Medicaid Opioid Prescribing Rates - by Geography

The Medicaid Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicaid opioid…

Part of the CMS Data Feeds Dataset › Medicaid

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICAID_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY on Snowflake and Databricks — five annual reporting periods (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.MEDICAID_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY
Databricks	cms_dwv.medicaid_opioid_prescribing_rates__by_geography
Coverage	Jan 2021 – Dec 2024 (4 of 4 annual reporting periods)
Rows	2,549,145 (total across all reporting periods)
Cadence	Annual
Update pattern	Time-partitioned — each file adds one reporting year
CMS published	2026-06-11
Loaded	2026-06-11
Columns	15 data + 6 lineage
File versions	5
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.

Current — CMS last published this feed on 2026-06-11. Coverage is complete through the 2024 reporting year. Next CMS release expected ~Jun 2027.

Time-partitioned feed — each file version covers one reporting year, so history is additive. Query the full table for all years; filter on YEAR for a single period. Do not filter to the latest file only — that would return just the 2024 reporting year.

Sample queries

Snowflake

-- Each file version covers one reporting period (2021, 2022, 2023, 2024) — history is additive
SELECT *
FROM DWV.MEDICAID_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY
LIMIT 100;

Databricks

About this feed

The Medicaid Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicaid opioid prescriptions at the state, county, and ZIP code levels.

— Source: CMS feed metadata

Keywords: National, States & Territories, Medicaid, Physicians & Practitioners, Drugs, Health Equity Theme: Medicaid

Coverage timeline

2021 🟩 · 2022 🟩 · 2023 🟩 · 2024 🟩

4 of 4 annual reporting periods present — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2024-01-01 – 2024-12-31	2026-06-11	2026-06-11	✓
2023-01-01 – 2023-12-31	2025-08-20	2025-10-18
2023-01-01 – 2023-12-31	2025-06-12	2025-06-12
2022-01-01 – 2022-12-31	2024-06-04	2024-06-07
2021-01-01 – 2021-12-31	2023-05-26	2023-08-29

Data dictionary

📋 15 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicaid Opioid Prescribing Rates - by Geography data dictionary.

Data columns

Column	Type
YEAR	NUMBER
GEO_LVL	TEXT
GEO_CD	NUMBER
GEO_DESC	TEXT
PLAN_TYPE	TEXT
TOT_OPIOID_CLMS	NUMBER
TOT_CLMS	NUMBER
OPIOID_PRSCRBNG_RATE	NUMBER
OPIOID_PRSCRBNG_RATE_5Y_CHG	NUMBER
OPIOID_PRSCRBNG_RATE_1Y_CHG	NUMBER
LA_TOT_OPIOID_CLMS	NUMBER
LA_OPIOID_PRSCRBNG_RATE	NUMBER
LA_OPIOID_PRSCRBNG_RATE_5Y_CHG	NUMBER
LA_OPIOID_PRSCRBNG_RATE_1Y_CHG	NUMBER
__YEAR	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

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.YEAR, d.GEO_LVL, d.GEO_CD,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICAID_OPIOID_PRESCRIBING_RATES__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 data dictionary

• Medicaid Opioid Prescribing Rates by Geography Methodology

Frequently asked questions

How often is Medicaid Opioid Prescribing Rates - by Geography updated?

Annually. CMS last published this feed on 2026-06-11, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

What years does Medicaid Opioid Prescribing Rates - by Geography cover?

2021 through 2024 — four annual reporting periods with no gaps. Each reporting year arrives as its own file version, and all years remain queryable side by side.

How many records are in Medicaid Opioid Prescribing Rates - by Geography?

2,549,145 rows across all five reporting periods. Because this feed is time-partitioned, the full table total is the meaningful count — no deduplication needed.

How do I get Medicaid Opioid Prescribing Rates - by Geography 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.MEDICAID_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY directly — no pipeline setup required.

Related feeds

Medicare Part D Opioid Prescribing Rates - by GeographyMedicare Part D Prescribers - by Geography and DrugMedicare Physician & Other Practitioners - by Geography and ServiceMedicare Durable Medical Equipment, Devices & Supplies - by Geography and ServiceMedicaid Spending by Drug

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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