Physician/Supplier Procedure Summary
Overview of File: The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Data Availability: This file is produced annually and is typically available in July (i.e., data for CY2015 is usually available in July 2016). An “early” version of the PSPS file, which is developed from claims processed through March 31st of the subsequent calendar year rather than through June 30th, is typically available in June. The first year of data available is 2010.
Data Format: Self-extracting ZIP CSV files and/or interactive web file
Approximate Size: 250 MB
Compatible Software Programs: Microsoft Access, Microsoft SQL/DB2/Oracle, SAS or other statistical software. (Note: Microsoft Excel or TextPad cannot be used to analyze the PSPS file)
Note: As of November 2020, the following suppression logic will apply:
- Submitted Service Count and Submitted Charge Amount will be suppressed for rows where Submitted Service Count is less than 11;
- Denied Service Count and Denied Charge Amount will be suppressed for rows where Denied Service Count is less than 11;
- Assigned Service Count and Allowed Charge Amount will be suppressed for rows where Assigned Service Count is less than 11
A Limited Data Set version of this file without the suppression applied is available under a Data Use Agreement. For more information, see: https://www.cms.gov/research-statistics-data-systems/limited-data-set-lds-files/physiciansupplier-procedure-summary-psps-limited-data-set-lds.
Downloadable Zip File
Interactive Web File
|2019 Physician/Supplier Procedure Summary||2019 Zip File (ZIP)||2019 Web File|
|2018 Physician/Supplier Procedure Summary||2018 Zip File (ZIP)||2018 Web File|
|2017 Physician/Supplier Procedure Summary||2017 Zip File (ZIP)||2017 Web File|
|2016 Physician/Supplier Procedure Summary||2016 Zip File (ZIP)||2016 Web File|
|2015 Physician/Supplier Procedure Summary||2015 Zip File (ZIP)||2015 Web File|
|2014 Physician/Supplier Procedure Summary||2014 Zip File (ZIP)||2014 Web File|
|2013 Physician/Supplier Procedure Summary||2013 Zip File (ZIP)||2013 Web File|
|2012 Physician/Supplier Procedure Summary||2012 Zip File (ZIP)||2012 Web File|
|2011 Physician/Supplier Procedure Summary||2011 Zip File (ZIP)||2011 Web File|
|2010 Physician/Supplier Procedure Summary||2010 Zip File (ZIP)||2010 Web File|