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    • Medicare Geographic Variation - by National, State & County

    Metadata Updated: December 11, 2025

    The Medicare Geographic Variation by National, State & County dataset provides information on the geographic differences in the use and quality of health care services for the Original Medicare population. This dataset contains demographic, spending, use, and quality indicators at the state level (including the District of Columbia, Puerto Rico, and the Virgin Islands) and the county level.

    Spending is standardized to remove geographic differences in payment rates for individual services as a source of variation. In general, total standardized per capita costs are less than actual per capita costs because the extra payments Medicare made to hospitals were removed, such as payments for medical education (both direct and indirect) and payments to hospitals that serve a disproportionate share of low-income patients. Standardization does not adjust for differences in beneficiaries’ health status.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    References

    https://data.cms.gov/sites/default/files/2025-03/Geographic%20Variation%20Public%20Use%20File%20Methods%20Paper.pdf

    Dates

    Metadata Created Date January 25, 2022
    Metadata Updated Date December 11, 2025
    Data Update Frequency R/P1Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date January 25, 2022
    Metadata Updated Date December 11, 2025
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier https://data.cms.gov/data-api/v1/dataset/6219697b-8f6c-4164-bed4-cd9317c58ebc/data-viewer
    Data First Published 2025-12-09
    Language en-US
    Data Last Modified 2025-04-24
    Category Medicare
    Public Access Level public
    Data Update Frequency R/P1Y
    Bureau Code 009:38
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Data Quality True
    Data Dictionary https://data.cms.gov/sites/default/files/2025-03/2014-2023%20Medicare%20FFS%20Geographic%20Variation%20by%20National_State_County%20Data%20Dictionary_0.pdf
    Data Dictionary Type application/pdf
    Harvest Object Id a52aa3ca-02ff-4926-8aae-eba49822b43d
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-geographic-comparisons/medicare-geographic-variation-by-national-state-county
    License https://www.usa.gov/government-works
    Program Code 009:000
    Related Documents https://data.cms.gov/sites/default/files/2025-03/Geographic%20Variation%20Public%20Use%20File%20Methods%20Paper.pdf
    Source Datajson Identifier True
    Source Hash adbe4f9861b2975dadf86a0f9ea911fc2c00806e556ad8bbd1ca2f24bb59ff10
    Source Schema Version 1.1
    Temporal 2023-01-01/2023-12-31

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