Medicare Home Health Agency Utilization and Payments by Demographic and Region

Medicare Home Health Agency tables provide use and payment data from Part A and Part B claims for original Medicare beneficiaries. The dataset includes six tables analyzing trends by entitlement type, demographic characteristics, area of residence, agency type, service visits, and episodes. It is published by the U.S. Department of Health & Human Services and was last updated in January 2026.

Use Cases

• Analyze yearly trends in utilization and program payments by type of entitlement (MDCR HHA 1) to model cost drivers.
• Investigate demographic characteristics and Medicare-Medicaid enrollment status (MDCR HHA 2) to assess health equity in home health access.
• Compare utilization and payments by area of residence (MDCR HHA 3) for regional healthcare resource planning.
• Examine the distribution of service visits by type of agency and type of service visit (MDCR HHA 4) for operational benchmarking.
• Model program payments segmented by the number of service visits and episodes (MDCR HHA 6) for episode-based payment analysis.

Strengths

• Contains six distinct analytical tables covering utilization, payments, demographics, and geography.
• Data originates from the authoritative U.S. Department of Health & Human Services.
• Includes specific breakdowns such as type of entitlement, demographic characteristics, and area of residence.

Limitations

• Specific row counts, column names, and sample data are unavailable, limiting initial assessment of data structure and volume.
• The data is provided in ZIP format without clear documentation on internal file structures or schemas.
• Lacks granular temporal coverage details for the time series analysis within the provided description.

Provenance

Source

U.S. Department of Health & Human Services

Collection Method

Aggregated from Medicare Home Health Part A and Part B claims data.

Freshness

Last updated in January 2026.

Geography

National, with breakdowns by area of residence (states/territories).