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Medicare Data Sources

CMS has made available a number of data files available that can be used for reference. These files will be loaded on a USB Drive which will be available to load onto your own system.

Medicare
Provider Utilization and Payment Data
File Years Available Format
Physician and Other Supplier 2012-2013 tab delimited
Inpatient 2012-2013 csv
Outpatient 2012-2013 csv
Part D Prescriber 2013 tab delimited
Referring DMEPOS 2013 tab delimited
Home Health Agencies 2013 csv
Skilled Nursing Facilities 2013 csv
Medicare Compare Data
Dialysis Facilities Compare 2015 csv,
MSAccess
Home Health Compare 2015 csv,
MSAccess
Hospital Compare 2015 csv,
MSAccess
Nursing Home Compare 2015 csv,
MSAccess
Physician Compare 2015 csv
Open Payments Data
Complete 2013 Program Year Open Payments
Data
2013 (8/1-12/31) csv
Complete 2014 Program Year Open Payments
Data
2014 csv
Provider of Services File
POS CLIA 2008-2015 csv
POS OTHER 2008-2015 csv
Public Provider Enrollment
Files
Base Provider Enrollment File Jan-16 csv
Reassignment File Jan-16 csv
Address File Jan-16 csv
National Provider Identifier
Registry NPPES Data
NPPES Data Dissemination Public File 2005-2016 csv
Medicare Geographic Variation
PUF
State/County Table – All Beneficiaries 2007-2014 xlsx
HRR Table – All Beneficiaries 2007-2014 xlsx
Chronic Conditions
Chronic Conditions Prevalence
State/County Level by Age
2007-2014 xlsx
Chronic Conditions Prevalence State
Level by Sex and Age
2007-2014 xlsx
Chronic Conditions Prevalence State
Level  by Race/Ethnicity and Age
2007-2014 xlsx
Chronic Conditions Prevalence State
Level  by Medicare-Medicaid
Enrollment and Age
2007-2014 xlsx
Chronic Conditions Prevalence HRR
Level by Age
2007-2014 xlsx
Chronic Conditions Utilization/Spending
State Level
2007-2014 xlsx
Multiple Chronic Conditions Prevalence
State/County Level by Age
2007-2014 xlsx
Multiple Chronic Conditions Prevalence
State Level by Sex and Age
2007-2014 xlsx
Multiple Chronic Conditions Prevalence
State Level by Race/Ethnicity and Age
2007-2014 xlsx
Multiple Chronic Conditions Prevalence
State Level by Medicare-Medicaid Enrollment and Age
2007-2014 xlsx
Multiple Chronic Conditions Prevalence
HRR Level by Age
2007-2014 xlsx
Multiple Chronic Conditions
Utilization/Spending State/County Level by Age
2007-2014 xlsx
Multiple Chronic Conditions
Utilization/Spending State Level by Sex and Age
2007-2014 xlsx
Multiple Chronic Conditions
Utilization/Spending State Level by Race/Ethnicity and Age
2007-2014 xlsx
Multiple Chronic Conditions
Utilization/Spending State Level by Medicare-Medicaid Enrollment and Age
2007-2014 xlsx
Multiple Chronic Conditions
Utilization/Spending HRR Level by Age
2007-2014 xlsx

If you want to download any of these resources directly please use the following links:

Medicare Provider Utilization and Payment Data: Medicare fee-for-service utilization and payment information for procedures, services, and prescription drugs summarized at the individual inpatient and outpatient hospital, physician, and other supplier level

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/index.html

Medicare Compare Data: Information on provider quality, among other metrics, for hospitals, nursing homes, home health agencies, dialysis facilities, physicians, and other suppliers

https://data.medicare.gov/data

Open Payments Data: Information about applicable manufacturers and group purchasing organizations (GPOs) financial relationships with physicians and hospitals

https://www.cms.gov/openpayments/

Provider of Services (POS): Data on characteristics of hospitals and other types of healthcare facilities, including the name and address of the facility and the type of Medicare services the facility provides

https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Provider-of-Services/index.html

Public Provider Enrollment Data: Data on providers enrolled in Medicare, including provider name and specialty (sourced from the CMS Provider Enrollment and Chain Ownership System, PECOS)

https://data.cms.gov/public-provider-enrollment

National Provider Identifier Registry: Directory of all active National Provider Identifier (NPI) records, including the name, address, and specialty

https://npiregistry.cms.hhs.gov/

Medicare Geographic Variation PUF: Demographic, spending, utilization, and quality indicators based on Medicare fee-for-service data aggregated at the state, hospital referral region (HRR), and county level

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Geographic-Variation/GV_PUF.html

Chronic Conditions and Multiple Chronic Conditions PUFs: Medicare fee-for-service data on prevalence of certain chronic conditions, as well as utilization, spending, and quality indicators for beneficiaries with chronic conditions aggregated at the state, hospital referral region (HRR), and county level

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CC_Main.html

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/MCC_Main.html

Tools to Search for other Data Resources

Healthdata.gov Data Inventory: Comprehensive inventory of health care-related data products—mainly from federal sources

http://www.healthdata.gov/dataset

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