Medicare Advantage, Part D, Medicaid

Medicare benchmark, effective-dated (what Medicare would have paid on a date)

vlada_curated.vw_medicare_benchmark_effective·live·semantic_view
Rows
1,077,582
Columns
15
History
N/A
Card
nocolumns only
Typed tools
1

What it is

  1. 1The effective-dated Medicare benchmark: the allowed amount per billing code and setting for every effective period since 2001 (93 monthly periods), with the source schedule (PFS, OPPS, ASC, CLFS, DME) and the rate semantics.
  2. 2The current-only view vlada_curated.vw_medicare_benchmark is a projection of this; use this one for 'what would Medicare have paid on this date'.

Grain

KeyGrain
N/A
  1. 1One row per (billing_code, billing_class, facility_class, pfs_modifier, effective_period_start): the Medicare allowed amount in force from that date.

Columns (15)

ColumnTypeMeaning
billing_codestring
billing_classvarchar(13)
facility_classvarchar(26)
pfs_modifierstring
medicare_alloweddouble
medicare_sourcevarchar(19)
benchmark_yearint
priorityint
effective_period_startdate
effective_period_enddate
pfs_payment_trackstring
rate_semanticsvarchar(34)
cms_vintage_sequencebigint
asserted_atdate
parse_revisionint

Query it

describe_data_source(source_fqn="vlada_curated.vw_medicare_benchmark_effective")     # the card, live
query_substrate(sql="SELECT * FROM vlada_curated.vw_medicare_benchmark_effective WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itmedicare_allowed
Identity keybilling_code,billing_class,facility_class,pfs_modifier,effective_period_start
Joinhow_to_join(source_fqn="vlada_curated.vw_medicare_benchmark_effective")
Raw doorAthena (read-only via query_substrate): vlada_curated.vw_medicare_benchmark_effective
NoteProduct lane 2026-09-28: 1,077,582 rows, effective periods 2001-01-01 to 2026-07-01 (93), measured on Athena. Register source vlada_w2_medicare_benchmarks.

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