Profile of Pediatric Visits
Annualized Estimates
by
Source of Payment
Patient Age
Physician Specialty
Well vs Sick Visit
Office Setting
Practice Ownership
Physician Employment Status
&
Geopgraphic Location
2004-2007
Annualized Estimates
Visits to Office-based Physicians vs General Dentists
by Infants and One-year-olds
2004-2007
Updated April 2010
Send questions and comments about this report to
Suk-fong S Tang, PhD,
Senior Research Analyst,
Department of Practice,
American Academy of Pediatrics,
Elk Grove Village, Illinois
Data Highlights:
•
Infants, children and young adults through age
21 account for 30% of the US population, and
only 12% of total health care payment.
•
After private health insurance, Medicaid and
SCHIP programs are the largest source of
payment for pediatric (through age 21) health
care, followed by family sources. Together,
these sources cover 92% of children’s health
care expenses, paying 48%, 24% and 20% of
total cost, respectively.
•
•
Preventive visits account for 29% of all visits
by infants, children and young adults through
age 21, and over half (52%) of all visits by
infants. Pediatricians provide 84% of all well
visits and 76% of all sick visits to infants and
children under age 6, compared to 44% of well
visits and 35% of sick visits to adolescents.
Overall, pediatricians provide 66% of all well
visits and 52% of all sick visits for the age 0
through 21 population.
87% of all pediatric office visits are provided in
private solo or group practice, with the
remainder provided in health centers, clinics,
HMOs and other settings. 79% of all pediatric
office visits are provided in physician or
physician-group owned settings.
•
Almost two-thirds of all pediatric office visits
(65%) are provided by physician owners of the
practice. The remainder one-third (35%) are
provided by employee or contractor
physicians.
•
Only 2% of infants and one-year olds visit any
general dentist during the year. The great
majority (87%, or 6.8 million) visited officebased physicians but not dentists in a year’s
time. The number of physician office visits
outnumber visits to general dentists 190 folds
for this age group.
•
Nationally, office visits provided by general
pediatricians outnumber visits provided by
other primary care physicians by more than 2fold (56% vs 25% of all visits) for the 0-21
population. There is, however, considerable
geographic variation, by region and by
metropolitan area classification.
Sources: AAP analysis of 2004-2007 Medical Expenditure Panel
Survey and 2004-2007 National Ambulatory Care Survey.
Content
Figure 1 & Table 1. Health Care Provider
Payment for Children and Adults, by
Source of Payment, 2004-2007
Annual Average
Figure 2 & Table 2. Pediatric Office Visits by
Type of Visit by Patient Age, 20042007 Annual Average
Table 3.
Pediatric Office Visits by Physician
Specialty by Patient Age, 2004-2007
Annual Average
Figure 3 & Table 4. Well-child and Sick Visit
by Physician Specialty by Patient
Age Group, 2004-2007 Annual
Average
Table 5.
Table 6.
Pediatric Office Visits by Physician
Specialty by Source of Payment,
2004-2007 Annual Average
Pediatric Office Visits by Physician
Specialty by Type of Office Setting,
2004-2007 Annual Average
Table 7.
Pediatric Office Visits by Physician
Specialty by Type of Practice
Ownership, 2004-2007 Annual
Average
Table 8.
Pediatric Office Visits by Physician
Specialty by Physician Employment
Status, 2004-2007 Annual Average
Table 9.
Number and Proportion of Infants and
One-year-olds with Visits to Officebased Physicians vs General Dentists,
2004-2007 annual average
Table 10. Frequency of Visits to Office-based
Physicians vs General Dentists by
Infants and 0ne-year-olds, 2004-2007
annual average
Table 11. Pediatric Office Visits by Region by
Metropolitan Statistical Area
Classification, 2004-2007 Annual
Average
Figure 1. Health Care Provider Payment for Children and Adults, by Source of Payment,
2004-2007 Annual Average
Ages 0 through 21
Age 22 and Older
(Payment: $117B, 12% of Total)
(Payment: $883B, 88% of Total)
7.0%
8.3%
19.9%
24.1%
18.3%
48.3%
42.2%
8.0%
0.7%
23.9%
Private Insurance
Medicare
Medicaid/SCHIP
Source: AAP analysis of 2004 to 2007 Medical Expenditure Panel Survey
Self/Family
Other
Table 1. Health Care Provider Payment by Source of Payment by Age Group, 2004-2007 Annual Average
Source of Payment
Population (millions)
Row%
Total Provider Payment ($billions)
Row%
Col%
Total Amount Paid by Private Insurance
Row%
Col%
Total Amount Paid by Medicare
Row%
Col%
Total Amount Paid by Medicaid/SCHIP
Row%
Col%
Total Amount Paid by Self/Family
Row%
Col%
All persons
Ages 0 - 21
Over Age 21
295.0M
100.0%
89.6M
30.40%
205.4M
69.60%
$999.9B
100.0%
100.0%
$117.2B
11.7%
100.0%
$882.6B
88.3%
100.0%
$422.3B
100.0%
42.2%
$56.6B
13.4%
48.3%
$422.3B
100.0%
42.2%
$212.1B
100.0%
21.2%
$0.9B
0.4%
0.7%
$211.2B
99.6%
23.9%
$99.1B
100.0%
9.9%
$28.2B
28.5%
24.1%
$70.8B
71.5%
8.0%
$185.3B
100.0%
18.5%
$23.3B
12.6%
19.9%
$161.9B
87.4%
18.3%
$81.2B
100.0%
8.1%
$8.2B
10.1%
7.0%
$73.0B
89.9%
8.3%
Total Amount Paid by Other Source
(military insurance, worker's comp and other sources)
Row%
Col%
Note: Percents may not sum to 100% due to rounding.
Source: AAP analysis of 2000 to 2004 Medical Expenditure Panel Survey.
Figure 2. Pediatric Office Visits by Type of Visit by Patient Age, 2004-2007 Annual Average
Number of Visits (thousands)
35,000
8.9%
30,000
25,000
19.8%
Well Visit
Sick
Visit
40.8%
20,000
8.2%
15,000
22.3%
10,000
5,000
0
0
1
2
3
4
5
6
7
8
9 10 11 12 13 14 15 16 17 18 19 20 21
Age
Source: AAP analysis of 2004 to 2007 National Ambulatory Medical Care Survey
Table 2. Pediatric Office Visits by Type of Visit by Patient Age, 2004-2007 Annual Average
(Number of Visits in Thousands)
Age
Through 21
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
#Total
Visits
210,353.2
30,382.5
19,231.8
11,134.4
10,039.3
10,339.4
9,924.8
8,998.4
7,982.6
6,847.9
6,691.0
6,692.6
7,188.8
7,135.9
7,707.4
8,165.1
7,616.6
8,648.2
8,563.9
7,779.3
6,313.0
6,319.9
6,650.1
Col%
100.0%
14.4%
9.1%
5.3%
4.8%
4.9%
4.7%
4.3%
3.8%
3.3%
3.2%
3.2%
3.4%
3.4%
3.7%
3.9%
3.6%
4.1%
4.1%
3.7%
3.0%
3.0%
3.2%
#Well
Visits
61,528.7
15,794.8
7,511.4
2,736.9
2,620.5
2,767.8
2,435.0
1,688.9
1,315.0
1,246.3
1,218.7
1,616.5
1,835.3
1,629.7
1,343.0
1,935.4
1,437.8
1,855.8
2,154.3
2,075.2
1,943.9
1,965.0
2,401.6
Row%*
29.3%
52.0%
39.1%
24.6%
26.1%
26.8%
24.5%
18.8%
16.5%
18.2%
18.2%
24.2%
25.5%
22.8%
17.4%
23.7%
18.9%
21.5%
25.2%
26.7%
30.8%
31.1%
36.1%
Col%
100.0%
25.7%
12.2%
4.4%
4.3%
4.5%
4.0%
2.7%
2.1%
2.0%
2.0%
2.6%
3.0%
2.6%
2.2%
3.1%
2.3%
3.0%
3.5%
3.4%
3.2%
3.2%
3.9%
#Sick
Visits
146,128.8
14,259.4
11,484.6
8,270.8
7,332.2
7,506.5
7,357.2
7,206.1
6,573.6
5,562.4
5,415.8
5,019.4
5,204.4
5,413.1
6,275.4
6,061.9
6,002.3
6,693.0
6,255.4
5,537.8
4,254.1
4,259.4
4,183.8
*Row percents do not sum to 100% due to approximately 1.3% missing data on type of visit.
Source: AAP analysis of 2004-2007 National Ambulatory Care Survey. Includes visits by patients under age 22.
Row%*
69.5%
46.9%
59.7%
74.3%
73.0%
72.6%
74.1%
80.1%
82.3%
81.2%
80.9%
75.0%
72.4%
75.9%
81.4%
74.2%
78.8%
77.4%
73.0%
71.2%
67.4%
67.4%
62.9%
Col%
100.0%
9.8%
7.9%
5.7%
5.0%
5.1%
5.0%
4.9%
4.5%
3.8%
3.7%
3.4%
3.6%
3.7%
4.3%
4.1%
4.1%
4.6%
4.3%
3.8%
2.9%
2.9%
2.9%
Table 3. Pediatric Office Visits by Physician Specialty by Patient Age, 2004-2007 Annual Average
(Number of Visits in Thousands)
Age
Through
21
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
#Visits to
All
Physicians Row%
210,353.2
30,382.5
19,231.8
11,134.4
10,039.3
10,339.4
9,924.8
8,998.4
7,982.6
6,847.9
6,691.0
6,692.6
7,188.8
7,135.9
7,707.4
8,165.1
7,616.6
8,648.2
8,563.9
7,779.3
6,313.0
6,319.9
6,650.1
Col%
100.0% 100.0%
100.0% 14.4%
100.0% 9.1%
100.0% 5.3%
100.0% 4.8%
100.0% 4.9%
100.0% 4.7%
100.0% 4.3%
100.0% 3.8%
100.0% 3.3%
100.0% 3.2%
100.0% 3.2%
100.0% 3.4%
100.0% 3.4%
100.0% 3.7%
100.0% 3.9%
100.0% 3.6%
100.0% 4.1%
100.0% 4.1%
100.0% 3.7%
100.0% 3.0%
100.0% 3.0%
100.0% 3.2%
#Visits to
General
Pediatrician Row%
117,858.4
24,784.9
14,941.1
8,290.9
7,605.1
7,102.5
6,784.1
5,871.4
5,010.8
4,496.8
4,070.1
3,723.0
4,204.8
3,395.8
4,037.9
3,509.6
2,583.1
3,129.7
2,397.0
1,115.5
~
~
~
Col%
56.0% 100.0%
81.6% 21.0%
77.7% 12.7%
74.5% 7.0%
75.8% 6.5%
68.7% 6.0%
68.4% 5.8%
65.2% 5.0%
62.8% 4.3%
65.7% 3.8%
60.8% 3.5%
55.6% 3.2%
58.5% 3.6%
47.6% 2.9%
52.4% 3.4%
43.0% 3.0%
33.9% 2.2%
36.2% 2.7%
28.0% 2.0%
14.3% 0.9%
#Visits to
Pediatric
Subspecialist Row%
5,284.3
674.8
351.9
348.3
259.8
209.5
314.6
348.8
139.0
204.0
207.0
359.4
297.7
328.5
239.2
218.9
~
~
~
~
~
~
~
#Visits to
Other
Primary Care
Physician
Col%
** Row%
2.5% 100.0%
2.2% 12.8%
1.8% 6.7%
3.1% 6.6%
2.6% 4.9%
2.0% 4.0%
3.2% 6.0%
3.9% 6.6%
1.7% 2.6%
3.0% 3.9%
3.1% 3.9%
5.4% 6.8%
4.1% 5.6%
4.6% 6.2%
3.1% 4.5%
2.7% 4.1%
51,749.5
4,015.4
2,607.8
1,498.6
1,388.8
1,955.6
1,547.8
1,325.9
1,474.4
1,033.2
1,047.1
1,189.3
1,392.8
1,857.4
1,693.9
2,472.1
2,364.2
2,971.5
3,471.7
3,947.3
3,686.7
4,185.5
4,622.4
Col%
24.6% 100.0%
13.2% 7.8%
13.6% 5.0%
13.5% 2.9%
13.8% 2.7%
18.9% 3.8%
15.6% 3.0%
14.7% 2.6%
18.5% 2.8%
15.1% 2.0%
15.6% 2.0%
17.8% 2.3%
19.4% 2.7%
26.0% 3.6%
22.0% 3.3%
30.3% 4.8%
31.0% 4.6%
34.4% 5.7%
40.5% 6.7%
50.7% 7.6%
58.4% 7.1%
66.2% 8.1%
69.5% 8.9%
#Visits to
Other
Specialist Row%
35,461.0
907.4
1,330.9
996.6
785.6
1,071.8
1,278.3
1,452.3
1,358.5
1,113.9
1,366.8
1,421.0
1,293.5
1,554.3
1,736.5
1,964.7
2,375.8
2,390.4
2,566.8
2,623.7
2,118.9
1,875.2
1,878.2
16.9% 100.0%
3.0% 2.6%
6.9% 3.8%
9.0% 2.8%
7.8% 2.2%
10.4% 3.0%
12.9% 3.6%
16.1% 4.1%
17.0% 3.8%
16.3% 3.1%
20.4% 3.9%
21.2% 4.0%
18.0% 3.6%
21.8% 4.4%
22.5% 4.9%
24.1% 5.5%
31.2% 6.7%
27.6% 6.7%
30.0% 7.2%
33.7% 7.4%
33.6% 6.0%
29.7% 5.3%
28.2% 5.3%
**Other Primary Care Physicians are defined as family physicians, general practitioners, internists and obstetricians/gynecologists for the purpose of this report. ~ Unstable
estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.
Col%
Figure 3. Well-Child and Sick Visits by Provider Specialty by Patient Age Group,
2004-2007 Annual Average
Well Visit
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Sick Visit
8.9%
40.8%
8.2%
21
hr
ou
gh
18
9t
hr
ou
gh
11
es
1
Ag
Ag
es
1
2t
5
th
ro
ug
h
Ag
e
es
6
Ag
Th
ro
ug
h
es
1
9t
hr
ou
gh
21
18
hr
ou
gh
2t
Ag
Ag
es
1
th
ro
ug
h
es
6
Ag
e
11
22.3%
Ag
Th
ro
ug
h
Pediatric Subspecialist
Other Specialist
19.8%
5
Proportion of of Visits
General Pediatrician
Other Primary Care Physcian
Note: Both (a) well and sick visit estimates for the age 19-21 group to general and subspecialist pediatricians, and (b) well
visit estimates for pediatric subspecialists, are unstable due to small sample size. Interpret with caution.
Source: AAP analysis of 2004 to 2007 National Ambulatory Medical Care Survey
Table 4. Well-child and Sick Visit by Physician Specialty by Patient Age Group, 2004-2007 Annual Average
(Number of Visits in Thousands)
Age Group
#Visits to General
Pediatrician
Row%
#Visits to
Pediatric
Subspecialist
Row%
#Visits to Other
Primary Care
Physician**
Row%
#Visits to
Other
Specialist
Row%
Well-child Visit
Total
Through Age 5
Ages 6 through 11
Ages 12 through 18
Ages 19 through 21
40,513.0
28,023.3
7,591.4
4,626.8
~
65.8%
82.7%
72.0%
42.8%
667.9
~
~
~
~
Total
Through Age 5
Ages 6 through 11
Ages 12 through 18
Ages 19 through 21
76,232.5
40,934.4
22,922.1
11,894.4
~
52.2%
72.8%
56.7%
32.3%
4,307.5
1,753.0
1,503.3
944.6
~
1.1%
Sick Visit
2.9%
3.1%
3.7%
2.6%
17,764.8
5,108.0
2,005.9
5,112.9
5,538.0
28.9%
15.1%
19.0%
47.3%
87.8%
2,583.1
478.2
651.4
957.7
495.8
4.2%
1.4%
6.2%
8.9%
7.9%
33,398.3
7,778.6
7,236.3
11,500.0
6,883.3
22.9%
13.8%
17.9%
31.2%
54.2%
32,190.6
5,744.6
8,733.3
12,486.8
5,225.9
22.0%
10.2%
21.6%
33.9%
41.2%
**Other Primary Care Physicians are defined as family physicians, general practitioners, internists and obstetricians/gynecologists for the purpose of this report.
~ Unstable estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.
Table 5. Pediatric Office Visits by Physician Specialty by Source of Payment, 2004-2007 Annual Average
(Number of Visits in Thousands)
Primary
Expected
Source of
Payment
Total
Private
insurance
Medicare
Medicaid
Worker's
compensation
Self-pay
No charge
Other
Total
#Visits to
All
Physicians Row%
#Visits to
General
Col% Pediatrician Row%
210,353.2 100.0% 100.0%
131,378.6 100.0%
2,142.5 100.0%
56,702.3 100.0%
477.3
6,758.5
518.2
4,130.9
210,353.2
117,858.4
62.5%
1.0%
27.0%
75,989.2
1,213.7
33,067.4
100.0%
0.2%
100.0%
3.2%
100.0%
0.2%
100.0%
2.0%
100.0% 100.0%
~
2,230.5
~
1,611.8
117,858.4
#Visits to
Pediatric
SubCol% specialist Row%
#Visits to
Other
Primary
Care
Physician
Col%
** Row%
#Visits to
Other
Col% Specialist Row%
Col%
56.0% 100.0%
5,284.3
2.5% 100.0%
51,749.5
24.6% 100.0%
35,461.0
16.9% 100.0%
57.8%
56.6%
58.3%
64.5%
1.0%
28.1%
2,915.2
2.2%
55.2%
1,750.9
3.1%
33.1%
28,734.2
474.3
15,384.2
21.9%
22.1%
27.1%
55.5%
0.9%
29.7%
23,740.1
445.5
6,499.7
18.1%
20.8%
11.5%
66.9%
1.3%
18.3%
33.0%
1.9%
3.0%
3.8%
35.7%
4.7%
28.4%
5.4%
39.0%
1.4%
56.0% 100.0%
~
200.1
~
~
5,284.3
2.5% 100.0%
~
2,411.9
~
1,489.7
51,749.5
36.1%
2.9%
24.6% 100.0%
~
1,916.1
~
968.0
35,461.0
23.4%
2.7%
16.9% 100.0%
Note: Column percents may not sum to 100% due to missing data on primary expected source of payment. **Other Primary Care Physicians are defined as family physicians,
general practitioners, internists and obstetricians/gynecologists for the purpose of this report. ~ Unstable estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.
Table 6. Pediatric Office Visits by Physician Specialty by Type of Office Setting, 2004-2007 Annual Average
(Number of Visits in Thousands)
Type of
Office
Setting
All Settings
Private Solo
or Group
Practice
Freestanding
Clinic/
Urgicenter
Federally
Qualified Health
Center (FQHC)
Non-federal
Government
Clinic
Health
Maintenance
Organization
(HMO) / Other
Prepaid Practice
Other***
#Visits
to
All
Physicians Row%
#Visits to
General
Pediatrician Row%
Col%
#Visits to
Pediatric
SubCol% specialist Row%
Col%
#Visits to
Other
Primary
Care
Physician
** Row%
#Visits
to
Other
Col% Specialist Row%
Col%
210,353.2 100.0% 100.0%
117,858.4
56.0% 100.0%
5,284.3
2.5% 100.0%
51,749.5
24.6% 100.0%
35,461.0
16.9% 100.0%
181,978.8 100.0%
86.5%
101,927.5
56.0%
86.5%
4,845.8
2.7%
43,423.9
23.9%
83.9%
31,781.7
17.5%
89.6%
15,484.5 100.0%
7.4%
8,520.3
55.0%
7.2%
~
4,903.6
31.7%
9.5%
1,998.6
12.9%
5.6%
4,373.9 100.0%
2.1%
2,915.9
66.7%
2.5%
~
1,257.9
28.8%
2.4%
200.2
4.6%
0.6%
2,009.8 100.0%
1.0%
959.5
47.7%
0.8%
~
830.8
41.3%
1.6%
219.5
10.9%
0.6%
4,836.0 100.0%
2.3%
2,727.0
56.4%
2.3%
~
1,049.7
21.7%
2.0%
701.3
14.5%
2.0%
1,670.2 100.0%
0.8%
808.2
48.4%
0.7%
~
~
559.6
33.5%
1.6%
91.7%
Note: Column percents may not sum to 100% due to missing data on type of office setting. **Other Primary Care Physicians are defined as family physicians, general
practitioners, internists and obstetricians/gynecologists for the purpose of this report. *** Includes mental health centers, family planning clinics and faculty practice plans.
~ Unstable estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.
Table 7. Pediatric Office Visits by Physician Specialty by Type of Practice Ownership, 2001-2004 Annual Average
(Number of Visits in Thousands)
Practice
Owned by:
Total
Physician or
physician
group
Health
Maintenance
Organization
(HMO)
Community
health center
Medical/acade
mic health
center
Other
Hospital
Other health
care
corporation
Other
#Visits to
All
Physicians Row%
Col%
#Visits to
General
Pediatrician Row%
Col%
#Visits to
Pediatric
Subspecialist Row%
#Visits to
Other Primary
Care
Physician
** Row%
Col%
Col%
#Visits to
Other
Specialist Row%
Col%
210,353.2 100.0% 100.0%
117,858.4 56.0% 100.0%
5,284.3
2.5% 100.0%
51,749.5 24.6% 100.0%
35,461.0 16.9% 100.0%
165,998.6 100.0% 78.9%
89,613.3 54.0% 76.0%
4,052.4
2.4% 76.7%
40,778.0 24.6%
78.8%
31,554.9 19.0% 89.0%
6,112.3 100.0%
2.9%
4,011.6 65.6%
3.4%
~
1,010.7 16.5%
2.0%
3,313.3 100.0%
1.6%
2,062.8 62.3%
1.8%
~
1,163.4 35.1%
2.2%
6,072.0 100.0%
2.9%
3,563.1 58.7%
3.0%
193.6
3.2%
3.7%
1,683.4 27.7%
3.3%
632.0 10.4%
1.8%
10,391.4 100.0%
4.9%
7,135.1 68.7%
6.1%
549.6
5.3% 10.4%
2,128.8 20.5%
4.1%
577.9
5.6%
1.6%
10,750.6 100.0%
7,359.3 100.0%
5.1%
3.5%
5,642.0 52.5%
5,616.2 76.3%
4.8%
4.8%
~
~
3,903.3 36.3%
1,020.5 13.9%
7.5%
2.0%
1,074.5 10.0%
722.5 9.8%
3.0%
2.0%
732.1 12.0%
2.1%
~
Note: Column percents may not sum to 100% due to missing data on primary practice ownership. **Other Primary Care Physicians are defined as family physicians, general
practitioners, internists and obstetricians/gynecologists for the purpose of this report. ~ Unstable estimate due to low reliability associated with small sample.
Source: AAP analysis of 2001-2004 National Ambulatory Medical Care Survey/NAMCS. Includes visits by patients under age 22. (Note: NAMCS used a different category of practice
ownership prior to 2001.)
Table 8. Pediatric Office Visits by Physician Specialty by Physician Employment Status, 2004-2007 Annual Average
(Number of Visits in Thousands)
Physician
Employment
Status
#Visits to
All
Physicians Row%
#Visits to
General
Col% Pediatrician Row%
Total
210,353.2 100.0% 100.0%
Owner
136,277.7 100.0%
64.8%
Employee
67,108.3 100.0%
Contractor
6,899.3 100.0%
117,858.4
#Visits to
Pediatric
SubCol% specialist Row%
#Visits to
Other
Primary
Care
Physician
Col%
** Row%
#Visits to
Other
Col% Specialist Row%
Col%
56.0% 100.0%
5,284.3
2.5% 100.0%
51,749.5
24.6% 100.0%
35,461.0
16.9% 100.0%
72,705.1
53.4%
61.7%
3,497.6
2.6%
66.2%
32,388.2
23.8%
62.6%
27,686.8
20.3%
78.1%
31.9%
42,164.3
62.8%
35.8%
1,373.8
2.0%
26.0%
17,078.3
25.4%
33.0%
6,492.0
9.7%
18.3%
3.3%
2,988.9
43.3%
2.5%
~
2,221.6
32.2%
4.3%
1,275.9
18.5%
3.6%
Note: Column percents may not sum to 100% due to missing data on physician employment status. **Other Primary Care Physicians are defined as family physicians, general
practitioners, internists and obstetricians/gynecologists for the purpose of this report. ~ Unstable estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.
Table 9. Number and Proportion of Infants and One-year-olds with Visits to
Office-based Physicians vs General Dentists, 2004-2007 Annual Average
(Number of Children in Thousands)
Infant/Child Visited General Dentist
during Last 12 Months
Yes
No
Total
Infant/Child Visited office-based
physician during last 12 months
135.6
(1.7%)
7.5
(0.1%)
143.2
(1.8%)
Yes
(%of all infants and 1-year-olds)
No
(%of all infants and 1-year-olds)
Total
(%of all infants and 1-year-olds)
6,844.8
(87.0%)
877.3
(11.2%)
7,722.1
(98.2%)
6,980.5
(88.7%)
884.9
(11.3%)
7,865.3
(100.0%)
Source: AAP analysis of 2004-2007 Medical Expenditure Panel Survey
Table 10. Frequency of Visits to Office-based Physicians vs General Dentists
by Infants and 0ne-year-olds, 2004-2007 Annual Average
(Number of Visits in Thousands)
Patient Age
# Office-based
Physician Visits
# General Dentist
Visits
0
14,482.0
5.7
1
18,082.3
165.3
32,564.3
171.0
Total Infants and 1-year-olds
Source: AAP analysis of 2004-2007 Medical Expenditure Panel Survey
Table 11. Pediatric Office Visits by Region by Metropolitan Statistical Area Classification, 2004-2007 Annual Average
(Number of Visits in Thousands)
Region
Total
Northeast
MSA (Metropolitan #Office Visits
to All
Statistical Area)
Physicians
Classification
West
#Office Visits
to Other
Primary Care
Row % Physicians** Row %
#Office
Visits to
Other
Specialists
Row %
210,353.2
100.0%
117,858.4
56.0%
5,284.3
2.5%
51,749.5
24.6%
35,461.0
16.9%
MSA
184,312.6
100.0%
105,754.8
57.4%
5,284.3
2.9%
41,934.0
22.8%
31,339.4
17.0%
Non-MSA
26,040.6
100.0%
12,103.6
46.5%
~
9,815.5
37.7%
4,121.5
15.8%
Region Total
40,814.8
100.0%
26,381.8
64.6%
243.8
0.6%
6,534.4
16.0%
7,654.8
18.8%
MSA
36,833.8
100.0%
24,212.4
65.7%
243.8
0.7%
5,244.4
14.2%
7,133.2
19.4%
3,981.0
100.0%
2,169.4
54.5%
~
1,290.0
32.4%
521.6
13.1%
Region Total
43,924.2
100.0%
21,169.2
48.2%
337.7
0.8%
14,809.1
33.7%
7,608.3
17.3%
MSA
36,011.1
100.0%
18,610.0
51.7%
337.7
0.9%
10,777.3
29.9%
6,286.0
17.5%
7,913.1
100.0%
2,559.1
32.3%
~
4,031.7
50.9%
1,322.3
16.7%
Region Total
83,035.6
100.0%
45,464.9
54.8%
4,058.0
4.9%
19,540.3
23.5%
13,972.4
16.8%
MSA
70,175.3
100.0%
38,218.5
54.5%
4,058.0
5.8%
15,821.7
22.5%
12,077.2
17.2%
Non-MSA
12,860.2
100.0%
7,246.4
56.3%
~
3,718.6
28.9%
1,895.2
14.7%
Region Total
42,578.6
100.0%
24,842.5
58.3%
644.9
1.5%
10,865.8
25.5%
6,225.5
14.6%
MSA
41,292.4
100.0%
24,713.9
59.9%
644.9
1.6%
10,090.6
24.4%
5,843.0
14.2%
1,286.3
100.0%
~
775.2
60.3%
382.4
29.7%
Non-MSA
South
#Office Visits
to Pediatric
Subspecialists
US Total
Non-MSA
Midwest
#Office Visits to
General
Row % Pediatricians Row %
Non-MSA
~
**Other Primary Care Physicians are defined as family physicians, general practitioners, internists and obstetricians/gynecologists for the purpose of this report. ~ Unstable
estimate due to low reliability associated with small sample.
Source: AAP analysis of 2004-2007 National Ambulatory Medical Care Survey. Includes visits by patients under age 22.