# Medicare Part D Opioid Prescribing Rates by Geography, 2013-2024

`medicare_silver.fact_part_d_opioid_prescribing_geo` · Drugs and formularies · status live · 359,139 rows

Part D opioid and long-acting opioid prescribing per year for the nation, states, counties and ZIP codes, with rural / urban breakouts: prescribers, opioid prescribers, claims and the published rates with 1- and 5-year changes. 2024 national: 3.52 opioid claims per 100 Part D claims.

**Grain.** One row per (year, prscrbr_geo_lvl, prscrbr_geo_cd, breakout_type, breakout) per release.

| column | type | meaning |
|---|---|---|
| publisher_version | string |  |
| year | int |  |
| prscrbr_geo_lvl | string |  |
| prscrbr_geo_cd | string |  |
| prscrbr_geo_desc | string |  |
| ruca_cd | string |  |
| breakout_type | string |  |
| breakout | string |  |
| tot_prscrbrs | bigint |  |
| tot_opioid_prscrbrs | bigint |  |
| tot_opioid_clms | double |  |
| tot_clms | double |  |
| opioid_prscrbng_rate | double |  |
| opioid_prscrbng_rate_5y_chg | double |  |
| opioid_prscrbng_rate_1y_chg | double |  |
| la_tot_opioid_clms | double |  |
| la_opioid_prscrbng_rate | double |  |
| la_opioid_prscrbng_rate_5y_chg | double |  |
| la_opioid_prscrbng_rate_1y_chg | 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_part_d_opioid_prescribing_geo WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_part_d_opioid_prescribing_geo")` first.