Medicare Spending Per Beneficiary - State

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…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_SPENDING_PER_BENEFICIARY__STATE on Snowflake and Databricks: seven 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
Cadence	Quarterly
Update pattern	Full-refresh; each file replaces the prior snapshot
CMS published	2026-07-22
Loaded	2026-08-15
Columns	7 data + 6 lineage
File versions	7
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 2026-07-22. Coverage runs through 2026-07-22. Next CMS release expected ~Oct 2026.

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.

Sample queries

Snowflake

-- 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;

Databricks

-- 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;

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	Data as of	Loaded	Latest file
Snapshot as of 2026-07-22	2026-07-22	2026-08-15	✓
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.

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:

Trace any row back to its source file and reporting period:

Snowflake

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;

Databricks

SELECT d.state, d.measure_id, d.measure_name,
       ff.temporal_start, ff.temporal_end, ff.cms_feed_modified
FROM cms_dwv.medicare_spending_per_beneficiary__state d
JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id;

Source & provenance

Published by the Centers for Medicare & Medicaid Services.

• Official CMS documentation

Frequently asked questions

How often is Medicare Spending Per Beneficiary - State updated?

Quarterly. CMS last published this feed on 2026-07-22, and Dataplex loaded it to the warehouse on 2026-08-15. 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:

Snowflake

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;

Databricks

SELECT COUNT(*)
FROM cms_dwv.medicare_spending_per_beneficiary__state d
JOIN cms_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 (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.MEDICARE_SPENDING_PER_BENEFICIARY__STATE directly; no pipeline setup required.

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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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