P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Modesto, CA

4 of 4 hospitals take a cut in FY2027: 100% of the 4 measured on at least one condition. The average cut, counting all 4 hospitals, is 0.99%. Estimated total: $2.2Mestimate.

Modesto, CA · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

100%

of 4 measured · +17 pts vs nation

3Average cut

0.99%

+0.64 pts vs nation

4Cut 1% or more

2

50% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$2.2Mestimate

Hospitals on the map

Figure 1. 4 of the 4 hospitals here take a cut; the largest, 2.29%, is at Doctors Medical Center.
Santa Clara Valley Medical Center, San Jose, CA: cut 0.15%Sutter Medical Center, Sacramento, Sacramento, CA: cut 0.28%Community Hospital of the Monterey Peninsula, Monterey, CA: cut 0.44%Sutter Roseville Medical Center, Roseville, CA: no cutUniversity of California Davis Medical Center, Sacramento, CA: cut 0.01%Mercy General Hospital, Sacramento, CA: cut 0.37%St Joseph's Medical Center of Stockton, Stockton, CA: cut 0.97%Washington Hospital, Fremont, CA: cut 0.50%Dominican Hospital, Santa Cruz, CA: cut 0.53%Stanford Health Care Tri-Valley, Pleasanton, CA: no cutSalinas Valley Health Medical Center, Salinas, CA: cut 0.35%Good Samaritan Hospital, San Jose, CA: cut 1.54%Mercy San Juan Medical Center, Carmichael, CA: cut 0.29%Sutter Amador Hospital, Jackson, CA: no cutDameron Hospital, Stockton, CA: cut 0.81%Woodland Memorial Hospital, Woodland, CA: cut 0.01%San Joaquin General Hospital, French Camp, CA: cut 0.01%Natividad Medical Center, Salinas, CA: cut 0.13%Marshall Medical Center, Placerville, CA: no cutSutter Tracy Community Hospital, Tracy, CA: no cutAdventist Health Sonora, Sonora, CA: no cutAdventist Health Lodi Memorial, Lodi, CA: cut 1.63%Mercy Hospital of Folsom, Folsom, CA: cut 0.40%Kaiser Foundation Hospital - Sacramento, Sacramento, CA: cut 0.36%Mercy Medical Center, Merced, CA: cut 0.43%Sutter Delta Medical Center, Antioch, CA: no cutSutter Davis Hospital, Davis, CA: no cutMethodist Hospital of Sacramento, Sacramento, CA: no cutKaiser Foundation Hosp So Sacramento, Sacramento, CA: cut 0.09%San Ramon Regional Medical Center, San Ramon, CA: cut 0.03%Kaiser Foundation Hospital-Santa Clara, Santa Clara, CA: cut 0.06%Doctors Hospital of Manteca, Manteca, CA: cut 0.86%Watsonville Community Hospital, Watsonville, CA: cut 0.05%Kaiser Foundation Hospital - Fremont, Fremont, CA: cut 0.36%Memorial Hospital Los Banos, Los Banos, CA: cut 0.20%Kaiser Foundation Hospital-San Jose, San Jose, CA: cut 0.54%Sutter Maternity & Surgery Center of Santa Cruz, Santa Cruz, CA: no cutStanislaus Surgical Hospital, Modesto, CA: no cutKaiser Foundation Hospital Manteca, Manteca, CA: cut 0.38%Kaiser Foundation Hospital - Antioch, Antioch, CA: cut 0.48%Kaiser Foundation Hospital - Roseville, Roseville, CA: cut 0.20%Memorial Medical Center, Modesto, CA: cut 0.20%Oak Valley Hospital District, Oakdale, CA: cut 0.27%Emanuel Medical Center, Turlock, CA: cut 1.18%Doctors Medical Center, Modesto, CA: cut 2.29% Santa Clara Valley Medical Center, San Jose, CA: cut 0.15%Sutter Medical Center, Sacramento, Sacramento, CA: cut 0.28%Community Hospital of the Monterey Peninsula, Monterey, CA: cut 0.44%Sutter Roseville Medical Center, Roseville, CA: no cutUniversity of California Davis Medical Center, Sacramento, CA: cut 0.01%Mercy General Hospital, Sacramento, CA: cut 0.37%St Joseph's Medical Center of Stockton, Stockton, CA: cut 0.97%Washington Hospital, Fremont, CA: cut 0.50%Dominican Hospital, Santa Cruz, CA: cut 0.53%Stanford Health Care Tri-Valley, Pleasanton, CA: no cutSalinas Valley Health Medical Center, Salinas, CA: cut 0.35%Good Samaritan Hospital, San Jose, CA: cut 1.54%Mercy San Juan Medical Center, Carmichael, CA: cut 0.29%Sutter Amador Hospital, Jackson, CA: no cutDameron Hospital, Stockton, CA: cut 0.81%Woodland Memorial Hospital, Woodland, CA: cut 0.01%San Joaquin General Hospital, French Camp, CA: cut 0.01%Natividad Medical Center, Salinas, CA: cut 0.13%Marshall Medical Center, Placerville, CA: no cutSutter Tracy Community Hospital, Tracy, CA: no cutAdventist Health Sonora, Sonora, CA: no cutAdventist Health Lodi Memorial, Lodi, CA: cut 1.63%Mercy Hospital of Folsom, Folsom, CA: cut 0.40%Kaiser Foundation Hospital - Sacramento, Sacramento, CA: cut 0.36%Mercy Medical Center, Merced, CA: cut 0.43%Sutter Delta Medical Center, Antioch, CA: no cutSutter Davis Hospital, Davis, CA: no cutMethodist Hospital of Sacramento, Sacramento, CA: no cutKaiser Foundation Hosp So Sacramento, Sacramento, CA: cut 0.09%San Ramon Regional Medical Center, San Ramon, CA: cut 0.03%Kaiser Foundation Hospital-Santa Clara, Santa Clara, CA: cut 0.06%Doctors Hospital of Manteca, Manteca, CA: cut 0.86%Watsonville Community Hospital, Watsonville, CA: cut 0.05%Kaiser Foundation Hospital - Fremont, Fremont, CA: cut 0.36%Memorial Hospital Los Banos, Los Banos, CA: cut 0.20%Kaiser Foundation Hospital-San Jose, San Jose, CA: cut 0.54%Sutter Maternity & Surgery Center of Santa Cruz, Santa Cruz, CA: no cutStanislaus Surgical Hospital, Modesto, CA: no cutKaiser Foundation Hospital Manteca, Manteca, CA: cut 0.38%Kaiser Foundation Hospital - Antioch, Antioch, CA: cut 0.48%Kaiser Foundation Hospital - Roseville, Roseville, CA: cut 0.20%Memorial Medical Center, Modesto, CA: cut 0.20%Oak Valley Hospital District, Oakdale, CA: cut 0.27%Emanuel Medical Center, Turlock, CA: cut 1.18%Doctors Medical Center, Modesto, CA: cut 2.29%

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)
Doctors Medical CenterModesto2.29%$73.4M
Emanuel Medical CenterTurlock1.18%$29.9M
Oak Valley Hospital DistrictOakdale0.27%$1.9M
Memorial Medical CenterModesto0.20%$98.1M

Size of the cuts

Figure 2. All 4 hospitals here take a cut, 0.99% 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%: 2 here (50%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 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%: 1 here (25%); 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%: 1 here (25%); 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 0.99%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%: 2 here (50%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 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%: 1 here (25%); 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%: 1 here (25%); 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 0.99%none

Bars: Modesto, 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%250%10%
0.3%0.4%00%8%
0.4%0.5%00%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%125%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%125%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 4 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: 4 hospitals, average cut 0.99%Group 5avg cut 0.99%4 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 4 hospitals, average cut 0.99%Group 5avg cut 0.99%4

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 540.99%

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 49%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 367%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 367%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 333%Pneumonia: 4 of 4 measured hospitals penalized, 100%; all hospitals 50%Pneumonia4 of 4100%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass (CABG)1 of 250%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee2 of 367% Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 3 measured67%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 3 measured67%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 3 measured33%Pneumonia: 4 of 4 measured hospitals penalized, 100%; all hospitals 50%Pneumonia4 of 4 measured100%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass surgery1 of 2 measured50%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee replacement2 of 3 measured67%

Share of estimated dollars

Bypass surgery: $1.1M of the modeled dollars, 49%Bypass (CABG)≈ $1.1M49%Pneumonia: $625K of the modeled dollars, 28%Pneumonia≈ $625K28%Heart attack: $282K of the modeled dollars, 13%Heart attack≈ $282K13%Heart failure: $165K of the modeled dollars, 7%Heart failure≈ $165K7%COPD: $35K of the modeled dollars, 2%COPD≈ $35K2%Hip/knee replacement: $23K of the modeled dollars, 1%Hip/knee≈ $23K1% Bypass surgery: $1.1M of the modeled dollars, 49%Bypass surgery≈ $1.1M49%Pneumonia: $625K of the modeled dollars, 28%Pneumonia≈ $625K28%Heart attack: $282K of the modeled dollars, 13%Heart attack≈ $282K13%Heart failure: $165K of the modeled dollars, 7%Heart failure≈ $165K7%COPD: $35K of the modeled dollars, 2%COPD≈ $35K2%Hip/knee replacement: $23K of the modeled dollars, 1%Hip/knee replacement≈ $23K1%

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 attack3267%50%$282K13%
COPD3267%50%$35K2%
Heart failure3133%50%$165K7%
Pneumonia44100%50%$625K28%
Bypass surgery2150%49%$1.1M49%
Hip/knee replacement3267%50%$23K1%

Average cut over time

Figure 5. In FY2027, the average cut in Modesto, CA was 0.99%, 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: 0.37% here; 0.26% across all hospitals in the programFY2015: 0.74% here; 0.50% across all hospitals in the programFY2016: 0.62% here; 0.49% across all hospitals in the programFY2017: 0.71% here; 0.60% across all hospitals in the programFY2018: 0.89% here; 0.61% across all hospitals in the programFY2019: 0.97% here; 0.59% across all hospitals in the programFY2020: 1.28% here; 0.60% across all hospitals in the programFY2021: 1.20% here; 0.58% across all hospitals in the programFY2022: 0.83% here; 0.54% across all hospitals in the programFY2023: 0.56% here; 0.33% across all hospitals in the programFY2024: 0.57% here; 0.34% across all hospitals in the programFY2025: 0.74% here; 0.33% across all hospitals in the programFY2026: 0.71% here; 0.35% across all hospitals in the programFY2027: 0.99% here; 0.35% across all hospitals in the program0.99% ’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: 0.37% here; 0.26% across all hospitals in the programFY2015: 0.74% here; 0.50% across all hospitals in the programFY2016: 0.62% here; 0.49% across all hospitals in the programFY2017: 0.71% here; 0.60% across all hospitals in the programFY2018: 0.89% here; 0.61% across all hospitals in the programFY2019: 0.97% here; 0.59% across all hospitals in the programFY2020: 1.28% here; 0.60% across all hospitals in the programFY2021: 1.20% here; 0.58% across all hospitals in the programFY2022: 0.83% here; 0.54% across all hospitals in the programFY2023: 0.56% here; 0.33% across all hospitals in the programFY2024: 0.57% here; 0.34% across all hospitals in the programFY2025: 0.74% here; 0.33% across all hospitals in the programFY2026: 0.71% here; 0.35% across all hospitals in the programFY2027: 0.99% here; 0.35% across all hospitals in the program0.99% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Modesto, 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%
FY20140.37%0.26%
FY20150.74%0.50%
FY20160.62%0.49%
FY20170.71%0.60%
FY20180.89%0.61%
FY20190.97%0.59%
FY20201.28%0.60%
FY20211.20%0.58%
FY20220.83%0.54%
FY20230.56%0.33%
FY20240.57%0.34%
FY20250.74%0.33%
FY20260.71%0.35%
FY20270.99%0.35%

Hospitals in Modesto, CA

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

Hospitals in Modesto, CA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Doctors Medical CenterModesto, CA · CCN 0504642.29%$1.7M5Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, Bypass surgery, and Hip/knee replacement461
Emanuel Medical CenterTurlock, CA · CCN 0501791.18%$353K5Heart 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: adds to the cutCounted toward the cut: COPD, Pneumonia, and Hip/knee replacement354
Oak Valley Hospital DistrictOakdale, CA · CCN 0500670.27%$5K5Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; 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: Pneumonia144
Memorial Medical CenterModesto, CA · CCN 0505570.20%$196K5Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack and Pneumonia275

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