CMS released the 2025 Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Partial Hospitalization Programs (PHPs) in September 2026. Download your PEPPER today.

Your PEPPER helps you review your billing data to make sure claims are accurate. Use it to:

Spot billing patterns that may need improvement

Identify areas that may need audits or closer monitoring

Find diagnosis-related groups that may be under-coded or over-coded

Track areas where patient stays are getting longer

How to Get Your PEPPER

Authorized officials (AOs), access managers (AMs), and staff end users (SEUs) can download their organization's report from the PEPPER Portal.

How to become an SEU:

Sign in to the CMS Identity & Access (I&A) Management System using your existing National Plan and Provider Enumeration System (NPPES) or Provider Enrollment, Chain, and Ownership (PECOS) credentials.

Request the PEPPER business function under your organization. The Comparative Billing Report business function is also available and can be requested at the same time.

Your AO or AM must approve your request.

More Information

Visit the Training & Resources webpage for more information about the release and the User Guide

See the I&A Quick Reference Guide and FAQs: Step-by-step instructions for AOs and AMs

Contact the External User Services Help Desk