Medicare Skilled Nursing Facility Payments and Utilization, 2014-2020

2014-2019 data includes payments and utilization for Skilled Nursing Facilities organized by provider and Resource Utilization Group type. Starting in Fiscal Year 2020, the dataset reflects the Patient-Driven Payment Model shift, featuring therapy minutes by discipline, stays by clinical category, and percentages of stays involving depression or swallowing disorders. The dataset is provided by the U.S. Department of Health & Human Services.

Use Cases

• Analyzing payment trends for Skilled Nursing Facilities based on provider and Resource Utilization Group data from 2014-2019.
• Studying the impact of the Patient-Driven Payment Model shift on therapy provision based on therapy minutes by discipline from FY 2020 onward.
• Investigating the prevalence of specific clinical conditions like depression or swallowing disorders based on the percentage of stays involving these issues.
• Comparing utilization patterns across different clinical categories based on the stays by clinical category data.

Strengths

• Covers a multi-year time range from Fiscal Years 2014 to at least 2020.
• Reflects a major policy shift with data structured for both the old RUG system and the new PDPM system.
• Includes specific clinical metrics like therapy minutes and condition prevalence percentages from FY 2020.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment for large-scale analysis.

Provenance

Source

U.S. Department of Health & Human Services

Collection Method

Administrative data from Medicare post-acute care claims.

Time Range

Fiscal Years 2014-2020

Freshness

Last updated 2026-04-10 20:58:27.577341; freshness should be verified.

Geography

United States (implied by Medicare program)