docs/us_health/health_infectious_preventive_county_year

health_infectious_preventive_county_year

IP1 preventive-care drill-down. Two CHR Select Measures surfaced as plain county variables: flu_vaccination_pct (CHR v155) and mammography_pct (CHR v050), both percent of fee-for-service Medicare enrollees with the service, from CMS Mapping Medicare Disparities via the CHR 2025 analytic file (underlying year 2022). Tier C (Medicare FFS, county suppression).

tier cTier C: Medicare fee-for-service administrative measure. It reflects only the FFS Medicare population (not general-population representative), and CMS suppresses small-denominator counties. Sourced via the CHR analytic redistribution of CMS Mapping Medicare Disparities.preventive-careflu-vaccinationmammographyscreeningmedicaresdoh
grain
county-year
years
2025
cadence
Annual
overview

overview

~3,144 counties for the CHR 2025 release year.

current vintage — 2025 (CHR release; underlying MMD data 2022)

history — CHR release-year snapshot; MMD trend available from the live tool only

provenance

source & licensing

authority
CMS Office of Minority Health (Mapping Medicare Disparities)
dataset
County Health Rankings 2025 analytic data (CMS MMD measures)
license
Public domain (U.S. Federal Government work)
citation
University of Wisconsin Population Health Institute, County Health Rankings & Roadmaps 2025 (Flu Vaccinations and Mammography Screening measures, sourced from CMS Mapping Medicare Disparities, 2022 data).
schema

fields

nametypedefinition
_ingested_attimestampTimestamp when this record was written to BigQuery.Pipeline metadata field.
_ingestor_versionstringVersion of the ingestor script that produced this record.Pipeline metadata field.
_reliability_tierstringData quality tier (A/B/C) assigned at ingestion.Pipeline metadata field.
_source_dataset_idstringInternal dataset identifier linking to meta.datasets.Pipeline metadata field.
country_idstringISO alpha-2 country code (always 'US' for domestic tables).
county_idkeystring5-character FIPS code identifying the county.Part of primary key. Joins dim.counties on county_id.
flu_vaccination_coveragestringCoverage flag for flu_vaccination_pct: SUPPORTED when a value is present, UNSUPPORTED when the underlying measure is suppressed or missing. Values are never imputed.
flu_vaccination_pctfloat64 · percent (0–100)Percent of fee-for-service Medicare enrollees with an annual flu vaccination (CHR measure v155, sourced from CMS Mapping Medicare Disparities; underlying measurement year 2022). Higher values indicate greater preventive flu-vaccination uptake among the FFS Medicare population.
geo_basisstringGeography provenance flag: 'source' for rows at CHR's native canonical geography; 'crosswalk_estimate' for the nine Connecticut planning regions whose flu/mammography values are reallocated from the eight legacy CT counties via the population-weighted legacy-county crosswalk (us_dimension.crosswalk_legacy_county).
mammography_coveragestringCoverage flag for mammography_pct: SUPPORTED when a value is present, UNSUPPORTED when the underlying measure is suppressed or missing. Values are never imputed.
mammography_pctfloat64 · percent (0–100)Percent of female fee-for-service Medicare enrollees with a mammogram (CHR measure v050, sourced from CMS Mapping Medicare Disparities; underlying measurement year 2022). Higher values indicate greater mammography screening uptake among the female FFS Medicare population.
state_idstring2-character FIPS code identifying the state.Joins dim.states on state_id.
yearkeyint64Reference year of the observation.Part of primary key.
relationships

joins

primary key
county_id, year
common joins
not provided
usage

how to use this table

method

flu_vaccination_pct = CHR v155 raw value x 100; mammography_pct = CHR v050 raw value x 100 (CHR stores these as proportions). No aggregation, weighting, or imputation applied.

do not use for

General-population vaccination/screening rates (Medicare FFS only), cross-year trend (single release year here), or any composite health index.

known issues

CHR 2025 carries both vintages of CT geography: the 8 legacy counties (09001-09015), which hold the actual MMD values, and the 9 planning regions (09110-09190), which CHR ships as all-null placeholders. The legacy-county values are reallocated to the 9 planning regions via us_dimension.crosswalk_legacy_county (exact 2020 town-population weights, population-weighted means) and flagged geo_basis='crosswalk_estimate'; the null placeholders are dropped. CT is therefore present at the canonical geography as a crosswalk estimate, not source-true.

last updated · Jul 7, 2026