> 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/end-stage-renal-disease-facility-aggregation-group-performance.md).

# End-Stage Renal Disease Facility Aggregation Group Performance

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.ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE` on Snowflake and Databricks — 13 snapshot releases spanning 2021–2024, 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.ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE`     |
| **Databricks**     | `cms_dwv.endstage_renal_disease_facility_aggregation_group_performance` |
| **Coverage**       | Jul 2021 – Dec 2024                                                     |
| **Cadence**        | Semiannual                                                              |
| **Update pattern** | Full-refresh — each file replaces the prior snapshot                    |
| **CMS published**  | 2025-12-22                                                              |
| **Loaded**         | 2025-12-22                                                              |
| **Columns**        | 31 data + 6 lineage                                                     |
| **File versions**  | 13                                                                      |
| **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="success" %}
**Current** — CMS last published this feed on 2025-12-22. Coverage runs through 2024-12-31.
{% 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.ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE
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.endstage_renal_disease_facility_aggregation_group_performance
WHERE file_id IN (
  SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1
)
LIMIT 100;
```

{% endtab %}
{% endtabs %}

## About this feed

> The End-Stage Renal Disease (ESRD) Facility Aggregation Group Performance dataset provides performance information in the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. The dataset includes information on Performance Payment Adjustment (PPA), Modality Performance Score (MPS), home dialysis rate, and transplant rate, as well as the individual components of each rate for each model participant ESRD facility aggregation group.
>
> All ESRD facilities within the same aggregation group share the same performance information. The supplementary aggregation group crosswalk file may be used to map aggregation groups to individual ETC Participant ESRD facilities.
>
> — *Source: CMS feed metadata*

**Keywords:** Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, Clinics, End Stage Renal Disease Facilities, Value-Based Care, Coordinated Care, Service Delivery Models **Theme:** Medicare

## Coverage timeline

2021 🟩 · 2022 🟩 · 2023 🟩 · 2024 🟩

4 of 4 years with snapshot releases — no gaps.

## Release history

| Reporting period          | CMS published | Loaded     | Latest file |
| ------------------------- | ------------- | ---------- | ----------- |
| Snapshot as of 2025-12-22 | 2025-12-22    | 2025-12-22 | ✓           |
| Snapshot as of 2025-07-01 | 2025-07-01    | 2025-10-18 |             |
| Snapshot as of 2025-06-30 | 2025-06-30    | 2025-06-30 |             |
| Snapshot as of 2025-06-09 | 2025-06-09    | 2025-06-17 |             |
| Snapshot as of 2024-08-09 | 2024-08-09    | 2025-06-17 |             |
| Snapshot as of 2024-02-20 | 2024-02-20    | 2025-06-17 |             |
| Snapshot as of 2023-11-30 | 2023-11-30    | 2025-06-17 |             |
| Snapshot as of 2023-11-30 | 2023-11-30    | 2025-06-17 |             |
| Snapshot as of 2025-06-09 | 2025-06-09    | 2025-06-09 |             |
| Snapshot as of 2024-08-09 | 2024-08-09    | 2024-08-09 |             |

<details>

<summary>Show 3 earlier file versions</summary>

| Reporting period          | CMS published | Loaded     | Latest file |
| ------------------------- | ------------- | ---------- | ----------- |
| Snapshot as of 2024-02-20 | 2024-02-20    | 2024-02-20 |             |
| Snapshot as of 2023-11-30 | 2023-11-30    | 2023-11-30 |             |
| Snapshot as of 2023-11-30 | 2023-11-30    | 2023-11-30 |             |

</details>

## Data dictionary

<details>

<summary>📋 <strong>31 data columns + 6 lineage columns</strong></summary>

Column-level definitions are maintained by CMS in the official [End-Stage Renal Disease Facility Aggregation Group Performance data dictionary](https://data.cms.gov/resources/esrd-facility-aggregation-group-performance-data-dictionary).

**Data columns**

| Column             | Type   |
| ------------------ | ------ |
| `AGG_ID`           | TEXT   |
| `HRR_NUM_MY`       | NUMBER |
| `HDR_MY`           | NUMBER |
| `HDR_DNM_MY`       | NUMBER |
| `HDR_NUM_MY`       | NUMBER |
| `HD_NUM_MY`        | NUMBER |
| `SD_NUM_MY`        | NUMBER |
| `NOCD_NUM_MY`      | NUMBER |
| `TR_MY_ACHSCR`     | NUMBER |
| `TR_MY_IMPSCR`     | NUMBER |
| `TWR_DNM_MY`       | NUMBER |
| `TWR_NUM_MY`       | NUMBER |
| `LDT_DNM_MY`       | NUMBER |
| `LDT_NUM_MY`       | NUMBER |
| `BENECNT_LDT_MY`   | NUMBER |
| `HEI_HDR`          | NUMBER |
| `HDR_DELIS_DIFF`   | NUMBER |
| `HDR_DELIS_MY`     | NUMBER |
| `HDR_DNM_DELIS_MY` | NUMBER |
| `HDR_NUM_DELIS_MY` | NUMBER |
| `HEI_TR`           | NUMBER |
| `TR_DELIS_DIFF`    | NUMBER |
| `TR_DELIS_MY`      | NUMBER |
| `TWR_DNM_DELIS_MY` | NUMBER |
| `TWR_NUM_DELIS_MY` | NUMBER |
| `LDT_DNM_DELIS_MY` | NUMBER |
| `LDT_NUM_DELIS_MY` | NUMBER |
| `MPS`              | NUMBER |
| `PPA`              | NUMBER |
| `PPA_PERIOD`       | NUMBER |
| `MY`               | NUMBER |

**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{ ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE : "ID = FILE_FEED_ID"
    FEEDS_FILES ||--o{ ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE : "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
    }
    ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE {
        text ROW_ID PK
        text FILE_ID FK
        text FILE_FEED_ID FK
        text AGG_ID
        number HRR_NUM_MY
        number HDR_MY
        number HDR_DNM_MY
        number remaining_27_data_columns
    }
```

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

```sql
SELECT d.AGG_ID, d.HRR_NUM_MY, d.HDR_MY,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE 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 data dictionary](https://data.cms.gov/resources/esrd-facility-aggregation-group-performance-data-dictionary)
* [Esrd Treatment Choices Etc Model Methodology](https://data.cms.gov/resources/esrd-treatment-choices-etc-model-methodology)

## Frequently asked questions

### How often is End-Stage Renal Disease Facility Aggregation Group Performance updated?

Semiannually. CMS last published this feed on 2025-12-22, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

### What years does End-Stage Renal Disease Facility Aggregation Group Performance cover?

2021 through 2024.

### How many records are in End-Stage Renal Disease Facility Aggregation Group Performance?

Count the current snapshot yourself once the share is mounted:

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

### How do I get End-Stage Renal Disease Facility Aggregation Group Performance 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.ENDSTAGE_RENAL_DISEASE_FACILITY_AGGREGATION_GROUP_PERFORMANCE` directly — no pipeline setup required.

## Related feeds

{% content-ref url="/pages/nNLU9KV057ffzs4qUMzQ" %}
[Managing Clinician Aggregation Group Performance](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/managing-clinician-aggregation-group-performance.md)
{% endcontent-ref %}

{% content-ref url="/pages/uVH3qjISV5hQe3xhzVKS" %}
[Comprehensive End-Stage Renal Disease Care Model Data](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/comprehensive-end-stage-renal-disease-care-model-data.md)
{% endcontent-ref %}

{% content-ref url="/pages/yy0eq1n4l0xiQOn39b3R" %}
[Medicare Dialysis Facilities](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-dialysis-facilities.md)
{% endcontent-ref %}

{% content-ref url="/pages/RfpLx2SjPM0RJp04R3y4" %}
[Provider of Services File - Clinical Laboratories](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/provider-of-services-file-clinical-laboratories.md)
{% endcontent-ref %}

{% content-ref url="/pages/OCLVmVn4BVkmBNKo1w9c" %}
[Ambulatory Specialty Model Participants](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/ambulatory-specialty-model-participants.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#end-stage-renal-disease-facility-aggregation-group-performance)


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