npm - @pipeworx/mcp-medicare-pricing - Versions diffs - 0.1.5 → 0.1.6 - Mend

@pipeworx/mcp-medicare-pricing 0.1.5 → 0.1.6

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.

Files changed (6) hide show

package/README.md CHANGED Viewed

@@ -4,7 +4,7 @@ What Medicare **pays** — physician fee schedule, lab rates, and per-day unit
 limits. The companion to `medicare-coverage`, which answers whether something is
 covered but not what it is worth.
-Part of [Pipeworx](https://pipeworx.io) — an MCP gateway connecting AI agents to 1882+ live data sources. This is an independent, unofficial integration — not affiliated with, endorsed by, or published by the upstream provider.
+Part of [Pipeworx](https://pipeworx.io) — an MCP gateway connecting AI agents to 1856+ live data sources. This is an independent, unofficial integration — not affiliated with, endorsed by, or published by the upstream provider.
 ## Tools
@@ -60,11 +60,11 @@ locality is `medicare_fqhc_gaf` (below).
 for a locality or a whole state with no procedure code (years 2024-2026 loaded;
 2024 and 2025 were backfilled with `scripts/ingest-medicare-pricing.mjs
 --gpci-only`). `medicare_fqhc_gaf` returns CMS's own published FQHC GAF per
-locality for CY2024-2026 and the GAF-adjusted per-visit rate. The GAF table is
+locality for CY2018-2026 (each year from CMS's own GAF publication for that year; 2018 uses CMS's February 2018 updated table, 2021 and 2020 the updated releases) and the GAF-adjusted per-visit rate (2022-2026; null for 2018-2021, whose national base rate is not carried). The GAF table is
 CMS's published number, not derived here, and is a small generated source file
-(`src/fqhc-gaf.ts`, 109 localities per year). **Refresh** each January: download
+(`src/fqhc-gaf.ts`, 109-112 localities per year; ~50 KB). **Refresh** each January: download
 the new year's FQHC GAF file from CMS and run
-`node scripts/build-fqhc-gaf-table.mjs 2024=<csv> 2025=<csv> 2026=<csv> 2027=<csv>`.
+`node scripts/build-fqhc-gaf-table.mjs 2018=<file> ... 2026=<file> 2027=<file>` (ascending; the script finds columns by header name because CMS's layout changes yearly).
 **Refresh**: CMS issues the following year's transmittal in Nov/Dec (the
 CY2026 update was dated 2025-12-05 for a Jan 1, 2026 effective date). Add a
@@ -407,7 +407,7 @@ directly, instead of just this one's:
 }
 ```
-Both URLs reach the same gateway and the same 1882+ data sources. The
+Both URLs reach the same gateway and the same 1856+ data sources. The
 only difference is which pack's tools are listed **directly**; `ask_pipeworx`
 reaches all of them from either one.

package/package.json CHANGED Viewed

@@ -1,6 +1,6 @@
 {
   "name": "@pipeworx/mcp-medicare-pricing",
-  "version": "0.1.5",
+  "version": "0.1.6",
   "description": "What does Medicare PAY — physician fee schedule, lab rates, and per-day unit limits.",
   "type": "module",
   "main": "src/index.ts",
@@ -26,7 +26,7 @@
     "@cloudflare/workers-types": "^4.20260405.1"
   },
   "pipeworx": {
-    "sourceHash": "v1-510fd66ca4a1743183dd5075ecc73df84758f6eeef177a53b00aaae2036235fe",
-    "sourceCommit": "ba9dd6df5992aeb16ef2425ee86d1752c34ca636"
+    "sourceHash": "v1-32efb7ed0c4d3e07bb87e0c09fa0d3f646b4bf25458c73e8f350a248a1e66888",
+    "sourceCommit": "f54ad77e789f27fe393978f9c080b5b18c87bb4f"
   }
 }

package/server.json CHANGED Viewed

@@ -3,7 +3,7 @@
   "name": "io.github.pipeworx-io/medicare-pricing",
   "title": "Medicare Pricing",
   "description": "What does Medicare PAY — physician fee schedule, lab rates, and per-day unit limits.",
-  "version": "0.1.5",
+  "version": "0.1.6",
   "websiteUrl": "https://pipeworx.io/packs/medicare-pricing",
   "repository": {
     "url": "https://github.com/pipeworx-io/mcp-medicare-pricing",

package/src/fqhc-gaf.ts CHANGED Viewed

@@ -2,6 +2,678 @@
 // Publisher: CMS, FQHC Prospective Payment System Geographic Adjustment Factors
 // (one table per calendar year, "with 1.0 floor"). [year, state, locality_number, locality_name, gaf]
 export const FQHC_GAF_ROWS: ReadonlyArray<readonly [number, string, string, string, number]> = [
+  [2018,"AL","00","ALABAMA",0.948],
+  [2018,"AK","01","ALASKA",1.321],
+  [2018,"AZ","00","ARIZONA",0.986],
+  [2018,"AR","13","ARKANSAS",0.94],
+  [2018,"CA","54","BAKERSFIELD",1.045],
+  [2018,"CA","55","CHICO",1.045],
+  [2018,"CA","71","EL CENTRO",1.045],
+  [2018,"CA","56","FRESNO",1.045],
+  [2018,"CA","57","HANFORD-CORCORAN",1.045],
+  [2018,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.107],
+  [2018,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.107],
+  [2018,"CA","58","MADERA",1.045],
+  [2018,"CA","59","MERCED",1.045],
+  [2018,"CA","60","MODESTO",1.045],
+  [2018,"CA","51","NAPA",1.149],
+  [2018,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.095],
+  [2018,"CA","61","REDDING",1.045],
+  [2018,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1.045],
+  [2018,"CA","63","SACRAMENTO--ROSEVILLE--ARDEN-ARCADE",1.054],
+  [2018,"CA","64","SALINAS",1.056],
+  [2018,"CA","72","SAN DIEGO-CARLSBAD",1.059],
+  [2018,"CA","07","SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY)",1.192],
+  [2018,"CA","52","SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY)",1.164],
+  [2018,"CA","05","SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY)",1.192],
+  [2018,"CA","06","SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY)",1.192],
+  [2018,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.1],
+  [2018,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.21],
+  [2018,"CA","73","SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE",1.048],
+  [2018,"CA","66","SANTA CRUZ-WATSONVILLE",1.076],
+  [2018,"CA","74","SANTA MARIA-SANTA BARBARA",1.065],
+  [2018,"CA","67","SANTA ROSA",1.064],
+  [2018,"CA","68","STOCKTON-LODI",1.045],
+  [2018,"CA","53","VALLEJO-FAIRFIELD",1.149],
+  [2018,"CA","69","VISALIA-PORTERVILLE",1.045],
+  [2018,"CA","70","YUBA CITY",1.045],
+  [2018,"CA","75","REST OF CALIFORNIA",1.045],
+  [2018,"CO","01","COLORADO",1.008],
+  [2018,"CT","00","CONNECTICUT",1.064],
+  [2018,"DC","01","DC + MD/VA SUBURBS",1.12],
+  [2018,"DE","01","DELAWARE",1.013],
+  [2018,"FL","03","FORT LAUDERDALE",1.006],
+  [2018,"FL","04","MIAMI",1.014],
+  [2018,"FL","99","REST OF FLORIDA",0.978],
+  [2018,"GA","01","ATLANTA",0.999],
+  [2018,"GA","99","REST OF GEORGIA",0.953],
+  [2018,"HI","01","HAWAII, GUAM",1.069],
+  [2018,"ID","00","IDAHO",0.954],
+  [2018,"IL","16","CHICAGO",1.02],
+  [2018,"IL","12","EAST ST. LOUIS",0.97],
+  [2018,"IL","15","SUBURBAN CHICAGO",1.03],
+  [2018,"IL","99","REST OF ILLINOIS",0.962],
+  [2018,"IN","00","INDIANA",0.962],
+  [2018,"IA","00","IOWA",0.956],
+  [2018,"KS","00","KANSAS",0.958],
+  [2018,"KY","00","KENTUCKY",0.944],
+  [2018,"LA","01","NEW ORLEANS",0.984],
+  [2018,"LA","99","REST OF LOUISIANA",0.947],
+  [2018,"ME","03","SOUTHERN MAINE",1.003],
+  [2018,"ME","99","REST OF MAINE",0.963],
+  [2018,"MD","01","BALTIMORE/SURR. CNTYS",1.057],
+  [2018,"MD","99","REST OF MARYLAND",1.02],
+  [2018,"MA","01","METROPOLITAN BOSTON",1.101],
+  [2018,"MA","99","REST OF MASSACHUSETTS",1.042],
+  [2018,"MI","01","DETROIT",0.995],
+  [2018,"MI","99","REST OF MICHIGAN",0.962],
+  [2018,"MN","00","MINNESOTA",1.005],
+  [2018,"MS","00","MISSISSIPPI",0.939],
+  [2018,"MO","02","METROPOLITAN KANSAS CITY",0.983],
+  [2018,"MO","01","METROPOLITAN ST. LOUIS",0.981],
+  [2018,"MO","99","REST OF MISSOURI",0.936],
+  [2018,"MT","01","MONTANA",1],
+  [2018,"NE","00","NEBRASKA",0.958],
+  [2018,"NV","00","NEVADA",1.009],
+  [2018,"NH","40","NEW HAMPSHIRE",1.021],
+  [2018,"NJ","01","NORTHERN NJ",1.106],
+  [2018,"NJ","99","REST OF NEW JERSEY",1.07],
+  [2018,"NM","05","NEW MEXICO",0.963],
+  [2018,"NY","01","MANHATTAN",1.112],
+  [2018,"NY","02","NYC SUBURBS/LONG ISLAND",1.118],
+  [2018,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.041],
+  [2018,"NY","04","QUEENS",1.121],
+  [2018,"NY","99","REST OF NEW YORK",0.977],
+  [2018,"NC","00","NORTH CAROLINA",0.968],
+  [2018,"ND","01","NORTH DAKOTA",1],
+  [2018,"OH","00","OHIO",0.961],
+  [2018,"OK","00","OKLAHOMA",0.949],
+  [2018,"OR","01","PORTLAND",1.031],
+  [2018,"OR","99","REST OF OREGON",0.985],
+  [2018,"PA","01","METROPOLITAN PHILADELPHIA",1.046],
+  [2018,"PA","99","REST OF PENNSYLVANIA",0.97],
+  [2018,"PR","20","PUERTO RICO",1.003],
+  [2018,"RI","01","RHODE ISLAND",1.038],
+  [2018,"SC","01","SOUTH CAROLINA",0.959],
+  [2018,"SD","02","SOUTH DAKOTA",1],
+  [2018,"TN","35","TENNESSEE",0.954],
+  [2018,"TX","31","AUSTIN",1.01],
+  [2018,"TX","20","BEAUMONT",0.964],
+  [2018,"TX","09","BRAZORIA",1.009],
+  [2018,"TX","11","DALLAS",1.013],
+  [2018,"TX","28","FORT WORTH",0.997],
+  [2018,"TX","15","GALVESTON",1.016],
+  [2018,"TX","18","HOUSTON",1.016],
+  [2018,"TX","99","REST OF TEXAS",0.971],
+  [2018,"UT","09","UTAH",0.966],
+  [2018,"VT","50","VERMONT",1.007],
+  [2018,"VA","00","VIRGINIA",0.993],
+  [2018,"VI","50","VIRGIN ISLANDS",1.003],
+  [2018,"WA","02","SEATTLE (KING CNTY)",1.083],
+  [2018,"WA","99","REST OF WASHINGTON",1.005],
+  [2018,"WV","16","WEST VIRGINIA",0.933],
+  [2018,"WI","00","WISCONSIN",0.98],
+  [2018,"WY","21","WYOMING",1],
+  [2019,"AL","00","ALABAMA",0.948],
+  [2019,"AK","01","ALASKA",1.321],
+  [2019,"AZ","00","ARIZONA",0.986],
+  [2019,"AR","13","ARKANSAS",0.94],
+  [2019,"CA","54","BAKERSFIELD",1.045],
+  [2019,"CA","55","CHICO",1.045],
+  [2019,"CA","71","EL CENTRO",1.045],
+  [2019,"CA","56","FRESNO",1.045],
+  [2019,"CA","57","HANFORD-CORCORAN",1.046],
+  [2019,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.107],
+  [2019,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.107],
+  [2019,"CA","58","MADERA",1.045],
+  [2019,"CA","59","MERCED",1.045],
+  [2019,"CA","60","MODESTO",1.045],
+  [2019,"CA","51","NAPA",1.149],
+  [2019,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.095],
+  [2019,"CA","61","REDDING",1.045],
+  [2019,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1.046],
+  [2019,"CA","63","SACRAMENTO--ROSEVILLE--ARDEN-ARCADE",1.057],
+  [2019,"CA","64","SALINAS",1.061],
+  [2019,"CA","72","SAN DIEGO-CARLSBAD",1.067],
+  [2019,"CA","07","SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY)",1.192],
+  [2019,"CA","52","SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY)",1.171],
+  [2019,"CA","05","SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY)",1.192],
+  [2019,"CA","06","SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY)",1.192],
+  [2019,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.128],
+  [2019,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.21],
+  [2019,"CA","73","SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE",1.05],
+  [2019,"CA","66","SANTA CRUZ-WATSONVILLE",1.091],
+  [2019,"CA","74","SANTA MARIA-SANTA BARBARA",1.076],
+  [2019,"CA","67","SANTA ROSA",1.074],
+  [2019,"CA","68","STOCKTON-LODI",1.045],
+  [2019,"CA","53","VALLEJO-FAIRFIELD",1.149],
+  [2019,"CA","69","VISALIA-PORTERVILLE",1.045],
+  [2019,"CA","70","YUBA CITY",1.045],
+  [2019,"CA","75","REST OF CALIFORNIA",1.045],
+  [2019,"CO","01","COLORADO",1.008],
+  [2019,"CT","00","CONNECTICUT",1.064],
+  [2019,"DC","01","DC + MD/VA SUBURBS",1.12],
+  [2019,"DE","01","DELAWARE",1.013],
+  [2019,"FL","03","FORT LAUDERDALE",1.006],
+  [2019,"FL","04","MIAMI",1.014],
+  [2019,"FL","99","REST OF FLORIDA",0.978],
+  [2019,"GA","01","ATLANTA",0.999],
+  [2019,"GA","99","REST OF GEORGIA",0.953],
+  [2019,"HI","01","HAWAII, GUAM",1.069],
+  [2019,"ID","00","IDAHO",0.954],
+  [2019,"IL","16","CHICAGO",1.02],
+  [2019,"IL","12","EAST ST. LOUIS",0.97],
+  [2019,"IL","15","SUBURBAN CHICAGO",1.03],
+  [2019,"IL","99","REST OF ILLINOIS",0.962],
+  [2019,"IN","00","INDIANA",0.962],
+  [2019,"IA","00","IOWA",0.956],
+  [2019,"KS","00","KANSAS",0.958],
+  [2019,"KY","00","KENTUCKY",0.944],
+  [2019,"LA","01","NEW ORLEANS",0.984],
+  [2019,"LA","99","REST OF LOUISIANA",0.947],
+  [2019,"ME","03","SOUTHERN MAINE",1.003],
+  [2019,"ME","99","REST OF MAINE",0.963],
+  [2019,"MD","01","BALTIMORE/SURR. CNTYS",1.057],
+  [2019,"MD","99","REST OF MARYLAND",1.02],
+  [2019,"MA","01","METROPOLITAN BOSTON",1.101],
+  [2019,"MA","99","REST OF MASSACHUSETTS",1.042],
+  [2019,"MI","01","DETROIT",0.995],
+  [2019,"MI","99","REST OF MICHIGAN",0.962],
+  [2019,"MN","00","MINNESOTA",1.005],
+  [2019,"MS","00","MISSISSIPPI",0.939],
+  [2019,"MO","02","METROPOLITAN KANSAS CITY",0.983],
+  [2019,"MO","01","METROPOLITAN ST. LOUIS",0.981],
+  [2019,"MO","99","REST OF MISSOURI",0.936],
+  [2019,"MT","01","MONTANA",1],
+  [2019,"NE","00","NEBRASKA",0.958],
+  [2019,"NV","00","NEVADA",1.009],
+  [2019,"NH","40","NEW HAMPSHIRE",1.021],
+  [2019,"NJ","01","NORTHERN NJ",1.106],
+  [2019,"NJ","99","REST OF NEW JERSEY",1.07],
+  [2019,"NM","05","NEW MEXICO",0.963],
+  [2019,"NY","01","MANHATTAN",1.112],
+  [2019,"NY","02","NYC SUBURBS/LONG ISLAND",1.118],
+  [2019,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.041],
+  [2019,"NY","04","QUEENS",1.121],
+  [2019,"NY","99","REST OF NEW YORK",0.977],
+  [2019,"NC","00","NORTH CAROLINA",0.968],
+  [2019,"ND","01","NORTH DAKOTA",1],
+  [2019,"OH","00","OHIO",0.961],
+  [2019,"OK","00","OKLAHOMA",0.949],
+  [2019,"OR","01","PORTLAND",1.031],
+  [2019,"OR","99","REST OF OREGON",0.985],
+  [2019,"PA","01","METROPOLITAN PHILADELPHIA",1.046],
+  [2019,"PA","99","REST OF PENNSYLVANIA",0.97],
+  [2019,"PR","20","PUERTO RICO",1.003],
+  [2019,"RI","01","RHODE ISLAND",1.038],
+  [2019,"SC","01","SOUTH CAROLINA",0.959],
+  [2019,"SD","02","SOUTH DAKOTA",1],
+  [2019,"TN","35","TENNESSEE",0.954],
+  [2019,"TX","31","AUSTIN",1.01],
+  [2019,"TX","20","BEAUMONT",0.964],
+  [2019,"TX","09","BRAZORIA",1.009],
+  [2019,"TX","11","DALLAS",1.013],
+  [2019,"TX","28","FORT WORTH",0.997],
+  [2019,"TX","15","GALVESTON",1.016],
+  [2019,"TX","18","HOUSTON",1.016],
+  [2019,"TX","99","REST OF TEXAS",0.971],
+  [2019,"UT","09","UTAH",0.966],
+  [2019,"VT","50","VERMONT",1.007],
+  [2019,"VA","00","VIRGINIA",0.993],
+  [2019,"VI","50","VIRGIN ISLANDS",1.003],
+  [2019,"WA","02","SEATTLE (KING CNTY)",1.083],
+  [2019,"WA","99","REST OF WASHINGTON",1.005],
+  [2019,"WV","16","WEST VIRGINIA",0.933],
+  [2019,"WI","00","WISCONSIN",0.98],
+  [2019,"WY","21","WYOMING",1],
+  [2020,"AL","00","ALABAMA",0.938],
+  [2020,"AK","01","ALASKA",1.293],
+  [2020,"AZ","00","ARIZONA",0.976],
+  [2020,"AR","13","ARKANSAS",0.916],
+  [2020,"CA","54","BAKERSFIELD",1.034],
+  [2020,"CA","55","CHICO",1.025],
+  [2020,"CA","71","EL CENTRO",1.027],
+  [2020,"CA","56","FRESNO",1.025],
+  [2020,"CA","57","HANFORD-CORCORAN",1.025],
+  [2020,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.091],
+  [2020,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.091],
+  [2020,"CA","58","MADERA",1.025],
+  [2020,"CA","59","MERCED",1.025],
+  [2020,"CA","60","MODESTO",1.025],
+  [2020,"CA","51","NAPA",1.11],
+  [2020,"CA","07","SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY)",1.161],
+  [2020,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.08],
+  [2020,"CA","61","REDDING",1.025],
+  [2020,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1.036],
+  [2020,"CA","63","SACRAMENTO--ROSEVILLE--ARDEN-ARCADE",1.034],
+  [2020,"CA","64","SALINAS",1.058],
+  [2020,"CA","72","SAN DIEGO-CARLSBAD",1.058],
+  [2020,"CA","05","SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY)",1.161],
+  [2020,"CA","52","SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY)",1.146],
+  [2020,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.143],
+  [2020,"CA","73","SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE",1.031],
+  [2020,"CA","06","SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY)",1.161],
+  [2020,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.185],
+  [2020,"CA","66","SANTA CRUZ-WATSONVILLE",1.073],
+  [2020,"CA","74","SANTA MARIA-SANTA BARBARA",1.063],
+  [2020,"CA","67","SANTA ROSA",1.065],
+  [2020,"CA","68","STOCKTON-LODI",1.026],
+  [2020,"CA","53","VALLEJO-FAIRFIELD",1.11],
+  [2020,"CA","69","VISALIA-PORTERVILLE",1.025],
+  [2020,"CA","70","YUBA CITY",1.025],
+  [2020,"CA","75","REST OF CALIFORNIA",1.025],
+  [2020,"CO","01","COLORADO",1.011],
+  [2020,"CT","00","CONNECTICUT",1.069],
+  [2020,"DC","01","DC + MD/VA SUBURBS",1.136],
+  [2020,"DE","01","DELAWARE",1.013],
+  [2020,"FL","03","FORT LAUDERDALE",1.038],
+  [2020,"FL","04","MIAMI",1.08],
+  [2020,"FL","99","REST OF FLORIDA",0.993],
+  [2020,"GA","01","ATLANTA",0.999],
+  [2020,"GA","99","REST OF GEORGIA",0.95],
+  [2020,"HI","01","HAWAII, GUAM",1.052],
+  [2020,"ID","00","IDAHO",0.927],
+  [2020,"IL","16","CHICAGO",1.061],
+  [2020,"IL","12","EAST ST. LOUIS",1.004],
+  [2020,"IL","15","SUBURBAN CHICAGO",1.053],
+  [2020,"IL","99","REST OF ILLINOIS",0.971],
+  [2020,"IN","00","INDIANA",0.935],
+  [2020,"IA","00","IOWA",0.934],
+  [2020,"KS","00","KANSAS",0.94],
+  [2020,"KY","00","KENTUCKY",0.936],
+  [2020,"LA","01","NEW ORLEANS",0.993],
+  [2020,"LA","99","REST OF LOUISIANA",0.957],
+  [2020,"ME","03","SOUTHERN MAINE",0.986],
+  [2020,"ME","99","REST OF MAINE",0.945],
+  [2020,"MD","01","BALTIMORE/SURR. CNTYS",1.069],
+  [2020,"MD","99","REST OF MARYLAND",1.024],
+  [2020,"MA","01","METROPOLITAN BOSTON",1.104],
+  [2020,"MA","99","REST OF MASSACHUSETTS",1.038],
+  [2020,"MI","01","DETROIT",1.025],
+  [2020,"MI","99","REST OF MICHIGAN",0.962],
+  [2020,"MN","00","MINNESOTA",0.978],
+  [2020,"MS","00","MISSISSIPPI",0.915],
+  [2020,"MO","02","METROPOLITAN KANSAS CITY",0.981],
+  [2020,"MO","01","METROPOLITAN ST. LOUIS",0.984],
+  [2020,"MO","99","REST OF MISSOURI",0.932],
+  [2020,"MT","01","MONTANA",1.013],
+  [2020,"NE","00","NEBRASKA",0.928],
+  [2020,"NV","00","NEVADA",1.007],
+  [2020,"NH","40","NEW HAMPSHIRE",1.018],
+  [2020,"NJ","01","NORTHERN NJ",1.106],
+  [2020,"NJ","99","REST OF NEW JERSEY",1.072],
+  [2020,"NM","05","NEW MEXICO",0.968],
+  [2020,"NY","01","MANHATTAN",1.149],
+  [2020,"NY","02","NYC SUBURBS/LONG ISLAND",1.179],
+  [2020,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.071],
+  [2020,"NY","04","QUEENS",1.183],
+  [2020,"NY","99","REST OF NEW YORK",0.965],
+  [2020,"NC","00","NORTH CAROLINA",0.958],
+  [2020,"ND","01","NORTH DAKOTA",0.978],
+  [2020,"OH","00","OHIO",0.964],
+  [2020,"OK","00","OKLAHOMA",0.943],
+  [2020,"OR","01","PORTLAND",1.02],
+  [2020,"OR","99","REST OF OREGON",0.966],
+  [2020,"PA","01","METROPOLITAN PHILADELPHIA",1.059],
+  [2020,"PA","99","REST OF PENNSYLVANIA",0.97],
+  [2020,"PR","20","PUERTO RICO",1.003],
+  [2020,"RI","01","RHODE ISLAND",1.034],
+  [2020,"SC","01","SOUTH CAROLINA",0.942],
+  [2020,"SD","02","SOUTH DAKOTA",0.973],
+  [2020,"TN","35","TENNESSEE",0.933],
+  [2020,"TX","31","AUSTIN",1.003],
+  [2020,"TX","20","BEAUMONT",0.957],
+  [2020,"TX","09","BRAZORIA",1.004],
+  [2020,"TX","11","DALLAS",1.003],
+  [2020,"TX","28","FORT WORTH",0.986],
+  [2020,"TX","15","GALVESTON",1.008],
+  [2020,"TX","18","HOUSTON",1.019],
+  [2020,"TX","99","REST OF TEXAS",0.963],
+  [2020,"UT","09","UTAH",0.965],
+  [2020,"VT","50","VERMONT",0.986],
+  [2020,"VA","00","VIRGINIA",0.992],
+  [2020,"VI","50","VIRGIN ISLANDS",1.003],
+  [2020,"WA","02","SEATTLE (KING CNTY)",1.086],
+  [2020,"WA","99","REST OF WASHINGTON",0.998],
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+  [2020,"WI","00","WISCONSIN",0.948],
+  [2020,"WY","21","WYOMING",0.994],
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+  [2021,"AZ","00","ARIZONA",0.972],
+  [2021,"AR","13","ARKANSAS",0.908],
+  [2021,"CA","54","BAKERSFIELD",1.034],
+  [2021,"CA","55","CHICO",1.026],
+  [2021,"CA","71","EL CENTRO",1.027],
+  [2021,"CA","56","FRESNO",1.026],
+  [2021,"CA","57","HANFORD-CORCORAN",1.026],
+  [2021,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.092],
+  [2021,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.092],
+  [2021,"CA","58","MADERA",1.026],
+  [2021,"CA","59","MERCED",1.026],
+  [2021,"CA","60","MODESTO",1.026],
+  [2021,"CA","51","NAPA",1.1],
+  [2021,"CA","07","SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)",1.163],
+  [2021,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.082],
+  [2021,"CA","61","REDDING",1.026],
+  [2021,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1.039],
+  [2021,"CA","63","SACRAMENTO-ROSEVILLE-FOLSOM",1.036],
+  [2021,"CA","64","SALINAS",1.067],
+  [2021,"CA","72","SAN DIEGO-CHULA VISTA-CARLSBAD",1.066],
+  [2021,"CA","05","SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)",1.163],
+  [2021,"CA","52","SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)",1.154],
+  [2021,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.174],
+  [2021,"CA","73","SAN LUIS OBISPO-PASO ROBLES",1.035],
+  [2021,"CA","06","SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)",1.163],
+  [2021,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.195],
+  [2021,"CA","66","SANTA CRUZ-WATSONVILLE",1.086],
+  [2021,"CA","74","SANTA MARIA-SANTA BARBARA",1.073],
+  [2021,"CA","67","SANTA ROSA-PETALUMA",1.075],
+  [2021,"CA","68","STOCKTON",1.026],
+  [2021,"CA","53","VALLEJO",1.1],
+  [2021,"CA","69","VISALIA",1.026],
+  [2021,"CA","70","YUBA CITY",1.026],
+  [2021,"CA","75","REST OF CALIFORNIA",1.026],
+  [2021,"CO","01","COLORADO",1.011],
+  [2021,"CT","00","CONNECTICUT",1.067],
+  [2021,"DC","01","DC + MD/VA SUBURBS",1.146],
+  [2021,"DE","01","DELAWARE",1.009],
+  [2021,"FL","03","FORT LAUDERDALE",1.037],
+  [2021,"FL","04","MIAMI",1.08],
+  [2021,"FL","99","REST OF FLORIDA",0.991],
+  [2021,"GA","01","ATLANTA",0.995],
+  [2021,"GA","99","REST OF GEORGIA",0.941],
+  [2021,"HI","01","HAWAII, GUAM",1.055],
+  [2021,"ID","00","IDAHO",0.92],
+  [2021,"IL","16","CHICAGO",1.062],
+  [2021,"IL","12","EAST ST. LOUIS",1.002],
+  [2021,"IL","15","SUBURBAN CHICAGO",1.053],
+  [2021,"IL","99","REST OF ILLINOIS",0.968],
+  [2021,"IN","00","INDIANA",0.932],
+  [2021,"IA","00","IOWA",0.934],
+  [2021,"KS","00","KANSAS",0.935],
+  [2021,"KY","00","KENTUCKY",0.934],
+  [2021,"LA","01","NEW ORLEANS",0.99],
+  [2021,"LA","99","REST OF LOUISIANA",0.956],
+  [2021,"ME","03","SOUTHERN MAINE",0.984],
+  [2021,"ME","99","REST OF MAINE",0.939],
+  [2021,"MD","01","BALTIMORE/SURR. CNTYS",1.071],
+  [2021,"MD","99","REST OF MARYLAND",1.025],
+  [2021,"MA","01","METROPOLITAN BOSTON",1.109],
+  [2021,"MA","99","REST OF MASSACHUSETTS",1.034],
+  [2021,"MI","01","DETROIT",1.025],
+  [2021,"MI","99","REST OF MICHIGAN",0.959],
+  [2021,"MN","00","MINNESOTA",0.978],
+  [2021,"MS","00","MISSISSIPPI",0.915],
+  [2021,"MO","02","METROPOLITAN KANSAS CITY",0.975],
+  [2021,"MO","01","METROPOLITAN ST. LOUIS",0.984],
+  [2021,"MO","99","REST OF MISSOURI",0.926],
+  [2021,"MT","01","MONTANA",0.999],
+  [2021,"NE","00","NEBRASKA",0.926],
+  [2021,"NV","00","NEVADA",1.018],
+  [2021,"NH","40","NEW HAMPSHIRE",1.013],
+  [2021,"NJ","01","NORTHERN NJ",1.113],
+  [2021,"NJ","99","REST OF NEW JERSEY",1.08],
+  [2021,"NM","05","NEW MEXICO",0.96],
+  [2021,"NY","01","MANHATTAN",1.164],
+  [2021,"NY","02","NYC SUBURBS/LONG ISLAND",1.196],
+  [2021,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.089],
+  [2021,"NY","04","QUEENS",1.202],
+  [2021,"NY","99","REST OF NEW YORK",0.969],
+  [2021,"NC","00","NORTH CAROLINA",0.96],
+  [2021,"ND","01","NORTH DAKOTA",0.976],
+  [2021,"OH","00","OHIO",0.965],
+  [2021,"OK","00","OKLAHOMA",0.937],
+  [2021,"OR","01","PORTLAND",1.02],
+  [2021,"OR","99","REST OF OREGON",0.956],
+  [2021,"PA","01","METROPOLITAN PHILADELPHIA",1.057],
+  [2021,"PA","99","REST OF PENNSYLVANIA",0.968],
+  [2021,"PR","20","PUERTO RICO",1.003],
+  [2021,"RI","01","RHODE ISLAND",1.031],
+  [2021,"SC","01","SOUTH CAROLINA",0.943],
+  [2021,"SD","02","SOUTH DAKOTA",0.972],
+  [2021,"TN","35","TENNESSEE",0.93],
+  [2021,"TX","31","AUSTIN",1.007],
+  [2021,"TX","20","BEAUMONT",0.956],
+  [2021,"TX","09","BRAZORIA",1.007],
+  [2021,"TX","11","DALLAS",1.004],
+  [2021,"TX","28","FORT WORTH",0.986],
+  [2021,"TX","15","GALVESTON",1.009],
+  [2021,"TX","18","HOUSTON",1.025],
+  [2021,"TX","99","REST OF TEXAS",0.962],
+  [2021,"UT","09","UTAH",0.955],
+  [2021,"VT","50","VERMONT",0.982],
+  [2021,"VA","00","VIRGINIA",0.993],
+  [2021,"VI","50","VIRGIN ISLANDS",1.003],
+  [2021,"WA","02","SEATTLE (KING CNTY)",1.096],
+  [2021,"WA","99","REST OF WASHINGTON",0.995],
+  [2021,"WV","16","WEST VIRGINIA",0.945],
+  [2021,"WI","00","WISCONSIN",0.944],
+  [2021,"WY","21","WYOMING",0.993],
+  [2022,"AL","00","ALABAMA",0.907],
+  [2022,"AK","01","ALASKA",1.264],
+  [2022,"AZ","00","ARIZONA",0.935],
+  [2022,"AR","13","ARKANSAS",0.888],
+  [2022,"CA","54","BAKERSFIELD",1.005],
+  [2022,"CA","55","CHICO",1],
+  [2022,"CA","71","EL CENTRO",1],
+  [2022,"CA","56","FRESNO",1],
+  [2022,"CA","57","HANFORD-CORCORAN",1],
+  [2022,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.06],
+  [2022,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.06],
+  [2022,"CA","58","MADERA",1],
+  [2022,"CA","59","MERCED",1],
+  [2022,"CA","60","MODESTO",1],
+  [2022,"CA","51","NAPA",1.078],
+  [2022,"CA","07","SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)",1.144],
+  [2022,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.051],
+  [2022,"CA","61","REDDING",1],
+  [2022,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1],
+  [2022,"CA","63","SACRAMENTO-ROSEVILLE-FOLSOM",1.013],
+  [2022,"CA","64","SALINAS",1.049],
+  [2022,"CA","72","SAN DIEGO-CHULA VISTA-CARLSBAD",1.048],
+  [2022,"CA","05","SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)",1.144],
+  [2022,"CA","52","SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)",1.144],
+  [2022,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.178],
+  [2022,"CA","73","SAN LUIS OBISPO-PASO ROBLES",1.011],
+  [2022,"CA","06","SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)",1.144],
+  [2022,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.178],
+  [2022,"CA","66","SANTA CRUZ-WATSONVILLE",1.072],
+  [2022,"CA","74","SANTA MARIA-SANTA BARBARA",1.056],
+  [2022,"CA","67","SANTA ROSA-PETALUMA",1.059],
+  [2022,"CA","68","STOCKTON",1],
+  [2022,"CA","53","VALLEJO",1.078],
+  [2022,"CA","69","VISALIA",1],
+  [2022,"CA","70","YUBA CITY",1],
+  [2022,"CA","75","REST OF CALIFORNIA",1],
+  [2022,"CO","01","COLORADO",0.979],
+  [2022,"CT","00","CONNECTICUT",1.027],
+  [2022,"DC","01","DC + MD/VA SUBURBS",1.09],
+  [2022,"DE","01","DELAWARE",0.969],
+  [2022,"FL","03","FORT LAUDERDALE",0.957],
+  [2022,"FL","04","MIAMI",0.967],
+  [2022,"FL","99","REST OF FLORIDA",0.93],
+  [2022,"GA","01","ATLANTA",0.956],
+  [2022,"GA","99","REST OF GEORGIA",0.902],
+  [2022,"HI","01","HAWAII, GUAM",1.026],
+  [2022,"ID","00","IDAHO",0.902],
+  [2022,"IL","16","CHICAGO",0.982],
+  [2022,"IL","12","EAST ST. LOUIS",0.931],
+  [2022,"IL","15","SUBURBAN CHICAGO",0.988],
+  [2022,"IL","99","REST OF ILLINOIS",0.918],
+  [2022,"IN","00","INDIANA",0.912],
+  [2022,"IA","00","IOWA",0.915],
+  [2022,"KS","00","KANSAS",0.916],
+  [2022,"KY","00","KENTUCKY",0.898],
+  [2022,"LA","01","NEW ORLEANS",0.924],
+  [2022,"LA","99","REST OF LOUISIANA",0.9],
+  [2022,"ME","03","SOUTHERN MAINE",0.956],
+  [2022,"ME","99","REST OF MAINE",0.911],
+  [2022,"MD","01","BALTIMORE/SURR. CNTYS",1.014],
+  [2022,"MD","99","REST OF MARYLAND",0.979],
+  [2022,"MA","01","METROPOLITAN BOSTON",1.073],
+  [2022,"MA","99","REST OF MASSACHUSETTS",0.998],
+  [2022,"MI","01","DETROIT",0.956],
+  [2022,"MI","99","REST OF MICHIGAN",0.917],
+  [2022,"MN","00","MINNESOTA",0.963],
+  [2022,"MS","00","MISSISSIPPI",0.886],
+  [2022,"MO","02","METROPOLITAN KANSAS CITY",0.937],
+  [2022,"MO","01","METROPOLITAN ST. LOUIS",0.946],
+  [2022,"MO","99","REST OF MISSOURI",0.891],
+  [2022,"MT","01","MONTANA",0.957],
+  [2022,"NE","00","NEBRASKA",0.916],
+  [2022,"NV","00","NEVADA",0.96],
+  [2022,"NH","40","NEW HAMPSHIRE",0.974],
+  [2022,"NJ","01","NORTHERN NJ",1.071],
+  [2022,"NJ","99","REST OF NEW JERSEY",1.039],
+  [2022,"NM","05","NEW MEXICO",0.91],
+  [2022,"NY","01","MANHATTAN",1.077],
+  [2022,"NY","02","NYC SUBURBS/LONG ISLAND",1.08],
+  [2022,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.018],
+  [2022,"NY","04","QUEENS",1.088],
+  [2022,"NY","99","REST OF NEW YORK",0.937],
+  [2022,"NC","00","NORTH CAROLINA",0.925],
+  [2022,"ND","01","NORTH DAKOTA",0.957],
+  [2022,"OH","00","OHIO",0.918],
+  [2022,"OK","00","OKLAHOMA",0.904],
+  [2022,"OR","01","PORTLAND",0.996],
+  [2022,"OR","99","REST OF OREGON",0.933],
+  [2022,"PA","01","METROPOLITAN PHILADELPHIA",1.005],
+  [2022,"PA","99","REST OF PENNSYLVANIA",0.93],
+  [2022,"PR","20","PUERTO RICO",0.961],
+  [2022,"RI","01","RHODE ISLAND",0.989],
+  [2022,"SC","01","SOUTH CAROLINA",0.914],
+  [2022,"SD","02","SOUTH DAKOTA",0.957],
+  [2022,"TN","35","TENNESSEE",0.909],
+  [2022,"TX","31","AUSTIN",0.984],
+  [2022,"TX","20","BEAUMONT",0.932],
+  [2022,"TX","09","BRAZORIA",0.984],
+  [2022,"TX","11","DALLAS",0.98],
+  [2022,"TX","28","FORT WORTH",0.963],
+  [2022,"TX","15","GALVESTON",0.985],
+  [2022,"TX","18","HOUSTON",0.986],
+  [2022,"TX","99","REST OF TEXAS",0.937],
+  [2022,"UT","09","UTAH",0.921],
+  [2022,"VT","50","VERMONT",0.957],
+  [2022,"VA","00","VIRGINIA",0.955],
+  [2022,"VI","50","VIRGIN ISLANDS",0.961],
+  [2022,"WA","02","SEATTLE (KING CNTY)",1.062],
+  [2022,"WA","99","REST OF WASHINGTON",0.963],
+  [2022,"WV","16","WEST VIRGINIA",0.893],
+  [2022,"WI","00","WISCONSIN",0.931],
+  [2022,"WY","21","WYOMING",0.957],
+  [2023,"AL","00","ALABAMA",0.902],
+  [2023,"AK","01","ALASKA",1.255],
+  [2023,"AZ","00","ARIZONA",0.941],
+  [2023,"AR","13","ARKANSAS",0.891],
+  [2023,"CA","54","BAKERSFIELD",1.008],
+  [2023,"CA","55","CHICO",1.005],
+  [2023,"CA","71","EL CENTRO",1.005],
+  [2023,"CA","56","FRESNO",1.005],
+  [2023,"CA","57","HANFORD-CORCORAN",1.005],
+  [2023,"CA","18","LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)",1.065],
+  [2023,"CA","26","LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)",1.065],
+  [2023,"CA","58","MADERA",1.005],
+  [2023,"CA","59","MERCED",1.005],
+  [2023,"CA","60","MODESTO",1.005],
+  [2023,"CA","51","NAPA",1.104],
+  [2023,"CA","07","SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)",1.17],
+  [2023,"CA","17","OXNARD-THOUSAND OAKS-VENTURA",1.054],
+  [2023,"CA","61","REDDING",1.005],
+  [2023,"CA","62","RIVERSIDE-SAN BERNARDINO-ONTARIO",1.005],
+  [2023,"CA","63","SACRAMENTO-ROSEVILLE-FOLSOM",1.03],
+  [2023,"CA","64","SALINAS",1.051],
+  [2023,"CA","72","SAN DIEGO-CHULA VISTA-CARLSBAD",1.054],
+  [2023,"CA","05","SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)",1.17],
+  [2023,"CA","52","SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)",1.17],
+  [2023,"CA","65","SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",1.194],
+  [2023,"CA","73","SAN LUIS OBISPO-PASO ROBLES",1.019],
+  [2023,"CA","06","SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)",1.17],
+  [2023,"CA","09","SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",1.194],
+  [2023,"CA","66","SANTA CRUZ-WATSONVILLE",1.068],
+  [2023,"CA","74","SANTA MARIA-SANTA BARBARA",1.053],
+  [2023,"CA","67","SANTA ROSA-PETALUMA",1.07],
+  [2023,"CA","68","STOCKTON",1.005],
+  [2023,"CA","53","VALLEJO",1.104],
+  [2023,"CA","69","VISALIA",1.005],
+  [2023,"CA","70","YUBA CITY",1.005],
+  [2023,"CA","75","REST OF CALIFORNIA",1.005],
+  [2023,"CO","01","COLORADO",0.983],
+  [2023,"CT","00","CONNECTICUT",1.02],
+  [2023,"DC","01","DC + MD/VA SUBURBS",1.084],
+  [2023,"DE","01","DELAWARE",0.965],
+  [2023,"FL","03","FORT LAUDERDALE",0.958],
+  [2023,"FL","04","MIAMI",0.969],
+  [2023,"FL","99","REST OF FLORIDA",0.931],
+  [2023,"GA","01","ATLANTA",0.957],
+  [2023,"GA","99","REST OF GEORGIA",0.904],
+  [2023,"HI","01","HAWAII, GUAM",1.026],
+  [2023,"ID","00","IDAHO",0.909],
+  [2023,"IL","16","CHICAGO",0.978],
+  [2023,"IL","12","EAST ST. LOUIS",0.926],
+  [2023,"IL","15","SUBURBAN CHICAGO",0.987],
+  [2023,"IL","99","REST OF ILLINOIS",0.918],
+  [2023,"IN","00","INDIANA",0.917],
+  [2023,"IA","00","IOWA",0.917],
+  [2023,"KS","00","KANSAS",0.916],
+  [2023,"KY","00","KENTUCKY",0.9],
+  [2023,"LA","01","NEW ORLEANS",0.927],
+  [2023,"LA","99","REST OF LOUISIANA",0.902],
+  [2023,"ME","03","SOUTHERN MAINE",0.96],
+  [2023,"ME","99","REST OF MAINE",0.915],
+  [2023,"MD","01","BALTIMORE/SURR. CNTYS",1.01],
+  [2023,"MD","99","REST OF MARYLAND",0.976],
+  [2023,"MA","01","METROPOLITAN BOSTON",1.072],
+  [2023,"MA","99","REST OF MASSACHUSETTS",0.997],
+  [2023,"MI","01","DETROIT",0.954],
+  [2023,"MI","99","REST OF MICHIGAN",0.917],
+  [2023,"MN","00","MINNESOTA",0.967],
+  [2023,"MS","00","MISSISSIPPI",0.888],
+  [2023,"MO","02","METROPOLITAN KANSAS CITY",0.936],
+  [2023,"MO","01","METROPOLITAN ST. LOUIS",0.942],
+  [2023,"MO","99","REST OF MISSOURI",0.892],
+  [2023,"MT","01","MONTANA",0.958],
+  [2023,"NE","00","NEBRASKA",0.918],
+  [2023,"NV","00","NEVADA",0.958],
+  [2023,"NH","40","NEW HAMPSHIRE",0.974],
+  [2023,"NJ","01","NORTHERN NJ",1.071],
+  [2023,"NJ","99","REST OF NEW JERSEY",1.034],
+  [2023,"NM","05","NEW MEXICO",0.913],
+  [2023,"NY","01","MANHATTAN",1.073],
+  [2023,"NY","02","NYC SUBURBS/LONG ISLAND",1.083],
+  [2023,"NY","03","POUGHKPSIE/N NYC SUBURBS",1.024],
+  [2023,"NY","04","QUEENS",1.085],
+  [2023,"NY","99","REST OF NEW YORK",0.936],
+  [2023,"NC","00","NORTH CAROLINA",0.925],
+  [2023,"ND","01","NORTH DAKOTA",0.958],
+  [2023,"OH","00","OHIO",0.918],
+  [2023,"OK","00","OKLAHOMA",0.906],
+  [2023,"OR","01","PORTLAND",1.005],
+  [2023,"OR","99","REST OF OREGON",0.943],
+  [2023,"PA","01","METROPOLITAN PHILADELPHIA",1.001],
+  [2023,"PA","99","REST OF PENNSYLVANIA",0.928],
+  [2023,"PR","20","PUERTO RICO",0.958],
+  [2023,"RI","01","RHODE ISLAND",0.99],
+  [2023,"SC","01","SOUTH CAROLINA",0.916],
+  [2023,"SD","02","SOUTH DAKOTA",0.958],
+  [2023,"TN","35","TENNESSEE",0.91],
+  [2023,"TX","31","AUSTIN",0.982],
+  [2023,"TX","20","BEAUMONT",0.923],
+  [2023,"TX","09","BRAZORIA",0.976],
+  [2023,"TX","11","DALLAS",0.974],
+  [2023,"TX","28","FORT WORTH",0.963],
+  [2023,"TX","15","GALVESTON",0.976],
+  [2023,"TX","18","HOUSTON",0.977],
+  [2023,"TX","99","REST OF TEXAS",0.935],
+  [2023,"UT","09","UTAH",0.924],
+  [2023,"VT","50","VERMONT",0.957],
+  [2023,"VA","00","VIRGINIA",0.953],
+  [2023,"VI","50","VIRGIN ISLANDS",0.958],
+  [2023,"WA","02","SEATTLE (KING CNTY)",1.072],
+  [2023,"WA","99","REST OF WASHINGTON",0.972],
+  [2023,"WV","16","WEST VIRGINIA",0.894],
+  [2023,"WI","00","WISCONSIN",0.935],
+  [2023,"WY","21","WYOMING",0.958],
   [2024,"AL","00","ALABAMA",0.899],
   [2024,"AK","01","ALASKA",1.246],
   [2024,"AZ","00","ARIZONA",0.947],

package/src/index.ts CHANGED Viewed

@@ -1441,13 +1441,13 @@ const tools: McpToolExport['tools'] = [
     name: 'medicare_fqhc_gaf',
     description:
       'What is the FQHC Geographic Adjustment Factor (GAF) for a place, and what does Medicare pay a Federally Qualified Health Center per visit THERE? Returns the official CMS FQHC PPS GAF for a Medicare locality and calendar year, and the GAF-adjusted per-visit rate (national base rate x GAF). Answers "FQHC PPS GAF for Orlando, Florida 2025", "CY2026 FQHC geographic adjustment Rest of California", "what is the FQHC PPS rate in Alaska". '
-      + 'The GAF is CMS\'s own published number per locality (adapted from the work and practice-expense GPCIs, with the 1.0 floor), not something this tool estimates. A state returns all its localities; a city is not a locality, so name the locality or pick from the list (Florida has Fort Lauderdale, Miami and Rest of Florida). Complements medicare_fqhc_pps_rate (national base rate) and medicare_gpci_lookup (the underlying GPCIs). Years 2024-2026 loaded. Sourced from the CMS FQHC PPS geographic adjustment factor tables.',
+      + 'The GAF is CMS\'s own published number per locality (adapted from the work and practice-expense GPCIs, with the 1.0 floor), not something this tool estimates. A state returns all its localities; a city is not a locality, so name the locality or pick from the list (Florida has Fort Lauderdale, Miami and Rest of Florida). Complements medicare_fqhc_pps_rate (national base rate) and medicare_gpci_lookup (the underlying GPCIs). Years 2018-2026 loaded; the GAF-adjusted rate is returned for 2022-2026 (years whose national base rate this pack carries) and is null with a stated reason for 2018-2021. Sourced from the CMS FQHC PPS geographic adjustment factor tables.',
     inputSchema: {
       type: 'object' as const,
       properties: {
         locality: { type: 'string', description: 'State code ("FL"), state name ("Florida"), or Medicare locality name ("Fort Lauderdale", "Rest of Florida"). A bare state returns all of its localities.' },
         locality_number: { type: 'string', description: 'Optional Medicare locality number, e.g. "99"; with a state it pins one locality.' },
-        year: { type: 'number', description: 'Calendar year, 2024-2026. Omit for the newest loaded year (stated in the response).' },
+        year: { type: 'number', description: 'Calendar year, 2018-2026. Omit for the newest loaded year (stated in the response).' },
       },
     },
   },
@@ -1584,6 +1584,7 @@ function fqhcGafLookup(args: Record<string, unknown>) {
     localities,
     locality_count: localities.length,
     base_rate_usd: base?.base_rate_usd ?? null,
+    base_rate_note: base ? undefined : `The national FQHC PPS base rate for CY ${year} is not carried in this pack, so no GAF-adjusted rate is computed; the GAF itself is CMS's published value for ${year}.`,
     formula: base ? `FQHC PPS base rate $${base.base_rate_usd.toFixed(2)} x FQHC GAF = per-visit rate (before the new-patient / IPPE / AWV add-on and the lesser-of-charges rule)` : null,
     note: localities.length > 1
       ? `${cityNote}${localities.length} Medicare localities matched and their GAFs differ; a city is not a locality — pick the locality that contains the health center.`

package/src/server.ts CHANGED Viewed

@@ -10,7 +10,7 @@ import pack from './index.js';
 const server = new Server(
-  { name: '@pipeworx/mcp-medicare-pricing', version: '0.1.5' },
+  { name: '@pipeworx/mcp-medicare-pricing', version: '0.1.6' },
   { capabilities: { tools: {} } },
 );