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Table 2 Rate and frequency of site utilization listed by insurance type. PCP-Well Child Visits are excluded from this table because recommended visits per year vary by age

From: Pediatric outpatient utilization by differing Medicaid payment models in the United States

Care Setting Total Fee for Service Capitated P-value
Emergency Department (ED)     
 ED Visits per 100 Enrollees 39 34 39 < 0.001
 Number of ED Visits, N (%)     < 0.001
  0 532,109 (74.8) 52,562 (78.5) 479,547 (74.5)  
  1 120,067 (16.9) 9550 (14.3) 110,517 (17.2)  
  2 37,411 (5.3) 3021 (4.5) 34,390 (5.3)  
  3 12,750 (1.8) 1047 (1.6) 11,703 (1.8)  
  4+ 8671 (1.2) 800 (1.2) 7871 (1.2)  
Urgent Care (UC)     
 UC Visits per 100 Enrollees 9 8 9 < 0.001
 Number of UC Visits, N (%)     < 0.001
  0 671,694 (94.5) 63,499 (94.8) 608,195 (94.4)  
  1 26,694 (3.8) 2396 (3.6) 24,298 (3.8)  
  2 7664 (1.1) 700 (1.0) 6964 (1.1)  
  3+ 4956 (0.7) 385 (0.6) 4571 (0.7)  
Primary Care (PCP)- Acute Visits     
 PCP-Acute Visits per 100 Enrollees 145 55 155 < 0.001
 Number of PCP-Acute Visits, N (%)     < 0.001
  0 330,115 (46.4) 51,561 (77.0) 278,554 (43.3)  
  1 150,200 (21.1) 7213 (10.8) 142,987 (22.2)  
  2 86,952 (12.2) 3502 (5.2) 83,450 (13.0)  
  3 52,002 (7.3) 1838 (2.7) 50,164 (7.8)  
  4 32,308 (4.5) 1085 (1.6) 31,223 (4.8)  
  5+ 59,431 (8.4) 1781 (2.7) 57,650 (9.0)  
Specialty Care Visits     
 Specialty Care Visits per 100 Enrollees 142 170 139 < 0.001
 Number of Specialty Care Visits, N (%)     < 0.001
  0 396,711 (55.8) 30,911 (46.1) 365,800 (56.8)  
  1 149,751 (21.1) 16,643 (24.8) 133,108 (20.7)  
  2 64,643 (9.1) 7458 (11.1) 57,185 (8.9)  
  3 33,366 (4.7) 4147 (6.2) 29,219 (4.5)  
  4 19,546 (2.7) 2497 (3.7) 17,049 (2.6)  
  5+ 46,991 (6.6) 5324 (7.9) 41,667 (6.5)  
Total Visits per 100 Enrollees 335 266 342