# MSSP county expenditure and risk of assignable beneficiaries, CY2019-2025

`medicare_silver.fact_mssp_county_expenditure_risk` · Medicare Advantage, Part D, Medicaid · status live · 45,154 rows

Per county, per SSP file: per-capita Parts A and B FFS expenditure, average CMS-HCC prospective and demographic risk score and person-years of assignable beneficiaries, by ESRD, disabled, aged/dual, aged/non-dual. The FFS cost and risk of a county: the other side of the MA benchmark.

**Grain.** One row per (publisher_version, state_id, county_id) per release.

| column | type | meaning |
|---|---|---|
| publisher_version | string |  |
| year | int |  |
| assignment_window | string |  |
| agreement_start_cohort | string |  |
| state_name | string |  |
| county_name | string |  |
| state_id | int |  |
| county_id | int |  |
| county_ssa | string |  |
| per_capita_exp_esrd | double |  |
| avg_risk_score_esrd | double |  |
| avg_demog_score_esrd | double |  |
| person_years_esrd | double |  |
| per_capita_exp_dis | double |  |
| avg_risk_score_dis | double |  |
| avg_demog_score_dis | double |  |
| person_years_dis | double |  |
| per_capita_exp_agdu | double |  |
| avg_risk_score_agdu | double |  |
| avg_demog_score_agdu | double |  |
| person_years_agdu | double |  |
| per_capita_exp_agnd | double |  |
| avg_risk_score_agnd | double |  |
| avg_demog_score_agnd | double |  |
| person_years_agnd | double |  |
| esrd_status | string |  |
| dis_status | string |  |
| agdu_status | string |  |
| agnd_status | string |  |
| 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_mssp_county_expenditure_risk WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_mssp_county_expenditure_risk")` first.