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CMS Civil Money Penalties

CMS Civil Money Penalties

U.S. Centers for Medicare and Medicaid Services · Tier-1 · research-only (never on individual profiles)

Research-only
Source:CMS Civil Money Penalties·Snapshot May 2026Open official source ↗

Civil money penalties (CMPs) and payment-denial actions CMS imposed on Medicare-certified facilities, keyed to the facility CMS Certification Number (CCN). Fonteum holds 16,277 penalty records across 6,884 distinct facilities, totalling $459,337,807 in fines and 2,513 payment-denial events over the 2023-2026 window.

What Fonteum uses it for

How this source shows up on Fonteum.

Aggregate facility program-integrity research and the 'compromised-anywhere' enforcement signal. The /data and /sources pages report penalty-type, fine-total, and facility-count breakdowns only — no facility is named.

What this source does NOT mean

A civil money penalty is a federal enforcement action against a facility — not a quality rating or a Fonteum judgment. The dataset is CCN-keyed and carries no provider NPI, so penalties never attach to an individual practitioner. A facility without a penalty record is not thereby asserted to be penalty-free in periods outside the snapshot window.

What this dataset answers

Research and data questions this source supports.

  • 01Quantify total federal civil money penalties levied on Medicare-certified facilities over a multi-year window.
  • 02Compare the count of fine actions against payment-denial actions across the facility universe.
  • 03Build a facility program-integrity screen that surfaces whether a CCN carries a penalty record.
  • 04Research the geographic distribution of facility penalties across states.

Dataset size: 16,277 penalty records across 6,884 facilities (2026-06-13 snapshot)

Fields used

Per-field display contract.

Every field below has a `display_allowed` flag in the §94 provenance schema. Write-locked fields are captured to provenance for audit but never rendered on profile pages.

Research-only — never on profiles

6 fields
ccnFacility CCN (CMS Certification Number)
penalty_typePenalty type (Fine / Payment Denial)
fine_amountFine amount (USD)
payment_denial_daysPayment-denial days
penalty_datePenalty date
stateState (USPS)
Limitations

What we can’t infer from this source.

  • CCN-keyed — there is no provider NPI; penalties are facility-level, never practitioner-level.
  • Snapshot window is 2023-2026; the dataset is not a full historical record of all penalties ever levied.
  • Aggregate-only on these pages — no facility is named on the /data or /sources surface.
  • A penalty is a federal enforcement action, not a Fonteum quality assessment of any facility.
Source metadata

Authority, license, refresh cadence.

Authority

U.S. Centers for Medicare and Medicaid Services

Tier

Tier-1 · research-only (never on individual profiles)

Refresh cadence

Quarterly — CMS republishes facility civil money penalties alongside the Care Compare release cycle; Fonteum re-pulls and attests each snapshot.

License

U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: CMS Civil Money Penalties · Snapshot {YYYY-MM-DD}'. License ↗

Official URL

https://data.cms.gov/provider-data/dataset/g6vv-u9sr

Attribution requirement

Source: CMS Civil Money Penalties (g6vv-u9sr) · Last checked {YYYY-MM-DD}

ToS & usage notes

What the source allows.

U.S. government public-domain works. CMS publishes the civil money penalties dataset at data.cms.gov (dataset g6vv-u9sr) with explicit redistribution rights. Fonteum attests each snapshot to the 14-tuple provenance contract.

Sample provenance

What a single field looks like in the graph.

A worked example. Every field surfaced from this source carries this shape of provenance line — source · last checked · display rule · confidence (when applicable).

Field

Penalty totals (snapshot 2026-06-13)

Sample value

16,277 records · 6,884 facilities · $459,337,807 in fines · 2,513 payment-denial events

Provenance line

Source: CMS Civil Money Penalties · Snapshot 2026-06-13 · Methodology cms-cmp/v1 · Display rule: aggregate-only — totals and breakdowns render, never a named facility

How to access

Official API, bulk download, and Fonteum endpoints.

Official API / download

https://data.cms.gov/provider-data/dataset/g6vv-u9sr ↗

Frequently asked

Common questions about CMS Civil Money Penalties.

What is the CMS Civil Money Penalties dataset?
It records civil money penalties (CMPs) and payment-denial actions CMS imposed on Medicare-certified facilities. Each row is a penalty action keyed to a facility CMS Certification Number (CCN), with penalty type, fine amount, payment-denial days, and penalty date.
What do the totals look like?
As of the 2026-06-13 snapshot Fonteum holds 16,277 penalty records across 6,884 distinct facilities, totalling $459,337,807 in fines. By type there are 13,764 fine actions and 2,513 payment-denial events, spanning May 2023 to April 2026.
Are penalties tied to individual providers?
No. The dataset is CCN-keyed and carries no provider NPI, so penalties are facility-level and never attach to an individual practitioner. The entity-graph cross-link is out of scope for this page.
Does this page name penalized facilities?
No. This page is aggregate-only — it reports totals and breakdowns and never names a facility. A civil money penalty is a federal enforcement action, not a Fonteum quality rating.
How can I cite this data?
Use 'Source: CMS Civil Money Penalties (g6vv-u9sr)' with the snapshot date. It is U.S. government public-domain data published at data.cms.gov with explicit redistribution rights.
Related

Where this source already shows up.

Related sources in the graph

  • /sources/oig-leie →
  • /sources/sam-exclusions →
  • /sources/oig-cia →
See also
  • /sources → The full source library — every dataset Fonteum cites.
  • /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
  • /methodology → Network-wide sourcing, refresh cadence, and corrections policy.
  • /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.

The substrate, by the numbers

44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
35dataset pagesCitable, downloadable /data catalog pages
61reproducible studiesEach shipping the SQL behind its figures

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
  • BLS
  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Every figure traces to its federal source.

14-tuple provenance

Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.

Reproducible SQL

Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.

Daily reconciliation

Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Two doors

Use the free API and open data

Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.

Explore the API →Browse the data catalog →

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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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