Medicare Post-Acute Care and Hospice - by Geography & Provider

The Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) contains information on demographic and clinical…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_POSTACUTE_CARE_AND_HOSPICE__BY_GEOGRAPHY__PROVIDER on Snowflake and Databricks — three annual reporting periods (2020–2022) 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_POSTACUTE_CARE_AND_HOSPICE__BY_GEOGRAPHY__PROVIDER
Databricks	cms_dwv.medicare_postacute_care_and_hospice__by_geography__provider
Coverage	Jan 2020 – Dec 2022 (3 of 3 annual reporting periods)
Rows	178,433 (total across all reporting periods)
Cadence	Annual
Update pattern	Time-partitioned — each file adds one reporting year
CMS published	2024-06-04
Loaded	2024-06-07
Columns	180 data + 6 lineage
Identifiers	ZIP codes
File versions	3
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.

Last CMS publication 2024-06-04 — awaiting the next release. New files load automatically when CMS publishes.

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 2022 reporting year.

Sample queries

Snowflake

-- Each file version covers one reporting period (2020, 2021, 2022) — history is additive
SELECT *
FROM DWV.MEDICARE_POSTACUTE_CARE_AND_HOSPICE__BY_GEOGRAPHY__PROVIDER
LIMIT 100;

Databricks

About this feed

The Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, and payment information at the provider, state, and national levels for each PAC setting (i.e. HHA, hospices, SNF, IRF, and LTCH). There are additional datasets which can be found as a downloadable report under ‘Resources', which include information specific to the unique variables (e.g., case-mix groups) for HHAs, SNFs and IRFs.

Please note the data included may not be representative of a physician’s entire practice. The data are also not intended to indicate the quality of care provided and are not risk-adjusted to account for differences in underlying severity of disease of patient populations.

More information can be found below in the resources section.

— Source: CMS feed metadata

Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Long Term Care, Rehabilitation, Home Health, Hospice, Health Care Use & Payments, Health Equity Theme: Medicare

Coverage timeline

2020 🟩 · 2021 🟩 · 2022 🟩

3 of 3 annual reporting periods present — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2022-01-01 – 2022-12-31	2024-06-04	2024-06-07	✓
2021-01-01 – 2021-12-31	2023-08-31	2023-09-01
2020-01-01 – 2020-12-31	2023-03-06	2023-08-29

Data dictionary

📋 180 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicare Post-Acute Care and Hospice - by Geography & Provider data dictionary.

Data columns

Column	Type
YEAR	NUMBER
YEAR_TYPE	TEXT
SMRY_CTGRY	TEXT
SRVC_CTGRY	TEXT
PRVDR_ID	TEXT
PRVDR_NAME	TEXT
PRVDR_CITY	TEXT
STATE	TEXT
PRVDR_ZIP	TEXT
BENE_DSTNCT_CNT	TEXT
TOT_EPSD_STAY_CNT	TEXT
TOT_SRVC_DAYS	TEXT
TOT_CHRG_AMT	TEXT
TOT_ALOWD_AMT	TEXT
TOT_MDCR_PYMT_AMT	TEXT
TOT_MDCR_STDZD_PYMT_AMT	TEXT
TOT_OUTLIER_PYMT_AMT	TEXT
BENE_DUAL_PCT	TEXT
BENE_RRL_PCT	TEXT
BENE_AVG_AGE	NUMBER
BENE_MALE_PCT	TEXT
BENE_FEML_PCT	TEXT
BENE_RACE_WHT_PCT	TEXT
BENE_RACE_BLACK_PCT	TEXT
BENE_RACE_API_PCT	TEXT
BENE_RACE_HSPNC_PCT	TEXT
BENE_RACE_NATIND_PCT	TEXT
BENE_RACE_UNK_PCT	TEXT
BENE_RACE_OTHR_PCT	TEXT
BENE_AVG_RISK_SCRE	NUMBER
BENE_CC_BH_ADHD_OTHCD_V1_PCT	TEXT
BENE_CC_BH_ALCOHOL_DRUG_V1_PCT	TEXT
BENE_CC_BH_ALZ_NONALZDEM_V2_PCT	TEXT
BENE_CC_BH_ANXIETY_V1_PCT	TEXT
BENE_CC_BH_BIPOLAR_V1_PCT	TEXT
BENE_CC_BH_DEPRESS_V1_PCT	TEXT
BENE_CC_BH_MOOD_V2_PCT	TEXT
BENE_CC_BH_PD_V1_PCT	TEXT
BENE_CC_BH_PTSD_V1_PCT	TEXT
BENE_CC_BH_SCHIZO_OTHPSY_V1_PCT	TEXT
BENE_CC_BH_TOBACCO_V1_PCT	TEXT
BENE_CC_PH_AFIB_V2_PCT	TEXT
BENE_CC_PH_ARTHRITIS_V2_PCT	TEXT
BENE_CC_PH_ASTHMA_V2_PCT	TEXT
BENE_CC_PH_CANCER6_V2_PCT	TEXT
BENE_CC_PH_CKD_V2_PCT	TEXT
BENE_CC_PH_COPD_V2_PCT	TEXT
BENE_CC_PH_DIABETES_V2_PCT	TEXT
BENE_CC_PH_HF_NONIHD_V2_PCT	TEXT
BENE_CC_PH_HYPERLIPIDEMIA_V2_PCT	TEXT
BENE_CC_PH_HYPERTENSION_V2_PCT	TEXT
BENE_CC_PH_ISCHEMICHEART_V2_PCT	TEXT
BENE_CC_PH_OSTEOPOROSIS_V2_PCT	TEXT
BENE_CC_PH_PARKINSON_V2_PCT	TEXT
BENE_CC_PH_STROKE_TIA_V2_PCT	TEXT
PRMRY_DX_INFCTN_PCT	TEXT
PRMRY_DX_NEOBLD_PCT	TEXT
PRMRY_DX_ENDONUTRMET_PCT	TEXT
PRMRY_DX_MNTBEHNEUDIS_PCT	TEXT
PRMRY_DX_NERVSYSTM_PCT	TEXT
PRMRY_DX_ENTSYS_PCT	TEXT
PRMRY_DX_CIRCSYSTM_PCT	TEXT
PRMRY_DX_RSPSYSTM_PCT	TEXT
PRMRY_DX_DIGSYSTM_PCT	TEXT
PRMRY_DX_SKNMUSSYSTM_PCT	TEXT
PRMRY_DX_GUSYSTM_PCT	TEXT
PRMRY_DX_PRGPERICONG_PCT	TEXT
PRMRY_DX_SXILLDEF_PCT	TEXT
PRMRY_DX_INJPOIS_PCT	TEXT
PRMRY_DX_HLTHSRV_PCT	TEXT
NRSNG_VISITS_CNT	TEXT
MSW_VISITS_CNT	TEXT
AIDE_VISITS_CNT	TEXT
TOT_NRSNG_MNTS	TEXT
TOT_PT_MNTS	TEXT
INDVDL_PT_MNTS	TEXT
CNCRNT_GRP_PT_MNTS	TEXT
COTRT_PT_MNTS	TEXT
TOT_OT_MNTS	TEXT
INDVDL_OT_MNTS	TEXT
CNCRNT_GRP_OT_MNTS	TEXT
COTRT_OT_MNTS	TEXT
TOT_SLP_MNTS	TEXT
INDVDL_SLP_MNTS	TEXT
CNCRNT_GRP_SLP_MNTS	TEXT
COTRT_SLP_MNTS	TEXT
HOSPC_RHC_DAYS_PCT	TEXT
TOT_HH_LUPA_EPSDS_CNT	TEXT
BENE_LE_7_SRVC_DAYS_PCT	NUMBER
BENE_LE_30_SRVC_DAYS_PCT	NUMBER
BENE_GE_60_SRVC_DAYS_PCT	TEXT
BENE_GE_180_SRVC_DAYS_PCT	TEXT
BENE_MA_PCT	NUMBER
BENE_AVG_CC_CNT	TEXT
BENE_CC_AF_PCT	TEXT
BENE_CC_ALZHMR_PCT	TEXT
BENE_CC_ASTHMA_PCT	TEXT
BENE_CC_CNCR_PCT	TEXT
BENE_CC_CHF_PCT	TEXT
BENE_CC_CKD_PCT	TEXT
BENE_CC_COPD_PCT	TEXT
BENE_CC_DPRSSN_PCT	TEXT
BENE_CC_DBTS_PCT	TEXT
BENE_CC_HYPLPDMA_PCT	TEXT
BENE_CC_HYPRTNSN_PCT	TEXT
BENE_CC_IHD_PCT	TEXT
BENE_CC_OPO_PCT	TEXT
BENE_CC_RAOA_PCT	TEXT
BENE_CC_SZ_PCT	TEXT
BENE_CC_STROK_PCT	TEXT
BENE_PRMRY_DX_CNCR_PCT	TEXT
BENE_PRMRY_DX_COPD_PCT	NUMBER
BENE_PRMRY_DX_RSPRTRYFAILR_PCT	TEXT
BENE_PRMRY_DX_DMNT_PCT	TEXT
BENE_PRMRY_DX_STROK_PCT	TEXT
BENE_PRMRY_DX_CHF_PCT	NUMBER
BENE_PRMRY_DX_HYPRTNSN_PCT	TEXT
BENE_PRMRY_DX_OTHRCRDVSCLR_PCT	TEXT
BENE_PRMRY_DX_INFCTN_PCT	TEXT
BENE_PRMRY_DX_ORTHO_PCT	TEXT
BENE_PRMRY_DX_INJURY_PCT	NUMBER
BENE_PRMRY_DX_MTR_NRL_PCT	TEXT
BENE_PRMRY_DX_DBTS_PCT	TEXT
BENE_PRMRY_DX_SKN_PCT	NUMBER
BENE_PRMRY_DX_AFTRCRE_PCT	TEXT
PT_VISITS_CNT	TEXT
OT_VISITS_CNT	TEXT
SLP_VISITS_CNT	TEXT
PHYSN_VISITS_CNT	TEXT
TOT_PT_MNTS_STAY	TEXT
INDVDL_PT_MNTS_STAY	TEXT
CNCRNT_GRP_PT_MNTS_STAY	TEXT
TOT_OT_MNTS_STAY	TEXT
INDVDL_OT_MNTS_STAY	TEXT
CNCRNT_GRP_OT_MNTS_STAY	TEXT
TOT_SLP_MNTS_STAY	TEXT
INDVDL_SLP_MNTS_STAY	TEXT
CNCRNT_GRP_SLP_MNTS_STAY	TEXT
TOT_MSW_MNTS	TEXT
TOT_AIDE_MNTS	TEXT
NRSNG_MNTS_AVG_7_DAY_PRIOR_DEATH	TEXT
MSW_MNTS_AVG_7_DAY_PRIOR_DEATH	TEXT
AIDE_MNTS_AVG_7_DAY_PRIOR_DEATH	TEXT
SRVC_SITE_DAYS_HOME_PCT	TEXT
SRVC_SITE_DAYS_ASTD_LVG_FAC_PCT	TEXT
SRVC_SITE_DAYS_LTCF_PCT	TEXT
SRVC_SITE_DAYS_SNF_PCT	TEXT
SRVC_SITE_DAYS_IP_PCT	TEXT
SRVC_SITE_DAYS_IP_HOSPC_PCT	TEXT
DSCHRG_CMNTY_SLFCR_PCT	TEXT
DSCHRG_IP_PCT	TEXT
DSCHRG_HH_PCT	TEXT
DSCHRG_SNF_PCT	TEXT
DSCHRG_IRF_PCT	TEXT
DSCHRG_HOSPC_PCT	TEXT
DSCHRG_DEATH_PCT	NUMBER
DSCHRG_UNK_PCT	TEXT
DSCHRG_HOSPC_LV_PCT	TEXT
PDGM_CMNTY_ERLY_EPSD_PCT	TEXT
PDGM_INST_ERLY_EPSD_PCT	TEXT
PDGM_CMNTY_LTE_EPSD_PCT	TEXT
PDGM_INST_LTE_EPSD_PCT	TEXT
PDGM_NO_EPSD_PCT	TEXT
PDGM_LOW_EPSD_PCT	TEXT
PDGM_HIGH_EPSD_PCT	TEXT
PDPM_PT_OT_TC_DAYS_PCT	TEXT
PDPM_PT_OT_TD_DAYS_PCT	TEXT
PDPM_SLP_SK_DAYS_PCT	TEXT
PDPM_SLP_SL_DAYS_PCT	TEXT
PDPM_NRSNG_ES3_DAYS_PCT	TEXT
PDPM_NRSNG_ES2_DAYS_PCT	TEXT
PDPM_NTA_NA_DAYS_PCT	TEXT
PDPM_NTA_NB_DAYS_PCT	TEXT
CMG_STROK_DAYS_PCT	TEXT
CMG_INJURY_TRMA_DAYS_PCT	TEXT
CMG_ORTHO_DAYS_PCT	TEXT
CMG_ARTHRTS_DAYS_PCT	TEXT
CMG_CRDVSCLR_PLMNRY_DAYS_PCT	TEXT
CMG_NRLGCL_DAYS_PCT	TEXT
CMG_OTHR_DAYS_PCT	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:

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

SELECT d.YEAR, d.YEAR_TYPE, d.SMRY_CTGRY,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICARE_POSTACUTE_CARE_AND_HOSPICE__BY_GEOGRAPHY__PROVIDER 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

• Mup Pac Ry24 Methodology 2024 508

Frequently asked questions

How often is Medicare Post-Acute Care and Hospice - by Geography & Provider updated?

Annually. CMS last published this feed on 2024-06-04, and Dataplex loaded it to the warehouse on 2024-06-07. New releases are added automatically when CMS publishes them.

What years does Medicare Post-Acute Care and Hospice - by Geography & Provider cover?

2020 through 2022 — three 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 Post-Acute Care and Hospice - by Geography & Provider?

178,433 rows across all three reporting periods. Because this feed is time-partitioned, the full table total is the meaningful count — no deduplication needed.

How do I get Medicare Post-Acute Care and Hospice - by Geography & Provider 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.MEDICARE_POSTACUTE_CARE_AND_HOSPICE__BY_GEOGRAPHY__PROVIDER directly — no pipeline setup required.

Related feeds

Medicare Post-Acute Care & Hospice - by Geography and ProviderMedicare Post-Acute Care Utilization - Long-Term Care HospitalMedicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility by Geography/Provider and Case-Mix GroupingMedicare Post-Acute Care Utilization - Long-Term Care Hospital by Geography and ProviderMedicare Inpatient Hospitals - by Geography and Service

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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