Medicare Advantage, Part D, Medicaid

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

medicare_silver.fact_dme_payment_by_geo·live·silver·Medicare DME Utilization & Rates

Rows

38,675

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1CMS 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.
2This is the pragmatic Medicare DME benchmark for repricing DME claim lines (the lines that had no Medicare anchor).
3NOTE: it is the claims-derived average, NOT the contractual DMEPOS Fee Schedule price list (a separate quarterly cms.gov ZIP, not yet ingested).

Grain

Key	Grain
N/A	1One row per (geography [National\|State], HCPCS, rental-indicator) per data year.

Columns (33)

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

describe_data_source(source_fqn="medicare_silver.fact_dme_payment_by_geo")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_dme_payment_by_geo WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`hcpcs_cd`
Join	`how_to_join(source_fqn="medicare_silver.fact_dme_payment_by_geo")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_dme_payment_by_geo
Note	Iceberg table medicare_silver.fact_dme_payment_by_geo, partitioned by data_year; one annual file fully restates its year (replace, idempotent by SHA-256). Data year parsed from the filename (dy23 -> 2023).

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