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Medicare Part B Drug Pricing & Utilization

Medicare Part B drug payment benchmarks, NDC-to-HCPCS product mappings, annual spending, and administered-versus-discarded unit evidence.

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
69.3K
rows
datasets
4
datasets
cadence
Multiple publisher cadences
cadence
coverage
2005-2026
coverage

Publishers: Centers for Medicare & Medicaid Services

What's inside

Medicare Part B ASP Pricing File
Medicare Part B quarterly ASP/payment-limit benchmark by HCPCS billing unit.
grain: One row per (hcpcs_code, release_quarter).
54.1K rows
Medicare Part B ASP NDC↔HCPCS Crosswalk
The CMS Medicare Part B ASP NDC-HCPCS Crosswalk: each Part-B HCPCS (J-code etc.) mapped to the NDCs billable under it, with labeler/drug name, HCPCS dosage, package size/qty, and billing units.
7.4K rows
CMS Medicare Part B Discarded Drug Units (JW/JZ waste)
CMS Medicare Part B Discarded Drug Units — per drug HCPCS the total Medicare allowed amount split into administered vs discarded, plus % administered/ discarded units.
grain: One row per (data_year, HCPCS) — administered vs discarded allowed amount + % units.
4.7K rows
Medicare Part B Drug Spending (by HCPCS × year)
The CMS Medicare Part B Spending by Drug public-use file — physician- administered (Part B) drug spend per HCPCS J-code per year: total_spending, dosage units, claims, beneficiaries, avg spend per unit/claim/beneficiary, the ASP price, and unit-cost trend (YoY change + CAGR).
grain: One row per (HCPCS, data_year) — Part B drug spend + ASP price.
3.2K rows