County

Aleutians East, AK

FIPS: 02013 · 171 Medicare beneficiaries · Geographic Variation 2023

Overview

Key headline metrics for Medicare beneficiaries living in Aleutians East, AK. Source data from the CMS Medicare Fee-for-Service Geographic Variation Public Use File (2023) and CDC PLACES/SDOH.

Total Medicare Spending per Capita
$7,913
Actual Spending per Capita
$11,214
includes local geographic adjustments
Average HCC Risk Score
0.89
1.00 = nationally average. Higher = sicker panel.
Average Age
72.0
Dual Eligible
28.7%
also enrolled in Medicaid — low-income marker

Beneficiary Profile

Who the Medicare population is in this county — counts, enrollment mix, age, and risk-adjusted complexity.

Total Medicare Beneficiaries
171
Fee-for-Service Beneficiaries
122
Average Age
72.0
Average HCC Risk Score
0.89
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
28.7%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
46.7%
Male
53.3%

Utilization

How often Medicare beneficiaries use each service. Rates are per 1,000 beneficiaries; the "users" column shows the share of beneficiaries who used the service at least once.

ER Visits per 1,000 Benes
180.3

Health Outcomes

CDC PLACES — modeled prevalence of health outcomes among county adults. Values are age-adjusted or crude prevalence estimates with 95% CIs.

High blood pressure among adults
33.2%
95% CI: 28.7% – 37.6%
Crude prevalence
High cholesterol among adults who have ever been screened
32.5%
95% CI: 28.1% – 37.1%
Age-adjusted prevalence
Obesity among adults
29.8%
95% CI: 22.6% – 37.5%
Age-adjusted prevalence
Arthritis among adults
17.2%
95% CI: 14.7% – 19.8%
Crude prevalence
All teeth lost among adults aged >=65 years
16.9%
95% CI: 13.8% – 20.3%
Age-adjusted prevalence
Diagnosed diabetes among adults
12.9%
95% CI: 11.0% – 14.9%
Age-adjusted prevalence
Depression among adults
12.3%
95% CI: 10.1% – 14.7%
Age-adjusted prevalence
Current asthma among adults
7.8%
95% CI: 6.8% – 8.9%
Age-adjusted prevalence
Coronary heart disease among adults
6.4%
95% CI: 5.6% – 7.3%
Age-adjusted prevalence
Chronic obstructive pulmonary disease among adults
5.0%
95% CI: 4.3% – 5.8%
Crude prevalence
Cancer (non-skin) or melanoma among adults
3.9%
95% CI: 3.5% – 4.3%
Crude prevalence
Stroke among adults
3.2%
95% CI: 2.8% – 3.5%
Crude prevalence

Health Status

CDC PLACES — modeled prevalence of health status among county adults. Values are age-adjusted or crude prevalence estimates with 95% CIs.

Fair or poor self-rated health status among adults
22.2%
95% CI: 19.0% – 25.8%
Crude prevalence
Frequent mental distress among adults
13.0%
95% CI: 11.3% – 14.8%
Crude prevalence
Frequent physical distress among adults
12.7%
95% CI: 11.0% – 14.5%
Crude prevalence

Prevention

CDC PLACES — modeled prevalence of prevention among county adults. Values are age-adjusted or crude prevalence estimates with 95% CIs.

Cholesterol screening among adults
77.1%
95% CI: 74.3% – 79.9%
Crude prevalence
Visits to doctor for routine checkup within the past year among adults
64.2%
95% CI: 59.2% – 69.1%
Crude prevalence
Mammography use among women aged 50-74 years
62.8%
95% CI: 53.0% – 71.6%
Age-adjusted prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
53.7%
95% CI: 48.9% – 58.3%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
47.6%
95% CI: 43.7% – 51.5%
Crude prevalence
Colorectal cancer screening among adults aged 45–75 years
39.4%
95% CI: 34.2% – 44.5%
Crude prevalence
Current lack of health insurance among adults aged 18-64 years
15.7%
95% CI: 12.7% – 19.0%
Crude prevalence

Health Risk Behaviors

CDC PLACES — modeled prevalence of health risk behaviors among county adults. Values are age-adjusted or crude prevalence estimates with 95% CIs.

Short sleep duration among adults
41.8%
95% CI: 34.6% – 49.3%
Age-adjusted prevalence
No leisure-time physical activity among adults
28.7%
95% CI: 23.5% – 34.0%
Crude prevalence
Current cigarette smoking among adults
16.0%
95% CI: 13.3% – 18.9%
Age-adjusted prevalence
Binge drinking among adults
15.0%
95% CI: 12.2% – 18.1%
Age-adjusted prevalence

Disability

CDC PLACES — modeled prevalence of disability among county adults. Values are age-adjusted or crude prevalence estimates with 95% CIs.

Any disability among adults
28.2%
95% CI: 23.9% – 32.7%
Crude prevalence
Mobility disability among adults
12.9%
95% CI: 10.9% – 14.9%
Age-adjusted prevalence
Cognitive disability among adults
12.8%
95% CI: 11.0% – 14.7%
Crude prevalence
Hearing disability among adults
8.6%
95% CI: 7.6% – 9.7%
Age-adjusted prevalence
Independent living disability among adults
6.9%
95% CI: 6.0% – 7.9%
Crude prevalence
Vision disability among adults
6.3%
95% CI: 5.5% – 7.2%
Age-adjusted prevalence
Self-care disability among adults
3.8%
95% CI: 3.3% – 4.3%
Crude prevalence

Health-Related Social Needs

Community-level social and economic factors that drive health outcomes. Combines CDC PLACES health-related social-need measures (modeled from BRFSS) with CDC SDOH structural measures (from the American Community Survey).

Reported unmet needs (PLACES)

Loneliness among adults
34.6%
95% CI: 29.1% – 40.2%
Lack of social and emotional support among adults
34.2%
95% CI: 29.6% – 39.0%
Food insecurity in the past 12 months among adults
21.6%
95% CI: 18.2% – 25.2%
Housing insecurity in the past 12 months among adults
15.7%
95% CI: 13.4% – 18.1%
Received food stamps in the past 12 months among adults
12.0%
95% CI: 10.0% – 14.3%
Lack of reliable transportation in the past 12 months among adults
10.8%
95% CI: 9.4% – 12.3%
Utility services shut-off threat in the past 12 months among adults
9.5%
95% CI: 8.1% – 11.0%

Economic Stability

Below 150% Federal Poverty Level
22.7%
· MOE ±3.2
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
4.5%
· MOE ±1.6

Education & Connectivity

No High School Diploma (adults 25+)
15.3%
· MOE ±2.5
No Broadband Internet
42.5%
· MOE ±6.0
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
16.6%
· MOE ±2.3
Share of households paying more than 30% of income on housing.
Crowded Housing Units
4.6%
· MOE ±2.3
Single-Parent Households
7.9%
· MOE ±2.2

Demographics

Racial / Ethnic Minority Population
87.2%
· MOE ±8.1

All Data

Every labeled metric surfaced from Geographic Variation, PLACES, and SDOH, alongside the national county median for context.

Download CSV

Show 64 rows
Source Metric Value National Median Pctl. Raw key
CDC PLACES All teeth lost among adults aged >=65 years 16.9% — TEETHLOST
CDC PLACES Any disability among adults 28.2% — DISABILITY
CDC PLACES Arthritis among adults 17.2% — ARTHRITIS
CDC PLACES Binge drinking among adults 15.0% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 3.9% — CANCER
CDC PLACES Cholesterol screening among adults 77.1% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 5.0% — COPD
CDC PLACES Cognitive disability among adults 12.8% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 39.4% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 6.4% — CHD
CDC PLACES Current asthma among adults 7.8% — CASTHMA
CDC PLACES Current cigarette smoking among adults 16.0% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 15.7% — ACCESS2
CDC PLACES Depression among adults 12.3% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 12.9% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 22.2% — GHLTH
CDC PLACES Food insecurity in the past 12 months among adults 21.6% — FOODINSECU
CDC PLACES Frequent mental distress among adults 13.0% — MHLTH
CDC PLACES Frequent physical distress among adults 12.7% — PHLTH
CDC PLACES Hearing disability among adults 8.6% — HEARING
CDC PLACES High blood pressure among adults 33.2% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 32.5% — HIGHCHOL
CDC PLACES Housing insecurity in the past 12 months among adults 15.7% — HOUSINSECU
CDC PLACES Independent living disability among adults 6.9% — INDEPLIVE
CDC PLACES Lack of reliable transportation in the past 12 months among adults 10.8% — LACKTRPT
CDC PLACES Lack of social and emotional support among adults 34.2% — EMOTIONSPT
CDC PLACES Loneliness among adults 34.6% — LONELINESS
CDC PLACES Mammography use among women aged 50-74 years 62.8% — MAMMOUSE
CDC PLACES Mobility disability among adults 12.9% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 28.7% — LPA
CDC PLACES Obesity among adults 29.8% — OBESITY
CDC PLACES Received food stamps in the past 12 months among adults 12.0% — FOODSTAMP
CDC PLACES Self-care disability among adults 3.8% — SELFCARE
CDC PLACES Short sleep duration among adults 41.8% — SLEEP
CDC PLACES Stroke among adults 3.2% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 53.7% — BPMED
CDC PLACES Utility services shut-off threat in the past 12 months among adults 9.5% — SHUTUTILITY
CDC PLACES Vision disability among adults 6.3% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 47.6% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 64.2% — CHECKUP
CDC SDOH Below 150% FPL (%) 22.7% — POVERTY
CDC SDOH Crowded Housing (%) 4.6% — CROWDING
CDC SDOH Housing Cost Burden (%) 16.6% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 42.5% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 15.3% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 87.2% — MINORITY
CDC SDOH Single-Parent Households (%) 7.9% — SINGLE_PARENT
CDC SDOH Unemployment (%) 4.5% — UNEMPLOYMENT
Geographic Variation Average Beneficiary Age 72.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 0.89 — BENE_AVG_RISK_SCRE
Geographic Variation Dual Eligible Beneficiaries (%) 28.7% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 180.3 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 46.7% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 122 — BENES_FFS_CNT
Geographic Variation Inpatient Actual Per Capita Payment ($) $4,710 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $2,594 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 53.3% — BENE_MALE_PCT
Geographic Variation Outpatient Actual Per Capita Payment ($) $2,274 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $2,169 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $0 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $0 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $11,214 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 171 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $7,913 — TOT_MDCR_STDZD_PYMT_PC

Methodology

Primary source: Medicare Geographic Variation by County (dataset id geo-var-county, vintage 2023, downloaded 2026-04-13, 33,639 rows in source).

Additional data sources: CDC PLACES County-Level Data (2026), CDC SDOH Measures for County (2017-2021).

Percentile badges compare this county against all US counties that appear in the relevant dataset. "Lower is better" metrics (spending, readmission rates, chronic-disease prevalence, SDOH adversity) use an inverted color ramp — low percentile = green (good), high percentile = red (bad).

Medicare Geographic Variation shows standardized per-capita spending, utilization, and demographic characteristics for Medicare fee-for-service beneficiaries at the county level. Standardized payments remove geographic payment adjustments so counties can be compared fairly. AHRQ Prevention Quality Indicators (PQIs) measure the rate of hospitalization for ambulatory-care-sensitive conditions (ACSCs).

Full methodology →