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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

Civil money penalties (CMPs) and payment-denial actions CMS imposed on Medicare-certified facilities, keyed to the facility CMS Certification Number (CCN). The July 12 production audit counted 16,832 records across 6,919 distinct facilities, $467,344,898 in fines, and 2,553 payment-denial records over the loaded three-year window. The median fine record was $14,113.

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.

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

Dataset size: 16,832 records across 6,919 facilities; observed 2026-07-12

Fields used

Per-field display contract.

Fields listed below show their configured `display_allowed` flag from the §94 provenance schema. Fields marked write-locked are captured for audit and are not 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, publisher cadence.

Authority

U.S. Centers for Medicare and Medicaid Services

Tier

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

Publisher / configured cadence

Declared or configured cadence: Quarterly — CMS republishes facility civil money penalties alongside the Care Compare release cycle. Not evidence of the latest loaded source date.

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 ↗

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. Attestation coverage is snapshot-specific; no provenance fact currently links deterministically to a signature.

Sample provenance

What a single field looks like in the graph.

This worked example shows the provenance shape used when a surfaced field has populated source, last-checked, display-rule, and confidence metadata. Individual fields may omit unavailable values.

Field

Penalty totals (production observation checked 2026-07-12)

Sample value

16,832 records · 6,919 facilities · $467,344,898 in fines · 2,553 payment-denial records · $14,113 median fine record

Provenance line

Source: public.nh_penalties production audit · Checked 2026-07-12 · 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

Official API endpoint ↗

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?
The production table checked July 12, 2026 held 16,832 records across 6,919 distinct facilities for April 2023–March 2026. It contained 14,279 positive-fine records totaling $467,344,898 and, separately, 2,553 payment-denial records covering 1,950 facilities. The median positive fine record was $14,113; median cumulative fines per fined facility were $34,272.
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' with the snapshot date. It is U.S. government public-domain data published at data.cms.gov with explicit redistribution rights.
Related

Related sources in the graph

See also
  • /sources → The generated source-catalog subset — documented datasets Fonteum cites.
  • /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
  • /methodology → Documented sourcing, publisher cadence, observed freshness, and corrections policy.
  • /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.

What’s on file, by the numbers

Platform snapshot · 2026-08-11

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
73fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

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

Read the full provenance and attestation methodology →

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