Medicare Post-Acute Care Utilization - Home Health Agency

The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) dataset contains data summarized at the provider, state, and national levels.

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY on Snowflake and Databricks: ten annual reporting periods (2014–2023) 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_UTILIZATION__HOME_HEALTH_AGENCY
Databricks	cms_dwv.medicare_postacute_care_utilization__home_health_agency
Coverage	Jan 2014 – Dec 2023 (10 of 10 annual reporting periods)
Rows	94,399 (total across all reporting periods)
Cadence	Annual
Update pattern	Time-partitioned; each file adds one reporting year
CMS published	2025-08-14
Loaded	2025-08-14
Columns	78 data + 6 lineage
Identifiers	ZIP codes
File versions	10
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 2025-08-14. Coverage is complete through the 2023 reporting year.

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 2023 reporting year).

Sample queries

Snowflake

-- Each file version covers one reporting period; history is additive
SELECT *
FROM DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY
LIMIT 100;

Databricks

-- Each file version covers one reporting period; history is additive
SELECT *
FROM cms_dwv.medicare_postacute_care_utilization__home_health_agency
LIMIT 100;

About this feed

The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) dataset contains data summarized at the provider, state, and national levels. Payment information includes provider charges, Medicare allowed amount (if applicable), Medicare payment, and the standardized payment for care provided in the HHA setting.

Source: CMS feed metadata

Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Home Health, Health Care Use & Payments Theme: Medicare

Coverage timeline

2014–2023 🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩 (🟩 covered · ⬜ no data)

10 of 10 annual reporting periods present, no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2023-01-01 – 2023-12-31	2025-08-14	2025-08-14	✓
2022-01-01 – 2022-12-31	2025-08-14	2025-08-14
2021-01-01 – 2021-12-31	2025-08-14	2025-08-14
2020-01-01 – 2020-12-31	2025-08-14	2025-08-14
2019-01-01 – 2019-12-31	2025-08-14	2025-08-14
2018-01-01 – 2018-12-31	2025-08-14	2025-08-14
2017-01-01 – 2017-12-31	2025-08-14	2025-08-14
2016-01-01 – 2016-12-31	2025-08-14	2025-08-14
2015-01-01 – 2015-12-31	2025-08-14	2025-08-14
2014-01-01 – 2014-12-31	2025-08-14	2025-08-14

Data dictionary

📋 78 data columns + 6 lineage columns

Data columns

Column	Type	Description
YEAR	NUMBER	The year of data.
YEAR_TYPE	TEXT	Identifies if the data is for calendar year (CY) or fiscal year (FY).
SMRY_CTGRY	TEXT	Identifies if the data is at the national, state, or provider level.
SRVC_CTGRY	TEXT	Identifies the PAC setting: HH, hospice, SNFs, IRFs, or LTCHs.
PRVDR_ID	TEXT	The 6-digit CCN for the provider.
PRVDR_NAME	TEXT	The provider name, as reported in the Provider of Services file.
PRVDR_CITY	TEXT	The city where the provider is located, as reported in the Provider of Services file.
STATE	TEXT	The state where the provider is located, as reported in the Provider of Services file.
PRVDR_ZIP	TEXT	The provider's ZIP code, as reported in the Provider of Services file.
BENE_DSTNCT_CNT	NUMBER	Number of unique Medicare beneficiaries with at least one paid claim in the calendar or fiscal year.
TOT_EPSD_STAY_CNT	NUMBER	For home health, this is the total count of 30-day episodes in the CY. For hospice, SNF, IRF, and LTCH this is the total count of stays provided in the fiscal year.
TOT_SRVC_DAYS	NUMBER	Total count of covered days delivered by a provider in the calendar or fiscal year.
TOT_CHRG_AMT	NUMBER	Total charges submitted by the provider.
TOT_ALOWD_AMT	NUMBER	Total of the Medicare allowed amount; this figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.
TOT_MDCR_PYMT_AMT	NUMBER	Total amount that Medicare paid after deductible and coinsurance amounts have been deducted.
TOT_MDCR_STDZD_PYMT_AMT	NUMBER	Total amount that Medicare paid adjusted for geographic differences in payment rates.
TOT_OUTLIER_PYMT_AMT	NUMBER	Total amount that Medicare paid for episodes or stays that were extraordinarily costly to the provider.
BENE_DUAL_PCT	TEXT	Percent of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits.
BENE_RRL_PCT	NUMBER	Percent of Medicare beneficiaries who receive their Medicare correspondence in a rural area.
BENE_AVG_AGE	NUMBER	The arithmetic mean age of beneficiaries.
BENE_MALE_PCT	NUMBER	Percent of beneficiaries who are male.
BENE_FEML_PCT	NUMBER	Percent of beneficiaries who are female.
BENE_RACE_WHT_PCT	NUMBER	Percent of beneficiaries who are non-Hispanic white.
BENE_RACE_BLACK_PCT	NUMBER	Percent of beneficiaries who are a non-Hispanic black or African American.
BENE_RACE_API_PCT	NUMBER	Percent of beneficiaries are Asian Pacific Islander.
BENE_RACE_HSPNC_PCT	NUMBER	Percent of beneficiaries who are Hispanic.
BENE_RACE_NATIND_PCT	NUMBER	Percent of beneficiaries who are American Indian or Alaska Native.
BENE_RACE_UNK_PCT	NUMBER	Percent of beneficiaries with an unknown race.
BENE_RACE_OTHR_PCT	NUMBER	Percent of beneficiaries with are an other race.
BENE_AVG_RISK_SCRE	NUMBER	The arithmetic mean Hierarchical Condition Category (HCC) risk score of beneficiaries.
BENE_CC_BH_ADHD_OTHCD_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for ADHD and other conduct disorders.
BENE_CC_BH_ALCOHOL_DRUG_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithms for both alcohol use disorder and/or drug use disorder.
BENE_CC_BH_ALZ_NONALZDEM_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithms for both Alzheimer's disease and/or non-Alzheimer's dementia.
BENE_CC_BH_ANXIETY_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for anxiety disorders.
BENE_CC_BH_BIPOLAR_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for bipolar disorders.
BENE_CC_BH_DEPRESS_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for major depressive affective disorder.
BENE_CC_BH_MOOD_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for depression and other depressive mood disorders.
BENE_CC_BH_PD_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for personality disorders.
BENE_CC_BH_PTSD_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for post-traumatic stress disorders.
BENE_CC_BH_SCHIZO_OTHPSY_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders.
BENE_CC_BH_TOBACCO_V1_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for tobacco use disorders.
BENE_CC_PH_AFIB_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation/flutter.
BENE_CC_PH_ARTHRITIS_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis.
BENE_CC_PH_ASTHMA_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithms for asthma.
BENE_CC_PH_CANCER6_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithms for six cancer types.
BENE_CC_PH_CKD_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithms for chronic kidney disease.
BENE_CC_PH_COPD_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for COPD.
BENE_CC_PH_DIABETES_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes.
BENE_CC_PH_HF_NONIHD_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure/non-ischemic heart disease.
BENE_CC_PH_HYPERLIPIDEMIA_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia.
BENE_CC_PH_HYPERTENSION_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension.
BENE_CC_PH_ISCHEMICHEART_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease.
BENE_CC_PH_OSTEOPOROSIS_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis.
BENE_CC_PH_PARKINSON_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for Parkinson's disease/secondary parkinsonism.
BENE_CC_PH_STROKE_TIA_V2_PCT	TEXT	Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke/transient ischemic attack.
PRMRY_DX_INFCTN_PCT	NUMBER	Percent of episodes with a primary diagnosis of Infections or Parasitic Disease.
PRMRY_DX_NEOBLD_PCT	NUMBER	Percent of Episodes with a primary diagnosis of Neoplasms & Diseases of the Blood and Blood forming organs.
PRMRY_DX_ENDONUTRMET_PCT	NUMBER	Percent of episodes with a primary diagnosis of Endocrine, Nutritional or Metabolic diseases.
PRMRY_DX_MNTBEHNEUDIS_PCT	NUMBER	Percent of episodes with a primary diagnosis of Mental, Behavioral, or Neurodevelopmental Disorders.
PRMRY_DX_NERVSYSTM_PCT	NUMBER	Percent of episodes with a primary diagnosis of Diseases of the Nervous System.
PRMRY_DX_ENTSYS_PCT	NUMBER	Percent of Episodes with a primary diagnosis of Diseases of the Eye and Adnexa & Disease of the Ear and Mastoid process.
PRMRY_DX_CIRCSYSTM_PCT	NUMBER	Percent of Episodes with a primary diagnosis of Diseases of the Circulatory System.
PRMRY_DX_RSPSYSTM_PCT	NUMBER	Percent of episodes with a primary diagnosis of Diseases of the Respiratory System.
PRMRY_DX_DIGSYSTM_PCT	NUMBER	Percent of episodes with a primary diagnosis of Diseases of the Digestive System.
PRMRY_DX_SKNMUSSYSTM_PCT	NUMBER	Percent of Episodes with a primary diagnosis of Diseases of the Skin and Subcutaneous Tissue & Diseases of the Musculoskeletal System and Connective Tissue.
PRMRY_DX_GUSYSTM_PCT	NUMBER	Percent of episodes with a primary diagnosis of Diseases of the Genitourinary System.
PRMRY_DX_PRGPERICONG_PCT	NUMBER	Percent of Episodes with a primary diagnosis of Pregnancy, Childbirth and the Puerperium, certain conditions originating in the perinatal Period, & Congenital Malformations, Deformations and Chromosomal Abnormalities.
PRMRY_DX_SXILLDEF_PCT	NUMBER	Percent of episodes with a primary diagnosis of Symptoms, Signs and Abnormal Clinical and Laboratory findings.
PRMRY_DX_INJPOIS_PCT	NUMBER	Percent of episodes with a primary diagnosis of Injury, Poisoning and certain other consequences of external causes.
PRMRY_DX_HLTHSRV_PCT	NUMBER	Percent of episodes with a primary diagnosis of Factors influencing health status and contact with health services.
NRSNG_VISITS_CNT	NUMBER	Number of skilled nursing visits provided by the home health agency or hospice.
MSW_VISITS_CNT	NUMBER	Number of social work visits provided by the home health agency or hospice.
AIDE_VISITS_CNT	NUMBER	Number of home health aide visits provided by the home health agency or hospice.
TOT_NRSNG_MNTS	NUMBER	Total minutes of skilled nursing in home health and hospice provided.
TOT_PT_MNTS	NUMBER	Total minutes of physical therapy in home health, SNF and IRF provided.
TOT_OT_MNTS	NUMBER	Total minutes of occupational therapy in home health, SNF and IRF.
TOT_SLP_MNTS	NUMBER	Total minutes of speech-language pathology in home health, SNF and IRF.
TOT_HH_LUPA_EPSDS_CNT	NUMBER	Total count of low utilization payment amount episodes (LUPA) provided in the calendar year.

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:

Snowflake

SELECT d.YEAR, d.YEAR_TYPE, d.SMRY_CTGRY,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Databricks

SELECT d.year, d.year_type, d.smry_ctgry,
       ff.temporal_start, ff.temporal_end, ff.cms_feed_modified
FROM cms_dwv.medicare_postacute_care_utilization__home_health_agency d
JOIN cms_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

• Ry%202025%20pac%20puf%20methodologies

Frequently asked questions

How often is Medicare Post-Acute Care Utilization - Home Health Agency updated?

Annually. CMS last published this feed on 2025-08-14, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

What years does Medicare Post-Acute Care Utilization - Home Health Agency cover?

2014 through 2023: ten 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 Utilization - Home Health Agency?

94,399 rows across all ten 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 Utilization - Home Health Agency 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_UTILIZATION__HOME_HEALTH_AGENCY directly; no pipeline setup required.

Related feeds

Medicare Post-Acute Care Utilization - Home Health Agency by Geography and ProviderMedicare Post-Acute Care Utilization - Home Health Agency by Geography, Provider and ServiceMedicare Post-Acute Care and Hospice - by Geography & ProviderMedicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix GroupingMedicare Post-Acute Care & Hospice - by Geography and Provider

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3. Run the sample query above; no ETL, no pipeline maintenance

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