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).

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.

 

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 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).

The CMS Program Statistics - Medicare Advantage, Skilled Nursing Facility tables provide utilization data for skilled nursing facilities, by Medicare Advantage beneficiaries.

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 SNF MA 1.  Medicare Skilled Nursing Facilities: Utilization for Medicare Advantage Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR SNF MA 2.  Medicare Skilled Nursing Facilities: Utilization for Medicare Advantage Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR SNF MA 3.  Medicare Skilled Nursing Facilities: Utilization for Medicare Advantage Beneficiaries, by Area of Residence

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).

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.

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.