CMS has added utilization data on the volume of procedures for the first time on the Medicare.gov compare tool’s profile pages for doctors and clinicians. The procedures initially added to profile pages were performed by physicians and clinicians for Original Medicare and Medicare Advantage patients in the last 12 months, after allowing a three-month claim processing period (for example, claims for dates of service occurring between June 1, 2022, through June 30, 2023, that were processed by Sept. 30, 2023).
Utilization data was first published only in a downloadable format in late 2017. This information is a subset of the “Medicare Physician & Other Practitioners – by Provider and Service” dataset and is currently published in the Provider Data Catalog (PDC). A procedure volume data file is now available and includes the procedure category information now publicly reported on the compare tool on Medicare.gov profile pages for physicians and clinicians. Included in the initial release is data on spinal fusion procedures.
A fact sheet on the data release is available here.
