> 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-spending-per-beneficiary-state.md). # Medicare Spending Per Beneficiary - State 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_SPENDING_PER_BENEFICIARY__STATE` on Snowflake and Databricks — six snapshot releases spanning 2024–2026, 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_SPENDING_PER_BENEFICIARY__STATE` | | **Databricks** | `cms_dwv.medicare_spending_per_beneficiary__state` | | **Update pattern** | Full-refresh — each file replaces the prior snapshot | | **CMS published** | 2026-04-21 | | **Loaded** | 2026-05-15 | | **Columns** | 7 data + 6 lineage | | **File versions** | 6 | | **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 2026-04-21. Coverage runs through 2026-04-21. Next CMS release expected \~Jul 2026. {% endhint %} {% hint style="info" %} **Full-refresh feed** — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM DWV.MEDICARE_SPENDING_PER_BENEFICIARY__STATE WHERE FILE_ID IN ( SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1 ) LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM cms_dwv.medicare_spending_per_beneficiary__state WHERE file_id IN ( SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1 ) LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The data displayed here are the average measures for each state. > > — *Source: CMS feed metadata* **Keywords:** Medicare, Medicare Spending Per Beneficiary - State **Theme:** Medicare ## Coverage timeline 2024 🟩 · 2025 🟩 · 2026 🟩 3 of 3 years with snapshot releases — no gaps. ## Release history | Reporting period | CMS published | Loaded | Latest file | | ------------------------- | ------------- | ---------- | ----------- | | Snapshot as of 2026-04-21 | 2026-04-21 | 2026-05-15 | ✓ | | Snapshot as of 2026-01-26 | 2026-01-26 | 2026-02-28 | | | Snapshot as of 2025-10-14 | 2025-10-14 | 2025-11-28 | | | Snapshot as of 2025-07-16 | 2025-07-16 | 2025-08-06 | | | Snapshot as of 2025-01-08 | 2025-01-08 | 2025-02-27 | | | Snapshot as of 2024-10-10 | 2024-10-10 | 2024-12-14 | | ## Data dictionary
📋 7 data columns + 6 lineage columns Column-level definitions are maintained by CMS in the official [Medicare Spending Per Beneficiary - State data dictionary](https://data.cms.gov/provider-data/dataset/rs6n-9qwg). **Data columns** | Column | Type | | -------------- | ------ | | `STATE` | TEXT | | `MEASURE_ID` | TEXT | | `MEASURE_NAME` | TEXT | | `SCORE` | TEXT | | `FOOTNOTE` | NUMBER | | `START_DATE` | DATE | | `END_DATE` | DATE | **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_SPENDING_PER_BENEFICIARY__STATE : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ MEDICARE_SPENDING_PER_BENEFICIARY__STATE : "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_SPENDING_PER_BENEFICIARY__STATE { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK text STATE text MEASURE_ID text MEASURE_NAME text SCORE number remaining_3_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.STATE, d.MEASURE_ID, d.MEASURE_NAME, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.MEDICARE_SPENDING_PER_BENEFICIARY__STATE d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID; ``` ## Source & provenance Published by the **Centers for Medicare & Medicaid Services**. * [Official CMS documentation](https://data.cms.gov/provider-data/dataset/rs6n-9qwg) ## Frequently asked questions ### How often is Medicare Spending Per Beneficiary - State updated? CMS last published this feed on 2026-04-21. New releases are added automatically when CMS publishes them. ### What years does Medicare Spending Per Beneficiary - State cover? 2024 through 2026. ### How many records are in Medicare Spending Per Beneficiary - State? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.MEDICARE_SPENDING_PER_BENEFICIARY__STATE d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID WHERE ff.IS_LATEST = 1; ``` ### How do I get Medicare Spending Per Beneficiary - State 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_SPENDING_PER_BENEFICIARY__STATE` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/RfpLx2SjPM0RJp04R3y4" %} [Provider of Services File - Clinical Laboratories](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/provider-of-services-file-clinical-laboratories.md) {% endcontent-ref %} {% content-ref url="/pages/SuPUvqwPG7l1YXcX1lHm" %} [Hospice Enrollments](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/hospice-enrollments.md) {% endcontent-ref %} {% content-ref url="/pages/RFcAj2E9gcgnYUmRWyn4" %} [End-Stage Renal Disease Facility Aggregation Group Performance](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/end-stage-renal-disease-facility-aggregation-group-performance.md) {% endcontent-ref %} {% content-ref url="/pages/OQhADkpAWBxrWV3pBK1x" %} [Payroll Based Journal Employee Detail Nursing Home Staffing](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/payroll-based-journal-employee-detail-nursing-home-staffing.md) {% endcontent-ref %} {% content-ref url="/pages/3nFAF6rqCgaUe1UEXQpS" %} [Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - basic\_drugs\_formulary](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/monthly-prescription-drug-plan-formulary-and-pharmacy-network-information-basic_drugs_formulary.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-spending-per-beneficiary-state) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. 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