P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Bakersfield-Delano, CA

4 of 6 hospitals take a cut in FY2027: 80% of the 5 measured on at least one condition. The average cut, counting all 6 hospitals, is 0.19%. Estimated total: $608Kestimate.

Bakersfield-Delano, CA · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

80%

of 5 measured · −3 pts vs nation

3Average cut

0.19%

−0.16 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$608Kestimate

Hospitals on the map

Figure 1. 4 of the 6 hospitals here take a cut; the largest, 0.55%, is at Adventist Health Bakersfield.
Community Regional Medical Center, Fresno, CA: cut 0.71%Santa Barbara Cottage Hospital, Santa Barbara, CA: cut 0.23%Antelope Valley Hospital, Lancaster, CA: cut 0.66%Kaweah Health Medical Center, Visalia, CA: cut 0.52%Adventist Health Hanford, Hanford, CA: cut 0.16%Palmdale Regional Medical Center, Palmdale, CA: cut 0.22%Sierra View Medical Center, Porterville, CA: cut 0.38%Henry Mayo Newhall Hospital, Valencia, CA: cut 0.37%Adventist Health Reedley, Reedley, CA: no cutGoleta Valley Cottage Hospital, Santa Barbara, CA: cut 0.03%Porterville Developmental Center, Porterville, CA: no cutAdventist Health Tulare, Tulare, CA: cut 0.40%Good Samaritan Hospital, LP, Bakersfield, CA: no cutAdventist Health Delano, Delano, CA: no cutBakersfield Memorial Hospital, Bakersfield, CA: cut 0.21%Kern Medical Center, Bakersfield, CA: cut 0.03%Mercy Hospital, Bakersfield, CA: cut 0.37%Adventist Health Bakersfield, Bakersfield, CA: cut 0.55% Community Regional Medical Center, Fresno, CA: cut 0.71%Santa Barbara Cottage Hospital, Santa Barbara, CA: cut 0.23%Antelope Valley Hospital, Lancaster, CA: cut 0.66%Kaweah Health Medical Center, Visalia, CA: cut 0.52%Adventist Health Hanford, Hanford, CA: cut 0.16%Palmdale Regional Medical Center, Palmdale, CA: cut 0.22%Sierra View Medical Center, Porterville, CA: cut 0.38%Henry Mayo Newhall Hospital, Valencia, CA: cut 0.37%Adventist Health Reedley, Reedley, CA: no cutGoleta Valley Cottage Hospital, Santa Barbara, CA: cut 0.03%Porterville Developmental Center, Porterville, CA: no cutAdventist Health Tulare, Tulare, CA: cut 0.40%Good Samaritan Hospital, LP, Bakersfield, CA: no cutAdventist Health Delano, Delano, CA: no cutBakersfield Memorial Hospital, Bakersfield, CA: cut 0.21%Kern Medical Center, Bakersfield, CA: cut 0.03%Mercy Hospital, Bakersfield, CA: cut 0.37%Adventist Health Bakersfield, Bakersfield, CA: cut 0.55%

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)
Adventist Health BakersfieldBakersfield0.55%$62.1M
Mercy HospitalBakersfield0.37%$35.6M
Bakersfield Memorial HospitalBakersfield0.21%$61.9M
Kern Medical CenterBakersfield0.03%$15.0M
Adventist Health DelanoDelano0.00%$4.6M
Good Samaritan Hospital, LPBakersfield0.00%$4.3M

Size of the cuts

Figure 2. 2 of the 6 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.19%.
0%10%20%30% No cut: 2 here (33%); 20% of all hospitals0.0% to 0.1%: 1 here (17%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (17%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 1 here (17%); 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 0.19%none 0%10%20%30% No cut: 2 here (33%); 20% of all hospitals0.0% to 0.1%: 1 here (17%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (17%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 1 here (17%); 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 0.19%none

Bars: Bakersfield-Delano, CA. 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—233%20%
0.0%0.1%117%18%
0.1%0.2%00%11%
0.2%0.3%117%10%
0.3%0.4%117%8%
0.4%0.5%00%6%
0.5%0.6%117%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 6 hospitals here are in group 5.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 6 hospitals, average cut 0.19%Group 5avg cut 0.19%6 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 6 hospitals, average cut 0.19%Group 5avg cut 0.19%6

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 10none
Group 20none
Group 30none
Group 40none
Group 560.19%

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 67%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 250%COPD: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%COPD3 of 475%Heart failure: 0 of 5 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 50%Pneumonia: 4 of 5 measured hospitals penalized, 80%; all hospitals 50%Pneumonia4 of 580%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)2 of 2100%Hip/knee replacement: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Hip/knee1 of 333% Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 2 measured50%COPD: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%COPD3 of 4 measured75%Heart failure: 0 of 5 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 5 measured0%Pneumonia: 4 of 5 measured hospitals penalized, 80%; all hospitals 50%Pneumonia4 of 5 measured80%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery2 of 2 measured100%Hip/knee replacement: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Hip/knee replacement1 of 3 measured33%

Share of estimated dollars

Pneumonia: $408K of the modeled dollars, 67%Pneumonia≈ $408K67%Bypass surgery: $142K of the modeled dollars, 23%Bypass (CABG)≈ $142K23%COPD: $29K of the modeled dollars, 5%COPD≈ $29K5%Hip/knee replacement: $23K of the modeled dollars, 4%Hip/knee≈ $23K4%Heart attack: $6K of the modeled dollars, 1%Heart attack≈ $6K1%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00% Pneumonia: $408K of the modeled dollars, 67%Pneumonia≈ $408K67%Bypass surgery: $142K of the modeled dollars, 23%Bypass surgery≈ $142K23%COPD: $29K of the modeled dollars, 5%COPD≈ $29K5%Hip/knee replacement: $23K of the modeled dollars, 4%Hip/knee replacement≈ $23K4%Heart attack: $6K of the modeled dollars, 1%Heart attack≈ $6K1%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00%

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%$6K1%
COPD4375%50%$29K5%
Heart failure500%50%$00%
Pneumonia5480%50%$408K67%
Bypass surgery22100%49%$142K23%
Hip/knee replacement3133%50%$23K4%

Average cut over time

Figure 5. In FY2027, the average cut in Bakersfield-Delano, CA was 0.19%, 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% 3% cap FY2013: 0.30% here; 0.28% across all hospitals in the programFY2014: 0.23% here; 0.26% across all hospitals in the programFY2015: 0.40% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.62% here; 0.60% across all hospitals in the programFY2018: 0.41% here; 0.61% across all hospitals in the programFY2019: 0.20% here; 0.59% across all hospitals in the programFY2020: 0.13% here; 0.60% across all hospitals in the programFY2021: 0.14% here; 0.58% across all hospitals in the programFY2022: 0.16% here; 0.54% across all hospitals in the programFY2023: 0.07% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.08% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.19% here; 0.35% across all hospitals in the program0.19% ’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% 2%3% cap FY2013: 0.30% here; 0.28% across all hospitals in the programFY2014: 0.23% here; 0.26% across all hospitals in the programFY2015: 0.40% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.62% here; 0.60% across all hospitals in the programFY2018: 0.41% here; 0.61% across all hospitals in the programFY2019: 0.20% here; 0.59% across all hospitals in the programFY2020: 0.13% here; 0.60% across all hospitals in the programFY2021: 0.14% here; 0.58% across all hospitals in the programFY2022: 0.16% here; 0.54% across all hospitals in the programFY2023: 0.07% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.08% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.19% here; 0.35% across all hospitals in the program0.19% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Bakersfield-Delano, CA 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
FY20130.30%0.28%
FY20140.23%0.26%
FY20150.40%0.50%
FY20160.38%0.49%
FY20170.62%0.60%
FY20180.41%0.61%
FY20190.20%0.59%
FY20200.13%0.60%
FY20210.14%0.58%
FY20220.16%0.54%
FY20230.07%0.33%
FY20240.07%0.34%
FY20250.08%0.33%
FY20260.12%0.35%
FY20270.19%0.35%

Hospitals in Bakersfield-Delano, CA

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

Hospitals in Bakersfield-Delano, CA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Adventist Health BakersfieldBakersfield, CA · CCN 0504550.55%$341K5Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Pneumonia, Bypass surgery, and Hip/knee replacement247
Mercy HospitalBakersfield, CA · CCN 0502950.37%$132K5Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Pneumonia211
Bakersfield Memorial HospitalBakersfield, CA · CCN 0500360.21%$130K5Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack, COPD, Pneumonia, and Bypass surgery366
Kern Medical CenterBakersfield, CA · CCN 0503150.03%$5K5Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD and Pneumonia222
Good Samaritan Hospital, LPBakersfield, CA · CCN 0502570.00%$05Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted64
Adventist Health DelanoDelano, CA · CCN 0506080.00%$05Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted156

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