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Medicare FFS rates & utilizationSource-backed product
Medicare Clinical Laboratory Fee Schedule (CLFS)
Medicare's national clinical lab fee schedule (national limitation amounts, 2019 to 2026) with the private-payer rates and volumes labs reported to CMS under PAMA (the 2018 and 2026 collections). Private-payer rows are individual reported observations, not benchmarks.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 7.6M
- rows
- datasets
- 2
- datasets
- cadence
- derived / annual
- cadence
- coverage
- 2019-2026; PAMA 2018, 2026
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
Medicare CLFS Private Payer Rates and Volumes (PAMA)
The PAMA "applicable information" — private-payer rates and volumes labs report to CMS, per HCPCS.
grain: One row per reported (collection_year, row_seq) private-payer rate/volume observation, keyed to HCPCS.
7.5M rows
Medicare CLFS national limitation amounts
Medicare Clinical Laboratory Fee Schedule national limitation amounts per HCPCS and quarter. Successor to the retired medicare_clfs_rates table.
grain: One row per (hcpcs_code, calendar_year, quarter) — CLFS national_limit_amount. CERTIFIED 2026-06-03.
57.4K rows