Medicare Advantage, Part D, Medicaid
CMS FQHC PPS Base Payment Rate
Rows
2
Columns
17
History
N/A
Card
nocolumns only
Typed tools
0
What it is
- 1CMS Federally Qualified Health Center PPS national per-visit base payment rate, extracted from the annual CMS Pricer-update transmittal and anchor-VALIDATED (CY2026 = $207.72).
- 2The FQHC repricing base for the FQHCs we roster — adjusted per FQHC by the Geographic Adjustment Factor (derived from the PFS GPCIs we already hold in medicare_gpci_locality) + the new-patient/IPPE/AWV adjustment.
- 3CY2025 ($202.65) + CY2026 ($207.72) live.
- 4Fifth non-acute repricer; completes the cleanly-sourceable non-acute rate set.
Grain
| Key | Grain |
|---|---|
| N/A |
|
Columns (17)
| Column | Type | Meaning |
|---|---|---|
calendar_year | int | |
base_payment_rate | 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_fqhc_pps_rate") # the card, live query_substrate(sql="SELECT * FROM medicare_silver.fact_fqhc_pps_rate WHERE <filter> LIMIT 100")
| Item | Value |
|---|---|
| Typed tools that read it | none; raw SQL |
| Identity key | calendar_year |
| Join | how_to_join(source_fqn="medicare_silver.fact_fqhc_pps_rate") |
| Raw door | Athena (read-only via query_substrate): medicare_silver.fact_fqhc_pps_rate |
| Note | Iceberg medicare_silver.fact_fqhc_pps_rate, partition by calendar_year, replace. Source = CMS Pricer-update transmittal PDF (validated extraction). |
This page as markdown: /docs-md/data/medicare_silver_fact_fqhc_pps_rate.md · every page in one file: /llms-full.txt