Medicare Physicians Utilization and Payment Data

**Overview**
This data package contains data provided by The Centers for Medicare and Medicaid Services, through The Physician and Other Supplier Public Use File (The Physician and Other Supplier PUF) about the geographical variations of the Medicare financial indicators. The Physician and Other Supplier PUF is covering a broad spectrum of variables related to Medicare healthcare services providers, utilization, payment and submitted charges.

**Description**
This data package covers data for utilization and payment information with total submitted charges, Medicare allowed amount and Medicare payment amount, Medicare standardized amount aggregated by National Provider Identifier (NPI) and Healthcare Common Procedure Coding System (HCPCS) code.
Utilization and payments on HCPCS codes on national level with Average submitted charges, average Medicare allowed amount, average Medicare payment amount, Medicare standardized payment amount aggregated on Healthcare Common Procedure Coding System (HCPCS) code.
Utilization and payments on HCPCS codes on state level with average submitted charges, average Medicare allowed amount, average Medicare payment amount, Medicare standardized payment amount aggregated on Healthcare Common Procedure Coding System (HCPCS) code for each state.
Utilization and payment data of physicians and other suppliers organized by NPI, HCPCS code and place of service. The source of data included are the CMS administrative claims data about the beneficiaries enrolled in the Medicare fee-for-service program.

**Benefits**
- Useful to researchers and analysts who seek to compare, understand and find useful information about the geographical variations of medicare costs and financing, utilization and beneficiaries of the various types of healthcare services. provides to public health specialists and specialized institutions a complete view on the supply and costs of healthcare services provided by different medical specialties and covered by medicare. the fields descriptions along with the dataset description are useful for the user to quickly understand the data and the dataset.

**License Information**
The use of John Snow Labs datasets is free for personal and research purposes. For commercial use please subscribe to the [Data Library](https://www.johnsnowlabs.com/marketplace/) on John Snow Labs website. The subscription will allow you to use all John Snow Labs datasets and data packages for commercial purposes.

**Included Datasets**
- [Medicare NPI Physician And Other Supplier Payment Aggregate Report](https://www.johnsnowlabs.com/marketplace/medicare-npi-physician-and-other-supplier-payment-aggregate-report)
- The dataset contains information on utilization and payments (Total submitted charges, Medicare allowed amount, Medicare Payment amount, Medicare standardized payment amount) organized by National Provider Identity. Sub-totals for medical type services and drug type services are included as well as overall utilization, payment and charges.
- [Physician and Other Supplier Payment National HCPCS Aggregate Report](https://www.johnsnowlabs.com/marketplace/physician-and-other-supplier-payment-national-hcpcs-aggregate-report)
- The dataset contains information on average utilization and payments (submitted charges, Medicare allowed amount, Medicare Payment amount, Medicare standardized payment amount) on Healthcare Common Procedure Coding System (HCPCS) codes on the national level. This Public Use File is based on information from Centers for Medicare and Medicaid Services administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program available from the Chronic Condition Data Warehouse.
- [Physician and Other Supplier Payment State HCPCS Aggregate Report](https://www.johnsnowlabs.com/marketplace/physician-and-other-supplier-payment-state-hcpcs-aggregate-report)
- The dataset contains information on average utilization and payments (submitted charges, Medicare allowed amount, Medicare Payment amount, Medicare standardized payment amount) on Healthcare Common Procedure Coding System (HCPCS) codes on the state level. This Public Use File is based on information from Centers for Medicare and Medicaid Services administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program available from the CMS Chronic Condition Data Warehouse.
- [Provider of Services-CLIA](https://www.johnsnowlabs.com/marketplace/provider-of-services-clia)
- The dataset contains the data on characteristics of hospitals and other types of healthcare facilities, including the name and address of the facility and the type of Medicare services the facility provides, among other information. The dataset includes provider number, name, and address and characterizes the participating institutional providers.
- [Utilization and Payment Data Medical Equipment and Supplies 2013](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-medical-equipment-and-supplies-2013)
- The Centers for Medicare & Medicaid Services (CMS) publishes the Provider Utilization and Payment Data: Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File referred here as “Referring Provider DMEPOS PUF” in efforts to make the healthcare system more transparent, affordable, and accountable.
- [Utilization and Payment Data Physician and Other Supplier 2012](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2012)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).
- [Utilization and Payment Data Physician and Other Supplier 2013](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2013)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).
- [Utilization and Payment Data Physician and Other Supplier 2014](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2014)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).
- [Utilization and Payment Data Physician and Other Supplier 2015](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2015)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).
- [Utilization and Payment Data Physician and Other Supplier 2016](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2016)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).
- [Utilization and Payment Data Physician and Other Supplier 2017](https://www.johnsnowlabs.com/marketplace/utilization-and-payment-data-physician-and-other-supplier-2017)
- The dataset contains information on ‘Provider Utilization and Payment Data Physician and Other Supplier Public Use File (PUF)’ prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System code, and place of service. This PUF is based on information from CMS’s National Claims History (NCH) Standard Analytic Files (SAFs).

**Data Engineering Overview**
**We deliver high-quality data**
- Each dataset goes through 3 levels of quality review
- 2 Manual reviews are done by domain experts
- Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
- Data is normalized into one unified type system
- All dates, unites, codes, currencies look the same
- All null values are normalized to the same value
- All dataset and field names are SQL and Hive compliant
- Data and Metadata
- Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
- Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
- Data Updates
- Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

**Our data is curated and enriched by domain experts**

Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:
- Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
- Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
- Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
- The data is always kept up to date – even when the source requires manual effort to get updates
- Support for data subscribers is provided directly by the domain experts who curated the data sets
- Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

**Need Help?**
If you have questions about our products, contact us at [[e-mail]](mailto:[e-mail]).

搜集汇总

背景与挑战

背景概述

该数据集汇总了医疗保险医生及其他供应商的利用率和支付数据，包括按NPI和HCPCS代码分类的总费用、允许金额和支付金额。数据来源于CMS的行政索赔数据，覆盖全国和州级层面的医疗程序编码统计信息。