Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping

The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_POSTACUTE_CARE_UTILIZATION__SKILLED_NURSING_FACILITY_BY_GEOGRAPHYPROVIDER_AND_CASEMIX_GROUPING 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__SKILLED_NURSING_FACILITY_BY_GEOGRAPHYPROVIDER_AND_CASEMIX_GROUPING
Databricks	cms_dwv.medicare_postacute_care_utilization__skilled_nursing_facility_by_geographyprovider_and_casemix_grouping
Coverage	Jan 2014 – Dec 2023 (10 of 10 annual reporting periods)
Rows	510,099 (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	58 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__SKILLED_NURSING_FACILITY_BY_GEOGRAPHYPROVIDER_AND_CASEMIX_GROUPING
LIMIT 100;

Databricks

About this feed

The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset provides detailed information on payments and utilization for SNFs. For Fiscal Years (FY)s 2014–2019, data is organized by provider and Resource Utilization Group (RUG) type. Starting in FY 2020, following the shift to the Patient-Driven Payment Model (PDPM), the dataset no longer includes RUG-level data. Instead, it features therapy minutes by discipline, stays by clinical category, and the percentage of stays involving depression or swallowing disorders.

— Source: CMS feed metadata

Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, 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

📋 58 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping 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
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
STAY_CLNCL_CTGRY_ACU_INF_PCT	TEXT
STAY_CLNCL_CTGRY_ACU_NEU_PCT	TEXT
STAY_CLNCL_CTGRY_CNCR_PCT	TEXT
STAY_CLNCL_CTGRY_CRD_COAG_PCT	TEXT
STAY_CLNCL_CTGRY_MJR_SPN_PCT	TEXT
STAY_CLNCL_CTGRY_MED_MNG_PCT	TEXT
STAY_CLNCL_CTGRY_NOORTH_SRGY_PCT	TEXT
STAY_CLNCL_CTGRY_ORTH_NOSRGY_PCT	TEXT
STAY_CLNCL_CTGRY_ORTH_SRGY_PCT	TEXT
STAY_CLNCL_CTGRY_PLMNRY_PCT	TEXT
STAY_DPRSN_MOOD_SCRE_PCT	TEXT
STAY_SWLWG_DSRDR_PCT	TEXT
STAY_MLNTRN_PCT	TEXT
PDPM_PT_OT_TC_DAYS_PCT	NUMBER
PDPM_PT_OT_TD_DAYS_PCT	NUMBER
PDPM_SLP_SK_DAYS_PCT	NUMBER
PDPM_SLP_SL_DAYS_PCT	NUMBER
PDPM_NRSNG_ES3_DAYS_PCT	NUMBER
PDPM_NRSNG_ES2_DAYS_PCT	NUMBER
PDPM_NTA_NA_DAYS_PCT	NUMBER
PDPM_NTA_NB_DAYS_PCT	NUMBER
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_STAY	NUMBER
AVG_ALOWD_AMT_PER_STAY	NUMBER
AVG_PYMT_AMT_PER_STAY	NUMBER
AVG_STDZD_PYMT_AMT_PER_STAY	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
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__SKILLED_NURSING_FACILITY_BY_GEOGRAPHYPROVIDER_AND_CASEMIX_GROUPING 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 - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping 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 - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping 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 - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping?

510,099 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 - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping 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__SKILLED_NURSING_FACILITY_BY_GEOGRAPHYPROVIDER_AND_CASEMIX_GROUPING directly — no pipeline setup required.

Related feeds

Medicare Post-Acute Care Utilization - Skilled Nursing FacilityMedicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography, Provider and ServiceMedicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography and ProviderMedicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility by Geography/Provider and Case-Mix GroupingMedicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider

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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