Medicare enrollees per 1,000 residents: U.S. states ranked (2025)
Measure: Medicare enrollees per 1,000 residents (derived). All 50 states and District of Columbia with data in Medicare enrollment by state, ranked from highest to lowest. Reference period: 2025.
National value: 203 (United States).
- Lowest: 136 to 189
- Group 2: 189 to 202
- Group 3: 202 to 217
- Group 4: 217 to 225
- Highest: 225 to 273
Rank is derived by Quadranac: 1 = highest value; ties share a rank. The ranked value is itself derived; see the source table for the method. Values are as published in the source table.
Note: Enrollees are counted at their mailing address, so states with many seasonal residents may differ from where people live most of the year.
| 1 | Maine | 273 |
|---|---|---|
| 2 | Vermont | 261 |
| 3 | West Virginia | 258 |
| 4 | New Hampshire | 250 |
| 5 | Delaware | 239 |
| 6 | Montana | 234 |
| 7 | Pennsylvania | 230 |
| 8 | South Carolina | 227 |
| 9 | Michigan | 226 |
| 9 | Wisconsin | 226 |
| 11 | Oregon | 225 |
| 12 | Florida | 223 |
| 12 | Rhode Island | 223 |
| 14 | Wyoming | 222 |
| 15 | Arkansas | 221 |
| 15 | Mississippi | 221 |
| 15 | New Mexico | 221 |
| 18 | Alabama | 218 |
| 18 | Hawaii | 218 |
| 20 | Kentucky | 217 |
| 20 | Ohio | 217 |
| 20 | South Dakota | 217 |
| 23 | Iowa | 216 |
| 23 | Missouri | 216 |
| 25 | Connecticut | 208 |
| 25 | Massachusetts | 208 |
| 27 | Louisiana | 207 |
| 28 | Tennessee | 206 |
| 29 | North Carolina | 204 |
| 30 | Minnesota | 203 |
| 31 | Kansas | 202 |
| 32 | Arizona | 201 |
| 32 | Idaho | 201 |
| 32 | Indiana | 201 |
| 35 | New York | 200 |
| 36 | Oklahoma | 199 |
| 37 | Virginia | 195 |
| 37 | Washington | 195 |
| 39 | Nebraska | 194 |
| 40 | Illinois | 193 |
| 41 | New Jersey | 189 |
| 41 | North Dakota | 189 |
| 43 | Maryland | 188 |
| 43 | Nevada | 188 |
| 45 | California | 181 |
| 46 | Colorado | 177 |
| 47 | Georgia | 176 |
| 48 | Alaska | 165 |
| 49 | Texas | 155 |
| 50 | District of Columbia | 140 |
| 51 | Utah | 136 |
Source: Centers for Medicare & Medicaid Services, Medicare Monthly Enrollment (data.cms.gov dataset d7fabe1e-d19b-4333-9eff-e80e0643f2fd), 2025 annual, state and national
Source: U.S. Census Bureau, Population Estimates Program, July 1, 2025 resident population (denominator). Reference period: 2025.
Cite this ranking
U.S. states ranked by Medicare enrollees per 1,000 residents (derived) (2025). Data: Centers for Medicare & Medicaid Services, Medicare Monthly Enrollment (data.cms.gov dataset d7fabe1e-d19b-4333-9eff-e80e0643f2fd), 2025 annual, state and national; rank derived by Quadranac. Data last updated 2026-11-09. https://quadranac.com/rankings/us-states-by-medicare-enrollees-per-1000-residents/