Medicare Advantage, Part D, Medicaid

CMS FQHC PPS Base Payment Rate

medicare_silver.fact_fqhc_pps_rate·live·silver·Medicare FQHC Prospective Payment Rates
Rows
2
Columns
17
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 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).
  2. 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.
  3. 3CY2025 ($202.65) + CY2026 ($207.72) live.
  4. 4Fifth non-acute repricer; completes the cleanly-sourceable non-acute rate set.

Grain

KeyGrain
N/A
  1. 1One row per calendar_year — the national FQHC PPS per-visit base payment rate.

Columns (17)

ColumnTypeMeaning
calendar_yearint
base_payment_ratedouble
observed_perioddate
asserted_atdate
effective_period_startdate
effective_period_enddate
cms_vintage_sequenceint
parse_revisionint
parser_artifact_hashstring
source_urlstring
sha256_content_hashstring
source_idstring
is_currentboolean
bronze_object_keystring
s3_version_idstring
vintage_tagstring
drug_source_version_idstring

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")
ItemValue
Typed tools that read itnone; raw SQL
Identity keycalendar_year
Joinhow_to_join(source_fqn="medicare_silver.fact_fqhc_pps_rate")
Raw doorAthena (read-only via query_substrate): medicare_silver.fact_fqhc_pps_rate
NoteIceberg 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