Overview

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

Total Medicare Spending per Capita
$13,032
Actual Spending per Capita
$15,488
includes local geographic adjustments
Average HCC Risk Score
1.19
1.00 = nationally average. Higher = sicker panel.
Average Age
72.0
30-Day Readmission Rate
22.3%
MA Participation
62.0%
share enrolled in Medicare Advantage
Dual Eligible
33.0%
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
271,385
Fee-for-Service Beneficiaries
86,239
MA Participation Rate
62.0%
Average Age
72.0
Average HCC Risk Score
1.19
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
33.0%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
56.7%
Male
43.3%
White
54.1%
Black
32.1%
Hispanic
5.1%

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
22.3%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
695.8

Health Outcomes

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

All teeth lost among adults aged >=65 years
22.2%
95% CI: 18.5% – 25.9%
Age-adjusted prevalence

Prevention

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

Mammography use among women aged 50-74 years
77.8%
95% CI: 71.6% – 82.8%
Crude prevalence
Colorectal cancer screening among adults aged 45–75 years
62.5%
95% CI: 58.3% – 66.3%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
54.9%
95% CI: 51.4% – 58.0%
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
42.7%
95% CI: 38.6% – 46.6%
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).

Economic Stability

Below 150% Federal Poverty Level
33.1%
· MOE ±0.6
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
8.9%
· MOE ±0.4

Education & Connectivity

No High School Diploma (adults 25+)
13.4%
· MOE ±0.4
No Broadband Internet
16.9%
· MOE ±0.6
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
35.5%
· MOE ±0.6
Share of households paying more than 30% of income on housing.
Crowded Housing Units
2.8%
· MOE ±0.2
Single-Parent Households
10.0%
· MOE ±0.4

Demographics

Racial / Ethnic Minority Population
66.2%
· 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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Show 38 rows
Source Metric Value National Median Pctl. Raw key
CDC PLACES All teeth lost among adults aged >=65 years 22.2% TEETHLOST
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 62.5% COLON_SCREEN
CDC PLACES Mammography use among women aged 50-74 years 77.8% MAMMOUSE
CDC PLACES Short sleep duration among adults 42.7% SLEEP
CDC PLACES Visited dentist or dental clinic in the past year among adults 54.9% DENTAL
CDC SDOH Below 150% FPL (%) 33.1% POVERTY
CDC SDOH Crowded Housing (%) 2.8% CROWDING
CDC SDOH Housing Cost Burden (%) 35.5% HOUSING_BURDEN
CDC SDOH No Broadband (%) 16.9% NO_BROADBAND
CDC SDOH No High School Diploma (%) 13.4% NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 66.2% MINORITY
CDC SDOH Single-Parent Households (%) 10.0% SINGLE_PARENT
CDC SDOH Unemployment (%) 8.9% UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 22.3% ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 72.00 BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 1.19 BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 32.1% BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 33.0% BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 695.8 ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 56.7% BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 86,239 BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 5.1% BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $586 HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $551 HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $285 HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $272 HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $5,709 IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $3,611 IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 43.3% BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 62.0% MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $2,551 OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $2,386 OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $1,132 SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $1,103 SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $15,488 TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 271,385 BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $13,032 TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 54.1% 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 →