69 datasets found
  1. Medicare Physician & Other Practitioners - by Provider

    • catalog.data.gov
    • data.virginia.gov
    • +2more
    Updated Apr 26, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). Medicare Physician & Other Practitioners - by Provider [Dataset]. https://catalog.data.gov/dataset/medicare-physician-other-practitioners-by-provider-b297e
    Explore at:
    Dataset updated
    Apr 26, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Medicare Physician & Other Practitioners by Provider dataset provides information on use, payments, submitted charges and beneficiary demographic and health characteristics organized by National Provider Identifier (NPI). Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

  2. CMS Program Statistics - Medicare Providers

    • catalog.data.gov
    • data.virginia.gov
    • +2more
    Updated May 15, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Providers [Dataset]. https://catalog.data.gov/dataset/medicare-providers-10c75
    Explore at:
    Dataset updated
    May 15, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Providers summary tables provide data on institutional (i.e., hospitals, skilled nursing facilities, home health agencies, hospices, etc.) and non-institutional (i.e., physicians, nonphysicians, specialists, and suppliers) providers. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR PROVIDERS 1. Medicare Providers: Number of Medicare Certified Institutional Providers, Yearly Trend MDCR PROVIDERS 2. Medicare Providers: Number of Medicare Certified Inpatient Hospital and Skilled Nursing Facility Beds and Beds Per 1,000 Enrollees, Yearly Trend MDCR PROVIDERS 3. Medicare Providers: Number of Medicare Certified Facilities, by Type of Control, Yearly Trend MDCR PROVIDERS 4. Medicare Providers: Number of Skilled Nursing Facilities and Medicare Certified Hospitals, and Number of Beds, by State, Territories, Possessions and Other Areas MDCR PROVIDERS 5. Medicare Providers: Number of Medicare Certified Providers, by Type of Provider, by State, Territories, Possessions, and Other Areas MDCR PROVIDERS 6. Medicare Providers: Number of Medicare Non-Institutional Providers by Specialty, Yearly Trend MDCR PROVIDERS 7. Medicare Providers: Number of Medicare Non-Institutional Providers, by State, Territories, Possessions, and Other Areas, Yearly Trend

  3. NPPES Plan and Provider Enumeration System

    • kaggle.com
    zip
    Updated Mar 20, 2019
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2019). NPPES Plan and Provider Enumeration System [Dataset]. https://www.kaggle.com/cms/nppes
    Explore at:
    zip(0 bytes)Available download formats
    Dataset updated
    Mar 20, 2019
    Dataset authored and provided by
    Centers for Medicare & Medicaid Services
    License

    https://creativecommons.org/publicdomain/zero/1.0/https://creativecommons.org/publicdomain/zero/1.0/

    Description

    Context

    The CMS National Plan and Provider Enumeration System (NPPES) was developed as part of the Administrative Simplification provisions in the original HIPAA act. The primary purpose of NPPES was to develop a unique identifier for each physician that billed medicare and medicaid. This identifier is now known as the National Provider Identifier Standard (NPI) which is a required 10 digit number that is unique to an individual provider at the national level.

    Once an NPI record is assigned to a healthcare provider, parts of the NPI record that have public relevance, including the provider’s name, speciality, and practice address are published in a searchable website as well as downloadable file of zipped data containing all of the FOIA disclosable health care provider data in NPPES and a separate PDF file of code values which documents and lists the descriptions for all of the codes found in the data file.

    Content

    The dataset contains the latest NPI downloadable file in an easy to query BigQuery table, npi_raw. In addition, there is a second table, npi_optimized which harnesses the power of Big Query’s next-generation columnar storage format to provide an analytical view of the NPI data containing description fields for the codes based on the mappings in Data Dissemination Public File - Code Values documentation as well as external lookups to the healthcare provider taxonomy codes . While this generates hundreds of columns, BigQuery makes it possible to process all this data effectively and have a convenient single lookup table for all provider information.

    Fork this kernel to get started.

    Acknowledgements

    https://bigquery.cloud.google.com/dataset/bigquery-public-data:nppes?_ga=2.117120578.-577194880.1523455401

    https://console.cloud.google.com/marketplace/details/hhs/nppes?filter=category:science-research

    Dataset Source: Center for Medicare and Medicaid Services. This dataset is publicly available for anyone to use under the following terms provided by the Dataset Source - http://www.data.gov/privacy-policy#data_policy — and is provided "AS IS" without any warranty, express or implied, from Google. Google disclaims all liability for any damages, direct or indirect, resulting from the use of the dataset.

    Banner Photo by @rawpixel from Unplash.

    Inspiration

    What are the top ten most common types of physicians in Mountain View?

    What are the names and phone numbers of dentists in California who studied public health?

  4. CMS Program Statistics - Medicare Physician, Non-Physician Practitioner &...

    • catalog.data.gov
    • data.virginia.gov
    • +2more
    Updated May 15, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Physician, Non-Physician Practitioner & Supplier [Dataset]. https://catalog.data.gov/dataset/medicare-physician-non-physician-practitioner-supplier-055aa
    Explore at:
    Dataset updated
    May 15, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Physician, Non-Physician Practitioner and Supplier tables provide use and payment data for physicians, other practitioners, limited-licensed practitioners, and durable medical equipment, prosthetic, and orthotic (DMEPOS) suppliers. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR PHYSSUPP 1. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR PHYSSUPP 2. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PHYSSUPP 3. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, Cost Sharing, and Balance Billing for Original Medicare Beneficiaries, by Area of Residence MDCR PHYSSUPP 4. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Type of Service MDCR PHYSSUPP 5. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Place of Service MDCR PHYSSUPP 6. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization, Program Payments, and Balance Billing for Original Medicare Beneficiaries, by Physician Specialty MDCR PHYSSUPP 7. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization and Program Payments for Original Medicare Beneficiaries, by Berenson-Eggers Type of Service (BETOS) Classification

  5. Medicare Provider Services and Utilization Data Package

    • johnsnowlabs.com
    csv
    Updated Jan 20, 2021
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    John Snow Labs (2021). Medicare Provider Services and Utilization Data Package [Dataset]. https://www.johnsnowlabs.com/marketplace/medicare-provider-services-and-utilization-data-package/
    Explore at:
    csvAvailable download formats
    Dataset updated
    Jan 20, 2021
    Dataset authored and provided by
    John Snow Labs
    Description

    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.

  6. Center for Medicare and Medicaid Services- (CMS), Provider Enrollment Chain...

    • catalog.data.gov
    • datasets.ai
    • +1more
    Updated Jan 24, 2025
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Social Security Administration (2025). Center for Medicare and Medicaid Services- (CMS), Provider Enrollment Chain Ownership System (PECOS), National Plan and Provider Enumeration System (NPPES) [Dataset]. https://catalog.data.gov/dataset/center-for-medicare-and-medicaid-services-cms-provider-enrollment-chain-ownership-system-p
    Explore at:
    Dataset updated
    Jan 24, 2025
    Dataset provided by
    Social Security Administrationhttp://ssa.gov/
    Description

    Verify the accuracy of SSNs of all individual Medicare providers, owners, managing/directing employees, authorized representatives, ambulance service medical directors, ambulance crew members, technicians, chain organization administrators, Independent Diagnostic Test Facility (IDTF), supervising/directing physicians, and IDTF interpretation service providers. Also included in this Agreement are individual health care providers who apply for a National Provider Identification Number (NPI).

  7. g

    CMS Program Statistics - Medicare Advantage - Physician, Non-Physician...

    • gimi9.com
    Updated May 17, 2024
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    (2024). CMS Program Statistics - Medicare Advantage - Physician, Non-Physician Practitioner & Supplier [Dataset]. https://gimi9.com/dataset/data-gov_cms-program-statistics-medicare-advantage-physician-non-physician-practitioner-supplier/
    Explore at:
    Dataset updated
    May 17, 2024
    Description

    The CMS Program Statistics – Medicare Advantage, Physician, Non-Physician Practitioner and Supplier tables provide utilization data for physician, non-physician practitioners, and suppliers, by Medicare Advantage beneficiaries. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR PHYSSUPP MA 1. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Type of Entitlement, Yearly Trend MDCR PHYSSUPP MA 2. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PHYSSUPP MA 3. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Area of Residence MDCR PHYSSUPP MA 4. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Place of Service MDCR PHYSSUPP MA 5. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Restructured BETOS Classification System

  8. Revalidation Due Date List

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Jul 2, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). Revalidation Due Date List [Dataset]. https://catalog.data.gov/dataset/revalidation-due-date-list-12dda
    Explore at:
    Dataset updated
    Jul 2, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Revalidation Due Date List dataset contains revalidation due dates for Medicare providers who are due to revalidate in the following six months. If a provider's due date does not fall within the ensuing six months, the due date is marked 'TBD'. In addition the dataset also includes subfiles with reassignment information for a given provider as well as due date listings for clinics and group practices and their providers. Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

  9. Medicare Providers and Suppliers Revalidation Due Date List

    • johnsnowlabs.com
    csv
    Updated Jan 20, 2021
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    John Snow Labs (2021). Medicare Providers and Suppliers Revalidation Due Date List [Dataset]. https://www.johnsnowlabs.com/marketplace/medicare-providers-and-suppliers-revalidation-due-date-list/
    Explore at:
    csvAvailable download formats
    Dataset updated
    Jan 20, 2021
    Dataset authored and provided by
    John Snow Labs
    Time period covered
    2022
    Area covered
    United States
    Description

    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.

  10. CMS Program Statistics - Medicare Skilled Nursing Facility

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated May 15, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Skilled Nursing Facility [Dataset]. https://catalog.data.gov/dataset/medicare-skilled-nursing-facility-7efdd
    Explore at:
    Dataset updated
    May 15, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Skilled Nursing Facility tables provide use and payment data for skilled nursing facilities. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR SNF 1. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR SNF 2. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR SNF 3. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence MDCR SNF 4. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement and Covered Days of Care MDCR SNF 5. Medicare Skilled Nursing Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Facility and Bedsize MDCR SNF 6. Medicare Skilled Nursing Facilities: Distribution of Medicare Covered Skilled Nursing Facility Days, by State of Provider and Major Resource Utilization Groups (RUG)-III (versions 2013-2018 only)

  11. A

    Unique Physician Identification Number (UPIN) Directory

    • data.amerigeoss.org
    html
    Updated Jul 29, 2019
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    United States[old] (2019). Unique Physician Identification Number (UPIN) Directory [Dataset]. https://data.amerigeoss.org/dataset/unique-physician-identification-number-upin-directory-344bf
    Explore at:
    htmlAvailable download formats
    Dataset updated
    Jul 29, 2019
    Dataset provided by
    United States[old]
    Description

    The Unique Physician Identification Number (UPIN) Directory contains selected information on physicians, doctors of Osteopathy, limited licensed practitioners and some non-physician practitioners who are enrolled in the Medicare Program.

    The data elements in the file (UPIN, full name, specialty, Physician License State Code, zip code, Medicare provider billing number and State) are extracted from the UPIN Database and are approved for public release in the Centers for Medicare and Medicaid Services (CMS) System of Records.

  12. Pending Initial Logging and Tracking Non Physicians

    • healthdata.gov
    • data.virginia.gov
    • +2more
    application/rdfxml +5
    Updated Dec 22, 2021
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    data.cms.gov (2021). Pending Initial Logging and Tracking Non Physicians [Dataset]. https://healthdata.gov/CMS/Pending-Initial-Logging-and-Tracking-Non-Physician/n68c-cam4
    Explore at:
    json, tsv, application/rssxml, application/rdfxml, csv, xmlAvailable download formats
    Dataset updated
    Dec 22, 2021
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Pending Initial Logging and Tracking (L & T) Non Physicians dataset provides a list of pending applications that have not been processed by CMS contractors for Non Physicians.

  13. D

    Provider Relief Fund & Accelerated and Advance Payments

    • data.cdc.gov
    • healthdata.gov
    • +3more
    application/rdfxml +5
    Updated Jul 10, 2024
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Center for Medicare and Medicaid Services (2024). Provider Relief Fund & Accelerated and Advance Payments [Dataset]. https://data.cdc.gov/Administrative/Provider-Relief-Fund-Accelerated-and-Advance-Payme/v2pi-w3up
    Explore at:
    tsv, xml, application/rdfxml, csv, json, application/rssxmlAvailable download formats
    Dataset updated
    Jul 10, 2024
    Dataset authored and provided by
    Center for Medicare and Medicaid Services
    License

    https://www.usa.gov/government-workshttps://www.usa.gov/government-works

    Description

    We are releasing data that compares the HHS Provider Relief Fund and the CMS Accelerated and Advance Payments by State and provider as of May 15, 2020. This data is already available on other websites, but this chart brings the information together into one view for comparison. You can find additional information on the Accelerated and Advance Payments at the following links:

    Fact Sheet: https://www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf;

    Zip file on providers in each state: https://www.cms.gov/files/zip/accelerated-payment-provider-details-state.zip

    Medicare Accelerated and Advance Payments State-by-State information and by Provider Type: https://www.cms.gov/files/document/covid-accelerated-and-advance-payments-state.pdf.

    This file was assembled by HHS via CMS, HRSA and reviewed by leadership and compares the HHS Provider Relief Fund and the CMS Accelerated and Advance Payments by State and provider as of December 4, 2020.

    HHS Provider Relief Fund President Trump is providing support to healthcare providers fighting the coronavirus disease 2019 (COVID-19) pandemic through the bipartisan Coronavirus Aid, Relief, & Economic Security Act and the Paycheck Protection Program and Health Care Enhancement Act, which provide a total of $175 billion for relief funds to hospitals and other healthcare providers on the front lines of the COVID-19 response. This funding supports healthcare-related expenses or lost revenue attributable to COVID-19 and ensures uninsured Americans can get treatment for COVID-19. HHS is distributing this Provider Relief Fund money and these payments do not need to be repaid. The Department allocated $50 billion of the Provider Relief Fund for general distribution to Medicare facilities and providers impacted by COVID-19, based on eligible providers' net reimbursement. It allocated another $22 billion to providers in areas particularly impacted by the COVID-19 outbreak, rural providers, and providers who serve low-income populations and uninsured Americans. HHS will be allocating the remaining funds in the near future.

    As part of the Provider Relief Fund distribution, all providers have 45 days to attest that they meet certain criteria to keep the funding they received, including public disclosure. As of May 15, 2020, there has been a total of $34 billion in attested payments. The chart only includes those providers that have attested to the payments by that date. We will continue to update this information and add the additional providers and payments once their attestation is complete.

    CMS Accelerated and Advance Payments Program On March 28, 2020, to increase cash flow to providers of services and suppliers impacted by the coronavirus disease 2019 (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) expanded the Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers. Beginning on April 26, 2020, CMS stopped accepting new applications for the Advance Payment Program, and CMS began reevaluating all pending and new applications for Accelerated Payments in light of the availability of direct payments made through HHS’s Provider Relief Fund.

    Since expanding the AAP program on March 28, 2020, CMS approved over 21,000 applications totaling $59.6 billion in payments to Part A providers, which includes hospitals, through May 18, 2020. For Part B suppliers—including doctors, non-physician practitioners and durable medical equipment suppliers— during the same time period, CMS approved almost 24,000 applications advancing $40.4 billion in payments. The AAP program is not a grant, and providers and suppliers are required to repay the loan.

    CMS has published AAP data, as required by the Continuing Appropriations and Other Extensions Act of 2021, on this website: https://www.cms.gov/files/document/covid-medicare-accelerated-and-advance-payments-program-covid-19-public-health-emergency-payment.pdf. Requests for additional data related to the program must be submitted through the CMS FOIA office. For more information on how to submit a FOIA request please visit our website at https://www.cms.gov/Regulations-and-Guidance/Legislation/FOIA. The PRF is administered by the Health Resources & Services Administration (HRSA). For more information on how to submit a request for unpublished program data from HRSA, please visit https://www.hrsa.gov/foia/index.html.

    Provider Relief Fund Data - https://data.cdc.gov/Administrative/Provider-Relief-Fund-COVID-19-High-Impact-Payments/b58h-s9zx

  14. Medicare Provider and Supplier Taxonomy Crosswalk

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Apr 24, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). Medicare Provider and Supplier Taxonomy Crosswalk [Dataset]. https://catalog.data.gov/dataset/medicare-provider-and-supplier-taxonomy-crosswalk-368b9
    Explore at:
    Dataset updated
    Apr 24, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Medicare Provider and Supplier Taxonomy Crosswalk dataset lists the providers and suppliers eligible to enroll in Medicare programs with the proper healthcare provider taxonomy code. This data includes the Medicare speciality codes, if available, provider/supplier type description, taxonomy code, and the taxonomy description.

  15. CMS Program Statistics - Medicare Part D

    • healthdata.gov
    • data.virginia.gov
    • +1more
    application/rdfxml +5
    Updated Dec 22, 2021
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    data.cms.gov (2021). CMS Program Statistics - Medicare Part D [Dataset]. https://healthdata.gov/CMS/CMS-Program-Statistics-Medicare-Part-D/xudx-dwc6
    Explore at:
    xml, csv, json, application/rdfxml, application/rssxml, tsvAvailable download formats
    Dataset updated
    Dec 22, 2021
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Part D tables provide use and Part D drug costs by type of Part D plan (stand-alone prescription drug plan and Medicare Advantage prescription drug plan).

    For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page.

    These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data.

    Below is the list of tables:

    MDCR UTLZN D 1. Medicare Part D Utilization: Average Annual Prescription Drug Fills by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Generic Dispensing Rate, Yearly Trend MDCR UTLZN D 2. Medicare Part D Utilization: Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Yearly Trend MDCR UTLZN D 3. Medicare Part D Utilization: Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Yearly Trend MDCR UTLZN D 4. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan and Demographic Characteristics MDCR UTLZN D 5. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan and Demographic Characteristics MDCR UTLZN D 6. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan, by Area of Residence MDCR UTLZN D 7. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan, by Area of Residence MDCR UTLZN D 8. Medicare Part D Utilization: Number of Part D Utilizers and Average Annual Prescription Drug Fills by Type of Part D Plan, Low Income Subsidy (LIS) Eligibility, and Part D Coverage Phase, Yearly Trend MDCR UTLZN D 9. Medicare Part D Utilization: Number of Part D Utilizers and Drug Costs by Type of Part D Plan, Low Income Subsidy (LIS) Eligibility, and Part D Coverage Phase, Yearly Trend MDCR UTLZN D 10. Medicare Part D Utilization: Number of Part D Utilizers, Average Annual Prescription Drug Events (Fills) and Average Annual Gross Drug Cost Per Part D Utilizer, by Part D Coverage Phase and Demographic Characteristics MDCR UTLZN D 11. Medicare Part D Utilization: Number of Part D Utilizers, Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Part D Coverage Phase and Area of Residence

  16. CMS Program Statistics - Medicare Premiums

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated May 15, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Premiums [Dataset]. https://catalog.data.gov/dataset/medicare-premiums-2766d
    Explore at:
    Dataset updated
    May 15, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Premium tables provide information on counts of Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) total premium, standard base premium, reduced base premium, and penalty beneficiaries. In addition, these tables include premium amounts and penalty amounts. For the Part B premium tables, information on Income Related Monthly Adjustment Amount (IRMAA) beneficiaries, IRMAA amounts, Managed Care Reduction beneficiaries and Managed Care Reduction amounts are also included. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR PREMIUMS 1. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts, Yearly Trend MDCR PREMIUMS 2. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PREMIUMS 3. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts, by Area of Residence MDCR PREMIUMS 4. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts, Yearly Trend MDCR PREMIUMS 5. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PREMIUMS 6. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts, by Area of Residence

  17. CMS Program Statistics - Medicare Part A & Part B - All Types of Service

    • data.virginia.gov
    • healthdata.gov
    • +1more
    zip
    Updated May 14, 2025
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Part A & Part B - All Types of Service [Dataset]. https://data.virginia.gov/dataset/cms-program-statistics-medicare-part-a-part-b-all-types-of-service
    Explore at:
    zipAvailable download formats
    Dataset updated
    May 14, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The CMS Program Statistics - Medicare Part A & Part B - All Types of Service tables provide use and payment data by type of coverage and type of service.

    For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page.

    These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data.

    Below is the list of tables:

    MDCR SUMMARY AB 1. Medicare Part A and Part B Summary: Utilization, Program Payments, and Cost Sharing for All Original Medicare Beneficiaries, by Type of Coverage and Type of Service, Yearly Trend MDCR SUMMARY AB 2. Medicare Part A and Part B Summary: Utilization, Program Payments, and Cost Sharing for Aged Original Medicare Beneficiaries, by Type of Coverage and Type of Service, Yearly Trend MDCR SUMMARY AB 3. Medicare Part A and Part B Summary: Utilization, Program Payments, and Cost Sharing for Disabled Original Medicare Beneficiaries by Type of Coverage and Type of Service, Yearly Trend MDCR SUMMARY AB 4. Medicare Part A and Part B Summary: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Coverage, Demographic Characteristics, and Medicare-Medicaid Enrollment Status MDCR SUMMARY AB 5. Medicare Part A and Part B Summary: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Coverage and by Area of Residence MDCR SUMMARY AB 6. Medicare Part A and Part B Summary: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement, Amount of Program Payments, Type of Coverage, and Type of Service

  18. Provider Directory Software Market Research Report 2033

    • growthmarketreports.com
    csv, pdf, pptx
    Updated Jul 5, 2025
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Growth Market Reports (2025). Provider Directory Software Market Research Report 2033 [Dataset]. https://growthmarketreports.com/report/provider-directory-software-market
    Explore at:
    pptx, pdf, csvAvailable download formats
    Dataset updated
    Jul 5, 2025
    Dataset authored and provided by
    Growth Market Reports
    Time period covered
    2024 - 2032
    Area covered
    Global
    Description

    Provider Directory Software Market Outlook



    According to our latest research, the global Provider Directory Software market size reached USD 1.74 billion in 2024, reflecting robust adoption across healthcare and insurance sectors. The market is experiencing strong momentum with a recorded CAGR of 10.2% from 2025 to 2033. By 2033, the market is forecasted to reach USD 4.18 billion, driven by regulatory mandates, increasing digitization in healthcare, and the need for accurate, real-time provider information. The growth is further fueled by the growing emphasis on interoperability, patient engagement, and the demand for cost-effective healthcare administration solutions.




    The surge in the Provider Directory Software market can be primarily attributed to the escalating need for accurate, up-to-date, and easily accessible provider information. Healthcare organizations, insurance companies, and regulatory bodies worldwide are increasingly mandating the use of digital provider directories to reduce administrative errors, streamline provider-patient matching, and enhance member satisfaction. Inaccurate provider data has historically resulted in claim denials, compliance violations, and poor patient experiences. As a result, the adoption of comprehensive provider directory software is becoming a strategic imperative for organizations aiming to mitigate risk and improve operational efficiency. The integration of advanced technologies such as artificial intelligence, machine learning, and blockchain is further elevating the capabilities of these solutions, enabling real-time data synchronization, automated data validation, and enhanced security.




    Another significant growth factor is the evolving regulatory landscape, particularly in regions like North America and Europe. Governments and healthcare authorities are implementing stringent regulations that require payers and providers to maintain accurate, accessible, and regularly updated provider directories. For instance, the Centers for Medicare & Medicaid Services (CMS) in the United States has established rigorous standards for provider data accuracy, with non-compliance resulting in substantial financial penalties. This regulatory pressure is compelling healthcare organizations to invest in robust provider directory software that ensures compliance, reduces administrative burdens, and improves transparency. Furthermore, the ongoing shift towards value-based care and patient-centric healthcare delivery models is amplifying the demand for efficient provider data management systems.




    The rapid digital transformation within the healthcare ecosystem is also playing a pivotal role in market expansion. The proliferation of electronic health records (EHRs), telemedicine, and integrated care delivery models necessitates seamless interoperability between disparate systems and stakeholders. Provider directory software acts as a critical enabler by consolidating provider information from multiple sources, ensuring data consistency, and facilitating secure data exchange across networks. The increased focus on patient engagement and experience is driving healthcare organizations to leverage provider directory solutions that offer intuitive search functionalities, real-time availability, and personalized provider recommendations. As digital health initiatives continue to gain traction, the provider directory software market is poised for sustained growth over the forecast period.




    From a regional perspective, North America currently holds the largest market share, underpinned by advanced healthcare IT infrastructure, high adoption rates of digital health solutions, and a favorable regulatory environment. Europe follows closely, with growing investments in healthcare digitization and interoperability initiatives. The Asia Pacific region is emerging as a lucrative market, driven by expanding healthcare access, rising investments in health IT, and increasing awareness of the importance of accurate provider data. Latin America and the Middle East & Africa are also witnessing gradual adoption, supported by government-led digital health programs and the modernization of healthcare systems. Overall, the global provider directory software market is characterized by dynamic growth, evolving regulatory requirements, and increasing technological innovation.



  19. Fiscal Intermediary Shared System Attending and Rendering

    • healthdata.gov
    application/rdfxml +5
    Updated Dec 22, 2021
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    The citation is currently not available for this dataset.
    Explore at:
    csv, application/rdfxml, application/rssxml, tsv, xml, jsonAvailable download formats
    Dataset updated
    Dec 22, 2021
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Fiscal Intermediary Shared System (FISS) Attending and Rendering dataset provides a list of those attending and rendering physicians for the FISS. FISS edits require that the Line Item Rendering Physician information be transmitted when providers submit a combined claim. Claims that include both facility and professional components, need to report the rendering physician or other practitioner at the line level if it differs from the rendering physician/practitioner reported at the claim level.

    Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

  20. CMS Program Statistics - Medicare Home Health Agency

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated May 15, 2025
    + more versions
    Share
    FacebookFacebook
    TwitterTwitter
    Email
    Click to copy link
    Link copied
    Close
    Cite
    Centers for Medicare & Medicaid Services (2025). CMS Program Statistics - Medicare Home Health Agency [Dataset]. https://catalog.data.gov/dataset/medicare-home-health-agency-1fa6a
    Explore at:
    Dataset updated
    May 15, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    The Medicare Home Health Agency tables provide use and payment data for home health agencies. The tables include use and expenditure data from home health Part A (Hospital Insurance) and Part B (Medical Insurance) claims. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR HHA 1. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR HHA 2. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR HHA 3. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Area of Residence MDCR HHA 4. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, Type of Agency and Type of Service Visit MDCR HHA 5. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, by Type of Control and Type of Service Visit MDCR HHA 6. Medicare Home Health Agencies: Persons with Utilization, Total Service Visits, and Program Payments for Original Medicare Beneficiaries, by Number of Service Visits and Number of Episodes

Share
FacebookFacebook
TwitterTwitter
Email
Click to copy link
Link copied
Close
Cite
Centers for Medicare & Medicaid Services (2025). Medicare Physician & Other Practitioners - by Provider [Dataset]. https://catalog.data.gov/dataset/medicare-physician-other-practitioners-by-provider-b297e
Organization logo

Medicare Physician & Other Practitioners - by Provider

Explore at:
Dataset updated
Apr 26, 2025
Dataset provided by
Centers for Medicare & Medicaid Services
Description

The Medicare Physician & Other Practitioners by Provider dataset provides information on use, payments, submitted charges and beneficiary demographic and health characteristics organized by National Provider Identifier (NPI). Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

Search
Clear search
Close search
Google apps
Main menu