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Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility by Geography, Provider and Service

The Medicare Post-Acute Care (PAC) Utilization - Inpatient Rehabilitation Facility (IRF) by Geography, Provider and Service supplemental dataset provides payment and utilization information for IRFs under the IRF...

Official page on data.cms.govDownload CSVData dictionary

Freshness

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

Dates as CMS lists them in its catalog.

Columns 28

ColumnWhat it meansType
YearYEARThe year of data.string
Year TypeYEAR_TYPEIdentifies if the data is for calendar year (CY) or fiscal year (FY).string
Summary CategorySMRY_CTGRYIdentifies if the data is at the national, state, or provider level.string
Service CategorySRVC_CTGRYIdentifies the PAC setting: HH, hospice, SNF, IRF, or LTCH.string
CitySTATEThe city where the provider is located, as reported in the Provider of Services file.string
StatePRVDR_IDThe state where the provider is located, as reported in Provider of Services file. The fifty U.S. states, the District of Columbia, and Puerto Rico are reported by their postal abbreviation. Note for national level, no state is reported.string
Provider IDPRVDR_NAMEThe 6-digit CCN for the provider.string
Facility NamePRVDR_CITYThe provider name, as reported in the Provider of Services file.string
ZIPPRVDR_ZIPThe provider’s ZIP code, as reported in the Provider of Services file. Note, for state and national levels, ZIP code is not reported.string
GroupingGRPNGThis is the 4-character CMG.string
Grouping DescriptionGRPNG_DESCDescribes the 4-character CMG.string
Distinct BeneficiariesBENE_DSTNCT_CNTNumber of unique Medicare beneficiaries with at least one paid claim in the calendar or fiscal year.number
Episode or Stay CountTOT_EPSD_STAY_CNTThe total counts of stays provided in the fiscal year.number
Days of ServiceTOT_SRVC_DAYSTotal count of covered days delivered by a provider in the FY.number
Average Charge Per BeneficiaryAVG_CHRG_PER_BENEAverage of the Total Charge Amount per beneficiary. The Total Charge Amount is the total charges submitted by the provider.number
Average Allowed Amount Per BeneficiaryAVG_ALOWD_AMT_PER_BENEAverage of the Medicare Allowed Amount per beneficiary. The Medicare Allowed Amount is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. This applies only to the IRF Provider by CMG supplemental file.number
Average Payment Amount Per BeneficiaryAVG_PYMT_AMT_PER_BENEAverage of the Total Medicare Payment Amount per beneficiary. The Total Medicare Payment Amount is the total amount that Medicare paid after deductible and coinsurance amounts have been deductednumber
Average Standardized Payment Amount Per BeneficiaryAVG_STDZD_PYMT_AMT_PER_BENEAverage of the Total Medicare Standardized Payment Amount per beneficiary. The Medicare Standardized Payment Amount is the total amount that Medicare paid adjusted for geographic differences in payment ratesnumber
Average Charge Per StayAVG_CHRG_PER_STAYAverage of the Total Charge Amount per Stay. The Total Charge Amount is the total charges submitted by the provider. This applies only to the IRF Provider by CMG supplemental file.number
Average Allowed Amount Per StayAVG_ALOWD_AMT_PER_STAYAverage of the Medicare Allowed Amount per Stay. The Medicare Allowed Amount is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. This applies only to the IRF Provider by CMG supplemental file.number
Average Payment Amount Per StayAVG_PYMT_AMT_PER_STAYAverage of the Total Medicare Payment Amount per Stay. The Total Medicare Payment Amount is the total amount that Medicare paid after deductible and coinsurance amounts have been deducted. This applies only to the IRF Provider by CMG supplemental file.number
Average Standardized Payment Amount Per StayAVG_STDZD_PYMT_AMT_PER_STAYAverage of the Total Medicare Standardized Payment Amount per Stay. The Medicare Standardized Payment Amount is the total amount that Medicare paid adjusted for geographic differences in payment rates. This applies only to the IRF Provider by CMG supplemental file.number
Average Charge Per DayAVG_CHRG_PER_DAYAverage of the Total Charge Amount per Day. The Total Charge Amount is the total charges submitted by the provider.number
Average Allowed Amount Per DayAVG_ALOWD_AMT_PER_DAYAverage of the Medicare Allowed Amount per Day. The Medicare Allowed Amount is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. This applies only to the IRF Provider by CMG supplemental file.number
Average Payment Amount Per DayAVG_PYMT_AMT_PER_DAYAverage of the Total Medicare Payment Amount per Day. The Total Medicare Payment Amount is the total amount that Medicare paid after deductible and coinsurance amounts have been deducted.number
Average Standardized Payment Amount Per DayAVG_STDZD_PYMT_AMT_PER_DAYAverage of the Total Medicare Standardized Payment Amount per Day. The Medicare Standardized Payment Amount is the total amount that Medicare paid adjusted for geographic differences in payment rates.number
Casemix GroupingCASEMIXCasemix Grouping associated with an IRF CMG. CMG groupings include (a) Stroke (STROK), (b) Traumatic/Non-traumatic brain spinal cord injury & major multiple trauma (INJURY_TRMA), (c) Orthopedic (ORTHO), (d) Arthritis (ARTHRTS), (e) Cardiac or Pulmonary (CRDVSCLR_PLMNRY), (f) Neurological (NRLGCL), (g) Other (OTHR). Stroke CMGs include codes beginning with “01” at any age or level of motor or cognitive impairment; the principle diagnosis in this category is stroke. Traumatic/non-traumatic brain, spinal cord injury & major multiple trauma CMGs include codes beginning with “02”, “03”, “04”, “05”, “17”, or “18” at any level of motor or cognitive impairment; the principal diagnoses in this category includes traumatic brain injury, non-traumatic brain injury, traumatic spinal cord injury, non-traumatic spinal cord injury, major multiple trauma without brain or spinal cord injury, and major multiple trauma with brain or spinal cord injury. Orthopedic CMGs include codes beginning with “07”, “08”, or “09” at any age or level of motor impairment; the principle diagnoses in this category are fracture of lower extremity, replacement of lower extremity joint, or other orthopedic diagnosis. Arthritis CMGs include codes beginning with “12” or “13” at any level of motor impairment; the principle diagnoses in this category include osteoarthritis, rheumatoid arthritis, or other arthritis. Cardiac or pulmonary CMGs include codes beginning with “14” or “15” at any level of motor impairment; the principal diagnoses in this category include cardiac and pulmonary diagnoses. Neurological CMGs include codes beginning with “06” at any level of motor impairment; the principle diagnoses in this category include neurological disorders (e.g. multiple sclerosis, Parkinson’s disease). Other CMGs (not in a category described above) include codes beginning with “10”, “11”, “16”, “19”, “20”, “21” or “50” at any age or level of motor or cognitive impairment; the principal diagnoses in this category are amputation of the lower extremity, amputation of a non-lower extremity, pain syndrome, Guillian Barre, burns, and miscellaneous. Please note that the majority of days among the “Other CMG” category consists of miscellaneous.string
Percent (%) of Days of Service for Casemix GroupingCASEMIX_DAY_PCTPercent of TOT_SRVC_DAYS associated with respective IRF Casemix Grouping.number

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
13,856
Columns
28
State column
STATE
Topics
Hospitals, Spending and use of services, Other facilities and suppliers
Contact
PDAG_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/62e62d07-1837-4dbf-bb4f-a4820e0c7b16/data?size=10

To keep only one state, filter on the STATE column.

Versions 11

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

  • 2024-01-01posted Aug 11, 2026
  • 2023-01-02posted Jul 10, 2026
  • 2022-01-01posted Jul 10, 2026
  • 2021-01-01posted Jul 10, 2026
  • 2020-01-01posted Jul 10, 2026
  • 2019-01-01posted Jul 10, 2026
  • 2018-01-01posted Jul 10, 2026
  • 2017-01-01posted Jul 10, 2026
Show 3 older versions
  • 2016-01-01posted Jul 10, 2026
  • 2015-01-01posted Jul 10, 2026
  • 2014-01-01posted Jul 10, 2026

CMS's description

The Medicare Post-Acute Care (PAC) Utilization - Inpatient Rehabilitation Facility (IRF) by Geography, Provider and Service supplemental dataset provides payment and utilization information for IRFs under the IRF Prospective Payment System (PPS), organized by provider and case-mix group (CMG).

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:62e62d07-1837-4dbf-bb4f-a4820e0c7b16. This record as JSON.

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