P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Merced, CA

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 0.32%. Estimated total: $196Kestimate.

Merced, CA · FY2027Compared with all hospitals nationally

1Hospitals

2

2Penalized

100%

of 2 measured · +17 pts vs nation

3Average cut

0.32%

−0.03 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$196Kestimate

Hospitals on the map

Figure 1. 2 of the 2 hospitals here take a cut; the largest, 0.43%, is at Mercy Medical Center.
Community Regional Medical Center, Fresno, CA: cut 0.71%St Joseph's Medical Center of Stockton, Stockton, CA: cut 0.97%Saint Agnes Medical Center, Fresno, CA: cut 1.07%Salinas Valley Health Medical Center, Salinas, CA: cut 0.35%Doctors Medical Center, Modesto, CA: cut 2.29%Clovis Community Medical Center, Clovis, CA: cut 0.43%Memorial Medical Center, Modesto, CA: cut 0.20%Adventist Health Hanford, Hanford, CA: cut 0.16%Dameron Hospital, Stockton, CA: cut 0.81%San Joaquin General Hospital, French Camp, CA: cut 0.01%Emanuel Medical Center, Turlock, CA: cut 1.18%Natividad Medical Center, Salinas, CA: cut 0.13%Sutter Tracy Community Hospital, Tracy, CA: no cutAdventist Health Sonora, Sonora, CA: no cutAdventist Health Lodi Memorial, Lodi, CA: cut 1.63%Sutter Delta Medical Center, Antioch, CA: no cutFresno Surgical Hospital, Fresno, CA: no cutOak Valley Hospital District, Oakdale, CA: cut 0.27%Doctors Hospital of Manteca, Manteca, CA: cut 0.86%Watsonville Community Hospital, Watsonville, CA: cut 0.05%Kaiser Foundation Hospital-San Jose, San Jose, CA: cut 0.54%Kaiser Foundation Hospital - Fresno, Fresno, CA: cut 0.04%Stanislaus Surgical Hospital, Modesto, CA: no cutKaiser Foundation Hospital Manteca, Manteca, CA: cut 0.38%Kaiser Foundation Hospital - Antioch, Antioch, CA: cut 0.48%Memorial Hospital Los Banos, Los Banos, CA: cut 0.20%Mercy Medical Center, Merced, CA: cut 0.43% Community Regional Medical Center, Fresno, CA: cut 0.71%St Joseph's Medical Center of Stockton, Stockton, CA: cut 0.97%Saint Agnes Medical Center, Fresno, CA: cut 1.07%Salinas Valley Health Medical Center, Salinas, CA: cut 0.35%Doctors Medical Center, Modesto, CA: cut 2.29%Clovis Community Medical Center, Clovis, CA: cut 0.43%Memorial Medical Center, Modesto, CA: cut 0.20%Adventist Health Hanford, Hanford, CA: cut 0.16%Dameron Hospital, Stockton, CA: cut 0.81%San Joaquin General Hospital, French Camp, CA: cut 0.01%Emanuel Medical Center, Turlock, CA: cut 1.18%Natividad Medical Center, Salinas, CA: cut 0.13%Sutter Tracy Community Hospital, Tracy, CA: no cutAdventist Health Sonora, Sonora, CA: no cutAdventist Health Lodi Memorial, Lodi, CA: cut 1.63%Sutter Delta Medical Center, Antioch, CA: no cutFresno Surgical Hospital, Fresno, CA: no cutOak Valley Hospital District, Oakdale, CA: cut 0.27%Doctors Hospital of Manteca, Manteca, CA: cut 0.86%Watsonville Community Hospital, Watsonville, CA: cut 0.05%Kaiser Foundation Hospital-San Jose, San Jose, CA: cut 0.54%Kaiser Foundation Hospital - Fresno, Fresno, CA: cut 0.04%Stanislaus Surgical Hospital, Modesto, CA: no cutKaiser Foundation Hospital Manteca, Manteca, CA: cut 0.38%Kaiser Foundation Hospital - Antioch, Antioch, CA: cut 0.48%Memorial Hospital Los Banos, Los Banos, CA: cut 0.20%Mercy Medical Center, Merced, CA: cut 0.43%

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)
Mercy Medical CenterMerced0.43%$43.1M
Memorial Hospital Los BanosLos Banos0.20%$5.6M

Size of the cuts

Figure 2. All 2 hospitals here take a cut, 0.32% 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 0.32%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 0.32%none

Bars: Merced, 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—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 5.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 2 hospitals, average cut 0.32%Group 5avg cut 0.32%2 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 2 hospitals, average cut 0.32%Group 5avg cut 0.32%2

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 520.32%

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 100%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 10%COPD: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%COPD1 of 1100%Heart failure: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 20%Pneumonia: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Pneumonia2 of 2100% Heart attack: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 1 measured0%COPD: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%COPD1 of 1 measured100%Heart failure: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 2 measured0%Pneumonia: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Pneumonia2 of 2 measured100%

Share of estimated dollars

Pneumonia: $196K of the modeled dollars, 100%Pneumonia≈ $196K100%COPD: $140 of the modeled dollars, 0%COPD≈ $1400%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee≈ $00% Pneumonia: $196K of the modeled dollars, 100%Pneumonia≈ $196K100%COPD: $140 of the modeled dollars, 0%COPD≈ $1400%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee replacement≈ $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 attack100%50%$00%
COPD11100%50%$1400%
Heart failure200%50%$00%
Pneumonia22100%50%$196K100%
Bypass surgery00—49%$00%
Hip/knee replacement00—50%$00%

Average cut over time

Figure 5. In FY2027, the average cut in Merced, CA was 0.32%, 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: 0.35% here; 0.28% across all hospitals in the programFY2014: 0.35% here; 0.26% across all hospitals in the programFY2015: 0.53% here; 0.50% across all hospitals in the programFY2016: 0.49% here; 0.49% across all hospitals in the programFY2017: 0.48% here; 0.60% across all hospitals in the programFY2018: 0.72% here; 0.61% across all hospitals in the programFY2019: 0.78% here; 0.59% across all hospitals in the programFY2020: 1.35% here; 0.60% across all hospitals in the programFY2021: 1.44% here; 0.58% across all hospitals in the programFY2022: 1.31% here; 0.54% across all hospitals in the programFY2023: 0.42% here; 0.33% across all hospitals in the programFY2024: 0.15% here; 0.34% across all hospitals in the programFY2025: 0.23% here; 0.33% across all hospitals in the programFY2026: 0.28% here; 0.35% across all hospitals in the programFY2027: 0.32% here; 0.35% across all hospitals in the program0.32% ’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: 0.35% here; 0.28% across all hospitals in the programFY2014: 0.35% here; 0.26% across all hospitals in the programFY2015: 0.53% here; 0.50% across all hospitals in the programFY2016: 0.49% here; 0.49% across all hospitals in the programFY2017: 0.48% here; 0.60% across all hospitals in the programFY2018: 0.72% here; 0.61% across all hospitals in the programFY2019: 0.78% here; 0.59% across all hospitals in the programFY2020: 1.35% here; 0.60% across all hospitals in the programFY2021: 1.44% here; 0.58% across all hospitals in the programFY2022: 1.31% here; 0.54% across all hospitals in the programFY2023: 0.42% here; 0.33% across all hospitals in the programFY2024: 0.15% here; 0.34% across all hospitals in the programFY2025: 0.23% here; 0.33% across all hospitals in the programFY2026: 0.28% here; 0.35% across all hospitals in the programFY2027: 0.32% here; 0.35% across all hospitals in the program0.32% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Merced, 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
FY20130.35%0.28%
FY20140.35%0.26%
FY20150.53%0.50%
FY20160.49%0.49%
FY20170.48%0.60%
FY20180.72%0.61%
FY20190.78%0.59%
FY20201.35%0.60%
FY20211.44%0.58%
FY20221.31%0.54%
FY20230.42%0.33%
FY20240.15%0.34%
FY20250.23%0.33%
FY20260.28%0.35%
FY20270.32%0.35%

Hospitals in Merced, CA

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

Hospitals in Merced, CA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Mercy Medical CenterMerced, CA · CCN 0504440.43%$185K5Heart attack: measured, adds nothing; 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 Pneumonia186
Memorial Hospital Los BanosLos Banos, CA · CCN 0505280.20%$11K5Heart attack: too few cases to be measured; COPD: too few cases to be measured; 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: Pneumonia48

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