County

Sumter, FL

FIPS: 12119 · 86,494 Medicare beneficiaries · Geographic Variation 2023

Overview

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

Total Medicare Spending per Capita
$13,017
Actual Spending per Capita
$12,703
includes local geographic adjustments
Average HCC Risk Score
1.19
1.00 = nationally average. Higher = sicker panel.
Average Age
76.0
30-Day Readmission Rate
15.2%
MA Participation
54.7%
share enrolled in Medicare Advantage
Dual Eligible
2.8%
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
86,494
Fee-for-Service Beneficiaries
37,194
MA Participation Rate
54.7%
Average Age
76.0
Average HCC Risk Score
1.19
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
2.8%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
55.0%
Male
45.0%
White
93.5%
Black
1.2%
Hispanic
1.5%

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.

30-Day Readmission Rate
15.2%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
577.5

Health Outcomes

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

High cholesterol among adults who have ever been screened
51.4%
95% CI: 47.0% – 55.6%
Crude prevalence
Obesity among adults
32.0%
95% CI: 26.3% – 37.9%
Age-adjusted prevalence
High blood pressure among adults
29.9%
95% CI: 26.6% – 33.3%
Age-adjusted prevalence
Arthritis among adults
22.4%
95% CI: 19.8% – 25.0%
Age-adjusted prevalence
Depression among adults
14.1%
95% CI: 11.8% – 16.6%
Crude prevalence
All teeth lost among adults aged >=65 years
13.4%
95% CI: 11.0% – 16.0%
Crude prevalence
Chronic obstructive pulmonary disease among adults
10.1%
95% CI: 7.8% – 12.8%
Crude prevalence
Diagnosed diabetes among adults
9.1%
95% CI: 7.8% – 10.6%
Age-adjusted prevalence
Current asthma among adults
8.8%
95% CI: 7.7% – 10.0%
Crude prevalence
Cancer (non-skin) or melanoma among adults
7.8%
95% CI: 7.0% – 8.6%
Age-adjusted prevalence
Stroke among adults
5.5%
95% CI: 4.5% – 6.5%
Crude prevalence
Coronary heart disease among adults
5.3%
95% CI: 4.6% – 6.1%
Age-adjusted 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
19.5%
95% CI: 15.7% – 24.0%
Crude prevalence
Frequent mental distress among adults
16.5%
95% CI: 14.5% – 18.8%
Age-adjusted prevalence
Frequent physical distress among adults
15.6%
95% CI: 13.0% – 18.4%
Crude prevalence

Prevention

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

Taking medicine to control high blood pressure among adults with high blood pressure
87.2%
95% CI: 84.8% – 89.2%
Crude prevalence
Visits to doctor for routine checkup within the past year among adults
87.0%
95% CI: 84.6% – 89.1%
Crude prevalence
Cholesterol screening among adults
84.9%
95% CI: 82.6% – 86.9%
Age-adjusted prevalence
Colorectal cancer screening among adults aged 45–75 years
79.1%
95% CI: 75.5% – 82.3%
Crude prevalence
Mammography use among women aged 50-74 years
75.8%
95% CI: 69.0% – 81.7%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
65.9%
95% CI: 62.7% – 68.9%
Crude prevalence
Current lack of health insurance among adults aged 18-64 years
12.5%
95% CI: 10.2% – 14.9%
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
29.2%
95% CI: 24.8% – 34.2%
Crude prevalence
No leisure-time physical activity among adults
25.1%
95% CI: 20.0% – 30.8%
Crude prevalence
Binge drinking among adults
9.9%
95% CI: 8.1% – 11.8%
Crude prevalence
Current cigarette smoking among adults
9.9%
95% CI: 7.5% – 12.4%
Crude 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
35.6%
95% CI: 30.2% – 41.4%
Crude prevalence
Cognitive disability among adults
13.1%
95% CI: 11.3% – 15.3%
Age-adjusted prevalence
Mobility disability among adults
10.5%
95% CI: 8.7% – 12.5%
Age-adjusted prevalence
Independent living disability among adults
6.7%
95% CI: 5.7% – 7.8%
Age-adjusted prevalence
Hearing disability among adults
5.9%
95% CI: 5.1% – 6.7%
Age-adjusted prevalence
Vision disability among adults
5.5%
95% CI: 4.4% – 6.8%
Crude prevalence
Self-care disability among adults
4.0%
95% CI: 3.2% – 5.0%
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).

Economic Stability

Below 150% Federal Poverty Level
15.5%
· MOE ±1.5
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
5.5%
· MOE ±1.6

Education & Connectivity

No High School Diploma (adults 25+)
7.8%
· MOE ±0.9
No Broadband Internet
12.6%
· MOE ±2.4
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
21.1%
· MOE ±1.7
Share of households paying more than 30% of income on housing.
Crowded Housing Units
1.2%
· MOE ±0.4
Single-Parent Households
2.0%
· MOE ±0.5

Demographics

Racial / Ethnic Minority Population
15.6%
· MOE ±0.5

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 13.4% — TEETHLOST
CDC PLACES Any disability among adults 35.6% — DISABILITY
CDC PLACES Arthritis among adults 22.4% — ARTHRITIS
CDC PLACES Binge drinking among adults 9.9% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 7.8% — CANCER
CDC PLACES Cholesterol screening among adults 84.9% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 10.1% — COPD
CDC PLACES Cognitive disability among adults 13.1% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 79.1% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 5.3% — CHD
CDC PLACES Current asthma among adults 8.8% — CASTHMA
CDC PLACES Current cigarette smoking among adults 9.9% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 12.5% — ACCESS2
CDC PLACES Depression among adults 14.1% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 9.1% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 19.5% — GHLTH
CDC PLACES Frequent mental distress among adults 16.5% — MHLTH
CDC PLACES Frequent physical distress among adults 15.6% — PHLTH
CDC PLACES Hearing disability among adults 5.9% — HEARING
CDC PLACES High blood pressure among adults 29.9% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 51.4% — HIGHCHOL
CDC PLACES Independent living disability among adults 6.7% — INDEPLIVE
CDC PLACES Mammography use among women aged 50-74 years 75.8% — MAMMOUSE
CDC PLACES Mobility disability among adults 10.5% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 25.1% — LPA
CDC PLACES Obesity among adults 32.0% — OBESITY
CDC PLACES Self-care disability among adults 4.0% — SELFCARE
CDC PLACES Short sleep duration among adults 29.2% — SLEEP
CDC PLACES Stroke among adults 5.5% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 87.2% — BPMED
CDC PLACES Vision disability among adults 5.5% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 65.9% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 87.0% — CHECKUP
CDC SDOH Below 150% FPL (%) 15.5% — POVERTY
CDC SDOH Crowded Housing (%) 1.2% — CROWDING
CDC SDOH Housing Cost Burden (%) 21.1% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 12.6% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 7.8% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 15.6% — MINORITY
CDC SDOH Single-Parent Households (%) 2.0% — SINGLE_PARENT
CDC SDOH Unemployment (%) 5.5% — UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 15.2% — ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 76.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 1.19 — BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 1.2% — BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 2.8% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 577.5 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 55.0% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 37,194 — BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 1.5% — BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $370 — HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $443 — HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $343 — HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $385 — HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $2,734 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $2,604 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 45.0% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 54.7% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $1,386 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $1,439 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $566 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $687 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $12,703 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 86,494 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $13,017 — TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 93.5% — BENE_RACE_WHT_PCT

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 →