Skilled Nursing Facilities Data 2016
Guidance for the CY 2016 Skilled Nursing Facility Utilization and Payment Public Use File (Skilled Nursing Facility PUF) which provides information on services provided to Medicare beneficiaries residing in skilled nursing facilities.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 11, 2020
The Skilled Nursing Facility Utilization and Payment Public Use File (Skilled Nursing Facility PUF) provides information on services provided to Medicare beneficiaries residing in skilled nursing facilities. The Skilled Nursing Facility PUF contains information on utilization, payment (allowed amount, Medicare payment and standard payment), submitted charges and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service. This PUF is based on information from CMS’s Chronic Conditions Data Warehouse (CCW) data files. The data in the Skilled Nursing Facility PUF covers calendar year 2016 and contains 100% final-action (i.e., all claim adjustments have been resolved) skilled nursing facility institutional claims for the Medicare fee-for-service (FFS) population.
Although the Skilled Nursing Facility PUF has a wealth of payment and utilization information about skilled nursing facility services, the dataset also has a number of limitations. The information presented in this file does not indicate the quality of care provided by individual skilled nursing facilities. The file only contains cost and utilization information. Additionally, the data are not risk adjusted and thus do not account for differences in the underlying severity of disease of patient populations treated by providers. For additional limitations, please review the methodology document available below.
The Skilled Nursing Facility PUF contains five tables: 1) aggregated information by provider, 2) aggregated information by provider and RUG, 3) aggregated information by RUG, 4) aggregated information by RUG and state, and 5) aggregated information on therapy minutes by provider.
Data are available in an online interactive dataset (allows users to sort and filter data directly without downloading) and Microsoft Excel.
Tables:
Interactive Dataset: Medicare Provider Aggregate Table, CY 2016, Interactive Dataset
Downloadable Excel: Medicare Provider Aggregate Table, CY 2016, Microsoft Excel (.xlsx) (ZIP)
Interactive Dataset: Medicare Provider by RUG Aggregate Table, CY 2016, Interactive Dataset
Downloadable Excel: Medicare Provider by RUG Aggregate Table, CY 2016, Microsoft Excel (.xlsx) (ZIP)
Interactive Dataset: Medicare RUG Aggregate Table, CY 2016, Interactive Dataset
Downloadable Excel: Medicare RUG Aggregate Table, CY 2016, Microsoft Excel (.xlsx) (ZIP)
Interactive Dataset: Medicare RUG by State Aggregate Table, CY 2016, Interactive Dataset
Downloadable Excel: Medicare RUG by State Aggregate Table, CY 2016, Microsoft Excel (.xlsx) (ZIP)
Interactive Dataset: Medicare Therapy Minutes Aggregate Table, CY 2016, Interactive Dataset
Downloadable Excel: Medicare Therapy Minutes Aggregate Table, CY 2016, Microsoft Excel (.xlsx) (ZIP)
Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.
To receive email notifications, please sign up for the Medicare Provider Data GovDelivery subscription here.
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.