> 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/medicare-geographic-variation-by-hospital-referral-region.md). # Medicare Geographic Variation - by Hospital Referral Region 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.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION` on Snowflake and Databricks — coverage from 2021 to 2021 in a single aligned 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.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION` | | **Databricks** | `cms_dwv.medicare_geographic_variation__by_hospital_referral_region` | | **Coverage** | Jan 2021 – Dec 2021 | | **Cadence** | Annual | | **CMS published** | 2023-03-06 | | **Loaded** | 2023-08-29 | | **Columns** | 250 data + 6 lineage | | **File versions** | 1 | | **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 2023-03-06** — awaiting the next release. New files load automatically when CMS publishes. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql SELECT * FROM DWV.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql SELECT * FROM cms_dwv.medicare_geographic_variation__by_hospital_referral_region LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > The Medicare Geographic Variation by Hospital Referral Region dataset provides information for researchers and policymakers to evaluate the geographic differences in the use and quality of health care services for the Original Medicare population. The dataset includes demographic, spending, use, and quality indicators at the hospital referral region (HRR) level. > > — *Source: CMS feed metadata* **Keywords:** National, Hospital Referral Regions, Medicare, Original Medicare, Health Care Use & Payments, Health Equity **Theme:** Medicare ## Coverage timeline 2021 🟩 1 of 1 years covered — no gaps. ## Release history | Reporting period | CMS published | Loaded | Latest file | | ----------------------- | ------------- | ---------- | ----------- | | 2021-01-01 – 2021-12-31 | 2023-03-06 | 2023-08-29 | ✓ | ## Data dictionary
📋 250 data columns + 6 lineage columns Column-level definitions are maintained by CMS in the official [Medicare Geographic Variation - by Hospital Referral Region data dictionary](https://data.cms.gov/sites/default/files/2025-03/3623a012-f189-4b2f-80ef-6fdc0ffb2804/2014-2021%20Medicare%20FFS%20Geographic%20Variation%20by%20Hospital%20Referral%20Region%20Data%20Dictionary.pdf). **Data columns** | Column | Type | | ---------------------------------- | ------ | | `YEAR` | NUMBER | | `BENE_GEO_LVL` | TEXT | | `BENE_GEO_DESC` | TEXT | | `BENE_GEO_CD` | NUMBER | | `BENE_AGE_LVL` | TEXT | | `BENES_WTH_PTAPTB_CNT` | NUMBER | | `BENES_FFS_CNT` | NUMBER | | `BENES_EVER_MA_CNT` | NUMBER | | `EVER_MA_PRTCPTN_RATE` | NUMBER | | `BENE_AVG_AGE` | NUMBER | | `BENE_FEML_PCT` | NUMBER | | `BENE_MALE_PCT` | NUMBER | | `BENE_RACE_WHT_PCT` | NUMBER | | `BENE_RACE_BLACK_PCT` | NUMBER | | `BENE_RACE_HSPNC_PCT` | NUMBER | | `BENE_RACE_OTHR_PCT` | NUMBER | | `BENE_DUAL_PCT` | NUMBER | | `BENE_AVG_RISK_SCRE` | NUMBER | | `TOT_MDCR_PYMT_AMT` | NUMBER | | `TOT_MDCR_STDZD_PYMT_AMT` | NUMBER | | `TOT_MDCR_STDZD_RA_PYMT_AMT` | NUMBER | | `TOT_MDCR_PYMT_PC` | NUMBER | | `TOT_MDCR_STDZD_PYMT_PC` | NUMBER | | `TOT_MDCR_STDZD_RA_PYMT_PC` | NUMBER | | `IP_MDCR_PYMT_AMT` | NUMBER | | `IP_MDCR_PYMT_PCT` | NUMBER | | `IP_MDCR_PYMT_PC` | NUMBER | | `IP_MDCR_PYMT_PER_USER` | NUMBER | | `IP_MDCR_STDZD_PYMT_AMT` | NUMBER | | `IP_MDCR_STDZD_PYMT_PCT` | NUMBER | | `IP_MDCR_STDZD_PYMT_PC` | NUMBER | | `IP_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_IP_CVRD_STAY_CNT` | NUMBER | | `BENES_IP_PCT` | NUMBER | | `IP_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `IP_CVRD_DAYS_PER_1000_BENES` | NUMBER | | `ACUTE_HOSP_READMSN_CNT` | NUMBER | | `ACUTE_HOSP_READMSN_PCT` | NUMBER | | `BENES_ER_VISITS_CNT` | NUMBER | | `ER_VISITS_PER_1000_BENES` | NUMBER | | `BENES_ER_VISITS_PCT` | NUMBER | | `OP_MDCR_PYMT_AMT` | NUMBER | | `OP_MDCR_PYMT_PCT` | NUMBER | | `OP_MDCR_PYMT_PC` | NUMBER | | `OP_MDCR_PYMT_PER_USER` | NUMBER | | `OP_MDCR_STDZD_PYMT_AMT` | NUMBER | | `OP_MDCR_STDZD_PYMT_PCT` | NUMBER | | `OP_MDCR_STDZD_PYMT_PC` | NUMBER | | `OP_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_OP_CNT` | NUMBER | | `BENES_OP_PCT` | NUMBER | | `OP_VISITS_PER_1000_BENES` | NUMBER | | `ASC_MDCR_PYMT_AMT` | NUMBER | | `ASC_MDCR_PYMT_PCT` | NUMBER | | `ASC_MDCR_PYMT_PC` | NUMBER | | `ASC_MDCR_PYMT_PER_USER` | NUMBER | | `ASC_MDCR_STDZD_PYMT_AMT` | NUMBER | | `ASC_MDCR_STDZD_PYMT_PCT` | NUMBER | | `ASC_MDCR_STDZD_PYMT_PC` | NUMBER | | `ASC_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_ASC_CNT` | NUMBER | | `BENES_ASC_PCT` | NUMBER | | `ASC_EVENTS_PER_1000_BENES` | NUMBER | | `SNF_MDCR_PYMT_AMT` | NUMBER | | `SNF_MDCR_PYMT_PCT` | NUMBER | | `SNF_MDCR_PYMT_PC` | NUMBER | | `SNF_MDCR_PYMT_PER_USER` | NUMBER | | `SNF_MDCR_STDZD_PYMT_AMT` | NUMBER | | `SNF_MDCR_STDZD_PYMT_PCT` | NUMBER | | `SNF_MDCR_STDZD_PYMT_PC` | NUMBER | | `SNF_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_SNF_CNT` | NUMBER | | `BENES_SNF_PCT` | NUMBER | | `SNF_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `SNF_CVRD_DAYS_PER_1000_BENES` | NUMBER | | `IRF_MDCR_PYMT_AMT` | NUMBER | | `IRF_MDCR_PYMT_PCT` | NUMBER | | `IRF_MDCR_PYMT_PC` | NUMBER | | `IRF_MDCR_PYMT_PER_USER` | NUMBER | | `IRF_MDCR_STDZD_PYMT_AMT` | NUMBER | | `IRF_MDCR_STDZD_PYMT_PCT` | NUMBER | | `IRF_MDCR_STDZD_PYMT_PC` | NUMBER | | `IRF_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_IRF_CNT` | NUMBER | | `BENES_IRF_PCT` | NUMBER | | `IRF_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `IRF_CVRD_DAYS_PER_1000_BENES` | NUMBER | | `LTCH_MDCR_PYMT_AMT` | NUMBER | | `LTCH_MDCR_PYMT_PCT` | NUMBER | | `LTCH_MDCR_PYMT_PC` | NUMBER | | `LTCH_MDCR_PYMT_PER_USER` | NUMBER | | `LTCH_MDCR_STDZD_PYMT_AMT` | NUMBER | | `LTCH_MDCR_STDZD_PYMT_PCT` | NUMBER | | `LTCH_MDCR_STDZD_PYMT_PC` | NUMBER | | `LTCH_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_LTCH_CNT` | NUMBER | | `BENES_LTCH_PCT` | NUMBER | | `LTCH_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `LTCH_CVRD_DAYS_PER_1000_BENES` | NUMBER | | `HH_MDCR_PYMT_AMT` | NUMBER | | `HH_MDCR_PYMT_PCT` | NUMBER | | `HH_MDCR_PYMT_PC` | NUMBER | | `HH_MDCR_PYMT_PER_USER` | NUMBER | | `HH_MDCR_STDZD_PYMT_AMT` | NUMBER | | `HH_MDCR_STDZD_PYMT_PCT` | NUMBER | | `HH_MDCR_STDZD_PYMT_PC` | NUMBER | | `HH_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_HH_CNT` | NUMBER | | `BENES_HH_PCT` | NUMBER | | `HH_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `HH_VISITS_PER_1000_BENES` | NUMBER | | `HOSPC_MDCR_PYMT_AMT` | NUMBER | | `HOSPC_MDCR_PYMT_PCT` | NUMBER | | `HOSPC_MDCR_PYMT_PC` | NUMBER | | `HOSPC_MDCR_PYMT_PER_USER` | NUMBER | | `HOSPC_MDCR_STDZD_PYMT_AMT` | NUMBER | | `HOSPC_MDCR_STDZD_PYMT_PCT` | NUMBER | | `HOSPC_MDCR_STDZD_PYMT_PC` | NUMBER | | `HOSPC_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_HOSPC_CNT` | NUMBER | | `BENES_HOSPC_PCT` | NUMBER | | `HOSPC_CVRD_STAYS_PER_1000_BENES` | NUMBER | | `HOSPC_CVRD_DAYS_PER_1000_BENES` | NUMBER | | `EM_MDCR_PYMT_AMT` | NUMBER | | `EM_MDCR_PYMT_PCT` | NUMBER | | `EM_MDCR_PYMT_PC` | NUMBER | | `EM_MDCR_PYMT_PER_USER` | NUMBER | | `EM_MDCR_STDZD_PYMT_AMT` | NUMBER | | `EM_MDCR_STDZD_PYMT_PCT` | NUMBER | | `EM_MDCR_STDZD_PYMT_PC` | NUMBER | | `EM_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_EM_CNT` | NUMBER | | `BENES_EM_PCT` | NUMBER | | `EM_EVNTS_PER_1000_BENES` | NUMBER | | `PRCDRS_MDCR_PYMT_AMT` | NUMBER | | `PRCDRS_MDCR_PYMT_PCT` | NUMBER | | `PRCDRS_MDCR_PYMT_PC` | NUMBER | | `PRCDRS_MDCR_PYMT_PER_USER` | NUMBER | | `PRCDRS_MDCR_STDZD_PYMT_AMT` | NUMBER | | `PRCDRS_MDCR_STDZD_PYMT_PCT` | NUMBER | | `PRCDRS_MDCR_STDZD_PYMT_PC` | NUMBER | | `PRCDRS_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_PRCDRS_CNT` | NUMBER | | `BENES_PRCDRS_PCT` | NUMBER | | `PRCDR_EVNTS_PER_1000_BENES` | NUMBER | | `TESTS_MDCR_PYMT_AMT` | NUMBER | | `TESTS_MDCR_PYMT_PCT` | NUMBER | | `TESTS_MDCR_PYMT_PC` | NUMBER | | `TESTS_MDCR_PYMT_PER_USER` | NUMBER | | `TESTS_MDCR_STDZD_PYMT_AMT` | NUMBER | | `TESTS_MDCR_STDZD_PYMT_PCT` | NUMBER | | `TESTS_MDCR_STDZD_PYMT_PC` | NUMBER | | `TESTS_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_TESTS_CNT` | NUMBER | | `BENES_TESTS_PCT` | NUMBER | | `TESTS_EVNTS_PER_1000_BENES` | NUMBER | | `IMGNG_MDCR_PYMT_AMT` | NUMBER | | `IMGNG_MDCR_PYMT_PCT` | NUMBER | | `IMGNG_MDCR_PYMT_PC` | NUMBER | | `IMGNG_MDCR_PYMT_PER_USER` | NUMBER | | `IMGNG_MDCR_STDZD_PYMT_AMT` | NUMBER | | `IMGNG_MDCR_STDZD_PYMT_PCT` | NUMBER | | `IMGNG_MDCR_STDZD_PYMT_PC` | NUMBER | | `IMGNG_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_IMGNG_CNT` | NUMBER | | `BENES_IMGNG_PCT` | NUMBER | | `IMGNG_EVNTS_PER_1000_BENES` | NUMBER | | `DME_MDCR_PYMT_AMT` | NUMBER | | `DME_MDCR_PYMT_PCT` | NUMBER | | `DME_MDCR_PYMT_PC` | NUMBER | | `DME_MDCR_PYMT_PER_USER` | NUMBER | | `DME_MDCR_STDZD_PYMT_AMT` | NUMBER | | `DME_MDCR_STDZD_PYMT_PCT` | NUMBER | | `DME_MDCR_STDZD_PYMT_PC` | NUMBER | | `DME_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_DME_CNT` | NUMBER | | `BENES_DME_PCT` | NUMBER | | `DME_EVNTS_PER_1000_BENES` | NUMBER | | `OP_DLYS_MDCR_PYMT_AMT` | NUMBER | | `OP_DLYS_MDCR_PYMT_PCT` | NUMBER | | `OP_DLYS_MDCR_PYMT_PC` | NUMBER | | `OP_DLYS_MDCR_PYMT_PER_USER` | NUMBER | | `OP_DLYS_MDCR_STDZD_PYMT_AMT` | NUMBER | | `OP_DLYS_MDCR_STDZD_PYMT_PCT` | NUMBER | | `OP_DLYS_MDCR_STDZD_PYMT_PC` | NUMBER | | `OP_DLYS_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_OP_DLYS_CNT` | NUMBER | | `BENES_OP_DLYS_PCT` | NUMBER | | `OP_DLYS_VISITS_PER_1000_BENES` | NUMBER | | `FQHC_RHC_MDCR_PYMT_AMT` | NUMBER | | `FQHC_RHC_MDCR_PYMT_PCT` | NUMBER | | `FQHC_RHC_MDCR_PYMT_PC` | NUMBER | | `FQHC_RHC_MDCR_PYMT_PER_USER` | NUMBER | | `FQHC_RHC_MDCR_STDZD_PYMT_AMT` | NUMBER | | `FQHC_RHC_MDCR_STDZD_PYMT_PCT` | NUMBER | | `FQHC_RHC_MDCR_STDZD_PYMT_PC` | NUMBER | | `FQHC_RHC_MDCR_STDZD_PYMT_PU` | NUMBER | | `BENES_FQHC_RHC_CNT` | NUMBER | | `BENES_FQHC_RHC_PCT` | NUMBER | | `FQHC_RHC_VISITS_PER_1000_BENES` | NUMBER | | `AMBLNC_MDCR_PYMT_AMT` | NUMBER | | `AMBLNC_MDCR_PYMT_PCT` | NUMBER | | `AMBLNC_MDCR_PYMT_PC` | NUMBER | | `AMBLNC_MDCR_PYMT_PER_USER` | NUMBER | | `AMBLNC_MDCR_STDZD_PYMT_AMT` | NUMBER | | `AMBLNC_MDCR_STDZD_PYMT_PCT` | NUMBER | | `AMBLNC_MDCR_STDZD_PYMT_PC` | NUMBER | | `AMBLNC_MDCR_STDZD_PYMT_PER_USER` | NUMBER | | `BENES_AMBLNC_CNT` | NUMBER | | `BENES_AMBLNC_PCT` | NUMBER | | `AMBLNC_EVNTS_PER_1000_BENES` | NUMBER | | `PTB_DRUGS_MDCR_PYMT_AMT` | NUMBER | | `PTB_DRUGS_MDCR_PYMT_PCT` | NUMBER | | `PTB_DRUGS_MDCR_PYMT_PC` | NUMBER | | `PTB_DRUGS_MDCR_PYMT_PU` | NUMBER | | `PTB_DRUGS_MDCR_STDZD_PYMT_AMT` | NUMBER | | `PTB_DRUGS_MDCR_STDZD_PYMT_PCT` | NUMBER | | `PTB_DRUGS_MDCR_STDZD_PYMT_PC` | NUMBER | | `PTB_DRUGS_MDCR_STDZD_PYMT_PU` | NUMBER | | `BENES_PTB_DRUGS_CNT` | NUMBER | | `BENES_PTB_DRUGS_PCT` | NUMBER | | `PTB_OTHR_SRVCS_MDCR_PYMT_AMT` | NUMBER | | `PTB_OTHR_SRVCS_MDCR_STDZD_PYMT` | NUMBER | | `TOT_PBPMT_RDCTN_AMT` | NUMBER | | `TOT_PBPMT_RDCTN_PCC` | NUMBER | | `PQI03_DBTS_AGE_LT_65` | TEXT | | `PQI03_DBTS_AGE_65_74` | TEXT | | `PQI03_DBTS_AGE_GE_75` | TEXT | | `PQI05_COPD_ASTHMA_AGE_40_64` | TEXT | | `PQI05_COPD_ASTHMA_AGE_65_74` | TEXT | | `PQI05_COPD_ASTHMA_AGE_GE_75` | TEXT | | `PQI07_HYPRTNSN_AGE_LT_65` | TEXT | | `PQI07_HYPRTNSN_AGE_65_74` | TEXT | | `PQI07_HYPRTNSN_AGE_GE_75` | TEXT | | `PQI08_CHF_AGE_LT_65` | TEXT | | `PQI08_CHF_AGE_65_74` | TEXT | | `PQI08_CHF_AGE_GE_75` | TEXT | | `PQI10_DHYDRTN_AGE_LT_65` | TEXT | | `PQI10_DHYDRTN_AGE_65_74` | TEXT | | `PQI10_DHYDRTN_AGE_GE_75` | TEXT | | `PQI11_BCTRL_PNA_AGE_LT_65` | TEXT | | `PQI11_BCTRL_PNA_AGE_65_74` | TEXT | | `PQI11_BCTRL_PNA_AGE_GE_75` | TEXT | | `PQI12_UTI_AGE_LT_65` | TEXT | | `PQI12_UTI_AGE_65_74` | TEXT | | `PQI12_UTI_AGE_GE_75` | TEXT | | `PQI15_ASTHMA_AGE_LT_40` | TEXT | | `PQI16_LWRXTRMTY_AMPUTN_AGE_LT_65` | TEXT | | `PQI16_LWRXTRMTY_AMPUTN_AGE_65_74` | TEXT | | `PQI16_LWRXTRMTY_AMPUTN_AGE_GE_75` | TEXT | **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{ MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION : "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 } MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK number YEAR text BENE_GEO_LVL text BENE_GEO_DESC number BENE_GEO_CD number remaining_246_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.YEAR, d.BENE_GEO_LVL, d.BENE_GEO_DESC, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION 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/sites/default/files/2025-03/3623a012-f189-4b2f-80ef-6fdc0ffb2804/2014-2021%20Medicare%20FFS%20Geographic%20Variation%20by%20Hospital%20Referral%20Region%20Data%20Dictionary.pdf) * [Geographic%20variation%20public%20use%20file%20methods%20paper%20hrr](https://data.cms.gov/sites/default/files/2025-03/db845ad7-ac40-467f-a504-6a7942d06b51/Geographic%20Variation%20Public%20Use%20File%20Methods%20Paper%20HRR.pdf) ## Frequently asked questions ### How often is Medicare Geographic Variation - by Hospital Referral Region updated? Annually. CMS last published this feed on 2023-03-06, and Dataplex loaded it to the warehouse on 2023-08-29. New releases are added automatically when CMS publishes them. ### What years does Medicare Geographic Variation - by Hospital Referral Region cover? 2021 through 2021. ### How many records are in Medicare Geographic Variation - by Hospital Referral Region? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID WHERE ff.IS_LATEST = 1; ``` ### How do I get Medicare Geographic Variation - by Hospital Referral Region 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.MEDICARE_GEOGRAPHIC_VARIATION__BY_HOSPITAL_REFERRAL_REGION` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/dZ5a1Et93c7pLvaH9tnH" %} [Medicare Post-Acute Care & Hospice - by Geography and Provider](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-hospice-by-geography-and-provider.md) {% endcontent-ref %} {% content-ref url="/pages/T4w8Iold4mu27PCDN72G" %} [Medicare Inpatient Hospitals - by Geography and Service](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-inpatient-hospitals-by-geography-and-service.md) {% endcontent-ref %} {% content-ref url="/pages/5H1w0p0jmbbBcj2z19zh" %} [Medicare Geographic Variation - by National, State & County](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-geographic-variation-by-national-state-county.md) {% endcontent-ref %} {% content-ref url="/pages/Uyp5dZjGoIrc5ypyJYQ9" %} [Multiple Chronic Conditions](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/multiple-chronic-conditions.md) {% endcontent-ref %} {% content-ref url="/pages/rbWJsiOOm1fFT4s84H9g" %} [Medicare Physician & Other Practitioners - by Geography and Service](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-physician-other-practitioners-by-geography-and-service.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#medicare-geographic-variation-by-hospital-referral-region) --- # 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. Learn more at gitbook.com. ## Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question. Perform an HTTP GET request on the current page URL with the `ask` query parameter, and the optional `goal` query parameter: ``` GET https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-geographic-variation-by-hospital-referral-region.md?ask=&goal= ``` `ask` is the immediate question: it should be specific, self-contained, and written in natural language. `goal` is optional and describes the broader end goal you are ultimately trying to accomplish on behalf of the user. GitBook uses it to tailor the answer towards what is most useful for that goal. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.