About this Dataset

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping

The Medicare Post-Acute Care Utilization - Home Health Agency (HHA) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset offers payment and utilization data for HHAs, organized by provider and Home Health Resource Group (HHRG) CMGs. It reflects the 153-group HHRG model for Calendar Years (CYs) 2014 - 2019 and the expanded 432-group model for CYs 2020 - 2023 under the Home Health Prospective Payment System (HH PPS). Low Utilization Payment Adjustment (LUPA) claims are excluded from all years, as they are not assigned an HHRG and are reimbursed per visit rather than through standardized payments.

Organization: U.S. Department of Health & Human Services
Last updated: 2025-10-07T07:29:28.811110
Tags: health-care-use-payments, home-health, hospitals-facilities, medicare, national, original-medicare, states-territories

Tables

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2020-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_1e3f7cf8

3.91 MB
126,262 rows
33 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_1e3f7cf8 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix_src_tmng" VARCHAR,
  "casemix_src_tmng_epsd_pct" VARCHAR,
  "casemix_cmrbdty" VARCHAR,
  "casemix_cmrbdty_epsd_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2014-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_2f893bc8

3.69 MB
111,867 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_2f893bc8 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2016-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_5406dacc

3.76 MB
115,245 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_5406dacc (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2018-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_5aa43c56

3.53 MB
107,619 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_5aa43c56 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2019-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_6c59eb67

3.29 MB
101,783 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_6c59eb67 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2021-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_94116f76

4.34 MB
140,798 rows
33 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_94116f76 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix_src_tmng" VARCHAR,
  "casemix_src_tmng_epsd_pct" VARCHAR,
  "casemix_cmrbdty" VARCHAR,
  "casemix_cmrbdty_epsd_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2015-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_946fe4e6

3.81 MB
116,658 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_946fe4e6 (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);

Medicare Post-Acute Care Utilization - Home Health Agency By Geography/Provider And Case-Mix Grouping : 2017-01-01

@usgov.hhs_gov_medicare_post_acute_care_utilization_home_heal_1f8bbae1.medicare_post_acute_care_utilization_home_health_agenc_b691dd8a

3.68 MB
111,811 rows
31 columns

CREATE TABLE medicare_post_acute_care_utilization_home_health_agenc_b691dd8a (
  "year" BIGINT,
  "year_type" VARCHAR,
  "smry_ctgry" VARCHAR,
  "srvc_ctgry" VARCHAR,
  "prvdr_id" VARCHAR,
  "prvdr_name" VARCHAR,
  "prvdr_city" VARCHAR,
  "state" VARCHAR,
  "prvdr_zip" VARCHAR,
  "grpng" VARCHAR,
  "grpng_desc" VARCHAR,
  "bene_dstnct_cnt" BIGINT,
  "tot_epsd_stay_cnt" BIGINT,
  "tot_srvc_days" BIGINT,
  "avg_chrg_per_bene" BIGINT,
  "avg_alowd_amt_per_bene" BIGINT,
  "avg_pymt_amt_per_bene" BIGINT,
  "avg_stdzd_pymt_amt_per_bene" BIGINT,
  "avg_chrg_per_epsd" BIGINT,
  "avg_alowd_amt_per_epsd" BIGINT,
  "avg_pymt_amt_per_epsd" BIGINT,
  "avg_stdzd_pymt_amt_per_epsd" BIGINT,
  "avg_chrg_per_day" BIGINT,
  "avg_alowd_amt_per_day" BIGINT,
  "avg_pymt_amt_per_day" BIGINT,
  "avg_stdzd_pymt_amt_per_day" BIGINT,
  "pt_visits_cnt" VARCHAR,
  "ot_visits_cnt" VARCHAR,
  "slp_visits_cnt" VARCHAR,
  "casemix" VARCHAR,
  "casemix_day_pct" VARCHAR
);