Every year, CMS will update the Open Payments data at least once after its initial publication. The refreshed data will include updates to data disputes and other data corrections made since the initial publication of this data documenting payments or transfers of value to physicians and teaching hospitals, and physician ownership and investment interests. This financial data is submitted by applicable manufacturers and applicable group purchasing organizations (GPOs). #### What data is collected? Applicable manufacturers and GPOs submit data to Open Payments about payments or other transfers of value between applicable manufacturers and GPOs and physicians or teaching hospitals: 1. Paid directly to physicians and teaching hospitals (known as direct payments) 2. Paid indirectly to physicians and teaching hospitals (known as indirect payments) through an intermediary such as a medical specialty society 3. Designated by physicians or teaching hospitals to be paid to another party (known

Variability in mean payment per physician, number of physicians, and aggregated payments for transactions in the Open Payments database, 2014–2018, for each top-category specialty available for allopathic and osteopathic physicians.

Context Financial relationships between manufacturers of drugs, devices, biologicals, and medical supplies and healthcare providers (physicians, non-physician practitioners, and teaching hospitals) are common and often serve important functions. However, these ties can also create potential conflicts of interest.

The CMS (Centers for Medicare & Medicaid Services) Open Payments program is a U.S. federal initiative designed to increase transparency around these financial relationships. By publicly reporting data on payments and other transfers of value, the program helps patients and researchers better understand the nature and extent of these collaborations.

While the raw data is incredibly rich, its comprehensive and detailed structure can be challenging for quick analysis or machine learning applications. This dataset is a cleaned, processed, and user-friendly version of the original Open Payments data, specifically prepared to facilitate straightforward data exploration, visualization, and predictive modeling.

Content This dataset contains records of payments made by manufacturers to healthcare providers in the United States. The original, multi-part fields for products, specialties, and licenses have been simplified to focus on the primary entry for each record, and columns with low variance or sparse data have been removed.

The dataset includes the following columns: | Column Name | Description | | ------------------------- | -------------------------------------------------------------------------------------------------------- | | payment_id | System-assigned unique identifier for the payment transaction. | | payment_amount | The total value of the payment in U.S. Dollars. | | payment_number | The number of individual payments included in the total amount. | | address_full | The full primary business street address of the payment recipient. | | address_country | The primary business country of the recipient. | | address_state | The primary business state of the recipient (2-letter abbreviation). | | address_city | The primary business city of the recipient. | | zip_code | The 5 or 9-digit zip code for the recipient's primary business location. | | payment_day | The day of the month the payment was made. | | payment_month | The month the payment was made. | | payment_year | The year the payment was made. | | publication_day | The day of the month the payment record was published. | | publication_month | The month the payment record was published. | | publication_year | The year the payment record was published. | | change_type | An indicator showing if the record is new or added (NEW, ADD). | | indicator_third_party | Indicates if payment was made to a third party (ENTITY, INDIVIDUAL, NO THIRD PARTY PAYMENT). | | indicator_related_product | Indicates if the payment was related to a specific product (YES, NO). | | indicator_covered | Indicates if the related product is "covered" under Open Payments rules (UNKNOWN, NON-COVERED, COVERED). | | identity_type | The professional designation of the payment recipient (NON-PHYSICIAN PRACTITIONER, PHYSICIAN). | | first_name | The first name of the covered recipient. | | last_name | The last name of the covered recipient. | | manufacturer_name | The name of the company that made the payment. | | manufacturer_state | The state where the paying company is located. | | manufacturer_country | The country where the paying compan...

Information on Open Payments managed by the Centers for Medicare & Medicaid Services (CMS), which is a national disclosure program created by the Affordable Care Act (ACA) that promotes transparency and accountability by helping consumers understand the financial relationships between pharmaceutical and medical device industries and physicians and teaching hospitals.

Every year, CMS will update the Open Payments data at least once after its initial publication. The refreshed data will include updates to data disputes and other data corrections made since the initial publication of this data documenting payments or transfers of value to physicians and teaching hospitals, and physician ownership and investment interests. This financial data is submitted by applicable manufacturers and applicable group purchasing organizations (GPOs). #### What data is collected? Applicable manufacturers and GPOs submit data to Open Payments about payments or other transfers of value between applicable manufacturers and GPOs and physicians or teaching hospitals: 1. Paid directly to physicians and teaching hospitals (known as direct payments) 2. Paid indirectly to physicians and teaching hospitals (known as indirect payments) through an intermediary such as a medical specialty society 3. Designated by physicians or teaching hospitals to be paid to another party (known

Context

Open Payments is a federal program that collects and makes information public about financial relationships between the health care industry, physicians, and teaching hospitals. The Centers for Medicare & Medicaid Services (CMS) collects information from manufacturers of drugs and devices about payments and other transfers of value they make to physicians and teaching hospitals. These payments and other transfers of value can be for many purposes, like research, consulting, travel, and gifts. We’ll make this data publicly available and searchable on this site each year. More information about it can be found here.

Content

The data has been cleaned slightly to remove all fields that had 5% or more null values. This was done in order to decrease the file size and make it slightly more understandable.

Acknowledgements

The original datasets can be found here.

Inspiration

Inspired by the 2013 version of this dataset that was upload by Centers for Medicare & Medicaid Services , found here

Context

Open Payments is a national disclosure program created by the Affordable Care Act (ACA) and managed by Centers for Medicare & Medicaid Services (CMS). The purpose of the program is to promote transparency into the financial relationships between pharmaceutical and medical device industries, and physicians and teaching hospitals. The financial relationships may include consulting fees, research grants, travel reimbursements, and payments from industry to medical practitioners.

Content

There are 3 datasets that represent 3 different payment types:

• General Payments: Payments not made in connection with a research agreement. This dataset contains 65 variables.

• Research Payments: Payments made in connection with a research agreement. This dataset contains 166 variables.

• Physician Ownership or Investment Interest: Information about physicians who hold ownership or investment interest in the manufacturer/GPO or who have an immediate family member holding such interest. This dataset contains 29 variables.

• Deleted/Removed Records: Contains any deleted/removed records.

A comprehensive methodology overview and data dictionary for each dataset can be found here.

Acknowledgements

The original datasets can be found here.

Inspiration

• Using the General Payments dataset, can you determine any trends in the total amount of payment to hospitals and physicians across the medical specialties or by the form/nature of the payments?

• According to the Research Payments dataset, which area(s) of research or the type of drug/medical device receive the most amount of payment?

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.

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

Sometimes, doctors and hospitals have financial relationships with health care manufacturing companies. These relationships can include money for research activities, gifts, speaking fees, meals, or travel. The Social Security Act requires CMS to collect information from applicable manufacturers and group purchasing organizations (GPOs) in order to report information about their financial relationships with physicians and hospitals. Open Payments is the federally run program that collects the information about these financial relationships and makes it available to you from the Opendata.utah.gov portal.

All general (non-research, non-ownership related) payments from the 2021 program year [January 1 – December 31, 2021]

NOTE: This is a very large file and, depending on your network characteristics and software, may take a long time to download or fail to download. Additionally, the number of rows in the file may be larger than the maximum rows your version of Microsoft Excel supports. If you can't download the file, we recommend engaging your IT support staff. If you are able to download the file but are unable to open it in MS Excel or get a message that the data has been truncated, we recommend trying alternative programs such as MS Access, Universal Viewer, Editpad or any other software your organization has available for large datasets.

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.

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

All general (non-research, non-ownership related) payments from the 2018 program year [January 1 – December 31, 2018]

NOTE: This is a very large file and, depending on your network characteristics and software, may take a long time to download or fail to download. Additionally, the number of rows in the file may be larger than the maximum rows your version of Microsoft Excel supports. If you can't download the file, we recommend engaging your IT support staff. If you are able to download the file but are unable to open it in MS Excel or get a message that the data has been truncated, we recommend trying alternative programs such as MS Access, Universal Viewer, Editpad or any other software your organization has available for large datasets.

All general (non-research, non-ownership related) payments from the 2023 program year [January 1 – December 31, 2023]

NOTE: This is a very large file and, depending on your network characteristics and software, may take a long time to download or fail to download. Additionally, the number of rows in the file may be larger than the maximum rows your version of Microsoft Excel supports. If you can't download the file, we recommend engaging your IT support staff. If you are able to download the file but are unable to open it in MS Excel or get a message that the data has been truncated, we recommend trying alternative programs such as MS Access, Universal Viewer, Editpad or any other software your organization has available for large datasets.

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.

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

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.

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

The CMS Program Statistics - Medicare Inpatient Hospital tables provide use and payment data for all inpatient hospitals, including short-stay hospitals, critical access hospitals, long term care hospitals, inpatient psychiatric facilities, inpatient rehabilitation facilities, religious nonmedical health care institutions, children’s hospitals, and other hospitals.

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

Below is the list of tables:

MDCR INPT HOSP 1. All Medicare Inpatient Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR INPT HOSP 2. All Medicare Inpatient Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status
MDCR INPT HOSP 3. All Medicare Inpatient Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence
MDCR INPT HOSP 4. All Medicare Inpatient Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Hospital
MDCR INPT HOSP 5. Medicare IPPS Short Stay Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend
MDCR INPT HOSP 6. Medicare IPPS Short Stay Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment
MDCR INPT HOSP 7. Medicare IPPS Short Stay Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence
MDCR INPT HOSP 8. Medicare IPPS Short Stay Hospitals: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement and Total Days of Care
MDCR INPT HOSP 9. Medicare IPPS Short Stay Hospitals: Utilization and Program Payments for Original Medicare Beneficiaries, by Location and Bedsize of Hospitals, by Medical School Affiliation, and Type of Control
MDCR INPT HOSP 10. Special-Category Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Hospital

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.

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

The CMS Program Statistics - Medicare Part D Enrollment tables provide data on characteristics of the Medicare Part D covered population.

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

Below is the list of tables:

MDCR ENROLL D 1. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, Yearly Trend
MDCR ENROLL D 2. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, by Demographic Characteristics
MDCR ENROLL D 3. Medicare Part D Enrollment: Part D Enrollees by Type of Plan, Low Income Subsidy (LIS), and Retiree Drug Subsidy, by Area of Residence

The CMS Program Statistics - Medicare Outpatient Facility tables provide use and payment data for all outpatient facilities, including hospitals providing outpatient services, rural health clinics, community mental health centers, federally qualified health centers, outpatient dialysis facilities, comprehensive outpatient rehabilitation facilities, and other outpatient 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 OUTPATIENT 1. Medicare Outpatient Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR OUTPATIENT 2. Medicare Outpatient Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR OUTPATIENT 3. Medicare Outpatient Facilities: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence MDCR OUTPATIENT 4. Medicare Outpatient Facilities: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Outpatient Facility MDCR OUTPATIENT 5. Medicare Outpatient Facilities: Utilization for Original Medicare Beneficiaries, by Type of Outpatient Facility and Type of Service MDCR OUTPATIENT 6. Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR OUTPATIENT 7. Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR OUTPATIENT 8. Medicare Outpatient Prospective Payment System Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence MDCR OUTPATIENT 9. Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR OUTPATIENT 10. Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR OUTPATIENT 11. Medicare Outpatient Critical Access Hospitals: Utilization, Program Payments, and Cost Sharing for Original Medicare Beneficiaries, by Area of Residence

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.

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)