P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Athens-Clarke County, GA

2 of 2 hospitals take a cut in FY2027: 100% of the 2 measured on at least one condition. The average cut, counting all 2 hospitals, is 0.35%. Estimated total: $291Kestimate.

Athens-Clarke County, GA · FY2027Compared with all hospitals nationally

1Hospitals

2

2Penalized

100%

of 2 measured · +17 pts vs nation

3Average cut

0.35%

same as nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$291Kestimate

Hospitals on the map

Figure 1. 2 of the 2 hospitals here take a cut; the largest, 0.46%, is at St Mary's Hospital.
Emory University Hospital, Atlanta, GA: cut 0.27%Northeast Georgia Medical Center, Inc, Gainesville, GA: no cutPiedmont Hospital, Inc, Atlanta, GA: cut 0.37%Northside Hospital Forsyth, Cumming, GA: cut 0.07%Emory University Hospital Midtown, Atlanta, GA: cut 0.24%Grady Memorial Hospital, Atlanta, GA: cut 0.21%Saint Joseph's Hospital of Atlanta, Inc, Atlanta, GA: cut 1.68%Northside Hospital Gwinnett, Lawrenceville, GA: cut 0.02%Northside Hospital, Atlanta, GA: cut 0.33%Piedmont Newton Hospital, Covington, GA: cut 0.54%Wellstar Spalding Medical Center, Griffin, GA: cut 0.96%Emory Decatur Hospital, Decatur, GA: cut 0.06%Piedmont Rockdale Hospital, Conyers, GA: cut 0.19%Piedmont Henry Hospital, Stockbridge, GA: cut 0.44%Piedmont Eastside Medical Center, Snellville, GA: cut 0.03%Wellstar North Fulton Medical Center, Roswell, GA: cut 0.18%Emory Johns Creek Hospital, Johns Creek, GA: cut 0.11%Ty Cobb Regional Medical Center, LLC, Lavonia, GA: no cutStephens County Hospital, Toccoa, GA: cut 0.20%Northeast Georgia Medical Center Habersham, Demorest, GA: cut 0.07%NGMC Barrow, LLC, Winder, GA: cut 0.06%Piedmont Walton Hospital, Monroe, GA: cut 0.07%Union General Hospital, Blairsville, GA: no cutWashington County Regional Medical Center, Sandersville, GA: no cutJefferson Hospital, Louisville, GA: cut 0.37%University McDuffie County Regional Medical Center, Thomson, GA: cut 0.56%Navicent Health Baldwin, Milledgeville, GA: cut 0.01%Southern Regional Medical Center, Riverdale, GA: cut 0.84%Emory Hillandale Hospital, Lithonia, GA: cut 0.20%Northeast Georgia Medical Center Lumpkin, Dahlonega, GA: cut 0.02%Northside Hospital Duluth, Duluth, GA: cut 0.04%Piedmont Athens Regional Medical Center, Athens, GA: cut 0.23%St Mary's Hospital, Athens, GA: cut 0.46% Emory University Hospital, Atlanta, GA: cut 0.27%Northeast Georgia Medical Center, Inc, Gainesville, GA: no cutPiedmont Hospital, Inc, Atlanta, GA: cut 0.37%Northside Hospital Forsyth, Cumming, GA: cut 0.07%Emory University Hospital Midtown, Atlanta, GA: cut 0.24%Grady Memorial Hospital, Atlanta, GA: cut 0.21%Saint Joseph's Hospital of Atlanta, Inc, Atlanta, GA: cut 1.68%Northside Hospital Gwinnett, Lawrenceville, GA: cut 0.02%Northside Hospital, Atlanta, GA: cut 0.33%Piedmont Newton Hospital, Covington, GA: cut 0.54%Wellstar Spalding Medical Center, Griffin, GA: cut 0.96%Emory Decatur Hospital, Decatur, GA: cut 0.06%Piedmont Rockdale Hospital, Conyers, GA: cut 0.19%Piedmont Henry Hospital, Stockbridge, GA: cut 0.44%Piedmont Eastside Medical Center, Snellville, GA: cut 0.03%Wellstar North Fulton Medical Center, Roswell, GA: cut 0.18%Emory Johns Creek Hospital, Johns Creek, GA: cut 0.11%Ty Cobb Regional Medical Center, LLC, Lavonia, GA: no cutStephens County Hospital, Toccoa, GA: cut 0.20%Northeast Georgia Medical Center Habersham, Demorest, GA: cut 0.07%NGMC Barrow, LLC, Winder, GA: cut 0.06%Piedmont Walton Hospital, Monroe, GA: cut 0.07%Union General Hospital, Blairsville, GA: no cutWashington County Regional Medical Center, Sandersville, GA: no cutJefferson Hospital, Louisville, GA: cut 0.37%University McDuffie County Regional Medical Center, Thomson, GA: cut 0.56%Navicent Health Baldwin, Milledgeville, GA: cut 0.01%Southern Regional Medical Center, Riverdale, GA: cut 0.84%Emory Hillandale Hospital, Lithonia, GA: cut 0.20%Northeast Georgia Medical Center Lumpkin, Dahlonega, GA: cut 0.02%Northside Hospital Duluth, Duluth, GA: cut 0.04%Piedmont Athens Regional Medical Center, Athens, GA: cut 0.23%St Mary's Hospital, Athens, GA: cut 0.46%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%
  • Other hospitals

Dots are sized by Medicare volume and shaded by cut. Select one to open it. Gray dots are other hospitals in the state.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
St Mary's HospitalAthens0.46%$26.4M
Piedmont Athens Regional Medical CenterAthens0.23%$73.8M

Size of the cuts

Figure 2. All 2 hospitals here take a cut, 0.35% on average; across all hospitals 20% take none.
0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (50%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (50%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.35%none 0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (50%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (50%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.35%none

Bars: Athens-Clarke County, GA. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—00%20%
0.0%0.1%00%18%
0.1%0.2%00%11%
0.2%0.3%150%10%
0.3%0.4%00%8%
0.4%0.5%150%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%00%3%
0.9%1.0%00%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%00%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%00%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. Most of the 2 hospitals here are in group 1.
Group 1: 2 hospitals, average cut 0.35%Group 1avg cut 0.35%2Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 2 hospitals, average cut 0.35%Group 1avg cut 0.35%2Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 120.35%
Group 20none
Group 30none
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Heart attack is the largest part of the estimated dollars here, 39%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 250%COPD: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%COPD1 of 250%Heart failure: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart failure1 of 250%Pneumonia: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Pneumonia1 of 250%Bypass surgery: 1 of 1 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)1 of 1100%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee1 of 1100% Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 2 measured50%COPD: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%COPD1 of 2 measured50%Heart failure: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart failure1 of 2 measured50%Pneumonia: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Pneumonia1 of 2 measured50%Bypass surgery: 1 of 1 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery1 of 1 measured100%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee replacement1 of 1 measured100%

Share of estimated dollars

Heart attack: $114K of the modeled dollars, 39%Heart attack≈ $114K39%Pneumonia: $66K of the modeled dollars, 23%Pneumonia≈ $66K23%Hip/knee replacement: $55K of the modeled dollars, 19%Hip/knee≈ $55K19%COPD: $32K of the modeled dollars, 11%COPD≈ $32K11%Bypass surgery: $20K of the modeled dollars, 7%Bypass (CABG)≈ $20K7%Heart failure: $4K of the modeled dollars, 1%Heart failure≈ $4K1% Heart attack: $114K of the modeled dollars, 39%Heart attack≈ $114K39%Pneumonia: $66K of the modeled dollars, 23%Pneumonia≈ $66K23%Hip/knee replacement: $55K of the modeled dollars, 19%Hip/knee replacement≈ $55K19%COPD: $32K of the modeled dollars, 11%COPD≈ $32K11%Bypass surgery: $20K of the modeled dollars, 7%Bypass surgery≈ $20K7%Heart failure: $4K of the modeled dollars, 1%Heart failure≈ $4K1%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack2150%50%$114K39%
COPD2150%50%$32K11%
Heart failure2150%50%$4K1%
Pneumonia2150%50%$66K23%
Bypass surgery11100%49%$20K7%
Hip/knee replacement11100%50%$55K19%

Average cut over time

Figure 5. In FY2027, the average cut in Athens-Clarke County, GA was 0.35%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1%1.5% 3% cap FY2013: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.10% here; 0.50% across all hospitals in the programFY2016: 0.10% here; 0.49% across all hospitals in the programFY2017: 0.01% here; 0.60% across all hospitals in the programFY2018: 0.01% here; 0.61% across all hospitals in the programFY2019: 0.09% here; 0.59% across all hospitals in the programFY2020: 0.93% here; 0.60% across all hospitals in the programFY2021: 1.29% here; 0.58% across all hospitals in the programFY2022: 1.34% here; 0.54% across all hospitals in the programFY2023: 0.06% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.74% here; 0.35% across all hospitals in the programFY2027: 0.35% here; 0.35% across all hospitals in the program0.35% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1%1.5% 2%3% cap FY2013: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.10% here; 0.50% across all hospitals in the programFY2016: 0.10% here; 0.49% across all hospitals in the programFY2017: 0.01% here; 0.60% across all hospitals in the programFY2018: 0.01% here; 0.61% across all hospitals in the programFY2019: 0.09% here; 0.59% across all hospitals in the programFY2020: 0.93% here; 0.60% across all hospitals in the programFY2021: 1.29% here; 0.58% across all hospitals in the programFY2022: 1.34% here; 0.54% across all hospitals in the programFY2023: 0.06% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.74% here; 0.35% across all hospitals in the programFY2027: 0.35% here; 0.35% across all hospitals in the program0.35% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Athens-Clarke County, GA that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.00%0.28%
FY20140.00%0.26%
FY20150.10%0.50%
FY20160.10%0.49%
FY20170.01%0.60%
FY20180.01%0.61%
FY20190.09%0.59%
FY20200.93%0.60%
FY20211.29%0.58%
FY20221.34%0.54%
FY20230.06%0.33%
FY20240.07%0.34%
FY20250.20%0.33%
FY20260.74%0.35%
FY20270.35%0.35%

Hospitals in Athens-Clarke County, GA

Largest cut first. Select a hospital to open its page.

Hospitals in Athens-Clarke County, GA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
St Mary's HospitalAthens, GA · CCN 1100060.46%$121K1Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Pneumonia and Hip/knee replacement196
Piedmont Athens Regional Medical CenterAthens, GA · CCN 1100740.23%$170K1Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack, COPD, Heart failure, and Bypass surgery315

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