Post-Acute Care and Hospice Provider Data 2017

The Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (herein referred to as “PAC PUF”) present information on services provided to Medicare beneficiaries by home health agencies, hospices, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs). The PAC PUF contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels. Additionally, the PUF includes information at the payment system level for home health agencies, SNFs, and IRFs. The PAC PUF is derived from information in CMS’s Chronic Conditions Data Warehouse (CCW) data files, and is based on 100 percent final-action (i.e., all claim adjustments have been resolved) Part A institutional claims. The PAC PUF is segmented by year, and contains 2017 calendar year data.

Although the PAC PUF provides a wealth of payment and utilization information about PAC services, the dataset also has a number of limitations. The information presented in this file does not indicate the quality of care provided by individual providers. The file only contains cost and utilization information. Additionally, the data are not risk adjusted and thus do not account for differences in the underlying severity of disease of patient populations treated by providers. For additional limitations, please review the methodology document available below.

The PAC PUF contains four tables: 1) aggregated information by provider, 2) aggregated information by provider and home health resource group (HHRG), 3) aggregated information by provider and resource utilization group (RUG), and 4) aggregated information by provider and case-mix group (CMG). All four tables also contain summary information by state as well as national totals.

Data are available in an online interactive dataset (allows users to sort and filter data directly without downloading) and Microsoft Excel.

Tables:

Interactive Dataset: Home Health, Hospice, SNF, IRF and LTCH Provider Table, CY 2017, Interactive Dataset
Downloadable Excel: Home Health, Hospice, SNF, IRF and LTCH Provider Table, CY 2017, Microsoft Excel (.xlsx) (ZIP)

Interactive Dataset: Home Health Provider by HHRG Table, CY 2017, Interactive Dataset
Downloadable Excel: Home Health Provider by HHRG Table, CY 2017, Microsoft Excel (.xlsx) (ZIP)

Interactive Dataset: Skilled Nursing Facility Provider by RUG Table, CY 2017, Interactive Dataset
Downloadable Excel: Skilled Nursing Facility Provider by RUG Table, CY 2017, Microsoft Excel (.xlsx) (ZIP)

Interactive Dataset: Inpatient Rehabilitation Facility Provider by CMG Table, CY 2017, Interactive Dataset
Downloadable Excel: Inpatient Rehabilitation Facility Provider by CMG Table, CY 2017, Microsoft Excel (.xlsx) (ZIP)

 

Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.

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Page Last Modified:
12/04/2019 08:01 PM