Medicare Provider Services and Utilization

**Overview**
This data package shows information on Medicare enrollment level data for providers organized at the individual level, Phase III target list which revalidates all remaining providers, a list of due dates by which the provider/supplier's revalidation application must reach their MAC (Medicare Administrative Contractor) and the number of Medicare beneficiaries who use a health service area and a list of all providers and suppliers who have been mailed a revalidation notice.

**Description**
The Provider Enrollment, Chain, and Ownership System (PECOS) is an online Medicare enrollment system where providers and suppliers can:
- Submit Medicare enrollment applications
- View and print enrollment information
- Update enrollment information
- Complete the enrollment revalidation process
- Withdraw from the Medicare Program voluntarily
- Track the status of a submitted Medicare enrollment application

**Benefits**
- providers and suppliers can: view and print enrollment information
- complete the enrollment revalidation process
- track the status of a submitted medicare enrollment application

**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**
- [Base Provider Enrollment File](https://www.johnsnowlabs.com/marketplace/base-provider-enrollment-file)
- This dataset shows a point in time snapshot of enrollment level data for providers actively enrolled in Medicare for the year 2019.
- [Essential Community Providers Dental Services](https://www.johnsnowlabs.com/marketplace/essential-community-providers-dental-services)
- This dataset shows the list of Essential Community Providers (ECPs) that provide dental services enrolled in the Centers for Medicare and Medicaid Services (CMS).
- [Medicare Part A and B Enrollments Revalidation Phase III Target List](https://www.johnsnowlabs.com/marketplace/medicare-part-a-and-b-enrollments-revalidation-phase-iii-target-list)
- This dataset consists of Medicare Phase III target list which revalidates all remaining providers including providers reassigning their benefits to some of the large organizations they are affiliated with. Large organizations are considered as groups with 200 or more reassignments.
- [Medicare Physician National Downloadable File](https://www.johnsnowlabs.com/marketplace/medicare-physician-national-downloadable-file)
- The National downloadable file is organized at the individual provider level; each line is unique at the provider/enrollment/organization/address level. Providers with multiple enrollments and/or single enrollments linking to multiple practice location addresses are listed on multiple lines.
- [Medicare Providers and Suppliers Revalidation Due Date List 2016](https://www.johnsnowlabs.com/marketplace/medicare-providers-and-suppliers-revalidation-due-date-list-2016)
- This dataset conisists of a list of due dates by which the provider/supplier's revalidation application must reach their MAC (Medicare Administrative Contractor) in order for them to remain in compliance with Medicare's provider enrollment requirements.
- [Medicare Providers and Suppliers Revalidation Due Date List](https://www.johnsnowlabs.com/marketplace/medicare-providers-and-suppliers-revalidation-due-date-list)
- This dataset conisists of a list of due dates by which the provider/supplier's revalidation application must reach their MAC (Medicare Administrative Contractor) in order for them to remain in compliance with Medicare's provider enrollment requirements.
- [Moratoria Provider Services and Utilization at State and County Level](https://www.johnsnowlabs.com/marketplace/moratoria-provider-services-and-utilization-at-state-and-county-level)
- Moratoria Provider Services and Utilization dataset provides information on the number of Medicare providers servicing a geographic region and the number of Medicare beneficiaries who use a health service area. The dataset can also be used to reveal the degree to which use of a service is related to the number of providers servicing a geographic region as well as to determine which geographic and health service areas might be considered for a moratorium on new providers.
- [Revalidation Notice List for Providers Enrolled Before 2011-03-25](https://www.johnsnowlabs.com/marketplace/revalidation-notice-list-for-providers-enrolled-before-2011-03-25)
- This dataset contains the current list of all providers and suppliers who have been mailed a revalidation notice. If a provider/supplier has been listed but has not received the request, then they have to contact their MAC (Medicare Administrative Contractors).

**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

该数据集包含医疗保险提供者注册、验证和服务利用率的详细信息，涵盖2019年活跃注册提供者的快照、牙科服务提供者列表、再验证目标清单等多个子集。数据经过三级质量审查，由医疗领域专家手动整理，支持CSV和Parquet格式，适用于医疗保健和生命科学领域的AI项目。