5 7 1 J McKean 8.15 1 1 3 4 0 l 1 Mercer B.50 17 5 5 1 0 2 Mifflin 3.75 3 2 1 0 0 0 Monroe 15.00 4 l 0 1 I 1 Montgomery 5.33 24 18 5 1 0 C 0 Montour 5.75 * 2 l 0 0 0 Northampton 5.53 16 12 5 0 0 0 Northumber1 and “;7|b/ 20 1 1 4 4 1 2 1 erry 1 1 C 0 0 0 Philade1ph i a 9-1 80S 255 154 101 72 ■” Mi .'ike 2.50 2 2 0 0 0 0 Potter 4.30 7 4 0 1 0 0 Schuy(kill 7.92 35 14 6 4 2 3 Sny der 6.25 3 1 2 0 0 Somerset 11 5 2 1 1 < 3u11i van 3.75 3 2 a 0 0 0 ■Susquehanna 22.50 7 1 1 1 1 i ioga G.33u/ 0 2 3 0 1 g Union ,50k/ 1 1 0 0 0 0 Venango 1 0,00 10 4 I 1 1 i 1 a men 10. CO 10 5 2 2 3 ■j Lash ington 5.80 55 25 4 2 4 c Wayne 3.75 12 0 5 1 0 0 V/estmore 1 and M.25 5 0 14 10 4 1 Wyomi ng 3.75 5 2 0 J 0 0 V ork 4.32 •9 1 1 5 7» 1 I — , - - . -. - - - - . __ 1 a/ Amount approved by County Healing Arts Assistance Committees. b/ Since there is only one participant in the county, the actual approved amount of the bill is used. V! 1 - C PARTICIPATING PHARMACIES, BY AMOUNT OF APPROVED BILLS AND BY COUNTY 1959 J ( a s s i f i i ed by Amount of Approved B i1 i ! s i 1 ) 1 1 1 i 1 ti 1! 11 Largest '25.00 -29.95 fTo.oo -5M9 $35-00 -59.99 4.99 ?45.00 -49.99 "f 150.00 And Over Approved Bi 1 i County (9) (10) 00 (12) 05) (14) (15) 35 71 75 55 29 170 $440.93 STATE 33 30 22 13 13 54 168.40 STATE excluding A11egheny and Ph i i ade1ph i a 0 0 0 0 0 0 9.55 Adams 16 «5 • 5 9 9 60 440.93 A1 1 egheny 1 0 0 o f) l 75.43 Armstron g 0 1 2 0 0 3 58.50 Braver 0 0 0 n 0 0 7.4^5 Oedf ord 1 0 1 0 0 1 88.29 Berk.'.; 0 0 1 0 j 0 45.71 Blair 0 2 0 0 0 1 74.4 i Bradford 0 0 0 0 o 0 13.39 Buck c 1 0 2 0 0 1 69.40 Butler 2 0 0 1 0 5 109.5? Cambri a 0 0 0 0 G 0 3.42 Cameron 1 0 o 0 0 0 26.98 C a r b 0 n ! 0 0 3 0 • 0 20.4 i Centre 0 r 0 J 0 0 1 6.05 Chester 0 0 0 0 0 15.00 Clarion 1 1 0 0 0 0 52.70 Clearfield 0 1 0 0 0 Q 52.58 C1 i nton 1 0 0 0 0 0 29.15 Co 1umb i a fl 0 0 0 0 0 15.04 Crawford 0 0 0 0 0 0 bTbd Cumber 1 and 0 0 0 0 0 i 54.92 Dauphi o 1 0 0 3 0 50.00 OeI a war 0 1 0 g 0 0 0 25.10 Elk 1 0 0 0 0 2 142.71 Err. 0 1 2 0 1 8*4.2? F a y e 11 e o Q o 0 0 0 .65 Forest 0 0 0 0 0 0 19.10 Frank 1 in 0 o o 0 0 0 1.76 Fulton 0 1 3 0 0 0 55.16 Greene 0 0 0 0 0 b 1 2.85 Hunti ngdon 0 2 0 0 1 2 100.50 Indiana 0 I 0 1 0 0 45.55 Jefferson 0 0 Q 0 0 0 3.44 Juniata 4 4 2 2 5 1 2 161.39 L ackawann r. 0 i 0 0 55.36 Lancaster ! 1 1 1 0 4 102.40 Lawrence 0 0 0 0 0 0 6.U5 Lebanon 0 1 0 1 0 0 41.61 Lehigh 5 6 5 5 3 4 168.40 Luzerne 1 1 0 0 3 103.99 Lycom i ng 0 1 0 0 0 i 82.08 McKean 0 1 1 0 0 2 50.84 Mercer 0 0 0 0 n o 5.20 Mifflin 0 0 0 0 o 0 29.65 Monroe 0 0 0 0 0 18.05 Montgomery 0 0 o 0 o 3 5.65 Mon tour ! 0 0 0 0 0 26.6 1 Northampton 1 1 2 0 1 1 54.09 Northumber 1 and c 0 0 0 0 o 3.07 Perry 3(5 2%~~ 36 13 7 56 268.00 Phi 1 a d e1p h i a 0 Q g 0 0 0 3.90 Pike i 0 0 •3 0 I 56.10 Potte- r 2 0 0 0 2 2 105.35 Schuy1k i! 1 0 0 0 0 0 o 8.76 Snyde r 0 0 3 0 1 n I? 7 Somerset r. 0 i 0 0 0 59-60 S u1 I i van 1 2 0 i 1 0 o 45.35 Susquehanna 0 0 3 0 0 28.57 T i oqa 0 3 3 0 * 0 0 .50 Un i in 0 0 0 1 0 1 5^20 Venango o 0 0 0 0 0 17.98 Warn en 0 0 0 0 0 2 76.32 Washington 0 0 o 0 3 0 14.30 *.Ve y r. 0 4 2 3 'J 1 8 136.52 Westmor el and 0 1 0 0 •J 0 54,10 Wyomi no 0 0 0 0 0 23.90 York APPENDIX TABLE IX AVERAGE APPROVED AMOUNT-' PER PATIENT RECEIVING SERVICE,-' BY TYPE OF ASSISTANCE AND BY MONTH September, 1958 - April, 1959 Month Total General Ass istance 01d-Age Assi stance Aid to Dependent Ch i1dren B i 1 n d Pens i ons (') (2) (5) (4) (5) 1938 SEPTEMBER-' - STATE $3.‘+9 $3.42 $4,M $3.59 $2.55 A 1 legheny 2.54 2.54 2.92 CO CM 1.59 Philadelphia "3.07 5.03 4.08 - - STATE excluding 3.88 3.85 4.13 5 • 66 2.86 A1 legheny and Phi Iade1ph i a OCTOBER - STATE 3.93 3.01 4,84 3.54 4.66 Allegheny 5,48 S.44 5.08 5.24 3.75 Phi 1ade1ph i a 3.48 5.43 4.4? 2.49 4,22 STATE excluding 4.20 4.09 4,86 5.69 4.82 Allegheny and Phi 1ade1phi a NOVEMBER - STATE 4.52 4.22 5.04 3.73 5.19 Allegheny 4.46 4.59 6.42 4.65 6.04 Philadelphia 5.89 3.76 5.60 5.70 4.06 STATE excluding 4.42 4.34 4.90 5.61 5.36 Allegheny and Ph 11ade1ph i a DECEMBER - STATE 4.30 4.15 5.42 3.55 5.75 Allegheny 4.45 4.34 6.90 4.16 6.45 Phi 1adelphi a 3.96 5.03 5.90 5.30 5.lto STATE excluding 4.37 4,20 3.26 5.49 5.75 A1legheny and Ph i1ade1ph i a 1939 JANUARY - STATE 4.10 4.02 5.56 5.52 6.55 A11egheny 4,26 4.19 6.90 5.74 6,42 Ph i1 ads 1ph i a 3.09 5.75 5.81 4.09 6.54 STATE excluding 4.25 4.06 5*44 3.40 6.2? Allegheny and Ph iIadeIph i a FEBRUARY - STATE 3.7? 5.61 5.26 5.45 5.M Allegheny 3.09 5.81 5.07 3.93 4.72 Phi Iade1ph1 a 5.17 5.05 5.22 5.17 4,04 STATE excluding 4.05 5.07 5.21 3.45 5.37 A11egheny and Phi 1ade1ph i a MARCH - STATE 3.35 5.64 5.47 3.44 5.7? A1 1 egheny 5.90 5.08 6.27 5.53 5.37 Phi 1adeIphi a 3.16 5.04 5.10 2.94 4.50 STATE excluding 4.12 3.09 5.44 5.61 6.00 Allegheny and Ph i1ade1ph i a APRIL - STATE 3.75 5.58 5.26 3.2? 5.65 A 1i e gheny 5.72 3.62 6.09 3.56 6.21 Philadelphia 3.05 2.92 4.89 2,85 4,50 STATE excluding 4.19 4.01 5.25 5.46 5.88 AlIegheny and Ph1i adeIphi a zf Amounts approved by County Healing Arts Assistance Committees. bj Total undupIicated number of patients. Patients receiving more than one type of professional service are counted only once. c/ The program started on September 15. Therefore, figures for September cover only the tatter half of the month. APPENDIX TABLE X PER CENT REDUCTIONS MADE BY COUNTY HEALING ARTS ASSISTANCE COMMITTEES BEFORE APPROVING BILLS, BY MONTH AND BY COUNTY September, 1938 - July, 1939 1 9 3 8 1 — 111 1 1 9 3 9 County September-^ October November December J anuary February March Apr i 1 May June July (1) (2) (3) CO (5) (6) (7) (8) (9) (10) (ID STATE 4.0$ 6.65? 5.35? 6,4$ 7.5$ 7.0$ 8.2$ 7.5$ - $ - $ - ; STATE excluding 3.7 7.8 6,1+ 7.9 3.7 9. 1 9.6 8.6 8.6 0.7 - Allegheny and Phi 1 ado 1ph i a Adams 0.0 18,3 5.2 6.1 5.6 0.9 2. 1 8.1 5.9 10.9 4.6 A 1 1 egheny 0.0 1,3 1.7 1.9 2.3 3.3 4.8 5,4 b/ b / b / Armstrong 0.0 7.1 7.8 10.1 5.8 7.0 3.9 27.9 34.7 35.7 b/ Beaver 3.4 3.7 1.3 0.9 3.7 2.2 3.4 1.6 1.9 2.0 3.5 Bedford 0.0 25.6 10.5 7.6 7.7 5.8 19.5 i ! .6 8.6 i 0.7 . _b£ Berks 0.0 0.6 0.0 0.4 0.7 0.8 3.2 6.2 4.7 0.8 1,5 Blair 0.0 9.1 12.0 9.7 10,4 13.7 11.5 12.6 12.5 18.7 b/ radford 0.0 1.1+ 5.0 4.2 4.2 1.8 2. 1 1.1 8.8 6.3 7.4 Bucks - 9.0 8.8 0.7 5.2 0.0 7.0 0.0 2.7 2.6 3.3 Butler 0.0 ?.*+ 0.3 0.0 9.7 12.4 13.4 13.2 7.0 2.6 11.5 Cambr i a 0.0 0.9 1.0 3.2 9.6 1 3.3 19.0 12.0 15.5 7.8 b/ Cameron 0.0 13.7 5.7 4.2 0.0 18.1 0.0 6.8 0.0 0,0 0.0 Carbon 6.3 6.3 0.2 8.1 8.9 1.0 6.6 1 1.1 17.5 14.3 I l.I Centre 0,0 3.8 9.2 10.8 17.7 0.4 13,9 19.3 22.8 13.6 b/ Chester 31.8 26.3 12.1 17.5 12.9 19.9 24,3 . 17.9 19.5 13.6 b / Clarion - 21,2 5.7 3.7 6.4 0.7 1.9 l.I 2.1 3.1 4.1 Clearfield 16.1 15.7 24,8 15.1 20.2 15.4 10.3 14.8 14.6 6.9 b / Cl inton 3.3 1.7 5.9 4.5 0.1 0.1 2.0 9.3 17.7 18.6 b/ Co 1umb i a 5. 1 7.5 5.2 13.2 14.9 16.3 20.2 9.7 5.3 13.2 5/ Crawford 0.0 13.1+ 8.0 11.1 23.2 18. 1 7.3 1.5 1.7 6.0 5.2 Cumber 1 and 0.0 0.0 0.1+ 3.1 1.3 5.1 4.4 ■ 2.4 4.5 3.9 7.5 Dauphin 0.0 0.1 2.1+ 2.2 2.1 2.2 3.6 3.1 1.7 2.2 1.3 Del aware 6.2 0.7 1.2 2.1 0.5 5.2 6.0 2.2 2.9 5.1 1.3 Elk 0.0 1.9 5.8 0.7 27.4 12.2 19.9 28.3 16.0 35.7 32.6 Er j e Q.O 0.7 0.8 1.1 .4 0.8 1.3 1 .7 1.1 1. 1 1.8 Fayette 0.0 6.2 3.7 2.6 5.3 12. I 3.8 5.7 6.2 5. i b / Forest 0.0 0.0 0.0 0.0 0.0 1,6 0.0 ' 0.0 0.0 0,0 0.0 Frank I in 2.9 3.8 0.6 1 . 1 6.2 2.2 1.5 1.1 1.2 1.0 5.2 Fulton 0.0 0.0 0.0 17.5 9.2 11.7 8.6 12. 1 o.o- 7.1 b / Green e 0.0 0.0 0.0 0.9 0.0 U7 10,5 . 0,5 _ 3.3 0.0 0.0 Hunt ingdon 2.6 6.0 11.6 8.1 14.0 18.2 17.0 8.3 21 . 1 19.1 11,2 Indi ana 0.0 1.1 2.4 10.5 5.5 1.4 1.2 4.5 6. 1 6.9 b / Jefferson 0.0 50.0 8.0 5.8 16.9 20.4 11,1 16.7 8. 1 11.4 35.5 Jun i ata 0.0 13.7 22.1 32.6 10.3 10.1 14.1 5.0 7.0 8.3 13.9 Lackawanna 13.6 5.0 6.5 16.0 14.3 19.3 25.8 14.2 12.6 12.7 hi Lancaster ISA 26.1 29.5 32.9 33.0 24.4 29. 1 26.3 21. 1 25.8 h/ Lawrence _ 25.0 19.0 26.9 17.9 11.7 12.6 13,2 15.1 1 1.0 9. J Lebanon 0.0 0.0 0.0 0,0 0.5 0.2 2.0 6.3 2.9 13.8 21 . 1 Lch i gh 0.0 6.2 7.7 9.2 11.3 11.9 8.6 6.2 6.0 6.2 5.9 Luzerne 15.0 9.9 7.7 9. 1 15.8 19.0 9.6 15.5 15.8 17.6 __bL Lycoming 1,3 0.3 1.5 3.5 2.7 3.4 4.1 5.7 4.6 3.5 1.3 McKean 0.0 0.0 0.0 1.4 9.2 0.0 1.5 1.6 1.0 1.7 0.1 Mercer 0.0 3.2 2.9 2.7 6.4 1.5 2.2 2.8 1.8 3.1 1.7 Mi ffI in 0.0 13.5 10.1+ 5.3 8.3 6.9 5.S 4.7 9.7 3.4 5.4 Monroe 0.0 5.7 0.1+ 0.3 0.8 3.3 0.5 0.6 0.6 0.0 0.2 iontgoraery 0.0 8.5 5.5 16.9 10.5 7.3 12.8 13.0 11.4 9.6 10.9 '.iontour 0.0 1.9 0.0 0.6 5.8 1 1.5 7.1 0.8 0.4 4.2 hi Northampton c.o 1,1 0.0 0.4 0.3 0.7 1.7 0.4 0.3 1.6 b / Northumber!and 0.0 9.2 19.2 14.0 11.3 12.0 15.4 1 l.I 8.2 3.5 I / Perrv 0.0 0.9 0.0 2.5 3.6 5.7 1.3 1.0 1.0 0.0 0.0 Phi1ade1ph i a 10.9 6.9 5.1 5.4 8.0 7.9 7.0 6.1 b/ b/ hi P i ke ~ 0.0 0.0 3.7 0.0 0.8 0.0 0.0 1.0 0.0 0.0 Potter - - 0.0 0.0 0.0 0.3 1.7 3.6 0.6 3.5 0.0 Schuy 1 k iI 1 - 0.0 1.6 5.0 l.I 1.6 1.2 1.6 1.0 1.5 hi 3n yder 0.0 7.6 0.9 5.1 5.6 1.4 7.2 14.3 2.4 0.8 3.1 Somerset 2.0 1.7 8.1 13.0 10.2 7.5 16.1 6.9 1.8 8,0 1.3 Su11i van 0.0 0.0 0.0 1.2 0.0 0.7 0.0 2.9 1.8 2.7 2.4 Susquehanna c.o 0.0 1.7 10.8 2.4 10.5 11.6 6.4 2,5 8.5 8.6 Tioga 0.0 0.5 2.3 0.9 1.0 2.7 1.9 1.1 0.4 2. 1 0,4 Jn i on 0.0 0.7 0.3 10*5 1 .9 l.I 9,7 3.9 3.2 7.8 _bL Venango 0.0 7.7 1,7 0.2 1.4 0.8 1.6 4.1 17.1 5.4 12. i Varren 0.0 0.0 0.8 0.6 l.I 5.1 0.4 0.0 2.3 0.2 3.3 Washington 0.0 13.5 2.3 3.3 6.3 8.0 5.2 3.4 5.0 3.5 2.0 Wayne 0.0 0.0 2.9 0.0 0.0 0.2 3.6 2.5 0.0 1.7 1.2 Ve stmore1 and 2.6 2.9 6.2 9.5 5.4 7.9 10.9 8". 4 4.0 7.2 __ JlL dyomin g 0.0 0.0 1.0 1,7 1.0 2.0 4. 1 5.2 5.4 7.3 2.0 York 0.0 h.5 1.4 1.2 1.9 5.2 1.4 0.8 0.8 0.2 h/ Notet Pharmaceutical are excluded in calculating per cent reduction-, _a/ The program startea/ September 15, Therefore, figures for September include only tho latter half of the month, b/ Not aval(able. APPENDIX NUMBER OK PHYSICIANS SUBMITTING BILLS REDUCED BY COUNTY HEALING ARTS ,-.SS I STANCE BY PER GENT 0? REDUCTION _ MARCH, Physicians with Reduced Bilis Number of Phy s i c i ins w i th Reduced County Average (Median) Per Cent ov He duct, i on Number Per Cc-n t of Tot 1 Phy s i c i ms Participating f>.oj5 5.1- H»0£ 10,1- 15.015 15.1- 20 M (•) (2) (5) / >, \ 14/ (5) (6) (7) STATE 14.\$ i,74l 37. ih 352 532 252 ?or> STATE e«cfueling Allegheny and Ph i 1adei ph i a •S0 1,2.7 36.6 237 223 • 51 143 Adams 10.0 4 16.0 I 1 1 1 i\ 1 legheny 9.6 194 55.8 59 42 50 15 Armstrong 9.0 18 34.6 9 5 0 1 Beaver 7.6 17 23-3 7 5 3 0 Bedford 2 '5.9 XL _ 54.2 i ■ 1 1 2 Berks Cj m 7 13 13.7 4 3 1 5 Blair lb-9 59 4 : .6 7 10 1 9 Bradford 5.0 7 2. • j 6 ;; ( 0 Bucks 9.1 18 3:.. 3 5 5 1 2 But 1sr 27.6 16 26.2 2 3 1 0 Cambr i a i 9.1 57 91.8' 3 1 \ 9 6 Cameron - 0 - Carbon 15.0 12 53.3- l 2 5 1 Centre 21 .4 15 57.5 5 1 2 1 Chester 27.2 41 5S±2 .. 1 5 4 7 C 1 ari on 3.9 6 22.2 4 2 0 0 Clearfield 18.9 38 69. 1 3 .5 5 8 C1 i nton 12.0 5 15.8 0 l l 0 Co 1umbi a 15.9 13 56.5 4 2 0 5 Cr awferd 16.4 • 20 38.5 4 . 2 5 4 Cumberland 5.0 8 , 22.Z 4 2 0 i U'aupn i n 9.6 19 22.4 5 5 4 2 De1 aware 17.6 14 20.0 4 1 0 4 Elk 27.6 .. 7 31.3 1 0 0 1 Erie 6.1 18 18.8 8 5 1 0 F yetto ■ 7.0 50 39.5 12 8 4 1 .•©rest _ 0 - Fr .nk 1 1 n . 3.4 6 16.2 1 5 0 1 F u1 ton 16.3 1 2 0 # 0 0 0 0 I Greene 11.7_ . _ 1 33.5 O’ 0 0 1 Hunti ngdon 20.9 21 0 5 2 3 1 mii ana 5.0 10 17.5 5 2 1 1 Jot farson 10.:) . 14 48.3 5 2 1 2 Juniata 15.0 2 29.0 0 0 1 0 Lackawanna 25.? 1 IQ 75.3 7 1 2 10 15 L ancas ter 23.7 ‘ 76 73.1 I 8 11 10 Lawrence 1 A. 0 ■ Uo 72.7 4 7 9 6 Lebanon 7.6 5 17.9 2 1 2 0 Leh i gh 1 1.8 24 28.6 6 5 5 4 Luzerne 12.9 79 55.7 14 21 8 K Lycoming 5-0 16 27.J 8 I TJ 0 McKean 12.6 3 9.4 1 0 1 i Mercer ' 5.0 12 17.6 6 1 3 0 Mi ff 1 in 8.2 15 42.9 5 4 3 1 Monroe 2.4 1 $.5 1 0 0 0 Montgomery ■ 20.8 50- 46.2 “T 10 '■ ~ ~6 ■ 2 Montour * 7.G i+ 44.4 1 2 0 0 Northampton • 11.8 14 1 .2 5 1 5 1 Northumber1 and 25.0 . 34 5-.5 5 5 5 5 Perry ■, '3.0 . 2 124, 1 1 0 0 Phi1ade1phi a 14.2 530 40.*0 5d —3?-~ 1 51 w~ P ike • , ! 0 0 Potter 7.6 3 16.7 l I • 0 1 Schuy i k i11 3.4 15 15.9 10 0 . 1 0 Snyder . 22.6 5 .... 22.7 1 0 1 0 Somerset. 17.0 ‘Zj VT. 1 3 5 2 S Sul i iv an - 0 - Susquehanna I8.9 1 8 62.1 0 2 4 4 T i o g a ■3.9 6 23.1 4 ■ 0 2 0 U n i o n 8.9 5 41.7 1 2 0 1 Venango ' 4.5 ’ 7 15.9 4 6 2 b Warren 25.0 1 4.2 0 u 0 c Washi ngton 10.0 56 41.4 10 8 5 5 Wayne 50.0 2 7.4 0 0 0 0 Westmore 1 and 12.2 .% 62.3 18 2$ 12 15 Wyoming 1 1 .4 7 0 7 J 12 0“’ ' ork 9.5 9 IQ. 5 2 5 5 0 TABLE XI - A COMMITTEES AND FREQUENCY DISTRIBUTION OF PHYSICIANS WITH REDUCED BILLS AND BY COUNTY (959 * - — ’•*" —— —- —— — -..-.UU.*,. " u " - Bills Classified fay Per Cent of Reduction 20.1- 25.1- 50.1- 35.1- 40,1- 45.1- 50. lib 25.0* 50.0$ 35-0$ 40.0# 45.0'/ 50. oi And Over County (8) (9) (to) CO 02) 05) (14) . 150 109 106 70 45 61 79 STATE 109 ? 1 81 55 57 46 66 STATE excluding A1 iegheny and Ph i1 ado 1ph i a 0 0 0 0 0 0 0 Adams 7 11 9 7 5 e 5 A 1 1 egheny 1 0 l 1 0 0 0 Armstrong 1 0 D 0 0 1 0 Beaver 2 0 T} 1 0 1 i Bedford 1 • ! * 0 0 0 b Berks 2 1 2 0 1 4 2 Blair 0 0 0 0 0 0 0 Bradf ord 2 1 2 g 0 0 0 Bucks . 1 2 2 . 1 0 1 7 Butler 1 1 2 ■ 5 4 3 2 1 Cambr i a 0 1 Z 0 A 1 Q Carbon 2 1 1 2 2 0 0 Centre 1 6 6 2 3 2 4 Chester 0 li 0 0 , , 0 0 Clarion 3 2 1 5 2 5 7t Clearfield > vj 0 0 Q 3 1 p CIi ntori 0 0 I 3 2 j 1 Co 1umb i a i 3 . . 2 1 1 0 0 0 Crawford 0 0 1 0 0 0 0 Cumber 1 and 2 0 0 0 1 g 0 Dauphin 0 0 0 0 1 i De1 aware .' 5 0 0 0 p O £ Elk 2 1 5 0 0 1 0 Er i e 0 r\ 1 0 i 0 F ayette 1 0 ■> 0 0 0 0 Frank 1 in 0 0 0 0 0 0 0 Fulton 0 ■ 0 0 0 0 0 Greene z J 2 5 0 0 ! 0 Hunt i ngdon 1 1 0 1 0 1 0 1 0 0 0 n 0 0 Indiana Jefferson n 0 0 1 0 0 A Jun i at a 12 8 15 4 4 17 Lackawanna 11 5 6 4 6 7 7 Lancaster 5 3 1 3 2 1 1 L awrence 0 0 0 G , 0 0 0 Lebanon 2 I 1 0 1 Q I Leh i gh ? 6 7 3 o O 3 Luzerne 1 0 i ■ 0 0 l 0 Lycoming 0 0 0 0 0 Q 0 McKean 0 0 0 1 0 1 •J Mercer 0 1 Q i j J 0 Mifflin 0 Q 0 •*> u 0 , g 0 Monroe ? 7 9 7, 0 1 4 Mon tgornery G 0 c ■J 0 3 i Montour 1 J 5 0 0 0 0 Northampton 1 '4 ! 2 3 2 5 Nor thumber i and 0 0 0 c 0 Perry 31'1 27 16 1 } 5 9 8 Ph i Iade1ph i a P i ke Potter 0 Q 0 c 0 I 0 1 1 n 3 I 1 S c h u y 1 k i 1 1 Snyder i 5 J 1 1 1 1 Somerset 2 i 1 1 c 1 Susouehanna 0 0 0 0 c Tioga rj 0 n 0 1 0 Un i on l 0 b ' 0 0 Venango 1 0 r. g 0 0 Warren 3 1 c $ 0 1 Wash i ngton 0 0 0 Q 0 i I Wayne 8 >4 5 2 5 2 2 We stmore!and ■ 1 1} 0 i Wyoming 0 0 0 1 0 0 U Y ork APPENDIX NUMBE 'F DENTISTS SUBMITTING DILLS REDUCED BY COUNTY HEALING ARTS ASSISTANCE BY PER CENT OF March, bent i sts w i t'h Reduced Dills with Reduced Average (Median) Per Cent of Reduction Per Cent of Total Dentists Participating . . -4 . W 1 V. County Number 0.1- 5.0$ 1 o <-n i • • o — 1 1 10.1- 15.0$ 15.1- 20.0$ (1) (?) (3) 00 (5) (O (7) STATE 15.0 198 11 M 34 42 23 25 STATE excluding Allegheny and Philadelphia 17.2 157 13.1 22 26 22 20 Adams 0 A 1 1 egheny 6,1 12 4.5 5 5 0 1 Armstrong 2.6 1 4.8 1 0 0 0 Deaver Bedford - 0 0 - 3 e r k s 13.3 1 5.0 0 0 1= 0 Blair 30.6 17 56.7 0 0 2 * Bradford _ 0 - Bucks - 0 - Butler _ 0 - • • • • Cambr i a 5.0 4 10.3 2 0 2 0 Cameron - 0 - Carbon 6.8 4 33.3 1 3 0 0 Centre 16.7 1 6.3 0 r\ V 0 1 Chester 32.6 5 33.3 0 0 1 0 C1ar i on - 0 - Clearfield 7.6 3 1 1. 1 1 i 0 1 01 in ton - • Co 1umb i a 5.0 2 10.2 1 0 0 0 Crawford 5.3 1 4.5 0 1 0 0 Cumber 1 and 60.0 3 42.9 0 5 0 0 Oauphi n - - De1 aware 15.0 1; 25.0 0 i 1 1 Elk Erie - 0 0 - Fayette 3.4 4 9. 1 3 0 0 1 Forest - 0 Fr ank 1 in 4.3 1 7. I 1 0 0 0 Fulton Greene - 0 0 - Hunt ingdon 3.0 1 1 1 . I 1 0 0 0 Indiana 10.0 2 7.7 0 1 1 0 Jef ferson 5.0 2 13.3 1 1 0 0 Juniata - 0 - Lackawanna 25.6 44 58.7 0 3 2 7 Lancaster |4. 3 1 7.7 0 0 I 0 Lawrence 9.; 1 3.4 0 1 0 0 Lebanon W 0 - Leh igh _ Q - Luzerne 7.6 8 7.5 3 2 0 2 Lycom i n g 31.2 1 4.2 0 0 0 0 McKean 10.0 n c 18.2 0 1 0 i Mercer 12.5 i 3.7 0 o 1 0 Mi f f I in - 0 _ Monroe 22.2 1 12.5 0 0 0 0 Men t corner y - 0 Mon tour - 0 - Northampton 15.0 6 26. 1 0 I 2 i Northumber1 and 13.4 6 18.2 1 0 3 i Ferry _ 0 • • • « «•••••* •••••••••••• Phi 1ade1ph i a 8.5 29 10.4 7 11 1' ■ 4 Pike - 0 - ., . Potter - 0 - Schuy1k i I 1 23.9 5 15.6 0 0 0 1 Snyder 1 2.6 4 50.0 g 1 2 0 Somerset 4.5 7 29.2 4 2 1 0 Su11i van - 0 - Susquehann a 22,6 1 7.7 0 0 Q 1 T ioga Un i on - 0 0 - Ven an go - 0 - Warren - - Wash ington - - Wayne 7.7 1 9.1 0 1 0 0 Westmore 1 an d 8.9 10 13.7 2 4 2 1 i!yom i n g 8.3 1 14.3 0 1 0 0 fork 6.7 1 9,1 0 1 , 0 o TABLE X I-B COMMITTEES AND FREQUENCY DISTRIBUTION OF DENTISTS WITH REDUCED BILLS, REDUCTION AND BY COUNTY I 939 Bills Classified by Per Cent of Reduction 20.1- 25. !- 30.1- 35.1- 40.1- 45.1- 50.1$ 25.0$ 30. C$ 35.0$ >40.0$ 45.0* 50,0$ A Over County (8) (9) (to) (M) (12) (13) (14) 23 12 14 9 4 5 7 STATE 21 1 2 13 7 4 4 6 STATE excluding A 11eghsny an d Phi1ade1phi g Adams A 11 egheny 0 0 1 0 0 0 0 0 0 0 0 0 0 Q Armstrong Beaver Bedford • ••••• 0 0 0 0 0 0 0 Berks 3 2 5 4 0 0 0 Blair Bradford Bucks Butler # ### ### ### • •••••••a , « • 0 0 0 0 0 0 0 Cambr i ~ Cameron Carbon 0 0 0 6 0 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 Can tre Chester 0 0 0 0 0 0 0 Clearfield Cl inton Columbia 1 0 0 0 0 0 0 0 0 q 0 o 0 0 Crawford 0 o' 0 0 I 0 2 Cumber 1 and Dauphin De1 aware E 1 k 1 0 0 0 0 0 0 Erie 0 0 6 0 0 6 0 Fayette 0 0 0 0 0 0 0 Frank 1 in Fu1 ton Greene • ••••• .0 0 0 0 •«V 0 0 Hunt ingdon a 0 0 0 0 0 0 Indiana 0 0 0 0 o 0 0 Jeff erson 9 10 3 2 c. 3 3 Lackawanna 0 0 0 0 0 0 0 Lancaster 0 0 0 g 0 0 0 Lawrence Lehigh Luzerne 0 0 0 0 0 1 0 0 0 1 0 o 0 0 Lycoming 0 0 0 0 0 0 0 McKean 0 0 u 0 0 o 0 Mercer 1 0 0 0 9 g 0 Monroe Mon tgomer y Montour Northampton ! 0 0 0 0 0 i 1 0 0 0 0 0 0 Northumber1 an d Perry 2 0 0 2 0 1 1 Phi 1ade1ph i a Pike O 0 2 0 0 o 0 Schuy1k i1 I 1 0 0 0 0 0 0 Sn yder 0 0 0 0 0 0 0 Somerset 0 0 0 0 c 0 0 Susquehanna Un i on Venango Washington W a yn e c 0 0 0 0 0 0 0 o 1 0 0 o 0 Westmore1 and 0 0 0 0 0 0 0 Wyom i ng 0 0 0 0 0 0 0 York APPENDIX TABLE XII NUMBER OF PROFESSIONAL PRACTITIONERS-' PARTICIPATING IN PROGRAM, AND RATIO OF NUMBER PARTICIPATING TO TOTAL NUMBER REGISTERED,-' BY CLASS OF PARTICIPANT AND BY MONTH September, 1958 - June, 1939 Phys i c i ans Dent i ata Pharmacies Month Number Participating Per Cent Participating Number Part i c ipating Per Cent Fart i c i pat i ng Number Participating Per Cent Participating (1) (2) (5) (4) (5) (6) 1958 - STATE 1,150 8,8$ i?5 2.9$ 290 7.0$ A 11egheny 160 7.1 32 2.8 93 14.0 Philadelphia SO 1.5 7 0.4 25 1.7 STATE excluding 930 13.4 156 4.4 172 8.6 A1 Iegheny and Philadelphia OCTOBER - STATE 3,209 24.4 936 15.4 1,176 28.3 Al1egheny 591 17.4 168 14.5 257 58.6 Philade1 phi a 464 :' .8 113 6.2 362 24,1 STATE excluding 2,354 .9 655 21.0 557 27.9 A1 Iegheny and PhI 1ade1ph i a NOVEMBER - STATE 5,638 27.7 994 16.3 1,457 54.5 A11egheny 452 '9.5 157 13.6 280 42.1 Ph J1ade1ph i a 615 <5.6 154 8.5 529 55.3 STATE excluding 2,591 37.5 683 21.9 628 31.5 AJ1egheny and Phi 1ade1 phi a DECEMBER - STATE v,?6o 28.6 1,026 16.8 1,46? 55.3 A11egheny 466 20,8 165 14.3 2?4 41.2 Ph11ade1ph i a 601 15.3 159 7.6 519 54.6 STATE excluding 2,693 53.7 722 23.2 6?4 33.8 Al1egheny and Phi 1ade1ph i a 1939 JANUARY - STATE 4,210 32.1 1,409 23.1 1,669 40,1 Al 1egheny 435 19.4 190 l?.l 315 47.1 Ph i1ade1ph1 a 719 18.3 193 10.9 612 40,8 STATE excluding 3,056 44.0 1,013 32.5 744 57.5 Allegheny and Ph}1ade1ph i a o/ Includes physicians, dentists and pharmacies; excludes nurses and clinics. Nurses are excluded because many nurses participate through nursing agencies and a nursing agency is recorded as one participant regardless of how many individual nurses participate through the agency, b/ Total number of registered physicians obtained from the number registered for 1938 with the State Bureau of Professional Licensing. Since the number of registered osteopathic physicians is not available by county the State total number of osteopathic ysiclans has been distributed among the counties in the same ratio as the number of medical doctors. Total umber of registered dentists obtained from the number registered for 1938 with the Pennsylvania State Dental Society. Total number of registered pharmacies obtained from the number registered as of May, 1939 with the Pennsylvania Pharmaceutical Association, 0/ The program started on September I5» Therefore, figures for September cover only the latter half of the month. APPENDIX TABLE XII (CONTINUED) NUMBER OF PROFESSIONAL PRACTITIONERS-' PARTICIPATING IN PROGRAM, AND RATIO OF NUMBER PARTICIPATING TO TOTAL NUMBER BY CLASS OF PARTICIPANT AND BY MONTH September, 1938 - June, 1939 Phys i cj ans Dent i sts Pharmaci es Month Number Participating Per Cent Part i cl pat ing Number Participating Per Cent Part i c i pat ing Number Per Gent Participating Participating 0) (2) (5) (4) (5) (6) 1959 FEBRUARY - STATE 4,601 35.055 1,615 26.555 2,094 50.3? A11egheny Ph|1ade1phI a STATE excluding A11egheny and Ph i1ade!phi a 529 788 3,284 23.6. 20.0 47.2 250 219 1,146 21.6 12.1 36.8 578 777 939 56.8 51.8 47.0 MARCH - STATE 4,689 35.7 1,744 28.6 2,191 52.7 A|1egheny Ph i1ade1ph1 a STATE excluding Allegheny and Ph j1ade1 phi a 542 826 3,521 24.2 21.0 47.8 264 280 1,200 22.8 15.4 38.5 400 806 985 60,2 55.7 49.3 APRIL - STATE 4,502 52.3 1,5M 24.8 2,003 50.1 A 11egheny PhI 1ade1 phi a STATE excluding A 1legheny and Phi 1ade)ph 1 a 431 801 3,020 21.4 20.3 43.4 223 260 1,028 19.5 14.3 55.0 585 760 932 57.6 5'.2 46.7 MAY - STATE d/ it d/ d/ d/ d/ A11egheny Ph(1adeIphI a STATE excluding A11egheny and Philadelphia d/ i/ 2,855 it d/ 41.1 d/ $/ 9% d/ it 50.5 d/ d/ 920 d/ 8/ 4675 JUNE - STATE it d/ it d/ d/ d/ Allegheny Ph{1ade1ph1 a STATE excluding A 11egheny and Phi 1ade1ph i a d/ d/ 2,676 it d/ 58,1 it d/ d/ d/ 27.6 d/ d/ 061 d/ 1/ 43.1 __ Includes physicians, dentists and pharmacies; excludes nurses and clinics. Nurses are excluded because many nurses participate through nursing agencies and a nursing agency is recorded as one participant regardless of how many individual nurses participate through the agency, by Total number of registered physicians obtained from the number registered for 1938 with the State Bureau of Professional Licensing. Since the number of registered osteopathic physicians is not available by county the State total number of osteopathic physicians has been distributed among the counties in the same ratio as the number of medical doctors. Total number of registered dentists obtained from the number registered for 1958 with the Pennsylvania State Dental Society, Total number of registered pharmacies obtained from the number registered as of May, 1939 with the Pennsylvania Pharmaceutical Association. dj Not available. NUMBER OF PATIENTS RECEIVING SERVICE,-' BY COUNTY AND BY MONTH September, 1938 - April, 1939 1 9 3 8 1 9 3 9 County September-'' October November December January February March Apr i 1 (1) (2) (3) o. “ v5) (6) (7) (8) STATE 4,645 22,497 25,123 29,S 7 42,747 67,575 75,604 64,574 STATE excluding 3,206 13,943 14,950 18,1 7 26,216 35,069 39,974 32,736 Allegheny end Phi!adelphia Adams 1 1 45 62 6 ■ 99 129 153 1 I 1 A 11eghen y I ,230 5,009 4,921 5,70 7,652 13,267 15,033 12,491 Armstrong 13 146 215 27t 434 558 630 4S7 Beaver 75 351 343 367 541 647 /1 5 570 Bedford 20 147 175 196 236 232 316 229 Berks 3 151 272 344 544 993 1,312 1,107 Blair 130 471 528 544 722 962 1,076 862 Bradford 5 131 214 209 343 446 477 406 Bucks 38 63 152 210 347 342 297 Uutler 53 212 215 269 402 L07 494 303 O'unbr i a 157 630 604 701 1,021 1,530 1,831 1,444 Cameron 9 20 14 ! 7 30 18 29 25 Carbon 3 69 127 147 269 31 1 372 344 Centre 12 1 7 127 183 242 539 324 268 Chester 31 i 129 137 284 426 419 392 C1 ar i on 14 49 1 1 1 236 207 187 162 Clear?iold 107 360 320 374 559 681 776 598 Cl in ton 85 213 242 265 351 35 3 300 242 Columhi a 30 120 120 166 257 304 357 318 Crawford 67 207 225 248 315 363 429 318 CumOerland 31 65 95 1 15 182 205 232 190 Dauphin 4 179 305 420 631 864 949 855 De1 aware 10 63 ICO 1 IS 135 406 492 471 Elk 14 65 79 91 125 139 134 114 Erie 150 356 406 502 782 1.034 I . 152 948 F ayette 73 434 474 655 974 1,326 1,656 1,546 Forest 7 S 6 13 17 23 29 36 Frank 1 in 10 49 65 85 168 294 353 254 Fu1 ton 6 10 22 49 33 59 43 31 Greene 47 101 36 34 26 22 43 45 Hun t i n gdon 43 161 205 248 321 378. 414 362 1 n d i an a 20 ISO 274 359 569 745 ..39 768 Jefferson 24 165 201 107 333 346 396 296 Jun i at a 12 56 64 73 74 98 I 13 95 Lack awanna 141 695 736 877 1 ,452 2.235 2.480 i*7J 5 Lancaster 54 229 313 420 527 688 711 605 Lawrence - 277 335 420 647 799 809 710 Lebanon 9 39 70 101 1 22 155 139 115 Leh i gh 137 4 or 510 622 673 057 1,029 861 Luzerne 379 I .504 902 1,106 1 .984 2.845 -Jjl-241 - SxDl Lvcoming 101 519 559 616 745 860 903 Bit McKean 1 1 35 75 92 147 233 226 22! Mercer 147 471 446 472 654 714 759 63: Miff I in 8 88 139 303 371 469 471 36 Monroe £6 01 92 70 ... 1 1 7 _ 140 179 _ I5.‘ Mon tgomorv 50 204 219 248 422 755 683 S51 Montour 15 42 54 64 77 91 81 5; Northampton 23 221 332 459 636 736 8 28 65! Northumber 1 and 155 521 473 501 689 753 910 70. Perry 5 55 53 72 63 109 i !i- io; Phi Iadeiphi a 209 3,545 5,252 6,106 3,879 19,239 20,597 19,34, P i ke 3 9 7 17 34 30 2( Potter * IB 82 128 177 219 \y Schuy1k iI 1 217 290 372 530 780 920 77' Sn yder 20 37 94 142 127 159 196 145 Corner set 1 18 503 505 57! 725 096 1,090 828 Su11i van 24 45 41 55 46 87 too 90 Susquehanna 27 188 191 213 307 00 O', 414 31 1 Tioga 37 115 1 17 114 167 251 345 297 Un i on 12 35 43 41 50 71 92 85 Venan go 22 194 251 340 410 537 702 591 W a r r en 12 56 54 76 117 166 212 18' Washington Wayne 77 3 343 36 295 39 420 55 656 80 821 ! 16 1,029 146 97 12' Wes tmoreI and 1 12 748 717 847 1.316 . U?25 2.443 1x7 ‘j . Wyoming 15 107 1 10 123 144 217 254 10- York 62 327 421 464 585 7 773 662 a/ TotaJ unduplicated number of patients. Patients receiving mere than one type of professional service are counted only once. b/ The program started on September 15. Therefore, figures for September cover only the latter half of the month APPENDIX TABLE XIV RATIO OF NUM3FR OF PATIENTS RECEIVING SERVICE-' TO TOTAL NUMBER OF PERSONS ON ASSISTANCE ROLLS, 0Y COUNTY AND 3Y MONTH September, 1933 - April, 1939 * •' ■•••- lnT* " "',1 ‘ — Number of pati ants per 1,000 of assistance population — [on 1 jO 8 I 9 3 9 bounty L f September-' October November December J anuary February March Apri 1 (I) (2) (3) 00 (5) (0 (7) (8) STATE 5 7 32 37 47 70 78 69 STATE excluding Allegheny and Phi 1ade1phi a 7 31 36 41 52 64 73 62 Adams 9 30 54 57 52 50 71 53 A11egheny 9 32 34 39 40 73 89 77 Armstrong 2 20 31 37 52 63 71 50 Beaver 6 29 31 31 37 42 50 43 Bedford 6 41 53 57 64 60 73 51 Berks i c/ 12 22 29 40 60 91 79 Blair TO 38 50 54 65 79 07 70 Bradford 1 37 65 80 70 93 96 84 Bucks - 12 19 42 50 77 76 69 Sutler 8 30 34 41 54 £1 64 43 Cambr i a 3 34 37 40 53 7! G3 70 Cameron 16 41 36 40 63 33 57 53 Carbon 3 29 57 53 91 92 107 102 Centre 4 30 1+0 62 67 73 76 68 Chester n y 29 24 22 41 54 54 54 A1 ar I on - 5 19 41 78 64 58 52 Clearfield 10 37 40 45 50 66 71 52 Cl Inton 25 65 37 91 102 93 76 64 Co 1umb i a 7 20 33 42 60 63 79 76 Crawford 15 44 48 48 56 61 74 62 Cumber I and 14 32 47 46 53 56 67 67 Dauph in d 1 21 37 47 64 77 84 79 Be I aware 7 11 It 12 35 43 42 Elk 7 34 46 48 57 57 53 46 Er i e 12 28 33 39 55 66 75 67 Fayette 0 IG 20 20 38 48 59 53 Forest 1 3 22 20 35 35 40 50 57 Frank 1 in 5 23 23 29 45 67 02 65 FuI ton IN 25 65 123 73 1 1 1 89 71 Greene 18 35 14 12 9 6 1 2 9 Hun t. i n gdon 13 50 is i 74 S9 91 98 87 1 nd 1 an a 3 16 28 34 50 60 67 65 Jefferson 5 33 45 30 59 55 65 52 dun i ata 15 72 53 37 72 77 89 71 Lackawanna 6 °7 31 36 51 75 31 55 Lancaster 7 20 37 46 53 65 70 62 Lawrence - 31 40 40 64 74 74 72 Lebanon 4 19 30 47 52 59 53 48 Lehigh 17 5G 67 75 71 86 110 95 Lu icrne d 33 24 27 44 61 71 61 Lycoming 26 76 08 93 95 99 10! 92 McKean 4 26 24 25 35 50 45 52 Mercer 14 46 50 53 65 C9 83 68 Mifflin 2 26 55 81 63 95 95 75 Monroe 17 48 51 32 43 46 61 58 Montgomery 1 1 25 2d 29 44 70 64 55 Montour 14 39 54 50 50 60 54 40 Northampton 3 30 40 60 75 87 94 80 N orthumber1nnd 15 51 40 40 • 55 50 68 51 Perry 5 50 64 74 53 73 78 76 Phi Iade1phia 1 15 23 27 37 76 81 79 P i k e _ 7 22 16 27 47 39 30 Potter _ - 15 63 84 102 117 104 chuy1ki 1 I - 16 24 27 32 44 43 36 iyder 17 50 53 73 55 63 78 60 Somerset 10 43 47 53 63 75 39 71 Su 1 1 i v an 29 56 54 73 55 92 101 92 Susquehanna 5 64 64 62 77 02 95 73 Tioga 15 54 53 40 59 79 100 84 Un i on 13 41 54 44 52 50 63 60 Von c.ngo 4 36 45 56 62 75 93 82 Warren 6 26 26 20 36 44 57 54 Washington 4 21 20 27 39 43 55 49 W yns 2 21 24 32 40 56 72 68 WestmoreI and 0 24 27 32 46 60 76 59 Wyoming 61 64 60 63 80 - 105 82 York 9 46 63 63 65 74 30 73 Jl/ rotul undup 1 i <-" ? ta J number of patient':.. Patients receiving more than one type of professional service are counted only once. b./ The program started on September 15. Therefore, figures for September cover only the latter half of the month, c/ Leas than one per 1,000 of assistance population. APPENDIX NUMBER OF PATIENTS RECEIVING SERVICE AND NUMBER OF PERSONS ON ASSISTANCE ROLLS, BY TYPE September, 1938 - Total-/ 'Med i cal Month and Type of Assistance Number of Patients Ratio-/ Number of Pat i ents Rat 10-/ (1) (2) (3) (»») 1938 c / SEPTEMBER*- TOTAL 4,645 5 5,7*5 4 General Assistance 3,964 6 3,07? 4 Old-Age Assistance 509 6 438 5 Aid to Dependent Children 120 2 105 2 Blind Pensjons 52 4 47 4 OCTOBER - TOTAL 22,497 2? 17,660 21 General Assistance 18,964 2B 14,4?? 21 Old-Age Assistance 2,505 28 2,555 26 Aid to Dependent Children C03 14 650 II B1 Ind Pensions 225 19 200 1? NOVEMBER - TOTAL 25,123 32 21,902 28 General Assistance 20,375 32 17,477 20 Old-Age Assistance 3,374 30 5,230 37 Aid to Dependent Children 1,065 IB 916 15 31Ind Pensions 511 26 279 25 DECEMBER - TOTAL 29,98? 3? 26,52? 32 General Assistance 24,241 3? 20,932 32 Old-Age Assistance 3,961 45 5,??0 43 Aid to Dependent Children 1,462 23 1,298 21 Blind Pensions 323 27 27? 23 1939 JANUARY - TOTAL 42,74? 4? 57,524 41 General Assistance 35,530 40 30,632 42 Old-Age Assistance 4,655 53 4,443 51 Aid to Dependent Children 2,213 31 1,935 27 Blind Pensi ons 3'+9 29 516 26 FEBRUARY - TOTAL 67,575 70 51,516 53 General Assistance 56,527 72 41,741 53 Old-Ago Assistance 6,225 71 5,758 66 Aid to Dependent Children 4,111 51 3,222 40 B1Ind Pens 1ons 712 39 595 49 MARCH - TOTAL 75,604 78 55,695 57 General Assistance 62,156 80 44,279 5? Old-Age Assistance 7,445 86 6,839 79 Aid to Dependent Children 5,250 50 3,912 45 Blind Pens i ons 775 64 665 55 APRIL - TOTAL 64,574 69 46,580 50 Genera 1 Assistance 52,090 70 36,769 40 Old-Age Assistance 6,705 79 6,216 72 A|d to Dependent Children 5,006 54 3,606 $9 B!Ind Pens ions 693 57 597 49 zj T til unduplicateJ number of patients. Patients receiving more than one type of professional service are counted only once. Number of patients per 1,000 of assi- nee population in respective assistance groups. Sj The program started on September 15', therefore, figures for September cover only the latter half of the month, JJ Less than one per 1,000 persons on assistance rolls. TABLE XV ATIO OF NUMBER RECEIVING SERVICE TO TOTAL OF SERVICE, BY TYPE OF ASSISTANCE, AND BY MONTH April, 1959 D n t a i Pharmaceut i ca 1 Nurs i r.g — Cl i n i ca 1 Number of Pat tents e .. b/ Ratio- Number of Patients Ratio-’ Number of Patients R; b/ at 1 0- Number of Pat i ents Rat i o-/ (5) (6) t-,\ v f / (8) (9) ( 10) (••) (12) 425 i 544 1 402 l 863 j 6 d/ 62 1 - - - _ 16 i d / i / 10 9 d / 1 - - - - 3,195 4 6,792 8 - - - - 3,036 4 6,095 9 _ _ 31 d/ 495 6 - - - - 115