County

Kusilvak, AK

FIPS: 02158 · 626 Medicare beneficiaries · Geographic Variation 2023

Overview

Key headline metrics for Medicare beneficiaries living in Kusilvak, 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
$7,960
Actual Spending per Capita
$10,839
includes local geographic adjustments
Average HCC Risk Score
0.78
1.00 = nationally average. Higher = sicker panel.
Average Age
70.0
MA Participation
0.0%
share enrolled in Medicare Advantage
Dual Eligible
70.2%
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
626
Fee-for-Service Beneficiaries
513
MA Participation Rate
0.0%
Average Age
70.0
Average HCC Risk Score
0.78
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
70.2%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
46.8%
Male
53.2%

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
54.6

Health Outcomes

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

Obesity among adults
47.0%
95% CI: 38.3% – 56.4%
Age-adjusted prevalence
All teeth lost among adults aged >=65 years
44.6%
95% CI: 39.2% – 50.2%
Age-adjusted prevalence
High blood pressure among adults
38.5%
95% CI: 34.3% – 42.9%
Crude prevalence
High cholesterol among adults who have ever been screened
30.5%
95% CI: 26.5% – 35.0%
Age-adjusted prevalence
Arthritis among adults
25.6%
95% CI: 22.6% – 28.9%
Crude prevalence
Depression among adults
23.5%
95% CI: 19.8% – 27.6%
Crude prevalence
Diagnosed diabetes among adults
18.0%
95% CI: 15.8% – 20.4%
Age-adjusted prevalence
Current asthma among adults
14.6%
95% CI: 12.9% – 16.5%
Age-adjusted prevalence
Chronic obstructive pulmonary disease among adults
12.4%
95% CI: 10.7% – 14.3%
Age-adjusted prevalence
Coronary heart disease among adults
9.6%
95% CI: 8.5% – 10.8%
Age-adjusted prevalence
Stroke among adults
5.4%
95% CI: 4.8% – 6.0%
Crude prevalence
Cancer (non-skin) or melanoma among adults
4.8%
95% CI: 4.3% – 5.4%
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
37.8%
95% CI: 32.8% – 43.3%
Crude prevalence
Frequent mental distress among adults
24.5%
95% CI: 21.7% – 27.8%
Crude prevalence
Frequent physical distress among adults
22.4%
95% CI: 19.6% – 25.6%
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
70.4%
95% CI: 66.9% – 74.0%
Age-adjusted prevalence
Visits to doctor for routine checkup within the past year among adults
64.1%
95% CI: 59.3% – 69.1%
Crude prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
54.2%
95% CI: 49.8% – 59.2%
Age-adjusted prevalence
Mammography use among women aged 50-74 years
48.8%
95% CI: 38.9% – 59.0%
Crude prevalence
Colorectal cancer screening among adults aged 45–75 years
40.1%
95% CI: 34.6% – 45.7%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
31.8%
95% CI: 28.3% – 35.4%
Crude prevalence
Current lack of health insurance among adults aged 18-64 years
18.1%
95% CI: 14.1% – 22.6%
Age-adjusted 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
45.6%
95% CI: 38.1% – 53.6%
Age-adjusted prevalence
No leisure-time physical activity among adults
38.5%
95% CI: 32.4% – 44.9%
Age-adjusted prevalence
Current cigarette smoking among adults
36.6%
95% CI: 31.7% – 41.9%
Crude prevalence
Binge drinking among adults
15.3%
95% CI: 12.5% – 18.8%
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
49.9%
95% CI: 44.0% – 56.0%
Age-adjusted prevalence
Cognitive disability among adults
25.1%
95% CI: 21.8% – 28.8%
Age-adjusted prevalence
Mobility disability among adults
22.7%
95% CI: 19.6% – 26.1%
Crude prevalence
Independent living disability among adults
17.6%
95% CI: 15.2% – 20.2%
Age-adjusted prevalence
Vision disability among adults
13.8%
95% CI: 12.1% – 15.8%
Age-adjusted prevalence
Hearing disability among adults
13.8%
95% CI: 12.3% – 15.5%
Age-adjusted prevalence
Self-care disability among adults
8.1%
95% CI: 7.0% – 9.3%
Age-adjusted 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)

Food insecurity in the past 12 months among adults
46.6%
95% CI: 39.7% – 53.2%
Loneliness among adults
39.3%
95% CI: 33.3% – 45.5%
Received food stamps in the past 12 months among adults
38.9%
95% CI: 33.0% – 45.2%
Lack of social and emotional support among adults
35.3%
95% CI: 30.2% – 40.7%
Housing insecurity in the past 12 months among adults
32.3%
95% CI: 27.4% – 37.3%
Lack of reliable transportation in the past 12 months among adults
26.8%
95% CI: 22.9% – 30.7%
Utility services shut-off threat in the past 12 months among adults
24.8%
95% CI: 21.4% – 28.4%

Economic Stability

Below 150% Federal Poverty Level
57.3%
· MOE ±4.0
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
24.7%
· MOE ±2.9

Education & Connectivity

No High School Diploma (adults 25+)
20.4%
· MOE ±2.9
No Broadband Internet
30.0%
· MOE ±6.0
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
18.4%
· MOE ±3.4
Share of households paying more than 30% of income on housing.
Crowded Housing Units
42.0%
· MOE ±5.0
Single-Parent Households
16.1%
· MOE ±3.5

Demographics

Racial / Ethnic Minority Population
96.7%
· MOE ±2.4

All Data

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

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Source Metric Value National Median Pctl. Raw key
CDC PLACES All teeth lost among adults aged >=65 years 44.6% — TEETHLOST
CDC PLACES Any disability among adults 49.9% — DISABILITY
CDC PLACES Arthritis among adults 25.6% — ARTHRITIS
CDC PLACES Binge drinking among adults 15.3% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 4.8% — CANCER
CDC PLACES Cholesterol screening among adults 70.4% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 12.4% — COPD
CDC PLACES Cognitive disability among adults 25.1% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 40.1% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 9.6% — CHD
CDC PLACES Current asthma among adults 14.6% — CASTHMA
CDC PLACES Current cigarette smoking among adults 36.6% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 18.1% — ACCESS2
CDC PLACES Depression among adults 23.5% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 18.0% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 37.8% — GHLTH
CDC PLACES Food insecurity in the past 12 months among adults 46.6% — FOODINSECU
CDC PLACES Frequent mental distress among adults 24.5% — MHLTH
CDC PLACES Frequent physical distress among adults 22.4% — PHLTH
CDC PLACES Hearing disability among adults 13.8% — HEARING
CDC PLACES High blood pressure among adults 38.5% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 30.5% — HIGHCHOL
CDC PLACES Housing insecurity in the past 12 months among adults 32.3% — HOUSINSECU
CDC PLACES Independent living disability among adults 17.6% — INDEPLIVE
CDC PLACES Lack of reliable transportation in the past 12 months among adults 26.8% — LACKTRPT
CDC PLACES Lack of social and emotional support among adults 35.3% — EMOTIONSPT
CDC PLACES Loneliness among adults 39.3% — LONELINESS
CDC PLACES Mammography use among women aged 50-74 years 48.8% — MAMMOUSE
CDC PLACES Mobility disability among adults 22.7% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 38.5% — LPA
CDC PLACES Obesity among adults 47.0% — OBESITY
CDC PLACES Received food stamps in the past 12 months among adults 38.9% — FOODSTAMP
CDC PLACES Self-care disability among adults 8.1% — SELFCARE
CDC PLACES Short sleep duration among adults 45.6% — SLEEP
CDC PLACES Stroke among adults 5.4% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 54.2% — BPMED
CDC PLACES Utility services shut-off threat in the past 12 months among adults 24.8% — SHUTUTILITY
CDC PLACES Vision disability among adults 13.8% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 31.8% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 64.1% — CHECKUP
CDC SDOH Below 150% FPL (%) 57.3% — POVERTY
CDC SDOH Crowded Housing (%) 42.0% — CROWDING
CDC SDOH Housing Cost Burden (%) 18.4% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 30.0% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 20.4% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 96.7% — MINORITY
CDC SDOH Single-Parent Households (%) 16.1% — SINGLE_PARENT
CDC SDOH Unemployment (%) 24.7% — UNEMPLOYMENT
Geographic Variation Average Beneficiary Age 70.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 0.78 — BENE_AVG_RISK_SCRE
Geographic Variation Dual Eligible Beneficiaries (%) 70.2% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 54.6 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 46.8% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 513 — BENES_FFS_CNT
Geographic Variation Inpatient Actual Per Capita Payment ($) $4,695 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $2,462 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 53.2% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 0.0% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $2,360 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $2,260 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $10,839 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 626 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $7,960 — 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 →