Medicare Post-Acute Care Utilization - Home Health Agency by Geography, Provider and Service

The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) by Geography, Provider and Service supplemental dataset offers payment and…

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_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.

Current — CMS last published this feed on 2026-07-10. Coverage is complete through the 2023 reporting year. Next CMS release expected ~Jul 2027.

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_BY_GEOGRAPHY_PROVIDER_AND_SERVICE
LIMIT 100;

Databricks

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.

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:

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_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

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

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 (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__HOME_HEALTH_AGENCY_BY_GEOGRAPHY_PROVIDER_AND_SERVICE directly — no pipeline setup required.

Related feeds

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

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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