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Medicare - Inpatient
Dataset
The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries. The Inpatient PUF includes information on utilization, payment (total payment and Medicare payment), and hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments. The PUF is organized by hospital and Medicare Severity Diagnosis Related Group (MS-DRG) and covers Fiscal Year (FY) 2015. MS-DRGs included in the PUF represent more than 7 million discharges or 75 percent of total Medicare IPPS discharges.
Tags hospital referral region diagnosis-related grouping mpup payment utilization and 4 more
API Docs
Created
August 15 2017
Views
14,578

Medicare - Inpatient
Dataset
The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2014. These MS-DRGs represent more than 7 million discharges or 75 percent of total Medicare IPPS discharges.
Tags utilization payment mpup ipps hospital referral region and 4 more
API Docs
Created
June 15 2016
Views
11,427

Medicare - Outpatient
Dataset
A provider level summary of Outpatient Prospective Payment System (OPPS) average estimated submitted charges and average Medicare Payments for 30 selected Ambulatory Payment Classification (APC) Groups.
Tags apc hospital referral region hrr mpup
API Docs
Created
May 19 2015
Views
9,678

Medicare - Inpatient
Dataset
The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2013. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
Tags utilization mpup inpatient diagnosis-related grouping hospital referral region and 3 more
API Docs
Created
May 5 2015
Views
13,990

Medicare - Outpatient
Dataset
The data provided here include estimated hospital-specific charges for 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Year (CY) 2012. The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount.
Tags mpup apc hospital referral region hrr supplier
API Docs
Created
May 29 2014
Views
10,436

Medicare - Inpatient
Dataset
The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2012. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
Tags mpup payment ipps inpatient hospital referral region and 3 more
API Docs
Created
May 29 2014
Views
17,108

Medicare - Outpatient
Dataset
A provider level summary of Outpatient Prospective Payment System (OPPS) average estimated submitted charges and average Medicare Payments for 30 selected Ambulatory Payment Classification (APC) Groups.
9/04/2013 UPDATE: As a result of using the OPPS ratesetting process to develop the summary of outpatient charge and payment data, we inadvertently excluded claims data for visit APCs 0604 (“Level 1 Hospital Clinic Visits”) and 0607 (“Level 4 Hospital Clinic Visits”). The revised outpatient data reflects changes to correct this, with volume increases in the summarized data for APCs 0604 and 0607.
Tags hrr hospital referral region supplier mpup
API Docs
Created
May 1 2013
Views
26,434

Medicare - Inpatient
Dataset
6/2/14 UPDATE: Original FY2011 data file has been updated to include a new column, "Average Medicare Payment." The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2011. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
For more information, see https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Inpatient2011.html.
Tags diagnosis-related grouping drg hospital referral region hrr inpatient and 4 more
API Docs
Created
April 18 2013
Views
366,472