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.

US Healthcare NPI Data is a comprehensive resource offering detailed information on health providers registered in the United States.

Dataset Highlights:

• NPI Numbers: Unique identification numbers for health providers.
• Contact Details: Includes addresses and phone numbers.
• State License Numbers: State-specific licensing information.
• Additional Identifiers: Other identifiers related to the providers.
• Business Names: Names of the provider’s business entities.
• Taxonomies: Classification of provider types and specialties.

Taxonomy Data:

• Includes codes, groupings, and classifications.
• Facilitates detailed analysis and categorization of providers.

Data Updates:

• Weekly Delta Changes: Ensures the dataset is current with the latest changes.
• Monthly Full Refresh: Comprehensive update to maintain accuracy.

Use Cases:

• Market Analysis: Understand the distribution and types of healthcare providers across the US. Analyze market trends and identify potential gaps in healthcare services.
• Outreach: Create targeted marketing campaigns to reach specific types of healthcare providers. Use contact details for direct outreach and engagement with providers.
• Research: Conduct in-depth research on healthcare providers and their specialties. Analyze provider attributes to support academic or commercial research projects.
• Compliance and Verification: Verify provider credentials and compliance with state licensing requirements. Ensure accurate provider information for regulatory and compliance purposes.

Data Quality and Reliability:

• The dataset is meticulously curated to ensure high quality and reliability. Regular updates, both weekly and monthly, ensure that users have access to the most current information. The comprehensive nature of the data, combined with its regular updates, makes it a valuable tool for a wide range of applications in the healthcare sector.

Access and Integration: - CSV Format: The dataset is provided in CSV format, making it easy to integrate with various data analysis tools and platforms. - Ease of Use: The structured format of the data ensures that it can be easily imported, analyzed, and utilized for various applications without extensive preprocessing.

Ideal for:

• Healthcare Professionals: Physicians, nurses, and other healthcare providers who need to verify information about their peers.
• Analysts: Data analysts and business analysts who require detailed and accurate healthcare provider data for their projects.
• Businesses: Companies in the healthcare sector looking to understand market dynamics and reach out to providers.
• Researchers: Academic and commercial researchers conducting studies on healthcare providers and services.

Why Choose This Dataset?

• Comprehensive Coverage: Detailed information on millions of healthcare providers across the US.
• Regular Updates: Weekly and monthly updates ensure that the data remains current and reliable.
• Ease of Integration: Provided in a user-friendly CSV format for easy integration with your existing systems.
• Versatility: Suitable for a wide range of applications, from market analysis to compliance and research.

By leveraging the US Healthcare NPI & Taxonomy Data, users can gain valuable insights into the healthcare landscape, enhance their outreach efforts, and conduct detailed research with confidence in the accuracy and comprehensiveness of the data.

Summary:

• This dataset is an invaluable resource for anyone needing detailed and up-to-date information on US healthcare providers. Whether for market analysis, research, outreach, or compliance, the US Healthcare NPI & Taxonomy Data offers the detailed, reliable information needed to achieve your goals.

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.Resources for Using and Understanding the DataThese files are populated from PECOS and contain basic enrollment and provider information, reassignment of benefits information and practice location city, state and zip. These files are not intended to be used as real time reporting as the data changes from day to day and the files are updated only on a quarterly basis. If any information on these files needs to be updated, the provider needs to contact their respective Medicare Administrative Contractor (MAC) to have that information updated. This data does not include information on opt-out providers. Information is redacted where necessary to protect Medicare provider privacy.

The Physician and Other Supplier Public Use File (Physician and Other Supplier PUF) provides information on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals. The Physician and Other Supplier PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service. This PUF is based on information from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program. The data in the Physician and Other Supplier PUF covers calendar years 2012 through 2014 and contains 100 percent final-action physician-supplier Part B non-institutional line items for the Medicare fee-for-service population.

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 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

CMS has released a series of publicly available data files that summarize the utilization and payments for procedures, services, and prescription drugs provided to Medicare beneficiaries by specific inpatient and outpatient hospitals, physicians, and other suppliers. These Medicare Provider Utilization and Payment Data files include information for common inpatient and outpatient services, all physician and other supplier procedures and services, and all Part D prescriptions. Providers determine what they will charge for items, services, and procedures provided to patients and these charges are the amount that providers bill for an item, service, or procedure.

Nursing Home Compare has detailed information about every Medicare and Medicaid nursing home in the country. A nursing home is a place for people who can’t be cared for at home and need 24-hour nursing care. These are the official datasets used on the Medicare.gov Nursing Home Compare Website provided by the Centers for Medicare & Medicaid Services. These data allow you to compare the quality of care at every Medicare and Medicaid-certified nursing home in the country, including over 15,000 nationwide.

The All CMS Data Feeds dataset is an expansive resource offering access to 119 unique report feeds, providing in-depth insights into various aspects of the U.S. healthcare system including nursing facility owners and accountable care organization participants contact data. With over 25.8 billion rows of data meticulously collected since 2007, this dataset is invaluable for healthcare professionals, analysts, researchers, and businesses seeking to understand and analyze healthcare trends, performance metrics, and demographic shifts over time. The dataset is updated monthly, ensuring that users always have access to the most current and relevant data available.

Dataset Overview:

118 Report Feeds: - The dataset includes a wide array of report feeds, each providing unique insights into different dimensions of healthcare. These topics range from Medicare and Medicaid service metrics, patient demographics, provider information, financial data, and much more. The breadth of information ensures that users can find relevant data for nearly any healthcare-related analysis. - As CMS releases new report feeds, they are automatically added to this dataset, keeping it current and expanding its utility for users.

25.8 Billion Rows of Data:

• With over 25.8 billion rows of data, this dataset provides a comprehensive view of the U.S. healthcare system. This extensive volume of data allows for granular analysis, enabling users to uncover insights that might be missed in smaller datasets. The data is also meticulously cleaned and aligned, ensuring accuracy and ease of use.

Historical Data Since 2007: - The dataset spans from 2007 to the present, offering a rich historical perspective that is essential for tracking long-term trends and changes in healthcare delivery, policy impacts, and patient outcomes. This historical data is particularly valuable for conducting longitudinal studies and evaluating the effects of various healthcare interventions over time.

Monthly Updates:

• To ensure that users have access to the most current information, the dataset is updated monthly. These updates include new reports as well as revisions to existing data, making the dataset a continuously evolving resource that stays relevant and accurate.

Data Sourced from CMS:

• The data in this dataset is sourced directly from the Centers for Medicare & Medicaid Services (CMS). After collection, the data is meticulously cleaned and its attributes are aligned, ensuring consistency, accuracy, and ease of use for any application. Furthermore, any new updates or releases from CMS are automatically integrated into the dataset, keeping it comprehensive and current.

Use Cases:

Market Analysis:

• The dataset is ideal for market analysts who need to understand the dynamics of the healthcare industry. The extensive historical data allows for detailed segmentation and analysis, helping users identify trends, market shifts, and growth opportunities. The comprehensive nature of the data enables users to perform in-depth analyses of specific market segments, making it a valuable tool for strategic decision-making.

Healthcare Research:

• Researchers will find the All CMS Data Feeds dataset to be a robust foundation for academic and commercial research. The historical data, combined with the breadth of coverage across various healthcare metrics, supports rigorous, in-depth analysis. Researchers can explore the effects of healthcare policies, study patient outcomes, analyze provider performance, and more, all within a single, comprehensive dataset.

Performance Tracking:

• Healthcare providers and organizations can use the dataset to track performance metrics over time. By comparing data across different periods, organizations can identify areas for improvement, monitor the effectiveness of initiatives, and ensure compliance with regulatory standards. The dataset provides the detailed, reliable data needed to track and analyze key performance indicators.

Compliance and Regulatory Reporting:

• The dataset is also an essential tool for compliance officers and those involved in regulatory reporting. With detailed data on provider performance, patient outcomes, and healthcare utilization, the dataset helps organizations meet regulatory requirements, prepare for audits, and ensure adherence to best practices. The accuracy and comprehensiveness of the data make it a trusted resource for regulatory compliance.

Data Quality and Reliability:

The All CMS Data Feeds dataset is designed with a strong emphasis on data quality and reliability. Each row of data is meticulously cleaned and aligned, ensuring that it is both accurate and consistent. This attention to detail makes the dataset a trusted resource for high-stakes applications, where data quality is critical.

Integration and Usability:

Ease of Integration:

• The dataset is provided in a CSV format, which is widely compatible with most data analysis too...

Healthcare Provider Data Management Solution Market Outlook

The global Healthcare Provider Data Management Solution market size was valued at approximately USD 3.2 billion in 2023 and is expected to reach around USD 8.5 billion by 2032, growing at a compound annual growth rate (CAGR) of 11.5% during the forecast period. This robust growth can be attributed to the increasing volume of healthcare data generated, the rising need for efficient data management systems, and the growing emphasis on improving patient outcomes and operational efficiency.

One of the primary growth factors driving the Healthcare Provider Data Management Solution market is the surge in healthcare data generation. The proliferation of electronic health records (EHRs), wearables, and other digital health tools has led to an exponential increase in the volume of healthcare data. This data, encompassing patient history, diagnostic information, treatment plans, and more, requires efficient management systems to ensure its accessibility, accuracy, and security. Additionally, the integration of data from various sources facilitates better patient care and informed decision-making, further driving the demand for advanced data management solutions.

Another significant growth factor is the ongoing digital transformation within the healthcare sector. Organizations are increasingly adopting advanced technologies such as artificial intelligence, machine learning, and big data analytics to enhance their data management capabilities. These technologies enable healthcare providers to derive actionable insights from vast datasets, optimize operational processes, and improve patient outcomes. Moreover, the implementation of cloud-based solutions offers scalability, flexibility, and cost-efficiency, making it an attractive option for healthcare providers of all sizes.

Furthermore, regulatory requirements and data privacy concerns are fueling the adoption of healthcare provider data management solutions. Governments and regulatory bodies across the globe have introduced stringent regulations to ensure the security and confidentiality of patient data. Compliance with regulations such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States and the General Data Protection Regulation (GDPR) in Europe necessitates the use of robust data management systems. These solutions help healthcare providers maintain compliance, avoid penalties, and build trust with patients.

The regional outlook for the Healthcare Provider Data Management Solution market is also promising. North America holds a significant share of the market, driven by the advanced healthcare infrastructure, high adoption rate of digital technologies, and favorable government initiatives. The Asia Pacific region is expected to witness the highest growth rate during the forecast period, attributed to the expanding healthcare sector, increasing investments in healthcare IT, and growing awareness about the benefits of data management solutions. Europe, Latin America, and the Middle East & Africa are also anticipated to experience substantial growth, supported by ongoing digital transformation efforts and regulatory developments.

The integration of a Healthcare CRM Solution is becoming increasingly vital in the healthcare industry. As healthcare providers strive to enhance patient engagement and streamline communication, CRM solutions offer a comprehensive platform to manage patient interactions and data. These solutions facilitate personalized communication, enabling providers to deliver tailored healthcare experiences. By leveraging CRM systems, healthcare organizations can improve patient satisfaction, foster loyalty, and ultimately drive better health outcomes. Additionally, CRM solutions support the coordination of care by integrating with existing healthcare systems, ensuring that patient information is readily accessible and up-to-date. As the demand for patient-centered care grows, the adoption of Healthcare CRM Solutions is expected to rise, offering significant benefits to both providers and patients.

Component Analysis

In the Healthcare Provider Data Management Solution market, the component segment is bifurcated into software and services. The software segment encompasses various data management tools and platforms designed to streamline data collection, storage, and analysis. These software solutions are integral in managing patient records, financial data, and operational metrics. The increasi

The Home Health Agency PUF contains information on utilization, payment (Medicare payment and standard payment), and submitted charges organized by CMS Certification Number (6-digit provider identification number), Home Health Resource Group (HHRG), and state of service. This PUF is based on information from CMSs Chronic Conditions Data Warehouse (CCW) data files. The data in the Home Health Agency PUF covers calendar year 2013 and contains 100 percent final-action (i.e., all claim adjustments have been resolved) home health agency institutional claims for the Medicare fee-for-service (FFS) population.

Medicare certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor. The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center, in total and for Medicare, Medicare settlement data, and financial statement data. CMS maintains the cost report data in the Healthcare Provider Cost Reporting Information System, HCRIS. HCRIS includes subsystems for the Hospital Cost Report CMS 2552 96 and CMS 2552 10, Skilled Nursing Facility Cost Report CMS 2540 96, Home Health Agency Cost Report CMS 1728 94, Renal Facility Cost Report CMS 265 94, Health Clinic Cost Report CMS 222 92 and Hospice Cost Report CMS 1984 99. The data consists of every data element included in the HCRIS extract created for CMS by the providers Administrative Contractor.

This dataset contains current COVID-19 vaccination rates for resident and healthcare personnel. Data are presented as one row per provider.

The Hospital Provider Cost Report dataset provides select measures from the hospital annual cost report. This data includes provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data organized by CMS Certification Number.

Medicare Part D Prescribers - by Provider

  Description

The Medicare Part D Prescribers by Provider dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The dataset identifies providers by their National Provider Identifier (NPI) and summarizes for each prescriber the total number of prescriptions that were dispensed, which include original… See the full description on the dataset page: https://huggingface.co/datasets/HHS-Official/medicare-part-d-prescribers-by-provider.

The Skilled Nursing Facility (SNF) Cost Report dataset is a public use file that provides select measures from the skilled nursing facility annual cost report. This data includes provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data organized by CMS Certification Number.

[IMPORTANT NOTE: Sample file posted on Datarade is not the complete dataset, as Datarade permits only a single CSV file. Visit https://www.careprecise.com/healthcare-provider-data-sample.htm for more complete samples.] Updated every month, CarePrecise developed the AHD to provide a comprehensive database of U.S. hospital information. Extracted from the CarePrecise master provider database with information all of the 6.3 million HIPAA-covered US healthcare providers and additional sources, the Authoritative Hospital Database (AHD) contains records for all HIPAA-covered hospitals. In this database of hospitals we include bed counts, patient satisfaction data, hospital system ownership, hospital charges and cases by Zip Code®, and more. Most records include a cabinet-level or director-level contact. A PlaceKey is provided where available.

The AHD includes bed counts for 95% of hospitals, full contact information on 85%, and fax numbers for 62%. We include detailed patient satisfaction data, employee counts, and medical procedure volumes.

The AHD integrates directly with our extended provider data product to bring you the physicians and practice groups affiliated with the hospitals. This combination of data is the only commercially available hospital dataset of this depth.

NEW: Hospital NPI to CCN Rollup A CarePrecise Exclusive. Using advanced record-linkage technology, the AHD now includes a new file that makes it possible to mine the vast hospital information available in the National Provider Identifier registry database. Hospitals may have dozens of NPI records, each with its own information about a unit, listing facility type and/or medical specialties practiced, as well as separate contact names. To wield the power of this new feature, you'll need the CarePrecise Master Bundle, which contains all of the publicly available NPI registry data. These data are available in other CarePrecise data products.

Counts are approximate due to ongoing updates. Please review the current AHD information here: https://www.careprecise.com/detail_authoritative_hospital_database.htm

The AHD is sold as-is and no warranty is offered regarding accuracy, timeliness, completeness, or fitness for any purpose.

The Broadband Provider API searches for all providers with a specified name.

The CMS IPBS PUFs are aggregated files in which each record summarizes information for a particular institutional provider. An institutional provider refers to a hospital, a critical care facility, a skilled nursing facility, a home health agency or hospice or another similar institution providing services to Medicare beneficiaries. Information about individual beneficiaries is not reported.

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).