CMS Data Feeds Catalog
Comprehensive catalog of CMS Data Feeds Dataset tables
Browse available CMS Data Feeds below. Each entry includes description and metadata. Last Updated: 10/23/2025
ACO REACH Aligned Beneficiaries
Description: The Accountable Care Organization (ACO) REACH Aligned Beneficiary Public Use File (PUF) data details Medicare Beneficiaries aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including counties, eligibility months and total aligned beneficiaries. This data is redacted and does not include identifiable information.
Table Name: ACO_REACH_Aligned_Beneficiaries
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/21/2025
ACO REACH Eligible Beneficiaries
Description: Accountable Care Organization (ACO) REACH Eligible Beneficiary Public Use File (PUF) data details Medicare Beneficiaries who were used as the reference population for comparison to aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including average risk scores and eligibility months. This data is redacted and does not include identifiable information.
Table Name: ACO_REACH_Eligible_Beneficiaries
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/21/2025
ACO REACH Financial and Quality Results
Description: The Accountable Care Organization (ACO) REACH Financial and Quality Results Public Use File (PUF) details performance for the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, prior to settlement. This data includes information such as the ACOs risk arrangement, stop loss, capitation, savings rate, and quality results.
Table Name: ACO_REACH_Financial_and_Quality_Results
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2023
Total Files: 4
Last Updated: 10/18/2025
ACO REACH Providers
Description: The Accountable Care Organization (ACO) REACH Providers Public Use File (PUF) data details Participant Providers and Preferred Providers in the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model. This dataset includes information on each providers capitation arrangement, Advanced Payment Option and elected waivers.
Table Name: ACO_REACH_Providers
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/21/2025
ACO Realizing Equity, Access and Community Health Aligned Beneficiaries
Description: The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Aligned Beneficiary Public Use File (PUF) data details Medicare Beneficiaries aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including counties, eligibility months and total aligned beneficiaries. This data is redacted and does not include identifiable information.
Table Name: ACO_Realizing_Equity_Access_and_Community_Health_Aligned_Beneficiaries
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2021
Total Files: 1
Last Updated: 08/30/2023
ACO Realizing Equity, Access and Community Health Eligible Beneficiaries
Description: Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Eligible Beneficiary Public Use File (PUF) data details Medicare Beneficiaries who were used as the reference population for comparison to aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including average risk scores and eligibility months. This data is redacted and does not include identifiable information.
Table Name: ACO_Realizing_Equity_Access_and_Community_Health_Eligible_Beneficiaries
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2021
Total Files: 1
Last Updated: 08/30/2023
ACO Realizing Equity, Access and Community Health Financial and Quality Results
Description: The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Financial and Quality Results Public Use File (PUF) details performance for the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, prior to settlement. This data includes information such as the ACOs risk arrangement, stop loss, capitation, savings rate, and quality results.
The expanded quality performance results are expected to be released in the fall.
Table Name: ACO_Realizing_Equity_Access_and_Community_Health_Financial_and_Quality_Results
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2021
Total Files: 1
Last Updated: 08/30/2023
ACO Realizing Equity, Access and Community Health Providers
Description: The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Providers Public Use File (PUF) data details Participant Providers and Preferred Providers in the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model. This dataset includes information on each providers capitation arrangement, Advanced Payment Option and elected waivers.
Table Name: ACO_Realizing_Equity_Access_and_Community_Health_Providers
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2021
Total Files: 1
Last Updated: 08/30/2023
Accountable Care Organization Participants
Description: The Accountable Care Organization (ACO) Participants data presents overview information on ACO participants in the Medicare Shared Savings Program (Shared Savings Program), including their name, track status, number of years in the program, and contact information of key personnel.
Table Name: Accountable_Care_Organization_Participants
Keywords: Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2022 to 12/31/2025
Total Files: 7
Last Updated: 10/18/2025
Accountable Care Organization Skilled Nursing Facility Affiliates
Description: The Accountable Care Organization (ACO) Skilled Nursing Facility (SNF) Affiliates data presents overview information on ACO SNF affiliates in the Medicare Shared Savings Program (Shared Savings Program), including their name, track status, number of years in the program, and contact information of key personnel.
Table Name: Accountable_Care_Organization_Skilled_Nursing_Facility_Affiliates
Keywords: Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2022 to 12/31/2025
Total Files: 7
Last Updated: 10/18/2025
Accountable Care Organizations
Description: The Accountable Care Organizations (ACOs) data provides information on ACOs participating in the Medicare Shared Savings Program (Shared Savings Program), including their name, track status, number of years in the program, and contact information for key personnel.
Table Name: Accountable_Care_Organizations
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Documentation: http://data.cms.gov/resources/acos-data-dictionary-2025
Date Range: 01/01/2014 to 12/31/2025
Total Files: 24
Last Updated: 10/18/2025
Advance Investment Payment Spend Plan
Description: The Advance Investment Payment Spend Plan data provides payment use, spending category, projected and actual spending of advanced investments payments by Accountable Care Organizations (ACOs).
Table Name: Advance_Investment_Payment_Spend_Plan
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Financials, Payment Models, Accountable Care Organizations
Date Range: 01/01/2024 to 12/31/2025
Total Files: 2
Last Updated: 03/18/2025
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 11 (PSI-11) Measure Rates
Description: The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 11 (PSI-11) Measure Rates dataset provides information on provider-level measure rates regarding one preventable complication (postoperative respiratory failure) for Medicare fee-for-service discharges. The PSI-11 measure data is solely reported for providers’ information and quality improvement purposes and are not a part of the Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) Payment Provision or HAC Reduction Program.
Table Name: Agency_for_Healthcare_Research_and_Quality_AHRQ_Patient_Safety_Indicator__PSI_Measure_Rates
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments, Safety of Care
Date Range: 01/01/2015 to 12/31/2016
Total Files: 2
Last Updated: 08/30/2023
Ambulatory Surgical Center Quality Measures - Facility
Description: A list of ambulatory surgical centers participating in the Ambulatory Surgical Center Quality Reporting (ASCQR) Program and their performance rates.
Table Name: Ambulatory_Surgical_Center_Quality_Measures__Facility
Keywords: Medicare, Ambulatory Surgical Center Quality Measures - Facility
Documentation: https://data.cms.gov/provider-data/dataset/4jcv-atw7
Total Files: 3
Last Updated: 06/27/2025
Ambulatory Surgical Center Quality Measures - National
Description: This file contains the national averages for all measures reported through the Ambulatory Surgical Center Quality Reporting (ASCQR) Program.
Table Name: Ambulatory_Surgical_Center_Quality_Measures__National
Keywords: Medicare, Ambulatory Surgical Center Quality Measures - National
Documentation: https://data.cms.gov/provider-data/dataset/wue8-3vwe
Total Files: 3
Last Updated: 06/27/2025
Ambulatory Surgical Center Quality Measures - State
Description: This file contains state-level data for all measures reported through the Ambulatory Surgical Center Quality Reporting (ASCQR) Program.
Table Name: Ambulatory_Surgical_Center_Quality_Measures__State
Keywords: Medicare, Ambulatory Surgical Center Quality Measures - State
Documentation: https://data.cms.gov/provider-data/dataset/axe7-s95e
Total Files: 3
Last Updated: 06/27/2025
Ambulatory Surgical Centers and Independent Free Standing Emergency Departments Enrolled in Medicare As Hospital Providers
Description: The Ambulatory Surgical Centers (ASCs) and Independent Free Standing Emergency Departments (IFEDs) Enrolled in Medicare As Hospital Providers dataset includes all Medicare enrolled Ambulatory Surgical Centers (ASC) that converted to Hospitals during the COVID-19 public health emergency. Additionally, this list includes Independent Free Standing Emergency Departments (IFEDs) that have been temporarily certified as Hospitals during the COVID-19 public health emergency.
Table Name: Ambulatory_Surgical_Centers_and_Independent_Free_Standing_Emergency_Departments_Enrolled_in_Medicare_As_Hospital_Providers
Keywords: States & Territories, ZIP Code, Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Outpatient Facilities, Provider Enrollment
Date Range: 05/26/2023 to 07/12/2023
Total Files: 3
Last Updated: 04/19/2025
CMS Medicare PSI-90 and component measures - six-digit estimate dataset
Description: This data set includes the Patient Safety and Adverse Events Composite measure (CMS Medicare PSI 90) and the individual CMS Patient Safety Indicators. CMS Medicare PSI 90 is a composite complication measure composed from 10 separate Patient Safety Indicators. The measure provides an overview of hospital-level quality as it relates to a set of potentially preventable hospital-related events associated with harmful outcomes for patients.
Table Name: CMS_Medicare_PSI90_and_component_measures__sixdigit_estimate_dataset
Keywords: Medicare, CMS Medicare PSI-90 and component measures - six-digit estimate dataset
Documentation: https://data.cms.gov/provider-data/dataset/muwa-iene
Total Files: 3
Last Updated: 07/16/2025
COVID-19 Nursing Home Data
Description: Submitted data as of the week ending 01/05/2025.
The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) Long Term Care Facility (LTCF) COVID-19 Module. For resources and ways to explore and visualize the data, please see the links to the left, as well as the buttons at the top of the page.
Up to Date with COVID-19 Vaccines
On January 1, 2024, the Centers for Disease Control (CDC) changed the way it collects data to calculate the percent of staff who are up to date with their COVID-19 vaccination. It may take facilities some time to adapt to the new methodology. As a result, the reported percent of staff who are up to date with their COVID-19 vaccination should be viewed with caution over the next few weeks. Contact facilities directly for more information on their vaccination levels.
Table Name: COVID_Nursing_Home_Data
Keywords: Medicare, Original Medicare, Medicaid, Hospitals & Facilities, Skilled Nursing, Chronic Conditions, Co-morbidity, COVID-19
Date Range: 07/17/2023 to 01/04/2025
Total Files: 73
Last Updated: 04/19/2025
CPC Initiative - Participating Primary Care Practices
Description: The Comprehensive Primary Care (CPC) Initiative - Participating Primary Care Practices dataset provides a list of practices involved in a multi-payer initiative which fosters collaboration between public and private health care payers to strengthen primary care.
Table Name: CPC_Initiative__Participating_Primary_Care_Practices
Keywords: Medicare, Original Medicare, Value-Based Care, Payment Models
Date Range: 01/01/2017 to 12/31/2017
Total Files: 2
Last Updated: 10/18/2025
Complications and Deaths - Hospital
Description: Complications and deaths - provider data. This data set includes provider-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates.
Table Name: Complications_and_Deaths__Hospital
Keywords: Medicare, Complications and Deaths - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/ynj2-r877
Total Files: 4
Last Updated: 07/16/2025
Complications and Deaths - National
Description: Complications and deaths - national data. This data set includes national-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates.
Table Name: Complications_and_Deaths__National
Keywords: Medicare, Complications and Deaths - National
Documentation: https://data.cms.gov/provider-data/dataset/qqw3-t4ie
Total Files: 4
Last Updated: 07/16/2025
Complications and Deaths - State
Description: Complications and deaths - state data. This data set includes state-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates.
Table Name: Complications_and_Deaths__State
Keywords: Medicare, Complications and Deaths - State
Documentation: https://data.cms.gov/provider-data/dataset/bs2r-24vh
Total Files: 4
Last Updated: 07/16/2025
Complications and Unplanned Hospital Visits - PPS-Exempt Cancer Hospital - National
Description: Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Complications and Unplanned Hospital Visits. This dataset includes the percentage of patients who are receiving PCH-based outpatient chemotherapy treatment for all cancer types except leukemia who were admitted to the hospital or visited the emergency department for one of 10 conditions within 30 days after treatment. The dataset also includes the rate at which cancer patients have unplanned readmissions within 30 days of discharge from an eligible index admission. Finally, the dataset also includes the analysis of complications of a prostatectomy by comparing outcomes at the hospital/facility level during the year after prostate-directed surgery.
Table Name: Complications_and_Unplanned_Hospital_Visits__PPSExempt_Cancer_Hospital__National
Keywords: Medicare, Complications and Unplanned Hospital Visits - PPS-Exempt Cancer Hospital - National
Documentation: https://data.cms.gov/provider-data/dataset/jfnd-nl7s
Total Files: 3
Last Updated: 07/16/2025
Comprehensive Care For Joint Replacement Model - Provider Data
Description: Comprehensive Care for Joint Replacement Model - provider data. This data set includes provider data for two quality measures tracked during an episode of care: complication rate for hip/knee replacement patients and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey.
Table Name: Comprehensive_Care_For_Joint_Replacement_Model__Provider_Data
Keywords: Medicare, Comprehensive Care For Joint Replacement Model - Provider Data
Documentation: https://data.cms.gov/provider-data/dataset/tqkv-mgxq
Total Files: 2
Last Updated: 01/08/2025
Comprehensive Care for Joint Replacement Model: Metropolitan Statistical Areas
Description: The Comprehensive Care for Joint Replacement Model: Metropolitan Statistical Areas (MSAs) dataset presents MSAs that are participating in the CMS Innovation Center Comprehensive Care for Joint Replacement Model, a model to support better and more efficient care for beneficiaries undergoing the most common inpatient surgery for Medicare beneficiaries: hip and knee replacements. Participation in this model is designated by geographic area, specifically MSAs. The information contained in the dataset can include MSA identification number, MSA geographic name and associated county or counties.
Table Name: Comprehensive_Care_for_Joint_Replacement_Model_Metropolitan_Statistical_Areas
Keywords: Rural-Urban, Medicare, Original Medicare, Value-Based Care, Payment Models
Date Range: 01/01/2020 to 12/31/2020
Total Files: 1
Last Updated: 08/30/2023
County-level Aggregate Expenditure and Risk Score Data on Assignable Beneficiaries
Description: The Shared Savings Program County-level Aggregate Expenditure and Risk Score Data on Assignable Beneficiaries Public Use File (PUF) for the Medicare Shared Savings Program (Shared Savings Program) provides aggregate data consisting of per capita Parts A and B FFS expenditures, average CMS-HCC prospective risk scores and total person-years for Shared Savings Program assignable beneficiaries by Medicare enrollment type (End Stage Renal Disease (ESRD), disabled, aged/dual eligible, aged/non-dual eligible).
Table Name: Countylevel_Aggregate_Expenditure_and_Risk_Score_Data_on_Assignable_Beneficiaries
Keywords: Counties, Medicare, Original Medicare, Value-Based Care, Coordinated Care, Financials, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2024
Total Files: 5
Last Updated: 10/18/2025
Data Updates
Description: Lists the data updates for a scheduled quarterly refresh and as well those that are updated in between refreshes.
Table Name: Data_Updates
Keywords: Medicare, Data Updates
Documentation: https://data.cms.gov/provider-data/dataset/bzsr-4my4
Total Files: 3
Last Updated: 12/13/2025
Deficit Reduction Act Hospital-Acquired Condition Measures
Description: The Publicly Reported Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) Measures data provides information on hospital-level measures rates for four of the HACs included in the DRA HAC payment provision – foreign object retained after surgery, blood incompatibility, air embolism, and falls and trauma – for Medicare fee-for-service discharges. The Publicly Reported DRA HAC Measures are reported only for informational and quality improvement purposes; the results of the measure calculations do not affect payment and are not a part of the HAC Reduction Program.
Table Name: Deficit_Reduction_Act_HospitalAcquired_Condition_Measures
Keywords: Medicare, Original Medicare, Health Care Use & Payments, Safety of Care
Date Range: 01/01/2015 to 12/31/2025
Total Files: 11
Last Updated: 09/04/2025
End-Stage Renal Disease Facility Aggregation Group Performance
Description: The End-Stage Renal Disease (ESRD) Facility Aggregation Group Performance dataset provides performance information in the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. The dataset includes information on Performance Payment Adjustment (PPA), Modality Performance Score (MPS), home dialysis rate, and transplant rate, as well as the individual components of each rate for each model participant ESRD facility aggregation group.
All ESRD facilities within the same aggregation group share the same performance information. The supplementary aggregation group crosswalk file may be used to map aggregation groups to individual ETC Participant ESRD facilities.
Table Name: EndStage_Renal_Disease_Facility_Aggregation_Group_Performance
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, Clinics, End Stage Renal Disease Facilities, Value-Based Care, Coordinated Care, Service Delivery Models
Date Range: 07/01/2021 to 06/30/2024
Total Files: 12
Last Updated: 10/18/2025
Facility Affiliation Data
Description: This is the facility affiliations data publicly reported in the Provider Data Catalog.
Table Name: Facility_Affiliation_Data
Keywords: Medicare, Facility Affiliation Data
Documentation: https://data.cms.gov/provider-data/dataset/27ea-46a8
Total Files: 17
Last Updated: 09/11/2025
Facility-Level Minimum Data Set Frequency
Description: The Facility-Level Minimum Data Set (MDS) Frequency dataset provides information for active nursing home residents on topics, such as race/ethnicity, age, or marital status; discharge dispositions; hearing, speech, and vision; cognitive patterns; mood; functional abilities and goals; bladder and bowel; active diagnoses; health conditions; swallowing/nutritional status; oral/dental status; skin conditions; medications; special treatments, procedures, and programs; restraints and alarms; and participation in assessment and goal setting.
Table Name: FacilityLevel_Minimum_Data_Set_Frequency
Keywords: Medicare, Hospitals & Facilities, Skilled Nursing
Date Range: 10/01/2023 to 06/30/2025
Total Files: 8
Last Updated: 10/18/2025
Federally Qualified Health Center All Owners
Description: The Federally Qualified Health Center (FQHC) All Owners dataset provides ownership information on all FQHCs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
Table Name: Federally_Qualified_Health_Center_All_Owners
Keywords: Medicare, Hospitals & Facilities, Outpatient Facilities, Federally Qualified Health Centers, Provider Enrollment
Date Range: 10/01/2023 to 12/31/2025
Total Files: 9
Last Updated: 10/22/2025
Federally Qualified Health Center Enrollments
Description: The Federally Qualified Health Center (FQHC) Enrollments dataset provides enrollment information on all FQHCs currently enrolled in Medicare. This data includes information on the FQHC's legal business name, doing business as name, organization type, and address.
Table Name: Federally_Qualified_Health_Center_Enrollments
Keywords: Medicare, Hospitals & Facilities, Outpatient Facilities, Federally Qualified Health Centers, Provider Enrollment
Date Range: 10/01/2023 to 12/31/2025
Total Files: 9
Last Updated: 10/22/2025
Fiscal Intermediary Shared System Attending and Rendering
Description: The Fiscal Intermediary Shared System (FISS) Attending and Rendering dataset provides a list of those attending and rendering physicians for the FISS. FISS edits require that the Line Item Rendering Physician information be transmitted when providers submit a combined claim. Claims that include both facility and professional components, need to report the rendering physician or other practitioner at the line level if it differs from the rendering physician/practitioner reported at the claim level.
Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.
Table Name: Fiscal_Intermediary_Shared_System_Attending_and_Rendering
Keywords: Medicare, Original Medicare, Provider Enrollment
Date Range: 05/21/2023 to 10/18/2025
Total Files: 166
Last Updated: 10/22/2025
Footnote Crosswalk
Description: The footnote crosswalk displays a list of footnotes and their summary.
Table Name: Footnote_Crosswalk
Keywords: Medicare, Footnote Crosswalk
Documentation: https://data.cms.gov/provider-data/dataset/y9us-9xdf
Total Files: 2
Last Updated: 01/13/2025
Health Equity - Hospital
Description: Health Equity measures - provider data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage.
Table Name: Health_Equity__Hospital
Keywords: Medicare, Health Equity - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/v6ff-cmgx
Total Files: 3
Last Updated: 07/16/2025
Health Equity - National
Description: Health Equity measures - national data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage.
Table Name: Health_Equity__National
Keywords: Medicare, Health Equity - National
Documentation: https://data.cms.gov/provider-data/dataset/anfs-nlq7
Total Files: 3
Last Updated: 07/16/2025
Health Equity - State
Description: Health Equity measures - state data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage.
Table Name: Health_Equity__State
Keywords: Medicare, Health Equity - State
Documentation: https://data.cms.gov/provider-data/dataset/5ryi-3zdn
Total Files: 3
Last Updated: 07/16/2025
Healthcare Associated Infections - Hospital
Description: The Healthcare-Associated Infection (HAI) measures - provider data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
Table Name: Healthcare_Associated_Infections__Hospital
Keywords: Medicare, Healthcare Associated Infections - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/77hc-ibv8
Total Files: 3
Last Updated: 07/16/2025
Healthcare Associated Infections - National
Description: The Healthcare-Associated Infections (HAI) measures - national data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
Table Name: Healthcare_Associated_Infections__National
Keywords: Medicare, Healthcare Associated Infections - National
Documentation: https://data.cms.gov/provider-data/dataset/yd3s-jyhd
Total Files: 3
Last Updated: 07/16/2025
Healthcare Associated Infections - State
Description: The Healthcare-Associated Infections (HAI) measures - state data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
Table Name: Healthcare_Associated_Infections__State
Keywords: Medicare, Healthcare Associated Infections - State
Documentation: https://data.cms.gov/provider-data/dataset/k2ze-bqvw
Total Files: 3
Last Updated: 07/16/2025
Historical Hospital Patient Safety Indicators (PSI) Dataset
Description: The CMS Historical Hospital Patient Safety Indicators (PSI) Dataset contains hospital-level data on Patient Safety Indicators.
Table Name: hospital_patient_safety_indicators_psi_dataset
Keywords: Medicare, Historical Hospital Patient Safety Indicators (PSI) Dataset
Documentation: https://data.cms.gov/provider-data/dataset/muwa-iene
Date Range: 10/16/2017 to 09/23/2019
Total Files: 5
Last Updated: 09/23/2019
Home Health Agency All Owners
Description: The Home Health Agency (HHA) All Owners dataset provides ownership information on all HHAs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
Table Name: Home_Health_Agency_All_Owners
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Home Health, Provider Enrollment
Date Range: 04/01/2023 to 12/31/2025
Total Files: 11
Last Updated: 10/22/2025
Home Health Agency Cost Report
Description: The Home Health Agency Provider Cost Report dataset provides select measures from the home health agency annual cost report. This data includes provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data organized by CMS Certification Number.
Table Name: Home_Health_Agency_Cost_Report
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Home Health, Value-Based Care, Financials
Date Range: 01/01/2020 to 12/31/2022
Total Files: 3
Last Updated: 10/25/2024
Home Health Agency Enrollments
Description: The Home Health Agency (HHA) Enrollments dataset provides enrollment information on all HHAs currently enrolled in Medicare. This data includes information on the HHA's legal business name, doing business as name, organization type and address.
Table Name: Home_Health_Agency_Enrollments
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Home Health, Provider Enrollment
Date Range: 04/01/2023 to 12/31/2025
Total Files: 11
Last Updated: 10/22/2025
Home Infusion Therapy Providers
Description: The Home Infusion Therapy Providers dataset provides information on the Providers in Medicare who specialize in Home Infusion Therapy.
Table Name: Home_Infusion_Therapy_Providers
Keywords: States & Territories, ZIP Code, Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Outpatient Facilities, Outpatient Physical Therapy, Provider Enrollment
Date Range: 05/07/2023 to 10/18/2025
Total Files: 89
Last Updated: 10/22/2025
Hospice All Owners
Description: The Hospice All Owners dataset provides ownership information on all hospices currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
Table Name: Hospice_All_Owners
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Hospice, Provider Enrollment
Date Range: 04/01/2023 to 12/31/2025
Total Files: 11
Last Updated: 10/22/2025
Hospice Enrollments
Description: The Hospice Enrollments dataset provides enrollment information of all hospices currently enrolled in Medicare. This data includes information on the hospice's legal business name, doing business as name, organization type and address.
Table Name: Hospice_Enrollments
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Hospice, Provider Enrollment
Date Range: 04/01/2023 to 12/31/2025
Total Files: 11
Last Updated: 10/22/2025
Hospital All Owners
Description: The Hospital All Owners Information dataset provides information on all owners of the hospitals. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
Table Name: Hospital_All_Owners
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 11/01/2022 to 10/31/2025
Total Files: 35
Last Updated: 10/22/2025
Hospital Change of Ownership
Description: The Hospital Change of Ownership (CHOW) dataset provides information on the hospital ownership changes that occurred on or after January 1, 2016. This data includes information on the buyer and seller organization’s legal business name, provider type, change of ownership type (CHOW, Acquisition/Merger, or Consolidation) and the effective date of the change.
Table Name: Hospital_Change_of_Ownership
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 01/01/2022 to 09/30/2025
Total Files: 25
Last Updated: 10/22/2025
Hospital Change of Ownership - Owner Information
Description: The Hospital Change of Ownership (CHOW) - Owner Information dataset provides information on individual and organizational ownership interest and managerial control associated with the buyer and seller organizations, role of the owner, association date, address of the organizational owner and other ownership details.
Table Name: Hospital_Change_of_Ownership__Owner_Information
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 07/01/2024 to 09/30/2025
Total Files: 5
Last Updated: 10/22/2025
Hospital Enrollments
Description: The Hospital Enrollments dataset provides enrollment information of all Hospitals currently enrolled in Medicare. This data includes information on the Hospital's sub-group type, legal business name, doing business as name, organization type and address.
Table Name: Hospital_Enrollments
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 11/01/2022 to 10/31/2025
Total Files: 35
Last Updated: 10/22/2025
Hospital General Information
Description: A list of all hospitals that have been registered with Medicare. The list includes addresses, phone numbers, hospital type, and overall hospital rating.
Table Name: Hospital_General_Information
Keywords: Medicare, Hospital General Information
Documentation: https://data.cms.gov/provider-data/dataset/xubh-q36u
Total Files: 3
Last Updated: 07/16/2025
Hospital Price Transparency Enforcement Activities and Outcomes
Description: The Hospital Price Transparency Enforcement Activities and Outcomes dataset contains information related to enforcement actions taken by CMS following a compliance review of a hospital's obligation to establish, update and make public a list of the hospital’s standard charges for items and services provided by the hospital, in accordance with regulation (45 CFR 180). This data set includes the name of each hospital or hospital location, the hospital or hospital location address, the outcome or action following a CMS compliance review and the date of the outcome or action taken.
Table Name: Hospital_Price_Transparency_Enforcement_Activities_and_Outcomes
Keywords: Medicare, Hospitals & Facilities, Health Care Use & Payments
Date Range: 10/01/2023 to 06/30/2025
Total Files: 6
Last Updated: 07/25/2025
Hospital Provider Cost Report
Description: The Hospital Provider Cost Report dataset provides select measures from the hospital annual cost report. This data includes provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data organized by CMS Certification Number.
Table Name: Hospital_Provider_Cost_Report
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments, Value-Based Care, Financials
Date Range: 01/01/2011 to 12/31/2022
Total Files: 12
Last Updated: 10/23/2024
Hospital Readmissions Reduction Program
Description: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP). Excess readmissions are measured by a ratio, calculated by dividing a hospital's predicted rate of readmissions for heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), hip/knee replacement (THA/TKA), and coronary artery bypass graft surgery (CABG) by the expected rate of readmissions, based on an average hospital with similar patients.
Table Name: Hospital_Readmissions_Reduction_Program
Keywords: Medicare, Hospital Readmissions Reduction Program
Documentation: https://data.cms.gov/provider-data/dataset/9n3s-kdb3
Total Files: 2
Last Updated: 01/08/2025
Hospital Service Area
Description: The Hospital Service Area data is a summary of calendar year Medicare inpatient hospital fee-for-service and Medicare Advantage claims data. It contains number of discharges, total days of care, and total charges summarized by hospital provider number and the ZIP code of the Medicare beneficiary.
Table Name: Hospital_Service_Area
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments
Date Range: 01/01/2015 to 12/31/2024
Total Files: 11
Last Updated: 10/18/2025
Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores
Description: A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance rates and scores for the Clinical Outcomes measures. As finalized in the interim rule with comment period (CMS-3401-IFC), published on September 2, 2020, CMS will not use claims reflecting services provided January 1, 2020-June 30, 2020 (Q1 and Q2 2020) in its calculations for the Medicare quality reporting and value-based purchasing programs. The discharge period has been updated to reflect this policy.
Table Name: Hospital_ValueBased_Purchasing_HVBP__Clinical_Outcomes_Domain_Scores
Keywords: Medicare, Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores
Documentation: https://data.cms.gov/provider-data/dataset/pudb-wetr
Total Files: 2
Last Updated: 01/17/2025
Hospital Value-Based Purchasing (HVBP) - Efficiency Scores
Description: A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance ratios and scores for the Efficiency and Cost Reduction Medicare Spending per Beneficiary (MSPB) measure.
Table Name: Hospital_ValueBased_Purchasing_HVBP__Efficiency_Scores
Keywords: Medicare, Hospital Value-Based Purchasing (HVBP) - Efficiency Scores
Documentation: https://data.cms.gov/provider-data/dataset/su9h-3pvj
Total Files: 2
Last Updated: 01/17/2025
Hospital Value-Based Purchasing (HVBP) - Person and Community Engagement Domain Scores (HCAHPS)
Description: A list of hospitals participating in the FY 2025 Hospital VBP Program and their scores for the Person and Community Engagement HCAHPS dimensions.
Table Name: Hospital_ValueBased_Purchasing_HVBP__Person_and_Community_Engagement_Domain_Scores_HCAHPS
Keywords: Medicare, Hospital Value-Based Purchasing (HVBP) - Person and Community Engagement Domain Scores (HCAHPS)
Documentation: https://data.cms.gov/provider-data/dataset/avtz-f2ge
Total Files: 2
Last Updated: 01/17/2025
Hospital Value-Based Purchasing (HVBP) - Safety
Description: A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance rates and scores for the Safety measures.
Table Name: Hospital_ValueBased_Purchasing_HVBP__Safety
Keywords: Medicare, Hospital Value-Based Purchasing (HVBP) - Safety
Documentation: https://data.cms.gov/provider-data/dataset/dgmq-aat3
Total Files: 2
Last Updated: 01/17/2025
Hospital Value-Based Purchasing (HVBP) - Total Performance Score
Description: A list of hospitals participating in the FY 2025 Hospital VBP Program and their domain scores and Total Performance Scores.
Table Name: Hospital_ValueBased_Purchasing_HVBP__Total_Performance_Score
Keywords: Medicare, Hospital Value-Based Purchasing (HVBP) - Total Performance Score
Documentation: https://data.cms.gov/provider-data/dataset/ypbt-wvdk
Total Files: 2
Last Updated: 01/17/2025
Hospital-Acquired Condition (HAC) Reduction Program
Description: Hospital-Acquired Condition (HAC) Reduction Program (HACRP) - In October 2014, CMS began reducing Medicare fee-for-service payments for subsection (d) hospitals that rank in the worst-performing quartile with respect to hospital-acquired condition (HAC) quality measures. Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction. This table contains hospitals' measure and Total HAC scores. The Total HAC Score is calculated as the equally weighted average of hospitals' individual measure scores.
Table Name: HospitalAcquired_Condition_HAC_Reduction_Program
Keywords: Medicare, Hospital-Acquired Condition (HAC) Reduction Program
Documentation: https://data.cms.gov/provider-data/dataset/yq43-i98g
Total Files: 2
Last Updated: 01/08/2025
Income and Asset Ownership
Description: The Income and Asset Ownership data, derived from the Medicare Current Beneficiary Survey (MCBS), provide information on income sources, income levels, asset ownership, and asset values among Medicare beneficiaries. The data are further segmented by demographic and health characteristics within the Medicare population.
Table Name: Income_and_Asset_Ownership
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicaid, Patient Experience, Financial Resources
Date Range: 01/01/2021 to 12/31/2023
Total Files: 4
Last Updated: 10/18/2025
Innovation Center Data and Reports
Description: The Innovation Center Data and Reports dataset contains a variety of contributions from CMS Innovation Center models, demonstrations, initiatives and programs. These resources include evaluation reports and associated materials, reports to Congress, and case studies among others.
Table Name: Innovation_Center_Data_and_Reports
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Children's Health Insurance Program, Value-Based Care, Payment Models
Date Range: 07/01/2023 to 09/30/2025
Total Files: 21
Last Updated: 10/18/2025
Innovation Center Innovation Advisors
Description: The CMS Innovation Center Innovation Advisors dataset provides information on individuals chosen by CMS as participants in the Innovation Advisors Program. The data includes the name of the initiative, as well as participants names, geographic location including city and state, and geographic reach of the practice.
Table Name: Innovation_Center_Innovation_Advisors
Keywords: Medicare, Original Medicare, Medicaid, Value-Based Care, Payment Models
Date Range: 01/01/2015 to 12/31/2015
Total Files: 1
Last Updated: 08/30/2023
Innovation Center Milestones and Updates
Description: The Innovation Center Milestones and Updates dataset contains a variety of contributions from CMS Innovation Center models, demonstrations, initiatives and programs. These resources include relevant milestones, dates, and changes to the status or parameters of a model, demonstration, or initiative.
Table Name: Innovation_Center_Milestones_and_Updates
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Children's Health Insurance Program, Value-Based Care, Payment Models
Date Range: 07/27/2023 to 09/13/2025
Total Files: 62
Last Updated: 10/18/2025
Innovation Center Model Awardees
Description: The Innovation Center Model Awardees dataset provides information about institutions that have participated in the model process, and have been awarded funding based on their efforts to design, implement, or test innovative healthcare delivery initiatives. The data includes the name of the institution, related keywords, project name, geographic reach, funding amount, real or projected 3-year savings, a summary of the institutions activities in the model, categories related to the type of healthcare initiative, stage of participation, and the URL for the model or initiative page on the CMMI website.
Table Name: Innovation_Center_Model_Awardees
Keywords: Medicare, Original Medicare, Value-Based Care, Payment Models
Documentation: http://data.cms.gov/resources/model-awardees-data-dictionary
Date Range: 01/01/2017 to 12/31/2017
Total Files: 1
Last Updated: 08/30/2023
Innovation Center Model Participants
Description: The Innovation Center Model Participants dataset contains information on current CMS Innovation Center models, demonstrations, initiatives, and programs. This can include the name of the initiative, organization name, location information, address, phase of participation, social media and website URLs, Metropolitan Statistical Area, categories related to health care quality, cost, payment, and delivery, among others. Information on past participants can be found below under resources.
Table Name: Innovation_Center_Model_Participants
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Children's Health Insurance Program, Value-Based Care, Payment Models
Date Range: 07/07/2023 to 07/05/2025
Total Files: 30
Last Updated: 10/18/2025
Innovation Center Model Summary Information
Description: The Innovation Center Model Summary Information dataset contains various data points related to CMS Innovation Center models, demonstrations, programs, and initiatives. This can includes name, start and end date, statutory or regulatory authority, keywords, stage of implementation, participants, beneficiaries and physicians impacted, and categories related to health care quality, cost, payment, and delivery.
Table Name: Innovation_Center_Model_Summary_Information
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Children's Health Insurance Program, Value-Based Care, Payment Models
Date Range: 07/01/2023 to 09/30/2025
Total Files: 25
Last Updated: 10/18/2025
Innovation Center Webinars and Forums
Description: The Innovation Center Webinars and Forums dataset contains listings of a variety of events from CMS Innovation Center models, demonstrations, initiatives and programs. The types of events include webinars, open door forums, office hours and conference calls among others. These events provide opportunities to learn about current activity, upcoming proceedings and to ask questions and offer feedback.
Table Name: Innovation_Center_Webinars_and_Forums
Keywords: Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Children's Health Insurance Program, Value-Based Care, Payment Models
Date Range: 08/01/2023 to 06/30/2024
Total Files: 8
Last Updated: 06/21/2024
Inpatient Psychiatric Facility Quality Measure Data - National
Description: This dataset includes national-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced.
Table Name: Inpatient_Psychiatric_Facility_Quality_Measure_Data__National
Keywords: Medicare, Inpatient Psychiatric Facility Quality Measure Data - National
Documentation: https://data.cms.gov/provider-data/dataset/s5xg-sys6
Total Files: 3
Last Updated: 07/16/2025
Inpatient Psychiatric Facility Quality Measure Data - by Facility
Description: This dataset includes provider-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced.
Table Name: Inpatient_Psychiatric_Facility_Quality_Measure_Data__by_Facility
Keywords: Medicare, Inpatient Psychiatric Facility Quality Measure Data - by Facility
Documentation: https://data.cms.gov/provider-data/dataset/q9vs-r7wp
Total Files: 3
Last Updated: 07/16/2025
Inpatient Psychiatric Facility Quality Measure Data - by State
Description: This dataset includes state-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced.
Table Name: Inpatient_Psychiatric_Facility_Quality_Measure_Data__by_State
Keywords: Medicare, Inpatient Psychiatric Facility Quality Measure Data - by State
Documentation: https://data.cms.gov/provider-data/dataset/dc76-gh7x
Total Files: 3
Last Updated: 07/16/2025
Long-Term Care Facility Characteristics
Description: The Long-Term Care Facility Characteristics, CMS Form 671, dataset provides information submitted by nursing homes on the CMS Form 671 collected during annual surveys. The data include information about resident census, ownership, dedicated special care units, facility characteristics, and staffing.
Table Name: LongTerm_Care_Facility_Characteristics
Keywords: Medicare, Hospitals & Facilities, Inpatient, Long Term Care, Skilled Nursing
Date Range: 10/01/2023 to 06/30/2025
Total Files: 8
Last Updated: 10/18/2025
Managing Clinician Aggregation Group Performance
Description: The Managing Clinician Aggregation Group Performance dataset provides performance information in the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. The dataset includes information on Performance Payment Adjustment (PPA), Modality Performance Score (MPS), home dialysis rate, and transplant rate, as well as the individual components of each rate for each model participant Managing Clinician aggregation group.
All Managing Clinicians within the same aggregation group share the same performance information. The supplementary aggregation group crosswalk file may be used to map aggregation groups to individual ETC Participant Managing Clinicians.
Table Name: Managing_Clinician_Aggregation_Group_Performance
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, Clinics, End Stage Renal Disease Facilities, Value-Based Care, Coordinated Care, Service Delivery Models
Date Range: 07/01/2021 to 06/30/2024
Total Files: 12
Last Updated: 10/18/2025
Market Saturation & Utilization Core-Based Statistical Areas
Description: The Market Saturation and Utilization Core-Based Statistical Areas (CBSA) dataset provides monitoring of market saturation. CBSAs are geographical delineations that are Census Bureau-defined urban clusters of at least 10,000 people. Market saturation, in the present context, refers to the density of providers of a particular service within a defined geographic area relative to the number of beneficiaries receiving that service in the area. The data can be used to reveal the degree to which use of a service is related to the number of providers servicing a geographic region. There are also a number of secondary research uses for these data, but one objective of making these data public is to assist health care providers in making informed decisions about their service locations and the beneficiary population they serve.
Table Name: Market_Saturation__Utilization_CoreBased_Statistical_Areas
Keywords: States & Territories, Rural-Urban, Medicare, Original Medicare, Health Care Use & Payments, Fraud, Waste, & Abuse Prevention
Date Range: 10/01/2022 to 12/31/2024
Total Files: 6
Last Updated: 10/18/2025
Market Saturation & Utilization State-County
Description: The Market Saturation and Utilization State-County dataset provides monitoring of market saturation. Market saturation, in the present context, refers to the density of providers of a particular service within a defined geographic area relative to the number of beneficiaries receiving that service in the area. The data can be used to reveal the degree to which use of a service is related to the number of providers servicing a geographic region. There are also a number of secondary research uses for these data, but one objective of making these data public is to assist health care providers in making informed decisions about their service locations and the beneficiary population they serve.
Table Name: Market_Saturation__Utilization_StateCounty
Keywords: National, States & Territories, Counties, Medicare, Original Medicare, Health Care Use & Payments, Fraud, Waste, & Abuse Prevention
Date Range: 10/01/2022 to 12/31/2024
Total Files: 6
Last Updated: 10/18/2025
Maternal Health - Hospital
Description: These measures are intended to drive improvements in maternal health. By providing care to pregnant individuals that follows best practices that advance health care quality, safety, and equity, hospitals and doctors can improve chances for a safe delivery and a healthy baby.
Table Name: Maternal_Health__Hospital
Keywords: Medicare, Maternal Health - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/nrdb-3fcy
Total Files: 3
Last Updated: 07/16/2025
Maternal Health - National
Description: These measures are intended to drive improvements in maternal health. By providing care to pregnant individuals that follows best practices that advance health care quality, safety, and equity, hospitals and doctors can improve chances for a safe delivery and a healthy baby.
Table Name: Maternal_Health__National
Keywords: Medicare, Maternal Health - National
Documentation: https://data.cms.gov/provider-data/dataset/anxg-51lp
Total Files: 1
Last Updated: 10/10/2024
Maternal Health - State
Description: These measures are intended to drive improvements in maternal health. By providing care to pregnant individuals that follows best practices that advance health care quality, safety, and equity, hospitals and doctors can improve chances for a safe delivery and a healthy baby.
Table Name: Maternal_Health__State
Keywords: Medicare, Maternal Health - State
Documentation: https://data.cms.gov/provider-data/dataset/by6q-6tc4
Total Files: 1
Last Updated: 10/10/2024
Measure Dates
Description: Data Collection Periods for all measures.
Table Name: Measure_Dates
Keywords: Medicare, Measure Dates
Documentation: https://data.cms.gov/provider-data/dataset/4j6d-yzce
Total Files: 3
Last Updated: 07/16/2025
Medicaid Managed Care
Description: The Medicaid Managed Care dataset uses CMS' state Transformed Medicaid Statistical Information System (T-MSIS) data for Arizona, Michigan, Nevada, and New Mexico to identify various metrics for managed care plans within each state. These metrics are designed to allow users to compare plans in each state across different specialty areas (currently Pediatric Dental, Behavioral Health, and Prenatal OB/GYN). This dataset does not include all available data in T-MSIS but utilized a subset to calculate the individual metrics identified.
Table Name: Medicaid_Managed_Care
Keywords: States & Territories, Counties, Medicaid, Health Care Use & Payments, Health Equity
Date Range: 10/01/2023 to 03/31/2025
Total Files: 3
Last Updated: 06/13/2025
Medicaid Opioid Prescribing Rates - by Geography
Description: The Medicaid Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicaid opioid prescriptions at the state, county, and ZIP code levels.
Table Name: Medicaid_Opioid_Prescribing_Rates__by_Geography
Keywords: National, States & Territories, Medicaid, Physicians & Practitioners, Drugs, Health Equity
Date Range: 01/01/2021 to 12/31/2023
Total Files: 4
Last Updated: 10/18/2025
Medicaid Spending by Drug
Description: The Medicaid by Drug dataset presents information on spending for covered outpatient drugs prescribed to beneficiaries enrolled in Medicaid by physicians and other healthcare professionals.
The dataset focuses on average spending per dosage unit and change in average spending per dosage unit over time. Units refer to the drug unit in the lowest dispensable amount. It also includes spending information for manufacturer(s) of the drugs as well as consumer-friendly information of drug uses and clinical indications.
Drug spending metrics for Medicaid represent the total amount reimbursed by both Medicaid and non-Medicaid entities to pharmacies for the drug. Medicaid drug spending contains both the Federal and State reimbursement and is inclusive of any applicable dispensing fees. In addition, this total is not reduced or affected by Medicaid rebates paid to the states.
Table Name: Medicaid_Spending_by_Drug
Keywords: Medicaid, Physicians & Practitioners, Drugs
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/29/2025
Medicare Advantage Geographic Variation - National & State
Description: The Medicare Advantage Geographic Variation National & State dataset provides information on demographic characteristics and service utilization for hospital inpatient, skilled nursing facility services, outpatient, DME, and professional services between 2016-2022 for Medicare Advantage beneficiaries at the national and state levels.
Table Name: Medicare_Advantage_Geographic_Variation__National__State
Keywords: National, States & Territories, Medicare, Medicare Advantage, Hospitals & Facilities, Inpatient, Skilled Nursing
Date Range: 01/01/2019 to 12/31/2022
Total Files: 3
Last Updated: 06/20/2025
Medicare COVID-19 Cases & Hospitalizations
Description: The Medicare COVID-19 Cases & Hospitalizations data provides COVID-19 cases and hospitalizations data for Medicare beneficiaries diagnosed with COVID-19.
Medicare Claims and Encounter Data for services January 1, 2020 to November 20, 2021, and received by December 17, 2021.
All data are preliminary and will continue to change as more claims and encounters are processed for the reporting period.
Table Name: Medicare_COVID_Cases__Hospitalizations
Keywords: States & Territories, Rural-Urban, Medicare, Original Medicare, Chronic Conditions, COVID-19, Health Equity
Date Range: 01/01/2022 to 01/31/2022
Total Files: 1
Last Updated: 08/30/2023
Medicare COVID-19 Hospitalization Trends
Description: The Medicare COVID-19 Hospitalization Trends dataset contains aggregate information from Medicare Fee-for-Service claims, Medicare Advantage encounter, and Medicare enrollment data. It provides insight around the groups of beneficiaries that were hospitalized at different points during the pandemic.
CMS publicly released the first Preliminary Medicare COVID-19 Snapshot in June 2020 during the early stages of the Public Health Emergency for COVID-19. That report focused on COVID-19 cases and hospitalizations data for Medicare beneficiaries with a COVID-19 diagnosis. Throughout 2020 and 2021, that report was subsequently updated with refreshed data 13 times. Beginning in October 2021, CMS shifted its public COVID-19 reporting away from cumulative case and hospitalization rates to hospitalization trends over time with the release of this report, the Medicare COVID-19 Hospitalization Trends Report.
All prior releases of both the Preliminary Medicare COVID-19 Snapshot and the Medicare COVID-19 Hospitalization Trends Report are available for download in the Medicare COVID-19 Data - Prior Releases file.
Table Name: Medicare_COVID_Hospitalization_Trends
Keywords: States & Territories, Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Inpatient, COVID-19, Health Equity
Date Range: 01/01/2022 to 12/31/2023
Total Files: 2
Last Updated: 01/29/2024
Medicare Clinical Laboratory Fee Schedule Private Payer Rates and Volumes
Description: The Medicare Clinical Laboratory Fee Schedule (CLFS) dataset provides raw data reported by any applicable laboratories that reported a volume greater than 10 tests for the data collection period. As described by the Protecting Access to Medicare Act, Applicable Laboratories must report to CMS private payor rates and associated volumes for laboratory tests on the Clinical Laboratory Fee Schedule.
Table Name: Medicare_Clinical_Laboratory_Fee_Schedule_Private_Payer_Rates_and_Volumes
Keywords: Medicare, Hospitals & Facilities, Outpatient Facilities, Clinics
Date Range: 01/01/2018 to 12/31/2018
Total Files: 2
Last Updated: 08/30/2023
Medicare Demonstrations
Description: The Medicare Demonstrations dataset provides information on demonstrations conducted in the CMS Innovation Center. It includes the demonstration project name, type, description, year, and website for the demonstration page.
Table Name: Medicare_Demonstrations
Keywords: Medicare, Original Medicare, Value-Based Care, Payment Models
Date Range: 01/01/2019 to 12/31/2024
Total Files: 2
Last Updated: 04/13/2024
Medicare Diabetes Prevention Program
Description: The Medicare Diabetes Prevention Program dataset contains information about suppliers from which eligible Medicare beneficiaries may be furnished associated services. The information in this dataset can include organization name, location, contact information, National Provider Identifier (NPI) among other data points. Location data populates the "Map of MDPP Suppliers furnishing MDPP Services" map.
Table Name: Medicare_Diabetes_Prevention_Program
Keywords: Medicare, Original Medicare, Medicare Advantage, Value-Based Care, Payment Models
Date Range: 04/01/2023 to 09/30/2025
Total Files: 9
Last Updated: 10/18/2025
Medicare Dialysis Facilities
Description: The Medicare Dialysis Facilities data provides information on clinical and patient measures for Medicare-certified ESRD facilities, also known as dialysis facilities. It contains data on patient characteristics, treatment patterns, hospitalization, mortality, and transplantation patterns in Medicare-certified dialysis facilities.
The following four data files are available for download each year, where yyyy denotes the fiscal year.
DFR_Data_FYyyyy.csv file includes all summaries (facility- and regional-level) reported in the Dialysis Facility Report (DFR). The file includes one record for each dialysis facility and is the file recommended for download (i.e., wide format).
dfr_facility_socrata_fyyyyy.csv file includes only facility-level summaries reported in the DFR. The file includes one record per measure per year (i.e., long format) and contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.
dfr_us_state_socrata_fyyyyyy.csv file includes state- and national-level summaries reported in DFR. The file includes one record per measure per year (i.e., long format).
dfr_network_socrata_fyyyyyy.csv file includes ESRD network-level summaries reported in the DFR. The file includes one record per measure per year (i.e., long format).Table Name: Medicare_Dialysis_Facilities
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, End Stage Renal Disease Facilities, Chronic Conditions
Date Range: 01/01/2020 to 12/31/2025
Total Files: 7
Last Updated: 10/18/2025
Medicare Durable Medical Equipment, Devices & Supplies - by Geography and Service
Description: The Medicare Durable Medical Equipment, Devices & Supplies by Geography and Service dataset contains information on usage, payments, and submitted charges organized by geography, Healthcare Common Procedure Coding System (HCPCS) code, and supplier rental indicator.
Table Name: Medicare_Durable_Medical_Equipment_Devices__Supplies__by_Geography_and_Service
Keywords: National, States & Territories, Medicare, Original Medicare, Physicians & Practitioners, Health Care Use & Payments, Health Equity
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 06/26/2025
Medicare Durable Medical Equipment, Devices & Supplies - by Referring Provider
Description: The Medicare Durable Medical Equipment, Devices & Supplies by Referring Provider dataset contains information on usage, payments, submitted charges and beneficiary demographic and health characteristics organized by National Provider Identifier (NPI).
Table Name: Medicare_Durable_Medical_Equipment_Devices__Supplies__by_Referring_Provider
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Medical Suppliers & Equipment, Health Care Use & Payments, Health Equity
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 06/26/2025
Medicare Durable Medical Equipment, Devices & Supplies - by Referring Provider and Service
Description: The Medicare Durable Medical Equipment, Devices & Supplies by Referring Provider and Service dataset contains information on usage, payments and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and supplier rental indicator.
Table Name: Medicare_Durable_Medical_Equipment_Devices__Supplies__by_Referring_Provider_and_Service
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Medical Suppliers & Equipment, Health Care Use & Payments, Health Equity
Date Range: 01/01/2014 to 12/31/2023
Total Files: 11
Last Updated: 10/18/2025
Medicare Durable Medical Equipment, Devices & Supplies - by Supplier
Description: The Medicare Durable Medical Equipment, Devices & Supplies by Supplier dataset contains information on usage, payments, submitted charges and beneficiary demographic and health characteristics organized by supplier National Provider Identifier (NPI).
Table Name: Medicare_Durable_Medical_Equipment_Devices__Supplies__by_Supplier
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Medical Suppliers & Equipment, Health Care Use & Payments, Health Equity
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 06/26/2025
Medicare Durable Medical Equipment, Devices & Supplies - by Supplier and Service
Description: The Medicare Durable Medical Equipment, Devices & Supplies by Supplier and Service dataset contains information on usage, payments and submitted charges organized by supplier National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and supplier rental indicator.
Table Name: Medicare_Durable_Medical_Equipment_Devices__Supplies__by_Supplier_and_Service
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Medical Suppliers & Equipment, Health Care Use & Payments, Health Equity
Date Range: 01/01/2015 to 12/31/2023
Total Files: 10
Last Updated: 10/18/2025
Medicare Enrolled Mass Immunizers
Description: The Medicare Enrolled Mass Immunizers dataset provides information on all Medicare providers that are currently enrolled as Mass Immunizers/Centralized flu billers.
Table Name: Medicare_Enrolled_Mass_Immunizers
Keywords: States & Territories, ZIP Code, Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 05/17/2023 to 05/23/2023
Total Files: 1
Last Updated: 04/19/2025
Medicare Fee-For-Service Public Provider Enrollment
Description: The Medicare Fee-For-Service Public Provider Enrollment dataset includes information on providers who are actively approved to bill Medicare or have completed the 855O at the time the data was pulled from the Provider Enrollment, Chain, and Ownership System (PECOS). The release of this provider enrollment data is not related to other provider information releases such as Physician Compare or Data Transparency.
Table Name: Medicare_FeeForService__Public_Provider_Enrollment
Keywords: Medicare, Original Medicare, Provider Enrollment
Date Range: 01/01/2023 to 09/30/2025
Total Files: 12
Last Updated: 10/22/2025
Medicare Fee-for-Service Comprehensive Error Rate Testing
Description: The Medicare Fee-for-Service (FFS) Comprehensive Error Rate Testing (CERT) dataset provides information on a random sample of FFS claims to determine if they were paid properly under Medicare coverage, coding, and payment rules. The dataset contains information on type of FFS claim, Diagnosis Related Group (DRG) and Healthcare Common Procedure Coding System (HCPCS) codes, provider type, type of bill, review decision, and error code.
Please note, each reporting year (RY) contains claims submitted July 1 two years before the report through June 30 one year before the report. For example, the 2024 data contains claims submitted July 1, 2022 through June 30, 2023.
Table Name: Medicare_FeeforService_Comprehensive_Error_Rate_Testing
Keywords: Medicare, Original Medicare, Health Care Use & Payments
Date Range: 01/01/2011 to 12/31/2024
Total Files: 14
Last Updated: 12/03/2024
Medicare Geographic Variation - by Hospital Referral Region
Description: The Medicare Geographic Variation by Hospital Referral Region dataset provides information for researchers and policymakers to evaluate the geographic differences in the use and quality of health care services for the Original Medicare population. The dataset includes demographic, spending, use, and quality indicators at the hospital referral region (HRR) level.
Table Name: Medicare_Geographic_Variation__by_Hospital_Referral_Region
Keywords: National, Hospital Referral Regions, Medicare, Original Medicare, Health Care Use & Payments, Health Equity
Date Range: 01/01/2021 to 12/31/2021
Total Files: 1
Last Updated: 08/30/2023
Medicare Geographic Variation - by National, State & County
Description: The Medicare Geographic Variation by National, State & County dataset provides information on the geographic differences in the use and quality of health care services for the Original Medicare population. This dataset contains demographic, spending, use, and quality indicators at the state level (including the District of Columbia, Puerto Rico, and the Virgin Islands) and the county level.
Spending is standardized to remove geographic differences in payment rates for individual services as a source of variation. In general, total standardized per capita costs are less than actual per capita costs because the extra payments Medicare made to hospitals were removed, such as payments for medical education (both direct and indirect) and payments to hospitals that serve a disproportionate share of low-income patients. Standardization does not adjust for differences in beneficiaries’ health status.
Table Name: Medicare_Geographic_Variation__by_National_State__County
Keywords: National, States & Territories, Counties, Medicare, Original Medicare, Health Care Use & Payments, Health Equity
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 04/24/2025
Medicare Hospital Spending by Claim
Description: The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.
Table Name: Medicare_Hospital_Spending_by_Claim
Keywords: Medicare, Medicare Hospital Spending by Claim
Documentation: https://data.cms.gov/provider-data/dataset/nrth-mfg3
Total Files: 2
Last Updated: 01/08/2025
Medicare Inpatient Hospitals - by Geography and Service
Description: The Medicare Inpatient Hospitals by Geography and Service dataset provides information on hospital discharges for Original Medicare Part A beneficiaries by IPPS hospitals. This dataset contains information on the number of discharges, payments, and submitted charges organized by geography and Medicare Severity Diagnosis Related Group (DRG).
Table Name: Medicare_Inpatient_Hospitals__by_Geography_and_Service
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 11
Last Updated: 05/22/2025
Medicare Inpatient Hospitals - by Provider
Description: The Medicare Inpatient Hospitals by Provider dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital.
Table Name: Medicare_Inpatient_Hospitals__by_Provider
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 21
Last Updated: 05/22/2025
Medicare Inpatient Hospitals - by Provider and Service
Description: The Medicare Inpatient Hospitals by Provider and Service dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital and Medicare Severity Diagnosis Related Group (DRG).
Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.
Table Name: Medicare_Inpatient_Hospitals__by_Provider_and_Service
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Health Care Use & Payments, Health Equity
Date Range: 01/01/2023 to 12/31/2023
Total Files: 1
Last Updated: 05/22/2025
Medicare Monthly Enrollment
Description: The Medicare Monthly Enrollment data provides current monthly information on the number of Medicare beneficiaries with hospital/medical coverage and prescription drug coverage, available for several geographic areas including national, state/territory, and county. The hospital/medical coverage data can be broken down further by health care delivery (Original Medicare versus Medicare Advantage and Other Health Plans) and the prescription drug coverage data can be examined by those enrolled in stand-alone Prescription Drug Plans and those enrolled in Medicare Advantage Prescription Drug plans. The dataset provides monthly and yearly enrollee trends.
Table Name: Medicare_Monthly_Enrollment
Keywords: National, States & Territories, Counties, Medicare, Original Medicare, Medicare Advantage, Medicare Prescription Drug, Beneficiary Enrollment, Health Equity
Date Range: 04/01/2023 to 06/30/2025
Total Files: 26
Last Updated: 09/30/2025
Medicare Outpatient Hospitals - by Geography and Service
Description: The Medicare Outpatient Hospitals by Geography and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by geography and comprehensive Ambulatory Payment Classification (APC).
Table Name: Medicare_Outpatient_Hospitals__by_Geography_and_Service
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, Health Care Use & Payments, Health Equity
Date Range: 01/01/2015 to 12/31/2023
Total Files: 9
Last Updated: 06/26/2025
Medicare Outpatient Hospitals - by Provider and Service
Description: The Medicare Outpatient Hospitals by Provider and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by provider CMS Certified Number (CCN) and comprehensive Ambulatory Payment Classification (APC).
Table Name: Medicare_Outpatient_Hospitals__by_Provider_and_Service
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Outpatient Facilities, Health Care Use & Payments, Health Equity
Date Range: 01/01/2015 to 12/31/2023
Total Files: 10
Last Updated: 10/18/2025
Medicare Part B Discarded Drug Units
Description: The Medicare Part B Discarded Drug Units dataset provides spending information on claims for Medicare Part B drugs that were identified as having discarded amounts of a drug. As of January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) requires all physicians, hospitals, and other providers submitting claims for Medicare Part B drugs to report any discarded amount of a single use vial or other single use package drug on its claim for payment. With the passage of the Infrastructure Investment and Jobs Act in November 2021, manufacturers must pay a refund to Medicare for discarded amounts above a specified threshold effective for drugs furnished beginning with January 1, 2023.
Table Name: Medicare_Part_B_Discarded_Drug_Units
Keywords: Medicare, Original Medicare, Drugs
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/29/2025
Medicare Part B Spending by Drug
Description: The Medicare Part B by Drug dataset presents information on spending for drugs administered in doctors’ offices and other outpatient settings by physicians and other healthcare providers to Medicare Part B enrollees.
The dataset focuses on average spending per dosage unit and change in average spending per dosage unit over time. It also includes consumer-friendly descriptions of the drug uses, clinical indications, and manufacturer(s).
Drug spending metrics for Part B drugs represent the full value of the product, including the Medicare payment and beneficiary liability. All Part B drug spending metrics are calculated at the HCPCS level.
Table Name: Medicare_Part_B_Spending_by_Drug
Keywords: Medicare, Original Medicare, Drugs
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/29/2025
Medicare Part D Opioid Prescribing Rates - by Geography
Description: The Medicare Part D Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicare Part D opioid prescriptions at the state, county, and ZIP code levels.
Table Name: Medicare_Part_D_Opioid_Prescribing_Rates__by_Geography
Keywords: National, States & Territories, Counties, ZIP Code, Rural-Urban, Medicare, Medicare Prescription Drug, Physicians & Practitioners, Drugs, Health Equity
Date Range: 01/01/2021 to 12/31/2023
Total Files: 4
Last Updated: 10/18/2025
Medicare Part D Prescribers - by Geography and Drug
Description: The Medicare Part D Prescribers by Geography and Drug dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. For each drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
Table Name: Medicare_Part_D_Prescribers__by_Geography_and_Drug
Keywords: National, States & Territories, Medicare, Medicare Prescription Drug, Physicians & Practitioners, Drugs, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 11
Last Updated: 04/24/2025
Medicare Part D Prescribers - by Provider
Description: The Medicare Part D Prescribers by Provider dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The dataset identifies providers by their National Provider Identifier (NPI) and summarizes for each prescriber the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost.
Table Name: Medicare_Part_D_Prescribers__by_Provider
Keywords: Medicare, Medicare Prescription Drug, Physicians & Practitioners, Drugs, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 11
Last Updated: 04/24/2025
Medicare Part D Prescribers - by Provider and Drug
Description: The Medicare Part D Prescribers by Provider and Drug dataset provides information on prescription drugs prescribed to Medicare beneficiaries enrolled in Part D by physicians and other health care providers. This dataset contains the total number of prescription fills that were dispensed and the total drug cost paid organized by prescribing National Provider Identifier (NPI), drug brand name (if applicable) and drug generic name.
Table Name: Medicare_Part_D_Prescribers__by_Provider_and_Drug
Keywords: Medicare, Medicare Prescription Drug, Physicians & Practitioners, Drugs, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 12
Last Updated: 10/18/2025
Medicare Part D Spending by Drug
Description: The Medicare Part D by Drug dataset presents information on spending for drugs prescribed to Medicare beneficiaries enrolled in Part D by physicians and other healthcare providers. Drugs prescribed in the Medicare Part D program are drugs patients generally administer themselves.
The dataset focuses on average spending per dosage unit and change in average spending per dosage unit over time. It also includes spending information for manufacturer(s) of the drugs as well as consumer-friendly information of drug uses and clinical indications.
Drug spending metrics for Part D drugs are based on the gross drug cost, which represents total spending for the prescription claim, including Medicare, plan, and beneficiary payments. The Part D spending metrics do not reflect any manufacturers’ rebates or other price concessions as CMS is prohibited from publicly disclosing such information.
Table Name: Medicare_Part_D_Spending_by_Drug
Keywords: Medicare, Medicare Prescription Drug, Medical Suppliers & Equipment, Drugs
Date Range: 01/01/2021 to 12/31/2023
Total Files: 3
Last Updated: 05/29/2025
Medicare Physician & Other Practitioners - by Geography and Service
Description: The Medicare Physician & Other Practitioners by Geography and Service dataset contains information on use, payments, submitted charges, and beneficiary demographic and health characteristics organized by geography, Healthcare Common Procedure Coding System (HCPCS) code, and place of service.
Table Name: Medicare_Physician__Other_Practitioners__by_Geography_and_Service
Keywords: National, States & Territories, Medicare, Original Medicare, Physicians & Practitioners, Health Care Use & Payments, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 11
Last Updated: 04/24/2025
Medicare Physician & Other Practitioners - by Provider
Description: The Medicare Physician & Other Practitioners by Provider dataset provides information on use, payments, submitted charges and beneficiary demographic and health characteristics organized by National Provider Identifier (NPI).
Table Name: Medicare_Physician__Other_Practitioners__by_Provider
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Health Care Use & Payments, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 11
Last Updated: 04/24/2025
Medicare Physician & Other Practitioners - by Provider and Service
Description: The Medicare Physician & Other Practitioners by Provider and Service dataset provides information on use, payments, and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service.
Table Name: Medicare_Physician__Other_Practitioners__by_Provider_and_Service
Keywords: Medicare, Original Medicare, Physicians & Practitioners, Health Care Use & Payments, Health Equity
Date Range: 01/01/2013 to 12/31/2023
Total Files: 12
Last Updated: 10/18/2025
Medicare Post-Acute Care & Hospice - by Geography and Provider
Description: The Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, and payment information at the provider, state, and national levels for each PAC setting (i.e. HHA, hospices, SNF, IRF, and LTCH). There are additional datasets which can be found as a downloadable report under ‘Resources', which include information specific to the unique variables (e.g., case-mix groups) for HHAs, SNFs and IRFs.
Please note the data included may not be representative of a physician’s entire practice. The data are also not intended to indicate the quality of care provided and are not risk-adjusted to account for differences in underlying severity of disease of patient populations.
More information can be found below in the resources section.
Table Name: Medicare_PostAcute_Care__Hospice__by_Geography_and_Provider
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Long Term Care, Rehabilitation, Home Health, Hospice, Health Care Use & Payments, Health Equity
Date Range: 01/01/2022 to 12/31/2022
Total Files: 1
Last Updated: 07/15/2025
Medicare Post-Acute Care Utilization - Home Health Agency
Description: The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) 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 HHA setting.
Table Name: Medicare_PostAcute_Care_Utilization__Home_Health_Agency
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Home Health, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix Grouping
Description: The Medicare Post-Acute Care Utilization - Home Health Agency (HHA) by Geography/Provider and Case-Mix Grouping (CMG) 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.
Table Name: Medicare_PostAcute_Care_Utilization__Home_Health_Agency_by_GeographyProvider_and_CaseMix_Grouping
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Home Health, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Hospice
Description: The Medicare Post-Acute Care (PAC) Utilization - Hospice dataset contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, and payment information at the provider, state, and national levels at the hospice setting.
Table Name: Medicare_PostAcute_Care_Utilization__Hospice
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Home Health, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility
Description: The Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility (IRF) 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 IRF setting.
Table Name: Medicare_PostAcute_Care_Utilization__Inpatient_Rehabilitation_Facility
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Rehabilitation, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility by Geography/Provider and Case-Mix Grouping
Description: The Medicare Post-Acute Care (PAC) Utilization - Inpatient Rehabilitation Facility (IRF) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset provides payment and utilization information for IRFs under the IRF Prospective Payment System (PPS), organized by provider and CMG.
Table Name: Medicare_PostAcute_Care_Utilization__Inpatient_Rehabilitation_Facility_by_GeographyProvider_and_CaseMix_Grouping
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Rehabilitation, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Long-Term Care Hospital
Description: 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.
Table Name: Medicare_PostAcute_Care_Utilization__LongTerm_Care_Hospital
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Long Term Care, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Skilled Nursing Facility
Description: The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) 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 SNF setting.
Table Name: Medicare_PostAcute_Care_Utilization__Skilled_Nursing_Facility
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping
Description: 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.
Table Name: Medicare_PostAcute_Care_Utilization__Skilled_Nursing_Facility_by_GeographyProvider_and_CaseMix_Grouping
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments
Date Range: 01/01/2014 to 12/31/2023
Total Files: 10
Last Updated: 08/14/2025
Medicare Post-Acute Care and Hospice - by Geography & Provider
Description: The Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, and payment information at the provider, state, and national levels for each PAC setting (i.e. HHA, hospices, SNF, IRF, and LTCH). There are additional datasets which can be found as a downloadable report under ‘Resources', which include information specific to the unique variables (e.g., case-mix groups) for HHAs, SNFs and IRFs.
Please note the data included may not be representative of a physician’s entire practice. The data are also not intended to indicate the quality of care provided and are not risk-adjusted to account for differences in underlying severity of disease of patient populations.
More information can be found below in the resources section.
Table Name: Medicare_PostAcute_Care_and_Hospice__by_Geography__Provider
Keywords: National, States & Territories, Medicare, Original Medicare, Hospitals & Facilities, Inpatient, Long Term Care, Rehabilitation, Home Health, Hospice, Health Care Use & Payments, Health Equity
Date Range: 01/01/2020 to 12/31/2022
Total Files: 3
Last Updated: 06/07/2024
Medicare Provider and Supplier Taxonomy Crosswalk
Description: The Medicare Provider and Supplier Taxonomy Crosswalk dataset lists the providers and suppliers eligible to enroll in Medicare programs with the proper healthcare provider taxonomy code. This data includes the Medicare speciality codes, if available, provider/supplier type description, taxonomy code, and the taxonomy description.
Table Name: Medicare_Provider_and_Supplier_Taxonomy_Crosswalk
Keywords: Medicare, Original Medicare, Medicare Advantage, Medical Suppliers & Equipment, Provider Enrollment
Date Range: 01/01/2021 to 06/30/2025
Total Files: 8
Last Updated: 10/18/2025
Medicare Spending Per Beneficiary - Hospital
Description: 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).
Table Name: Medicare_Spending_Per_Beneficiary__Hospital
Keywords: Medicare, Medicare Spending Per Beneficiary - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/rrqw-56er
Total Files: 3
Last Updated: 07/16/2025
Medicare Spending Per Beneficiary - National
Description: 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 numbers displayed here are: 1) the average MSPB measure for the nation; and 2) the national episode-weighted median MSPB amount used as the denominator in the calculation of each hospital's MSPB measure.
Table Name: Medicare_Spending_Per_Beneficiary__National
Keywords: Medicare, Medicare Spending Per Beneficiary - National
Documentation: https://data.cms.gov/provider-data/dataset/3n5g-6b7f
Total Files: 3
Last Updated: 07/16/2025
Medicare Spending Per Beneficiary - State
Description: 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.
Table Name: Medicare_Spending_Per_Beneficiary__State
Keywords: Medicare, Medicare Spending Per Beneficiary - State
Documentation: https://data.cms.gov/provider-data/dataset/rs6n-9qwg
Total Files: 3
Last Updated: 07/16/2025
Medicare Telehealth Trends
Description: The Medicare Telehealth Trends dataset provides information about people with Medicare who used telehealth services between January 1, 2020 and March 31, 2025. The data were used to generate the Medicare Telehealth Trends Report.
Table Name: Medicare_Telehealth_Trends
Keywords: Medicare
Date Range: 10/01/2022 to 03/31/2025
Total Files: 10
Last Updated: 09/18/2025
Minimum Data Set Frequency
Description: The Minimum Data Set (MDS) Frequency data summarizes health status indicators for active residents currently in nursing homes. The MDS is part of the Federally-mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. Care Area Assessments (CAAs) are part of this process, and provide the foundation upon which a resident's individual care plan is formulated. MDS assessments are completed for all residents in certified nursing homes, regardless of source of payment for the individual resident. MDS assessments are required for residents on admission to the nursing facility, periodically, and on discharge. All assessments are completed within specific guidelines and time frames. In most cases, participants in the assessment process are licensed health care professionals employed by the nursing home. MDS information is transmitted electronically by nursing homes to the national MDS database at CMS.
When reviewing the MDS 3.0 Frequency files, some common software programs e.g., ‘Microsoft Excel’ might inaccurately strip leading zeros from designated code values (i.e., "01" becomes "1") or misinterpret code ranges as dates (i.e., O0600 ranges such as 02-04 are misread as 04-Feb). As each piece of software is unique, if you encounter an issue when reading the CSV file of Frequency data, please open the file in a plain text editor such as ‘Notepad’ or ‘TextPad’ to review the underlying data, before reaching out to CMS for assistance.
Table Name: Minimum_Data_Set_Frequency
Keywords: Medicare, Medicaid
Date Range: 01/01/2020 to 06/30/2025
Total Files: 22
Last Updated: 07/15/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - basic_drugs_formulary
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__basic_drugs_formulary
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - basic_drugs_formulary
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - beneficiary_cost
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__beneficiary_cost
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - beneficiary_cost
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - excluded_drugs
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__excluded_drugs
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - excluded_drugs
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - geographic_locator
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__geographic_locator
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - geographic_locator
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - indication_based_coverage
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__indication_based_coverage
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - indication_based_coverage
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - insulin_beneficiary_cost
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__insulin_beneficiary_cost
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - insulin_beneficiary_cost
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - pharmacy_network
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__pharmacy_network
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - pharmacy_network
Total Files: 3
Last Updated: 09/01/2025
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - plan_data
Description: Monthly Medicare Part D and Medicare Advantage plan formulary and pharmacy network data. The October file contains new plan-year information.
Table Name: Monthly_Prescription_Drug_Plan_Formulary_and_Pharmacy_Network_Information__plan_data
Keywords: Medicare, Monthly Prescription Drug Plan Formulary and Pharmacy Network Information - plan_data
Total Files: 3
Last Updated: 09/01/2025
Multiple Chronic Conditions
Description: The Multiple Chronic Conditions dataset provides information on the number of chronic conditions among Original Medicare beneficiaries. The dataset contains prevalence, use and spending organized by geography and the count of chronic conditions from the set of select 21 chronic conditions. The count of conditions is grouped into four categories (0-1, 2-3, 4-5 and 6 or more).
Table Name: Multiple_Chronic_Conditions
Keywords: National, States & Territories, Counties, Medicare, Original Medicare, Chronic Conditions, Co-morbidity, Health Care Use & Payments, Health Equity
Date Range: 01/01/2007 to 12/31/2018
Total Files: 12
Last Updated: 08/30/2023
Number of Accountable Care Organization Assigned Beneficiaries by County
Description: The Shared Savings Program Number of Accountable Care Organization Assigned Beneficiaries by County dataset provides aggregate data of total assigned beneficiaries by Shared Savings Program ACO for each county where at least one of their assigned beneficiaries resides. Assigned beneficiary person-year counts are based on certified Shared Savings Program ACO Participant Lists and assignment methodology for that performance year.
Table Name: Number_of_Accountable_Care_Organization_Assigned_Beneficiaries_by_County
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2023
Total Files: 6
Last Updated: 10/18/2025
Nursing Home Affiliated Entity Performance Measures
Description: The Nursing Home Affiliated Entity Performance Measures dataset provides select quality and performance measures from Care Compare for groups of nursing homes that share common individual or organizational owners, officers, or entities with operational/managerial control. The data include measures such as average health and staffing star ratings, staffing measures, average quality star ratings, select enforcement remedies, claims-based and Minimum Data Set (MDS) measures, average Skilled Nursing Facility Quality Reporting Program (SNF QRP) metrics, and COVID-19 vaccination rates.
Table Name: Nursing_Home_Affiliated_Entity_Performance_Measures
Keywords: Medicare, Hospitals & Facilities, Skilled Nursing
Date Range: 06/01/2023 to 06/30/2025
Total Files: 23
Last Updated: 07/09/2025
Nursing Home Chain Performance Measures
Description: The Nursing Home Chain Performance Measures dataset provides select quality and performance measures from Care Compare for groups of nursing homes that share common individual or organizational owners, officers, or entities with operational/managerial control. The data include measures such as average health and staffing star ratings, staffing measures, average quality star ratings, select enforcement remedies, claims-based and Minimum Data Set (MDS) measures, and average Skilled Nursing Facility Quality Reporting Program (SNF QRP) metrics.
Table Name: Nursing_Home_Chain_Performance_Measures
Keywords: Medicare, Hospitals & Facilities, Skilled Nursing
Date Range: 06/01/2023 to 07/31/2025
Total Files: 24
Last Updated: 08/13/2025
Opioid Treatment Program Providers
Description: The Opioid Treatment Program (OTP) Providers dataset provides information on Providers who have enrolled in Medicare under the Opioid Treatment Program. It contains provider's name, National Provider Identifier (NPI), address, phone number and the effective enrollment date.
Table Name: Opioid_Treatment_Program_Providers
Keywords: Medicare, Original Medicare, Drugs, Provider Enrollment
Date Range: 05/21/2023 to 10/18/2025
Total Files: 141
Last Updated: 10/22/2025
Opt Out Affidavits
Description: The Opt Out Affidavits dataset provides information on providers who have decided not to participate in Medicare. It contains provider's NPI, specialty, address, and effective dates.
Table Name: Opt_Out_Affidavits
Keywords: Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 04/01/2023 to 09/30/2025
Total Files: 30
Last Updated: 10/22/2025
Order and Referring
Description: The Order and Referring dataset provides information on all physicians and non-physician practitioners, by their National Provider Identifier (NPI), who are of a type/specialty that is legally eligible to order and refer in the Medicare program and who have current enrollment records in Medicare. This dataset identifies Medicare fee-for-service ordering and referring eligibility, supporting transparency and regulatory compliance efforts. The information can be used to verify ordering and referring capabilities as required by Medicare program standards.
Table Name: Order_and_Referring
Keywords: Medicare, Original Medicare, Provider Enrollment
Date Range: 05/21/2023 to 10/18/2025
Total Files: 166
Last Updated: 10/22/2025
Outpatient Imaging Efficiency - Hospital
Description: Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs.
Table Name: Outpatient_Imaging_Efficiency__Hospital
Keywords: Medicare, Outpatient Imaging Efficiency - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/wkfw-kthe
Total Files: 3
Last Updated: 07/16/2025
Outpatient Imaging Efficiency - National
Description: Use of medical imaging - national data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs.
Table Name: Outpatient_Imaging_Efficiency__National
Keywords: Medicare, Outpatient Imaging Efficiency - National
Documentation: https://data.cms.gov/provider-data/dataset/di9i-zzrc
Total Files: 3
Last Updated: 07/16/2025
Outpatient Imaging Efficiency - State
Description: Use of medical imaging - state data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs.
Table Name: Outpatient_Imaging_Efficiency__State
Keywords: Medicare, Outpatient Imaging Efficiency - State
Documentation: https://data.cms.gov/provider-data/dataset/if5v-4x48
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey - Footnotes
Description: This file contains the footnotes used in the Outpatient and Ambulatory Surgery (OAS CAHPS) survey data. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs).
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey__Footnotes
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey - Footnotes
Documentation: https://data.cms.gov/provider-data/dataset/e6hj-umam
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - Facility
Description: A list of ambulatory surgical center ratings for the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_ambulatory_surgical_centers__Facility
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - Facility
Documentation: https://data.cms.gov/provider-data/dataset/48nr-hqxx
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - National
Description: The file contains the national average for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_ambulatory_surgical_centers__National
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - National
Documentation: https://data.cms.gov/provider-data/dataset/tf3h-mrrs
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - State
Description: A list of the state averages for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_ambulatory_surgical_centers__State
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - State
Documentation: https://data.cms.gov/provider-data/dataset/x663-bwbj
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - Facility
Description: A list of hospital outpatient department ratings for the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_hospital_outpatient_departments__Facility
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - Facility
Documentation: https://data.cms.gov/provider-data/dataset/yizn-abxn
Total Files: 5
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - National
Description: The file contains the national average for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_hospital_outpatient_departments__National
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - National
Documentation: https://data.cms.gov/provider-data/dataset/s5pj-hua3
Total Files: 3
Last Updated: 07/16/2025
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - State
Description: A list of the state averages for the OAS CAHPS Survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.
Table Name: Outpatient_and_Ambulatory_Surgery_Consumer_Assessment_of_Healthcare_Providers_and_Systems_OAS_CAHPS_survey_for_hospital_outpatient_departments__State
Keywords: Medicare, Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - State
Documentation: https://data.cms.gov/provider-data/dataset/6pfg-whmx
Total Files: 3
Last Updated: 07/16/2025
Palliative Care - PPS-Exempt Cancer Hospital - Hospital
Description: Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. These measures are first steps that seek to broadly assess what is happening in PCHs at the end-of-life and will provide a baseline picture of existing end-of-life care at these hospitals.
Table Name: Palliative_Care__PPSExempt_Cancer_Hospital__Hospital
Keywords: Medicare, Palliative Care - PPS-Exempt Cancer Hospital - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/qoeg-w7ck
Total Files: 3
Last Updated: 07/16/2025
Palliative Care - PPS-Exempt Cancer Hospital - National
Description: Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. These measures are first steps that seek to broadly assess what is happening in PCHs at the end-of-life and will provide a baseline picture of existing end-of-life care at these hospitals.
Table Name: Palliative_Care__PPSExempt_Cancer_Hospital__National
Keywords: Medicare, Palliative Care - PPS-Exempt Cancer Hospital - National
Documentation: https://data.cms.gov/provider-data/dataset/qigt-w5cx
Total Files: 3
Last Updated: 07/16/2025
Part D Prescription Drug Coverage - Landscape - All Plan Types
Description: Comprehensive landscape source data for all Medicare Part D plan types including MA, PDP, SNP, MMP, compliance reports, and premium data
Table Name: Part_D_Prescription_Drug_Coverage__Landscape__All_Plan_Types
Keywords: Medicare, Part D Prescription Drug Coverage - Landscape - All Plan Types
Total Files: 1
Last Updated: 01/01/2025
Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - Hospital
Description: A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_Survey_PCH__HCAHPS_PPSExempt_Cancer_Hospital__Hospital
Keywords: Medicare, Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/iy27-wz37
Total Files: 3
Last Updated: 07/16/2025
Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - National
Description: The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_Survey_PCH__HCAHPS_PPSExempt_Cancer_Hospital__National
Keywords: Medicare, Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - National
Documentation: https://data.cms.gov/provider-data/dataset/9g7e-btyt
Total Files: 3
Last Updated: 07/16/2025
Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - State
Description: A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_Survey_PCH__HCAHPS_PPSExempt_Cancer_Hospital__State
Keywords: Medicare, Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - State
Documentation: https://data.cms.gov/provider-data/dataset/qatj-nmws
Total Files: 3
Last Updated: 07/16/2025
Patient survey (HCAHPS) - Hospital
Description: A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_survey_HCAHPS__Hospital
Keywords: Medicare, Patient survey (HCAHPS) - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/dgck-syfz
Total Files: 3
Last Updated: 07/16/2025
Patient survey (HCAHPS) - National
Description: The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_survey_HCAHPS__National
Keywords: Medicare, Patient survey (HCAHPS) - National
Documentation: https://data.cms.gov/provider-data/dataset/99ue-w85f
Total Files: 3
Last Updated: 07/16/2025
Patient survey (HCAHPS) - State
Description: A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.
Table Name: Patient_survey_HCAHPS__State
Keywords: Medicare, Patient survey (HCAHPS) - State
Documentation: https://data.cms.gov/provider-data/dataset/84jm-wiui
Total Files: 3
Last Updated: 07/16/2025
Patient-Reported Outcomes - Hospital
Description: Patient-reported outcomes are reports from patients about aspects of care that matter most to them, like pain management, functional ability (like their ability to walk, think, see, hear and remember), and overall quality of life. Through surveys or questionnaires, patients self-report the effectiveness of the care they got from their provider.
Table Name: PatientReported_Outcomes__Hospital
Keywords: Medicare, Patient-Reported Outcomes - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/mxtu-43qs
Total Files: 3
Last Updated: 07/16/2025
Payment - National
Description: Payment measures: national data. This data set includes national-level data for the payment measures associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients.
Table Name: Payment__National
Keywords: Medicare, Payment - National
Documentation: https://data.cms.gov/provider-data/dataset/ygty-mm5a
Total Files: 2
Last Updated: 01/08/2025
Payment - State
Description: Payment measures: state data. This data set includes state-level data for the payment measures associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients.
Table Name: Payment__State
Keywords: Medicare, Payment - State
Documentation: https://data.cms.gov/provider-data/dataset/98ix-2iqy
Total Files: 2
Last Updated: 01/08/2025
Payment and value of care - Hospital
Description: Payment measures and value of care displays: provider data. This data set includes provider data for the payment measures and value of care displays.
Table Name: Payment_and_value_of_care__Hospital
Keywords: Medicare, Payment and value of care - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/c7us-v4mf
Total Files: 2
Last Updated: 01/08/2025
Payroll Based Journal Daily Non-Nurse Staffing
Description: The Payroll Based Journal (PBJ) Nurse Staffing and Non-Nurse Staffing datasets provide information submitted by nursing homes including rehabilitation services on a quarterly basis. The data include the hours staff are paid to work each day, for each facility. Examples of reporting categories include Director of Nursing, Administrative Registered Nurses, Registered Nursing, Administrative Licensed Practice Nurses, Licensed Practice Nurses, Certified Nurse Aides, Certified Medication Aides, and Nurse Aides in Training. There are also other non-nurse staff categories provided in the data such as Respiratory Therapist, Occupational Therapist, and Social Worker. The datasets also include a facility’s daily census calculated using the Minimum Data Set (MDS) submission.
Table Name: Payroll_Based_Journal_Daily_NonNurse_Staffing
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments
Date Range: 01/01/2017 to 03/31/2025
Total Files: 34
Last Updated: 10/18/2025
Payroll Based Journal Daily Nurse Staffing
Description: The Payroll Based Journal (PBJ) Nurse Staffing and Non-Nurse Staffing datasets provide information submitted by nursing homes including rehabilitation services on a quarterly basis. The View Data link above includes the hours staff are paid to work each day, for each facility, aggregated by staff reporting category. Examples of reporting categories include Director of Nursing, Administrative Registered Nurses, Registered Nursing, Administrative Licensed Practice Nurses, Licensed Practice Nurses, Certified Nurse Aides, Certified Medication Aides, and Nurse Aides in Training. There are also other non-nurse staff categories provided in the data such as Respiratory Therapist, Occupational Therapist, and Social Worker. The datasets also include a facility’s daily census calculated using the Minimum Data Set (MDS) submission.
Table Name: Payroll_Based_Journal_Daily_Nurse_Staffing
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments
Date Range: 01/01/2017 to 03/31/2025
Total Files: 34
Last Updated: 10/18/2025
Payroll Based Journal Employee Detail Nursing Home Staffing
Description: The Payroll Based Journal (PBJ) Employee Detail Nursing Home Staffing dataset provides information submitted by nursing homes including rehabilitation services on a quarterly basis. The data include a system generated employee identification number, work date, job type and employment status, and hours worked for each nursing home employee.
Table Name: Payroll_Based_Journal_Employee_Detail_Nursing_Home_Staffing
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments
Date Range: 04/01/2020 to 03/31/2025
Total Files: 21
Last Updated: 10/18/2025
Pending Initial Logging and Tracking Non Physicians
Description: The Pending Initial Logging and Tracking (L & T) Non Physicians dataset provides a list of pending applications that have not been processed by CMS contractors for Non Physicians.
Table Name: Pending_Initial_Logging_and_Tracking_Non_Physicians
Keywords: Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 05/21/2023 to 10/18/2025
Total Files: 167
Last Updated: 10/22/2025
Pending Initial Logging and Tracking Physicians
Description: The Pending Initial Logging and Tracking (L & T) Physicians dataset provides a list of pending applications that have not been processed by CMS contractors.
Table Name: Pending_Initial_Logging_and_Tracking_Physicians
Keywords: Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 05/21/2023 to 10/18/2025
Total Files: 167
Last Updated: 10/22/2025
Performance Year Financial and Quality Results
Description: The Shared Savings Program Performance Year Financial and Quality Results data provides Medicare Shared Savings Program (Shared Savings Program) ACO-specific quality, expenditure, benchmark, and shared savings/loss metrics, as well as summarized beneficiary and provider information for each performance year of the Shared Savings Program.
Table Name: Performance_Year_Financial_and_Quality_Results
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Financials, Payment Models, Accountable Care Organizations
Date Range: 01/01/2013 to 12/31/2024
Total Files: 16
Last Updated: 10/07/2025
Physician Fee Schedule National Payment Amount File
Description: The significant size of the Physician Fee Schedule Payment Amount File-National requires that database programs (e.g., Access, dBase, FoxPro, etc.) be used to read these data. Word processing and spreadsheet programs cannot be used. The database programs noted above will also be required to read some versions of the Physician Fee Schedule Payment Amount File Carrier-Specific.
Table Name: Physician_Fee_Schedule_National_Payment_Amount_File
Keywords: Medicare, Physician Fee Schedule National Payment Amount File
Total Files: 12
Last Updated: 01/01/2025
Physician/Supplier Procedure Summary
Description: The Physician/Supplier Procedure Summary (PSPS) data provides a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service (FFS) claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. This dataset is produced annually and is typically available in July (i.e., data for CY2015 is usually available in July 2016).
Table Name: PhysicianSupplier_Procedure_Summary
Keywords: Medicare, Original Medicare, Health Care Use & Payments
Date Range: 01/01/2010 to 12/31/2024
Total Files: 16
Last Updated: 10/18/2025
Pioneer ACO Model
Description: The Pioneer Accountable Care Organization (ACO) Model Public Use File (PUF) provides information on ACOs participating in the model. This dataset includes information on each ACO regarding beneficiaries, financial and quality results.
Table Name: Pioneer_ACO_Model
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2012 to 12/31/2016
Total Files: 5
Last Updated: 08/30/2023
Provider of Services File - Clinical Laboratories
Description: The Provider of Services (POS) Clinical Laboratories (CLIA) data provides information on CLIA demographics and types of testing services the facility provides. In this file you will find provider number, name, address and characteristics of the participating institution providers.
Table Name: Provider_of_Services_File__Clinical_Laboratories
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Outpatient Facilities, Clinics, Health Care Use & Payments
Date Range: 10/01/2010 to 06/30/2025
Total Files: 35
Last Updated: 07/16/2025
Provider of Services File - Hospital & Non-Hospital Facilities
Description: Please be advised that as of Q4 2023 there is a new Provider of Service file (POS) that contains the provider and certification details for Home Health Agencies (HHAs), Hospices, and Ambulatory Surgical Centers (ASCs). Data contained in this file are extracted from the Internet Quality Improvement and Evaluation System (iQIES) environment and will be updated quarterly along with the other two POS files.
The Provider of Services File - Hospital & Non-Hospital Facilities data provide critical resources for other federal regulator requirements as well as supports the ongoing quality & research efforts sponsored by CMS. In this file you will find provider certification, termination, accreditation, ownership, name, location and other characteristics organized by CMS Certification Number.
Table Name: Provider_of_Services_File__Hospital__NonHospital_Facilities
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Inpatient, Outpatient Facilities, Provider Enrollment
Date Range: 10/01/2010 to 06/30/2025
Total Files: 36
Last Updated: 10/18/2025
Provider of Services File - Internet Quality Improvement and Evaluation System - Home Health Agency, Ambulatory Surgical Center, and Hospice Providers
Description: The Provider of Services File (POS) - Internet Quality Improvement and Evaluation System (iQIES) - Home Health Agency (HHA), Ambulatory Surgical Center (ASC), and Hospice Providers data provides information on provider demographic and associated certification information. In this file you will find provider number (CMS Certification Number), name, address, and other characteristics of the participating institution providers.
Table Name: Provider_of_Services_File__Internet_Quality_Improvement_and_Evaluation_System__Home_Health_Agency_Ambulatory_Surgical_Center_and_Hospice_Providers
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Home Health, Hospice, Provider Enrollment
Date Range: 10/01/2023 to 06/30/2025
Total Files: 7
Last Updated: 07/16/2025
Public Reporting of Missing Digital Contact Information
Description: In the May 2020 CMS Interoperability and Patient Access final rule, CMS finalized the policy to publicly report the names and NPIs of those providers who do not have digital contact information included in the NPPES system (85 FR 25584). This data includes the NPI and provider name of providers and clinicians without digital contact information in NPPES.
Table Name: Public_Reporting_of_Missing_Digital_Contact_Information
Keywords: Medicare, Provider Enrollment
Date Range: 01/01/2023 to 06/30/2025
Total Files: 9
Last Updated: 09/23/2025
Quality Payment Program Experience
Description: The Quality Payment Program (QPP) Experience dataset provides participation and performance information in the Merit-based Incentive Payment System (MIPS) during each performance year. They cover eligibility and participation, performance categories, and final score and payment adjustments. The dataset provides additional details at the TIN/NPI level on what was published in the previous performance year. You can sort the data by variables like clinician type, practice size, scores, and payment adjustments.
Table Name: Quality_Payment_Program_Experience
Keywords: Medicare, Original Medicare, Health Care Use & Payments
Date Range: 01/01/2017 to 12/31/2023
Total Files: 8
Last Updated: 10/18/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - basic_drugs_formulary
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__basic_drugs_formulary
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - basic_drugs_formulary
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__beneficiary_cost
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - excluded_drugs
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__excluded_drugs
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - excluded_drugs
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - geographic_locator
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__geographic_locator
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - geographic_locator
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - indication_based_coverage
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__indication_based_coverage
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - indication_based_coverage
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - insulin_beneficiary_cost
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__insulin_beneficiary_cost
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - insulin_beneficiary_cost
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - pharmacy_network
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__pharmacy_network
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - pharmacy_network
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - plan_data
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__plan_data
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - plan_data
Total Files: 1
Last Updated: 08/01/2025
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - pricing
Description: Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.
Table Name: Quarterly_Prescription_Drug_Plan_Formulary_Pharmacy_Network_and_Pricing_Information__pricing
Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - pricing
Total Files: 1
Last Updated: 08/01/2025
REACH ACOs
Description: The REACH Accountable Care Organizations (ACOs) dataset provides overview information on REACH ACOs including their name, number of years in the program, and contact information of key personnel.
Table Name: REACH_ACOs
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2025
Total Files: 6
Last Updated: 10/18/2025
Realizing Equity, Access, and Community Health ACOs
Description: The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model dataset provides overview information on REACH ACOs including their name, number of years in the program, and contact information of key personnel.
DISCLAIMER: This information is current as of the last update. Changes to ACO information occur periodically. Each ACO has the most up-to-date information about their organization. Consider contacting the ACO for the latest information.
Table Name: Realizing_Equity_Access_and_Community_Health_ACOs
Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations
Date Range: 01/01/2021 to 12/31/2024
Total Files: 4
Last Updated: 04/19/2025
Restructured BETOS Classification System
Description: The Restructured BETOS Classification System (RBCS) dataset is a taxonomy that allows researchers to group healthcare service codes for Medicare Part B services (i.e., HCPCS codes) into clinically meaningful categories and subcategories. It is based on the original Berenson-Eggers Type of Service (BETOS) classification created in the 1980s, and includes notable updates such as Part B non-physician services. The RBCS will undergo annual updates by a technical expert panel of researchers and clinicians.
Table Name: Restructured_BETOS_Classification_System
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Outpatient Facilities, Physicians & Practitioners, Medical Suppliers & Equipment
Documentation: http://data.cms.gov/resources/rbcs-data-dictionary-2024
Date Range: 01/01/2022 to 12/31/2024
Total Files: 4
Last Updated: 10/18/2025
Revalidation Clinic Group Practice Reassignment
Description: The Revalidation Clinic Group Practice Reassignment dataset provides information between the physician and the group practice they reassign their billing to. It also includes individual employer association counts and the revalidation dates for the individual physician as well as the clinic group practice.
Table Name: Revalidation_Clinic_Group_Practice_Reassignment
Keywords: Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 01/01/2022 to 10/31/2025
Total Files: 33
Last Updated: 09/30/2025
Revalidation Due Date List
Description: The Revalidation Due Date List dataset contains revalidation due dates for Medicare providers who are due to revalidate in the following six months. If a provider's due date does not fall within the ensuing six months, the due date is marked 'TBD'. In addition the dataset also includes subfiles with reassignment information for a given provider as well as due date listings for clinics and group practices and their providers.
Table Name: Revalidation_Due_Date_List
Keywords: Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 02/01/2022 to 10/31/2025
Total Files: 32
Last Updated: 09/30/2025
Revalidation Reassignment List
Description: The Revalidation Reassignment List dataset provides information on reassignments of providers who are due for revalidation.
Table Name: Revalidation_Reassignment_List
Keywords: States & Territories, ZIP Code, Medicare, Original Medicare, Medicare Advantage, Provider Enrollment
Date Range: 02/01/2022 to 10/31/2025
Total Files: 32
Last Updated: 09/30/2025
Rural Health Clinic All Owners
Description: The Rural Health Clinic (RHC) All Owners dataset provides ownership information on all RHCs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
Table Name: Rural_Health_Clinic_All_Owners
Keywords: Rural-Urban, Medicare, Hospitals & Facilities, Outpatient Facilities, Rural Health Clinics, Provider Enrollment
Date Range: 10/01/2023 to 12/31/2025
Total Files: 9
Last Updated: 10/22/2025
Rural Health Clinic Enrollments
Description: The Rural Health Clinic (RHC) Enrollments dataset provides enrollment information on all RHCs currently enrolled in Medicare. This data includes information on the RHC's legal business name, doing business as name, organization type and address.
Table Name: Rural_Health_Clinic_Enrollments
Keywords: Rural-Urban, Medicare, Hospitals & Facilities, Outpatient Facilities, Rural Health Clinics, Provider Enrollment
Date Range: 10/01/2023 to 12/31/2025
Total Files: 9
Last Updated: 10/22/2025
Safety and Healthcare-Associated Infection Measures - PPS-Exempt Cancer Hospital
Description: Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Healthcare Associated Infections. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
Table Name: Safety_and_HealthcareAssociated_Infection_Measures__PPSExempt_Cancer_Hospital
Keywords: Medicare, Safety and Healthcare-Associated Infection Measures - PPS-Exempt Cancer Hospital
Documentation: https://data.cms.gov/provider-data/dataset/k653-4ka8
Total Files: 3
Last Updated: 07/16/2025
Skilled Nursing Facility All Owners
Description: The Skilled Nursing Facility (SNF) All Owners dataset provides information on all owners of SNFs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.
On November 17, 2023, CMS published in the Federal Register a final rule titled, “Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts” (88 FR 80141). This final rule implements parts of section 1124(c) of the Act which requires SNFs to disclose detailed information about their ownership and management as well as additional data regarding: (1) other parties with which the SNF is associated; and (2) the ownership structures of these other parties. Refer to Medicare Enrollment for Providers & Suppliers for more information on the Skilled Nursing Facility disclosure requirements.
Section 6101(b) of the Affordable Care Act states that no later than 1 year after final regulations promulgated under section 1124(c) of the Act are published in the Federal Register, the Secretary shall make the information reported available to the public.
On November 21, 2024 CMS updated this dataset to include this reported information.
Table Name: Skilled_Nursing_Facility_All_Owners
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Skilled Nursing, Provider Enrollment
Date Range: 09/01/2022 to 10/31/2025
Total Files: 37
Last Updated: 10/22/2025
Skilled Nursing Facility Change of Ownership
Description: The Skilled Nursing Facility (SNF) Change of Ownership (CHOW) dataset provides information on the SNF ownership changes that occurred on or after January 1, 2016. This data includes information on the buyer and seller organization’s legal business name, provider type, change of ownership type (CHOW, Acquisition/Merger, or Consolidation) and the effective date of the change.
Table Name: Skilled_Nursing_Facility_Change_of_Ownership
Keywords: Medicare, Original Medicare, Medicare Prescription Drug, Hospitals & Facilities, Provider Enrollment
Date Range: 01/01/2022 to 09/30/2025
Total Files: 25
Last Updated: 10/22/2025
Skilled Nursing Facility Change of Ownership - Owner Information
Description: The Skilled Nursing Facility (SNF) Change of Ownership (CHOW) - Owner Information dataset provides information on individual and organizational ownership interest and managerial control associated with the buyer and seller organizations, role of the owner, association date, address of the organizational owner and other ownership details.
Table Name: Skilled_Nursing_Facility_Change_of_Ownership__Owner_Information
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Provider Enrollment
Date Range: 07/01/2024 to 09/30/2025
Total Files: 5
Last Updated: 10/22/2025
Skilled Nursing Facility Cost Report
Description: The Skilled Nursing Facility (SNF) Cost Report dataset is a public use file that provides select measures from the skilled nursing facility annual cost report. This data includes provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data organized by CMS Certification Number.
Table Name: Skilled_Nursing_Facility_Cost_Report
Keywords: Medicare, Original Medicare, Hospitals & Facilities, Skilled Nursing, Health Care Use & Payments, Value-Based Care, Financials
Date Range: 01/01/2011 to 12/31/2022
Total Files: 13
Last Updated: 10/18/2025
Skilled Nursing Facility Enrollments
Description: The Skilled Nursing Facility (SNF) Enrollments dataset provides enrollment information of all SNF 's currently enrolled in Medicare. This data includes information on the SNF's legal business name, doing business as name, organization type and address.
On November 17, 2023, CMS published in the Federal Register a final rule titled, “Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts” (88 FR 80141). This final rule implements parts of section 1124(c) of the Act which requires SNFs to disclose detailed information about their ownership and management as well as additional data regarding: (1) other parties with which the SNF is associated; and (2) the ownership structures of these other parties. Refer to Medicare Enrollment for Providers & Suppliers for more information on the Skilled Nursing Facility disclosure requirements.
Section 6101(b) of the Affordable Care Act states that no later than 1 year after final regulations promulgated under section 1124(c) of the Act are published in the Federal Register, the Secretary shall make the information reported available to the public.
On November 21, 2024 CMS updated this dataset to include this reported information.
Table Name: Skilled_Nursing_Facility_Enrollments
Keywords: Medicare, Original Medicare, Medicare Advantage, Hospitals & Facilities, Skilled Nursing, Provider Enrollment
Date Range: 09/01/2022 to 10/31/2025
Total Files: 37
Last Updated: 10/22/2025
Specific Chronic Conditions
Description: The Select Chronic Conditions dataset provides information on 21 selected chronic conditions among Original Medicare beneficiaries. The dataset contains prevalence, use and spending organized by geography and distinct chronic conditions listed below.
• Alcohol Abuse Drug Abuse/ Substance Abuse • Alzheimer’s Disease and Related Dementia • Arthritis (Osteoarthritis and Rheumatoid) • Asthma • Atrial Fibrillation • Autism Spectrum Disorders • Cancer (Breast, Colorectal, Lung, and Prostate) • Chronic Kidney Disease • Chronic Obstructive Pulmonary Disease • Depression • Diabetes • Drug Abuse/ Substance Abuse • Heart Failure • Hepatitis (Chronic Viral B & C) • HIV/AIDS • Hyperlipidemia (High cholesterol) • Hypertension (High blood pressure) • Ischemic Heart Disease • Osteoporosis • Schizophrenia and Other Psychotic Disorders • Stroke
Table Name: Specific_Chronic_Conditions
Keywords: National, States & Territories, Counties, Medicare, Original Medicare, Chronic Conditions, Health Care Use & Payments, Health Equity
Date Range: 01/01/2007 to 12/31/2018
Total Files: 12
Last Updated: 08/30/2023
Strong Start Awardees
Description: The Strong Start Awardees dataset provides information on the financial awards made to participants in the Strong Start for Mothers and Newborns Initiative. This initiative tested three evidence-based maternity care service approaches with the goal of improving health outcomes of pregnant women and newborns. The data can include the participant name, participant location, locations of practices participating under the participants’ umbrella practice, descriptive text for the type(s) of enhanced prenatal care provided, and the amount of funding awarded to the participant as a result of their participation in year 1 of the initiative.
Table Name: Strong_Start_Awardees
Keywords: Medicaid, Children's Health Insurance Program, Health Care Use & Payments, Value-Based Care, Payment Models, Service Delivery Models
Date Range: 01/01/2017 to 12/31/2017
Total Files: 1
Last Updated: 08/30/2023
Table 1: FY2021 Net Change in Base Operating DRG Payment Amount
Description: Net Change in Base Operating DRG Payment Amount shows number of hospitals for specified ranges of value-based incentive payment amounts after subtracting the amount by which their Medicare payments per discharge were reduced.
Table Name: Table_1_FY2021_Net_Change_in_Base_Operating_DRG_Payment_Amount
Keywords: Medicare, Table 1: FY2021 Net Change in Base Operating DRG Payment Amount
Documentation: https://data.cms.gov/provider-data/dataset/5gv4-jwyv
Total Files: 1
Last Updated: 01/06/2023
Table 2: FY2021 Distribution of Net Change in Base Operating DRG Payment Amount
Description: Distribution of Net Change in Base Operating DRG Payment Amount shows the distribution of hospitals' value-based incentive payment amounts after subtracting the amount of the applicable percent reduction from their Medicare payments.
Table Name: Table_2_FY2021_Distribution_of_Net_Change_in_Base_Operating_DRG_Payment_Amount
Keywords: Medicare, Table 2: FY2021 Distribution of Net Change in Base Operating DRG Payment Amount
Documentation: https://data.cms.gov/provider-data/dataset/xrgf-x36b
Total Files: 1
Last Updated: 01/06/2023
Table 3: FY2021 Percent Change in Medicare Payments
Description: Percent Change in Medicare Payments displays how hospitals' Medicare payments changed as a result of the Hospital VBP Program in percentage terms.
Table Name: Table_3_FY2021_Percent_Change_in_Medicare_Payments
Keywords: Medicare, Table 3: FY2021 Percent Change in Medicare Payments
Documentation: https://data.cms.gov/provider-data/dataset/u625-zae7
Total Files: 1
Last Updated: 01/06/2023
Table 4: FY2021 Value-Based Incentive Payment Amount
Description: Value-Based Incentive Payment Amount displays the number of hospitals that received value-based incentive payment amounts in ranges of $50,000.
Table Name: Table_4_FY2021_ValueBased_Incentive_Payment_Amount
Keywords: Medicare, Table 4: FY2021 Value-Based Incentive Payment Amount
Documentation: https://data.cms.gov/provider-data/dataset/vtqa-m4zn
Total Files: 1
Last Updated: 01/06/2023
Timely and Effective Care - Hospital
Description: Timely and Effective Care measures - provider data. This data set includes provider-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care.
Table Name: Timely_and_Effective_Care__Hospital
Keywords: Medicare, Timely and Effective Care - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/yv7e-xc69
Total Files: 3
Last Updated: 07/24/2025
Timely and Effective Care - National
Description: Timely and Effective Care measures - national data. This data set includes national-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care.
Table Name: Timely_and_Effective_Care__National
Keywords: Medicare, Timely and Effective Care - National
Documentation: https://data.cms.gov/provider-data/dataset/isrn-hqyy
Total Files: 3
Last Updated: 07/16/2025
Timely and Effective Care - State
Description: Timely and Effective Care measures - state data. This data set includes state-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care.
Table Name: Timely_and_Effective_Care__State
Keywords: Medicare, Timely and Effective Care - State
Documentation: https://data.cms.gov/provider-data/dataset/apyc-v239
Total Files: 3
Last Updated: 07/16/2025
Unplanned Hospital Visits - Hospital
Description: Unplanned Hospital Visits: provider data. This data set includes provider data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures.
Table Name: Unplanned_Hospital_Visits__Hospital
Keywords: Medicare, Unplanned Hospital Visits - Hospital
Documentation: https://data.cms.gov/provider-data/dataset/632h-zaca
Total Files: 3
Last Updated: 07/16/2025
Unplanned Hospital Visits - National
Description: Unplanned Hospital Visits: national data. This data set includes national-level data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures.
Table Name: Unplanned_Hospital_Visits__National
Keywords: Medicare, Unplanned Hospital Visits - National
Documentation: https://data.cms.gov/provider-data/dataset/cvcs-xecj
Total Files: 3
Last Updated: 07/16/2025
Unplanned Hospital Visits - State
Description: Unplanned Hospital Visits: state data. This data set includes state-level data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures.
Table Name: Unplanned_Hospital_Visits__State
Keywords: Medicare, Unplanned Hospital Visits - State
Documentation: https://data.cms.gov/provider-data/dataset/4gkm-5ypv
Total Files: 3
Last Updated: 07/16/2025
Value Modifier
Description: The Medicare Value-Based Payment Modifier (Value Modifier) data contains the performance results of de-identified practices that were subject to the Value Modifier, such as the practices' quality and cost tiers along with any applicable Value Modifier payment adjustment. The Value Modifier provided for differential payment under the Medicare Physician Fee Schedule based on the quality of care furnished to Medicare beneficiaries compared to the cost of care during a performance period. Calendar Year 2015 was the first payment adjustment period under the Value Modifier based on performance in 2013. Calendar Year 2018 was the final payment adjustment period under the Value Modifier based on performance in 2016.
Table Name: Value_Modifier
Keywords: Medicare, Original Medicare, Value-Based Care, Payment Models
Documentation: http://data.cms.gov/resources/value-modifier-data-dictionary
Date Range: 01/01/2013 to 12/31/2016
Total Files: 5
Last Updated: 10/18/2025
Value of care - National
Description: Value of care displays: national data. This data set includes national-level data for the value of care displays associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients.
Table Name: Value_of_care__National
Keywords: Medicare, Value of care - National
Documentation: https://data.cms.gov/provider-data/dataset/gbq5-7hzr
Total Files: 2
Last Updated: 01/08/2025
Veterans Health Administration Behavioral Health Data
Description: A list of VHA hospitals with behavioral health measure data. VHA reports data on a set of core performance measures for Hospital-Based Inpatient Psychiatric Services (HBIPS), Substance Use, and Tobacco Treatment.
Table Name: Veterans_Health_Administration_Behavioral_Health_Data
Keywords: Medicare, Veterans Health Administration Behavioral Health Data
Documentation: https://data.cms.gov/provider-data/dataset/6qxe-iqz8
Total Files: 3
Last Updated: 07/16/2025
Veterans Health Administration Provider Level Data
Description: A list of all VHA hospitals. The list includes addresses and phone numbers.
Table Name: Veterans_Health_Administration_Provider_Level_Data
Keywords: Medicare, Veterans Health Administration Provider Level Data
Documentation: https://data.cms.gov/provider-data/dataset/uyx4-5s7f
Total Files: 3
Last Updated: 07/16/2025
Veterans Health Administration Timely and Effective Care Data
Description: A list of VHA hospitals with timely and effective care (process of care) measure data. VHA collects this information through a Quality Improvement Organization (External Peer Review Program) or directly from electronic medical records.
Table Name: Veterans_Health_Administration_Timely_and_Effective_Care_Data
Keywords: Medicare, Veterans Health Administration Timely and Effective Care Data
Documentation: https://data.cms.gov/provider-data/dataset/ptds-r8im
Total Files: 3
Last Updated: 07/16/2025
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