Key points
- The National Center for Health Statistics Data Linkage Program provides restricted-use National Hospital Care Survey (NHCS) data with data from other agencies.
- NHCS restricted-use data is linked to administrative data from the Centers for Medicare & Medicaid Services' Medicare program, which enables researchers to conduct studies to advance public health and health care.
- Find a list of data dictionaries and resources for restricted-use data.

Overview
The National Center for Health Statistics Data Linkage Program provides restricted-use data files to researchers by permission only. Files are available for restricted-use data linked between the —
- National Hospital Care Survey (NHCS)
- Centers for Medicare & Medicaid Services' (CMS) Medicare program
The National Center for Health Statistics links NHCS restricted-use data with Medicare data to expand opportunities to study health care. Such studies investigate health care use and expenditures among the elderly U.S. population and people receiving Medicare disability benefits.
The National Center for Health Statistics matched NHCS patient records to Medicare administrative records for the following—
- Medicare enrollment
- Claims/encounters data
CMS then provided the National Center for Health Statistics with Medicare enrollment and healthcare claims or encounters data for all successfully matched patient records.
Available data years
- 2020–2021 CMS Medicare Master Beneficiary Summary File (MBSF)
- Claims/encounters
- 2019–2020 CMS Medicare MBSF
- Claims/encounters
- 2016–2017 CMS Medicare MBSF
- Claims/encounters
- Assessment data
- 2014–2015 CMS Medicare MBSF
- Claims
- Assessment data
Restricted-use
Restricted-use linked NHCS-CMS Medicare data can be accessed through the National Center for Health Statistics Research Data Center (RDC) network only for approved research projects.
Data dictionaries
Linkage eligibility
- Linkage Eligibility File (04/01/2026)
Master beneficiary summary
- Master Beneficiary Summary File (04/01/2026)
Medicare Part D prescription drug event/drug characteristics
Medicare provider analysis and review
- Medicare provider analysis and review (04/01/2026)
- Carrier (12/10/2025)
- Durable medical equipment (12/10/2025)
- Home health agency (HHA) (12/10/2025)
- Hospice (12/10/2025)
- Inpatient (12/10/2025)
- Outpatient (12/10/2025)
- Skilled nursing facility (12/10/2025)[CM1]
Linkage eligibility
- Linkage Eligibility File (01/29/2021)
Master beneficiary summary
- Base (Part A/B/C/D) segment (01/29/2021)
- Chronic Conditions segment (01/29/2021)
- Cost and Utilization segment (01/26/2022)
Medicare Part D prescription drug event/drug characteristics
Medicare provider analysis and review
- Medicare Provider Analysis and Review (MedPAR) File (01/26/2022)
Carrier
- Base Claim File (01/26/2022)
- Demonstration File (01/29/2021)
- Line Item File (01/26/2022)
Durable medical equipment (DME)
- Base Claim File (01/26/2022)
- Demonstration File (01/29/2021)
- Line Item File (01/26/2022)
Home health agency (HHA)
- Base Claim File (01/26/2022)
- Condition Code File (01/29/2021)
- Demonstration File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/26/2022)
- Revenue Center File (01/29/2021)
Hospice
- Base Claim File (01/26/2022)
- Condition Code File (01/29/2021)
- Demonstration File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/26/2022)
- Revenue Center File (01/26/2022)
Inpatient
- Base Claim File (01/26/2022)
- Condition Code File (01/29/2021)
- Demonstration File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/26/2022)
- Revenue Center File (01/26/2022)
Outpatient
- Base Claim File (01/26/2022)
- Condition Code File (01/29/2021)
- Demonstration File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/26/2022)
- Revenue Center File (01/26/2022)
Skilled nursing facility (SNF)
- Base Claim File (01/26/2022)
- Condition Code File (01/29/2021)
- Demonstration File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/26/2022)
- Revenue Center File (01/26/2022)
Carrier
- Base Claim File (01/29/2021)
- Line Item File (01/29/2021)
DME
- Base Claim File (01/29/2021)
- Line Item File (01/29/2021)
HHA
- Base Claim File (01/29/2021)
- Condition Code File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/29/2021)
- Revenue Center File (01/29/2021)
Inpatient
- Base Claim File (01/29/2021)
- Condition Code File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/29/2021)
- Revenue Center File (01/29/2021)
Outpatient
- Base Claim File (01/29/2021)
- Condition Code File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/29/2021)
- Revenue Center File (01/29/2021)
SNF
- Base Claim File (01/29/2021)
- Condition Code File (01/29/2021)
- Occurrence Code File (01/29/2021)
- Span Code File (01/29/2021)
- Value Code File (01/29/2021)
- Revenue Center File (01/29/2021)
Home health outcome and assessment information set (OASIS)
- Assessment File (01/29/2021)
- Facility File (01/29/2021)
Long-term care minimum data set (MDS)
- Assessment File (01/29/2021)
- Facility File (01/29/2021)
Linkage eligibility
- Linkage Eligibility File (09/10/2020)
Master beneficiary summary
- Part A/B segment (01/18/2019)
- Part D segment (01/18/2019)
- Chronic Conditions segment (01/18/2019)
- Cost and Utilization segment (01/26/2022)
Linkage methods and analytical support
2019 NHCS-2019-2020 Medicare and 2020 NHCS-2020-2021 Medicare
- Matching Methodology and Analytic Considerations (04/01/2026)
2016 NHCS-2016–2017 Medicare
- Matching Methodology and Analytic Considerations (04/23/2024)
2014 NHCS-2014–2015 Medicare
- Matching Methodology and Analytic Considerations (04/23/2024)