Medicare Outpatient Hospital Services and Payments by Provider

Information on services, payments, and submitted charges for Original Medicare Part B beneficiaries treated in Outpatient Prospective Payment System hospitals. The data is organized by provider CMS Certification Number and Ambulatory Payment Classification. It is published by the U.S. Department of Health & Human Services and was last updated in December 2025.

Use Cases

• Analyze payment and submitted charge variations across providers using the CMS Certification Number and Ambulatory Payment Classification.
• Model service volume patterns for Original Medicare Part B beneficiaries by Ambulatory Payment Classification categories.
• Benchmark submitted charges against payments for specific services within the Outpatient Prospective Payment System framework.

Strengths

• Data originates from the authoritative U.S. Department of Health & Human Services.
• Focuses on the specific population of Original Medicare Part B beneficiaries.
• Structured by provider CMS Certification Number and Ambulatory Payment Classification for detailed analysis.

Limitations

• The specific number of service records, rows, and columns is unknown, limiting assessment of scale.
• Data scope is limited to Outpatient Prospective Payment System hospitals and does not cover all healthcare settings.

Provenance

Source

U.S. Department of Health & Human Services

Freshness

Last updated in December 2025.

Geography

United States