Medicare Advantage, Part D, Medicaid

CMS Physician/Supplier Procedure Summary (PSPS) — granular Part B allowed

medicare_silver.fact_psps·live·silver·CMS Physician/Supplier Procedure Summary (PSPS)

Rows

14,377,293

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The CMS Physician/Supplier Procedure Summary — Part B submitted/allowed/ denied service counts + charges + NCH payment at HCPCS × modifier × provider specialty × carrier-locality × type-of-service × place-of-service.
2The most granular public Part B allowed-amount benchmark (finer than the by-geography PUFs). ~14.4M rows/year, 2010-2024, partition by data_year.

Grain

Key	Grain
N/A	1One row per (data_year, HCPCS × modifiers × specialty × carrier-locality × type-of-service × place-of-service).

Columns (34)

Column	Type	Meaning
`data_year`	int
`row_seq`	bigint
`hcpcs_cd`	string
`hcpcs_initial_modifier_cd`	string
`hcpcs_second_modifier_cd`	string
`provider_spec_cd`	string
`carrier_num`	string
`pricing_locality_cd`	string
`type_of_service_cd`	string
`place_of_service_cd`	string
`betos_cd`	string
`asc_ind_cd`	string
`submitted_service_cnt`	double
`submitted_charge_amt`	double
`allowed_charge_amt`	double
`denied_services_cnt`	double
`denied_charge_amt`	double
`assigned_services_cnt`	double
`nch_payment_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_psps")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_psps 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_psps")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_psps
Note	Iceberg medicare_silver.fact_psps, partition by data_year; bulk-load (append_buffered 300k -> flush per year).

This page as markdown: /docs-md/data/medicare_silver_fact_psps.md · every page in one file: /llms-full.txt