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Medicare Data World

SourceThe dataYears
What Medicare pays, by setting
PhysiciansThe fee schedule by locality: rate, RVUs, the conversion factor, the ZIP-to-locality map, anesthesia base units. CY2027 arrives with the final rule in November.2003 to 2026
Hospital inpatientDRG weights, standardized amounts, the wage index, and each hospital's own payment factors, from the rule and from the file CMS pays with. FY2027 factors are in; the FY2027 weights and wage index are loading.1994 to 2027
Hospital outpatientAPC rates and status indicators by code.2004 to 2026
Surgery centersASC rates and indicators by code.2001 to 2026
LabsThe lab fee schedule quarterly, by locality and national limit, the private-payer rates behind it, and the 2027 preliminary cut.2018 to 2027
AmbulanceBase rates by level of service and locality.2004 to 2026
Equipment and supplies (DMEPOS)The DMEPOS fee schedule by code, modifier and state: the fee, the rural fee, ceiling and floor, every quarterly and corrective release.1998 to 2026
Post-acute and clinicsHome health weights, hospice per-diems, skilled nursing PDPM, rehab CMG weights, long-term care hospital weights, the FQHC per-visit rate, from every year's rule.2005 to 2027
What was billed and paid
By doctorEvery provider, by service: volume, allowed, paid. Summed by code, place and specialty.2010 to 2025
By hospitalInpatient by DRG and outpatient by APC, per hospital and by geography.2011 to 2024
By supplierEquipment and supplies, by supplier and item.2014 to 2024
By post-acute providerHome health, hospice, nursing, rehab, long-term care hospitals.2013 to 2024
By countyPer-capita spend, use and quality by county and state. Who serves a county, by service. Where each hospital's patients live.2007 to 2025
Who is enrolled, by county and monthEvery Medicare beneficiary by county and month: Original Medicare or MA, age, dual status, Part D and the subsidy.2013 to today
FFS cost and risk, by countyWhat Original Medicare spends per person and the average risk score, by county, for the population ACOs are measured on.2019 to 2025
Sample claimsCMS's 5% beneficiary sample: inpatient, outpatient, carrier, equipment, Part D events, chronic conditions. Claim level, and old.2008 to 2010
The rules
What Medicare coversNational and local coverage decisions and articles, versioned.current
MedPACEvery exhibit of the annual Data Book, as data.2003 to 2026
Medicare across the other worlds
Hospital and post-acute cost reportsRevenue, cost, margin, beds, days, the cost-to-charge ratio by department, for hospitals, home health, hospice, dialysis, nursing homes, clinics.2010 to 2026
Who is enrolled to bill MedicarePECOS enrollment and ownership, the NPI registry, the exclusion list, Shared Savings ACO participants.2016 to today
How providers scoreCare Compare for hospitals, home health, hospice, nursing homes and dialysis; ESRD quality scores.2012 to 2026
Part B drugsASP prices quarterly, Part B spending by drug, discarded units, the negotiated maximum fair prices.2005 to 2027
Built by Vlada
Medicare as the benchmarkWhat Medicare would pay for any code, in any setting, in any place, on any date since 2001. The basis every hospital price is compared to.2001 to 2026
What is not here
Public and being loaded: the FY2027 inpatient weights, standardized amounts and wage index; the CY2027 proposed rules for physicians, outpatient, surgery centers, home health and ambulance (finals post in November); beneficiaries by county.
Never public: claims below the summary files, other than the 2008 to 2010 sample.

Built from 18 CMS release streams. Every table, its columns and its dates