{
 "id": "cms:c37ebe6d-f54f-4d7d-861f-fefe345554e6",
 "slug": "medicaid-opioid-prescribing-rates-by-geography",
 "source": "data.cms.gov",
 "title": "Medicaid Opioid Prescribing Rates - by Geography",
 "summary": "The Medicaid Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicaid opioid prescriptions at the state, county, and ZIP code levels.",
 "description": "The Medicaid Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicaid opioid prescriptions at the state, county, and ZIP code levels.",
 "aliases": [],
 "keywords": [
  "National",
  "States & Territories",
  "Medicaid",
  "Physicians & Practitioners",
  "Drugs",
  "Health Equity"
 ],
 "themes": [
  "Medicaid"
 ],
 "topics": [
  "drugs",
  "medicaid-chip",
  "doctors",
  "spending-utilization"
 ],
 "category": "summary-statistics-on-use-and-payments",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "IPAG_Data_Products@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-opioid-prescribing-rates/medicaid-opioid-prescribing-rates-by-geography",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-06/c92a8cf8-2b55-43d2-a135-82e46dce3196/OMT_MDCD_RY26_P02_V10_YTD24_GEO.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/c37ebe6d-f54f-4d7d-861f-fefe345554e6/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/c37ebe6d-f54f-4d7d-861f-fefe345554e6/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/medicaid-opioid-prescribing-rates-by-geography-data-dictionary-0",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/medicaid-opioid-prescribing-rates-by-geography-methodology"
 ],
 "state_column": null,
 "row_count": 597297,
 "posted": "2026-06-11",
 "modified": "2026-06-11",
 "period_start": "2024-01-01",
 "period_end": "2024-12-31",
 "latest_period": "2024-01-01 to 2024-12-31",
 "cadence": "annually",
 "next_update": null,
 "versions": [
  {
   "label": "2024-01-01",
   "uuid": "c37ebe6d-f54f-4d7d-861f-fefe345554e6",
   "posted": "2026-06-11",
   "period_start": "2024-01-01",
   "period_end": "2024-12-31"
  }
 ],
 "columns": [
  {
   "name": "Year",
   "label": "Data Year",
   "type": "string",
   "meaning": "Identifies the data year.",
   "source": "cms-dictionary"
  },
  {
   "name": "Geo_Lvl",
   "label": "Geographic Level",
   "type": "string",
   "meaning": "Identifies the level of geography that the data in the row has been aggregated. A value of \"National\" indicates the data in the row is aggregated across all states and the District of Columbia. A value of \"State\" indicates the data in the row is aggregated to the state of the beneficiary. A value of \"County\" indicates the data in the row is aggregated to the county of the beneficiary. A value of \"ZIP\" indicates the data in the row is aggregated to the ZIP code of the beneficiary.",
   "source": "cms-dictionary"
  },
  {
   "name": "Geo_Cd",
   "label": "Geographic Code",
   "type": "string",
   "meaning": "For the state-level data, the state FIPS code that is associated with state of the beneficiary. Restrictions: States are restricted to the 50 U.S. States and the District of Columbia. For the county-level data, the county FIPS code of the beneficiary. For the ZIP code-level data, the ZIP code of the beneficiary.",
   "source": "cms-dictionary"
  },
  {
   "name": "Geo_Desc",
   "label": "Geographic Description",
   "type": "string",
   "meaning": "Data aggregated at the National level are identified by \"National\". Data aggregated at the State level list the state associated with the beneficiary. The values include the 50 United States and the District of Columbia. For the county-level data, the state name and county name associated with the beneficiary. For the ZIP code-level data, the state name associated with the beneficiary.",
   "source": "cms-dictionary"
  },
  {
   "name": "Plan_Type",
   "label": "Plan Type",
   "type": "string",
   "meaning": "Identifies the plan type of the data in the row. A value of \"All\" indicates the data in the row includes both Managed Care and Fee-for-Service claims. A value of \"FFS\" indicates the data in the row is for a Fee-for-Service claim. A value of \"MC\" indicates the data in the row is for a Managed Care claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Opioid_Clms",
   "label": "Opioid Claims",
   "type": "number",
   "meaning": "The number of opioid prescriptions include any opioid prescription for which Medicaid paid a portion of the claim, as well as those opioid prescriptions for which Medicaid paid the claim in full.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Clms",
   "label": "Overall Claims",
   "type": "number",
   "meaning": "The number of prescriptions include any prescription for which Medicaid paid a portion of the claim, as well as those prescriptions for which Medicaid paid the claim in full.",
   "source": "cms-dictionary"
  },
  {
   "name": "Opioid_Prscrbng_Rate",
   "label": "Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The number of Opioid Claims divided by the Overall Claims and multiplied by 100.",
   "source": "cms-dictionary"
  },
  {
   "name": "Opioid_Prscrbng_Rate_5Y_Chg",
   "label": "Five Year Change in Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The percentage point difference in the rate from five years previous to the data year, which is calculated by subtracting the rate five years previous from the rate in the data year. The change in the prescribing rate is displayed as an increase, decrease, or no change. An increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10.",
   "source": "cms-dictionary"
  },
  {
   "name": "Opioid_Prscrbng_Rate_1Y_Chg",
   "label": "One Year Change in Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The percentage point difference in the rate from one year previous to the data year, which is calculated by subtracting the rate one year previous from the rate in the data year. The change in the prescribing rate is displayed as an increase, decrease, or no change. An increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10.",
   "source": "cms-dictionary"
  },
  {
   "name": "LA_Tot_Opioid_Clms",
   "label": "Long-Acting Opioid Claims",
   "type": "number",
   "meaning": "The number of long-acting opioid prescriptions include any long-acting opioid prescription for which Medicaid paid a portion of the claim, as well as those long-acting opioid prescriptions for which Medicaid paid the claim in full.",
   "source": "cms-dictionary"
  },
  {
   "name": "LA_Opioid_Prscrbng_Rate",
   "label": "Long-Acting Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The number of Long-Acting Opioid Claims divided by the Opioid Claims and multiplied by 100.",
   "source": "cms-dictionary"
  },
  {
   "name": "LA_Opioid_Prscrbng_Rate_5Y_Chg",
   "label": "Five Year Change in Long-Acting Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The percentage point difference in the rate from five years previous to the data year, which is calculated by subtracting the rate five years previous from the rate in the data year. The change in the prescribing rate is displayed as an increase, decrease, or no change. An increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10.",
   "source": "cms-dictionary"
  },
  {
   "name": "LA_Opioid_Prscrbng_Rate_1Y_Chg",
   "label": "One Year Change in Long-Acting Opioid Prescribing Rate",
   "type": "number",
   "meaning": "The percentage point difference in the rate from one year previous to the data year, which is calculated by subtracting the rate one year previous from the rate in the data year. The change in the prescribing rate is displayed as an increase, decrease, or no change. An increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "c37ebe6d-f54f-4d7d-861f-fefe345554e6|2026-06-11",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}