Medicare Post-Acute Care Utilization - Long-Term Care Hospital

The Medicare Post-Acute Care (PAC) Utilization - Long-Term Care Hospital (LTCH) 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__LONGTERM_CARE_HOSPITAL 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__LONGTERM_CARE_HOSPITAL
Databricks	cms_dwv.medicare_postacute_care_utilization__longterm_care_hospital
Coverage	Jan 2014 – Dec 2023 (10 of 10 annual reporting periods)
Rows	4,250 (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	70 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. Next CMS release expected ~Aug 2026.

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__LONGTERM_CARE_HOSPITAL
LIMIT 100;

Databricks

About this feed

The Medicare Post-Acute Care (PAC) Utilization - Long-Term Care Hospital (LTCH) 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 LTCH setting.

— Source: CMS feed metadata

Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Long Term Care, 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

📋 70 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicare Post-Acute Care Utilization - Long-Term Care Hospital 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	NUMBER
TOT_EPSD_STAY_CNT	NUMBER
TOT_SRVC_DAYS	NUMBER
TOT_CHRG_AMT	NUMBER
TOT_ALOWD_AMT	NUMBER
TOT_MDCR_PYMT_AMT	NUMBER
TOT_MDCR_STDZD_PYMT_AMT	NUMBER
TOT_OUTLIER_PYMT_AMT	NUMBER
BENE_DUAL_PCT	NUMBER
BENE_RRL_PCT	NUMBER
BENE_AVG_AGE	NUMBER
BENE_MALE_PCT	NUMBER
BENE_FEML_PCT	NUMBER
BENE_RACE_WHT_PCT	NUMBER
BENE_RACE_BLACK_PCT	NUMBER
BENE_RACE_API_PCT	NUMBER
BENE_RACE_HSPNC_PCT	NUMBER
BENE_RACE_NATIND_PCT	NUMBER
BENE_RACE_UNK_PCT	NUMBER
BENE_RACE_OTHR_PCT	NUMBER
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	NUMBER
PRMRY_DX_NEOBLD_PCT	NUMBER
PRMRY_DX_ENDONUTRMET_PCT	NUMBER
PRMRY_DX_MNTBEHNEUDIS_PCT	NUMBER
PRMRY_DX_NERVSYSTM_PCT	NUMBER
PRMRY_DX_ENTSYS_PCT	NUMBER
PRMRY_DX_CIRCSYSTM_PCT	NUMBER
PRMRY_DX_RSPSYSTM_PCT	NUMBER
PRMRY_DX_DIGSYSTM_PCT	NUMBER
PRMRY_DX_SKNMUSSYSTM_PCT	NUMBER
PRMRY_DX_GUSYSTM_PCT	NUMBER
PRMRY_DX_PRGPERICONG_PCT	NUMBER
PRMRY_DX_SXILLDEF_PCT	NUMBER
PRMRY_DX_INJPOIS_PCT	NUMBER
PRMRY_DX_HLTHSRV_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__LONGTERM_CARE_HOSPITAL 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 - Long-Term Care Hospital 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 - Long-Term Care Hospital 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 - Long-Term Care Hospital?

4,250 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 - Long-Term Care Hospital 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__LONGTERM_CARE_HOSPITAL directly — no pipeline setup required.

Related feeds

Medicare Post-Acute Care & Hospice - by Geography and ProviderMedicare Post-Acute Care and Hospice - by Geography & ProviderMedicare Post-Acute Care Utilization - Long-Term Care Hospital by Geography and ProviderMedicare Post-Acute Care Utilization - Hospice 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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