diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Migrations/99.sql b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Migrations/99.sql
index 0f14432992..f95d8a2703 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Migrations/99.sql
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Migrations/99.sql
@@ -300,27 +300,27 @@ CREATE TABLE dbo.DateTimeSearchParam (
 ALTER TABLE dbo.DateTimeSearchParam SET (LOCK_ESCALATION = AUTO);
 
 CREATE CLUSTERED INDEX IXC_DateTimeSearchParam
-    ON dbo.DateTimeSearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId)
+    ON dbo.DateTimeSearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_StartDateTime_EndDateTime_INCLUDE_IsLongerThanADay_IsMin_IsMax
     ON dbo.DateTimeSearchParam(SearchParamId, StartDateTime, EndDateTime)
-    INCLUDE(IsLongerThanADay, IsMin, IsMax)
+    INCLUDE(IsLongerThanADay, IsMin, IsMax) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_EndDateTime_StartDateTime_INCLUDE_IsLongerThanADay_IsMin_IsMax
     ON dbo.DateTimeSearchParam(SearchParamId, EndDateTime, StartDateTime)
-    INCLUDE(IsLongerThanADay, IsMin, IsMax)
+    INCLUDE(IsLongerThanADay, IsMin, IsMax) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_StartDateTime_EndDateTime_INCLUDE_IsMin_IsMax_WHERE_IsLongerThanADay_1
     ON dbo.DateTimeSearchParam(SearchParamId, StartDateTime, EndDateTime)
-    INCLUDE(IsMin, IsMax) WHERE IsLongerThanADay = 1
+    INCLUDE(IsMin, IsMax) WHERE IsLongerThanADay = 1 WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_EndDateTime_StartDateTime_INCLUDE_IsMin_IsMax_WHERE_IsLongerThanADay_1
     ON dbo.DateTimeSearchParam(SearchParamId, EndDateTime, StartDateTime)
-    INCLUDE(IsMin, IsMax) WHERE IsLongerThanADay = 1
+    INCLUDE(IsMin, IsMax) WHERE IsLongerThanADay = 1 WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 IF NOT EXISTS (SELECT 1
@@ -436,19 +436,19 @@ CREATE TABLE dbo.NumberSearchParam (
 ALTER TABLE dbo.NumberSearchParam SET (LOCK_ESCALATION = AUTO);
 
 CREATE CLUSTERED INDEX IXC_NumberSearchParam
-    ON dbo.NumberSearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId)
+    ON dbo.NumberSearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_SingleValue_WHERE_SingleValue_NOT_NULL
-    ON dbo.NumberSearchParam(SearchParamId, SingleValue) WHERE SingleValue IS NOT NULL
+    ON dbo.NumberSearchParam(SearchParamId, SingleValue) WHERE SingleValue IS NOT NULL WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_LowValue_HighValue
-    ON dbo.NumberSearchParam(SearchParamId, LowValue, HighValue)
+    ON dbo.NumberSearchParam(SearchParamId, LowValue, HighValue) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_HighValue_LowValue
-    ON dbo.NumberSearchParam(SearchParamId, HighValue, LowValue)
+    ON dbo.NumberSearchParam(SearchParamId, HighValue, LowValue) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE TABLE dbo.Parameters (
@@ -497,22 +497,22 @@ CREATE TABLE dbo.QuantitySearchParam (
 ALTER TABLE dbo.QuantitySearchParam SET (LOCK_ESCALATION = AUTO);
 
 CREATE CLUSTERED INDEX IXC_QuantitySearchParam
-    ON dbo.QuantitySearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId)
+    ON dbo.QuantitySearchParam(ResourceTypeId, ResourceSurrogateId, SearchParamId) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_SingleValue_INCLUDE_SystemId_WHERE_SingleValue_NOT_NULL
     ON dbo.QuantitySearchParam(SearchParamId, QuantityCodeId, SingleValue)
-    INCLUDE(SystemId) WHERE SingleValue IS NOT NULL
+    INCLUDE(SystemId) WHERE SingleValue IS NOT NULL WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_LowValue_HighValue_INCLUDE_SystemId
     ON dbo.QuantitySearchParam(SearchParamId, QuantityCodeId, LowValue, HighValue)
-    INCLUDE(SystemId)
+    INCLUDE(SystemId) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_HighValue_LowValue_INCLUDE_SystemId
     ON dbo.QuantitySearchParam(SearchParamId, QuantityCodeId, HighValue, LowValue)
-    INCLUDE(SystemId)
+    INCLUDE(SystemId) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE TABLE dbo.ReferenceSearchParam (
@@ -616,17 +616,17 @@ CREATE INDEX IX_ResourceTypeId_HistoryTransactionId
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceId_Version
-    ON dbo.Resource(ResourceTypeId, ResourceId, Version)
+    ON dbo.Resource(ResourceTypeId, ResourceId, Version) WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceId
     ON dbo.Resource(ResourceTypeId, ResourceId)
-    INCLUDE(Version, IsDeleted) WHERE IsHistory = 0
+    INCLUDE(Version, IsDeleted) WHERE IsHistory = 0 WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceSurrgateId
     ON dbo.Resource(ResourceTypeId, ResourceSurrogateId) WHERE IsHistory = 0
-                                                               AND IsDeleted = 0
+                                                               AND IsDeleted = 0 WITH (DATA_COMPRESSION = PAGE)
     ON PartitionScheme_ResourceTypeId (ResourceTypeId);
 
 CREATE TABLE dbo.ResourceChangeData (
diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/DateTimeSearchParam.sql b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/DateTimeSearchParam.sql
index a00e0fa536..71b63e4718 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/DateTimeSearchParam.sql
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/DateTimeSearchParam.sql
@@ -19,6 +19,7 @@ ON dbo.DateTimeSearchParam
     ResourceSurrogateId,
     SearchParamId
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_StartDateTime_EndDateTime_INCLUDE_IsLongerThanADay_IsMin_IsMax
@@ -34,6 +35,7 @@ INCLUDE
     IsMin,
     IsMax
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_EndDateTime_StartDateTime_INCLUDE_IsLongerThanADay_IsMin_IsMax
@@ -49,6 +51,7 @@ INCLUDE
     IsMin,
     IsMax
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_StartDateTime_EndDateTime_INCLUDE_IsMin_IsMax_WHERE_IsLongerThanADay_1
@@ -64,6 +67,7 @@ INCLUDE
     IsMax
 )
 WHERE IsLongerThanADay = 1
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_EndDateTime_StartDateTime_INCLUDE_IsMin_IsMax_WHERE_IsLongerThanADay_1
@@ -79,5 +83,6 @@ INCLUDE
     IsMax
 )
 WHERE IsLongerThanADay = 1
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 
diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/NumberSearchParam.sql b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/NumberSearchParam.sql
index 594784c23c..bbdc5ec3e6 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/NumberSearchParam.sql
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/NumberSearchParam.sql
@@ -17,6 +17,7 @@ ON dbo.NumberSearchParam
     ResourceSurrogateId,
     SearchParamId
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_SingleValue_WHERE_SingleValue_NOT_NULL
@@ -26,6 +27,7 @@ ON dbo.NumberSearchParam
     SingleValue
 )
 WHERE SingleValue IS NOT NULL
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_LowValue_HighValue
@@ -35,6 +37,7 @@ ON dbo.NumberSearchParam
     LowValue,
     HighValue
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_HighValue_LowValue
@@ -44,5 +47,6 @@ ON dbo.NumberSearchParam
     HighValue,
     LowValue
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/QuantitySearchParam.sql b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/QuantitySearchParam.sql
index ffc55f90a0..ecbab77a30 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/QuantitySearchParam.sql
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/QuantitySearchParam.sql
@@ -19,6 +19,7 @@ ON dbo.QuantitySearchParam
     ResourceSurrogateId,
     SearchParamId
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_SingleValue_INCLUDE_SystemId_WHERE_SingleValue_NOT_NULL
@@ -33,6 +34,7 @@ INCLUDE
     SystemId
 )
 WHERE SingleValue IS NOT NULL
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_LowValue_HighValue_INCLUDE_SystemId
@@ -47,6 +49,7 @@ INCLUDE
 (
     SystemId
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE INDEX IX_SearchParamId_QuantityCodeId_HighValue_LowValue_INCLUDE_SystemId
@@ -61,5 +64,6 @@ INCLUDE
 (
     SystemId
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/Resource.sql b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/Resource.sql
index 9008e20cdf..c8e5c0f34b 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/Resource.sql
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Schema/Sql/Tables/Resource.sql
@@ -40,8 +40,8 @@ CREATE TABLE dbo.Resource
 
 ALTER TABLE dbo.Resource SET ( LOCK_ESCALATION = AUTO )
 
-CREATE INDEX IX_ResourceTypeId_TransactionId ON dbo.Resource (ResourceTypeId, TransactionId) WHERE TransactionId IS NOT NULL ON PartitionScheme_ResourceTypeId (ResourceTypeId)
-CREATE INDEX IX_ResourceTypeId_HistoryTransactionId ON dbo.Resource (ResourceTypeId, HistoryTransactionId) WHERE HistoryTransactionId IS NOT NULL ON PartitionScheme_ResourceTypeId (ResourceTypeId)
+CREATE INDEX IX_ResourceTypeId_TransactionId ON dbo.Resource (ResourceTypeId, TransactionId) WHERE TransactionId IS NOT NULL WITH (DATA_COMPRESSION = PAGE) ON PartitionScheme_ResourceTypeId (ResourceTypeId)
+CREATE INDEX IX_ResourceTypeId_HistoryTransactionId ON dbo.Resource (ResourceTypeId, HistoryTransactionId) WHERE HistoryTransactionId IS NOT NULL WITH (DATA_COMPRESSION = PAGE) ON PartitionScheme_ResourceTypeId (ResourceTypeId)
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceId_Version ON dbo.Resource
 (
@@ -49,6 +49,7 @@ CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceId_Version O
     ResourceId,
     Version
 )
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceId ON dbo.Resource
@@ -62,6 +63,7 @@ INCLUDE -- We want the query in UpsertResource, which is done with UPDLOCK AND H
     IsDeleted
 )
 WHERE IsHistory = 0
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 
 CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceSurrgateId ON dbo.Resource
@@ -70,5 +72,6 @@ CREATE UNIQUE NONCLUSTERED INDEX IX_Resource_ResourceTypeId_ResourceSurrgateId O
     ResourceSurrogateId
 )
 WHERE IsHistory = 0 AND IsDeleted = 0
+WITH (DATA_COMPRESSION = PAGE) 
 ON PartitionScheme_ResourceTypeId(ResourceTypeId)
 GO