This website is developed and maintained by TMF Health Quality Institute, under contract with the Centers for Medicare & Medicaid Services to provide comparative data reports to providers and to Medicare Administrative Contractors in support of efforts to reduce Medicare fee-for-service improper payments. PEPPER was previously distributed to hospitals by their state Medicare Quality Improvement Organization (QIO) in support of the Hospital Payment Monitoring Program. QIOs are no longer involved in providing these reports.

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html.