> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-geography.md). # CMS Program Statistics - Medicare SNF Utilization by Geography 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_GEOGRAPHY` 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_GEOGRAPHY` | | **Databricks** | `cms_dwv.mdcr_snf_utilization_by_geography` | | **Cadence** | Annual | | **Update pattern** | Full-refresh — each file replaces the prior snapshot | | **CMS published** | 2023-12-01 | | **Loaded** | 2026-04-21 | | **Columns** | 23 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_GEOGRAPHY 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_geography 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 area of residence — US total plus each state/DC and US territories. One row per area per annual release. > > — *Source: CMS feed metadata* **Keywords:** Medicare, SNF, program statistics, geography, state, territory, area of residence **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 | |
Show 2 earlier file versions | 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 | |
## Data dictionary
📋 23 data columns + 6 lineage columns **Data columns** | Column | Type | Description | | ------------------------------------------------------------------ | ------ | ------------------------------------------------------------------------------------------------------------- | | `DATA_PERIOD` | TEXT | The time frame for the data, represented as a year (YYYY). | | `AREA_GROUPING` | TEXT | Categorization of geographic areas, which may include states, territories, or other defined regions. | | `AREA_OF_RESIDENCE` | TEXT | The specific geographic location where the Medicare beneficiaries reside. | | `TOTAL_ORIGINAL_MEDICARE_PART_A_ENROLLEES` | NUMBER | The total number of individuals enrolled in Original Medicare Part A during the specified period. | | `TOTAL_PERSONS_WITH_UTILIZATION` | NUMBER | The total count of individuals who utilized skilled nursing facility (SNF) services. | | `TOTAL_COVERED_ADMISSIONS` | NUMBER | The total number of admissions to skilled nursing facilities that are covered by Medicare. | | `COVERED_ADMISSIONS_PER_PERSON_WITH_UTILIZATION` | NUMBER | The average number of covered admissions per individual who utilized SNF services. | | `COVERED_ADMISSIONS_PER_1000_ORIGINAL_MEDICARE_PART_A_ENROLLEES` | NUMBER | The rate of covered admissions per 1,000 enrollees in Original Medicare Part A. | | `TOTAL_COVERED_DAYS_OF_CARE` | NUMBER | The total number of days of care provided in skilled nursing facilities that are covered by Medicare. | | `COVERED_DAYS_OF_CARE_PER_COVERED_ADMISSION` | NUMBER | The average number of covered days of care per covered admission to a skilled nursing facility. | | `COVERED_DAYS_OF_CARE_PER_PERSON_WITH_UTILIZATION` | NUMBER | The average number of covered days of care per individual who utilized SNF services. | | `COVERED_DAYS_OF_CARE_PER_1000_ORIGINAL_MEDICARE_PART_A_ENROLLEES` | NUMBER | The rate of covered days of care per 1,000 enrollees in Original Medicare Part A. | | `TOTAL_PROGRAM_PAYMENTS` | NUMBER | The total amount of Medicare program payments made for skilled nursing facility services. | | `PROGRAM_PAYMENTS_PER_COVERED_ADMISSION` | NUMBER | The average Medicare program payment made per covered admission to a skilled nursing facility. | | `PROGRAM_PAYMENTS_PER_COVERED_DAY` | NUMBER | The average Medicare program payment made per covered day of care in skilled nursing facilities. | | `PROGRAM_PAYMENTS_PER_PERSON_WITH_UTILIZATION` | NUMBER | The average Medicare program payment made per individual who utilized SNF services. | | `PROGRAM_PAYMENTS_PER_ORIGINAL_MEDICARE_PART_A_ENROLLEE` | NUMBER | The average Medicare program payment made per enrollee in Original Medicare Part A. | | `TOTAL_PERSONS_WITH_COINSURANCE` | NUMBER | The total number of individuals who incurred coinsurance payments for skilled nursing facility services. | | `TOTAL_COINSURANCE_DAYS` | NUMBER | The total number of days for which coinsurance payments were incurred by beneficiaries. | | `COINSURANCE_DAYS_PER_PERSON_WITH_COINSURANCE` | NUMBER | The average number of coinsurance days per individual who incurred coinsurance payments. | | `TOTAL_COINSURANCE_PAYMENTS` | NUMBER | The total amount of coinsurance payments made by beneficiaries for skilled nursing facility services. | | `COINSURANCE_PAYMENTS_PER_PERSON_WITH_COINSURANCE` | NUMBER | The average coinsurance payment made per individual who incurred such payments. | | `DISCHARGED_DEAD` | NUMBER | The total number of patients discharged from skilled nursing facilities who died during the reporting period. | **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: ```mermaid erDiagram FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID" FEEDS ||--o{ MDCR_SNF_UTILIZATION_BY_GEOGRAPHY : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ MDCR_SNF_UTILIZATION_BY_GEOGRAPHY : "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_GEOGRAPHY { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK text DATA_PERIOD text AREA_GROUPING text AREA_OF_RESIDENCE number TOTAL_ORIGINAL_MEDICARE_PART_A_ENROLLEES number remaining_19_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.DATA_PERIOD, d.AREA_GROUPING, d.AREA_OF_RESIDENCE, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.MDCR_SNF_UTILIZATION_BY_GEOGRAPHY 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 Geography 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 Geography cover? 2013 through 2023. ### How many records are in CMS Program Statistics - Medicare SNF Utilization by Geography? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.MDCR_SNF_UTILIZATION_BY_GEOGRAPHY 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 Geography 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_GEOGRAPHY` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/A6r0MLOayKYyeezIJdxn" %} [CMS Program Statistics - Medicare SNF Utilization by Demographics and Dual-Eligible Status](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/cms-program-statistics-medicare-snf-utilization-by-demographics-and-dual-eligible-status.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/Q9FxPXvUOllbALSA7jrH" %} [Hospital All Owners](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/hospital-all-owners.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 . *** 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-geography) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. 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