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HRSA Health Resources & Services Administration

Massachusetts Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 37

Reporting Period: 2023

Total Patients Served: 818,875

Reporting Source: Uniform Data System (UDS) Report

Expanded Summaries for 2023 UDS Data Tables

UDS Data Five-Year Summary

Age and Race / Ethnicity 2019 2020 2021 2022 2023
Total Patients 811,517 760,643 788,456 802,583 818,875
Age (% of total patients)
% Children (< 18 years) 21.95 % 19.97 % 20.74 % 21.10 % 21.44 %
Children (< 18 years) 178,091 151,886 163,512 169,320 175,533
% Adults (18 – 64 years) 66.83 % 68.24 % 66.94 % 65.49 % 64.96 %
Adults (18 – 64 years) 542,303 519,097 527,831 525,578 531,903
% Older Adults (Age 65 and over) 11.23 % 11.79 % 12.32 % 13.42 % 13.61 %
Older Adults (Age 65 and over) 91,123 89,660 97,113 107,685 111,439
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 66.48 % 66.62 % 67.27 % 68.13 % 68.34 %
Number of Racial and/or Ethnic Minority Patients 494,263 456,451 481,414 500,053 511,257
% Hispanic, Latino/a, or Spanish Origin Patients 36.01 % 37.18 % 37.67 % 38.93 % 39.21 %
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 276,977 262,832 277,864 295,389 304,286
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 36.32 % 35.97 % 35.39 % 35.27 % 35.52 %
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 249,246 228,679 234,198 233,962 236,891
% Total Asian Patients * 11.05 % 10.82 % 10.93 % 11.01 % 10.91 %
Number of Total Asian Patients * 75,836 68,783 72,335 73,047 72,756
% Native Hawaiian/Other Pacific Islander Patients * 0.98 % 0.94 % 1.00 % 1.07 % 1.09 %
Number of Native Hawaiian/Other Pacific Islander Patients * 6,697 5,988 6,618 7,129 7,268
% Black/African American Patients * 22.60 % 23.27 % 23.34 % 23.38 % 24.53 %
Number of Black/African American * 155,073 147,931 154,461 155,081 163,588
% American Indian/Alaska Native Patients * 0.45 % 0.46 % 0.53 % 0.80 % 0.88 %
Number of American Indian/Alaska Native Patients * 3,106 2,925 3,537 5,293 5,874
% More than one race Patients * 5.03 % 5.16 % 5.57 % 5.82 % 4.58 %
Number of Patients with More than one race * 34,529 32,790 36,865 38,601 30,530
Total Patients with Known Race Ethnicity (Denominator) 686,274 635,688 661,825 663,314 666,851
Total Racial and/or Ethnic Minority Patients (Denominator) 743,509 685,130 715,612 734,015 748,148
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 769,197 706,872 737,645 758,686 776,077
Language (% known)
% Best Served in a Language other than English 40.59 % 36.64 % 42.82 % 44.42 % 46.40 %
Number of Patients Best Served in a Language Other than English 329,395 278,705 337,650 356,482 379,953
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 472,683 423,834 418,525 428,124 455,278
% Patients at or Below 200% of Federal Poverty Guideline 83.92 % 86.84 % 84.49 % 85.25 % 89.18 %
Patients at or Below 200% of Federal Poverty Guideline 396,665 368,074 353,627 364,961 406,002
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 62.47 % 67.24 % 65.36 % 65.98 % 72.81 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 295,269 284,996 273,551 282,496 331,500
Insurance Status (% of total patients)
% None/Uninsured Patients 13.13 % 13.51 % 12.12 % 12.86 % 13.42 %
None/Uninsured Patients 106,523 102,744 95,590 103,236 109,860
% None/Uninsured Children (<18 years) 4.11 % 5.54 % 3.72 % 4.90 % 3.71 %
None/Uninsured Children (<18 years) 7,322 8,418 6,078 8,301 6,512
% Medicaid/CHIP Patients * 45.97 % 43.88 % 46.43 % 47.72 % 47.14 %
Medicaid/CHIP Patients * 373,040 333,747 366,056 383,028 386,056
% Medicare Patients 11.19 % 11.90 % 11.77 % 12.00 % 11.92 %
Medicare Patients 90,801 90,507 92,762 96,299 97,645
% Dually Eligible (Medicare and Medicaid) 5.71 % 6.20 % 6.20 % 6.25 % 6.55 %
Dually Eligible (Medicare and Medicaid) 46,372 47,128 48,896 50,151 53,611
% Other Third-Party Patients 29.72 % 30.72 % 29.68 % 27.41 % 27.52 %
Other Third-Party Patients 241,153 233,645 234,048 220,020 225,314
Total Patients 811,517 760,643 788,456 802,583 818,875
Children (< 18 years) 178,091 151,886 163,512 169,320 175,533
Special Populations
% Homeless Patients 4.57 % 4.28 % 4.54 % 4.53 % 5.37 %
Total Homeless Patients 37,089 32,523 35,781 36,347 43,944
% Total Agricultural Workers or Their Family Members 1.00 % 1.23 % 1.26 % 1.45 % 1.23 %
Total Agricultural Workers or Their Family Members 8,098 9,343 9,930 11,610 10,057
% Public Housing Patients 50.21 % 55.01 % 56.15 % 55.51 % 55.27 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 407,432 418,439 442,679 445,528 452,576
% School-Based Service Site Patients 1.83 % 1.22 % 1.31 % 1.54 % 1.34 %
School-Based Service Site Patients 14,817 9,275 10,349 12,369 10,946
% Veterans Patients 1.29 % 1.10 % 1.05 % 0.96 % 0.95 %
Veterans Patients 10,451 8,354 8,277 7,711 7,755
Number of Female Patients (ages 15-44) 210,065 200,134 204,415 204,934 208,654
% Patients Under 15 Who are Female 16.17 % 14.70 % 15.14 % 15.18 % 15.62 %
Number of Patients Under 15 Who are Female 72,279 62,029 66,224 67,761 71,161
Patients 15-64 Who are Female 72.09 % 73.07 % 72.06 % 70.95 % 70.47 %
Number of Patients 15-64 Who are Female 322,313 308,350 315,283 316,685 320,974
Patients 65 and Over Who are Female 11.74 % 12.23 % 12.81 % 13.87 % 13.91 %
Number of Patients 65 and Over Who are Female 52,476 51,627 56,042 61,886 63,338
Total Female Patients (Denominator) 447,068 422,006 437,549 446,332 455,473
Patients by Sexual Orientation
% Lesbian or Gay (% of known) 5.70 % 5.37 % 5.42 % 5.02 % 4.22 %
% Heterosexual or Straight (% of known) 91.57 % 91.73 % 91.35 % 91.38 % 92.27 %
% Bisexual (% of known) 1.96 % 2.08 % 2.30 % 2.39 % 2.02 %
% Other (% of known) 0.77 % 0.82 % 0.93 % 1.21 % 1.49 %
% Don't know (% of total) 51.28 % 2.62 % 1.46 % 2.28 % 4.55 %
% Chose Not to Disclose (% of total) 6.14 % 3.48 % 3.95 % 4.56 % 8.42 %
% Unknown (% of total) 47.40 % 45.28 % 43.06 % 30.24 %
Patients by Gender Identity
% Male (% of known) 27.14 % 42.37 % 42.45 % 42.94 % 43.04 %
% Female (% of known) 34.88 % 53.95 % 56.72 % 56.20 % 56.26 %
% Transgender Man/Transgender Male/Transmasculine (% of known) 0.27 % 0.44 % 0.44 % 0.42 % 0.34 %
% Transgender Woman/Transgender Female/Transfeminine (% of known) 0.23 % 0.45 % 0.39 % 0.44 % 0.36 %
% Other (% of total) 35.52 % 1.53 % 0.32 % 0.45 % 0.43 %
% Chose Not to Disclose (% of total) 5.23 % 1.19 % 1.37 % 1.46 % 1.50 %
% Unknown (% of total) 43.95 % 38.89 % 40.26 % 27.78 %
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 85.18 % 88.44 % 88.61 % 88.51 % 88.10 %
Medical Patients 691,235 672,747 698,612 710,373 721,418
% Dental Patients 23.40 % 16.48 % 17.73 % 19.38 % 19.21 %
Dental Patients 189,863 125,365 139,773 155,525 157,328
% Mental Health Patients 8.60 % 8.56 % 8.31 % 7.88 % 7.81 %
Mental Health Patients 69,829 65,075 65,489 63,235 63,947
% Substance Use Disorder Patients 1.55 % 1.70 % 1.78 % 1.42 % 1.59 %
Substance Use Disorder Patients 12,539 12,927 14,037 11,417 13,030
% Vision Patients 12.27 % 8.79 % 10.65 % 11.53 % 11.79 %
Vision Patients 99,559 66,863 83,999 92,530 96,517
% Enabling Services Patients 7.04 % 5.72 % 6.26 % 6.49 % 5.72 %
Enabling Services Patients 57,154 43,499 49,366 52,121 46,878
Total Patients 811,517 760,643 788,456 802,583 818,875
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 24.27 % 24.28 % 26.23 % 24.09 % 24.38 %
Number of Hypertension Patients * 129,422 129,167 143,487 133,187 136,259
% Diabetes Patients * 11.90 % 11.48 % 11.98 % 12.20 % 12.53 %
Number of Diabetes Patients * 61,103 58,746 62,895 64,385 66,755
% Asthma 6.38 % 6.61 % 6.29 % 6.21 % 6.14 %
Number of Asthma Patients 44,113 44,468 43,955 44,114 44,295
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.97 % 0.97 % 0.95 % 0.94 % 0.94 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 6,724 6,533 6,644 6,664 6,801
Prenatal
Number of Prenatal Care Patients 11,957 10,894 10,546 11,138 12,507
Number of Prenatal Care Patients who Delivered 6,511 5,964 5,563 6,281 6,568
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 82.57 % 82.44 % 79.04 % 77.55 % 79.48 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 9,873 8,981 8,336 8,637 9,941
% Low and Very Low Birth Weight 7.36 % 7.54 % 6.92 % 6.73 % 7.55 %
Number of Newborns with Low Birth Weight 479 450 382 424 505
Preventive Health Screening & Services
Cervical Cancer Screening * 64.30 % 57.23 % 60.21 % 61.24 % 62.41 %
Number of Cervical Cancer Screening Patients * 139,122 121,740 130,252 132,768 138,563
Breast Cancer Screening 55.22 % 54.75 % 59.97 % 62.25 %
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 47,421 49,404 54,472 58,787
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 62.20 % 49.64 % 60.68 % 63.91 % 60.87 %
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 72,765 49,876 67,033 74,232 78,750
Body Mass Index (BMI) Screening and Follow-Up Plan * 60.18 % 54.40 % 51.01 % 47.63 % 52.08 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 301,721 228,148 228,477 217,841 256,708
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 86.94 % 81.53 % 77.86 % 77.24 % 79.04 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 358,316 296,782 318,169 315,005 332,047
Colorectal Cancer Screening * 58.28 % 49.44 % 53.52 % 53.05 % 48.82 %
Number of Patients Screened for Colorectal Cancer * 102,711 85,338 95,479 96,300 111,064
Childhood Immunization Status * 53.14 % 54.80 % 53.78 % 49.57 % 45.19 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 4,474 4,038 4,108 3,888 3,539
Screening for Depression and Follow-Up Plan * 59.67 % 42.07 % 51.71 % 55.78 % 59.74 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 265,878 184,086 218,141 242,944 252,604
Depression Remission at Twelve Months 10.76 % 14.13 % 13.39 % 6.31 %
Number of Patients 12 years of age and older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event 1,751 1,856 1,939 1,074
Dental Sealants for Children between 6-9 Years 56.11 % 39.78 % 45.86 % 62.35 % 56.16 %
Number of Children Age 6-9 Who Received Dental Sealants 2,305 946 1,313 2,274 2,006
HIV Screening 48.08 % 53.03 % 58.31 % 61.52 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 212,241 252,907 276,724 292,573
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 70.11 % 69.13 % 70.69 % 77.15 % 77.81 %
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 63,505 63,141 70,322 74,077 79,337
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 82.93 % 80.58 % 79.67 % 77.42 % 75.79 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 13,132 12,441 13,461 13,512 13,290
Controlling High Blood Pressure * 65.20 % 52.51 % 57.08 % 62.34 % 64.12 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 84,378 67,823 81,906 83,030 87,363
Diabetes: Hemoglobin A1c Poor Control * 26.75 % 35.94 % 30.27 % 27.67 % 26.54 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 16,347 21,113 19,037 17,813 17,719
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 88.84 % 86.44 % 87.89 % 77.42 % 82.20 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 215 153 167 168 194
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $131,057,987 $129,862,203 $141,673,183 $137,265,473 $135,913,433
Total Cost $1,273,913,722 $1,326,327,419 $1,489,350,322 $1,636,095,708 $1,824,436,430
Total Accrued Cost per Patient $1,569.79 $1,743.69 $1,888.95 $2,038.54 $2,227.98

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

View Detailed UDS Footnotes

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