State Survey and Certification of Health Care Providers (Title XVIII Medicare) — CFDA 93.777

Medicare survey-and-certification obligations at $1.72 billion

USAspending.gov records $1,716,192,934.84 in obligations under CFDA 93.777. Five hundred thirty-seven awards produce that stock. A simple average is about $3.20 million per award — consistent with state-agency survey funding rather than a per-facility inspection fee. That average is a quotient of two packet totals, not a typical survey cost or a per-provider amount.

The assistance-listing title is STATE SURVEY AND CERTIFICATION OF HEALTH CARE PROVIDERS AND SUPPLIERS (TITLE XVIII) MEDICARE. CFDA 93.777 is the identifier. Other CMS Medicaid survey or quality listings tagged under different CFDA numbers are not mixed into the $1.72 billion. Combining those codes would invent a combined survey-and-certification total this packet does not contain.

56 recipients across 52 states

Fifty-six recipients share 537 awards, or about 9.6 award records per recipient on average. Splitting $1.72 billion evenly would assign about $30.65 million per recipient. That density is the story: a state-survey-agency roster carrying many claiming rows. The packet does not list the 56. Recipient count is the organizational headcount, not a census of facilities or surveyors.

Fifty-two states in the geographic count is a near-complete map plus extra jurisdictions. Survey-and-certification dollars in this extract follow that coded geography. Place-of-performance amounts are on the program table.

Nine-point-six award records per recipient on a 56-organization roster is state-survey-agency claiming density: 537 rows, not 537 nursing homes. Fifty-two states in the geographic count is a near-complete map plus extra jurisdictions. The $1,716,192,934.84 obligation stock is not a deficiency log, not a star-rating file, and not a Medicare claims extract. Medicaid survey listings use other codes. Quote 537 as assistance rows and 56 as named organizations. Title XVIII in the listing title is the Medicare survey stream on this packet, not a combined Medicare-Medicaid total.

Award count is not a survey count

Among HHS assistance listings, 93.777 is a high-repeat file: 537 rows against 56 recipients. Periodic claiming rows and amendments can inflate award count relative to unique agencies. Award count is therefore a weak proxy for “number of inspections.” Recipients (56) tell you how many named organizations sit on the extract; awards (537) tell you how many assistance rows were stored.

The packet does not report facility counts, deficiencies, or survey hours. Citing 537 as nursing homes would be a unit error. Keep the units straight: dollars, awards, recipients, states.

Obligations versus payment outlays

The $1.72 billion is an obligation total from USAspending.gov. Outlays — cash paid against survey-and-certification awards — are not in the packet. A state survey agency can show a large obligation stock while a draw follows a later quarter. Deobligations and upward adjustments both move the total. A remaining-balance question is an outlay question this extract does not answer.

Use CFDA 93.777 to size this Medicare survey-and-certification listing in the assistance file. Do not use it as a Medicare claims, Medicaid, or nursing-home quality dashboard. Those series live elsewhere. This page reports the obligation book tagged 93.777.

What the 93.777 tables omit

The survey-and-certification hub lists award-backed obligations from USAspending.gov. It is not a deficiency log, not a provider directory, and not a star-rating file. Series that never appear as assistance awards will not show up in the $1,716,192,934.84. That omission is definitional rather than a gap in the 537 award rows.

Place-of-performance on 52 states is a coding field. Read the program page before treating those cells as equal shares. Recipient dollars, if shown on the hub, are still obligation amounts, not cash already spent on inspections.

Where the 93.777 table lives

The program page overlays these four facts. The all-programs index ranks 93.777 among other assistance listings. Agency pages show awarding-agency rollups that may include this CFDA among other HHS listings. For 93.777 only, start on the program page.

CFDA 93.777’s 537 awards spread $1,716,192,934.84 across 56 recipients and 52 states. Quote award count as a record count, recipient count as the organizational headcount, and dollars as obligations from USAspending.gov. About 9.6 award records per recipient is the density story on this listing. Outlays remain a separate column. Source: USAspending.gov assistance awards.

Questions

How much is obligated for Medicare survey and certification?

USAspending.gov records $1,716,192,934.84 in obligations for CFDA 93.777. SpendingVault indexes 537 awards, 56 recipients, and 52 states. The figure is an obligation sum from assistance awards, not an outlay and not a facility count. CFDA 93.777’s $1.72 billion is the USAspending obligation stock.

How many awards does CFDA 93.777 carry?

The listing shows 537 awards against 56 recipients, or about 9.6 award records per recipient. A simple average is about $3.20 million per award. Award count is not a survey or nursing-home count. Recipient dollars are on the program page.

How many organizations receive 93.777 awards?

The extract lists 56 recipients. Those are organizational recipients on assistance awards tagged 93.777. Geographic coding covers 52 states. The packet does not name the 56 or publish inspection counts. Recipient count is the organizational headcount. USAspending.gov indexes those rows as assistance obligations, not outlays.

Is $1.72 billion already paid to state survey agencies?

Not necessarily. Obligations are commitments. Outlays are payments. CFDA 93.777’s indexed total is the obligation stock from USAspending.gov. This page does not report cash drawn, remaining balances, or surveys completed. The $1.72 billion on 537 awards is the obligation figure.