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    • Value Modifier

    Metadata Updated: December 11, 2025

    The Medicare Value-Based Payment Modifier (Value Modifier) data contains the performance results of de-identified practices that were subject to the Value Modifier, such as the practices' quality and cost tiers along with any applicable Value Modifier payment adjustment. The Value Modifier provided for differential payment under the Medicare Physician Fee Schedule based on the quality of care furnished to Medicare beneficiaries compared to the cost of care during a performance period. Calendar Year 2015 was the first payment adjustment period under the Value Modifier based on performance in 2013. Calendar Year 2018 was the final payment adjustment period under the Value Modifier based on performance in 2016.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    References

    https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology

    Dates

    Metadata Created Date January 25, 2022
    Metadata Updated Date December 11, 2025
    Data Update Frequency R/P1Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date January 25, 2022
    Metadata Updated Date December 11, 2025
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier https://data.cms.gov/data-api/v1/dataset/c3e8e9c3-5193-47fb-a5bb-d3ddb00e7197/data-viewer
    Data First Published 2025-12-09
    Language en-US
    Data Last Modified 2025-09-11
    Category Medicare
    Public Access Level public
    Data Update Frequency R/P1Y
    Bureau Code 009:38
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Data Quality True
    Data Dictionary https://data.cms.gov/resources/value-modifier-data-dictionary
    Harvest Object Id e33007af-ac20-42fc-8f90-c0c8cfb0ed43
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL https://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier
    License https://www.usa.gov/government-works
    Program Code 009:000
    Related Documents https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology
    Source Datajson Identifier True
    Source Hash 2cab1544d56acbb676f207676546b432c8945b74b63d80074c93a510e3659dbf
    Source Schema Version 1.1
    Temporal 2013-01-01/2016-12-31

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