This reference provides significant summary information about health expenditures and the Centers for Medicare & Medicaid Services' (CMS) programs. The information presented was the most current available at the time of publication. Significant time lags may occur between the end of a data year and aggregation of data for that year.

This dataset tracks the updates made on the dataset "NCHS Survey Data Linked to Centers for Medicare & Medicaid Services (CMS) Medicare Data Files" as a repository for previous versions of the data and metadata.

Content

More details about each file are in the individual file descriptions.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

This dataset is distributed under the following licenses: Public Domain, NA

Verify the accuracy of SSNs of all individual Medicare providers, owners, managing/directing employees, authorized representatives, ambulance service medical directors, ambulance crew members, technicians, chain organization administrators, Independent Diagnostic Test Facility (IDTF), supervising/directing physicians, and IDTF interpretation service providers. Also included in this Agreement are individual health care providers who apply for a National Provider Identification Number (NPI).

This is a random sampling of the 2022 public data set hosted by the Center for Medicare & Medicaid Services at:

https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider-and-service

The complete data set for 2022 can be found there. This random sampling has 292,663 rows and 29 columns. The full set hosted at the link above is about 3GB in size with 9,755,427 rows and 29 columns. The 29 columns are:

1. National Provider Identifier (Rndrng_NPI)
2. Last Name/Organization Name of the Provider (Rndrng_Prvdr_Last_Org_Name)
3. First Name of the Provider (Rndrng_Prvdr_First_Name)
4. Middle Initial of the Provider (Rndrng_Prvdr_MI)
5. Credentials of the Provider (Rndrng_Prvdr_Crdntls)
6. Gender of the Provider (Rndrng_Prvdr_Gndr)
7. Entity Type of the Provider (Rndrng_Prvdr_Ent_Cd)
8. Street Address 1 of the Provider (Rndrng_Prvdr_St1)
9. Street Address 2 of the Provider (Rndrng_Prvdr_St2)
10. City of the Provider (Rndrng_Prvdr_City)
11. State Abbreviation of the Provider (Rndrng_Prvdr_State_Abrvtn)
12. State FIPS Code of the Provider (Rndrng_Prvdr_State_FIPS)
13. Zip Code of the Provide (Rndrng_Prvdr_Zip5)
14. RUCA Code of the Provider (Rndrng_Prvdr_RUCA)
15. RUCA Description (Rndrng_Prvdr_RUCA_Desc)
16. Country Code of the Provider (Rndrng_Prvdr_Cntry)
17. Provider Type of the Provider (Rndrng_Prvdr_Type)
18. Medicare Participation Indicator (Rndrng_Prvdr_Mdcr_Prtcptg_Ind)
19. HCPCS Code (HCPCS_Cd)
20. HCPCS Description (HCPCS_Desc)
21. HCPCS Drug Indicator (HCPCS_Drug_Ind)
22. Place of Service (Place_Of_Srvc)
23. Number of Medicare Beneficiaries (Tot_Benes)
24. Number of Services (Tot_Srvcs)
25. Number of Distinct Medicare Beneficiary/Per Day Services (Tot_Bene_Day_Srvcs)
26. Average Submitted Charge Amount (Avg_Sbmtd_Chrg)
27. Average Medicare Allowed Amount (Avg_Mdcr_Alowd_Amt)
28. Average Medicare Payment Amount (Avg_Mdcr_Pymt_Amt)
29. Average Medicare Standardized Payment Amount (Avg_Mdcr_Stdzd_Amt)

A brief description of each these columns can be found here:

https://data.cms.gov/resources/medicare-physician-other-practitioners-by-provider-and-service-data-dictionary

A full description of the data is in the 27-page document, "Medicare Fee-For-Service Provider Utilization & Payment Data Physician and Other Supplier Public Use File: A Methodological Overview" which can be found here:

www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/downloads/medicare-physician-and-other-supplier-puf-methodology.pdf

This data set is similar to the one posted by Tamil Selvan here https://www.kaggle.com/datasets/tamilsel/healthcare-providers-data. That data's origin is unclear, however it is very likely from same source. It has different header text and may be from one of the earlier years.

Content

This file is a point in time snapshot of enrollment level data for providers actively enrolled in Medicare.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

Cover photo by Annie Spratt on Unsplash
Unsplash Images are distributed under a unique Unsplash License.

This dataset is distributed under NA

Content

************************PLEASE NOTE**************************

This dataset will no longer be updated effective 2/25/2019

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

Cover photo by rawpixel on Unsplash
Unsplash Images are distributed under a unique Unsplash License.

This dataset is distributed under NA

The CMS Program Statistics - Medicare Skilled Nursing Facility tables provide use and payment data for skilled nursing facilities. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. Below is the list of tables: MDCR SNF 1. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR SNF 2. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR SNF 3. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence MDCR SNF 4. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement and Covered Days of Care MDCR SNF 5. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Facility and Bedsize MDCR SNF 6. Medicare Skilled Nursing Facilities: Distribution of Medicare Covered Skilled Nursing Facility Days, by State of Provider and Major Resource Utilization Groups (RUG)-III (versions 2013-2018 only)

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. 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 TrendMDCR ENROLL AB 16. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly TrendMDCR ENROLL AB 17. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Demographic CharacteristicsMDCR ENROLL AB 18. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Demographic CharacteristicsMDCR ENROLL AB 19. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of ResidenceMDCR ENROLL AB 20. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Area of ResidenceResources for using and understanding the dataThe data reported in these enrollment tables are based on information gathered from CMS administrative enrollment data for beneficiaries enrolled in Medicare Advantage and Other Health Plans available from the CMS Chronic Conditions Data Warehouse.

Content

More details about each file are in the individual file descriptions.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

This dataset is distributed under the following licenses: NA

The CMS Program Statistics - Original Medicare Enrollment tables provide data on characteristics of the Original Medicare population.

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

Below is the list of tables:

MDCR ENROLL AB 9. Original Medicare Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, Yearly Trend
MDCR ENROLL AB 10. Original Medicare Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly Trend
MDCR ENROLL AB 11. Original Medicare Enrollment: Part A and/or Part B Enrollees, by Demographic Characteristics
MDCR ENROLL AB 12. Original Medicare Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Demographic Characteristics
MDCR ENROLL AB 13. Original Medicare Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of Residence
MDCR ENROLL AB 14. Original Medicare Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Area of Residence

The CMS Program Statistics - Medicare Part D Enrollment tables provide data on characteristics of the Medicare Part D covered population.

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

Below is the list of tables:

MDCR ENROLL D 1. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, Yearly Trend
MDCR ENROLL D 2. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, by Demographic Characteristics
MDCR ENROLL D 3. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, by Area of Residence

The CMS Program Statistics - Medicare Providers summary tables provide data on institutional (i.e., hospitals, skilled nursing facilities, home health agencies, hospices, etc.) and non-institutional (i.e., physicians, nonphysicians, specialists, and suppliers) providers.

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 PROVIDERS 1. Medicare Providers: Number of Medicare Certified Institutional Providers, Yearly Trend MDCR PROVIDERS 2. Medicare Providers: Number of Medicare Certified Inpatient Hospital and Skilled Nursing Facility Beds and Beds Per 1,000 Enrollees, Yearly Trend MDCR PROVIDERS 3. Medicare Providers: Number of Medicare Certified Facilities, by Type of Control, Yearly Trend MDCR PROVIDERS 4. Medicare Providers: Number of Skilled Nursing Facilities and Medicare Certified Hospitals, and Number of Beds, by State, Territories, Possessions and Other Areas MDCR PROVIDERS 5. Medicare Providers: Number of Medicare Certified Providers, by Type of Provider, by State, Territories, Possessions, and Other Areas MDCR PROVIDERS 6. Medicare Providers: Number of Medicare Non-Institutional Providers by Specialty, Yearly Trend MDCR PROVIDERS 7. Medicare Providers: Number of Medicare Non-Institutional Providers, by State, Territories, Possessions, and Other Areas, Yearly Trend

Content

A list of practitioners who have opted out of Medicare.*

Source: Provider Enrollment, Chain and Ownership System (PECOS) as of January 31st, 2019

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

Cover photo by Hutomo Abrianto on Unsplash
Unsplash Images are distributed under a unique Unsplash License.

This dataset is distributed under NA

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.

Content

More details about each file are in the individual file descriptions.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

This dataset is distributed under the following licenses: NA, Public Domain

Content

More details about each file are in the individual file descriptions.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

This dataset is distributed under the following licenses: Public Domain

Content

More details about each file are in the individual file descriptions.

Context

This is a dataset hosted by the Centers for Medicare & Medicaid Services (CMS). The organization has an open data platform found here and they update their information according the amount of data that is brought in. Explore CMS's Data using Kaggle and all of the data sources available through the CMS organization page!

• Update Frequency: This dataset is updated daily.

Acknowledgements

This dataset is maintained using Socrata's API and Kaggle's API. Socrata has assisted countless organizations with hosting their open data and has been an integral part of the process of bringing more data to the public.

This dataset is distributed under the following licenses: NA, Public Domain

This dataset is pre-filtered based on the most frequent searches of Open Payments data.

The Nursing Home COVID-19 Public File from the Centers for Medicare & Medicaid Services, filtered for Connecticut. View the full dataset and detailed metadata here. The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident Impact, Facility Capacity, Staff & Personnel, and Supplies & Personal Protective Equipment, and Ventilator Capacity and Supplies Data Elements.