Physician/Supplier Procedure Summary

A summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims.

Data update frequencyAnnually
Latest data available2020
Data sourceCenters for Medicare & Medicaid Services

The Physician/Supplier Procedure Summary (PSPS) data provides a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service (FFS) claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts.  This dataset is produced annually and is typically available in July (i.e., data for CY2015 is usually available in July 2016).

 

Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

Resources for Using and Understanding the Data

This dataset is based on information gathered from the IDR (Integrated Data Repository) Part B (Carrier & DME) claims data for Medicare beneficiaries enrolled in the FFS program. Within this data, users can access further information on key data sources (HCPCS code, HCPCS Modifier, Specialty code etc), summary aggregate tables, population information, data limitations and more.

A Limited Data Set version of this file without the suppression applied is available under a Data Use Agreement. For more information, see the related link, "Physician/Supplier Procedure Summary LDS," below.

Page last modified

May 31, 2022

Date createdNovember 3, 2021
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