Datasets:

HHS-Official
/

physiciansupplier-procedure-summary

HCPCS_CD stringlengths 3 5	HCPCS_INITIAL_MODIFIER_CD stringclasses 714 values	PROVIDER_SPEC_CD stringclasses 131 values	CARRIER_NUM int64 882 19k	PRICING_LOCALITY_CD stringclasses 213 values	TYPE_OF_SERVICE_CD stringclasses 29 values	PLACE_OF_SERVICE_CD int64 0 99	HCPCS_SECOND_MODIFIER_CD stringclasses 631 values	PSPS_SUBMITTED_SERVICE_CNT stringlengths 1 9	PSPS_SUBMITTED_CHARGE_AMT stringlengths 1 12	PSPS_ALLOWED_CHARGE_AMT stringlengths 1 12	PSPS_DENIED_SERVICES_CNT stringlengths 1 9	PSPS_DENIED_CHARGE_AMT stringlengths 1 11	PSPS_ASSIGNED_SERVICES_CNT stringlengths 1 9	PSPS_NCH_PAYMENT_AMT float64 0 296M	PSPS_HCPCS_ASC_IND_CD stringclasses 2 values	HCPCS_BETOS_CD stringclasses 105 values
A6010	A6	23	10,112	00	S	12	null	180	17051.4	0	180	17051.4	180	0	N	D1A
70551	26	94	8,102	00	4	21	51	24	7173	1553.04	*	*	24	1,161.68	N	I2C
64493	50	05	5,302	99	2	22	null	211	153023.5	22464.64	35	26240.74	211	17,099.91	N	P6B
97530	GO	67	10,212	01	1	13	KX	13562	838726.8	429432.12	150	9191.1	13562	336,590.67	N	P6C
73000	LT	50	14,212	99	4	11	null	*	*	*	*	*	*	91.96	N	I1B
64625	LT	49	9,102	02	F	24	51	146	739756.82	58356.49	*	*	146	45,751.38	N	P6C
94729	26	29	9,102	04	5	19	null	167	5845	1549.35	*	*	167	1,222.82	N	T2D
00731	AA	05	13,202	02	7	21	QS	2355	6860915.38	388417.69	65	188757.58	2355	305,014.33	N	P0
90480	null	97	13,202	02	V	20	null	*	*	*	*	*	*	222.31	N	O1G
99214	95	11	13,202	01	1	10	null	595	152966.58	62809.88	28	5707.38	595	44,604	N	M1B
93880	26	02	11,402	16	5	19	null	108	36391.98	3882.07	*	*	108	2,596.47	N	I3D
33967	null	C3	2,402	99	2	21	null	32	23848.75	7006.72	*	*	32	5,538.48	N	P2F
H0014	null	11	13,202	02	9	11	null	79	30960	0	79	30960	79	0	N	Z2
73660	26	63	12,502	01	4	32	LT	47	964.12	288.96	*	*	47	221.34	N	I1B
33274	Q0	21	13,102	00	2	21	GC	*	*	*	*	*	*	2,230.57	N	P6C
73502	26	63	11,502	00	4	13	RT	93	2460.39	937.17	*	*	93	668.25	N	P6B
99214	null	07	11,402	16	1	19	null	79	13274	7312.69	*	*	79	5,252.1	N	M1B
82962	null	08	7,302	AX	5	11	null	1270	20043.1	3522.54	196	3076	1270	3,372.2	N	T1E
99213	null	20	5,302	99	1	11	null	14910	2656792.63	1217171.47	396	64489.08	14910	857,926.19	N	M1B
73130	26	30	2,302	99	4	22	null	32	940.26	255.75	*	*	32	170.59	N	I1B
U0002	null	69	11,502	AX	5	81	null	38	2712.75	0	38	2712.75	38	0	N	T1H
84134	null	69	5,302	AX	5	81	null	1033	61960.43	9862.84	357	19603.5	1033	9,666.8	N	T1H
82330	null	69	2,202	AX	5	81	null	91	6985.4	1203.84	*	*	91	1,180.08	N	T1H
G0317	null	50	14,212	99	1	31	null	728	41297.28	18955.78	35	2073.15	728	14,845.74	N	Y1
1036F	null	18	9,102	99	1	11	null	34702	124.87	0	34702	124.87	34702	0	N	Z2
84156	null	69	7,202	AX	5	81	null	4282	143595.01	14859.83	233	7082.5	4282	14,553.93	N	T1H
G8510	null	50	11,302	00	1	31	null	2098	0.01	0	2098	0.01	2098	0	N	M5D
72148	26	30	6,302	00	4	11	null	427	323893.68	25981.36	47	82838	427	19,534.31	N	I2D
99496	null	50	12,402	99	1	12	null	494	235482.28	116629.68	38	17372	494	80,830.28	N	M5D
70551	26	30	10,212	99	4	11	null	103	40363.88	6626.88	*	*	103	4,896.42	N	I2C
85732	90	69	4,412	AX	5	81	null	241	17220.07	1481.63	12	273.42	241	1,441.71	N	T1H
87426	QW	97	14,412	AX	5	20	null	402	29603.26	13284.08	26	1961.66	402	12,947.56	N	T1H
99024	null	20	6,302	00	1	11	null	1556	3.14	0	1556	3.14	1556	0	N	Y1
93000	59	21	1,112	05	5	11	null	34	3036	560.01	*	*	34	432.27	N	T2A
1170F	null	97	12,302	01	1	11	null	540	0.4	0	540	0.4	540	0	N	Z2
71271	null	C6	13,202	02	4	11	null	*	*	*	*	*	*	168.81	N	I2B
1000F	null	20	13,102	00	1	11	null	1418	14.18	0	1418	14.18	1418	0	N	M1B
71275	26	30	3,102	00	4	22	51	975	754467.79	79059.28	*	*	975	60,515.33	N	I2B
13152	51	07	15,102	00	2	11	null	389	491969.19	90074.2	*	*	389	71,039.95	N	P5A
80053	null	34	9,102	AX	5	11	null	73	2574.54	760.32	*	*	73	745.2	N	T1B
G8510	null	21	11,302	00	1	11	null	66	0	0	66	0	66	0	N	M5D
27310	58	20	8,202	01	2	21	RT	*	*	*	*	*	*	930.23	N	P5B
64491	RT	49	12,402	13	F	24	null	23	50251.5	0	23	50251.5	23	0	N	P6B
83520	null	83	11,302	AX	5	11	null	10738	1943578	179824.33	324	58644	10738	175,526.5	N	T1H
93284	null	06	882	01	1	11	null	116	37833.74	12409.55	*	*	116	9,141.2	N	T2D
99211	null	13	11,202	01	1	11	null	54	2198	1152.22	*	*	54	908.35	N	M1B
96402	null	83	882	A4	1	11	null	45	4958	1345.5	*	*	45	1,008.9	N	P7B
99205	null	C6	5,102	00	1	22	null	64	40688.22	10585.26	*	*	64	7,632.92	N	M1A
99213	25	39	14,212	99	1	22	null	*	*	*	*	*	*	107.48	N	M1B
99213	25	08	4,412	31	1	11	null	4276	612811.13	365989.63	260	34223.9	4276	206,510.94	N	M1B
70549	null	30	9,102	99	4	11	null	158	318180.7	52526.76	*	*	158	40,213.67	N	I2C
99214	null	20	13,102	00	1	11	null	27662	7362788.74	3616522.56	1210	349784.63	27609	2,622,995.3	N	M1B
J3301	null	50	15,202	00	1	11	null	44686.5	308562.81	46997.54	1386	9623.4	44686.5	32,701.77	N	O1E
J2785	null	06	10,112	00	1	11	null	38105	3723253.52	2063055.5	993	96316.68	38105	1,582,704.34	N	O1E
0005U	null	69	14,212	AX	5	81	null	12024	11963880	9060720	102	101490	12024	8,874,783.41	N	T1H
87640	59	69	6,302	AX	5	81	null	2362	304304.09	57863.41	713	76547.55	2362	56,543.77	N	T1H
83735	null	08	12,502	AX	5	11	null	3378	70773	21862.1	115	2253	3378	21,254.46	N	T1H
81001	null	11	6,202	AX	5	11	null	7138	98149.1	21888.85	233	3252.23	7138	21,352.37	N	T1C
82107	null	69	12,402	AX	5	81	null	5960	634853.97	358184.01	399	43336.1	5960	350,179.58	N	T1H
J0775	null	40	6,102	15	1	11	null	5450	582758	326497.35	406	51910	5450	242,769.28	Y	O1E
A6223	A2	A5	18,003	42	S	12	null	390	1571.4	1065.9	60	247.8	390	759.7	N	D1A
36415	null	08	3,402	AX	5	11	null	25132	278111.84	164589.88	649	7872.51	25132	159,945.34	N	T1A
36901	XS	77	2,402	99	2	21	51	*	*	*	*	*	*	64.19	N	P6C
92136	26	18	5,102	00	Q	11	RT	7837	763540.54	219986.28	233	24584.62	7837	156,695.41	N	I3A
87186	null	69	15,202	AX	5	81	null	97170	5775464.75	756219.41	9743	477730.56	97170	738,675.56	N	T1H
87636	QW	50	8,202	AX	5	11	null	271	51340.8	23688.2	98	19602.1	271	23,103.12	N	T1H
1090F	null	11	9,102	03	1	11	null	28870	586.4	0	28870	586.4	28870	0	N	Z2
69100	null	07	7,302	00	2	11	null	243	55545.73	20158.21	*	*	238	14,169.76	Y	P6C
81328	59	69	9,102	AX	5	81	null	2415	422550.71	372345.3	285	50083.05	2415	364,890.3	N	T1H
J0897	null	11	12,502	99	1	11	null	116299	4316399.03	2647736.62	2420	92850	116299	2,031,829.81	Y	O1E
84439	null	69	3,302	AX	5	81	null	12206	332861.6	97172.46	1433	34761.65	12206	95,114.45	N	T1H
85025	null	83	5,102	AX	5	11	null	25691	671028.77	194708.43	632	15657.77	25691	190,139.69	N	T1D
81260	90	69	12,402	AX	5	81	null	3011	146316.92	115617.43	69	3419.32	3011	113,292.92	N	T1H
78070	26	30	12,402	99	4	22	null	28	11713	1115.24	*	*	28	828.75	N	I1E
73552	26	30	14,212	01	4	22	LT	1187	43207.44	11126.7	17	607	1187	8,229.61	N	P6B
28750	LT	49	12,502	02	F	24	51	*	*	*	*	*	*	3,263.46	N	P5B
30130	LT	49	9,102	02	F	24	51	17	108797.76	9123.04	*	*	17	6,728.55	Y	P5E
17280	79	50	9,102	99	2	13	null	12	5220	0	12	5220	12	0	N	P5A
64494	50	05	4,412	99	2	22	null	563	384836	36528.12	73	34723.5	563	28,153.32	N	P6B
95806	26	81	15,102	00	5	12	null	143	21021	5944.56	*	*	143	4,364.07	N	T2D
72128	26	30	6,102	16	4	22	X5	165	52388	7693.88	*	*	165	6,023.68	N	I2B
E0247	NU	A6	18,003	51	P	12	GY	*	*	*	*	*	*	0	N	D1E
1123F	null	44	6,102	15	1	21	null	230	0	0	230	0	230	0	N	Z2
L4387	RT	54	19,003	26	P	12	KX	26	9878.85	4500.8	*	*	26	3,528.51	N	D1F
99202	null	07	11,402	16	1	19	null	20	1958	891.1	*	*	20	461.28	N	M1A
88311	26	22	6,202	00	5	22	null	2454	152931.87	28746.2	64	3497	2454	22,355.71	N	T1G
81003	QW	97	13,292	AX	5	20	null	163	3174	337.5	13	325	163	327.8	N	T1C
77336	null	92	8,202	99	6	11	null	2254	854456.95	173096.1	93	37909.3	2254	135,937.93	N	P7A
76536	26	30	9,102	99	4	19	null	2721	499248.44	63519.99	422	70418.76	2721	46,050.45	N	I3F
84480	null	69	9,102	AX	5	81	null	65948	6848017.66	761646.1	12221	1389882.95	65948	738,077.12	N	T1H
99213	null	10	5,302	99	1	11	null	2595	383018.56	214746.33	37	5019.38	2595	147,479.08	N	M1B
83036	null	11	6,102	AX	5	11	null	11634	737951.47	101894.29	1139	57689.6	11634	99,197.45	N	T1H
71045	26	30	1,312	00	4	22	X5	4900	556686	37041.24	680	73956	4900	28,240.9	N	I1A
64624	50	05	4,412	99	2	22	null	24	66742.3	5100.98	*	*	24	3,492.51	N	P6C
G9903	null	18	6,102	99	1	11	null	7112	5.32	0	7112	5.32	7112	0	N	Z2
81025	null	50	8,202	AX	5	11	null	182	4434.53	1446.48	14	407	182	1,393.44	N	T1C
82784	XU	69	5,402	AX	5	81	null	883	13230	3552.6	501	7500	883	3,480.02	N	T1H
96922	null	84	1,182	71	2	11	null	*	*	*	*	*	*	841.4	N	P6A
73718	26	30	13,202	03	4	21	LT	35	11070	2415.08	*	*	35	1,926.99	N	I2D
30560	51	04	6,202	00	2	22	GC	*	*	*	*	*	*	60.91	Y	P6C

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Physician/Supplier Procedure Summary

Description

The Physician/Supplier Procedure Summary (PSPS) data provides a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service (FFS) claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. This dataset is produced annually and is typically available in July (i.e., data for CY2015 is usually available in July 2016).

Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

Dataset Details

Publisher: Centers for Medicare & Medicaid Services
Temporal Coverage: 2010-01-01/2023-12-31
Last Modified: 2024-08-21
Contact: CMS EDG Data Questions - OIT (CMSEDG_DataRequests_Intake@cms.hhs.gov)

Source

Original data can be found at: https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary

Usage

You can load this dataset using:

from datasets import load_dataset
 dataset = load_dataset('HHS-Official/physiciansupplier-procedure-summary')

License

This dataset is licensed under https://www.usa.gov/government-works

Downloads last month: 23

Size of downloaded dataset files:

843 MB

Size of the auto-converted Parquet files:

476 MB

Number of rows:

14,502,413