Medicare Outpatient Hospitals - by Provider and Service
Outpatient hospital services, payments and submitted charges for Original Medicare Part B patients, by hospital and ambulatory payment classification (APC).
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Before you use it
- Covers Original Medicare Part B only, at hospitals paid under OPPS.
Columns 18
| Column | What it means | Type |
|---|---|---|
Rndrng_Prvdr_CCNRndrng_Prvdr_CCN | string | |
Rendering Provider NameRndrng_Prvdr_Org_Name | The name of the provider. | string |
Rendering Provider Street AddressRndrng_Prvdr_St | The street address in which the provider is physically located. | string |
Rendering Provider CityRndrng_Prvdr_City | The city in which the provider is physically located. | string |
Rendering Provider State AbbreviationRndrng_Prvdr_State_Abrvtn | The state abbreviation for the state in which the provider is physically located. | string |
Rendering Provider State FIPS CodeRndrng_Prvdr_State_FIPS | The state FIPS code for the state in which the provider is physically located. | string |
Rendering Provider Zip CodeRndrng_Prvdr_Zip5 | The zip code in which the provider is physically located. | string |
Rendering Provider Rural-Urban Commuting Area CodesRndrng_Prvdr_RUCA | The Rural-Urban Commuting Area (RUCA) code for the zip code in which the provider is physically located | string |
Rendering Provider Rural-Urban Commuting Area DescriptionRndrng_Prvdr_RUCA_Desc | The description of the RUCA code. | string |
Ambulatory Payment ClassificationAPC_Cd | The comprehensive APC code. | string |
APC DescriptionAPC_Desc | The description of the APC Code. | string |
Total BeneficiariesBene_Cnt | The number of Medicare fee-for-service beneficiaries receiving outpatient hospital services. | number |
Comprehensive APC ServicesCAPC_Srvcs | The number of primary HCPCS services billed by the provider for outpatient hospital services. | number |
Average Estimated Total Submitted ChargesAvg_Tot_Sbmtd_Chrgs | The provider's average estimated submitted charge for services covered by Medicare for the APC. | number |
Average Medicare Allowed AmountAvg_Mdcr_Alowd_Amt | The average of total regular payments the provider receives for the APC. | number |
Average Medicare Payment AmountAvg_Mdcr_Pymt_Amt | The average of total regular payments the provider receives directly from Medicare. | number |
Outlier Comprehensive APC ServicesOutlier_Srvcs | The number of comprehensive APC services with outlier payments. | number |
Average Medicare Outlier AmountAvg_Mdcr_Outlier_Amt | The average of outlier payments the provider receives directly from Medicare. | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 116,182
- Columns
- 18
- State column
Rndrng_Prvdr_St
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/ccbc9a44-40d4-46b4-a709-5caa59212e50/data?size=10
To keep only one state, filter on the Rndrng_Prvdr_St column.
Versions 10
The newest version is the one linked above. Older releases stay on the official site.
- 2024-01-01posted Jun 25, 2026
- 2023-01-02posted Aug 22, 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 28, 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 Provider 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 provider CMS Certified Number (CCN) and comprehensive Ambulatory Payment Classification (APC).
Methodology and other documents from CMS:
The summary at the top was written by hand from this description. Record id cms:ccbc9a44-40d4-46b4-a709-5caa59212e50. This record as JSON.