CMS releases Medicare data on skilled nursing services

Information from CMS shows variety of SNF data, such as average payment per stay.


The Centers for Medicare and Medicaid Services has released the Skilled Nursing Facility Utilization and Payment Public Use File detailing services, utilization, payments and submitted charges by SNFs in 2013.

Known as a “data dump,” the release includes information broken down by provider, state and resource utilization group. It’s at least the fifth issuance of massive amounts of data to help researchers, providers and consumers assess services given to Medicare beneficiaries under an agency data transparency program begun in 2015. Other Medicare data dumps covered home health agencies, hospitals, physicians, and Part B durable medical equipment.

The Public Use File (PUF) includes data on 15,055 skilled nursing facilities, more than 2.5 million patient stays and $27 billion in Medicare payments for 2013, according to CMS. No individual patient data is included in the file.

The data tables include the top 10 rehabilitation resource utilization groups by total days, unique beneficiaries served and total Medicare payments for each group in 2013. Another table shows the average Medicare payment amount per day and the average Medicare payment amount per beneficiary for the four types of rehabilitation.

Also See: Home Health Data Release Gives New Insights to Building ACOs

Five states had average standardized payments per stay of less than $9,000—Alaska, Iowa, Maine, Minnesota and North Dakota. Nine states had payments per stay that exceeded $11,500—California, Florida, Hawaii, Illinois, Indiana, Louisiana, Mississippi, Tennessee and Texas.

The data is available here and a fact sheet is here.

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