CMS Provider Catalog: Doctors and Clinicians | |||
id | title | description | dates |
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1 | Facility Affiliation Data | This is the facility affiliations data publicly reported in the Provider Data Catalog. |
ISSUED: 2023-08-17 MODIFIED: 2025-03-07 RELEASED: 2025-03-20 |
2 | National Downloadable File | The Doctors and Clinicians national downloadable file is organized such that each line is unique at the clinician/enrollment record/group/address level. Clinicians with multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations are listed on multiple lines. |
ISSUED: 2023-08-17 MODIFIED: 2025-03-07 RELEASED: 2025-03-20 |
3 | PY 2022 Clinician Public Reporting: MIPS Measures and Attestations | This file contains performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians. |
ISSUED: 2020-11-30 MODIFIED: 2024-05-16 RELEASED: 2024-05-30 |
4 | PY 2022 Clinician Public Reporting: Overall MIPS Performance | This file contains Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians. For further details on 2022 MIPS scoring, see the 2022 Traditional MIPS Scoring Guide. |
ISSUED: 2023-08-17 MODIFIED: 2024-07-25 RELEASED: 2024-08-01 |
5 | PY 2022 Group Public Reporting: MIPS Measures and Attestations | This file contains performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups. |
ISSUED: 2023-08-17 MODIFIED: 2024-05-16 RELEASED: 2024-05-30 |
6 | PY 2022 Group Public Reporting: Patient Experience | This file contains information for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups. |
ISSUED: 2023-08-17 MODIFIED: 2024-05-16 RELEASED: 2024-05-30 |
7 | PY 2022 Virtual Group Public Reporting: MIPS Measures and Attestations | This file contains performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by virtual groups. |
ISSUED: 2021-06-04 MODIFIED: 2024-05-16 RELEASED: 2024-05-30 |
8 | Utilization Data | The Doctors and Clinicians utilization data file reports volume information for procedures of interest on clinician profile pages and in the provider data catalog (PDC) to inform patients and caregivers about clinicians' experience. |
ISSUED: 2024-01-04 MODIFIED: 2025-03-17 RELEASED: 2025-03-20 |
Provider
Links
The Provider Data Catalog API provides access to official CMS data used on the Medicare Care Compare website and directories.
Doctors and Clinicians Datasets
Provider Catalog
A comprehensive list of all datasets available from the metastore/schemas
endpoint:
CMS Provider Catalog: Available Datasets | ||||
id | title | description | dates | |
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Dialysis facilities | 1 | Dialysis Facility - Listing by Facility | A list of all dialysis facilities registered with Medicare that includes addresses and phone numbers, as well as services and quality of care provided. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
2 | Dialysis Facility - National Averages | National averages of common dialysis quality measures. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
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3 | Dialysis Facility - State Averages | State averages of common dialysis quality measures. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
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4 | ESRD QIP - Clinical Depression Screening and Follow-up - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the clinical depression screening and follow up reporting measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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5 | ESRD QIP - Complete QIP Data - Payment Year 2025 | This dataset includes facility details, the number of eligible cases, numerator, denominator, performance rates, and measure score for each clinical measure and the measure score for each reporting measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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6 | ESRD QIP - Covid-19 healthcare personnel Data - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the COVID-19 HCP Vaccination reporting measure included in the PY 2025 ESRD QIP. |
ISSUED: 2025-01-15 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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7 | ESRD QIP - Dialysis Adequacy - Payment Year 2025 | This dataset includes facility details, performance rate, Kt/V Dialysis Adequacy Comprehensive measure score, and the state and national average measure scores for the Kt/V Dialysis Adequacy Comprehensive measure for the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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8 | ESRD QIP - Footnotes - Payment Year 2025 | This table includes a description of the footnotes that are used in the ESRD QIP datasets. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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9 | ESRD QIP - Hypercalcemia - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the hypercalcemia measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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10 | ESRD QIP - In-Center Hemodialysis Consumer Assessment Of Healthcare Providers And Services Systems (ICH CAHPS) Survey - Payment Year 2025 | This dataset includes facility details, performance rate, measure score, and the state and national average scores for each of the ICH CAHPS survey metrics that are included in the composite measure, as well as the measure score and the state and national average scores for the overall ICH CAHPS measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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11 | ESRD QIP - Medication Reconciliation - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the Medication Reconciliation reporting measure included in the PY 2025 ESRD QIP. |
ISSUED: 2022-04-12 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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12 | ESRD QIP - NHSN Bloodstream Infection - Payment Year 2025 | This dataset includes facility details, performance rate, measure score, and the state and national average measure scores for the NHSN Bloodstream Infection measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-04 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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13 | ESRD QIP - NHSN Dialysis Event Measure - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the NHSN Dialysis Event measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-04 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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14 | ESRD QIP - Percentage of Prevalent Patients Waitlisted - Payment Year 2025 | This dataset includes facility details, performance rates, measure score, and the state and national average measure scores for the PPPW measure for the PY 2025 ESRD QIP. |
ISSUED: 2022-04-12 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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15 | ESRD QIP - Standardized Hospitalization Ratio - Payment Year 2025 | This dataset includes facility details, performance rates, hospitalization measure score, and the state and national average measure scores for the SHR measure for the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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16 | ESRD QIP - Standardized Readmission Ratio - Payment Year 2025 | This dataset includes facility details, performance ratio, measure score, and the state and national average measure scores for the SRR measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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17 | ESRD QIP - Standardized Transfusion Ratio - Payment Year 2025 | This dataset includes facility details, performance rate, measure score, and the state and national average measure scores for the STrR measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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18 | ESRD QIP - Total Performance Scores - Payment Year 2025 | This dataset includes facility details, total performance score, and payment reduction percentage for each facility as well as the state and national average total performance scores for the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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19 | ESRD QIP - Ultrafiltration Rate - Payment Year 2025 | This dataset includes facility details, measure score, and the state and national average measure scores for the ultrafiltration reporting measure included in the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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20 | ESRD QIP - Vascular Access Topic - Payment Year 2025 | This dataset includes facility details, performance rates, vascular access topic measure score, and the state and national average measure scores for the vascular access topic measure and the following vascular access measures: Standardized Fistula Rate and Long-term Catheter Rate, which are included in the vascular access type measure topic for the PY 2025 ESRD QIP. |
ISSUED: 2021-01-20 MODIFIED: 2024-12-03 RELEASED: 2025-01-15 |
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21 | Patient survey (ICH CAHPS) - Facility | In-Center Hemodialysis Facilities Patient evaluations from the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) Survey. The ICH-CAHPS Survey is a national, standardized survey of in-center hemodialysis patients about their experiences with the facility, facility doctors and staff, and care received. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
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22 | Patient survey (ICH CAHPS) - National | The national average for ICH-CAHPS Survey measures. The ICH-CAHPS Survey is a national, standardized survey of in-center hemodialysis patients about their experiences with the facility, facility doctors and staff, and care received. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
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23 | Patient survey (ICH CAHPS) - State | State averages for ICH-CAHPS Survey measures. The ICH-CAHPS Survey is a national, standardized survey of in-center hemodialysis patients about their experiences with the facility, facility doctors and staff, and care received. |
ISSUED: 2020-03-14 MODIFIED: 2024-12-21 RELEASED: 2025-01-15 |
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Home health services | 24 | Expanded Home Health Value-Based Purchasing (HHVBP) Model - Agency Data | A list of active home health care agencies with data on the HHVBP performance metrics. |
ISSUED: 2024-12-19 MODIFIED: 2025-01-07 RELEASED: 2025-01-15 |
25 | Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data | Cohort data on the HHVBP performance metrics. |
ISSUED: 2024-12-19 MODIFIED: 2025-01-07 RELEASED: 2025-01-15 |
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26 | Home Health Care - Measure Date Range | Home Health Care - Measure Date Range |
ISSUED: 2024-12-11 MODIFIED: 2024-12-11 RELEASED: 2025-01-15 |
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27 | Home Health Care - National Data | The national averages for critical quality measures of Home Health Agencies. |
ISSUED: 2024-12-02 MODIFIED: 2024-12-02 RELEASED: 2025-01-15 |
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28 | Home Health Care - Patient Survey (HHCAHPS) 2023Q3 to 2024Q2 | Patient Data for Home Health Care (HHCAHPS) for 2023Q3 to 2024Q2 |
ISSUED: 2024-12-11 MODIFIED: 2024-12-11 RELEASED: 2025-01-15 |
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29 | Home Health Care - Patient Survey (HHCAHPS) Measure Dates 2023Q3 to 2024Q2 | Measure Dates for Home Health Care - Patient Survey (HHCAHPS) for 2023Q3 to 2024Q2 |
ISSUED: 2024-12-11 MODIFIED: 2024-12-11 RELEASED: 2025-01-15 |
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30 | Home Health Care - Patient Survey (HHCAHPS) National Data 2023Q3 to 2024Q2 | National Data for Home Health Care - Patient Survey (HHCAHPS) for 2023Q3 to 2024Q2 |
ISSUED: 2024-12-11 MODIFIED: 2024-12-11 RELEASED: 2025-01-15 |
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31 | Home Health Care - Patient Survey (HHCAHPS) State Data 2023Q3 to 2024Q2 | State Data for Home Health Care - Patient Survey (HHCAHPS) for 2023Q3 to 2024Q2 |
ISSUED: 2024-12-11 MODIFIED: 2024-12-11 RELEASED: 2025-01-15 |
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32 | Home Health Care - State by State Data | State averages of several home health agency quality measures for Home Health Agencies. |
ISSUED: 2024-12-02 MODIFIED: 2024-12-02 RELEASED: 2025-01-15 |
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33 | Home Health Care - Zip Codes | Home Health Care - Zip Codes |
ISSUED: 2024-12-02 MODIFIED: 2024-12-02 RELEASED: 2025-01-15 |
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34 | Home Health Care Agencies | A list of all Home Health Agencies that have been registered with Medicare. The list includes addresses, phone numbers, and quality measure ratings for each agency. |
ISSUED: 2024-12-02 MODIFIED: 2024-12-02 RELEASED: 2025-01-15 |
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Hospice care | 35 | Hospice - General Information | This dataset shows characteristics of hospice providers such as address, phone number, ownership data and more. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
36 | Hospice - Provider Data | A list of hospice providers with data on the quality of patient care measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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37 | Hospice - State Data | State data on the quality of patient care measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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38 | Hospice - Zip Data | A list of zip codes where hospice provides services. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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39 | Hospice care - National CAHPS Hospice Survey Data | This data set contains the national average (mean) scores of Medicare-certified hospice providers on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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40 | Hospice care - Provider CAHPS Hospice Survey Data | This data set contains a list of hospice providers with data on their scores on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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41 | Hospice care - State CAHPS Hospice Survey Data | This data set contains state average (mean) scores of Medicare-certified hospice providers on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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42 | Hospice-National Data | National data on the quality of patient care measures. |
ISSUED: 2025-01-13 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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Hospitals | 43 | Ambulatory Surgical Center Quality Measures - Facility | A list of ambulatory surgical centers participating in the Ambulatory Surgical Center Quality Reporting (ASCQR) Program and their performance rates. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-15 RELEASED: 2025-02-19 |
44 | Ambulatory Surgical Center Quality Measures - National | This file contains the national averages for all measures reported through the Ambulatory Surgical Center Quality Reporting (ASCQR) Program. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-15 RELEASED: 2025-02-19 |
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45 | Ambulatory Surgical Center Quality Measures - State | This file contains state-level data for all measures reported through the Ambulatory Surgical Center Quality Reporting (ASCQR) Program. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-15 RELEASED: 2025-02-19 |
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46 | CMS Medicare PSI-90 and component measures - six-digit estimate dataset | This data set includes the Patient Safety and Adverse Events Composite measure (CMS Medicare PSI 90) and the individual CMS Patient Safety Indicators. CMS Medicare PSI 90 is a composite complication measure composed from 10 separate Patient Safety Indicators. The measure provides an overview of hospital-level quality as it relates to a set of potentially preventable hospital-related events associated with harmful outcomes for patients. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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47 | Complications and Deaths - Hospital | Complications and deaths - provider data. This data set includes provider-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates. NOTICE: Data from the 1st and 2nd quarters of 2020 are not being reported due to the impact of the COVID-19 pandemic. For more information, please reference https://qualitynet.cms.gov/files/5fb838aef61c410025a64709?filename=2020-111-IP.pdf. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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48 | Complications and Deaths - National | Complications and deaths - national data. This data set includes national-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates. NOTICE: Data from the 1st and 2nd quarters of 2020 are not being reported due to the impact of the COVID-19 pandemic. For more information, please reference https://qualitynet.cms.gov/files/5fb838aef61c410025a64709?filename=2020-111-IP.pdf. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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49 | Complications and Deaths - State | Complications and deaths - state data. This data set includes state-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and 30-day death rates. NOTICE: Data from the 1st and 2nd quarters of 2020 are not being reported due to the impact of the COVID-19 pandemic. For more information, please reference https://qualitynet.cms.gov/files/5fb838aef61c410025a64709?filename=2020-111-IP.pdf. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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50 | Complications and Unplanned Hospital Visits - PPS-Exempt Cancer Hospital - Hospital | Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Complications and Unplanned Hospital Visits. This dataset evaluates the percentage of patients who are receiving PCH-based outpatient chemotherapy treatment for all cancer types except leukemia who were admitted to the hospital or visited the emergency department for one of 10 conditions within 30 days after treatment. |
ISSUED: 2024-07-31 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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51 | Complications and Unplanned Hospital Visits - PPS-Exempt Cancer Hospital - National | Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Complications and Unplanned Hospital Visits. This dataset evaluates the percentage of patients who are receiving PCH-based outpatient chemotherapy treatment for all cancer types except leukemia who were admitted to the hospital or visited the emergency department for one of 10 conditions within 30 days after treatment. |
ISSUED: 2024-07-31 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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52 | Comprehensive Care For Joint Replacement Model - Provider Data | Comprehensive Care for Joint Replacement Model - provider data. This data set includes provider data for two quality measures tracked during an episode of care: complication rate for hip/knee replacement patients and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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53 | Data Updates | Lists the data updates for a scheduled quarterly refresh and as well those that are updated in between refreshes. |
ISSUED: 2020-12-10 MODIFIED: 2025-12-13 RELEASED: 2025-02-19 |
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54 | Footnote Crosswalk | The footnote crosswalk displays a list of footnotes and their summary. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-13 RELEASED: 2025-02-19 |
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55 | Health Equity - Hospital | Health Equity measures - provider data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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56 | Health Equity - National | Health Equity measures - national data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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57 | Health Equity - State | Health Equity measures - state data. Using social determinants of health data, including race, ethnicity, language, gender identity, sex, sexual orientation, and disability status helps ensure everyone has access to equitable care and coverage. |
ISSUED: 2024-10-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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58 | Healthcare Associated Infections - Hospital | The Healthcare-Associated Infection (HAI) measures - provider data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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59 | Healthcare Associated Infections - National | The Healthcare-Associated Infections (HAI) measures - national data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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60 | Healthcare Associated Infections - State | The Healthcare-Associated Infections (HAI) measures - state data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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61 | Hospital General Information | A list of all hospitals that have been registered with Medicare. The list includes addresses, phone numbers, hospital type, and overall hospital rating. |
ISSUED: 2025-01-08 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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62 | Hospital Readmissions Reduction Program | In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP). Excess readmissions are measured by a ratio, calculated by dividing a hospital's predicted rate of readmissions for heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), hip/knee replacement (THA/TKA), and coronary artery bypass graft surgery (CABG) by the expected rate of readmissions, based on an average hospital with similar patients. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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63 | Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores | A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance rates and scores for the Clinical Outcomes measures. As finalized in the interim rule with comment period (CMS-3401-IFC), published on September 2, 2020, CMS will not use claims reflecting services provided January 1, 2020-June 30, 2020 (Q1 and Q2 2020) in its calculations for the Medicare quality reporting and value-based purchasing programs. The discharge period has been updated to reflect this policy. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-17 RELEASED: 2025-02-19 |
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64 | Hospital Value-Based Purchasing (HVBP) - Efficiency Scores | A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance ratios and scores for the Efficiency and Cost Reduction Medicare Spending per Beneficiary (MSPB) measure. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-17 RELEASED: 2025-02-19 |
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65 | Hospital Value-Based Purchasing (HVBP) - Person and Community Engagement Domain Scores (HCAHPS) | A list of hospitals participating in the FY 2025 Hospital VBP Program and their scores for the Person and Community Engagement HCAHPS dimensions. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-17 RELEASED: 2025-02-19 |
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66 | Hospital Value-Based Purchasing (HVBP) - Safety | A list of hospitals participating in the FY 2025 Hospital VBP Program and their performance rates and scores for the Safety measures. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-17 RELEASED: 2025-02-19 |
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67 | Hospital Value-Based Purchasing (HVBP) - Total Performance Score | A list of hospitals participating in the FY 2025 Hospital VBP Program and their domain scores and Total Performance Scores. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-17 RELEASED: 2025-02-19 |
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68 | Hospital-Acquired Condition (HAC) Reduction Program | Hospital-Acquired Condition (HAC) Reduction Program (HACRP) - In October 2014, CMS began reducing Medicare fee-for-service payments for subsection (d) hospitals that rank in the worst-performing quartile with respect to hospital-acquired condition (HAC) quality measures. Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction. This table contains hospitals' measure and Total HAC scores. The Total HAC Score is calculated as the equally weighted average of hospitals' individual measure scores. |
ISSUED: 2024-01-08 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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69 | Inpatient Psychiatric Facility Quality Measure Data - National | This dataset includes national-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced. |
ISSUED: 2025-01-08 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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70 | Inpatient Psychiatric Facility Quality Measure Data - by Facility | This dataset includes provider-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced. |
ISSUED: 2025-01-08 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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71 | Inpatient Psychiatric Facility Quality Measure Data - by State | This dataset includes state-level data for quality measures included under the IPFQR program, including HBIPS, SUB, TOB, Transition Record (TR), Screening for Metabolic Disorders (SMD), FAPH, IMM, Readmissions (READM), and Medication Continuation (MedCont, formerly known as MedCoPsy). Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced. |
ISSUED: 2025-01-08 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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72 | Maternal Health - Hospital | These measures are intended to drive improvements in maternal health. By providing care to pregnant individuals that follows best practices that advance health care quality, safety, and equity, hospitals and doctors can improve chances for a safe delivery and a healthy baby. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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73 | Measure Dates | Data Collection Periods for all measures. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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74 | Medicare Hospital Spending by Claim | The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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75 | Medicare Spending Per Beneficiary - Hospital | The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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76 | Medicare Spending Per Beneficiary - Hospital Additional Decimal Places | The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The data displayed here are identical to the data displayed in the Medicare Spending per Beneficiary file, except that this file displays hospitals measure values out to six decimal places instead of two decimal places. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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77 | Medicare Spending Per Beneficiary - National | The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The numbers displayed here are: 1) the average MSPB measure for the nation; and 2) the national episode-weighted median MSPB amount used as the denominator in the calculation of each hospital's MSPB measure. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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78 | Medicare Spending Per Beneficiary - State | The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The data displayed here are the average measures for each state. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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79 | Outpatient Imaging Efficiency - Hospital | Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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80 | Outpatient Imaging Efficiency - National | Use of medical imaging - national data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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81 | Outpatient Imaging Efficiency - State | Use of medical imaging - state data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT scans and MRIs. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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82 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey - Footnotes | This file contains the footnotes used in the Outpatient and Ambulatory Surgery (OAS CAHPS) survey data. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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83 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - Facility | A list of ambulatory surgical center ratings for the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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84 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - National | The file contains the national average for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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85 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for ambulatory surgical centers - State | A list of the state averages for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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86 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - Facility | A list of hospital outpatient department ratings for the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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87 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - National | The file contains the national average for the OAS CAHPS survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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88 | Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey for hospital outpatient departments - State | A list of the state averages for the OAS CAHPS Survey responses. The OAS CAHPS survey collects information about patients' experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs). The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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89 | Palliative Care - PPS-Exempt Cancer Hospital - Hospital | Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. These measures are first steps that seek to broadly assess what is happening in PCHs at the end-of-life and will provide a baseline picture of existing end-of-life care at these hospitals. |
ISSUED: 2024-07-31 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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90 | Palliative Care - PPS-Exempt Cancer Hospital - National | Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. These measures are first steps that seek to broadly assess what is happening in PCHs at the end-of-life and will provide a baseline picture of existing end-of-life care at these hospitals. |
ISSUED: 2024-07-31 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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91 | Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - Hospital | A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2023-07-12 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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92 | Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - National | The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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93 | Patient Survey (PCH - HCAHPS) PPS-Exempt Cancer Hospital - State | A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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94 | Patient survey (HCAHPS) - Hospital | A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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95 | Patient survey (HCAHPS) - National | The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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96 | Patient survey (HCAHPS) - State | A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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97 | Patient-Reported Outcomes - Hospital | Patient-reported outcomes are reports from patients about aspects of care that matter most to them, like pain management, functional ability (like their ability to walk, think, see, hear and remember), and overall quality of life. Through surveys or questionnaires, patients self-report the effectiveness of the care they got from their provider. |
ISSUED: 2024-07-31 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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98 | Payment - National | Payment measures: national data. This data set includes national-level data for the payment measures associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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99 | Payment - State | Payment measures: state data. This data set includes state-level data for the payment measures associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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100 | Payment and value of care - Hospital | Payment measures and value of care displays: provider data. This data set includes provider data for the payment measures and value of care displays. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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101 | Promoting Interoperability - Hospital | The Medicare Promoting Interoperability Program was developed to promote and prioritize interoperability and exchange of health care data. Promoting interoperability means that hospitals show they're using certified Electronic Health Record (EHR) technology in ways that can be measured against quality standards. |
ISSUED: 2025-02-06 MODIFIED: 2025-02-06 RELEASED: 2025-02-19 |
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102 | Safety and Healthcare-Associated Infection Measures - PPS-Exempt Cancer Hospital | Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Healthcare Associated Infections. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps. |
ISSUED: 2023-07-12 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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103 | Table 1: FY2021 Net Change in Base Operating DRG Payment Amount | Net Change in Base Operating DRG Payment Amount shows number of hospitals for specified ranges of value-based incentive payment amounts after subtracting the amount by which their Medicare payments per discharge were reduced. |
ISSUED: 2020-12-10 MODIFIED: 2023-01-06 RELEASED: 2025-02-19 |
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104 | Table 2: FY2021 Distribution of Net Change in Base Operating DRG Payment Amount | Distribution of Net Change in Base Operating DRG Payment Amount shows the distribution of hospitals' value-based incentive payment amounts after subtracting the amount of the applicable percent reduction from their Medicare payments. |
ISSUED: 2020-12-10 MODIFIED: 2023-01-06 RELEASED: 2025-02-19 |
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105 | Table 3: FY2021 Percent Change in Medicare Payments | Percent Change in Medicare Payments displays how hospitals' Medicare payments changed as a result of the Hospital VBP Program in percentage terms. |
ISSUED: 2020-12-10 MODIFIED: 2023-01-06 RELEASED: 2025-02-19 |
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106 | Table 4: FY2021 Value-Based Incentive Payment Amount | Value-Based Incentive Payment Amount displays the number of hospitals that received value-based incentive payment amounts in ranges of $50,000. |
ISSUED: 2020-12-10 MODIFIED: 2023-01-06 RELEASED: 2025-02-19 |
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107 | Timely and Effective Care - Hospital | Timely and Effective Care measures - provider data. This data set includes provider-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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108 | Timely and Effective Care - National | Timely and Effective Care measures - national data. This data set includes national-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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109 | Timely and Effective Care - State | Timely and Effective Care measures - state data. This data set includes state-level data for measures of cataract surgery outcome, colonoscopy follow-up, emergency department care, preventive care, and pregnancy and delivery care. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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110 | Unplanned Hospital Visits - Hospital | Unplanned Hospital Visits: provider data. This data set includes provider data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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111 | Unplanned Hospital Visits - National | Unplanned Hospital Visits: national data. This data set includes national-level data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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112 | Unplanned Hospital Visits - State | Unplanned Hospital Visits: state data. This data set includes state-level data for the hospital return days (or excess days in acute care [EDAC]) measures, the unplanned readmissions measures, and measures of unplanned hospital visits after outpatient procedures. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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113 | Value of care - National | Value of care displays: national data. This data set includes national-level data for the value of care displays associated with an episode of care for heart attack, heart failure, pneumonia, and hip/knee replacement patients. |
ISSUED: 2020-12-10 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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114 | Veterans Health Administration Behavioral Health Data | A list of VHA hospitals with behavioral health measure data. VHA reports data on a set of core performance measures for Hospital-Based Inpatient Psychiatric Services (HBIPS), Substance Use, and Tobacco Treatment. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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115 | Veterans Health Administration Provider Level Data | A list of all VHA hospitals. The list includes addresses and phone numbers. |
ISSUED: 2023-07-12 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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116 | Veterans Health Administration Timely and Effective Care Data | A list of VHA hospitals with timely and effective care (process of care) measure data. VHA collects this information through a Quality Improvement Organization (External Peer Review Program) or directly from electronic medical records. |
ISSUED: 2023-07-05 MODIFIED: 2025-01-08 RELEASED: 2025-02-19 |
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Inpatient rehabilitation facilities | 117 | Inpatient Rehabilitation Facility - Conditions | A list of inpatient rehabilitation facilities with data on the number of times people with Medicare who had certain medical conditions were treated in the last year. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
118 | Inpatient Rehabilitation Facility - General Information | This dataset shows characteristics of the inpatient rehabilitation facilities that are shown on Inpatient Rehabilitation Facility Compare. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
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119 | Inpatient Rehabilitation Facility - National Data | National data on the quality of patient care measures shown on Inpatient Rehabilitation Facility Compare. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
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120 | Inpatient Rehabilitation Facility - Provider Data | A list of inpatient rehabilitation facilities with data on the quality of patient care measures shown on Inpatient Rehabilitation Facility Compare. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
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Long-term care hospitals | 121 | Long-Term Care Hospital - General Information | A list of long-term care hospitals with information such as address, phone number, ownership data and more. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
122 | Long-Term Care Hospital - National Data | National data on the quality of patient care measures shown on Long-Term Care Hospital Compare. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
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123 | Long-Term Care Hospital - Provider Data | A list of long-term care hospitals with data on the quality of patient care measures shown on Long-Term Care Hospital Compare. |
ISSUED: 2024-10-24 MODIFIED: 2024-12-05 RELEASED: 2024-12-18 |
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Nursing homes including rehab services | 124 | COVID-19 Vaccination Rates - Provider Data | Current resident and healthcare personnel COVID-19 vaccination rates. Data are presented as one row per provider.<br /><br />Note: On January 1, 2024, the CDC changed the data collection methodology for the percent of staff who are up to date with their COVID-19 vaccination. It may take facilities some time to adapt to the new methodology. As a result, the reported percent of staff who are up to date with their COVID-19 vaccination should be viewed with caution over the next few weeks. Consumers or interested parties should contact facilities directly for more information on their vaccination levels. |
ISSUED: 2023-07-06 MODIFIED: 2025-03-02 RELEASED: 2025-03-13 |
125 | COVID-19 Vaccination Rates - State and National Averages | State and National averages for facility resident and healthcare personnel COVID-19 vaccination rates. Data are presented as one row per state or territory plus a row for national averages.<br /><br />Note: On January 1, 2024, the CDC changed the data collection methodology for the percent of staff who are up to date with their COVID-19 vaccination. It may take facilities some time to adapt to the new methodology. As a result, the reported percent of staff who are up to date with their COVID-19 vaccination should be viewed with caution over the next few weeks. Consumers or interested parties should contact facilities directly for more information on their vaccination levels. |
ISSUED: 2023-07-06 MODIFIED: 2025-03-02 RELEASED: 2025-03-13 |
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126 | Citation Code Look-up | This is a look-up table for nursing home inspection citations, providing a text description for each citation or tag code. |
ISSUED: 2020-09-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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127 | FY 2025 SNF VBP Aggregate Performance | This table contains national, aggregate-level results for the fiscal year (FY) 2025 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. Included are unadjusted national average readmission rates for the baseline period (FY 2019) and performance period (FY 2023), the achievement threshold and benchmark (that is, the performance standards for the FY 2025 SNF VBP Program year), and information on performance scores, incentive payment multipliers, value-based incentive payments (in dollars), and the total number of SNFs receiving value-based incentive payments for the FY 2025 SNF VBP Program year.<br /><br />Note: SNFs that did not meet the SNFRM’s case minimum (25 or more eligible stays) in the performance period (FY 2023) are excluded from the SNF VBP Program for FY 2025. Payments to these SNFs in FY 2025 will not be affected by the SNF VBP Program; instead, these SNFs will receive their adjusted federal per diem rate. CMS will not publicly report any data for the FY 2025 SNF VBP Program year for these excluded SNFs. |
ISSUED: 2024-11-01 MODIFIED: 2024-11-01 RELEASED: 2025-02-26 |
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128 | FY 2025 SNF VBP Facility-Level Dataset | This dataset contains facility-specific performance results for the fiscal year (FY) 2025 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. Included are baseline period (FY 2019) and performance period (FY 2023) risk-standardized readmission rates (RSRRs), achievement scores, improvement scores, and performance scores, rankings, and incentive payment multipliers for the FY 2025 SNF VBP Program year.<br /><br />Note: SNFs that did not meet the SNFRM’s case minimum (25 or more eligible stays) in the performance period (FY 2023) are excluded from the SNF VBP Program for FY 2025. Payments to these SNFs in FY 2025 will not be affected by the SNF VBP Program; instead, these SNFs will receive their adjusted federal per diem rate. CMS will not publicly report any data for the FY 2025 SNF VBP Program year for these excluded SNFs. |
ISSUED: 2024-11-01 MODIFIED: 2024-11-01 RELEASED: 2025-02-26 |
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129 | Fire Safety Deficiencies | A list of nursing home fire safety citations in the last three years, including the nursing home that received the citation, the associated inspection date, citation tag number and description, scope and severity, the current status of the citation and the correction date. Data are presented as one citation per row. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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130 | Health Deficiencies | A list of nursing home health citations in the last three years, including the nursing home that received the citation, the associated inspection date, citation tag number and description, scope and severity, the current status of the citation and the correction date. Data are presented as one citation per row. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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131 | Inspection Dates | A list of nursing home inspection dates in the past three years, including health inspections, fire safety inspections, complaint inspections and infection control inspections |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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132 | MDS Quality Measures | Quality measures that are based on the resident assessments that make up the nursing home Minimum Data Set (MDS). Each row contains a specific quality measure for a specific nursing home and includes the 4-quarter score average and scores for each individual quarter. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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133 | Medicare Claims Quality Measures | Quality measures that are based on Medicare claims data. Each row contains a specific quality measure for a specific nursing home and includes the risk-adjusted score. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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134 | Nursing Home Data Collection Intervals | This table lists the data collection periods for the quality measures displayed for Nursing Homes including Rehab Services as well as the intervals for complaint citations and citations on focused infection control inspections. It also includes the data collection period for the nursing home staffing measures. The data collection periods for some short-stay measures differ slightly from the measure periods in the MDS Quality Measure file due to the look-back periods for these measures. |
ISSUED: 2024-10-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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135 | Ownership | A list of ownership information for currently active nursing homes. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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136 | Penalties | A list of the fines and payment denials received by nursing homes in the last three years. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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137 | Provider Information | General information on currently active nursing homes, including number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System. Data are presented as one row per nursing home. |
ISSUED: 2024-07-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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138 | Skilled Nursing Facility Quality Reporting Program - National Data | Skilled Nursing Facilities (SNFs) provide Medicare Part A SNF services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file contains national averages on quality measures implemented under the IMPACT Act. |
ISSUED: 2024-10-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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139 | Skilled Nursing Facility Quality Reporting Program - Provider Data | Skilled Nursing Facilities (SNFs) provide Medicare Part A SNF services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file contains a list of SNFs, as well as their results on the quality of resident care measures implemented under the IMPACT Act. |
ISSUED: 2024-10-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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140 | Skilled Nursing Facility Quality Reporting Program - Swing Beds - Provider Data | Non-Critical Access Hospitals (CAHs) with swing beds are hospitals that provide Medicare Part A Skilled Nursing Facility (SNF) services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file contains a list of the swing bed units participating in the SNF QRP, as well as their results on quality measures implemented under the IMPACT Act. |
ISSUED: 2024-10-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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141 | State US Averages | A list of a variety of averages for each state or territory as well as the national average, including each quality measure, staffing, fine amount and number of deficiencies. Each row displays a specific state or territory, the associated measure and average. |
ISSUED: 2025-01-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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142 | State-Level Health Inspection Cut Points | State-specific ranges for the weighted health inspection score for each health inspection star rating category. Data are presented as one row per state or territory. |
ISSUED: 2021-04-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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143 | Survey Summary | Nursing home summary information for nursing home health and fire safety inspections in the last three years, including dates of the three most recent inspections (including those with no citations), and counts of citations, overall and within specified categories. Data are presented as one inspection per provider. Note that citation counts do not include citations from complaint inspections. |
ISSUED: 2023-06-01 MODIFIED: 2025-02-01 RELEASED: 2025-02-26 |
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Physician office visit costs | 144 | Addiction Medicine Office Visit Costs | Returns addiction medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
145 | Advanced Heart Failure and Transplant Cardiology Office Visit Costs | Returns advanced heart failure and transplant cardiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
146 | Allergy/ Immunology Office Visit Costs | Returns allergy/ immunology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
147 | Anesthesiology Office Visit Costs | Returns anesthesiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
148 | Audiologist Office Visit Costs | Returns audiologist office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
149 | Cardiac Surgery Office Visit Costs | Returns cardiac surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
150 | Cardiology Office Visit Costs | Returns cardiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
151 | Certified Clinical Nurse Specialist Office Visit Costs | Returns certified clinical nurse specialist office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
152 | Certified Nurse Midwife Office Visit Costs | Returns certified nurse midwife office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
153 | Certified Registered Nurse Anesthetist (CRNA) Office Visit Costs | Returns certified registered nurse anesthetist (crna) office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
154 | Clinic or Group Practice Office Visit Costs | Returns clinic or group practice office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
155 | Clinical Cardiac Electrophysiology Office Visit Costs | Returns clinical cardiac electrophysiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
156 | Clinical Laboratory Office Visit Costs | Returns clinical laboratory office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
157 | Colorectal Surgery (Proctology) Office Visit Costs | Returns colorectal surgery (proctology) office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
158 | Critical Care (Intensivists) Office Visit Costs | Returns critical care (intensivists) office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
159 | Dentist Office Visit Costs | Returns dentist office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
160 | Dermatology Office Visit Costs | Returns dermatology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
161 | Diagnostic Radiology Office Visit Costs | Returns diagnostic radiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
162 | Emergency Medicine Office Visit Costs | Returns emergency medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
163 | Endocrinology Office Visit Costs | Returns endocrinology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
164 | Family Practice Office Visit Costs | Returns family practice office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
165 | Gastroenterology Office Visit Costs | Returns gastroenterology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
166 | General Practice Office Visit Costs | Returns general practice office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
167 | General Surgery Office Visit Costs | Returns general surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
168 | Geriatric Medicine Office Visit Costs | Returns geriatric medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
169 | Geriatric Psychiatry Office Visit Costs | Returns geriatric psychiatry office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
170 | Gynecological Oncology Office Visit Costs | Returns gynecological oncology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
171 | Hand Surgery Office Visit Costs | Returns hand surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
172 | Hematology Office Visit Costs | Returns hematology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
173 | Hematology-Oncology Office Visit Costs | Returns hematology-oncology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
174 | Hematopoietic Cell Transplantation and Cellular Therapy Office Visit Costs | Returns hematopoietic cell transplantation and cellular therapy office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
175 | Hospice and Palliative Care Office Visit Costs | Returns hospice and palliative care office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
176 | Hospitalist Office Visit Costs | Returns hospitalist office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
177 | Infectious Disease Office Visit Costs | Returns infectious disease office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
178 | Internal Medicine Office Visit Costs | Returns internal medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
179 | Interventional Cardiology Office Visit Costs | Returns interventional cardiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
180 | Interventional Pain Management Office Visit Costs | Returns interventional pain management office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
181 | Interventional Radiology Office Visit Costs | Returns interventional radiology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
182 | Licensed Clinical Social Worker Office Visit Costs | Returns licensed clinical social worker office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
183 | Mass Immunizer Roster Biller Office Visit Costs | Returns mass immunizer roster biller office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
184 | Maxillofacial Surgery Office Visit Costs | Returns maxillofacial surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
185 | Medical Genetics and Genomics Office Visit Costs | Returns medical genetics and genomics office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
186 | Medical Oncology Office Visit Costs | Returns medical oncology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
187 | Medical Toxicology Office Visit Costs | Returns medical toxicology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
188 | Micrographic Dermatologic Surgery Office Visit Costs | Returns micrographic dermatologic surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
189 | Nephrology Office Visit Costs | Returns nephrology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
190 | Neurology Office Visit Costs | Returns neurology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
191 | Neuropsychiatry Office Visit Costs | Returns neuropsychiatry office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
192 | Neurosurgery Office Visit Costs | Returns neurosurgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
193 | Nuclear Medicine Office Visit Costs | Returns nuclear medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
194 | Nurse Practitioner Office Visit Costs | Returns nurse practitioner office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
195 | Obstetrics & Gynecology Office Visit Costs | Returns obstetrics & gynecology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
196 | Ophthalmology Office Visit Costs | Returns ophthalmology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
197 | Opioid Treatment Program Office Visit Costs | Returns opioid treatment program office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
198 | Optometry Office Visit Costs | Returns optometry office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
199 | Oral Surgery (Dentist only) Office Visit Costs | Returns oral surgery (dentist only) office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
200 | Orthopedic Surgery Office Visit Costs | Returns orthopedic surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
201 | Osteopathic Manipulative Medicine Office Visit Costs | Returns osteopathic manipulative medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
202 | Otolaryngology Office Visit Costs | Returns otolaryngology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
203 | Pain Management Office Visit Costs | Returns pain management office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
204 | Pathology Office Visit Costs | Returns pathology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
205 | Pediatric Medicine Office Visit Costs | Returns pediatric medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
206 | Peripheral Vascular Disease Office Visit Costs | Returns peripheral vascular disease office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
207 | Pharmacy Office Visit Costs | Returns pharmacy office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
208 | Physical Medicine and Rehabilitation Office Visit Costs | Returns physical medicine and rehabilitation office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
209 | Physical Therapist in Private Practice Office Visit Costs | Returns physical therapist in private practice office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
210 | Physician Assistant Office Visit Costs | Returns physician assistant office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
211 | Plastic and Reconstructive Surgery Office Visit Costs | Returns plastic and reconstructive surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
212 | Podiatry Office Visit Costs | Returns podiatry office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
213 | Preventive Medicine Office Visit Costs | Returns preventive medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
214 | Psychiatry Office Visit Costs | Returns psychiatry office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
215 | Psychologist, Clinical Office Visit Costs | Returns psychologist, clinical office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
216 | Public Health or Welfare Agency Office Visit Costs | Returns public health or welfare agency office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
217 | Pulmonary Disease Office Visit Costs | Returns pulmonary disease office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
218 | Radiation Oncology Office Visit Costs | Returns radiation oncology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
219 | Registered Dietitian or Nutrition Professional Office Visit Costs | Returns registered dietitian or nutrition professional office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
220 | Rheumatology Office Visit Costs | Returns rheumatology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
221 | Sleep Medicine Office Visit Costs | Returns sleep medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
222 | Sports Medicine Office Visit Costs | Returns sports medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
223 | Surgical Oncology Office Visit Costs | Returns surgical oncology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
224 | Thoracic Surgery Office Visit Costs | Returns thoracic surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
225 | Undefined Physician type Office Visit Costs | Returns undefined physician type office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
226 | Undersea and Hyperbaric Medicine Office Visit Costs | Returns undersea and hyperbaric medicine office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
227 | Urology Office Visit Costs | Returns urology office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
228 | Vascular Surgery Office Visit Costs | Returns vascular surgery office visit costs per zip code for new and established patients. |
ISSUED: 2024-08-05 MODIFIED: 2024-08-05 RELEASED: 2024-08-08 |
|
Supplier directory | 229 | Medical Equipment Suppliers | A list of Suppliers that indicates the supplies carried at that location and the supplier's Medicare participation status. |
ISSUED: 2020-12-17 MODIFIED: 2025-03-17 RELEASED: 2025-03-17 |
Rate Limit
The API is currently limited to a maximum of 2000
per request. The following example uses the Doctors and Clinicians National Downloadable File dataset
- Fetch the first
2000
results:
ndf_0 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/mj5m-pzi6/0") |>
url_modify_query(
offset = 0,
limit = 2000) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
ndf_0$count
[1] 2667516
length(offset_sequence(ndf_0$count, 2000))
[1] 1334
ndf_0$query$resources$id
[1] "4d332c5c-900d-5b33-9e48-cc2dde7a6b5f"
ndf_0$query$properties
[1] "npi" "ind_pac_id" "ind_enrl_id"
[4] "provider_last_name" "provider_first_name" "provider_middle_name"
[7] "suff" "gndr" "cred"
[10] "med_sch" "grd_yr" "pri_spec"
[13] "sec_spec_1" "sec_spec_2" "sec_spec_3"
[16] "sec_spec_4" "sec_spec_all" "telehlth"
[19] "facility_name" "org_pac_id" "num_org_mem"
[22] "adr_ln_1" "adr_ln_2" "ln_2_sprs"
[25] "citytown" "state" "zip_code"
[28] "telephone_number" "ind_assgn" "grp_assgn"
[31] "adrs_id"
ndf_0$results |>
tibble() |>
map_na_if() |>
purse()
- $npi c2000 1003000126 1003000126 ...
- $ind_pac_id c2000 7517003643 7517003643 ...
- $ind_enrl_id c2000 I20091005000100 I20130530000085 ...
- $provider_last_name c2000 ENKESHAFI ENKESHAFI ...
- $provider_first_name c2000 ARDALAN ARDALAN ...
- $provider_middle_name c2000 NA NA ...
- $suff c2000 NA NA ...
- $gndr c2000 M M ...
- $cred c2000 MD MD ...
- $med_sch c2000 OTHER OTHER ...
- $grd_yr c2000 1994 1994 ...
- $pri_spec c2000 INTERNAL MEDICINE HOSPITALIST ...
- $sec_spec_1 c2000 NA INTERNAL MEDICINE ...
- $sec_spec_2 c2000 NA NA ...
- $sec_spec_3 c2000 NA NA ...
- $sec_spec_4 c2000 NA NA ...
- $sec_spec_all c2000 NA INTERNAL MEDICINE ...
- $telehlth c2000 NA NA ...
- $facility_name c2000 MERITUS MEDICAL CENTER INC EMERGENCY MEDICINE ...
- $org_pac_id c2000 7113811795 8022914522 ...
- $num_org_mem c2000 579 439 ...
- $adr_ln_1 c2000 11116 MEDICAL CAMPUS RD 1850 TOWN CTR PKWY ...
- $adr_ln_2 c2000 NA NA ...
- $ln_2_sprs c2000 NA NA ...
- $citytown c2000 HAGERSTOWN RESTON ...
- $state c2000 MD VA ...
- $zip_code c2000 217426710 201903204 ...
- $telephone_number c2000 3017908000 2406862300 ...
- $ind_assgn c2000 Y Y ...
- $grp_assgn c2000 Y Y ...
- $adrs_id c2000 MD217426710HA11116RDXX400 VA201903204RE1850X ...
- Fetch the next
2000
results. Continue incrementing theoffset
by2000
for each subsequent call:
ndf_1 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/mj5m-pzi6/0") |>
url_modify_query(
offset = 2000,
limit = 2000) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
ndf_1$results |>
tibble() |>
map_na_if() |>
purse()
- $npi c2000 1003058348 ...
- $ind_pac_id c2000 0840344339 ...
- $ind_enrl_id c2000 I20090818000600 ...
- $provider_last_name c2000 TSAY ...
- $provider_first_name c2000 ANNA TERESA ...
- $provider_middle_name c2000 NA ...
- $suff c2000 NA ...
- $gndr c2000 F ...
- $cred c2000 NP ...
- $med_sch c2000 UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF ME ...
- $grd_yr c2000 2005 ...
- $pri_spec c2000 NURSE PRACTITIONER ...
- $sec_spec_1 c2000 NA ...
- $sec_spec_2 c2000 NA ...
- $sec_spec_3 c2000 NA ...
- $sec_spec_4 c2000 NA ...
- $sec_spec_all c2000 NA ...
- $telehlth c2000 NA ...
- $facility_name c2000 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP ...
- $org_pac_id c2000 6002729175 ...
- $num_org_mem c2000 8922 ...
- $adr_ln_1 c2000 4733 W SUNSET BLVD ...
- $adr_ln_2 c2000 NA ...
- $ln_2_sprs c2000 NA ...
- $citytown c2000 LOS ANGELES ...
- $state c2000 CA ...
- $zip_code c2000 900276021 ...
- $telephone_number c2000 2136674784 ...
- $ind_assgn c2000 Y ...
- $grp_assgn c2000 Y ...
- $adrs_id c2000 CA900276021LO4733XBLVD400 ...
When retrieving large datasets, consider pacing your requests to avoid overwhelming your system with data and to allow for graceful error handling. Depending on the volume of data and your application’s capabilities, consider implementing a back-off strategy if errors occur.
Ratings
CMS’s Five-Star Quality Rating System is designed to help users compare the overall quality of care across different healthcare providers. Access these ratings by referring to the associated column names:
-
Nursing Home:
overall_rating
-
Hospitals:
hospital_overall_rating
-
Dialysis:
five_star
-
Hospice:
star_rating
-
Home Health:
quality_of_patient_care_star_rating
For example, the query for the first 2000 Nursing Home facilities with less than a 5-star overall rating is:
nh_0 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/4pq5-n9py/0") |>
url_modify_query(
`conditions[0][property]` = "overall_rating",
`conditions[0][value]` = 5,
`conditions[0][operator]` = "<",
offset = 0,
limit = 2000) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
nh_0$count
[1] 12264
length(offset_sequence(nh_0$count, 2000))
[1] 7
nh_0$results |>
tibble() |>
map_na_if() |>
purse()
- $cms_certification_number_ccn c2000 0 ...
- $provider_name c2000 B ...
- $provider_address c2000 7 ...
- $citytown c2000 R ...
- $state c2000 A ...
- $zip_code c2000 3 ...
- $telephone_number c2000 2 ...
- $provider_ssa_county_code c2000 2 ...
- $countyparish c2000 F ...
- $ownership_type c2000 F ...
- $number_of_certified_beds c2000 5 ...
- $average_number_of_residents_per_day c2000 5 ...
- $average_number_of_residents_per_day_footnote c2000 N ...
- $provider_type c2000 M ...
- $provider_resides_in_hospital c2000 N ...
- $legal_business_name c2000 B ...
- $date_first_approved_to_provide_medicare_and_medicaid_services c2000 1 ...
- $affiliated_entity_name c2000 N ...
- $affiliated_entity_id c2000 N ...
- $continuing_care_retirement_community c2000 N ...
- $special_focus_status c2000 N ...
- $abuse_icon c2000 N ...
- $most_recent_health_inspection_more_than_2_years_ago c2000 N ...
- $provider_changed_ownership_in_last_12_months c2000 N ...
- $with_a_resident_and_family_council c2000 R ...
- $automatic_sprinkler_systems_in_all_required_areas c2000 Y ...
- $overall_rating c2000 2 ...
- $overall_rating_footnote c2000 N ...
- $health_inspection_rating c2000 2 ...
- $health_inspection_rating_footnote c2000 N ...
- $qm_rating c2000 4 ...
- $qm_rating_footnote c2000 N ...
- $longstay_qm_rating c2000 4 ...
- $longstay_qm_rating_footnote c2000 N ...
- $shortstay_qm_rating c2000 3 ...
- $shortstay_qm_rating_footnote c2000 N ...
- $staffing_rating c2000 4 ...
- $staffing_rating_footnote c2000 N ...
- $reported_staffing_footnote c2000 N ...
- $physical_therapist_staffing_footnote c2000 N ...
- $reported_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $reported_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $reported_rn_staffing_hours_per_resident_per_day c2000 1 ...
- $reported_licensed_staffing_hours_per_resident_per_day c2000 1 ...
- $reported_total_nurse_staffing_hours_per_resident_per_day c2000 4 ...
- $total_number_of_nurse_staff_hours_per_resident_per_day_on_t_4a14 c2000 3 ...
- $registered_nurse_hours_per_resident_per_day_on_the_weekend c2000 0 ...
- $reported_physical_therapist_staffing_hours_per_resident_per_day c2000 0 ...
- $total_nursing_staff_turnover c2000 3 ...
- $total_nursing_staff_turnover_footnote c2000 N ...
- $registered_nurse_turnover c2000 1 ...
- $registered_nurse_turnover_footnote c2000 N ...
- $number_of_administrators_who_have_left_the_nursing_home c2000 0 ...
- $administrator_turnover_footnote c2000 N ...
- $nursing_casemix_index c2000 1 ...
- $nursing_casemix_index_ratio c2000 1 ...
- $casemix_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $casemix_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $casemix_rn_staffing_hours_per_resident_per_day c2000 0 ...
- $casemix_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $casemix_weekend_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $adjusted_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $adjusted_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $adjusted_rn_staffing_hours_per_resident_per_day c2000 1 ...
- $adjusted_total_nurse_staffing_hours_per_resident_per_day c2000 4 ...
- $adjusted_weekend_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $rating_cycle_1_standard_survey_health_date c2000 2 ...
- $rating_cycle_1_total_number_of_health_deficiencies c2000 4 ...
- $rating_cycle_1_number_of_standard_health_deficiencies c2000 4 ...
- $rating_cycle_1_number_of_complaint_health_deficiencies c2000 3 ...
- $rating_cycle_1_health_deficiency_score c2000 5 ...
- $rating_cycle_1_number_of_health_revisits c2000 1 ...
- $rating_cycle_1_health_revisit_score c2000 0 ...
- $rating_cycle_1_total_health_score c2000 5 ...
- $rating_cycle_2_standard_health_survey_date c2000 2 ...
- $rating_cycle_2_total_number_of_health_deficiencies c2000 2 ...
- $rating_cycle_2_number_of_standard_health_deficiencies c2000 2 ...
- $rating_cycle_2_number_of_complaint_health_deficiencies c2000 0 ...
- $rating_cycle_2_health_deficiency_score c2000 8 ...
- $rating_cycle_2_number_of_health_revisits c2000 1 ...
- $rating_cycle_2_health_revisit_score c2000 0 ...
- $rating_cycle_2_total_health_score c2000 8 ...
- $rating_cycle_3_standard_health_survey_date c2000 2 ...
- $rating_cycle_3_total_number_of_health_deficiencies c2000 1 ...
- $rating_cycle_3_number_of_standard_health_deficiencies c2000 1 ...
- $rating_cycle_3_number_of_complaint_health_deficiencies c2000 0 ...
- $rating_cycle_3_health_deficiency_score c2000 4 ...
- $rating_cycle_3_number_of_health_revisits c2000 1 ...
- $rating_cycle_3_health_revisit_score c2000 0 ...
- $rating_cycle_3_total_health_score c2000 4 ...
- $total_weighted_health_survey_score c2000 3 ...
- $number_of_facility_reported_incidents c2000 2 ...
- $number_of_substantiated_complaints c2000 0 ...
- $number_of_citations_from_infection_control_inspections c2000 N ...
- $number_of_fines c2000 1 ...
- $total_amount_of_fines_in_dollars c2000 2 ...
- $number_of_payment_denials c2000 0 ...
- $total_number_of_penalties c2000 1 ...
- $location c2000 7 ...
- $latitude c2000 3 ...
- $longitude c2000 - ...
- $geocoding_footnote c2000 N ...
- $processing_date c2000 2 ...
nh_0$results |>
map_na_if() |>
count(overall_rating, sort = TRUE)
overall_rating n
1 2 535
2 3 493
3 1 491
4 4 462
5 <NA> 19
The query for the second 2000 is:
nh_1 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/4pq5-n9py/0") |>
url_modify_query(
`conditions[0][property]` = "overall_rating",
`conditions[0][value]` = 5,
`conditions[0][operator]` = "<",
offset = 2000,
limit = 2000) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
nh_1$results |>
tibble() |>
map_na_if() |>
purse()
- $cms_certification_number_ccn c2000 1 ...
- $provider_name c2000 B ...
- $provider_address c2000 5 ...
- $citytown c2000 M ...
- $state c2000 G ...
- $zip_code c2000 3 ...
- $telephone_number c2000 4 ...
- $provider_ssa_county_code c2000 7 ...
- $countyparish c2000 M ...
- $ownership_type c2000 N ...
- $number_of_certified_beds c2000 1 ...
- $average_number_of_residents_per_day c2000 7 ...
- $average_number_of_residents_per_day_footnote c2000 N ...
- $provider_type c2000 M ...
- $provider_resides_in_hospital c2000 N ...
- $legal_business_name c2000 M ...
- $date_first_approved_to_provide_medicare_and_medicaid_services c2000 1 ...
- $affiliated_entity_name c2000 H ...
- $affiliated_entity_id c2000 2 ...
- $continuing_care_retirement_community c2000 N ...
- $special_focus_status c2000 N ...
- $abuse_icon c2000 N ...
- $most_recent_health_inspection_more_than_2_years_ago c2000 N ...
- $provider_changed_ownership_in_last_12_months c2000 N ...
- $with_a_resident_and_family_council c2000 R ...
- $automatic_sprinkler_systems_in_all_required_areas c2000 Y ...
- $overall_rating c2000 2 ...
- $overall_rating_footnote c2000 N ...
- $health_inspection_rating c2000 2 ...
- $health_inspection_rating_footnote c2000 N ...
- $qm_rating c2000 2 ...
- $qm_rating_footnote c2000 N ...
- $longstay_qm_rating c2000 4 ...
- $longstay_qm_rating_footnote c2000 N ...
- $shortstay_qm_rating c2000 1 ...
- $shortstay_qm_rating_footnote c2000 N ...
- $staffing_rating c2000 3 ...
- $staffing_rating_footnote c2000 N ...
- $reported_staffing_footnote c2000 N ...
- $physical_therapist_staffing_footnote c2000 N ...
- $reported_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $reported_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $reported_rn_staffing_hours_per_resident_per_day c2000 0 ...
- $reported_licensed_staffing_hours_per_resident_per_day c2000 1 ...
- $reported_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $total_number_of_nurse_staff_hours_per_resident_per_day_on_t_4a14 c2000 3 ...
- $registered_nurse_hours_per_resident_per_day_on_the_weekend c2000 0 ...
- $reported_physical_therapist_staffing_hours_per_resident_per_day c2000 0 ...
- $total_nursing_staff_turnover c2000 6 ...
- $total_nursing_staff_turnover_footnote c2000 N ...
- $registered_nurse_turnover c2000 6 ...
- $registered_nurse_turnover_footnote c2000 N ...
- $number_of_administrators_who_have_left_the_nursing_home c2000 0 ...
- $administrator_turnover_footnote c2000 N ...
- $nursing_casemix_index c2000 1 ...
- $nursing_casemix_index_ratio c2000 0 ...
- $casemix_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $casemix_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $casemix_rn_staffing_hours_per_resident_per_day c2000 0 ...
- $casemix_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $casemix_weekend_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $adjusted_nurse_aide_staffing_hours_per_resident_per_day c2000 2 ...
- $adjusted_lpn_staffing_hours_per_resident_per_day c2000 0 ...
- $adjusted_rn_staffing_hours_per_resident_per_day c2000 0 ...
- $adjusted_total_nurse_staffing_hours_per_resident_per_day c2000 4 ...
- $adjusted_weekend_total_nurse_staffing_hours_per_resident_per_day c2000 3 ...
- $rating_cycle_1_standard_survey_health_date c2000 2 ...
- $rating_cycle_1_total_number_of_health_deficiencies c2000 1 ...
- $rating_cycle_1_number_of_standard_health_deficiencies c2000 1 ...
- $rating_cycle_1_number_of_complaint_health_deficiencies c2000 1 ...
- $rating_cycle_1_health_deficiency_score c2000 9 ...
- $rating_cycle_1_number_of_health_revisits c2000 1 ...
- $rating_cycle_1_health_revisit_score c2000 0 ...
- $rating_cycle_1_total_health_score c2000 9 ...
- $rating_cycle_2_standard_health_survey_date c2000 2 ...
- $rating_cycle_2_total_number_of_health_deficiencies c2000 3 ...
- $rating_cycle_2_number_of_standard_health_deficiencies c2000 3 ...
- $rating_cycle_2_number_of_complaint_health_deficiencies c2000 3 ...
- $rating_cycle_2_health_deficiency_score c2000 1 ...
- $rating_cycle_2_number_of_health_revisits c2000 1 ...
- $rating_cycle_2_health_revisit_score c2000 0 ...
- $rating_cycle_2_total_health_score c2000 1 ...
- $rating_cycle_3_standard_health_survey_date c2000 2 ...
- $rating_cycle_3_total_number_of_health_deficiencies c2000 1 ...
- $rating_cycle_3_number_of_standard_health_deficiencies c2000 1 ...
- $rating_cycle_3_number_of_complaint_health_deficiencies c2000 0 ...
- $rating_cycle_3_health_deficiency_score c2000 4 ...
- $rating_cycle_3_number_of_health_revisits c2000 1 ...
- $rating_cycle_3_health_revisit_score c2000 0 ...
- $rating_cycle_3_total_health_score c2000 4 ...
- $total_weighted_health_survey_score c2000 5 ...
- $number_of_facility_reported_incidents c2000 0 ...
- $number_of_substantiated_complaints c2000 5 ...
- $number_of_citations_from_infection_control_inspections c2000 N ...
- $number_of_fines c2000 1 ...
- $total_amount_of_fines_in_dollars c2000 1 ...
- $number_of_payment_denials c2000 0 ...
- $total_number_of_penalties c2000 1 ...
- $location c2000 5 ...
- $latitude c2000 3 ...
- $longitude c2000 - ...
- $geocoding_footnote c2000 N ...
- $processing_date c2000 2 ...
nh_1$results |>
map_na_if() |>
count(overall_rating, sort = TRUE)
overall_rating n
1 1 678
2 4 434
3 3 433
4 2 432
5 <NA> 23
Specific Conditions
Use the Datastore Query Endpoint (datastore/query/{datasetID}/{index}
). It takes two arguments: the datasetID
, which does not change between data refreshes, and the distribution’s index
, which will always be 0
.
For example, to return the first 500 results of a dataset with an overall rating of 5:
first_500 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/4pq5-n9py/0") |>
url_modify_query(
`conditions[0][property]` = "total_amount_of_fines_in_dollars",
`conditions[0][operator]` = "<>",
`conditions[0][value]` = "23989.00",
offset = 0,
limit = 500) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
first_500$count
[1] 14773
first_500$results |>
tibble() |>
map_na_if() |>
purse()
- $cms_certification_number_ccn c500 01 ...
- $provider_name c500 CO ...
- $provider_address c500 26 ...
- $citytown c500 SY ...
- $state c500 AL ...
- $zip_code c500 35 ...
- $telephone_number c500 25 ...
- $provider_ssa_county_code c500 60 ...
- $countyparish c500 Ta ...
- $ownership_type c500 Fo ...
- $number_of_certified_beds c500 85 ...
- $average_number_of_residents_per_day c500 76 ...
- $average_number_of_residents_per_day_footnote c500 NA ...
- $provider_type c500 Me ...
- $provider_resides_in_hospital c500 N ...
- $legal_business_name c500 CO ...
- $date_first_approved_to_provide_medicare_and_medicaid_services c500 19 ...
- $affiliated_entity_name c500 PR ...
- $affiliated_entity_id c500 41 ...
- $continuing_care_retirement_community c500 N ...
- $special_focus_status c500 NA ...
- $abuse_icon c500 N ...
- $most_recent_health_inspection_more_than_2_years_ago c500 Y ...
- $provider_changed_ownership_in_last_12_months c500 N ...
- $with_a_resident_and_family_council c500 Re ...
- $automatic_sprinkler_systems_in_all_required_areas c500 Ye ...
- $overall_rating c500 3 ...
- $overall_rating_footnote c500 NA ...
- $health_inspection_rating c500 4 ...
- $health_inspection_rating_footnote c500 NA ...
- $qm_rating c500 2 ...
- $qm_rating_footnote c500 NA ...
- $longstay_qm_rating c500 1 ...
- $longstay_qm_rating_footnote c500 NA ...
- $shortstay_qm_rating c500 3 ...
- $shortstay_qm_rating_footnote c500 NA ...
- $staffing_rating c500 1 ...
- $staffing_rating_footnote c500 25 ...
- $reported_staffing_footnote c500 25 ...
- $physical_therapist_staffing_footnote c500 6 ...
- $reported_nurse_aide_staffing_hours_per_resident_per_day c500 NA ...
- $reported_lpn_staffing_hours_per_resident_per_day c500 NA ...
- $reported_rn_staffing_hours_per_resident_per_day c500 NA ...
- $reported_licensed_staffing_hours_per_resident_per_day c500 NA ...
- $reported_total_nurse_staffing_hours_per_resident_per_day c500 NA ...
- $total_number_of_nurse_staff_hours_per_resident_per_day_on_t_4a14 c500 NA ...
- $registered_nurse_hours_per_resident_per_day_on_the_weekend c500 NA ...
- $reported_physical_therapist_staffing_hours_per_resident_per_day c500 NA ...
- $total_nursing_staff_turnover c500 NA ...
- $total_nursing_staff_turnover_footnote c500 6 ...
- $registered_nurse_turnover c500 NA ...
- $registered_nurse_turnover_footnote c500 6 ...
- $number_of_administrators_who_have_left_the_nursing_home c500 0 ...
- $administrator_turnover_footnote c500 NA ...
- $nursing_casemix_index c500 NA ...
- $nursing_casemix_index_ratio c500 NA ...
- $casemix_nurse_aide_staffing_hours_per_resident_per_day c500 NA ...
- $casemix_lpn_staffing_hours_per_resident_per_day c500 NA ...
- $casemix_rn_staffing_hours_per_resident_per_day c500 NA ...
- $casemix_total_nurse_staffing_hours_per_resident_per_day c500 NA ...
- $casemix_weekend_total_nurse_staffing_hours_per_resident_per_day c500 NA ...
- $adjusted_nurse_aide_staffing_hours_per_resident_per_day c500 NA ...
- $adjusted_lpn_staffing_hours_per_resident_per_day c500 NA ...
- $adjusted_rn_staffing_hours_per_resident_per_day c500 NA ...
- $adjusted_total_nurse_staffing_hours_per_resident_per_day c500 NA ...
- $adjusted_weekend_total_nurse_staffing_hours_per_resident_per_day c500 NA ...
- $rating_cycle_1_standard_survey_health_date c500 20 ...
- $rating_cycle_1_total_number_of_health_deficiencies c500 0 ...
- $rating_cycle_1_number_of_standard_health_deficiencies c500 0 ...
- $rating_cycle_1_number_of_complaint_health_deficiencies c500 0 ...
- $rating_cycle_1_health_deficiency_score c500 0 ...
- $rating_cycle_1_number_of_health_revisits c500 0 ...
- $rating_cycle_1_health_revisit_score c500 0 ...
- $rating_cycle_1_total_health_score c500 0 ...
- $rating_cycle_2_standard_health_survey_date c500 20 ...
- $rating_cycle_2_total_number_of_health_deficiencies c500 1 ...
- $rating_cycle_2_number_of_standard_health_deficiencies c500 1 ...
- $rating_cycle_2_number_of_complaint_health_deficiencies c500 0 ...
- $rating_cycle_2_health_deficiency_score c500 4 ...
- $rating_cycle_2_number_of_health_revisits c500 1 ...
- $rating_cycle_2_health_revisit_score c500 0 ...
- $rating_cycle_2_total_health_score c500 4 ...
- $rating_cycle_3_standard_health_survey_date c500 20 ...
- $rating_cycle_3_total_number_of_health_deficiencies c500 4 ...
- $rating_cycle_3_number_of_standard_health_deficiencies c500 4 ...
- $rating_cycle_3_number_of_complaint_health_deficiencies c500 0 ...
- $rating_cycle_3_health_deficiency_score c500 32 ...
- $rating_cycle_3_number_of_health_revisits c500 1 ...
- $rating_cycle_3_health_revisit_score c500 0 ...
- $rating_cycle_3_total_health_score c500 32 ...
- $total_weighted_health_survey_score c500 6. ...
- $number_of_facility_reported_incidents c500 0 ...
- $number_of_substantiated_complaints c500 0 ...
- $number_of_citations_from_infection_control_inspections c500 0 ...
- $number_of_fines c500 0 ...
- $total_amount_of_fines_in_dollars c500 0. ...
- $number_of_payment_denials c500 0 ...
- $total_number_of_penalties c500 0 ...
- $location c500 26 ...
- $latitude c500 33 ...
- $longitude c500 -8 ...
- $geocoding_footnote c500 NA ...
- $processing_date c500 20 ...
first_500$results |>
map_na_if() |>
count(total_amount_of_fines_in_dollars,
sort = TRUE) |>
filter(n > 1)
total_amount_of_fines_in_dollars n
1 0.00 346
2 7442.50 5
3 986.70 5
4 15592.85 4
5 657.80 4
6 9750.00 4
7 16800.55 3
8 3250.00 3
9 12340.00 2
10 1315.60 2
11 14521.00 2
12 20965.00 2
13 22340.00 2
14 8017.75 2
15 8021.00 2
16 9301.50 2
17 9317.75 2
More complex queries can be created in JSON and converted to an HTTP query string using the JSON Query to String tool.
For example, to return the cms_certification_number_ccn
and overall_rating
columns with a rating greater than 3, use the following JSON:
{
"properties": [
"state",
"overall_rating"
],
"conditions": [
{
"property": "overall_rating",
"operator": ">",
"value": "3"
}
]
}
This converts to a query string of:
ccnr3 <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/datastore/query/4pq5-n9py/0") |>
url_modify_query(
`properties[]` = "state",
`properties[]` = "overall_rating",
`conditions[0][property]` = "overall_rating",
`conditions[0][operator]` = ">",
`conditions[0][value]` = 3,
offset = 0,
limit = 2000) |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
ccnr3$results |>
tibble() |>
map_na_if() |>
purse()
- $state c2000 AL AL AL AL AL AL AL AL AL AL AL AL AL AL AL AL AL ...
- $overall_rating c2000 4 5 5 4 5 5 4 5 5 4 5 4 4 5 5 5 4 ...
ccnr3$results |>
map_na_if() |>
remove_all_na() |>
count(state, overall_rating, sort = TRUE)
state overall_rating n
1 FL 5 134
2 FL 4 128
3 CA 5 124
4 CA 4 116
5 IN 5 106
6 IL 4 105
7 IN 4 98
8 IA 5 89
9 IL 5 77
10 IA 4 70
11 KS 4 65
12 GA 4 58
13 KS 5 47
14 AL 4 46
15 AR 4 44
16 AR 5 44
17 CO 4 43
18 CT 4 40
19 KY 4 40
20 CO 5 38
21 KY 5 38
22 MD 5 38
23 AL 5 37
24 MD 4 37
25 GA 5 36
26 AZ 5 35
27 CT 5 35
28 LA 4 33
29 AZ 4 23
30 ID 4 22
31 ID 5 21
32 LA 5 18
33 HI 5 14
34 MA 4 14
35 ME 4 14
36 ME 5 14
37 MA 5 11
38 DE 4 10
39 DE 5 10
40 AK 5 9
41 HI 4 8
42 DC 5 7
43 AK 4 3
44 DC 4 1
Search
theme
Return a list of all public datasets for a particular Topic area via the /api/1/search
endpoint. For example, to get a list of all datasets in the Home health services
Topic, you could use:
theme <- url_parse(
base_url = "https://data.cms.gov/provider-data/",
url = "api/1/search?") |>
url_modify_query(
`page-size` = 100,
theme = "Home health services") |>
url_build() |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
theme$total
theme$facets |>
filter(total > 1)
names(theme$results)
Note: If the
page-size
is not provided, the default result limit is 10.
keyword
One of the easiest ways to generate your search parameters is to use the Provider Data Catalog search page and then copy the query string to the end of the search endpoint. For example, if you filter by “Dialysis facilities” tagged with “Linking Quality to Payment” and select 25 results per page, the query string produced is:
x <- request(
paste0(
"https://data.cms.gov/",
"provider-data/api/1/",
"search?",
"keyword=Linking%20Quality%20to%20Payment&",
"page-size=25&",
"theme=Dialysis%20facilities"
)
) |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
x$facets |>
tibble() |>
mutate(across(where(is.character), ~ na_if(.x, ""))) |>
remove_all_na()
x$results
fulltext
Use the same method to return a list of datasets that contain a keyword (like “ratings”) in their title and/or description:
x <- request(
paste0(
"https://data.cms.gov/",
"provider-data/api/1/",
"search?",
"fulltext=ratings"
)
) |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
x$facets |>
tibble() |>
mutate(across(where(is.character), ~ na_if(.x, ""))) |>
remove_all_na()
x$results
Differences
-
Datastore
- Data from the data files (CSVs)
-
Metastore
- Metadata from the
data.json
file -
title
,last_updated
,release_date
,keywords
, etc.
- Metadata from the
Think of the Metastore as the library index that helps you find the right book (
dataset
), and the Datastore as the book itself.
Distribution vs. Dataset
-
Distribution
- Unique identifier of the Datastore
- Changes with every data refresh
- Specific to a particular CSV data import
-
Dataset
- Unique identifier of the Dataset
- Does not change between data refreshes
- Comes from the
data.json
file - Appears as part of the URL in the PDC site
If you have been using the
datastore/sql
ordatastore/query/{distributionId}
endpoints, consider switching to thedatastore/query/{datasetID}/{index}
endpoint instead.
The datasetID
does not change between refreshes, and, currently, all Provider Data Catalog datasets only have a single resource, so the index
will always be 0
.
For example, search the Long Term Care Hospital dataset with:
"https://data.cms.gov/provider-data/api/1/datastore/query/5zdx-ny2x/0"
Distribution IDs change with every dataset update, so it is better to use APIs with the Dataset ID and the index of the distribution. If you still need the current distribution ID, you can access it through the metadata API, under distribution -> identifier
:
"https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/[datasetID]?show-reference-ids"
Endpoints
Metastore
- Full collection of available metastore schemas
- GET (No Parameters)
"https://data.cms.gov/provider-data/api/1/metastore/schemas" |>
request() |>
req_perform() |>
resp_body_string() |>
jsonify::pretty_json()
- A specific schema definition, see https://json-schema.org/
-
GET
provider-data/api/1/metastore/schemas/{schema_id}
-
GET
"https://data.cms.gov/provider-data/api/1/metastore/schemas/data-dictionary" |>
request() |>
req_perform() |>
resp_body_string() |>
jsonify::pretty_json()
- Get all items for a specific schema (e.g., “dataset”)
-
GET
provider-data/api/1/metastore/schemas/{schema_id}/items
-
GET
"https://data.cms.gov/provider-data/api/1/metastore/schemas/data-dictionary" |>
request() |>
req_perform() |>
resp_body_string() |>
jsonify::pretty_json()
Metastore: dataset
- Get a single dataset.
-
GET
provider-data/api/1/metastore/schemas/dataset/items/{identifier}
-
GET
"https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/clinical_depression?show-reference-ids=true" |>
request() |>
req_perform() |>
resp_body_string() |>
jsonify::pretty_json()
{
"accessLevel": "public",
"landingPage": "https://data.cms.gov/provider-data/dataset/clinical_depression",
"bureauCode": [
"009:38"
],
"issued": "2021-01-20",
"@type": "dcat:Dataset",
"modified": "2024-12-03",
"released": "2025-01-15",
"keyword": [
{
"identifier": "28fcf043-93be-5044-a7b3-5e05b415e54d",
"data": "Linking Quality to Payment"
}
],
"contactPoint": {
"@type": "vcard:Contact",
"fn": "ESRD QIP Helpdesk",
"hasEmail": "mailto:ESRDQIP@cms.hhs.gov"
},
"publisher": {
"identifier": "4c1de1c4-f083-5877-8968-7ddc04756c49",
"data": {
"@type": "org:Organization",
"name": "Centers for Medicare & Medicaid Services (CMS)"
}
},
"identifier": "clinical_depression",
"description": "This dataset includes facility details, measure score, and the state and national average measure scores for the clinical depression screening and follow up reporting measure included in the PY 2025 ESRD QIP.",
"title": "ESRD QIP - Clinical Depression Screening and Follow-up - Payment Year 2025",
"programCode": [
"009:000"
],
"distribution": [
{
"identifier": "0899b062-a295-5479-8304-5e1cffb7e4fd",
"data": {
"@type": "dcat:Distribution",
"downloadURL": "https://data.cms.gov/provider-data/sites/default/files/resources/2c0e67025b8a6b48ee2cda52f1b26498_1734653103/CLINICAL_DEPRESSION.csv",
"mediaType": "text/csv",
"%Ref:downloadURL": [
{
"identifier": "2c0e67025b8a6b48ee2cda52f1b26498__1734653103__source",
"data": {
"filePath": "s3://211125755750-pdc-prod-df-data/CLINICAL_DEPRESSION.csv",
"identifier": "2c0e67025b8a6b48ee2cda52f1b26498",
"mimeType": "text/csv",
"perspective": "source",
"version": "1734653103",
"checksum": null
}
},
{
"identifier": "2c0e67025b8a6b48ee2cda52f1b26498__1734653103__local_url",
"data": {
"filePath": "https://h-o.st/provider-data/sites/default/files/resources/2c0e67025b8a6b48ee2cda52f1b26498_1734653103/CLINICAL_DEPRESSION.csv",
"identifier": "2c0e67025b8a6b48ee2cda52f1b26498",
"mimeType": "text/csv",
"perspective": "local_url",
"version": "1734653103",
"checksum": null
}
}
]
}
}
],
"theme": [
{
"identifier": "ea23754a-16dc-558c-9183-5189dd4588f5",
"data": "Dialysis facilities"
}
],
"%modified": "2024-12-19T19:05:03-0500"
}
Datastore: import
- Datastore statistics: Returns the numbers of rows and columns, and a list of columns headers from the datastore
-
GET
provider-data/api/1/datastore/imports/{identifier}
-
GET
ds_import <- "https://data.cms.gov/provider-data/api/1/datastore/imports/e7fce918-0873-519f-80ae-818e386299d1" |>
request() |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
ds_import$numOfColumns
[1] 13
ds_import$numOfRows
[1] 1229
Datastore: query
- Query one or more datastore resources
- POST No Parameters
ds_post <- request(
"https://data.cms.gov/provider-data/api/1/datastore/query/f93da3a3-400b-5efe-960d-c1d72b1d4f65") |>
req_method("POST") |>
req_headers(Accept = "application/json",
`Content-Type` = "application/json") |>
req_body_json(
list(
limit = 1,
state = "GA")) |>
req_perform() |>
resp_body_json(simplifyVector = TRUE)
ds_post$count
ds_post$results |> purse()
- Simple GET equivalent of a POST query. Note that parameters containing arrays or objects are not yet supported by SwaggerUI. For conditions, sorts, and other complex parameters, write your query in
JSON
and then convert to a nested query string. See this web tool for an example.
request("https://data.cms.gov/provider-data/api/1/datastore/query/f93da3a3-400b-5efe-960d-c1d72b1d4f65") |>
req_url_query(
limit = 1,
offset = 10,
count = "true",
results = "true",
schema = "true",
keys = "true",
format = "json",
rowIds = "false",
`conditions[0][property]` = "record_number",
`conditions[0][value]` = 1,
`conditions[0][operator]` = ">") |>
req_perform() |>
resp_body_string() |>
jsonify::pretty_json()