{
 "id": "cms:94d00f36-73ce-4520-9b3f-83cd3cded25c",
 "slug": "medicare-part-d-opioid-prescribing-rates-by-geography",
 "source": "data.cms.gov",
 "title": "Medicare Part D Opioid Prescribing Rates - by Geography",
 "summary": "Number and percentage of Medicare Part D prescriptions that are opioids, at the state, county and ZIP code level.",
 "description": "The Medicare Part D Opioid Prescribing Rates by Geography dataset provides information on geographic comparisons of the number and percentage of Medicare Part D opioid prescriptions at the state, county, and ZIP code levels.",
 "aliases": [
  "opioid prescribing",
  "opioid prescriptions by state",
  "opioid rates"
 ],
 "keywords": [
  "National",
  "States & Territories",
  "Counties",
  "ZIP Code",
  "Rural-Urban",
  "Medicare",
  "Medicare Prescription Drug",
  "Physicians & Practitioners",
  "Drugs",
  "Health Equity"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "drugs",
  "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/medicare-part-d-opioid-prescribing-rates-by-geography",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-06/9b59e852-c8a0-4c8d-a13a-8fb087211bdd/OMT_MDCR_RY26_P04_V10_Y24_GEO.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/94d00f36-73ce-4520-9b3f-83cd3cded25c/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/94d00f36-73ce-4520-9b3f-83cd3cded25c/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/medicare-part-d-opioid-prescribing-rates-by-geography-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/medicare-part-d-opioid-prescribing-rates-by-geography-methodology-0"
 ],
 "state_column": null,
 "row_count": 359139,
 "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": "94d00f36-73ce-4520-9b3f-83cd3cded25c",
   "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": "Prscrbr_Geo_Lvl",
   "label": "Prescriber 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, the District of Columbia, and the US territories. A value of “State” indicates the data in the row is aggregated to the state of the prescriber as determined by the ZIP reference table. A value of “County” indicates the data in the row is aggregated to the county of the prescriber as determined by the ZIP reference table. A value of “ZIP” indicates the data in the row is aggregated to the ZIP code of the prescriber as reported in NPPES.",
   "source": "cms-dictionary"
  },
  {
   "name": "Prscrbr_Geo_Cd",
   "label": "Prescriber Geographic Code",
   "type": "string",
   "meaning": "For the state-level data, the state FIPS code of the prescriber as determined by the ZIP reference table. For the county-level data, the county FIPS code of the prescriber as determined by the ZIP reference table. For the ZIP code-level data, the ZIP code of the prescriber as reported in NPPES.",
   "source": "cms-dictionary"
  },
  {
   "name": "Prscrbr_Geo_Desc",
   "label": "Prescriber Geographic Description",
   "type": "string",
   "meaning": "For the state-level data, the state name of the prescriber as determined by the ZIP reference table. For the county-level data, the state name and county name of the prescriber as determined by the ZIP reference table. For the ZIP code-level data, the state name of the prescriber as determined by the ZIP reference table and the ZIP code of the prescriber as reported in NPPES.",
   "source": "cms-dictionary"
  },
  {
   "name": "RUCA_Cd",
   "label": "RUCA Code",
   "type": "string",
   "meaning": "Rural-Urban Commuting Area Codes (RUCAs) are a Census tract-based classification scheme that utilizes the standard Bureau of Census Urbanized Area and Urban Cluster definitions in combination with work commuting information to characterize all of the nation's Census tracts regarding their rural and urban status and relationships. The prescriber’s ZIP code was cross-walked to determine the RUCA codes. RUCA Codes are only reported for data aggregated at the ZIP code-level.",
   "source": "cms-dictionary"
  },
  {
   "name": "Breakout_Type",
   "label": "Breakout Type",
   "type": "string",
   "meaning": "Identifies the breakout type of the data in the row. A value of “Totals” indicates the data in the row includes all claims. A value of “Rural/Urban” indicates the data in the row is a Rural/Urban breakout. We plan to add additional breakout types, such as Age Group and Plan Type, in a future release.",
   "source": "cms-dictionary"
  },
  {
   "name": "Breakout",
   "label": "Breakout",
   "type": "string",
   "meaning": "Identifies the breakout of the data in the row. A value of “Overall” indicates the data in the row includes all claims. A value of “Rural” indicates the data in the row are claims from a rural area. A value of “Urban” indicates the data in the row are claims from an urban area.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Prscrbrs",
   "label": "Part D Prescribers",
   "type": "number",
   "meaning": "The number of providers prescribing Medicare Part D drugs.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Opioid_Prscrbrs",
   "label": "Part D Opioid Prescribers",
   "type": "number",
   "meaning": "The number of Medicare Part D providers prescribing opioid drugs.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Opioid_Clms",
   "label": "Opioid Claims",
   "type": "number",
   "meaning": "The number of Medicare Part D opioid drug claims, including original prescriptions and refills.",
   "source": "cms-dictionary"
  },
  {
   "name": "Tot_Clms",
   "label": "Overall Claims",
   "type": "number",
   "meaning": "The number of Medicare Part D drug claims, including original prescriptions and refills.",
   "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 opioid prescribing 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. At each geographic level, the change in the prescribing rate is displayed as an increase, decrease, or no change. At the state level, an increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10; at the county and ZIP code-levels, an increase reflects a difference of at least 1.0 and a decrease reflects a difference of at least -1.0.",
   "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 opioid prescribing 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. At each geographic level, the change in the prescribing rate is displayed as an increase, decrease, or no change. At the state level, an increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10; at the county and ZIP code-levels, an increase reflects a difference of at least 1.0 and a decrease reflects a difference of at least -1.0.",
   "source": "cms-dictionary"
  },
  {
   "name": "LA_Tot_Opioid_Clms",
   "label": "Long-Acting Opioid Claims",
   "type": "number",
   "meaning": "The number of Medicare Part D opioid drug claims that are considered long-acting, including original prescriptions and refills.",
   "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 long-acting opioid prescribing 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. At each geographic level, the change in the prescribing rate is displayed as an increase, decrease, or no change. At the state level, an increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10; at the county and ZIP code-levels, an increase reflects a difference of at least 1.0 and a decrease reflects a difference of at least -1.0.",
   "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 long-acting opioid prescribing 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. At each geographic level, the change in the prescribing rate is displayed as an increase, decrease, or no change. At the state level, an increase reflects a percentage point difference of at least 0.10 and a decrease reflects a difference of at least -0.10; at the county and ZIP code-levels, an increase reflects a difference of at least 1.0 and a decrease reflects a difference of at least -1.0.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": true,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "94d00f36-73ce-4520-9b3f-83cd3cded25c|2026-06-11",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}