{
 "id": "cms:6d7b229d-5bfb-4666-a2d2-38cea44a112c",
 "slug": "medicare-geographic-variation-by-hospital-referral-region",
 "source": "data.cms.gov",
 "title": "Medicare Geographic Variation - by Hospital Referral Region",
 "summary": "The Medicare Geographic Variation by Hospital Referral Region dataset provides information for researchers and policymakers to evaluate the geographic differences in the use and quality of health care services for the...",
 "description": "The Medicare Geographic Variation by Hospital Referral Region dataset provides information for researchers and policymakers to evaluate the geographic differences in the use and quality of health care services for the Original Medicare population. The dataset includes demographic, spending, use, and quality indicators at the hospital referral region (HRR) level.",
 "aliases": [],
 "keywords": [
  "National",
  "Hospital Referral Regions",
  "Medicare",
  "Original Medicare",
  "Health Care Use & Payments",
  "Health Equity"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "hospitals",
  "spending-utilization"
 ],
 "category": "summary-statistics-on-use-and-payments",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "PDAG_Data_Products@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-geographic-comparisons/medicare-geographic-variation-by-hospital-referral-region",
 "csv_url": "https://data.cms.gov/sites/default/files/2024-12/2014-2021%20Medicare%20FFS%20Geographic%20Variation%20HRR%20Public%20Use%20File.zip",
 "api_url": null,
 "api_kind": null,
 "preview_url": null,
 "dictionary_url": "https://data.cms.gov/sites/default/files/2025-03/3623a012-f189-4b2f-80ef-6fdc0ffb2804/2014-2021%20Medicare%20FFS%20Geographic%20Variation%20by%20Hospital%20Referral%20Region%20Data%20Dictionary.pdf",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/sites/default/files/2025-03/db845ad7-ac40-467f-a504-6a7942d06b51/Geographic%20Variation%20Public%20Use%20File%20Methods%20Paper%20HRR.pdf"
 ],
 "state_column": null,
 "row_count": null,
 "posted": "2025-09-05",
 "modified": "2025-09-05",
 "period_start": "2013-01-01",
 "period_end": "2021-12-31",
 "latest_period": "2021-01-01 to 2021-12-31",
 "cadence": "annually",
 "next_update": null,
 "versions": [
  {
   "label": "2021-12-17",
   "uuid": "39d18de5-2dcd-4a31-925a-a802d48ba464",
   "posted": "2025-09-05",
   "period_start": "2021-01-01",
   "period_end": "2021-12-31"
  },
  {
   "label": "2013-12-01",
   "uuid": "a46e3f12-08ac-4eac-a648-b09996ab2a89",
   "posted": "2024-12-19",
   "period_start": "2013-01-01",
   "period_end": "2013-12-31"
  }
 ],
 "columns": [],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "39d18de5-2dcd-4a31-925a-a802d48ba464|2025-09-05",
 "checked": null,
 "source_name": "data.cms.gov"
}