Medicare Supplementary Medical Insurance in North Dakota At-Large District (ND-00)

Reading CFDA 93.774 inside ND-00

CFDA 93.774 and congressional district ND-00 meet here. $47,984,392,319.27 is the USAspending.gov obligation sum on awards that carry both tags. It is not Medicare Supplementary Medical Insurance's nationwide total, not every federal dollar coded to North Dakota At-Large District (ND-00), and not an outlay register. The packet does not split physician from outpatient hospital settings and does not publish an enrollee denominator. 21 is an action count: modifications and repeat awards add rows. Unique recipients are unpublished. It is not a beneficiary census, a physician roster, or a named-provider file.

Dividing $47,984,392,319.27 by 21 yields about $2,284,971,062.82 per award on average. That ratio is two packet facts. It is not a typical office visit or a posted per-enrollee figure. Twenty-one awards against a forty-eight-billion-dollar SMI cell is still a concentrated file. Do not invent contractors or award recipients. Do not treat ND-00's 93.774 cell as a synonym for every Medicare SMI account nationwide. Quote North Dakota At-Large District, CFDA 93.774, North Dakota federal spending, and All spending ties as parents, not as addends to $47,984,392,319.27.

The Supplementary Medical Insurance catalog line

USAspending labels CFDA 93.774 as Medicare Supplementary Medical Insurance. That catalog number produced $47,984,392,319.27 when crossed with North Dakota At-Large District (ND-00) place of performance. The program-wide 93.774 hub does not require ND-00 geography. The district hub does not require Medicare SMI. Only this tie applies both filters, which is why it cites 21 awards. The packet does not split physician from outpatient hospital settings and does not publish an enrollee denominator.

Correlation is not causation: North Dakota At-Large District (ND-00) did not cause $47,984,392,319.27 by existing as a large or small place. Population, outcome scores, and named facilities are not packet facts. The join is 93.774 × ND-00 only. It is not a beneficiary census, a physician roster, or a named-provider file. Do not invent contractors or award recipients to fill the gap. Campaign donations on FEC tables do not fund this USAspending cell; the datasets are separate. North Dakota At-Large District (ND-00) also hosts Medicare Hospital Insurance (CFDA 93.773) on another tie in this harvest. That Part A cell is a different CFDA key. Do not add the two ND-00 Medicare cells.

At-large place of performance in North Dakota

North Dakota At-Large District (ND-00) on this join is a USAspending geography field, not a claim that every dollar was disbursed to residents of that district. Awards can list ND-00 while later work occurs elsewhere. Awards tagged to other North Dakota districts belong on those ties even when the CFDA is also 93.774. North Dakota At-Large District (ND-00) is a numbered congressional place-of-performance code inside North Dakota. Other North Dakota districts are separate joins even when they reuse CFDA 93.774.

North Dakota federal spending shows how CFDA 93.774 sits beside other programs in the same state extract. $47,984,392,319.27 is one district-program column, not the state table. This packet does not split North Dakota At-Large District (ND-00) by county, city, or census tract. Awards that carry a different CFDA stay on those other ties even if the work sounds related to Medicare Supplementary Medical Insurance. The district-wide obligation total published here is $102,289,409,487.25; $47,984,392,319.27 is the Medicare SMI slice of that denominator.

USAspending commitments on this pair

USAspending.gov records an obligation when the federal government commits funds on an award. $47,984,392,319.27 is that kind of sum for Medicare Supplementary Medical Insurance inside ND-00 coding. Later deobligations, recoveries, or payment schedules can change what leaves the Treasury without this join rewriting itself into a cash register. Assistance and contract awards can share the same CFDA rollup; this packet does not split them. Net obligations can include downward adjustments. This page reports $47,984,392,319.27 as given.

North Dakota's own budget is a separate ledger. Mixing it with the 21-row Medicare SMI cell leaves USAspending.gov. Treat 21 as award records in the aggregate, not unique vendors. 21 is not a count of beneficiaries, clinics, or Part B claims. Do not annualize without a year field in the packet. Do not per-capita or per-recipient the dollar total; those denominators are unpublished. The implied mean ($2,284,971,062.82) is a concentration statistic, not a typical office visit or a posted per-enrollee figure.

Citing $47,984,392,319.27 without dropping a join side

Cite USAspending.gov: Medicare Supplementary Medical Insurance (CFDA 93.774) obligated $47,984,392,319.27 on 21 awards coded to North Dakota At-Large District (ND-00). Name Medicare Supplementary Medical Insurance and North Dakota At-Large District (ND-00) together. Keep the obligation word. If North Dakota At-Large District or CFDA 93.774 has refreshed, prefer the live hub over this snapshot for current rows. The pair is not a beneficiary census, a physician roster, or a named-provider file. 46.9% of $102,289,409,487.25 is the district share on this packet, not a performance score. Keep Medicare Supplementary Medical Insurance, North Dakota At-Large District (ND-00), $47,984,392,319.27, and 21 awards together. All spending ties indexes other pairs. Do not add parent hubs into this cell.

Row count versus dollar concentration for ND-00 SMI

Twenty-one awards against a forty-eight-billion-dollar SMI cell is still a concentrated file. A large row count makes a project split tempting; the packet still does not supply one. A small row count makes a named-facility story tempting; the packet still does not name facilities or contractors. The implied mean (about $2,284,971,062.82) and the district share (46.9% of $102,289,409,487.25) are ratios of packet facts. Prefer North Dakota At-Large District and CFDA 93.774 if the live tables moved.

Questions

How much Medicare SMI spending is coded to North Dakota At-Large District (ND-00)?

USAspending.gov lists $47,984,392,319.27 in Medicare Supplementary Medical Insurance obligations across 21 awards with place of performance in North Dakota At-Large District (ND-00). CFDA 93.774 × ND-00 is an obligation join, not an outlay and not North Dakota's complete federal ledger. The cell is 46.9% of the district's published total ($102,289,409,487.25). Unique recipients are unpublished. Average obligation is about $2,284,971,062.82, a ratio of those two facts only.

Does $47,984,392,319.27 include every Medicare SMI project in ND-00?

The packet publishes one CFDA rollup. The packet does not split physician from outpatient hospital settings and does not publish an enrollee denominator. $47,984,392,319.27 is the combined obligation sum for CFDA 93.774 inside ND-00 coding. This page will not invent a project pie or name contractors. Open CFDA 93.774 and North Dakota At-Large District to inspect parent tables. 21 remains an action count, not a count of beneficiaries, clinics, or Part B claims.

Is $47,984,392,319.27 cash already paid in North Dakota At-Large District (ND-00)?

No. Obligations are commitments recorded on USAspending.gov awards. Outlays — money that actually left the Treasury — are a different concept and are not this packet's headline. Treating $47,984,392,319.27 as checks already cleared in North Dakota At-Large District (ND-00) confuses those terms. Later ingests can revise 21 awards. Prefer the live district and program hubs if the tables moved.

Why is the implied average $2,284,971,062.82 not a typical award?

The average is $47,984,392,319.27 divided by 21 awards, about $2,284,971,062.82. Thick files pull the mean down; thin files pull it up. Neither case publishes a typical instrument. Modifications add rows. Recipients are unpublished. Use the ratio only as a concentration statistic, not a typical office visit or a posted per-enrollee figure.