data.cms.gov

Medicaid Opioid Prescribing Rates - by Geography

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.

Freshness

Last posted
Period covered
Jan 1, 2024 to Dec 31, 2024
Update frequency
Annually

Dates as CMS lists them in its catalog.

Columns 14

ColumnWhat it meansType
Data YearYearIdentifies the data year.string
Geographic LevelGeo_LvlIdentifies 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.string
Geographic CodeGeo_CdFor 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.string
Geographic DescriptionGeo_DescData 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.string
Plan TypePlan_TypeIdentifies 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.string
Opioid ClaimsTot_Opioid_ClmsThe 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.number
Overall ClaimsTot_ClmsThe 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.number
Opioid Prescribing RateOpioid_Prscrbng_RateThe number of Opioid Claims divided by the Overall Claims and multiplied by 100.number
Five Year Change in Opioid Prescribing RateOpioid_Prscrbng_Rate_5Y_ChgThe 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.number
One Year Change in Opioid Prescribing RateOpioid_Prscrbng_Rate_1Y_ChgThe 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.number
Long-Acting Opioid ClaimsLA_Tot_Opioid_ClmsThe 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.number
Long-Acting Opioid Prescribing RateLA_Opioid_Prscrbng_RateThe number of Long-Acting Opioid Claims divided by the Opioid Claims and multiplied by 100.number
Five Year Change in Long-Acting Opioid Prescribing RateLA_Opioid_Prscrbng_Rate_5Y_ChgThe 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.number
One Year Change in Long-Acting Opioid Prescribing RateLA_Opioid_Prscrbng_Rate_1Y_ChgThe 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.number

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
597,297
Columns
14
State column
None found
Topics
Prescription drugs, Medicaid and CHIP, Doctors and clinicians, Spending and use of services
Contact
IPAG_Data_Products@cms.hhs.gov

API

Free, no key needed. This request returns the first 10 rows as JSON:

https://data.cms.gov/data-api/v1/dataset/c37ebe6d-f54f-4d7d-861f-fefe345554e6/data?size=10

CMS's 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.

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:c37ebe6d-f54f-4d7d-861f-fefe345554e6. This record as JSON.

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