Custom Atlas Rate Generator Rates

Terms and Conditions of Data Use: please read before downloading data.

These are custom defined Atlas rates developed using the standard Atlas methodology for population characteristics, health care market definitions and adjustment methods but each measure is custom defined with requested diagnosis and procedure codes.


Hip replacement surgery per 1,000 Medicare enrollees (.xls)
Data are for 2003-12 at the HRR level. Rates are adjusted for age, sex, and race.

Knee replacement surgery per 1,000 Medicare enrollees (.xls)
Data are for 2003-12 at the HRR level (HSA-level data available upon request). Rates are adjusted for age, sex, and race.

Shoulder replacement surgery per 1,000 Medicare enrollees (.xls)
Data are for 2003-12 at the HRR level (HSA-level data available upon request). Rates are adjusted for age, sex, and race.

Strabismus surgery per 1,000 Medicare enrollees (.xls)
Data are for 2003-12 at the HRR level. Rates are adjusted for age, sex, and race.

Cardiac echocardiogram per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Cataract surgery per 1,000 Medicare enrollees

Carotid echocardiogram per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Routine ECG per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Ambulatory ECG monitoring per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Cardiac stress testing per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Electrophysiologic testing per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Coronary angiography per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Coronary artery stenting per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

PTCA per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Pacemaker insertion per 1,000 Medicare enrollees

  • 2006 data (.xls) available at the HRR level. Rates are adjusted for age, sex, and race.
  • 2012 data (.xls) available at the HRR level. Rates are adjusted for age, sex, and race.

Implantable defibrillator insertion per 1,000 Medicare enrollees

CT of chest per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

CT of head per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

MRI of head per 1,000 Medicare enrollees (.xls)
Data are for 2012 at the HRR level. Rates are adjusted for age, sex, and race.

Mohs surgery per 1,000 Medicare enrollees

Emergency department visits per Medicare beneficiary (.xls)
Data are for 2012 at the HRR, HSA, and state levels. Rates are adjusted for age, sex, and race.

Office visits per Medicare beneficiary (.xls)
Data are for 2012 at the HRR, HSA, and state levels. Rates are adjusted for age, sex, and race.

Urgent care visits per Medicare beneficiary (.xls)
Data are for 2012 at the HRR, HSA, and state levels. Rates are adjusted for age, sex, and race.

Lumbar radiofrequency ablation per 1,000 Medicare beneficiaries (.xls)
Data are for 2003-12 at the HRR and state levels (HSA and county-level data available upon request). Rates are adjusted for age, sex, and race.

Counts of Medicare beneficiaries in the ESRD program (.xls)
Data are for 2002-12 at the HRR and state levels, overall and stratified by age.

Obesity rate per 1,000 Medicare beneficiaries (.xls)
Data are for 2012-13 at the HRR and state levels. Rates are adjusted for age, sex, and race. Rates are defined two ways: using both ICD-9 and CPT codes, and using CPT codes only.

Internal mammary use in CABG per 1,000 Medicare beneficiaries (.xls)
Data are for 2008-13 at the HRR, HSA, state, and county levels. Rates are adjusted for age, sex, and race. Rates are defined by individual CPT code: 33533, 33534, and 33535.

Acute coronary syndrome revascularization rate per 1,000 Medicare beneficiaries (.xls)
Data are for 2013 at the HRR and HSA levels. Rates are stratified by age, sex, and race, as well as adjusted.

Hemorrhoidectomy per 1,000 Medicare beneficiaries (.xls)
Data are for 2006-13 at the HRR and state levels. Rates are adjusted for age, sex, and race.

Rubber band ligation per 1,000 Medicare beneficiaries (.xls) .
Data are for 2006-13 at the HRR and state levels. Rates are adjusted for age, sex, and race.

Coumadin (warfarin) prescription rates per 1,000 Medicare beneficiaries who underwent

Thyroidectomy procedures per 1,000 Medicare beneficiaries

Data are for 2014 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race. Four events (all thyroid procedures, total thyroidectomy, partial thyroidectomy, and thyroidectomy with neck dissection) are available for:

Lower extremity joint replacement per 1,000 Medicare beneficiaries (.xls)
Data are for 2013-15 at the HRR and state levels, overall and stratified by age. Rates are adjusted for age, sex, and race.

Liver disease per 1,000 Medicare beneficiaries (.xls)
Data are for 2014 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race.

Meniscectomy for osteoarthritis of the lower leg per 1,000 Medicare beneficiaries (.xls)
Data are for 2005-14 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race.

Percutaneous vertebroplasty with pathologic fracture of vertebrae per 1,000 Medicare beneficiaries (.xls)
Data are for 2005-14 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race.

Total/unicompartment knee arthroplasty per 1,000 Medicare beneficiaries with osteoarthritis/joint pain in the lower leg (.xls)
Data are for 2005-14 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race.

Uncomplicated overactive bladder diagnosis per 1,000 Medicare beneficiaries (.xls)
Data are for 2011-14 at the HRR level, overall and stratified by age and sex. Data are available with and without exclusions (see first worksheet). Rates are adjusted for age, sex, and race.

Bariatric surgery per 1,000 Medicare beneficiaries (.xls)
Data are for 2012-14 at the HRR and state levels for three types of surgery: band (BND), bypass (BYP), and sleeve (SLV). Rates are adjusted for age, sex, and race.

Procedures for skin cancer and actinic keratoses per 1,000 Medicare beneficiaries (.xls)
Data are for 2014 at the HRR level, overall and stratified by age. Rates are adjusted for age, sex, and race.

Physician visits for carotid artery stenosis per 1,000 Medicare beneficiaries (.xls)
Data are for 2006-14 at the state level. Rates are adjusted for age, sex, and race.

Urodynamics for stress urinary incontinence per 1,000 female Medicare beneficiaries (.xls)
Data are for 2011 and 2013 at the HRR level. Rates are adjusted for age and race.

Treatment of renal stones per 1,000 Medicare beneficiaries (.xls)
Data are for 2006, 2009, and 2014 at the HRR level. Rates are adjusted for age, sex, and race.

Restorative coloanal reconstruction per 1,000 Medicare beneficiaries (.xls)
Data are for 2014 at the HRR level, overall and stratified by age, sex, and race.

Face-to-face behavioral counseling for obesity per 1,000 Medicare beneficiaries

  • 2014 and 2015 HRR level data (.xls) stratified by age, sex, and race. Rates include 15-minute individual sessions (r1, r2), 30-minute group sessions (r3), and overall (r4). Rates are adjusted for age, sex, and race.
  • 2014 and 2015 state level data (.xls) stratified by age, sex, and race. Rates include 15-minute individual sessions (r1, r2), 30-minute group sessions (r3), and overall (r4). Rates are adjusted for age, sex, and race.

Rotator cuff repair per 1,000 Medicare beneficiaries

Data are for 2004-14 at the HRR levels overall and stratified by age, sex, and race. Rates include:

Urethral and transurethral bladder procedures per 1,000 Medicare beneficiaries with a diagnosis of urethral stricture (.xls)
Data are for 2014 at the HRR level, overall and stratified by age and sex.

Screening rates for Medicare beneficiaries with diabetes and severe mental illness

Data are for 2014 at the HRR level. Rates include the:

Rates of restorative coloanal reconstruction per 1,000 Medicare beneficiaries with a diagnosis of rectal cancer (.xls)
Data are for 2014 at the HRR level, overall and stratified by age.

Laser enucleation of prostate per male Medicare beneficiary (.xls)
Data are for 2008, 2011, and 2014 at the HRR level, adjusted for age and race.

Urethral and transurethral bladder procedures (excluding urethral dilation) per 1,000 Medicare beneficiaries with a diagnosis of urethral stricture (.xls)
Data are for 2014 at the HRR level, overall and stratified by age and sex.

Penile prosthesis utilization per 1,000 male Medicare beneficiaries
Penile prosthesis utilization per 1,000 male Medicare beneficiaries