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US Counties With the Highest Medicare Enrollees Also on Medicaid

3,123 US counties ranked by Medicare enrollees also on Medicaid, from highest to lowest. First are Kusilvak Census Area, AK (70.2), Bethel Census Area, AK (63.4) and Starr County, TX (58). The middle one of the 3,123 has 14.3.

What this measures

The percentage of people in traditional Medicare who could also get Medicaid for at least one month of the year. Medicaid is the health program for people with low incomes, so this picks out older and disabled people who are also poor. People on both are often called dual eligible. 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

RankCounty% of enrollees
1Kusilvak Census Area, AK70.2
2Bethel Census Area, AK63.4
3Starr County, TX58
4Imperial County, CA57.6
5Northwest Arctic Borough, AK57.4
6Nome Census Area, AK54.8
7Oglala Lakota County, SD52
8Todd County, SD50.7
9San Francisco County, CA50.5
10Franklin County, KY50.3
11Buffalo County, SD47.3
12Dillingham Census Area, AK46.5
13Maverick County, TX45.5
14Zapata County, TX45.2
15Owsley County, KY44.8
16McDowell County, WV44.5
17Lake and Peninsula Borough, AK44.2
18Wayne County, NY43.9
19Kings County, NY43.4
20Breathitt County, KY43.1
21Yukon-Koyukuk Census Area, AK43.1
22Los Angeles County, CA42.3
23Wolfe County, KY41
24Zavala County, TX41
25Presidio County, TX40.5
26Clay County, KY39.8
27Bronx County, NY39.7
28Alameda County, CA39.5
29Apache County, AZ39.5
30McKinley County, NM39.4
31Webb County, TX39.2
32Perry County, AL38.7
33Merced County, CA38.7
34Suffolk County, MA38.4
35Kern County, CA38.4
36Jim Hogg County, TX38.3
37Menominee County, WI38.3
38Monroe County, NY38.2
39San Bernardino County, CA38.1
40Willacy County, TX38.1
41Sioux County, ND37.9
42Stanislaus County, CA37.8
43Lee County, KY37.4
44Tulare County, CA37.2
45District of Columbia, DC37.1
46Holmes County, MS36.8
47Brooks County, TX36.7
48Webster County, WV36.6
49McCreary County, KY36.5
50Clinton County, KY36.4
51Colusa County, CA36.3
52Baltimore city, MD36
53Lake County, CA36
54Miami-Dade County, FL35.9
55Androscoggin County, ME35.9
56Aroostook County, ME35.8
57Fresno County, CA35.6
58Somerset County, ME35.5
59Duval County, TX35.4
60Mingo County, WV35.4
61Copper River Census Area, AK35.4
62La Salle County, TX35.3
63Sacramento County, CA35.3
64Knox County, KY35.2
65Aleutians West Census Area, AK35.2
66Humphreys County, MS34.3
67Bell County, KY34.3
68Dimmit County, TX34.3
69Kings County, CA34.3
70Magoffin County, KY34.2
71Ingham County, MI34.2
72Yuba County, CA34
73Madera County, CA34
74Tunica County, MS33.7
75Noxubee County, MS33.4
76Greene County, AL33.4
77Clark County, WI33.4
78Fulton County, NY33.4
79Benton County, MN33.3
80East Carroll Parish, LA33.1
81Quitman County, MS33.1
82San Joaquin County, CA33
83Philadelphia County, PA33
84Lincoln County, WV33
85Elliott County, KY33
86Washington County, ME32.8
87Coahoma County, MS32.8
88Tallahatchie County, MS32.7
89Yolo County, CA32.7
90Glenn County, CA32.7
91Kennebec County, ME32.6
92Penobscot County, ME32.6
93Clay County, WV32.6
94Sunflower County, MS32.5
95Piscataquis County, ME32.4
96Mora County, NM32.3
97Guadalupe County, NM32.2
98Orleans County, VT31.8
99Prowers County, CO31.8
100Montgomery County, NY31.8

Every state, highest first

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

RankState% of enrollees
1District of Columbia37.1
2California30.6
3Maine26.6
4Connecticut24.9
5Massachusetts23.2
6New York22.5
7Vermont21.9
8Alaska21.9
9West Virginia20
10Oregon20
11Louisiana19.9
12Michigan19.3
13New Mexico18.2
14Minnesota18
15Mississippi17.8
16Wisconsin17
17Maryland17
18Kentucky16.3
19Indiana15.7
20Arkansas15.6
21Nevada15.3
22Illinois15.2
23Alabama13.8
24Washington13.7
25Oklahoma13.3
26Pennsylvania13.3
27North Dakota13.3
28Colorado13.1
29Montana13
30Missouri12.7
31Idaho12.6
32North Carolina12.6
33Ohio12.5
34New Jersey12.4
35New Hampshire12.3
36South Dakota12.2
37Delaware12
38Georgia11.8
39Rhode Island11.7
40Florida11.2
41Texas10.8
42Iowa10.7
43Tennessee10.5
44Wyoming10.2
45Kansas9.95
46Nebraska9.77
47Hawaii9.47
48Utah8.76
49Virginia8.72
50Arizona8.37
51South Carolina6.69

More on Medicare enrollees also on Medicaid

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