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CMS Civil Money PenaltiesCMS Civil Money Penalties
U.S. Centers for Medicare and Medicaid Services · Tier-1 · research-only (never on individual profiles)
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.
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.
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
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 fieldsWhat 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.
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}
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.
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
Official API, bulk download, and Fonteum endpoints.
Official API / download
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.
Where this source already shows up.
Related sources in the graph
- /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.