Program for Evaluating Payment Patterns Electronic Report


UPDATED PEPPER Retrieval Maps Allow Comparison By State
The PEPPER team has updated the maps that display the PEPPER retrieval rate for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. States on the interactive map are color-coded according to their retrieval rate. Click on a state to obtain details such as the number of PEPPERs available in the state via the portal, the number of PEPPERs accessed via the portal, the retrieval rate and a link to the data file for all states/territories in the nation. The maps will be updated monthly.Map of SNF PEPPER retrievals by stateMap of Hospice PEPPER retrievals by stateMap of LT PEPPER retrievals by state

Map of HHA PEPPER retrievals by state


Have you accessed your PEPPER? If not, you can boost your state’s rates:

  1. Visit the Distribution Schedule – Get Your PEPPER page at
  2. Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number or medical record number from a claim for a traditional Medicare FFS beneficiary with a “from” or “through” date in September 1-30, 2015 (December 1-31, 2015 for HHAs) will be required.
  3. Access the PEPPER Resources Portal.
  4. Complete all the fields.
  5. Download your PEPPER.

PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit to access resources for using PEPPER, including user’s guides, recorded web-based training sessions and a sample PEPPER. PEPPER is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services.


Do you have questions or comments about PEPPER or need help obtaining your report?  Provide your feedback or suggestions regarding PEPPER through our feedback form, and visit our Help Desk to request assistance with PEPPER.