County

Pennington, SD

FIPS: 46103 · 30,490 Medicare beneficiaries · Geographic Variation 2023

Overview

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

Total Medicare Spending per Capita
$10,041
Actual Spending per Capita
$10,763
includes local geographic adjustments
Average HCC Risk Score
0.82
1.00 = nationally average. Higher = sicker panel.
Average Age
72.0
30-Day Readmission Rate
14.5%
MA Participation
36.5%
share enrolled in Medicare Advantage
Dual Eligible
10.2%
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
30,490
Fee-for-Service Beneficiaries
17,117
MA Participation Rate
36.5%
Average Age
72.0
Average HCC Risk Score
0.82
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
10.2%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
51.4%
Male
48.6%
White
90.4%
Black
0.6%
Hispanic
1.3%

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.

30-Day Readmission Rate
14.5%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
435.4

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
33.7%
95% CI: 29.4% – 38.0%
Crude prevalence
High blood pressure among adults
29.9%
95% CI: 27.1% – 32.7%
Age-adjusted prevalence
High cholesterol among adults who have ever been screened
28.7%
95% CI: 25.9% – 31.5%
Age-adjusted prevalence
Arthritis among adults
22.3%
95% CI: 20.0% – 24.5%
Age-adjusted prevalence
Depression among adults
21.0%
95% CI: 18.4% – 23.7%
Crude prevalence
All teeth lost among adults aged >=65 years
15.5%
95% CI: 12.7% – 18.4%
Crude prevalence
Diagnosed diabetes among adults
12.1%
95% CI: 10.5% – 13.9%
Crude prevalence
Current asthma among adults
10.3%
95% CI: 9.1% – 11.5%
Age-adjusted prevalence
Cancer (non-skin) or melanoma among adults
7.5%
95% CI: 6.8% – 8.2%
Age-adjusted prevalence
Chronic obstructive pulmonary disease among adults
6.8%
95% CI: 5.6% – 8.2%
Crude prevalence
Coronary heart disease among adults
5.5%
95% CI: 4.8% – 6.2%
Age-adjusted prevalence
Stroke among adults
2.9%
95% CI: 2.5% – 3.2%
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
16.1%
95% CI: 13.5% – 18.9%
Age-adjusted prevalence
Frequent mental distress among adults
14.8%
95% CI: 12.9% – 16.7%
Crude prevalence
Frequent physical distress among adults
11.6%
95% CI: 10.1% – 13.3%
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
83.5%
95% CI: 81.0% – 85.7%
Age-adjusted prevalence
Visits to doctor for routine checkup within the past year among adults
76.3%
95% CI: 73.1% – 79.0%
Crude prevalence
Mammography use among women aged 50-74 years
76.2%
95% CI: 69.8% – 81.9%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
66.5%
95% CI: 63.3% – 69.4%
Age-adjusted prevalence
Colorectal cancer screening among adults aged 45–75 years
59.5%
95% CI: 55.3% – 63.5%
Age-adjusted prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
56.4%
95% CI: 52.5% – 60.2%
Age-adjusted prevalence
Current lack of health insurance among adults aged 18-64 years
8.5%
95% CI: 6.6% – 10.6%
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
31.7%
95% CI: 27.8% – 35.7%
Crude prevalence
No leisure-time physical activity among adults
23.3%
95% CI: 19.5% – 27.4%
Crude prevalence
Binge drinking among adults
22.6%
95% CI: 19.6% – 25.5%
Age-adjusted prevalence
Current cigarette smoking among adults
15.0%
95% CI: 12.1% – 18.1%
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
29.4%
95% CI: 25.6% – 33.4%
Age-adjusted prevalence
Cognitive disability among adults
13.0%
95% CI: 11.0% – 15.1%
Crude prevalence
Mobility disability among adults
11.2%
95% CI: 9.5% – 13.1%
Age-adjusted prevalence
Independent living disability among adults
7.3%
95% CI: 6.2% – 8.6%
Age-adjusted prevalence
Hearing disability among adults
7.1%
95% CI: 6.2% – 7.9%
Age-adjusted prevalence
Vision disability among adults
4.5%
95% CI: 3.9% – 5.2%
Crude prevalence
Self-care disability among adults
3.4%
95% CI: 2.9% – 4.1%
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
19.7%
· MOE ±1.4
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
2.9%
· MOE ±0.7

Education & Connectivity

No High School Diploma (adults 25+)
5.6%
· MOE ±0.9
No Broadband Internet
12.6%
· MOE ±1.7
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
26.1%
· MOE ±1.8
Share of households paying more than 30% of income on housing.
Crowded Housing Units
1.6%
· MOE ±0.5
Single-Parent Households
6.0%
· MOE ±0.8

Demographics

Racial / Ethnic Minority Population
21.8%
· MOE ±1.0

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 15.5% — TEETHLOST
CDC PLACES Any disability among adults 29.4% — DISABILITY
CDC PLACES Arthritis among adults 22.3% — ARTHRITIS
CDC PLACES Binge drinking among adults 22.6% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 7.5% — CANCER
CDC PLACES Cholesterol screening among adults 83.5% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 6.8% — COPD
CDC PLACES Cognitive disability among adults 13.0% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 59.5% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 5.5% — CHD
CDC PLACES Current asthma among adults 10.3% — CASTHMA
CDC PLACES Current cigarette smoking among adults 15.0% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 8.5% — ACCESS2
CDC PLACES Depression among adults 21.0% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 12.1% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 16.1% — GHLTH
CDC PLACES Frequent mental distress among adults 14.8% — MHLTH
CDC PLACES Frequent physical distress among adults 11.6% — PHLTH
CDC PLACES Hearing disability among adults 7.1% — HEARING
CDC PLACES High blood pressure among adults 29.9% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 28.7% — HIGHCHOL
CDC PLACES Independent living disability among adults 7.3% — INDEPLIVE
CDC PLACES Mammography use among women aged 50-74 years 76.2% — MAMMOUSE
CDC PLACES Mobility disability among adults 11.2% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 23.3% — LPA
CDC PLACES Obesity among adults 33.7% — OBESITY
CDC PLACES Self-care disability among adults 3.4% — SELFCARE
CDC PLACES Short sleep duration among adults 31.7% — SLEEP
CDC PLACES Stroke among adults 2.9% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 56.4% — BPMED
CDC PLACES Vision disability among adults 4.5% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 66.5% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 76.3% — CHECKUP
CDC SDOH Below 150% FPL (%) 19.7% — POVERTY
CDC SDOH Crowded Housing (%) 1.6% — CROWDING
CDC SDOH Housing Cost Burden (%) 26.1% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 12.6% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 5.6% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 21.8% — MINORITY
CDC SDOH Single-Parent Households (%) 6.0% — SINGLE_PARENT
CDC SDOH Unemployment (%) 2.9% — UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 14.5% — ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 72.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 0.82 — BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 0.6% — BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 10.2% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 435.4 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 51.4% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 17,117 — BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 1.3% — BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $152 — HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $164 — HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $161 — HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $174 — HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $3,109 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $2,408 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 48.6% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 36.5% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $3,097 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $2,902 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $566 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $647 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $10,763 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 30,490 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $10,041 — TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 90.4% — 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 →