CMS Data

Showing 1 to 13 of 13 results.
  1. Medicare Basic Stand Alone Claims Files

    The Basic Stand Alone (BSA) files are de-identified data files available for public use based on the 5% sample fee-for-service claims files. They contain non-identifiable claim-specific information and are within the public domain.  The (BSA) files that ...

  2. Prescription Drug Plan Formulary and Pharmacy Network Files

    These public use files contain formulary, pharmacy network, and pricing data for Medicare Prescription Drug Plans and Medicare Advantage Prescription Drug Plans (with the exception of employer and PACE plans).  These public use files are comprised of the ...

  3. Medicaid State Drug Utilization File

    Drug utilization data is available for covered outpatient drugs paid for by State Medicaid agencies since the start of the Drug Rebate Program. For help in interpreting the data, please refer to the State Drug Utilization Data Specifications. The ...

  4. Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) RIF

    The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) Reserach Identifiable File (RIF) has been developed to allow for the examination of beneficiary-level Medicare and Medicaid enrollment and claims data for those who were dually enrolled ...

  5. Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF)

    The CMS Linkable Medicare Data Entrepreneurs' Synthetic Public Use Files (DE-Syn PUF) include five separate files: Beneficiary Summary DE-SynPUF: The CMS Beneficiary Summary DE-SynPUF contains information on demographics, health plan enrollment, ...

  6. Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) PUF

    The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) Public Use File (PUF) includes statistics generated from the Reserach Identifiable File version of the MMLEADS file. Available as a downloadable MSExcel workbook, the file includes ...

  7. Part D Drug Characteristics File

    The drug characteristics file is a supplemental set of variables that are appended to the Part D Event data.   The drug characteristics file contains four variables from the First DataBank® (FDB) reference file. The variables include: brand name, generic ...

  8. Part D Drug Event File

    The PDE data contain prescription drug costs and payment data that enable CMS to make payments to the plans and otherwise administer the Part D benefit.  When a beneficiary fills a prescription under Medicare Part D, a prescription drug plan sponsor must ...

  9. Part D Formulary File

    This is a CMS data file, available for request and use in analysis. Short Name:  Part D Formulary File Category:  Prescription Drugs Privacy Level:  Research Identifiable Files Program:  Medicare Qualified Entity Program File Version:  2012 Attachment ...

  10. Part D Pharmacy Characteristics File

    The pharmacy charactersitics file provides information about the type of pharmacy  (e.g., community/retail pharmacy, mail order, institutional pharmacy), the location of the pharmacy (i.e., state), and whether the pharmacy has a relationship with a common ...

  11. Part D Plan Characteristics File

    The Part D Plan Characteristics file contains plan information in 4 separate files (all of which come standard with the file). Plan identifiers are encrypted in the data, so researchers must use this file to find out more information about the plan. The ...

  12. Part D Prescriber Characteristics File

    The Prescriber Characteristics file contains information about the practitioner who prescribed the drug.  Prescriber identifiers are encrypted in the Part D data, so researchers must link this file with the Prescriber id in order to obtain more ...

  13. MAX Prescription Drug File

    The Prescription Drug File contains final action, paid drug claims.  Since 1996, the dispensed drug has been identified by an NDC. Drugs or supplies identified by HCPCS (CMS Health Care Common Proceedure Codes) or any state-specific codes, are included in ...