Centers for Medicare & Medicaid Services (CMS).

Today, the Centers for Medicare & Medicaid Services (CMS) released our annual update to the Geographic Variation Public Use Files with data for 2020.​ The Geographic Variation Public Use Files contain demographic, spending, utilization, and quality indicators for the Medicare fee-for-service population.​ There are two files available on​ One of the files presents data at the state-level (including the District of Columbia, Puerto Rico, and the Virgin Islands) and at the county-level. The other file presents data at the hospital referral region (HRR) level.​ Additionally, users can leverage our interactive data tool to help further analyze the Medicare Geographic Variation data at the state- and county-levels.

The public use file for data at the state-level and county-level can be downloaded at:​

The public use file for data at the HRR-level can be downloaded at:​

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