County

Richmond, NY

FIPS: 36085 · 98,550 Medicare beneficiaries · Geographic Variation 2023

Overview

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

Total Medicare Spending per Capita
$13,507
Actual Spending per Capita
$17,516
includes local geographic adjustments
Average HCC Risk Score
1.06
1.00 = nationally average. Higher = sicker panel.
Average Age
72.0
30-Day Readmission Rate
18.8%
MA Participation
49.3%
share enrolled in Medicare Advantage
Dual Eligible
21.5%
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
98,550
Fee-for-Service Beneficiaries
42,732
MA Participation Rate
49.3%
Average Age
72.0
Average HCC Risk Score
1.06
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
21.5%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
53.7%
Male
46.3%
White
77.8%
Black
4.9%
Hispanic
7.0%

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
18.8%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
546.3

Health Outcomes

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

High cholesterol among adults who have ever been screened
36.2%
95% CI: 33.2% – 39.4%
Age-adjusted prevalence
Obesity among adults
30.3%
95% CI: 26.3% – 34.3%
Crude prevalence
High blood pressure among adults
30.3%
95% CI: 27.6% – 33.1%
Age-adjusted prevalence
Arthritis among adults
21.0%
95% CI: 18.8% – 23.2%
Age-adjusted prevalence
Depression among adults
15.8%
95% CI: 13.7% – 18.1%
Age-adjusted prevalence
Diagnosed diabetes among adults
11.9%
95% CI: 10.4% – 13.5%
Crude prevalence
All teeth lost among adults aged >=65 years
11.7%
95% CI: 9.7% – 13.9%
Crude prevalence
Current asthma among adults
10.2%
95% CI: 9.1% – 11.4%
Crude prevalence
Cancer (non-skin) or melanoma among adults
7.6%
95% CI: 6.9% – 8.4%
Crude prevalence
Chronic obstructive pulmonary disease among adults
6.0%
95% CI: 5.0% – 7.1%
Crude prevalence
Coronary heart disease among adults
4.8%
95% CI: 4.2% – 5.5%
Age-adjusted prevalence
Stroke among adults
3.2%
95% CI: 2.8% – 3.6%
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
17.9%
95% CI: 15.5% – 20.6%
Crude prevalence
Frequent mental distress among adults
15.5%
95% CI: 13.7% – 17.4%
Age-adjusted prevalence
Frequent physical distress among adults
12.0%
95% CI: 10.5% – 13.7%
Age-adjusted 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
88.4%
95% CI: 86.4% – 90.2%
Age-adjusted prevalence
Visits to doctor for routine checkup within the past year among adults
80.1%
95% CI: 77.1% – 82.7%
Age-adjusted prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
77.9%
95% CI: 75.1% – 80.3%
Crude prevalence
Mammography use among women aged 50-74 years
76.4%
95% CI: 71.1% – 81.4%
Crude prevalence
Colorectal cancer screening among adults aged 45–75 years
68.8%
95% CI: 65.2% – 72.3%
Crude prevalence
Visited dentist or dental clinic in the past year among adults
65.9%
95% CI: 63.1% – 68.7%
Age-adjusted prevalence
Current lack of health insurance among adults aged 18-64 years
7.6%
95% CI: 6.0% – 9.3%
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
40.6%
95% CI: 36.8% – 44.6%
Crude prevalence
No leisure-time physical activity among adults
25.5%
95% CI: 22.1% – 29.3%
Age-adjusted prevalence
Binge drinking among adults
13.9%
95% CI: 11.8% – 16.2%
Crude prevalence
Current cigarette smoking among adults
12.1%
95% CI: 9.9% – 14.4%
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
25.2%
95% CI: 22.2% – 28.6%
Age-adjusted prevalence
Cognitive disability among adults
12.2%
95% CI: 10.5% – 14.0%
Age-adjusted prevalence
Mobility disability among adults
11.2%
95% CI: 9.6% – 13.0%
Age-adjusted prevalence
Independent living disability among adults
7.0%
95% CI: 6.0% – 8.1%
Age-adjusted prevalence
Hearing disability among adults
5.5%
95% CI: 4.8% – 6.3%
Crude prevalence
Vision disability among adults
4.5%
95% CI: 3.9% – 5.1%
Age-adjusted prevalence
Self-care disability among adults
3.1%
95% CI: 2.7% – 3.6%
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)

Loneliness among adults
34.2%
95% CI: 30.2% – 38.2%
Lack of social and emotional support among adults
27.8%
95% CI: 24.3% – 31.3%
Food insecurity in the past 12 months among adults
16.4%
95% CI: 13.4% – 19.3%
Housing insecurity in the past 12 months among adults
14.5%
95% CI: 12.1% – 16.8%
Received food stamps in the past 12 months among adults
13.2%
95% CI: 10.6% – 15.9%
Lack of reliable transportation in the past 12 months among adults
8.4%
95% CI: 7.1% – 9.6%
Utility services shut-off threat in the past 12 months among adults
7.9%
95% CI: 6.7% – 9.2%

Economic Stability

Below 150% Federal Poverty Level
16.4%
· MOE ±0.8
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
5.5%
· MOE ±0.5

Education & Connectivity

No High School Diploma (adults 25+)
11.4%
· MOE ±0.5
No Broadband Internet
14.0%
· MOE ±0.8
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
29.9%
· MOE ±1.2
Share of households paying more than 30% of income on housing.
Crowded Housing Units
4.7%
· MOE ±0.4
Single-Parent Households
6.0%
· MOE ±0.5

Demographics

Racial / Ethnic Minority Population
40.4%
· MOE ±0.4

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 11.7% — TEETHLOST
CDC PLACES Any disability among adults 25.2% — DISABILITY
CDC PLACES Arthritis among adults 21.0% — ARTHRITIS
CDC PLACES Binge drinking among adults 13.9% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 7.6% — CANCER
CDC PLACES Cholesterol screening among adults 88.4% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 6.0% — COPD
CDC PLACES Cognitive disability among adults 12.2% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 68.8% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 4.8% — CHD
CDC PLACES Current asthma among adults 10.2% — CASTHMA
CDC PLACES Current cigarette smoking among adults 12.1% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 7.6% — ACCESS2
CDC PLACES Depression among adults 15.8% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 11.9% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 17.9% — GHLTH
CDC PLACES Food insecurity in the past 12 months among adults 16.4% — FOODINSECU
CDC PLACES Frequent mental distress among adults 15.5% — MHLTH
CDC PLACES Frequent physical distress among adults 12.0% — PHLTH
CDC PLACES Hearing disability among adults 5.5% — HEARING
CDC PLACES High blood pressure among adults 30.3% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 36.2% — HIGHCHOL
CDC PLACES Housing insecurity in the past 12 months among adults 14.5% — HOUSINSECU
CDC PLACES Independent living disability among adults 7.0% — INDEPLIVE
CDC PLACES Lack of reliable transportation in the past 12 months among adults 8.4% — LACKTRPT
CDC PLACES Lack of social and emotional support among adults 27.8% — EMOTIONSPT
CDC PLACES Loneliness among adults 34.2% — LONELINESS
CDC PLACES Mammography use among women aged 50-74 years 76.4% — MAMMOUSE
CDC PLACES Mobility disability among adults 11.2% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 25.5% — LPA
CDC PLACES Obesity among adults 30.3% — OBESITY
CDC PLACES Received food stamps in the past 12 months among adults 13.2% — FOODSTAMP
CDC PLACES Self-care disability among adults 3.1% — SELFCARE
CDC PLACES Short sleep duration among adults 40.6% — SLEEP
CDC PLACES Stroke among adults 3.2% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 77.9% — BPMED
CDC PLACES Utility services shut-off threat in the past 12 months among adults 7.9% — SHUTUTILITY
CDC PLACES Vision disability among adults 4.5% — 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 80.1% — CHECKUP
CDC SDOH Below 150% FPL (%) 16.4% — POVERTY
CDC SDOH Crowded Housing (%) 4.7% — CROWDING
CDC SDOH Housing Cost Burden (%) 29.9% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 14.0% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 11.4% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 40.4% — MINORITY
CDC SDOH Single-Parent Households (%) 6.0% — SINGLE_PARENT
CDC SDOH Unemployment (%) 5.5% — UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 18.8% — ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 72.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 1.06 — BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 4.9% — BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 21.5% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 546.3 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 53.7% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 42,732 — BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 7.0% — BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $540 — HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $438 — HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $188 — HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $156 — HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $6,051 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $3,519 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 46.3% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 49.3% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $2,478 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $2,152 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $1,636 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $1,311 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $17,516 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 98,550 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $13,507 — TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 77.8% — 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 →