> 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-post-acute-care-utilization-home-health-agency-by-geography-provider-and-service.md). # Medicare Post-Acute Care Utilization - Home Health Agency by Geography, Provider and Service 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_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE` on Snowflake and Databricks — 11 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_BY_GEOGRAPHY_PROVIDER_AND_SERVICE` | | **Databricks** | `cms_dwv.medicare_postacute_care_utilization__home_health_agency_by_geography_provider_and_service` | | **Coverage** | Jan 2014 – Dec 2023 (10 of 10 annual reporting periods) | | **Rows** | 1,319,212 (total across all reporting periods) | | **Cadence** | Annual | | **Update pattern** | Time-partitioned — each file adds one reporting year | | **CMS published** | 2026-07-10 | | **Loaded** | 2026-07-10 | | **Columns** | 35 data + 6 lineage | | **Identifiers** | ZIP codes | | **File versions** | 11 | | **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 2026-07-10. Coverage is complete through the 2023 reporting year. Next CMS release expected \~Jul 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 2023 reporting year. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Each file version covers one reporting period — history is additive SELECT * FROM DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Each file version covers one reporting period — history is additive SELECT * FROM cms_dwv.medicare_postacute_care_utilization__home_health_agency_by_geography_provider_and_service LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) by Geography, Provider and Service supplemental dataset offers payment and utilization data for HHAs, organized by provider and Home Health Resource Group (HHRG) CMGs. It reflects the 153-group HHRG model for Calendar Years (CYs) 2014 - 2019 and the expanded 432-group model for CYs 2020 - 2023 under the Home Health Prospective Payment System (HH PPS). Low Utilization Payment Adjustment (LUPA) claims are excluded from all years, as they are not assigned an HHRG and are reimbursed per visit rather than through standardized payments. > > — *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 | 2026-07-10 | 2026-07-10 | ✓ | | 2023-01-01 – 2023-12-31 | 2026-05-29 | 2026-05-30 | | | 2022-01-01 – 2022-12-31 | 2025-08-14 | 2026-05-30 | | | 2021-01-01 – 2021-12-31 | 2025-08-14 | 2026-05-30 | | | 2020-01-01 – 2020-12-31 | 2025-08-14 | 2026-05-30 | | | 2019-01-01 – 2019-12-31 | 2025-08-14 | 2026-05-30 | | | 2018-01-01 – 2018-12-31 | 2025-08-14 | 2026-05-30 | | | 2017-01-01 – 2017-12-31 | 2025-08-14 | 2026-05-30 | | | 2016-01-01 – 2016-12-31 | 2025-08-14 | 2026-05-30 | | | 2015-01-01 – 2015-12-31 | 2025-08-14 | 2026-05-30 | |
Show 1 earlier file version | Reporting period | CMS published | Loaded | Latest file | | ----------------------- | ------------- | ---------- | ----------- | | 2014-01-01 – 2014-12-31 | 2025-08-14 | 2026-05-30 | |
## Data dictionary
📋 35 data columns + 6 lineage columns Column-level definitions are maintained by CMS in the official [Medicare Post-Acute Care Utilization - Home Health Agency by Geography, Provider and Service data dictionary](https://data.cms.gov/resources/medicare-pac-utilization-hha-by-geography-provider-and-service-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 | | `GRPNG` | TEXT | | `GRPNG_DESC` | TEXT | | `BENE_DSTNCT_CNT` | NUMBER | | `TOT_EPSD_STAY_CNT` | NUMBER | | `TOT_SRVC_DAYS` | NUMBER | | `AVG_CHRG_PER_BENE` | NUMBER | | `AVG_ALOWD_AMT_PER_BENE` | NUMBER | | `AVG_PYMT_AMT_PER_BENE` | NUMBER | | `AVG_STDZD_PYMT_AMT_PER_BENE` | NUMBER | | `AVG_CHRG_PER_EPSD` | NUMBER | | `AVG_ALOWD_AMT_PER_EPSD` | NUMBER | | `AVG_PYMT_AMT_PER_EPSD` | NUMBER | | `AVG_STDZD_PYMT_AMT_PER_EPSD` | NUMBER | | `AVG_CHRG_PER_DAY` | NUMBER | | `AVG_ALOWD_AMT_PER_DAY` | NUMBER | | `AVG_PYMT_AMT_PER_DAY` | NUMBER | | `AVG_STDZD_PYMT_AMT_PER_DAY` | NUMBER | | `PT_VISITS_CNT` | NUMBER | | `OT_VISITS_CNT` | NUMBER | | `SLP_VISITS_CNT` | NUMBER | | `CASEMIX_SRC_TMNG` | TEXT | | `CASEMIX_SRC_TMNG_EPSD_PCT` | NUMBER | | `CASEMIX_CMRBDTY` | TEXT | | `CASEMIX_CMRBDTY_EPSD_PCT` | NUMBER | | `CASEMIX` | TEXT | | `CASEMIX_DAY_PCT` | 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_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE : "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_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK number YEAR text YEAR_TYPE text SMRY_CTGRY text SRVC_CTGRY number remaining_31_data_columns } ``` Trace any row back to its source file and reporting period: ```sql 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_BY_GEOGRAPHY_PROVIDER_AND_SERVICE 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-pac-utilization-hha-by-geography-provider-and-service-data-dictionary) * [Ry%202025%20pac%20puf%20methodologies](https://data.cms.gov/sites/default/files/2025-08/2685ddd1-a3a9-406c-a4e7-e56a8b789731/RY%202025%20PAC%20PUF%20Methodologies.pdf) ## Frequently asked questions ### How often is Medicare Post-Acute Care Utilization - Home Health Agency by Geography, Provider and Service updated? Annually. CMS last published this feed on 2026-07-10, 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 by Geography, Provider and Service 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 by Geography, Provider and Service? 1,319,212 rows across all 11 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 by Geography, Provider and Service 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_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE` 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/FCraxSvsGDNpw4GWRfta" %} [Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix Grouping](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-utilization-home-health-agency-by-geographyprovider-and-case-mix-grouping.md) {% endcontent-ref %} {% content-ref url="/pages/WTbpcuHqPp1SoMJIuPnI" %} [Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider.md) {% endcontent-ref %} {% content-ref url="/pages/vSHuyZ1yd8hv11QUlJFL" %} [Medicare Post-Acute Care and Hospice - by Geography & Provider](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-and-hospice-by-geography-provider.md) {% endcontent-ref %} {% content-ref url="/pages/MOkc1wnxk1Ra5AbOmzi0" %} [Medicare Post-Acute Care Utilization - Home Health Agency](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-utilization-home-health-agency.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-post-acute-care-utilization-home-health-agency-by-geography-provider-and-service) --- # Agent Instructions This documentation is published with GitBook. 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