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CMS Medicare Spending & Utilization Analysis (2022-2023) + Geographic Variation (2014-2023)
Date
January 2026
The Question
Where is Medicare physician-service spend changing year over year?
Is spend concentrated among a small share of providers (cost-outlier risk)?
How much variation remains across states after CMS standardization?
Medical economics work often comes down to separating utilization, unit cost, and concentration drivers—then identifying where targeted interventions make sense (provider outliers, service categories, or geographic regions).
Governance Note
This project publishes only aggregated, anonymized, public-safe exports and excludes CPT/HCPCS code content due to licensing constraints.
A public-safe medical economics portfolio project using CMS PUFs to quantify spend growth, provider concentration, and standardized per-capita variation across states.
