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 2016-2021 for Medicare Advantage beneficiaries at the national and state levels.

The CMS Program Statistics - Medicare Advantage & Other Health Plan Enrollment tables provide data on characteristics of the population covered by Medicare Advantage & other health plans. 

For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page.

These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data.

 

Below is the list of tables:

MDCR ENROLL AB 15.  Medicare Advantage and Other Health Plan Enrollment:  Part A and/or Part B Total, Aged, and Disabled Enrollees, Yearly Trend
MDCR ENROLL AB 16.  Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly Trend
MDCR ENROLL AB 17.  Medicare Advantage and Other Health Plan Enrollment:  Part A and/or Part B Enrollees, by Demographic Characteristics
MDCR ENROLL AB 18.  Medicare Advantage and Other Health Plan Enrollment:  Part A and/or Part B Enrollees, by Type of Entitlement and Demographic Characteristics
MDCR ENROLL AB 19.  Medicare Advantage and Other Health Plan Enrollment:  Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of Residence
MDCR ENROLL AB 20.  Medicare Advantage and Other Health Plan Enrollment:  Part A and/or Part B Enrollees, by Type of Entitlement and Area of Residence

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.

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.

 

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.

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.

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. 

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.

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.

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.

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.