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Table 4: Selected Patient Characteristics

American Samoa Data

X
Income as Percent of Poverty Guideline Number of Patients
(a)
% of Total % of Known
1. 100% and below 6,337 24.26% 100.00%
2. 101–150%
3. 151–200%
4. Over 200%
5. Unknown 19,785 75.74%
6. TOTAL (Sum of Lines 1–5) 26,122 100.00%
Principal Third-Party Medical Insurance 0-17 years old
(a)
18 and older
(b)
Total %
7. None/Uninsured
8a. Medicaid (Title XIX) 4,676 21,446 26,122 100.00%
8b. CHIP Medicaid
8. Total Medicaid (Line 8a + 8b) 4,676 21,446 26,122 100.00%
9a. Dually Eligible (Medicare and Medicaid)
9. Medicare (Inclusive of dually eligible and other Title XVIII beneficiaries)
10a. Other Public Insurance (Non-CHIP)
10b. Other Public Insurance CHIP
10. Total Public Insurance (Line 10a + 10b)
11. Private Insurance
12. TOTAL (Sum of Lines 7 + 8 + 9 +10 +11) 4,676 21,446 26,122 100.00%
Managed Care Utilization Medicaid
(a)
Medicare
(b)
Other Public Including Non-Medicaid CHIP
(c)
Private
(d)
Total
(e)
13a. Capitated Member Months 0 0 0 0 0
13b. Fee-for-service Member Months 0 0 0 0 0
13c. Total Member Months (Sum of Lines 13a + 13b) 0 0 0 0 0
Special Medically Underserved Populations Number of Patients
(a)
%
14. Migratory Agricultural Workers or Their Family Members (330g awardees only)
15. Seasonal Agricultural Workers or Their Family Members (330g awardees only)
Migratory and Seasonal Agricultural Workers or Their Family Members (non-330g awardees) 0
16. Total Migratory and Seasonal Agricultural Workers or Their Family Members (All health centers report this line) 0
17. Homeless Shelter (330h awardees only)
18. Transitional (330h awardees only)
19. Doubling Up (330h awardees only)
20. Street (330h awardees only)
21a. Permanent Supportive Housing (330h awardees only)
21. Other (330h awardees only)
22. Unknown (330h awardees only)
Homeless (non-330h awardees) 0
23. Total Homeless Population (All health centers report this line) 0
24. Total School-Based Service Site Patients (All health centers report this line) 0
25. Total Veterans (All health centers report this line) 0
26. Total Residents of Public Housing (All health centers report this line) 0

Footnotes

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

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

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

View Detailed UDS Footnotes

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