{
 "id": "cms:4c2a8bf6-8560-4b00-bc56-1a0322677b7f",
 "slug": "medicare-post-acute-care-utilization-skilled-nursing-facility-by-geography-provider-and-se",
 "source": "data.cms.gov",
 "title": "Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography, Provider and Service",
 "summary": "The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) by Geography, Provider and Service supplemental dataset provides detailed information on payments and utilization for SNFs.",
 "description": "The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) by Geography, Provider and Service supplemental dataset provides detailed information on payments and utilization for SNFs. For Fiscal Years (FY)s 2014-2019, data is organized by provider and Resource Utilization Group (RUG) type. Starting in FY 2020, following the shift to the Patient-Driven Payment Model (PDPM), the dataset no longer includes RUG-level data. Instead, it features therapy minutes by discipline, stays by clinical category, and the percentage of stays involving depression or swallowing disorders.",
 "aliases": [],
 "keywords": [
  "National",
  "States & Territories",
  "Medicare",
  "Original Medicare",
  "Hospitals & Facilities",
  "Skilled Nursing",
  "Health Care Use & Payments"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "nursing-homes",
  "spending-utilization",
  "hospitals"
 ],
 "category": "provider-summary-by-type-of-service",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "PDAG_Data_Products@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-skilled-nursing-facility-by-geography-provider-and-service",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-07/d63ead6f-9d67-47eb-b549-a99d81942f16/RY26_PACPUF_SNF_2024_supp_S.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/4c2a8bf6-8560-4b00-bc56-1a0322677b7f/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/4c2a8bf6-8560-4b00-bc56-1a0322677b7f/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/medicare-pac-utilization-snf-by-geography-provider-and-service-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/sites/default/files/2026-08/338c40d4-05f7-4339-9ef8-0a7834fcf538/MUP_PAC_RY26_Methodology.pdf"
 ],
 "state_column": "STATE",
 "row_count": 13837,
 "posted": "2026-08-11",
 "modified": "2026-08-11",
 "period_start": "2014-01-01",
 "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": "4c2a8bf6-8560-4b00-bc56-1a0322677b7f",
   "posted": "2026-08-11",
   "period_start": "2024-01-01",
   "period_end": "2024-12-31"
  },
  {
   "label": "2023-01-02",
   "uuid": "74123d60-8379-4f7f-94d1-15a98ba0082f",
   "posted": "2026-07-10",
   "period_start": "2023-01-01",
   "period_end": "2023-12-31"
  },
  {
   "label": "2022-01-01",
   "uuid": "190f63df-b389-4031-bfe6-24d4edb02dc4",
   "posted": "2026-07-10",
   "period_start": "2022-01-01",
   "period_end": "2022-12-31"
  },
  {
   "label": "2021-01-01",
   "uuid": "56a7f3b5-f8e4-4b43-96df-006bcce1f590",
   "posted": "2026-07-10",
   "period_start": "2021-01-01",
   "period_end": "2021-12-31"
  },
  {
   "label": "2020-01-01",
   "uuid": "a98b3029-16ff-40f8-90ff-5b20d1623ff6",
   "posted": "2026-07-10",
   "period_start": "2020-01-01",
   "period_end": "2020-12-31"
  },
  {
   "label": "2019-01-01",
   "uuid": "e0635a55-83ae-4aa2-ad69-0e653d9294c8",
   "posted": "2026-07-10",
   "period_start": "2019-01-01",
   "period_end": "2019-12-31"
  },
  {
   "label": "2018-01-01",
   "uuid": "5154f211-0666-48b2-9026-1d2ee9d0d310",
   "posted": "2026-07-10",
   "period_start": "2018-01-01",
   "period_end": "2018-12-31"
  },
  {
   "label": "2017-01-01",
   "uuid": "48e8d97f-8bfb-4849-b086-d212151fe20b",
   "posted": "2026-07-10",
   "period_start": "2017-01-01",
   "period_end": "2017-12-31"
  },
  {
   "label": "2016-01-01",
   "uuid": "bb17c8a6-d143-44f8-9206-37eebf590d8b",
   "posted": "2026-07-10",
   "period_start": "2016-01-01",
   "period_end": "2016-12-31"
  },
  {
   "label": "2015-01-01",
   "uuid": "6cc46f08-bf7a-4600-8573-6c6f24e05cec",
   "posted": "2026-07-10",
   "period_start": "2015-01-01",
   "period_end": "2015-12-31"
  },
  {
   "label": "2014-01-01",
   "uuid": "675f7a96-dbdc-4938-ba75-dda8fc9daaaf",
   "posted": "2026-07-10",
   "period_start": "2014-01-01",
   "period_end": "2014-12-31"
  }
 ],
 "columns": [
  {
   "name": "YEAR",
   "label": "Year",
   "type": "string",
   "meaning": "The year of data.",
   "source": "cms-dictionary"
  },
  {
   "name": "YEAR_TYPE",
   "label": "Year Type",
   "type": "string",
   "meaning": "Identifies if the data is for calendar year (CY) or fiscal year (FY).",
   "source": "cms-dictionary"
  },
  {
   "name": "SMRY_CTGRY",
   "label": "Summary Category",
   "type": "string",
   "meaning": "Identifies if the data is at the national, state, or provider level.",
   "source": "cms-dictionary"
  },
  {
   "name": "SRVC_CTGRY",
   "label": "Service Category",
   "type": "string",
   "meaning": "Identifies the PAC setting: HH, hospice, SNF, IRF, or LTCH.",
   "source": "cms-dictionary"
  },
  {
   "name": "PRVDR_ID",
   "label": "Provider ID",
   "type": "string",
   "meaning": "The 6-digit CCN for the provider.",
   "source": "cms-dictionary"
  },
  {
   "name": "PRVDR_NAME",
   "label": "Facility Name",
   "type": "string",
   "meaning": "The provider name, as reported in the Provider of Services file.",
   "source": "cms-dictionary"
  },
  {
   "name": "PRVDR_CITY",
   "label": "City",
   "type": "string",
   "meaning": "The city where the provider is located, as reported in the Provider of Services file.",
   "source": "cms-dictionary"
  },
  {
   "name": "STATE",
   "label": "State",
   "type": "string",
   "meaning": "The 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.",
   "source": "cms-dictionary"
  },
  {
   "name": "PRVDR_ZIP",
   "label": "ZIP",
   "type": "string",
   "meaning": "The provider’s ZIP code, as reported in the POS file. Note, for state and national levels, ZIP code is not reported.",
   "source": "cms-dictionary"
  },
  {
   "name": "TOT_PT_MNTS_STAY",
   "label": "Total Physical Therapy Minutes",
   "type": "number",
   "meaning": "Total number of physical therapy minutes administered to the resident during the stay by the SNF provider. Physical therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "INDVDL_PT_MNTS_STAY",
   "label": "Individual Physical Therapy Minutes",
   "type": "number",
   "meaning": "Number of physical therapy minutes administered to the resident individually during the stay by the SNF provider. Physical therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "CNCRNT_GRP_PT_MNTS_STAY",
   "label": "Concurrent and Group Physical Therapy Minutes",
   "type": "number",
   "meaning": "Number of physical therapy minutes administered to the resident concurrently with one other resident or a part of a group of residents during the stay by the SNF provider. Physical therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "TOT_OT_MNTS_STAY",
   "label": "Total Occupational Therapy Minutes",
   "type": "number",
   "meaning": "Total number of occupational therapy minutes administered to the resident during the stay by the SNF provider. Occupational therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "INDVDL_OT_MNTS_STAY",
   "label": "Individual Occupational Therapy Minutes",
   "type": "number",
   "meaning": "Number of occupational therapy minutes administered to the resident individually during the stay by the SNF provider. Occupational therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "CNCRNT_GRP_OT_MNTS_STAY",
   "label": "Concurrent and Group Occupational Therapy Minutes",
   "type": "number",
   "meaning": "Number of occupational therapy minutes administered to the resident concurrently with one other resident or a part of a group of residents during the stay by the SNF provider. Occupational therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "TOT_SLP_MNTS_STAY",
   "label": "Total Speech-Language Pathology Minutes",
   "type": "number",
   "meaning": "Total number of speech-language pathology therapy minutes administered to the resident during the stay by the SNF provider. Speech-language pathology therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "INDVDL_SLP_MNTS_STAY",
   "label": "Individual Speech-Language Pathology Minutes",
   "type": "number",
   "meaning": "Number of speech-language pathology therapy minutes administered to the resident individually during the stay by the SNF provider. speech-language pathology therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "CNCRNT_GRP_SLP_MNTS_STAY",
   "label": "Concurrent and Group Speech-Language Pathology Minutes",
   "type": "number",
   "meaning": "Number of speech-language pathology therapy minutes administered to the resident concurrently with one other resident or a part of a group of residents during the stay by the SNF provider. Speech-language pathology therapy minutes identified using O0425 in MDS.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_ACU_INF_PCT",
   "label": "Percent (%) of Stays with Acute Infection Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Acute Infection PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_ACU_NEU_PCT",
   "label": "Percent (%) of Stays with Acute Neurologic Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Acute Neurological PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_CNCR_PCT",
   "label": "Percent (%) of Stays with Cancer Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Cancer PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_CRD_COAG_PCT",
   "label": "Percent (%) of Stays with Cardiovascular and Coagulations Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Cardiovascular and Coagulations PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_MJR_SPN_PCT",
   "label": "Percent (%) of Stays with Major Joint Replacement or Spinal Surgery Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Major Joint Replacement or Spinal Surgery PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_MED_MNG_PCT",
   "label": "Percent (%) of Stays with Medical Management Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Medical Management PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_NOORTH_SRGY_PCT",
   "label": "Percent (%) of Stays with Non-Orthopedic Surgery Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Non-Orthopedic Surgery PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_ORTH_NOSRGY_PCT",
   "label": "Percent (%)of Stays with Orthopedic Non-Surgery Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Orthopedic Non-Surgery PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_ORTH_SRGY_PCT",
   "label": "Percent (%)of Stays with Orthopedic Surgery Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Orthopedic Surgery PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_CLNCL_CTGRY_PLMNRY_PCT",
   "label": "Percent (%) of Stays with Pulmonary Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Pulmonary PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_DPRSN_MOOD_SCRE_PCT",
   "label": "Percent (%) of Stays with Depression Mood Score",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has a mood score indicating depression (D0160/D0600 in MDS of 10 or more, excluding 99).",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_SWLWG_DSRDR_PCT",
   "label": "Percent (%) of Stays with Swallowing Disorder",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I0020B) that maps to the Swallowing PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "STAY_MLNTRN_PCT",
   "label": "Percent (%) of Stays with Malnutrition Clinical Category",
   "type": "number",
   "meaning": "Percent of SNF stays with a linked MDS PPS assessment (identified by A0310B not equal to \"99\" indicating any PPS assessment for a Medicare Part A Stay) that has an ICD-10-CM diagnosis for the resident's primary medical condition (I5600) that maps to the Malnutrition PDPM Clinical Category.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_PT_OT_TC_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for Major Joint Replacement or Spinal Surgery, with functional score between 10 and 23",
   "type": "number",
   "meaning": "Percent of days with a HIPPS first position of \"C\" indicating Major Joint Replacement or Spinal Surgery, with functional score between 10 and 23. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The first position of the HIPPS code represents the Physical/Occupational Therapy payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_PT_OT_TD_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for Major Joint Replacement or Spinal Surgery, with functional score of 24",
   "type": "number",
   "meaning": "Percent of days with a HIPPS first position of \"D\" indicating Major Joint Replacement or Spinal Surgery, with functional score of 24. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The first position of the HIPPS code represents the Physical/Occupational Therapy payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_SLP_SK_DAYS_PCT",
   "label": "Percent (%) of Days in Presence of Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Either Mechanically Altered Diet or Swallowing Disorder",
   "type": "number",
   "meaning": "Percent of days with a HIPPS second position of \"K\" indicating Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Either Mechanically Altered Diet or Swallowing Disorder. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The second position of the HIPPS code represents the Speech-Language Pathology payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_SLP_SL_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for Presence of Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Mechanically Altered Diet and Swallowing Disorder",
   "type": "number",
   "meaning": "Percent of days with a HIPPS second position of \"L\" indicating Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Mechanically Altered Diet and Swallowing Disorder. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The second position of the HIPPS code represents the Speech-Language Pathology payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_NRSNG_ES3_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for Tracheostomy & Ventilator",
   "type": "number",
   "meaning": "Percent of days with a HIPPS third position of \"A\" indicating Tracheostomy & Ventilator. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The third position of the HIPPS code represents the Nursing payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_NRSNG_ES2_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for Tracheostomy or Ventilator",
   "type": "number",
   "meaning": "Percent of days with a HIPPS third position of \"B\" indicating Tracheostomy or Ventilator. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The third position of the HIPPS code represents the Nursing payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_NTA_NA_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for NTA Score of 12 or more",
   "type": "number",
   "meaning": "Percent of Days in SNF PDPM for Non-Therapy Ancillary Score of 12 or more Percent of days with a HIPPS fourth position of \"A\" indicating Non-Therapy Ancillary Score of 12 or more. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The fourth position of the HIPPS code represents the Non-Therapy Ancillary payment group on a SNF claim.",
   "source": "cms-dictionary"
  },
  {
   "name": "PDPM_NTA_NB_DAYS_PCT",
   "label": "Percent (%) of Days in SNF PDPM for NTA Score between 9-11 PDPM",
   "type": "number",
   "meaning": "Percent of days with a HIPPS fourth position of \"B\" indicating Non-Therapy Ancillary Score of 9-11. A Health Insurance Prospective Payment System (HIPPS) code represents a set of patient characteristics or case-mix on which payment determinations are made. The fourth position of the HIPPS code represents the Non-Therapy Ancillary payment group on a SNF claim.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "4c2a8bf6-8560-4b00-bc56-1a0322677b7f|2026-08-11",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}