New Medicare Payment Data Available for Medical Equipment

As part of the Administration’s efforts to make our healthcare system more transparent, affordable, and accountable, the Centers for Medicare & Medicaid Services (CMS) has posted a new data set as part of the Provider Utilization and Payment files. This data set, called Referring Provider Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File (PUF), provides information on physicians and other healthcare professionals who referred DMEPOS products and services, such as wheelchairs, walkers, and diabetes supplies for Medicare beneficiaries.

“The data set made available today is part of a wider set of initiatives by the Administration to achieve better care, smarter spending, and healthier people throughout our health care system,” said Acting CMS Administrator Andrew Slavitt. “CMS is providing this data to support insight and innovations in health care delivery.”

The Referring Provider DMEPOS PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code and supplier rental indicator. This PUF was created from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program available from the CMS Chronic Condition Data Warehouse (www.ccwdata.org). CMS protects beneficiaries’ personal information in all its data releases.

Visit cms.gov for more infomation.