CareJourney: Network Design

CareJourney’s Network Design data asset is a comprehensive resource that maps out the physician and non-physician providers in selected markets.

Healthcare stakeholders have generally operated with insufficient data. Critical decisions regarding patient care, referrals, and provider performance have been made using incomplete, scattered, un-actionable datasets, resulting in patients and providers paying the price, both financially and with their most precious currency: patient health.

With over 2 million NPIs profiled, CareJourney’s data asset enables an increased understanding of which markets providers operate in, to truly get a holistic view of a market.

Data sources:
- CMS Medicare fee-for-service claims details
- CMS Physician Compare
- NPPES data

Each view (by year) is organized by:
- Provider
- Practice Group
- Geography

Sample fields include:
Demographic Metrics
- Provider ID (NPI)
- Taxonomy (NPPES and CareJourney)
- Year
- Geographic Details
- Claim Type

Premium Metrics
- Number of Patients
- Number of Claims
- Allowed Amount
- Provider Panel Type
- Per Member Per Month Spend