# Medicare DME by Geography & Service (avg allowed/payment per HCPCS)

`medicare_silver.fact_dme_payment_by_geo` · Medicare Advantage, Part D, Medicaid · status live · 38,675 rows

CMS public-use file "Medicare Durable Medical Equipment, Devices & Supplies - by Geography and Service" — annual, claims-derived average Medicare ALLOWED and PAYMENT per DME HCPCS at national + per-state granularity, with submitted charge, standardized payment, and provider/supplier/beneficiary/claim/service counts. This is the pragmatic Medicare DME benchmark for repricing DME claim lines (the lines that had no Medicare anchor). NOTE: it is the claims-derived average, NOT the contractual DMEPOS Fee Schedule price list (a separate quarterly cms.gov ZIP, not yet ingested).

**Grain.** One row per (geography [National|State], HCPCS, rental-indicator) per data year.

| column | type | meaning |
|---|---|---|
| data_year | int |  |
| geo_level | string |  |
| geo_cd | string |  |
| geo_desc | string |  |
| hcpcs_cd | string |  |
| hcpcs_desc | string |  |
| rental_ind | string |  |
| rbcs_id | string |  |
| rbcs_desc | string |  |
| tot_rfrg_prvdrs | bigint |  |
| tot_suplrs | bigint |  |
| tot_benes | bigint |  |
| tot_clms | bigint |  |
| tot_srvcs | double |  |
| avg_sbmtd_chrg | double |  |
| avg_mdcr_alowd_amt | double |  |
| avg_mdcr_pymt_amt | double |  |
| avg_mdcr_stdzd_amt | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_dme_payment_by_geo WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_dme_payment_by_geo")` first.