County

Spokane, WA

FIPS: 53063 · 120,347 Medicare beneficiaries · Geographic Variation 2023

Overview

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

Total Medicare Spending per Capita
$10,123
Actual Spending per Capita
$10,742
includes local geographic adjustments
Average HCC Risk Score
1.00
1.00 = nationally average. Higher = sicker panel.
Average Age
73.0
30-Day Readmission Rate
13.4%
MA Participation
57.1%
share enrolled in Medicare Advantage
Dual Eligible
14.3%
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
120,347
Fee-for-Service Beneficiaries
45,790
MA Participation Rate
57.1%
Average Age
73.0
Average HCC Risk Score
1.00
CMS Hierarchical Condition Category score. Higher means a sicker average beneficiary.
Dual Eligible (Medicare + Medicaid)
14.3%
Share of beneficiaries also enrolled in Medicaid — a marker of low income and complex need.

Demographic mix

Female
53.6%
Male
46.4%
White
91.6%
Black
1.0%
Hispanic
1.7%

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
13.4%
Share of hospital discharges followed by an unplanned readmission within 30 days.
ER Visits per 1,000 Benes
579.6

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
34.8%
95% CI: 31.1% – 38.4%
Age-adjusted prevalence
High cholesterol among adults who have ever been screened
34.7%
95% CI: 32.1% – 37.2%
Crude prevalence
High blood pressure among adults
31.1%
95% CI: 28.6% – 33.5%
Crude prevalence
Depression among adults
26.5%
95% CI: 23.9% – 29.1%
Crude prevalence
Arthritis among adults
23.7%
95% CI: 21.7% – 25.7%
Age-adjusted prevalence
Current asthma among adults
11.5%
95% CI: 10.3% – 12.8%
Crude prevalence
All teeth lost among adults aged >=65 years
10.1%
95% CI: 8.3% – 12.0%
Crude prevalence
Diagnosed diabetes among adults
9.1%
95% CI: 7.9% – 10.2%
Age-adjusted prevalence
Cancer (non-skin) or melanoma among adults
8.4%
95% CI: 7.7% – 9.2%
Crude prevalence
Chronic obstructive pulmonary disease among adults
5.4%
95% CI: 4.5% – 6.3%
Age-adjusted prevalence
Coronary heart disease among adults
5.1%
95% CI: 4.5% – 5.8%
Age-adjusted prevalence
Stroke among adults
2.8%
95% CI: 2.4% – 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.

Frequent mental distress among adults
18.2%
95% CI: 16.0% – 20.4%
Age-adjusted prevalence
Fair or poor self-rated health status among adults
17.0%
95% CI: 14.5% – 19.7%
Age-adjusted prevalence
Frequent physical distress among adults
12.6%
95% CI: 11.0% – 14.2%
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
82.9%
95% CI: 81.0% – 85.0%
Crude prevalence
Mammography use among women aged 50-74 years
76.4%
95% CI: 71.4% – 80.8%
Age-adjusted prevalence
Visits to doctor for routine checkup within the past year among adults
71.2%
95% CI: 68.6% – 73.9%
Age-adjusted prevalence
Taking medicine to control high blood pressure among adults with high blood pressure
70.1%
95% CI: 67.4% – 72.7%
Crude prevalence
Visited dentist or dental clinic in the past year among adults
64.7%
95% CI: 62.0% – 67.4%
Age-adjusted prevalence
Colorectal cancer screening among adults aged 45–75 years
63.5%
95% CI: 60.0% – 66.9%
Age-adjusted prevalence
Current lack of health insurance among adults aged 18-64 years
7.4%
95% CI: 5.9% – 9.5%
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
32.6%
95% CI: 29.5% – 35.8%
Crude prevalence
No leisure-time physical activity among adults
19.3%
95% CI: 16.2% – 22.4%
Crude prevalence
Binge drinking among adults
18.6%
95% CI: 16.5% – 20.8%
Age-adjusted prevalence
Current cigarette smoking among adults
11.7%
95% CI: 9.3% – 14.1%
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
29.0%
95% CI: 25.6% – 32.3%
Crude prevalence
Cognitive disability among adults
15.2%
95% CI: 12.9% – 17.5%
Age-adjusted prevalence
Mobility disability among adults
10.7%
95% CI: 9.1% – 12.4%
Age-adjusted prevalence
Independent living disability among adults
7.8%
95% CI: 6.6% – 9.0%
Crude prevalence
Hearing disability among adults
7.1%
95% CI: 6.2% – 8.0%
Crude prevalence
Vision disability among adults
4.1%
95% CI: 3.6% – 4.8%
Age-adjusted prevalence
Self-care disability among adults
3.3%
95% CI: 2.8% – 3.8%
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
20.7%
· MOE ±0.8
Share of county residents living below 150% of the federal poverty threshold.
Unemployment Rate
5.7%
· MOE ±0.4

Education & Connectivity

No High School Diploma (adults 25+)
5.8%
· MOE ±0.3
No Broadband Internet
10.3%
· MOE ±0.7
Share of households without a broadband internet subscription — a telehealth access barrier.

Housing

Housing Cost Burden
28.9%
· MOE ±0.9
Share of households paying more than 30% of income on housing.
Crowded Housing Units
2.1%
· MOE ±0.2
Single-Parent Households
5.9%
· MOE ±0.5

Demographics

Racial / Ethnic Minority Population
16.9%
· 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 10.1% — TEETHLOST
CDC PLACES Any disability among adults 29.0% — DISABILITY
CDC PLACES Arthritis among adults 23.7% — ARTHRITIS
CDC PLACES Binge drinking among adults 18.6% — BINGE
CDC PLACES Cancer (non-skin) or melanoma among adults 8.4% — CANCER
CDC PLACES Cholesterol screening among adults 82.9% — CHOLSCREEN
CDC PLACES Chronic obstructive pulmonary disease among adults 5.4% — COPD
CDC PLACES Cognitive disability among adults 15.2% — COGNITION
CDC PLACES Colorectal cancer screening among adults aged 45–75 years 63.5% — COLON_SCREEN
CDC PLACES Coronary heart disease among adults 5.1% — CHD
CDC PLACES Current asthma among adults 11.5% — CASTHMA
CDC PLACES Current cigarette smoking among adults 11.7% — CSMOKING
CDC PLACES Current lack of health insurance among adults aged 18-64 years 7.4% — ACCESS2
CDC PLACES Depression among adults 26.5% — DEPRESSION
CDC PLACES Diagnosed diabetes among adults 9.1% — DIABETES
CDC PLACES Fair or poor self-rated health status among adults 17.0% — GHLTH
CDC PLACES Frequent mental distress among adults 18.2% — MHLTH
CDC PLACES Frequent physical distress among adults 12.6% — PHLTH
CDC PLACES Hearing disability among adults 7.1% — HEARING
CDC PLACES High blood pressure among adults 31.1% — BPHIGH
CDC PLACES High cholesterol among adults who have ever been screened 34.7% — HIGHCHOL
CDC PLACES Independent living disability among adults 7.8% — INDEPLIVE
CDC PLACES Mammography use among women aged 50-74 years 76.4% — MAMMOUSE
CDC PLACES Mobility disability among adults 10.7% — MOBILITY
CDC PLACES No leisure-time physical activity among adults 19.3% — LPA
CDC PLACES Obesity among adults 34.8% — OBESITY
CDC PLACES Self-care disability among adults 3.3% — SELFCARE
CDC PLACES Short sleep duration among adults 32.6% — SLEEP
CDC PLACES Stroke among adults 2.8% — STROKE
CDC PLACES Taking medicine to control high blood pressure among adults with high blood pressure 70.1% — BPMED
CDC PLACES Vision disability among adults 4.1% — VISION
CDC PLACES Visited dentist or dental clinic in the past year among adults 64.7% — DENTAL
CDC PLACES Visits to doctor for routine checkup within the past year among adults 71.2% — CHECKUP
CDC SDOH Below 150% FPL (%) 20.7% — POVERTY
CDC SDOH Crowded Housing (%) 2.1% — CROWDING
CDC SDOH Housing Cost Burden (%) 28.9% — HOUSING_BURDEN
CDC SDOH No Broadband (%) 10.3% — NO_BROADBAND
CDC SDOH No High School Diploma (%) 5.8% — NO_DIPLOMA
CDC SDOH Racial/Ethnic Minority (%) 16.9% — MINORITY
CDC SDOH Single-Parent Households (%) 5.9% — SINGLE_PARENT
CDC SDOH Unemployment (%) 5.7% — UNEMPLOYMENT
Geographic Variation Acute Hospital Readmission Rate (%) 13.4% — ACUTE_HOSP_READMSN_PCT
Geographic Variation Average Beneficiary Age 73.00 — BENE_AVG_AGE
Geographic Variation Average HCC Risk Score 1.00 — BENE_AVG_RISK_SCRE
Geographic Variation Black Beneficiaries (%) 1.0% — BENE_RACE_BLACK_PCT
Geographic Variation Dual Eligible Beneficiaries (%) 14.3% — BENE_DUAL_PCT
Geographic Variation ER Visits per 1,000 Beneficiaries 579.6 — ER_VISITS_PER_1000_BENES
Geographic Variation Female Beneficiaries (%) 53.6% — BENE_FEML_PCT
Geographic Variation FFS Beneficiary Count 45,790 — BENES_FFS_CNT
Geographic Variation Hispanic Beneficiaries (%) 1.7% — BENE_RACE_HSPNC_PCT
Geographic Variation Home Health Actual Per Capita Payment ($) $477 — HH_MDCR_PYMT_PC
Geographic Variation Home Health Standardized Per Capita Payment ($) $454 — HH_MDCR_STDZD_PYMT_PC
Geographic Variation Hospice Actual Per Capita Payment ($) $339 — HOSPC_MDCR_PYMT_PC
Geographic Variation Hospice Standardized Per Capita Payment ($) $324 — HOSPC_MDCR_STDZD_PYMT_PC
Geographic Variation Inpatient Actual Per Capita Payment ($) $2,647 — IP_MDCR_PYMT_PC
Geographic Variation Inpatient Standardized Per Capita Payment ($) $2,191 — IP_MDCR_STDZD_PYMT_PC
Geographic Variation Male Beneficiaries (%) 46.4% — BENE_MALE_PCT
Geographic Variation Medicare Advantage Participation Rate (%) 57.1% — MA_PRTCPTN_RATE
Geographic Variation Outpatient Actual Per Capita Payment ($) $1,862 — OP_MDCR_PYMT_PC
Geographic Variation Outpatient Standardized Per Capita Payment ($) $1,793 — OP_MDCR_STDZD_PYMT_PC
Geographic Variation SNF Actual Per Capita Payment ($) $580 — SNF_MDCR_PYMT_PC
Geographic Variation SNF Standardized Per Capita Payment ($) $559 — SNF_MDCR_STDZD_PYMT_PC
Geographic Variation Total Actual Per Capita Medicare Payment ($) $10,742 — TOT_MDCR_PYMT_PC
Geographic Variation Total Beneficiary Count 120,347 — BENES_TOTAL_CNT
Geographic Variation Total Standardized Per Capita Medicare Payment ($) $10,123 — TOT_MDCR_STDZD_PYMT_PC
Geographic Variation White Beneficiaries (%) 91.6% — 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 →