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Special Programs/Initiatives - COVID-19 Nursing Home Data
Chart
The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident Impact, Facility Capacity, Staff & Personnel, and Supplies & Personal Protective Equipment, and Ventilator Capacity and Supplies Data Elements.
For a list of Frequently Asked Questions, please click here.
For a detailed explanation of the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process, please click here.
For a full list of variables included in this Public Use File (PUF) and their descriptions, please see below. The file contains an individual record for each certified Medicare skilled nursing facility/Medicaid nursing facility and the ending date for each collection week, and is updated weekly. More information on CMS requirements for reporting COVID-19 information can be found here. We note that the presence of cases of COVID-19 in a nursing home does not automatically indicate noncompliance with federal requirements. This information is used to assist with national surveillance of COVID-19 in nursing homes, and support actions to protect the health and safety of nursing home residents.
NOTE: There are several limitations to this is preliminary data.
- The first deadline for reporting data was 11:59 p.m. Sunday, May 17, 2020. As the number of facilities reporting increases each week, it will increase the reported number of COVID-19 cases, suspected cases, and deaths each week.
- As with any new reporting program, some facilities will struggle with their first submissions, and therefore, some of the data from their early submissions may be inaccurate. Since facilities may correct data in future weeks, the data is subject to fluctuations as data for previously reported weeks may change when the website is updated.
- The availability of testing may impact the number of confirmed COVID-19 cases facilities report. For example, facilities that did not have the ability to test all residents a few weeks ago would not be able to report all residents with confirmed cases. Similarly, access to testing can vary by state, region, or facility.
- Facilities may opt to report cumulative data retrospectively back to January 1, 2020. Therefore, some facilities may be reporting higher numbers of cases/deaths compared to other facilities, due to their retrospective reporting. Numbers for Week Ending 05/24/2020 may include reporting for any time between 01/01/2020 through 05/24/2020. Reporting for subsequent weeks is on a weekly basis.
- Data Quality Assurance (QA) and Validation (QA Flags): Data quality checks were performed to identify instances where facilities may have entered incorrect data, such as entering cumulative counts over time instead of new cases, and other data entry errors. In these cases, we will display facilities as having submitted data, but will not include their data in our dataset or analyses to preserve the accuracy of the data presented. Facilities that have submitted erroneous data will have an “N” displayed in the column titled “Passed Quality Assurance Check.” For more detailed information about this process, please reference the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process.
Due to these factors, CMS cautions users to consider these factors when performing any analysis. For example, data reported over the first few weeks should not be used to perform trend analysis and longitudinal analyses. We expect the data to stabilize as nursing homes become more familiar with how to submit data via the NHSN Long Term Care Facility Module.
We also note that CMS has authority over Medicare/Medicaid Certified Long
Tags No tags assigned
Created
December 8 2020
Views
522

Special Programs/Initiatives - COVID-19 Nursing Home Data
Chart
The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident Impact, Facility Capacity, Staff & Personnel, and Supplies & Personal Protective Equipment, and Ventilator Capacity and Supplies Data Elements.
For a list of Frequently Asked Questions, please click here.
For a detailed explanation of the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process, please click here.
For a full list of variables included in this Public Use File (PUF) and their descriptions, please see below. The file contains an individual record for each certified Medicare skilled nursing facility/Medicaid nursing facility and the ending date for each collection week, and is updated weekly. More information on CMS requirements for reporting COVID-19 information can be found here. We note that the presence of cases of COVID-19 in a nursing home does not automatically indicate noncompliance with federal requirements. This information is used to assist with national surveillance of COVID-19 in nursing homes, and support actions to protect the health and safety of nursing home residents.
NOTE: There are several limitations to this is preliminary data.
- The first deadline for reporting data was 11:59 p.m. Sunday, May 17, 2020. As the number of facilities reporting increases each week, it will increase the reported number of COVID-19 cases, suspected cases, and deaths each week.
- As with any new reporting program, some facilities will struggle with their first submissions, and therefore, some of the data from their early submissions may be inaccurate. Since facilities may correct data in future weeks, the data is subject to fluctuations as data for previously reported weeks may change when the website is updated.
- The availability of testing may impact the number of confirmed COVID-19 cases facilities report. For example, facilities that did not have the ability to test all residents a few weeks ago would not be able to report all residents with confirmed cases. Similarly, access to testing can vary by state, region, or facility.
- Facilities may opt to report cumulative data retrospectively back to January 1, 2020. Therefore, some facilities may be reporting higher numbers of cases/deaths compared to other facilities, due to their retrospective reporting. Numbers for Week Ending 05/24/2020 may include reporting for any time between 01/01/2020 through 05/24/2020. Reporting for subsequent weeks is on a weekly basis.
- Data Quality Assurance (QA) and Validation (QA Flags): Data quality checks were performed to identify instances where facilities may have entered incorrect data, such as entering cumulative counts over time instead of new cases, and other data entry errors. In these cases, we will display facilities as having submitted data, but will not include their data in our dataset or analyses to preserve the accuracy of the data presented. Facilities that have submitted erroneous data will have an “N” displayed in the column titled “Passed Quality Assurance Check.” For more detailed information about this process, please reference the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process.
Due to these factors, CMS cautions users to consider these factors when performing any analysis. For example, data reported over the first few weeks should not be used to perform trend analysis and longitudinal analyses. We expect the data to stabilize as nursing homes become more familiar with how to submit data via the NHSN Long Term Care Facility Module.
We also note that CMS has authority over Medicare/Medicaid Certified Long
Tags No tags assigned
Created
December 8 2020
Views
570

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
December 7 2020
Views
68

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
December 2 2020
Views
32

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
December 1 2020
Views
56

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
November 24 2020
Views
22

Special Programs/Initiatives - Speed Adoption of Best Practices
Filtered View
[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.
Tags aca cmmi demonstration innovation special initiatives and 1 more
API Docs
Created
November 23 2020
Views
2,041

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
November 23 2020
Views
34

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
November 19 2020
Views
172

Dataset
This dataset powers the search tool at https://data.cms.gov/utilization-and-payment
This should be public and hidden from catalog.
Tags No tags assigned
API Docs
Created
November 19 2020
Views
68

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
November 17 2020
Views
52

Medicare - Outpatient
Dataset
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 paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2018 by hospital provider. 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 2018 mpup outpatient
API Docs
Created
November 17 2020
Views
309

Medicare - Part D
Dataset
The Part D Prescriber State Summary Report, Calendar Year 2018 provides information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber State Summary Report is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). For each state and drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
Tags 2018 mpup part d state summary
API Docs
Created
November 12 2020
Views
263

Medicare - Part D
Dataset
The Part D Prescriber National Summary Report, Calendar Year 2018 provides information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber National Summary Report is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). For each drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
Tags part d 2018 summary national mpup
API Docs
Created
November 12 2020
Views
703

Medicare - Part D
Dataset
The Part D Prescriber Summary Table, Calendar Year 2018 provides information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber Summary Table is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). The dataset identifies providers by their National Provider Identifier (NPI) and summarizes for each prescriber the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. Further summaries of total prescriptions and total drug costs are also provided, broken out by beneficiary characteristics and drug categories.
Although the Part D Prescriber PUF and the Prescriber Summary Table have a wealth of information on payment and utilization for Medicare Part D prescriptions, the dataset has a number of limitations. Of particular importance is the fact that the data may not be representative of a physician’s entire practice or all of Medicare as it only includes information on beneficiaries enrolled in the Medicare Part D prescription drug program (i.e., approximately two-thirds of all Medicare beneficiaries). In addition, the data are not intended to indicate the quality of care provided. For additional limitations, please review the methodology document in the About tab.
Tags 2018 brand name drug generic mpup and 6 more
API Docs
Created
November 12 2020
Views
1,089

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 state mpup 2018 aggregate summary
API Docs
Created
November 12 2020
Views
829

Special Programs/Initiatives - COVID-19 Nursing Home Data
File or Document
Tags No tags assigned
Created
November 12 2020
Views
231

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 2018 aggregate hcpcs mpup national
API Docs
Created
November 12 2020
Views
1,995

Medicare - Physician/Supplier
Dataset
The “Medicare Physician and Other Supplier National Provider Identifier (NPI) Aggregate Report”, a supplement to the Medicare Provider Utilization and Payment Data: Physician and Other Supplier data, contains information on utilization, payments (Medicare allowed amount, Medicare payment, standardized Medicare payment), and submitted charges organized by NPI. Sub-totals for medical type services and drug type services are included as well as overall utilization, payment and charges. In addition, beneficiary demographic and health characteristics are provided which include age, sex, race, Medicare and Medicaid entitlement, chronic conditions and risk scores.
Tags mpup npi aggregate 2018 physician
API Docs
Created
November 12 2020
Views
6,471

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 2018 cpt hcpcs mpup npi and 3 more
API Docs
Created
November 12 2020
Views
15,513