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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.

Before beginning the process to request these files, please read the “CMS Disclaimer - User Agreement - Non-Identifiable Files” in the Downloads section below. This document contains important information regarding timeframes for obtaining data as well as data accuracy and integrity.

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 1999.

Data Format: Self-extracting ZIP files and/or interactive web file

Approximate Size: 206 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)

Calendar Year

Downloadable Zip File

Interactive Web File

Early
2017 Physician/Supplier Procedure Summary
Early Zip File Early Web File
2016 Physician/Supplier Procedure Summary 2016 Zip File 2016 Web File
2015 Physician/Supplier Procedure Summary 2015 Zip File Coming Soon
2014 Physician/Supplier Procedure Summary 2014 Zip File Coming Soon
2013 Physician/Supplier Procedure Summary 2013 Zip File Coming Soon
2012 Physician/Supplier Procedure Summary 2012 Zip File Coming Soon
2011 Physician/Supplier Procedure Summary 2011 Zip File Coming Soon
2010 Physician/Supplier Procedure Summary 2010 Zip File Coming Soon
2009 Physician/Supplier Procedure Summary 2009 Zip File Not Available
2008 Physician/Supplier Procedure Summary 2008 Zip File Not Available
2007 Physician/Supplier Procedure Summary 2007 Zip File Not Available
2006 Physician/Supplier Procedure Summary 2006 Zip File Not Available
2005 Physician/Supplier Procedure Summary 2005 Zip File Not Available
2004 Physician/Supplier Procedure Summary 2004 Zip File Not Available
2003 Physician/Supplier Procedure Summary 2003 Zip File Not Available
2002 Physician/Supplier Procedure Summary 2002 Zip File Not Available
2001 Physician/Supplier Procedure Summary 2001 Zip File Not Available
2000 Physician/Supplier Procedure Summary 2000 Zip File Not Available
1999 Physician/Supplier Procedure Summary 1999 Zip File Not Available
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