Please be advised that as of Q4 2023 there is a new Provider of Service file (POS) that contains the provider and certification details for Home Health Agencies (HHAs), Hospices, and Ambulatory Surgical Centers (ASCs). Data contained in this file are extracted from the Internet Quality Improvement and Evaluation System (iQIES) environment and will be updated quarterly along with the other two POS files. The Provider of Services File - Hospital & Non-Hospital Facilities data provide critical resources for other federal regulator requirements as well as supports the ongoing quality & research efforts sponsored by CMS. In this file you will find provider certification, termination, accreditation, ownership, name, location and other characteristics organized by CMS Certification Number.

The Provider of Services File (POS) - Internet Quality Improvement and Evaluation System (iQIES) - Home Health Agency (HHA), Ambulatory Surgical Center (ASC), and Hospice Providers data provides information on provider demographic and associated certification information. In this file you will find provider number (CMS Certification Number), name, address, and other characteristics of the participating institution providers.

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.

The Provider of Services (POS) Clinical Laboratories (CLIA) data provides information on CLIA demographics and types of testing services the facility provides. In this file you will find provider number, name, address and characteristics of the participating institution providers.

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).

The Medicare Inpatient Hospitals by Provider and Service dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital and Medicare Severity Diagnosis Related Group (DRG). Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.

The Medicare Outpatient Hospitals by Provider and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by provider CMS Certified Number (CCN) and comprehensive Ambulatory Payment Classification (APC).

The Provider of Services File (POS) - Internet Quality Improvement and Evaluation System (iQIES) - Home Health Agency (HHA), Ambulatory Surgical Center (ASC), and Hospice Providers data provides information on provider demographic and associated certification information. In this file you will find provider number (CMS Certification Number), name, address, and other characteristics of the participating institution providers.

The Medicare Physician & Other Practitioners by Provider and Service dataset provides information on use, payments, and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service.

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.

This dataset provides information related to the major services for patients. It contains information about the total number of patients, total number of claims, and dollar amount paid, grouped by provider and type of services. Restricted to claims with service date between 01/2012 to 12/2017. Service categories considered are: 01 - Inpatient Service 03 - Outpatient Service 06 - Physician Service 11 - Lab Service 12 - X-Ray Service 17 - Clinic Service 26 - Mental Health Service 27 - Dental Service/Child 28 - Dental Service/Adult 31 - Eye Care and Exams 38 - EPSDT Service Provider is billing provider. This data is for research purposes and is not intended to be used for reporting. Due to differences in geographic aggregation, time period considerations, and units of analysis, these numbers may differ from those reported by FSSA. Distance between recipient and provider is a straight-line distance calculated and not the physical distance.

The Medicare Physician & Other Practitioners by Geography and Service dataset contains information on use, payments, submitted charges, and beneficiary demographic and health characteristics organized by geography, Healthcare Common Procedure Coding System (HCPCS) code, and place of service.

The dataset provides basic information about the local service providers under contract with the Department of Community Services and Development to provide services to low-income households in California. The information is based on a point in time and is expected to be updated semi-annually. The data were retrieved from the Provider Services Directory located on the California Department of Community Services and Development's website. The variables in the dataset include provider name, contact information, service area and type of service. For a comprehensive list of service descriptions, hours, eligibility requirements, etc. visit CSD's website. https://csd.ca.gov/Pages/FindServicesInYourArea.aspx.

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).

The Institutional Provider Network Data displays information on health facilities and ancillary service providers (for example: hospitals, labs, home care agencies) participating in health plan networks from July through September 2019. Plan network data is collected from Medicaid, Commercial, and Exchange plans on a quarterly basis by NYSoH, including managed care plans, as well as PPO/EPO plans. For more information, please visit: https://pndslookup.health.ny.gov.

Analysis of ‘Medicare Inpatient Hospitals - by Provider and Service’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/2d582002-9da0-48ff-8ccc-f45f697939bf on 11 February 2022.

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The Medicare Inpatient Hospitals by Provider and Service dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital and Medicare Severity Diagnosis Related Group (DRG). The DRGs included in this dataset represent more than seven million discharges or 75% of total Medicare IPPS discharges.

Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.

--- Original source retains full ownership of the source dataset ---

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

Analysis of ‘Medicare Outpatient Hospitals - by Provider and Service’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/b103a93b-7e62-479c-b0d6-c2ddd0bcbd63 on 11 February 2022.

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The Medicare Outpatient Hospitals by Provider and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These datasets contain information on the number of services, payments, and submitted charges organized by provider CMS Certified Number (CCN) and comprehensive Ambulatory Payment Classification (APC).

--- Original source retains full ownership of the source dataset ---

The Medicare Fee-For-Service Public Provider Enrollment dataset includes information on providers who are actively approved to bill Medicare or have completed the 855O at the time the data was pulled from the Provider Enrollment, Chain, and Ownership System (PECOS). The release of this provider enrollment data is not related to other provider information releases such as Physician Compare or Data Transparency.

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.

Graph and download economic data for Medical Services Expenditures by Provider Price Index (MESEPRPIHCSA) from 2000 to 2021 about healthcare, medical, health, expenditures, services, price index, indexes, price, and USA.

In the U.S., the vast majority of long-term care services providers were for-profit organizations in 2020. Only adult day services centers and inpatient rehabilitation facilities were largely nonprofit providers. Long-term care services account for a variety of services such as health, personal care, and supportive services dedicated to frail older people and adults with a limited capacity for self-care in cases such as injury or mental disability.