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Medicare Provider Utilization and Payment Data Outpatient Charge

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Medicare Provider Utilization and Payment Data Outpatient Charge


Medicare Provider Utilization and Payment Data on common outpatient services from 2011 to 2017



Update frequency



Jan 14, 2020

Delivery method


The Outpatient Utilization and Payment Public Use File dataset (Outpatient PUF) by the Centers for Medicare & Medicaid Services (CMS) provides information on common outpatient services provided to Medicare fee-for-service beneficiaries. It includes information on utilization, payment, and estimated hospital-specific charges for select Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Years (CY) 2011 through 2017.

The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount.

For these APCs, the estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.


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