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# CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Medicare

Dataplex delivers this CMS feed as the analysis-ready table `DWV.MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS` on Snowflake and Databricks — 12 snapshot releases spanning 2013–2023, 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.MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS`           |
| **Databricks**     | `cms_dwv.mdcr_snf_utilization_by_demographics`       |
| **Cadence**        | Annual                                               |
| **Update pattern** | Full-refresh — each file replaces the prior snapshot |
| **CMS published**  | 2023-12-01                                           |
| **Loaded**         | 2026-04-21                                           |
| **Columns**        | 25 data + 6 lineage                                  |
| **File versions**  | 12                                                   |
| **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](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset).

{% hint style="info" %}
**Last CMS publication 2023-12-01** — awaiting the next release. New files load automatically when CMS publishes.
{% endhint %}

{% hint style="info" %}
**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.
{% endhint %}

## Sample queries

{% tabs %}
{% tab title="Snowflake" %}

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

{% endtab %}

{% tab title="Databricks" %}

```sql
-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM cms_dwv.mdcr_snf_utilization_by_demographics
WHERE file_id IN (
  SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1
)
LIMIT 100;
```

{% endtab %}
{% endtabs %}

## About this feed

> Medicare SNF utilization, program payments, and cost sharing by demographic category (Age, Sex, Race, Medicare-Medicaid Enrollment Status) for a single vintage year. One row per (demographic\_category, demographic\_value) per annual release.
>
> — *Source: CMS feed metadata*

**Keywords:** Medicare, SNF, program statistics, demographics, age, sex, race, dual eligible **Theme:** Medicare

## Coverage timeline

2013–2023 🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩 (🟩 covered · ⬜ no data)

11 of 11 years with snapshot releases — no gaps.

## Release history

| Reporting period          | CMS published | Loaded     | Latest file |
| ------------------------- | ------------- | ---------- | ----------- |
| Snapshot as of 2023-12-01 | 2023-12-01    | 2026-04-21 | ✓           |
| Snapshot as of 2023-12-01 | 2023-12-01    | 2026-04-16 |             |
| Snapshot as of 2022-12-01 | 2022-12-01    | 2026-04-16 |             |
| Snapshot as of 2021-12-01 | 2021-12-01    | 2026-04-16 |             |
| Snapshot as of 2020-12-01 | 2020-12-01    | 2026-04-16 |             |
| Snapshot as of 2019-12-01 | 2019-12-01    | 2026-04-16 |             |
| Snapshot as of 2018-12-01 | 2018-12-01    | 2026-04-16 |             |
| Snapshot as of 2017-12-01 | 2017-12-01    | 2026-04-16 |             |
| Snapshot as of 2016-12-01 | 2016-12-01    | 2026-04-16 |             |
| Snapshot as of 2015-12-01 | 2015-12-01    | 2026-04-16 |             |

<details>

<summary>Show 2 earlier file versions</summary>

| Reporting period          | CMS published | Loaded     | Latest file |
| ------------------------- | ------------- | ---------- | ----------- |
| Snapshot as of 2014-12-01 | 2014-12-01    | 2026-04-16 |             |
| Snapshot as of 2013-12-01 | 2013-12-01    | 2026-04-16 |             |

</details>

## Data dictionary

<details>

<summary>📋 <strong>25 data columns + 6 lineage columns</strong></summary>

**Data columns**

| Column                                                             | Type   | Description                                                                                                                    |
| ------------------------------------------------------------------ | ------ | ------------------------------------------------------------------------------------------------------------------------------ |
| `DATA_PERIOD`                                                      | TEXT   | The year of the data release, indicating the time frame for the reported statistics (Date in YYYY format).                     |
| `DEMOGRAPHIC_CATEGORY`                                             | TEXT   | The category of demographic data, such as Age, Sex, Race, or Medicare-Medicaid Enrollment Status.                              |
| `DEMOGRAPHIC_VALUE`                                                | TEXT   | The specific value within the demographic category, representing a distinct subgroup (e.g., '65-74 years' for Age).            |
| `TOTAL_ORIGINAL_MEDICARE_PART_A_ENROLLEES`                         | NUMBER | The total number of individuals enrolled in Original Medicare Part A during the specified data period (Integer).               |
| `TOTAL_PERSONS_WITH_UTILIZATION`                                   | NUMBER | The total number of individuals who utilized skilled nursing facility (SNF) services within the data period (Integer).         |
| `TOTAL_COVERED_ADMISSIONS`                                         | NUMBER | The total number of admissions to skilled nursing facilities that were covered by Medicare during the data period (Integer).   |
| `PCT_OF_TOTAL_COVERED_ADMISSIONS`                                  | NUMBER | The percentage of total covered admissions relative to the total population in the demographic category (Decimal).             |
| `COVERED_ADMISSIONS_PER_PERSON_WITH_UTILIZATION`                   | NUMBER | The average number of covered admissions per individual who utilized SNF services (Decimal).                                   |
| `COVERED_ADMISSIONS_PER_1000_ORIGINAL_MEDICARE_PART_A_ENROLLEES`   | NUMBER | The number of covered admissions per 1,000 Original Medicare Part A enrollees (Decimal).                                       |
| `TOTAL_COVERED_DAYS_OF_CARE`                                       | NUMBER | The total number of days of care covered by Medicare for SNF services during the data period (Integer).                        |
| `COVERED_DAYS_OF_CARE_PER_COVERED_ADMISSION`                       | NUMBER | The average number of covered days of care per covered admission (Decimal).                                                    |
| `COVERED_DAYS_OF_CARE_PER_PERSON_WITH_UTILIZATION`                 | NUMBER | The average number of covered days of care per person who utilized SNF services (Decimal).                                     |
| `COVERED_DAYS_OF_CARE_PER_1000_ORIGINAL_MEDICARE_PART_A_ENROLLEES` | NUMBER | The number of covered days of care per 1,000 Original Medicare Part A enrollees (Decimal).                                     |
| `TOTAL_PROGRAM_PAYMENTS`                                           | NUMBER | The total amount of program payments made for covered SNF services during the data period (Currency).                          |
| `PCT_OF_TOTAL_PROGRAM_PAYMENTS`                                    | NUMBER | The percentage of total program payments relative to the total expenditures in the demographic category (Decimal).             |
| `PROGRAM_PAYMENTS_PER_COVERED_ADMISSION`                           | NUMBER | The average program payment made per covered admission to a skilled nursing facility (Currency).                               |
| `PROGRAM_PAYMENTS_PER_COVERED_DAY`                                 | NUMBER | The average program payment made per covered day of care in a skilled nursing facility (Currency).                             |
| `PROGRAM_PAYMENTS_PER_PERSON_WITH_UTILIZATION`                     | NUMBER | The average program payment made per person who utilized SNF services (Currency).                                              |
| `PROGRAM_PAYMENTS_PER_ORIGINAL_MEDICARE_PART_A_ENROLLEE`           | NUMBER | The average program payment made per Original Medicare Part A enrollee (Currency).                                             |
| `TOTAL_PERSONS_WITH_COINSURANCE`                                   | NUMBER | The total number of individuals who incurred coinsurance payments for SNF services (Integer).                                  |
| `TOTAL_COINSURANCE_DAYS`                                           | NUMBER | The total number of days for which coinsurance was applied for SNF services (Integer).                                         |
| `COINSURANCE_DAYS_PER_PERSON_WITH_COINSURANCE`                     | NUMBER | The average number of coinsurance days per person who had coinsurance (Decimal).                                               |
| `TOTAL_COINSURANCE_PAYMENTS`                                       | NUMBER | The total amount of coinsurance payments made by individuals for SNF services (Currency).                                      |
| `COINSURANCE_PAYMENTS_PER_PERSON_WITH_COINSURANCE`                 | NUMBER | The average coinsurance payment made per person who incurred coinsurance (Currency).                                           |
| `DISCHARGED_DEAD`                                                  | NUMBER | The total number of individuals who were discharged from skilled nursing facilities and died during the data period (Integer). |

**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         |

</details>

## 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:

```mermaid
erDiagram
    FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID"
    FEEDS ||--o{ MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS : "ID = FILE_FEED_ID"
    FEEDS_FILES ||--o{ MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS : "ID = FILE_ID"

    FEEDS {
        text ID PK
        text TITLE
        text VIEW_NAME
        text ACCURAL_PERIODICITY
    }
    FEEDS_FILES {
        text ID PK
        text FEED_ID FK
        date TEMPORAL_START
        date TEMPORAL_END
        date CMS_FEED_MODIFIED
        number IS_LATEST
    }
    MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS {
        text ROW_ID PK
        text FILE_ID FK
        text FILE_FEED_ID FK
        text DATA_PERIOD
        text DEMOGRAPHIC_CATEGORY
        text DEMOGRAPHIC_VALUE
        number TOTAL_ORIGINAL_MEDICARE_PART_A_ENROLLEES
        number remaining_21_data_columns
    }
```

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

```sql
SELECT d.DATA_PERIOD, d.DEMOGRAPHIC_CATEGORY, d.DEMOGRAPHIC_VALUE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS 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](https://data.cms.gov/resources/cms-program-statistics-glossary)
* [CMS Program Statistics Medicare Skilled Nursing Facility](https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/cms-program-statistics-medicare-skilled-nursing-facility)

## Frequently asked questions

### How often is CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status updated?

Annually. CMS last published this feed on 2023-12-01, and Dataplex loaded it to the warehouse on 2026-04-21. New releases are added automatically when CMS publishes them.

### What years does CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status cover?

2013 through 2023.

### How many records are in CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status?

Count the current snapshot yourself once the share is mounted:

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

### How do I get CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status data?

It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.MDCR_SNF_UTILIZATION_BY_DEMOGRAPHICS` directly — no pipeline setup required.

## Related feeds

{% content-ref url="/pages/LQerYVIXSd8LOF5NaiDN" %}
[CMS Program Statistics - Medicare SNF Utilization by Geography](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-geography.md)
{% endcontent-ref %}

{% content-ref url="/pages/J7IhjRAk8B6WfWcKv6kr" %}
[CMS Program Statistics - Medicare SNF Utilization by Facility Type and Bedsize](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-facility-type-and-bedsize.md)
{% endcontent-ref %}

{% content-ref url="/pages/vRQiv4QeaHCXVECuEOVg" %}
[CMS Program Statistics - Medicare SNF Utilization by Covered Days of Care](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-covered-days-of-care.md)
{% endcontent-ref %}

{% content-ref url="/pages/vaiyYZT3do7zfKUC5B4c" %}
[CMS Program Statistics - Medicare SNF Utilization by Type of Entitlement](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-type-of-entitlement.md)
{% endcontent-ref %}

{% content-ref url="/pages/Xi2aKDcCVwQXr5ug3ruz" %}
[CMS National Health Expenditure Accounts - Health Spending by Age and Sex](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-national-health-expenditure-accounts-health-spending-by-age-and-sex.md)
{% endcontent-ref %}

## Get this feed

1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00)
2. Mount the share — the database and `DWV` schema appear in your account immediately
3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at <notifications@dataplex-consulting.com>.

***

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#cms-program-statistics-medicare-snf-utilization-by-demographics-and-dual-eligible-status)


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