This data set accompanies the Profile of the California Medicare Population chartbook, published by the Office of Medicare Innovation and Integration in February 2022, and available at (https://www.dhcs.ca.gov/services/Documents/OMII-Medicare-Databook-February-18-2022.pdf). The three data files in this data set were analyzed from federal administrative data (the Medicare Master Beneficiary Summary File) for beneficiary characteristics as of March 2021. These datasets include: Medicare enrollment, Medicare Advantage enrollment (and its converse fee-for-service Medicare enrollment), dual Medi-Cal eligibility and enrollment (and its converse Medicare-only enrollment), by county. Medicare Savings Program enrollees were considered Medicare-only and not dually enrolled in Medi-Cal. All Medicare Part C beneficiaries, including PACE, Cal MediConnect and Special Needs Plans, were considered to have Medicare Advantage.
DHCS partnered with The SCAN Foundation and ATI Advisory in 2021 and 2022 to develop a series of chartbooks that provide information about Medicare beneficiaries in California. This work is supported by a grant from The SCAN Foundation to advance a coordinated and easily navigated system of high-quality services for older adults that preserve dignity and independence. For more information, visit www.TheSCANFoundation.org.
-This data is a compilation of the CMS Medicare Part B National Summary Data for CPT/HCPCS Medicine Codes 90281-99xx for 2000-2022. - The information in Part B National Summary Data Files is limited to Medicare Fee-For- Service (FFS) Part B Physician/Supplier data. It does not include information on physician/supplier services for beneficiaries in the managed care portion of the program (Medicare Advantage). -Items/columns include: year, HCPCS/CPT, total annual allowed services, total annual allowed charges, and total annual allowed payment. - These are national annual aggregates. - Note that, per CMS, fields labeled “N/A” mean that the data cannot be disclosed due to Privacy rules. Cell sizes less than 11 have been screened for privacy and replaced with N/A. A zero indicates there were no services or payments rendered for a particular code. - The .csv and .xlsx files hold the same data, just in different formats. - CPT only copyright 2000-2022 American Medical Association. All rights reserved.
Allowed Services: A count of the number of services performed for a procedure.
Allowed Charges: The amount Medicare determines to be reasonable payment for a provider or service covered under Part B. This includes the coinsurance and deductible amounts.
Description: The category corresponding to the HCPCS code, for example: Evaluation and Management, Anesthesia, Dental Services, Pathology/Lab Tests, Chemotherapy Drugs, Medicine, etc
HCPCS (Healthcare Common Procedure Coding System): The HCPCS is a coding system for all services performed by a physician or supplier. It is based on the American Medical Association Physicians Current Procedural Terminology (CPT) codes and is augmented with codes for physician and non-physician services (such as ambulance and durable medical equipment (DME), which are not included in CPTs.
Modifiers: Modifiers denote that a certain procedure/service has been altered by a particular circumstance, but not changed in its definition, therefore the same code is used and a modifier is added to denote what has been altered.
Payment: In the Original Medicare Plan, this is the amount a doctor or supplier that accepts assignment can be paid. It includes what Medicare pays and any deductible, coinsurance, or copayment that the beneficiary must pay. It may be less than the actual amount a doctor or supplier charges.
Additional details can be found in the Medicare Part B National Summary Data Read Me files: file:///C:/Users/sybil/AppData/Local/Temp/3dce003b-ea02-4b37-aaae-c4ef3e6f43a9_PartBNational2010.zip.3a9/PartBNationalSummaryReadmeFile2010.pdf
CMS has no responsibility for the data after it has been converted, processed or otherwise altered. Data that has been manipulated or reprocessed by the user is the responsibility of the user. The user may not present data that has been altered in any way as CMS data. Any alteration of the original data, including conversion to other media or other data formats, is the responsibility of the requestor. Cell sizes less than 11 have been screened for privacy and replaced with N/A. A zero indicates there were no services or payments rendered for a particular code.
*End User Agreement:
License for Use of Current Procedural Terminology, ANY Edition ("CPT®")
CPT codes, descriptions and other data only are copyright 1995 - 2023 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by CMS. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. Applicable FARSDFARS Restrictions Apply to Government Use
This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial c...
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This dataset represents weekly hospital respiratory data and metrics aggregated to national and state/territory levels reported to CDC’s National Health Safety Network (NHSN) beginning November 2024. Data and metrics included in this dataset are NOT updated or adjusted week-over-week after initial publication, and therefore represent data received at the time of publication for a given reporting week. All data included in this dataset represent aggregated counts, and include metrics capturing information specific to hospital capacity, occupancy, hospitalizations, and new hospital admissions with corresponding metrics indicating reporting coverage for a given reporting week. NHSN monitors national and local trends in healthcare system stress and capacity for all acute care and critical access hospitals in the United States.
For more information on the reporting mandate per the Centers for Medicare and Medicaid Services (CMS) requirements, visit: Updates to the Condition of Participation (CoP) Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report Acute Respiratory Illnesses.
For more information regarding NHSN’s collection of these data, including full reporting guidance, visit: NHSN Hospital Respiratory Data.
Source: CDC National Healthcare Safety Network (NHSN).
Archived datasets updated during the mandatory hospital reporting period from August 1, 2020, to April 30, 2024:
Archived datasets updated during the voluntary hospital reporting period from May 1, 2024, to October 31, 2024:
Note: June 13th, 2025: Data for American Samoa (AS) for the June 1st, 2025 through June 7th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on June 13th, 2025.
June 6th, 2025: Data for American Samoa (AS) for the May 25th, 2025 through May 31th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on June 6th, 2025.
May 30th, 2025: Data for American Samoa (AS) for the May 18th, 2025 through May 24th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on May 30th, 2025.
May 23rd, 2025: Data for American Samoa (AS) for the May 11th, 2025 through May 17th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on May 23rd, 2025.
April 25th, 2025: Data for American Samoa (AS) for the April 13th, 2025 through April 19th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 25th, 2025.
April 18th, 2025: Data for American Samoa (AS) for the April 6th, 2025 through April 12th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 18th, 2025.
April 11th, 2025: Data for American Samoa (AS) for the March 30th, 2025 through April 5th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 11th, 2025.
March 28th, 2025: Data for Guam (GU) for the March 16th, 2025 through March 22nd, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 28th, 2025.
March 21st, 2025: Data for the Commonwealth of the Northern Mariana Islands (CNMI) for the March 9th, 2025 through March 15th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 21st, 2025.
March 14th, 2025: Data for American Samoa (AS) and the Commonwealth of the Northern Mariana Islands (CNMI) for the March 2nd, 2025 through March 8th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 14th, 2025.
March 7th, 2025: Data for American Samoa (AS) and the Commonwealth of the Northern Mariana Islands (CNMI) for the February 23rd, 2025 through March 1st, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 7th, 2025.
February 28th, 2025: Data for American Samoa (AS) and the Commonwealth of the Northern Mariana Islands (CNMI) for the February 16th, 2025 through February 22nd, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on February 28th, 2025.
February 21st, 2025: Data for American Samoa (AS) and the Commonwealth of the Northern Mariana Islands (CNMI) for the February 9th, 2025 through February 15th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on February 21st, 2025.
February 14th, 2025: February 14th, 2025: Data for American Samoa (AS) and the Commonwealth of the
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This dataset represents weekly hospital respiratory data and metrics aggregated to national and state/territory levels reported to CDC’s National Health Safety Network (NHSN) beginning August 2020. Data for reporting dates through April 30, 2024 represent data reported during a previous mandated reporting period as specified by the HHS Secretary. Data for reporting dates May 1, 2024 – October 31, 2024 represent voluntarily reported data in the absence of a mandate. Data for reporting dates beginning November 1, 2024 represent data reported during a current mandated reporting period. All data and metrics capturing information on respiratory syncytial virus (RSV) were voluntarily reported until November 1, 2024. All data included in this dataset represent aggregated counts, and include metrics capturing information specific to hospital capacity, occupancy, hospitalizations, and new hospital admissions with corresponding metrics indicating reporting coverage for a given reporting week. NHSN monitors national and local trends in healthcare system stress and capacity for all acute care and critical access hospitals in the United States.
For more information on the reporting mandate per the Centers for Medicare and Medicaid Services (CMS) requirements, visit: Updates to the Condition of Participation (CoP) Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report Acute Respiratory Illnesses.
For more information regarding NHSN’s collection of these data, including full reporting guidance, visit: NHSN Hospital Respiratory Data.
Source: CDC National Healthcare Safety Network (NHSN).
Archived datasets updated during the mandatory hospital reporting period from August 1, 2020, to April 30, 2024:
Archived datasets updated during the voluntary hospital reporting period from May 1, 2024, to October 31, 2024:
Note: June 13th, 2025: Data for American Samoa (AS) for the June 1st, 2025 through June 7th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on June 13th, 2025.
June 6th, 2025: Data for American Samoa (AS) for the May 25th, 2025 through May 31th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on June 6th, 2025.
May 30th, 2025: Data for American Samoa (AS) for the May 18th, 2025 through May 24th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on May 30th, 2025.
May 23rd, 2025: Data for American Samoa (AS) for the May 11th, 2025 through May 17th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on May 23rd, 2025.
April 25th, 2025: Data for American Samoa (AS) for the April 13th, 2025 through April 19th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 25th, 2025.
April 18th, 2025: Data for American Samoa (AS) for the April 6th, 2025 through April 12th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 18th, 2025.
April 11th, 2025: Data for American Samoa (AS) for the March 30th, 2025 through April 5th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on April 11th, 2025.
March 28th, 2025: Data for Guam (GU) for the March 16th, 2025 through March 22nd, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 28th, 2025.
March 21st, 2025: Data for the Commonwealth of the Northern Mariana Islands (CNMI) for the March 9th, 2025 through March 15th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report released on March 21st, 2025.
March 14th, 2025: Data for American Samoa (AS) and the Commonwealth of the Northern Mariana Islands (CNMI) for the March 2nd, 2025 through March 8th, 2025 reporting period are not available for the Weekly NHSN Hospital Respiratory Data report
Note: After November 1, 2024, this dataset will no longer be updated due to a transition in NHSN Hospital Respiratory Data reporting that occurred on Friday, November 1, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Due to a recent update in voluntary NHSN Hospital Respiratory Data reporting that occurred on Wednesday, October 9, 2024, reporting levels and other data displayed on this page may fluctuate week-over-week beginning Friday, October 18, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html. Find more information about the updated CMS requirements: https://www.federalregister.gov/documents/2024/08/28/2024-17021/medicare-and-medicaid-programs-and-the-childrens-health-insurance-program-hospital-inpatient.
.
This dataset represents weekly respiratory virus-related hospitalization data and metrics aggregated to national and state/territory levels reported during two periods: 1) data for collection dates from August 1, 2020 to April 30, 2024, represent data reported by hospitals during a mandated reporting period as specified by the HHS Secretary; and 2) data for collection dates beginning May 1, 2024, represent data reported voluntarily by hospitals to CDC’s National Healthcare Safety Network (NHSN). NHSN monitors national and local trends in healthcare system stress and capacity for up to approximately 6,000 hospitals in the United States. Data reported represent aggregated counts and include metrics capturing information specific to COVID-19- and influenza-related hospitalizations, hospital occupancy, and hospital capacity. Find more information about reporting to NHSN at: https://www.cdc.gov/nhsn/covid19/hospital-reporting.html
Source: COVID-19 hospitalization data reported to CDC’s National Healthcare Safety Network (NHSN).
Note: After November 1, 2024, this dataset will no longer be updated due to a transition in NHSN Hospital Respiratory Data reporting that occurred on Friday, November 1, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Due to a recent update in voluntary NHSN Hospital Respiratory Data reporting that occurred on Wednesday, October 9, 2024, reporting levels and other data displayed on this page may fluctuate week-over-week beginning Friday, October 18, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html. Find more information about the updated CMS requirements: https://www.federalregister.gov/documents/2024/08/28/2024-17021/medicare-and-medicaid-programs-and-the-childrens-health-insurance-program-hospital-inpatient.
This dataset represents weekly respiratory virus-related hospitalization data and metrics aggregated to national and state/territory levels reported during two periods: 1) data for collection dates from August 1, 2020 to April 30, 2024, represent data reported by hospitals during a mandated reporting period as specified by the HHS Secretary; and 2) data for collection dates beginning May 1, 2024, represent data reported voluntarily by hospitals to CDC’s National Healthcare Safety Network (NHSN). NHSN monitors national and local trends in healthcare system stress and capacity for up to approximately 6,000 hospitals in the United States. Data reported represent aggregated counts and include metrics capturing information specific to COVID-19- and influenza-related hospitalizations, hospital occupancy, and hospital capacity. Find more information about reporting to NHSN at: https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Source: COVID-19 hospitalization data reported to CDC’s National Healthcare Safety Network (NHSN).
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Note: After November 1, 2024, this dataset will no longer be updated due to a transition in NHSN Hospital Respiratory Data reporting that occurred on Friday, November 1, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Due to a recent update in voluntary NHSN Hospital Respiratory Data reporting that occurred on Wednesday, October 9, 2024, reporting levels and other data displayed on this page may fluctuate week-over-week beginning Friday, October 18, 2024. For more information on NHSN Hospital Respiratory Data reporting, please visit https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html. Find more information about the updated CMS requirements: https://www.federalregister.gov/documents/2024/08/28/2024-17021/medicare-and-medicaid-programs-and-the-childrens-health-insurance-program-hospital-inpatient.
This dataset represents weekly respiratory virus-related hospitalization data and metrics aggregated to national and state/territory levels reported during two periods: 1) data for collection dates from August 1, 2020 to April 30, 2024, represent data reported by hospitals during a mandated reporting period as specified by the HHS Secretary; and 2) data for collection dates beginning May 1, 2024, represent data reported voluntarily by hospitals to CDC’s National Healthcare Safety Network (NHSN). NHSN monitors national and local trends in healthcare system stress and capacity for up to approximately 6,000 hospitals in the United States. Data reported represent aggregated counts and include metrics capturing information specific to COVID-19- and influenza-related hospitalizations, hospital occupancy, and hospital capacity. Find more information about reporting to NHSN at: https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Source: COVID-19 hospitalization data reported to CDC’s National Healthcare Safety Network (NHSN).
Notes: May 10, 2024: Due to missing hospital data for the April 28, 2024 through May 4, 2024 reporting period, data for Commonwealth of the Northern Mariana Islands (CNMI) are not available for this period in the Weekly NHSN Hospitalization Metrics report released on May 10, 2024.
May 17, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), Minnesota (MN), and Guam (GU) for the May 5,2024 through May 11, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on May 1, 2024.
May 24, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), and Minnesota (MN) for the May 12, 2024 through May 18, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on May 24, 2024.
May 31, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Virgin Islands (VI), Massachusetts (MA), and Minnesota (MN) for the May 19, 2024 through May 25, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on May 31, 2024.
June 7, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Virgin Islands (VI), Massachusetts (MA), Guam (GU), and Minnesota (MN) for the May 26, 2024 through June 1, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on June 7, 2024.
June 14, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), and Minnesota (MN) for the June 2, 2024 through June 8, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on June 14, 2024.
June 21, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), West Virginia (WV), Massachusetts (MA), American Samoa (AS), Guam (GU), Virgin Islands (VI), and Minnesota (MN) for the June 9, 2024 through June 15, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on June 21, 2024.
June 28, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the June 16, 2024 through June 22, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on June 28, 2024.
July 5, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), West Virginia (WV), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the June 23, 2024 through June 29, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on July 5, 2024.
July 12, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), West Virginia (WV), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the June 30, 2024 through July 6, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on July 12, 2024.
July 19, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the July 7, 2024 through July 13, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on July 19, 2024.
July 26, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the July 13, 2024 through July 20, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on July 26, 2024.
August 2, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), West Virginia (WV), and Minnesota (MN) for the July 21, 2024 through July 27, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on August 2, 2024.
August 9, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), Guam (GU), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the July 28, 2024 through August 3, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on August 9, 2024.
August 16, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the August 4, 2024 through August 10, 2024 reporting period are not available for the Weekly NHSN Hospitalization Metrics report released on August 16, 2024.
August 23, 2024: Data for Commonwealth of the Northern Mariana Islands (CNMI), Massachusetts (MA), American Samoa (AS), Virgin Islands (VI), and Minnesota (MN) for the August 11, 2024 through August 17, 2024 reporting period are not available for the Weekly
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This data set accompanies the Profile of the California Medicare Population chartbook, published by the Office of Medicare Innovation and Integration in February 2022, and available at (https://www.dhcs.ca.gov/services/Documents/OMII-Medicare-Databook-February-18-2022.pdf). The three data files in this data set were analyzed from federal administrative data (the Medicare Master Beneficiary Summary File) for beneficiary characteristics as of March 2021. These datasets include: Medicare enrollment, Medicare Advantage enrollment (and its converse fee-for-service Medicare enrollment), dual Medi-Cal eligibility and enrollment (and its converse Medicare-only enrollment), by county. Medicare Savings Program enrollees were considered Medicare-only and not dually enrolled in Medi-Cal. All Medicare Part C beneficiaries, including PACE, Cal MediConnect and Special Needs Plans, were considered to have Medicare Advantage.
DHCS partnered with The SCAN Foundation and ATI Advisory in 2021 and 2022 to develop a series of chartbooks that provide information about Medicare beneficiaries in California. This work is supported by a grant from The SCAN Foundation to advance a coordinated and easily navigated system of high-quality services for older adults that preserve dignity and independence. For more information, visit www.TheSCANFoundation.org.