CMS National Health Expenditure Accounts - Health Spending by State of Provider

Personal health care spending by state where care is delivered, 1980-2020, by payer (All/Medicare/Medicaid), aggregate dollars.

Part of the CMS Data Feeds Dataset › Health

Dataplex delivers this CMS feed as the analysis-ready table DWV.NHE_STATE_PROVIDER on Snowflake and Databricks — two snapshot releases spanning 2023–2023, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.NHE_STATE_PROVIDER
Databricks	cms_dwv.nhe_state_provider
Cadence	Annual
Update pattern	Full-refresh — each file replaces the prior snapshot
CMS published	2023-12-01
Loaded	2026-06-01
Columns	12 data + 6 lineage
File versions	2
License	CMS public data — U.S. Government work
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset — start a free trial on Snowflake Marketplace.

Last CMS publication 2023-12-01 — awaiting the next release. New files load automatically when CMS publishes.

Full-refresh feed — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions.

Sample queries

Snowflake

-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM DWV.NHE_STATE_PROVIDER
WHERE FILE_ID IN (
  SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1
)
LIMIT 100;

Databricks

About this feed

Personal health care spending by state where care is delivered, 1980-2020, by payer (All/Medicare/Medicaid), aggregate dollars. One row per (payer, geography, year).

— Source: CMS feed metadata

Keywords: national health expenditures, NHEA, health spending, state of provider, Medicare, Medicaid Theme: Health

Coverage timeline

2023 🟩

1 of 1 years with snapshot releases — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
Snapshot as of 2023-12-01	2023-12-01	2026-06-01	✓
Snapshot as of 2023-12-01	2023-12-01	2026-05-31

Data dictionary

📋 12 data columns + 6 lineage columns

Data columns

Column	Type	Description
DATA_PERIOD	TEXT	Release vintage (YYYY-12); the spending year is in the YEAR column.
PAYER	TEXT	US (all payers), MEDICARE, or MEDICAID.
MEASURE	TEXT	AGGREGATE (millions of dollars).
CODE	TEXT	CMS item code identifying the spending series.
ITEM	TEXT	Human-readable description of the series and its units.
GEO_LEVEL	TEXT	Geographic level of the row: 'United States', 'Region', or 'State'.
REGION_NUMBER	NUMBER	BEA region number (0 = United States).
REGION_NAME	TEXT	Region name (e.g. New England, Mideast); also 'United States' for national rows.
STATE_NAME	TEXT	State name for state-level rows; blank for United States and Region rows.
YEAR	NUMBER	Calendar year of the spending figure (1980-2020).
VALUE	NUMBER	Spending in millions of U.S. dollars.
AVERAGE_ANNUAL_PERCENT_GROWTH	NUMBER	Average annual percent growth of the series across the covered period (denormalized onto every year row of the series).

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file — joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed — joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

SELECT d.DATA_PERIOD, d.PAYER, d.MEASURE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.NHE_STATE_PROVIDER d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Source & provenance

Published by the Centers for Medicare & Medicaid Services (bureau 009:38).

• Official CMS documentation

• State Provider

Frequently asked questions

How often is CMS National Health Expenditure Accounts - Health Spending by State of Provider updated?

Annually. CMS last published this feed on 2023-12-01, and Dataplex loaded it to the warehouse on 2026-06-01. New releases are added automatically when CMS publishes them.

What years does CMS National Health Expenditure Accounts - Health Spending by State of Provider cover?

2023 through 2023.

How many records are in CMS National Health Expenditure Accounts - Health Spending by State of Provider?

Count the current snapshot yourself once the share is mounted:

SELECT COUNT(*)
FROM DWV.NHE_STATE_PROVIDER d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

How do I get CMS National Health Expenditure Accounts - Health Spending by State of Provider data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.NHE_STATE_PROVIDER directly — no pipeline setup required.

Related feeds

CMS National Health Expenditure Accounts - Health Spending by State of ResidenceCMS National Health Expenditure Accounts - National by Type of Service & Source of FundsCMS National Health Expenditure Accounts - Health Spending by Age and SexCOVID-19 Nursing Home DataIncome and Asset Ownership

Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share — the database and DWV schema appear in your account immediately

3. Run the sample query above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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