Hospitals Registered with MedicareThis feature layer, utilizing data from the Centers of Medicare and Medicaid Services (CMS), depicts all hospitals that are currently registered with Medicare in the U.S. Per NIH, "Since the passage of Medicare legislation in 1965, Section 1861 of the Social Security Act has stated that hospitals participating in Medicare must meet certain requirements specified in the act and that the Secretary of the Department of Health, Education and Welfare (HEW) [now the Department of Health and Human Services (DHHS)] may impose additional requirements found necessary to ensure the health and safety of Medicare beneficiaries receiving services in hospitals. On this basis, the Conditions of Participation, a set of regulations setting minimum health and safety standards for hospitals participating in Medicare, were promulgated in 1966 and substantially revised in 1986."Ascension Columbia St Mary's HospitalData currency: 11/26/2024Data modification: This data was created using the geocoding process on the CSV file.Data downloaded from: Hospital General InformationFor more information: HospitalsSupport documentation: Data dictionaryFor feedback, please contact: ArcGIScomNationalMaps@esri.comCenters of Medicare and Medicaid ServicesPer USA.gov, "The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace. The CMS seeks to strengthen and modernize the Nation’s health care system, to provide access to high quality care and improved health at lower costs."
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 Denominator File combines Medicare beneficiary entitlement status information from administrative enrollment records with third-party payer information and GHP enrollment information. The Denominator File contains data on all Medicare beneficiaries enrolled and or entitled in a given year. It is an abbreviated version of the Enrollment Data Base (EDB) (selected data elements). It does not contain data on all beneficiaries ever entitled to Medicare. The file contains data only for beneficiaries who were entitled during the year of the data. These data are available annually in May of the current year for the prior year.
The CMS Program Statistics - Medicare Advantage, Inpatient Hospital tables provide utilization data for inpatient hospitals, including short-stay hospitals, critical access hospitals, long term care hospitals, inpatient psychiatric facilities, inpatient rehabilitation facilities, and other hospitals, 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 INPT HOSP MA 4. All Medicare Inpatient Hospital Types: Utilization for Medicare Advantage Beneficiaries, by Type of Hospital
MDCR INPT HOSP MA 5. Medicare Short Stay Hospitals: Utilization for Medicare Advantage Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR INPT HOSP MA 6. Medicare Short Stay Hospitals: Utilization for Medicare Advantage Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR INPT HOSP MA 7. Medicare Short Stay Hospitals: Utilization for Medicare Advantage Beneficiaries, by Area of Residence
MDCR INPT HOSP MA 1 – MDCR INPT HOSP MA 3 are not available at this time.
The U.S. Department of Health and Human Services (HHS) via the Health Resources and Services Administration (HRSA) is releasing American Rescue Plan payments to providers and suppliers who have served rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries from January 1, 2019 through September 30, 2020. The dataset will be updated as additional payments are released. Data does not reflect recipients’ attestation status, returned payments, or unclaimed funds.
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• Weekly Cumulative Influenza Vaccination Coverage, by Flu Season and Race and Ethnicity, Medicare Fee-For-Service Beneficiaries, Adults aged 65 years and Older
• Influenza vaccination coverage among Medicare fee-for-service beneficiaries 65 years and older is assessed using data files from the Medicare Fee-For-Service (FFS) administrative claims data managed by the Centers for Medicare & Medicaid Services (CMS).
https://www.usa.gov/government-workshttps://www.usa.gov/government-works
Weekly Cumulative Updated 2023-24 COVID-19 Vaccination Coverage, by Race and Ethnicity, Medicare Fee-For-Service Beneficiaries aged ≥65 years
• Estimated COVID-19 vaccination coverage among Medicare fee-for-service beneficiaries >65 years is assessed using data files from the Medicare Fee-For-Service (FFS) administrative claims data managed by the Centers for Medicare & Medicaid Services (CMS).
• Starting in September 2023, the CDC recommended the 2023-2024 updated COVID-19 vaccine to protect against serious illness from COVID-19. (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html)
This provides key statistics on Medicare-Medicaid dual enrollees enrollment, service utilization, expenditures, and chronic conditions for 2012. 2012 is the most recent year of available data due to lags in Medicaid data.
The Physician and Other Supplier Public Use File (Physician and Other Supplier PUF) provides information on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals. The Physician and Other Supplier PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service. This PUF is based on information from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program. The data in the Physician and Other Supplier PUF covers calendar years 2012 through 2014 and contains 100 percent final-action physician-supplier Part B non-institutional line items for the Medicare fee-for-service population.
https://search.gesis.org/research_data/datasearch-httpwww-da-ra-deoaip--oaioai-da-ra-de444862https://search.gesis.org/research_data/datasearch-httpwww-da-ra-deoaip--oaioai-da-ra-de444862
Abstract (en): This data collection contains two data files derived from information gathered in the initial screening interview and Rounds 1-4 of the Household Survey component of the 1987 NATIONAL MEDICAL EXPENDITURE SURVEY (NMES). The Person File supplies data on each sampled person who reported coverage by Medicare at any time in 1987 and who responded to all rounds of the Household Survey for which he or she was eligible to respond. Data in this file include age, sex, race, marital status, education, employment status, personal and family income, coverage under private health insurance and public programs such as Medicaid and CAMPUS/CAMPVA, and the total number and cost of all prescriptions purchased in 1987 while under Medicare coverage. In addition, there are indicators of general health and specific medical conditions: stroke, cancer, heart disease, gallbladder disease, high blood pressure, hardening of the arteries, rheumatism, emphysema, arthritis and diabetes. The Prescribed Medicines Event File presents data pertaining to every instance a prescribed medicine was purchased or otherwise obtained by these Medicare beneficiaries during 1987. For respondents who were covered by Medicare for part of the year, only prescribed medicines acquired during the Medicare coverage period are included. This file gives the trade and generic name of each prescribed medication and reports the cost of the prescription and the medical condition for which it was prescribed. Civilian noninstitutionalized population of the United States living in housing units, group quarters, and other noninstitutional (nongroup) quarters. Stratified multistage area probability sample of dwelling units. Dwelling units including blacks, Hispanics, the elderly, the functionally impaired, and the poor were oversampled. 2006-03-30 File CB9340.SUPP.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.2006-03-30 All files were removed from dataset 3 and flagged as study-level files, so that they will accompany all downloads. (1) The principal investigator was formerly known as the National Center for Health Services Research and Health Care Technology Assessment. (2) The age distribution for Part 1: 17 and under (N=8), 18-63 (N=444), 64 (N=246), 65-74 (N=3,246), 75-84 (N=1,685), 85+ (N=409). (3) Parts 1 and 2 are linked by common identification variables. (4) Hard copy supplementary materials to the machine-readable documentation in Part 3 are supplied for this collection. (5) Part 2 contains alphabetic variables. (6) NMES consists of several surveys including two household panel surveys: the Household Survey and the Survey of American Indians and Alaska Natives (SAIAN). The Household Survey, from which this data collection is derived, surveyed the United States noninstitutionalized population and was fielded over four rounds of personal and telephone interviews at four-month intervals, with a short telephone interview constituting the fifth final round. SAIAN, which was conducted over three rounds of personal interviews, surveyed all persons who were eligible for care through the Indian Health Service and were living on or near reservations. These household surveys were supplemented by additional surveys, most important of which are the Health Insurance Plans Survey of employers and insurers of consenting household survey respondents, and the Medical Provider Survey of physicians, osteopaths, and inpatient and outpatient facilities, including home health care agencies reported as providing services to any member of the noninstitutionalized population sample. NMES also surveyed persons resident in or admitted to long-term care facilities (nursing homes and facilities for the mentally retarded) at any time in 1987. Information on these individuals was obtained from the Survey of Institutions, which collected data from facility administrators and designated staff, and the Survey of Next-of-Kin, which collected data from the respondent's next-of-kin or other knowledgeable persons. Together, the major components of NMES provide measures of health status and estimates of insurance coverage and the use of services, expenditures, and sources of payment for the period from January 1 to December 31, 1987 for the civilian population of the United States. NMES continues a series of national health care expenditure surveys carried out in the past, particularly the 1980 National Medical Care Utiliza...
The Medicare Outpatient Hospitals by Provider and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by provider CMS Certified Number (CCN) and comprehensive Ambulatory Payment Classification (APC).
The Medicare Inpatient Hospitals by Provider and Service 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 and Medicare Severity Diagnosis Related Group (DRG). Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.
2014-2019. This dataset is a de-identified summary table of vision and eye health data indicators from Medicare claims, stratified by all available combinations of age group, race/ethnicity, gender, and state. Medicare claims for VEHSS includes beneficiaries who were fully enrolled in Medicare Part B Fee-for-Service (FFS) for the duration of the year. Medicare claims provide a convenience sample that includes approximately 30 million individuals annually, which represents nearly 89% of the US population aged 65 and older and 3.3% of the US population younger than 65, including persons disabled due to blindness. Medicare data for VEHSS include Service Utilization and Medical Diagnoses indicators. Data were suppressed for de-identification to ensure protection of patient privacy. Data will be updated as it becomes available. Detailed information on VEHSS Medicare analyses can be found on the VEHSS Medicare webpage (cdc.gov/visionhealth/vehss/data/claims/medicare.html). Information on available Medicare claims data can be found on the ResDac website (www.resdac.org). The VEHSS Medicare dataset was last updated May 2023.
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• Weekly Cumulative RSV Vaccination Coverage, by Race and Ethnicity, Medicare Fee-For-Service Beneficiaries aged 75 years
• RSV vaccination coverage among Medicare-Fee-for-service beneficiaries aged 75 years and older and enrolled in a Part D plan in assessed using data files from the Medicare Fee-for-Service (FFS) administrative claims data managed by the Centers for Medicare & Medicaid Services (CMS).
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License information was derived automatically
Predicted probabilities and adjusted odds ratios for hospitalizations, ER admissions, and physician visits (N = 1063).
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License information was derived automatically
Analysis of ‘American Rescue Plan (ARP) Rural Payments’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/b14fb382-f0aa-414c-8fa9-bc193f788879 on 13 February 2022.
--- Dataset description provided by original source is as follows ---
The U.S. Department of Health and Human Services (HHS) via the Health Resources and Services Administration (HRSA) is releasing American Rescue Plan payments to providers and suppliers who have served rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries from January 1, 2019 through September 30, 2020. The dataset will be updated as additional payments are released. Data does not reflect recipients’ attestation status, returned payments, or unclaimed funds.
--- Original source retains full ownership of the source dataset ---
This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by primary language spoken (English, Spanish, and all other languages). Results are shown overall; by state; and by five subpopulation topics: race and ethnicity, age group, scope of Medicaid and CHIP benefits, urban or rural residence, and eligibility category. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, the Northern Mariana Islands, and select states with data quality issues with the primary language variable in TAF are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown overall (where subpopulation topic is "Total enrollees") exclude enrollees younger than age 5 and enrollees in the U.S. Virgin Islands. Results for states with TAF data quality issues in the year have a value of "Unusable data." Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Primary language spoken by the Medicaid and CHIP population in 2020." Enrollees are assigned to a primary language category based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to an eligibility category subpopulation using their latest reported eligibility group code, CHIP code, and age in the calendar year. Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.
Weekly Cumulative RSV Vaccination Coverage, by Race and Ethnicity, Medicare Fee-For-Service Beneficiaries aged 65 years
• Estimated COVID-19 vaccination coverage among Medicare fee-for-service beneficiaries >65 years is assessed using data files from the Medicare Fee-For-Service (FFS) administrative claims data managed by the Centers for Medicare & Medicaid Services (CMS).
• Starting in July 2023, the CDC recommended the RSV vaccine to protect against serious illness from RSV. (https://www.cdc.gov/respiratory-viruses/whats-new/rsv-update-2023-09-22.html
Create maps of U.S. blood pressure medication nonadherence among Medicare Part D beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and blood pressure medication class. Blood pressure medication nonadherence is defined as a proportion of days a beneficiary was covered with blood pressure medication of <80%.Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData Source and MethodologyAntihypertensive nonadherence, defined as a proportion of days a beneficiary was covered with antihypertensives of <80%, was assessed using prescription drug claims data among Medicare Advantage or Medicare fee-for-service beneficiaries aged ≥65 years with Medicare Part D coverage. Administrative data and prescription drug event data were accessed via the Centers for Medicare and Medicaid Services Chronic Conditions Data Warehouse. Analyses were stratified by antihypertensive class, beneficiaries’ state and county of residence, type of prescription drug plan, and treatment and demographic characteristics. Visit the Vital Signs Morbidity and Mortality Weekly Report for more detailed information.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptions stcty_fips: state FIPS code + county FIPS code county: county name Blood pressure medication nonadherence percentage for Medicare Part D Beneficiaries aged 65 and older htnadh_all: All beneficiaries htnadh_aian: American Indian and Alaska Native, non-Hispanic beneficiaries htnadh_api: Asian and Pacific Islander, non-Hispanic beneficiaries htnadh_black: Black, non-Hispanic beneficiaries htnadh_hisp: Hispanic beneficiaries htnadh_white: White, non-Hispanic beneficiaries diuradh: Diuretic nonadherence rasadh: Renin-Angiotensin System nonadherenceMore Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods
The 1991 New [Social Security] Beneficiary Followup (NBF) is the second wave of the Social Security Administration's NEW [SOCIAL SECURITY] BENEFICIARY SURVEY, 1988: UNITED STATES (ICPSR 8510). Together, the two surveys are referred to as the New Beneficiary Data System (NBDS). The NBDS contains information on the changing circumstances of aged and disabled Title II beneficiaries. This wave includes information from administrative records as well as data from followup interviews with survivors from the original survey. The NBS was conducted in late 1982 with a sample representing nearly 2 million persons who had begun receiving Social Security benefits during a 12-month period in 1980-1981. Personal interviews were completed with three types of beneficiaries: 9,103 retired workers, 5,172 disabled workers, and 2,417 wife or widow beneficiaries. In addition, interviews were obtained from 1,444 aged persons who were entitled to Medicare benefits but were not receiving Social Security payments because of high earnings. The NBS interviews covered a wide range of topics, including demographic characteristics of the respondent, spouse, and any other persons in the household, as well as marital and childbearing history, employment history, current income and assets, and health. Selected data were also gathered from spouses and added from administrative records. The NBF followup interviews were conducted throughout 1991 with surviving original sample persons from the NBS and surviving spouses of NBS decedents. The NBF updated information on economic circumstances obtained in the NBS, and added or expanded sections dealing with health, family contacts, and post-retirement employment. The interviews also probed major changes in living circumstances that might cause changes in economic status (for example, death of a spouse, episodes of hospitalization, and changes of residence). In addition, disabled workers were asked about their efforts to return to work, experiences with rehabilitation services, and knowledge of Social Security work incentive provisions. Since the 1982 survey, selected information on the NBS respondents has been compiled periodically from Social Security, Supplemental Security Income (SSI), and Medicare records. These administrative data, which can be linked to the survey data, make it possible to analyze changes in NBS respondents' covered earnings, cash benefits, participation in the SSI program, and health expenses. (Source: downloaded from ICPSR 7/13/10)
Please Note: This dataset is part of the historical CISER Data Archive Collection and is also available at ICPSR at https://doi.org/10.3886/ICPSR06457.v1. We highly recommend using the ICPSR version as they may make this dataset available in multiple data formats in the future.
Hospitals Registered with MedicareThis feature layer, utilizing data from the Centers of Medicare and Medicaid Services (CMS), depicts all hospitals that are currently registered with Medicare in the U.S. Per NIH, "Since the passage of Medicare legislation in 1965, Section 1861 of the Social Security Act has stated that hospitals participating in Medicare must meet certain requirements specified in the act and that the Secretary of the Department of Health, Education and Welfare (HEW) [now the Department of Health and Human Services (DHHS)] may impose additional requirements found necessary to ensure the health and safety of Medicare beneficiaries receiving services in hospitals. On this basis, the Conditions of Participation, a set of regulations setting minimum health and safety standards for hospitals participating in Medicare, were promulgated in 1966 and substantially revised in 1986."Ascension Columbia St Mary's HospitalData currency: 11/26/2024Data modification: This data was created using the geocoding process on the CSV file.Data downloaded from: Hospital General InformationFor more information: HospitalsSupport documentation: Data dictionaryFor feedback, please contact: ArcGIScomNationalMaps@esri.comCenters of Medicare and Medicaid ServicesPer USA.gov, "The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace. The CMS seeks to strengthen and modernize the Nation’s health care system, to provide access to high quality care and improved health at lower costs."