data.cms.gov

Medicare Outpatient Hospitals - by Geography and Service

The Medicare Outpatient Hospitals by Geography and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals.

Freshness

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

Dates as CMS lists them in its catalog.

Columns 15

ColumnWhat it meansType
Geography LevelRndrng_Prvdr_Geo_LvlIdentifies the level of geography that the data in the row has been aggregated.string
Rendering Provider Geo CodeRndrng_Prvdr_Geo_CdFIPS state code where the provider is physically located when Rndrng_Prvdr_Geo_Level = 'State'.string
Rendering Provider Geo DescriptionRndrng_Prvdr_Geo_DescState name where the provider is physically located when Rndrng_Prvdr_Geo_Level = 'State'.string
Service LevelSrvc_LvlIdentifies the level of service that the data in the row has been aggregated.string
Ambulatory Payment Classification (APC)APC_CdThe comprehensive APC code.string
APC DescriptionAPC_DescThe description of the APC Code.string
HCPCS CodeHCPCS_CdThe HCPCS code for the primary HCPCS that is the basis for setting payment for the APC group.string
HCPCS DescriptionHCPCS_DescThe HCPCS description for the primary HCPCS Code that is the basis for setting payment for the APC group.string
BeneficiariesBene_CntThe number of Medicare fee-for-service beneficiaries receiving outpatient hospital services.number
Comprehensive APC ServicesCAPC_SrvcsThe number of primary HCPCS services billed by the provider for outpatient hospital services.number
Average Estimated Total Submitted ChargesAvg_Tot_Sbmtd_ChrgsThe provider's average estimated submitted charge for services covered by Medicare for the APC.number
Average Medicare Allowed AmountAvg_Mdcr_Alowd_AmtThe average of total regular payments the provider receives for the APC.number
Average Medicare Payment AmountAvg_Mdcr_Pymt_AmtThe average of total regular payments the provider receives directly from Medicare.number
Outlier Comprehensive APC ServicesOutlier_SrvcsThe number of comprehensive APC services with outlier payments.number
Average Medicare Outlier AmountAvg_Mdcr_Outlier_AmtThe average of outlier payments the provider receives directly from Medicare.number

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
89,021
Columns
15
State column
None found
Topics
Hospitals, 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/04baec39-4a54-400e-824d-8e75251ceda9/data?size=10

Versions 10

The newest version is the one linked above. Older releases stay on the official site.

  • 2024-01-01posted Jun 25, 2026
  • 2023-01-01posted Jun 26, 2025
  • 2022-12-01posted Jun 4, 2024
  • 2021-12-02posted Jun 4, 2024
  • 2020-12-02posted Jun 4, 2024
  • 2019-12-31posted Aug 31, 2021
  • 2018-12-31posted Jun 7, 2021
  • 2017-12-31posted Oct 15, 2020
Show 2 older versions
  • 2016-12-31posted Jul 10, 2020
  • 2015-12-31posted Jan 11, 2021

CMS's description

The Medicare Outpatient Hospitals by Geography and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by geography and comprehensive Ambulatory Payment Classification (APC).

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:04baec39-4a54-400e-824d-8e75251ceda9. This record as JSON.

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