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 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 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 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  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.

The CMS Program Statistics - Medicare Physician, Non-Physician Practitioner and Supplier tables provide use and payment data for physicians, other practitioners, limited-licensed practitioners, and durable medical equipment, prosthetic, and orthotic (DMEPOS) suppliers. 

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 PHYSSUPP 1.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR PHYSSUPP 2.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR PHYSSUPP 3.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Area of Residence
MDCR PHYSSUPP 4.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Type of Service
MDCR PHYSSUPP 5.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Place of Service
MDCR PHYSSUPP 6.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Physician Specialty
MDCR PHYSSUPP 7.  Medicare Physicians, Non-Physician Practitioners, and Suppliers:  Utilization and Program Payments for Original Medicare Beneficiaries, by Berenson-Eggers Type of Service (BETOS) Classification

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.  

 

DISCLAIMER: This information is current as of the last update. Changes to Shared Savings Program ACO information occur periodically. Each Shared Savings Program ACO has the most up-to-date information about their organization. Consider contacting the Shared Savings Program ACO for the latest information. Contact information is available in the ACO Public Use File (PUF) and the ACO Participants PUF.

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.

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.

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.