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) | Â | Â | Â | Â |
 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) | Â | Â | Â | Â |
 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 | Â | Â | Â | Â |
 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 | Â | Â | Â | Â |
 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 | Â |