Tuesday, August 31, 2021

CMS Updates Provider Payment and Utilization Public Use Files with 2019 Data

Centers for Medicare & Medicaid Services

 

Today, the Centers for Medicare & Medicaid Services (CMS) released an update to the Medicare Provider Payment and Utilization Public Use Files with data from 2019. These data files summarize the utilization and payments for procedures, services, and prescription drugs provided to Medicare beneficiaries by specific inpatient and outpatient hospitals, physicians, other practitioners and suppliers.

The 2019 data and all previous years of the provider payment and utilization data are available from the links described below.

Medicare Provider Utilization and Payment Data: Physician and Other Supplier 

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.

Detailed Data (By Provider and HCPCS)

Provider Summary (By Provider)

Procedure Summary (By HCPCS and Geography)

Medicare Provider Utilization and Payment Data: Inpatient 

The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries.

Detailed Data (By Provider and MS-DRG)

MS-DRG Summary (By MS-DRG and Geography)

Medicare Provider Utilization and Payment Data: Outpatient 

The Outpatient Utilization and Payment Public Use File (Outpatient PUF) presents information on common outpatient services provided to Medicare fee-for-service beneficiaries.

Detailed Data (by Provider and APC)

By Geography and Service Summary (By APC, HCPCS and Geography)

Medicare Provider Utilization and Payment Data: Part D Prescriber 

The Part D Prescriber Public Use File (PUF) 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.

Detailed Data (By Provider and Drug Brand/Generic Name)

Provider Summary (By Provider)

Drug Summary (By Drug Brand/Generic Name and Geography)

Medicare Provider Utilization and Payment Data: Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies 

The Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File (herein referred to as "Referring Provider DMEPOS PUF") presents information on DMEPOS products and services provided to Medicare beneficiaries ordered by physicians and other healthcare professionals.  

Detailed Data (By Referring Provider and HCPCS)

Provider Summary (By Referring Provider)

Product Summary (By HCPCS and Geography)

Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.

To receive email notifications, please sign up for the Medicare Provider Data GovDelivery subscription here.


 

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

This email was sent to edwardlorilla1986.paxforex@blogger.com using GovDelivery Communications Cloud 7500 Security Boulevard · Baltimore MD 21244

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