Original Medicare (Fee-for-Service) Carrier

The Original Medicare Fee-for-Service (FFS) Carrier file includes fee-for-service claims submitted by professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners.

Claims for some organizational providers, such as free-standing facilities are also found in the Carrier Claims file.  Examples include independent clinical laboratories, ambulance providers, free-standing ambulatory surgical centers and free-standing radiology centers.

Researchers rarely use this file alone.

This file is based on information from the CMS claim form 1500.

What does this file include? (variable highlights)

  • Diagnosis (ICD diagnosis)
  • Procedure (CPT code)
  • Dates of service
  • Charges
  • Allowed amounts
  • Reimbursement amount
  • Provider NPI number

Availability of this file

Availability:
Annual: 1999-2024
Quarterly: 2024 Q1-Q4; 2025 Q1-Q3
Monthly*: 2025 and 2026

*Data is only available to CCW VRDC users, and cannot be shipped.

Date Requests Can Be Accepted for Upcoming Releases:

Annual: 2025 may be requested after 12/1/2026
Quarterly: 2026 may be requested after 4/1/2026
Monthly: 2027 may be requested after 12/1/2026

See what is in this file