> 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-part-d-opioid-prescribing-rates-by-geography.md). # Medicare Part D Opioid Prescribing Rates - 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.MEDICARE_PART_D_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.MEDICARE_PART_D_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY` | | **Databricks** | `cms_dwv.medicare_part_d_opioid_prescribing_rates__by_geography` | | **Coverage** | Jan 2021 – Dec 2024 (4 of 4 annual reporting periods) | | **Rows** | 1,584,088 (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** | 18 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](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 2026-06-11. Coverage is complete through the 2024 reporting year. Next CMS release expected \~Jun 2027. {% endhint %} {% hint style="info" %} **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. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Each file version covers one reporting period (2021, 2022, 2023, 2024) — history is additive SELECT * FROM DWV.MEDICARE_PART_D_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Each file version covers one reporting period (2021, 2022, 2023, 2024) — history is additive SELECT * FROM cms_dwv.medicare_part_d_opioid_prescribing_rates__by_geography LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > The Medicare Part D Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicare Part D opioid prescriptions at the state, county, and ZIP code levels. > > — *Source: CMS feed metadata* **Keywords:** National, States & Territories, Counties, ZIP Code, Rural-Urban, Medicare, Medicare Prescription Drug, Physicians & Practitioners, Drugs, Health Equity **Theme:** Medicare ## 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 | 2023-05-24 | 2023-08-29 | | ## Data dictionary
📋 18 data columns + 6 lineage columns Column-level definitions are maintained by CMS in the official [Medicare Part D Opioid Prescribing Rates - by Geography data dictionary](https://data.cms.gov/resources/medicare-part-d-opioid-prescribing-rates-by-geography-data-dictionary). **Data columns** | Column | Type | | -------------------------------- | ------ | | `YEAR` | NUMBER | | `PRSCRBR_GEO_LVL` | TEXT | | `PRSCRBR_GEO_CD` | NUMBER | | `PRSCRBR_GEO_DESC` | TEXT | | `RUCA_CD` | NUMBER | | `BREAKOUT_TYPE` | TEXT | | `BREAKOUT` | TEXT | | `TOT_PRSCRBRS` | NUMBER | | `TOT_OPIOID_PRSCRBRS` | NUMBER | | `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 | **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_PART_D_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ MEDICARE_PART_D_OPIOID_PRESCRIBING_RATES__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 } MEDICARE_PART_D_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK number YEAR text PRSCRBR_GEO_LVL number PRSCRBR_GEO_CD text PRSCRBR_GEO_DESC number remaining_14_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.YEAR, d.PRSCRBR_GEO_LVL, d.PRSCRBR_GEO_CD, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.MEDICARE_PART_D_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](https://data.cms.gov/resources/medicare-part-d-opioid-prescribing-rates-by-geography-data-dictionary) * [Medicare Part D Opioid Prescribing Rates by Geography Methodology 0](https://data.cms.gov/resources/medicare-part-d-opioid-prescribing-rates-by-geography-methodology-0) ## Frequently asked questions ### How often is Medicare Part D 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 Medicare Part D 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 Medicare Part D Opioid Prescribing Rates - by Geography? 1,584,088 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 Medicare Part D Opioid Prescribing Rates - 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.MEDICARE_PART_D_OPIOID_PRESCRIBING_RATES__BY_GEOGRAPHY` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/S696BTb9VK7JkeRV2a52" %} [Medicare Part D Prescribers - by Geography and Drug](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-part-d-prescribers-by-geography-and-drug.md) {% endcontent-ref %} {% content-ref url="/pages/uxn7MKni7n1pinf1CT6a" %} [Medicare Monthly Enrollment](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-monthly-enrollment.md) {% endcontent-ref %} {% content-ref url="/pages/mLAzRSEXMTntOoMnqquk" %} [Medicare Durable Medical Equipment, Devices & Supplies - by Geography and Service](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-durable-medical-equipment-devices-supplies-by-geography-and-service.md) {% endcontent-ref %} {% content-ref url="/pages/3Gpjb984k3o8xLswelN4" %} [Medicare Part D Prescribers - by Provider](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-part-d-prescribers-by-provider.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 %} ## 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-part-d-opioid-prescribing-rates-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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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.