# CMS PFS Geographic Practice Cost Indices by locality, every RVU release CY2017-2026, stamped

`medicare_silver.fact_pfs_gpci_locality` · Medicare Advantage, Part D, Medicaid · status live · 1,111 rows

The GPCI member of each CMS PFS RVU release ZIP (RVU17D..RVU26C) re-collected through the provenance envelope on 2026-09-07: work_gpci, pe_gpci, mp_gpci as published, with state, carrier_number, locality_number, locality_name. CY2003-2016 (the dual-carrier era, where (calendar_year, state, locality_number) is not unique) is loadable at source grain with --include-gated-gpci and is not loaded by default. Succeeds medicare_gpci_locality (one CY2025 RDS snapshot).

**Grain.** One row per source row of one RVU release's GPCI file (calendar_year x MAC/carrier x locality); natural key (release_label, row_seq); partitioned by release_label.

| column | type | meaning |
|---|---|---|
| release_label | string |  |
| row_seq | bigint |  |
| calendar_year | int |  |
| state | string |  |
| carrier_number | string |  |
| locality_number | string |  |
| locality_name | string |  |
| work_gpci | double |  |
| pe_gpci | double |  |
| mp_gpci | double |  |
| source_member | string |  |
| source_row_seq | bigint |  |
| 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_pfs_gpci_locality WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_pfs_gpci_locality")` first.