Medicare Advantage, Part D, Medicaid

Medicare Physician & Other Practitioners by Geography (avg allowed/payment per HCPCS)

medicare_silver.fact_physician_payment_by_geo·live·silver·Medicare Fee-for-Service Utilization & Payments

Rows

268,350

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1CMS public-use file "Medicare Physician & Other Practitioners - by Geography and Service" — annual, claims-derived average Medicare ALLOWED and PAYMENT per professional HCPCS at national + per-state granularity, split by place-of-service (F = facility, O = office/non-facility), with submitted charge, standardized payment, and provider/beneficiary/service counts.
2The Medicare benchmark for repricing PROFESSIONAL (physician / NPP) claim lines — the largest claim category, where geographic (GPCI) variation matters.
3Complements the contractual national medicare_physician_fee_schedule with geographic + actual-allowed detail.

Grain

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

Columns (31)

Column	Type	Meaning
`data_year`	int
`geo_level`	string
`geo_cd`	string
`geo_desc`	string
`hcpcs_cd`	string
`hcpcs_desc`	string
`hcpcs_drug_ind`	string
`place_of_srvc`	string
`tot_rndrng_prvdrs`	bigint
`tot_benes`	bigint
`tot_srvcs`	double
`tot_bene_day_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_physician_payment_by_geo")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_physician_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_physician_payment_by_geo")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_physician_payment_by_geo
Note	Iceberg table medicare_silver.fact_physician_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 (D24 -> 2024).

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