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US Counties With the Highest Emergency Room Visits per 1,000 Medicare Enrollees

3,141 US counties ranked by emergency room visits per 1,000 Medicare enrollees, from highest to lowest. First are Hardin County, IL (1,535), Wolfe County, KY (1,088) and Franklin County, KY (1,020). The middle one of the 3,141 has 601.

What this measures

Emergency room visits in a year for every 1,000 people in traditional Medicare. It counts visits that ended with a hospital stay and visits where the patient went home. It leaves out people in private Medicare Advantage plans. Source: CMS Medicare Geographic Variation Public Use File.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 highest counties

RankCountyvisits per 1,000 enrollees
1Hardin County, IL1,535
2Wolfe County, KY1,088
3Franklin County, KY1,020
4Duval County, TX1,012
5Mahnomen County, MN998
6Refugio County, TX986
7Reeves County, TX985
8Cumberland County, KY964
9Buffalo County, SD964
10Alpine County, CA960
11Jim Hogg County, TX957
12Bertie County, NC951
13Washington Parish, LA946
14Breathitt County, KY937
15Allendale County, SC937
16Petersburg city, VA926
17Roosevelt County, MT923
18Fisher County, TX920
19Clinch County, GA918
20Covington city, VA915
21Caldwell Parish, LA914
22Fulton County, NY909
23Clay County, IL909
24Jefferson County, OK904
25Dickenson County, VA903
26Marion County, MS902
27Mille Lacs County, MN899
28Lanier County, GA893
29Emporia city, VA893
30Tunica County, MS892
31Clark County, WI891
32East Carroll Parish, LA890
33Greer County, OK889
34Walthall County, MS889
35Zavala County, TX888
36Webster County, WV887
37Bates County, MO887
38Jefferson County, MS887
39Tyler County, WV884
40Hampton County, SC881
41Montgomery County, NY878
42LaSalle Parish, LA877
43Anson County, NC877
44Madison Parish, LA876
45Wilbarger County, TX876
46Menominee County, WI876
47Mower County, MN869
48Modoc County, CA864
49Wetzel County, WV864
50Liberty County, FL862
51Lawrence County, MS862
52Escambia County, AL861
53Love County, OK860
54Kanabec County, MN858
55Lowndes County, MS857
56Cottle County, TX857
57Grant County, WV857
58Gulf County, FL856
59Ashland County, WI853
60Pasquotank County, NC850
61Calhoun County, FL850
62Southeastern Connecticut Planning Region, CT847
63Colquitt County, GA847
64Collingsworth County, TX846
65Holmes County, MS846
66Jim Wells County, TX845
67Freeborn County, MN844
68Jefferson County, IL843
69St. Bernard Parish, LA842
70Childress County, TX839
71Page County, VA839
72Andrews County, TX836
73Chowan County, NC835
74Johnston County, OK834
75Gadsden County, FL834
76Estill County, KY834
77Franklin Parish, LA833
78Upshur County, WV832
79Seminole County, OK832
80Baca County, CO831
81Dawson County, MT830
82Mitchell County, TX826
83Bleckley County, GA825
84Baltimore city, MD822
85Lawrence County, KY822
86Martin County, KY822
87Calhoun County, WV821
88Hopewell city, VA821
89Union County, FL820
90Brooks County, TX820
91Noxubee County, MS819
92Rowan County, KY819
93Logan County, WV818
94Kenedy County, TX818
95St. John the Baptist Parish, LA818
96Harmon County, OK817
97Lake County, MN817
98Bradford County, FL816
99Somerset County, ME815
100Clay County, KY814

Every state, highest first

Each state’s own published figure, not an average of its counties.

RankStatevisits per 1,000 enrollees
1Connecticut698
2West Virginia683
3Maine678
4District of Columbia676
5Oklahoma661
6Vermont657
7Minnesota656
8Louisiana652
9Michigan640
10Wisconsin634
11Mississippi632
12Massachusetts632
13Kentucky626
14Indiana619
15Florida612
16Ohio610
17Illinois607
18Missouri606
19Alabama597
20Arkansas591
21Nevada590
22Virginia585
23New Hampshire585
24Texas580
25California571
26New York568
27North Carolina565
28Rhode Island564
29Oregon563
30South Carolina560
31Kansas559
32Georgia559
33Pennsylvania559
34New Jersey558
35New Mexico558
36Washington554
37Maryland553
38Delaware549
39North Dakota542
40Alaska540
41Iowa538
42Tennessee538
43Colorado533
44Wyoming532
45Utah521
46Arizona519
47Montana507
48Idaho505
49Nebraska504
50Hawaii491
51South Dakota469
52Puerto Rico379

More on emergency room visits per 1,000 Medicare enrollees

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.