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.

The CMS Program Statistics - Medicare Outpatient Facility tables provide use and payment data for all outpatient facilities, including hospitals providing outpatient services, rural health clinics, community mental health centers, federally qualified health centers, outpatient dialysis facilities, comprehensive outpatient rehabilitation facilities, and other outpatient facilities. 

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 OUTPATIENT 1.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR OUTPATIENT 2.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR OUTPATIENT 3.  Medicare Outpatient Facilities:  Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence
MDCR OUTPATIENT 4.  Medicare Outpatient Facilities:  Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Outpatient Facility
MDCR OUTPATIENT 5.  Medicare Outpatient Facilities:  Utilization for Original Medicare Beneficiaries, by Type of Outpatient Facility and Type of Service
MDCR OUTPATIENT 6.  Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR OUTPATIENT 7.  Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR OUTPATIENT 8.  Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence
MDCR OUTPATIENT 9.  Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR OUTPATIENT 10.  Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR OUTPATIENT 11.  Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence

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. 

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.

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.

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.

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. 

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 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.

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.

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.