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Medicare - Physician/Supplier
Dataset
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. The data in the Physician and Other Supplier PUF covers calendar year 2018 and contains 100% final-action physician/supplier Part B non-institutional line items for the Medicare fee-for-service population.
Tags hcpcs national mpup 2018 aggregate
API Docs
Created
November 12 2020
Views
1,354

Medicare - Physician/Supplier
Dataset
CPT copyright 2017 American Medical Association. All Right Reserved. This dataset is subject to the AMA click-agreement. If you have reached this dataset without the click through agreement, please acknowledge your acceptance here: https://data.cms.gov/use-agreement/cpt-code/medicare-provider-data
NOTE: This is a very large dataset so some views and actions will take some time to load, particularly in older browsers.
The Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Provider Utilization and Payment Data Physician and Other Supplier Public Use File (herein referred to as “Physician and Other Supplier PUF”), with 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 available from the CMS Chronic Condition Data Warehouse (www.ccwdata.org). The data in the Physician and Other Supplier PUF covers calendar year 2018 and contains 100% final-action physician/supplier Part B non-institutional line items for the Medicare fee-for-service population.
Tags physician other supplier cpt hcpcs and 3 more
API Docs
Created
November 12 2020
Views
10,620

Medicare - Outpatient
Dataset
CPT copyright 2018 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 60 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2018. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags mpup 2018 national hcpcs apc and 1 more
API Docs
Created
November 3 2020
Views
350

Medicare - Outpatient
Dataset
CPT copyright 2018 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 60 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2018 by state. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags mpup outpatient hcpcs apc state and 1 more
API Docs
Created
November 3 2020
Views
128

Medicare - Durable Medical Equipment (DME)
Dataset
The 2018 Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) State Aggregate table presents information on DMEPOS products and services provided to Medicare beneficiaries ordered by physicians and other healthcare professionals. The data in the Referring Provider DMEPOS PUF covers calendar year 2018 and contains final-action (i.e., all claim adjustments have been resolved) Part B non-institutional DMEPOS line items for the Medicare fee-for-service (FFS) population.
Tags mpup dmepos hcpcs 2018 state
API Docs
Created
October 30 2020
Views
220

Medicare - Durable Medical Equipment (DME)
Dataset
The 2018 Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) National Aggregate table presents information on DMEPOS products and services provided to Medicare beneficiaries ordered by physicians and other healthcare professionals. The data in the Referring Provider DMEPOS PUF covers calendar year 2018 and contains final-action (i.e., all claim adjustments have been resolved) Part B non-institutional DMEPOS line items for the Medicare fee-for-service (FFS) population.
Tags mpup dmepos hcpcs 2018 national
API Docs
Created
October 30 2020
Views
184

Medicare - Outpatient
Dataset
CPT copyright 2016 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 60 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2017 by state. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags hcpcs apc 2017 mpup outpatient
API Docs
Created
August 16 2019
Views
1,297

Medicare - Outpatient
Dataset
CPT copyright 2016 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 60 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2017. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags outpatient national 2017 hcpcs apc
API Docs
Created
August 14 2019
Views
1,930

Medicare - Durable Medical Equipment (DME)
Dataset
The 2017 Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) State Aggregate table presents information on DMEPOS products and services provided to Medicare beneficiaries ordered by physicians and other healthcare professionals. The data in the Referring Provider DMEPOS PUF covers calendar year 2017 and contains final-action (i.e., all claim adjustments have been resolved) Part B non-institutional DMEPOS line items for the Medicare fee-for-service (FFS) population.
Tags state 2017 hcpcs dmepos mpup
API Docs
Created
May 22 2019
Views
889

Medicare - Durable Medical Equipment (DME)
Dataset
The 2017 Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) National Aggregate table presents information on DMEPOS products and services provided to Medicare beneficiaries ordered by physicians and other healthcare professionals. The data in the Referring Provider DMEPOS PUF covers calendar year 2017 and contains final-action (i.e., all claim adjustments have been resolved) Part B non-institutional DMEPOS line items for the Medicare fee-for-service (FFS) population.
Tags national 2017 hcpcs dmepos mpup
API Docs
Created
May 22 2019
Views
1,224

Medicare - Physician/Supplier
Dataset
CPT copyright 2016 American Medical Association. All Right Reserved. This dataset is subject to the AMA click-agreement. If you have reached this dataset without the click through agreement, please acknowledge your acceptance here: https://data.cms.gov/use-agreement/cpt-code/medicare-provider-data
NOTE: This is a very large dataset so some views and actions will take some time to load, particularly in older browsers.
The Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Provider Utilization and Payment Data Physician and Other Supplier Public Use File (herein referred to as “Physician and Other Supplier PUF”), with 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 available from the CMS Chronic Condition Data Warehouse (www.ccwdata.org). The data in the Physician and Other Supplier PUF covers calendar year 2017 and contains 100% final-action physician/supplier Part B non-institutional line items for the Medicare fee-for-service population.
Tags mpup npi 2017 hcpcs cpt and 3 more
API Docs
Created
May 22 2019
Views
74,655

Medicare - Outpatient
Dataset
CPT copyright 2015 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016 by state. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags state 2016 hcpcs apc outpatient and 1 more
API Docs
Created
February 5 2019
Views
612

Medicare - Outpatient
Dataset
CPT copyright 2014 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015 by state. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags state 2015 hcpcs apc outpatient and 1 more
API Docs
Created
February 5 2019
Views
279

Medicare - Outpatient
Dataset
CPT copyright 2015 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags outpatient apc hcpcs national 2016 and 1 more
API Docs
Created
January 31 2019
Views
1,097

Medicare - Outpatient
Dataset
CPT copyright 2014 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups and their primary HCPCS paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Tags national 2015 outpatient mpup hcpcs and 1 more
API Docs
Created
January 31 2019
Views
375

Medicare - Physician/Supplier
Dataset
Tags 2017 supplier physician hcpcs
API Docs
Created
August 27 2018
Views
7,744

Medicare - Physician/Supplier
Dataset
The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Tags psps 2010 supplier physician hcpcs
API Docs
Created
July 19 2018
Views
1,581

Medicare - Physician/Supplier
Dataset
The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Tags psps 2011 supplier physician hcpcs
API Docs
Created
July 19 2018
Views
939

Medicare - Physician/Supplier
Dataset
The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Tags psps 2012 supplier physician hcpcs
API Docs
Created
July 19 2018
Views
1,112

Medicare - Physician/Supplier
Dataset
The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Tags psps 2013 supplier physician hcpcs
API Docs
Created
July 19 2018
Views
1,100