data.cms.gov
Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography, Provider and Service
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.
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Columns 39
| Column | What it means | Type |
|---|---|---|
YearYEAR | The year of data. | string |
Year TypeYEAR_TYPE | Identifies if the data is for calendar year (CY) or fiscal year (FY). | string |
Summary CategorySMRY_CTGRY | Identifies if the data is at the national, state, or provider level. | string |
Service CategorySRVC_CTGRY | Identifies the PAC setting: HH, hospice, SNF, IRF, or LTCH. | string |
Provider IDPRVDR_ID | The 6-digit CCN for the provider. | string |
Facility NamePRVDR_NAME | The provider name, as reported in the Provider of Services file. | string |
CityPRVDR_CITY | The city where the provider is located, as reported in the Provider of Services file. | string |
StateSTATE | 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. | string |
ZIPPRVDR_ZIP | The provider’s ZIP code, as reported in the POS file. Note, for state and national levels, ZIP code is not reported. | string |
Total Physical Therapy MinutesTOT_PT_MNTS_STAY | 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. | number |
Individual Physical Therapy MinutesINDVDL_PT_MNTS_STAY | 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. | number |
Concurrent and Group Physical Therapy MinutesCNCRNT_GRP_PT_MNTS_STAY | 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. | number |
Total Occupational Therapy MinutesTOT_OT_MNTS_STAY | 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. | number |
Individual Occupational Therapy MinutesINDVDL_OT_MNTS_STAY | 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. | number |
Concurrent and Group Occupational Therapy MinutesCNCRNT_GRP_OT_MNTS_STAY | 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. | number |
Total Speech-Language Pathology MinutesTOT_SLP_MNTS_STAY | 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. | number |
Individual Speech-Language Pathology MinutesINDVDL_SLP_MNTS_STAY | 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. | number |
Concurrent and Group Speech-Language Pathology MinutesCNCRNT_GRP_SLP_MNTS_STAY | 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. | number |
Percent (%) of Stays with Acute Infection Clinical CategorySTAY_CLNCL_CTGRY_ACU_INF_PCT | 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. | number |
Percent (%) of Stays with Acute Neurologic Clinical CategorySTAY_CLNCL_CTGRY_ACU_NEU_PCT | 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. | number |
Percent (%) of Stays with Cancer Clinical CategorySTAY_CLNCL_CTGRY_CNCR_PCT | 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. | number |
Percent (%) of Stays with Cardiovascular and Coagulations Clinical CategorySTAY_CLNCL_CTGRY_CRD_COAG_PCT | 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. | number |
Percent (%) of Stays with Major Joint Replacement or Spinal Surgery Clinical CategorySTAY_CLNCL_CTGRY_MJR_SPN_PCT | 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. | number |
Percent (%) of Stays with Medical Management Clinical CategorySTAY_CLNCL_CTGRY_MED_MNG_PCT | 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. | number |
Percent (%) of Stays with Non-Orthopedic Surgery Clinical CategorySTAY_CLNCL_CTGRY_NOORTH_SRGY_PCT | 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. | number |
Percent (%)of Stays with Orthopedic Non-Surgery Clinical CategorySTAY_CLNCL_CTGRY_ORTH_NOSRGY_PCT | 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. | number |
Percent (%)of Stays with Orthopedic Surgery Clinical CategorySTAY_CLNCL_CTGRY_ORTH_SRGY_PCT | 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. | number |
Percent (%) of Stays with Pulmonary Clinical CategorySTAY_CLNCL_CTGRY_PLMNRY_PCT | 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. | number |
Percent (%) of Stays with Depression Mood ScoreSTAY_DPRSN_MOOD_SCRE_PCT | 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). | number |
Percent (%) of Stays with Swallowing DisorderSTAY_SWLWG_DSRDR_PCT | 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. | number |
Percent (%) of Stays with Malnutrition Clinical CategorySTAY_MLNTRN_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for Major Joint Replacement or Spinal Surgery, with functional score between 10 and 23PDPM_PT_OT_TC_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for Major Joint Replacement or Spinal Surgery, with functional score of 24PDPM_PT_OT_TD_DAYS_PCT | 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. | number |
Percent (%) of Days in Presence of Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Either Mechanically Altered Diet or Swallowing DisorderPDPM_SLP_SK_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for Presence of Acute Neurologic Condition, SLP Related Comorbidity, and Cognitive Impairment, with Mechanically Altered Diet and Swallowing DisorderPDPM_SLP_SL_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for Tracheostomy & VentilatorPDPM_NRSNG_ES3_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for Tracheostomy or VentilatorPDPM_NRSNG_ES2_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for NTA Score of 12 or morePDPM_NTA_NA_DAYS_PCT | 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. | number |
Percent (%) of Days in SNF PDPM for NTA Score between 9-11 PDPMPDPM_NTA_NB_DAYS_PCT | 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. | number |
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At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 13,837
- Columns
- 39
- State column
STATE
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/4c2a8bf6-8560-4b00-bc56-1a0322677b7f/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 - 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.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:4c2a8bf6-8560-4b00-bc56-1a0322677b7f. This record as JSON.