Medicare Physician Procedure Volumes

Every team that works with Medicare Part B utilization data hits the same wall: CMS suppresses any combination of provider, procedure code, and place of service performed for fewer than 11 beneficiaries. The row is deleted rather than flagged, so an absent row and a procedure never performed look identical — and every ranking, market size, and trend built on the public file inherits that ambiguity silently.

This product carries 116M+ procedure rows across 1.9M+ providers and 9,000+ HCPCS codes, and publishes CMS's own pre-suppression totals beside the visible detail. Completeness is measurable at two grains: per provider-year, so you know how much of a physician's practice you can see, and per procedure code, place of service, state, and year, so you know how much of a procedure's market you can see. Those two numbers diverge sharply, and knowing which applies to your question is the difference between a defensible market size and a misleading one.

Each provider sits on an entity-resolved spine with validated practice geography, specialty, group practice size, rurality, and federally designated shortage areas. Procedures are classified by Restructured BETOS category, and payments come as submitted, allowed, and geographically standardized amounts so markets compare like for like. A VOLUME_ANALYST semantic view ships with the product for Snowflake Cortex Analyst.