County

Shelby, TN

FIPS: 47157 · 168,464 Medicare beneficiaries · Geographic Variation 2023

Overview

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

Total Medicare Spending per Capita
$12,336
Actual Spending per Capita
$12,125
includes local geographic adjustments
Average HCC Risk Score
1.02
1.00 = nationally average. Higher = sicker panel.
Average Age
73.0
30-Day Readmission Rate
17.8%
MA Participation
49.6%
share enrolled in Medicare Advantage
Dual Eligible
11.0%
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
168,464
Fee-for-Service Beneficiaries
71,180
MA Participation Rate
49.6%
Average Age
73.0
Average HCC Risk Score
1.02
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
11.0%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
58.3%
Male
41.7%
White
66.5%
Black
28.4%
Hispanic
1.1%

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
17.8%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
524.5

Health Outcomes

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

High blood pressure among adults
41.0%
95% CI: 37.6% – 44.6%
Age-adjusted prevalence
Obesity among adults
39.6%
95% CI: 34.7% – 44.8%
Age-adjusted prevalence
High cholesterol among adults who have ever been screened
37.8%
95% CI: 34.3% – 41.4%
Crude prevalence
Arthritis among adults
25.4%
95% CI: 22.9% – 28.1%
Age-adjusted prevalence
Depression among adults
24.9%
95% CI: 21.8% – 28.3%
Crude prevalence
All teeth lost among adults aged >=65 years
21.0%
95% CI: 17.5% – 24.9%
Crude prevalence
Diagnosed diabetes among adults
14.6%
95% CI: 12.8% – 16.5%
Age-adjusted prevalence
Current asthma among adults
11.7%
95% CI: 10.3% – 13.1%
Crude prevalence
Chronic obstructive pulmonary disease among adults
7.3%
95% CI: 6.3% – 8.4%
Age-adjusted prevalence
Coronary heart disease among adults
6.5%
95% CI: 5.7% – 7.3%
Crude prevalence
Cancer (non-skin) or melanoma among adults
5.9%
95% CI: 5.3% – 6.5%
Age-adjusted prevalence
Stroke among adults
4.2%
95% CI: 3.7% – 4.6%
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
23.6%
95% CI: 20.3% – 26.8%
Crude prevalence
Frequent mental distress among adults
19.2%
95% CI: 16.9% – 21.4%
Crude prevalence
Frequent physical distress among adults
13.8%
95% CI: 12.1% – 15.6%
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
86.5%
95% CI: 84.4% – 88.6%
Age-adjusted prevalence
Visits to doctor for routine checkup within the past year among adults
81.2%
95% CI: 78.5% – 84.0%
Crude prevalence
Mammography use among women aged 50-74 years
79.1%
95% CI: 72.7% – 84.6%
Crude prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
76.5%
95% CI: 73.8% – 79.1%
Crude prevalence
Colorectal cancer screening among adults aged 45–75 years
59.5%
95% CI: 54.8% – 64.2%
Age-adjusted prevalence
Visited dentist or dental clinic in the past year among adults
54.8%
95% CI: 51.3% – 58.2%
Age-adjusted prevalence
Current lack of health insurance among adults aged 18-64 years
12.4%
95% CI: 9.8% – 15.4%
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
41.6%
95% CI: 37.1% – 46.3%
Crude prevalence
No leisure-time physical activity among adults
27.5%
95% CI: 23.5% – 31.4%
Crude prevalence
Current cigarette smoking among adults
17.2%
95% CI: 14.2% – 20.0%
Crude prevalence
Binge drinking among adults
13.7%
95% CI: 11.6% – 16.2%
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
35.8%
95% CI: 31.6% – 39.8%
Age-adjusted prevalence
Cognitive disability among adults
18.0%
95% CI: 15.4% – 20.4%
Age-adjusted prevalence
Mobility disability among adults
17.5%
95% CI: 15.1% – 19.9%
Crude prevalence
Independent living disability among adults
10.2%
95% CI: 8.8% – 11.7%
Age-adjusted prevalence
Vision disability among adults
6.7%
95% CI: 5.9% – 7.6%
Crude prevalence
Hearing disability among adults
5.9%
95% CI: 5.2% – 6.7%
Age-adjusted prevalence
Self-care disability among adults
4.7%
95% CI: 4.0% – 5.4%
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
28.4%
· MOE ±0.7
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
7.6%
· MOE ±0.4

Education & Connectivity

No High School Diploma (adults 25+)
10.7%
· MOE ±0.4
No Broadband Internet
17.8%
· MOE ±0.7
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
32.8%
· MOE ±0.8
Share of households paying more than 30% of income on housing.
Crowded Housing Units
2.0%
· MOE ±0.2
Single-Parent Households
10.3%
· MOE ±0.4

Demographics

Racial / Ethnic Minority Population
65.1%
· MOE ±0.3

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 21.0% — TEETHLOST
CDC PLACES Any disability among adults 35.8% — DISABILITY
CDC PLACES Arthritis among adults 25.4% — ARTHRITIS
CDC PLACES Binge drinking among adults 13.7% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 5.9% — CANCER
CDC PLACES Cholesterol screening among adults 86.5% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 7.3% — COPD
CDC PLACES Cognitive disability among adults 18.0% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 59.5% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 6.5% — CHD
CDC PLACES Current asthma among adults 11.7% — CASTHMA
CDC PLACES Current cigarette smoking among adults 17.2% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 12.4% — ACCESS2
CDC PLACES Depression among adults 24.9% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 14.6% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 23.6% — GHLTH
CDC PLACES Frequent mental distress among adults 19.2% — MHLTH
CDC PLACES Frequent physical distress among adults 13.8% — PHLTH
CDC PLACES Hearing disability among adults 5.9% — HEARING
CDC PLACES High blood pressure among adults 41.0% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 37.8% — HIGHCHOL
CDC PLACES Independent living disability among adults 10.2% — INDEPLIVE
CDC PLACES Mammography use among women aged 50-74 years 79.1% — MAMMOUSE
CDC PLACES Mobility disability among adults 17.5% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 27.5% — LPA
CDC PLACES Obesity among adults 39.6% — OBESITY
CDC PLACES Self-care disability among adults 4.7% — SELFCARE
CDC PLACES Short sleep duration among adults 41.6% — SLEEP
CDC PLACES Stroke among adults 4.2% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 76.5% — BPMED
CDC PLACES Vision disability among adults 6.7% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 54.8% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 81.2% — CHECKUP
CDC SDOH Below 150% FPL (%) 28.4% — POVERTY
CDC SDOH Crowded Housing (%) 2.0% — CROWDING
CDC SDOH Housing Cost Burden (%) 32.8% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 17.8% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 10.7% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 65.1% — MINORITY
CDC SDOH Single-Parent Households (%) 10.3% — SINGLE_PARENT
CDC SDOH Unemployment (%) 7.6% — UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 17.8% — ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 73.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 1.02 — BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 28.4% — BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 11.0% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 524.5 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 58.3% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 71,180 — BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 1.1% — BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $345 — HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $399 — HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $282 — HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $318 — HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $3,501 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $3,047 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 41.7% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 49.6% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $1,599 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $1,676 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $579 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $706 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $12,125 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 168,464 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $12,336 — TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 66.5% — 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 →