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May 21, 2015

Quality Metrics on Hospitals in the US (read more)

“This new data set includes over nine million rows of data on more than 880,000 physicians and other healthcare professionals in all 50 states, DC and Puerto Rico providing care to Medicare beneficiaries in 2012. The data set presents key information on the provision of services by physicians and how much they are paid for those services, and is organized by provider (National Provider Identifi... (read more)

From CMS.gov: “As part of the Obama Administration’s efforts to make our healthcare system more transparent, affordable, and accountable, the Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Medicare Provider Utilization and Payment Data: Part D Prescriber Public Use File (PUF), with information on the prescription drugs that individual physicians and other hea... (read more)

May 14, 2015

The HA1C blood test provides a way to see the average blood sugar levels of a patient during the two to three months prior to the test, and doctors recommend that the test be administered four times per year for diabetes patience. The goal of this project was to see whether compliance to this recommendation can be seen in the 2012 medicare doctor billing and referr... (read more)

May 21, 2015

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 relat... (read more)

The downloads contain the National Provider Identifier (NPI) and legal name (last name, first name) of all physicians and non-physician practitioners who are of a type/specialty that is legally eligible to order and refer Part B (clinical laboratory and imaging), DME and HHA claims, in the Medicare program and who have current enrollment records in Medicare (i.e., they have enrollment records i... (read more)

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers and health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. The Centers for Medicare & Medicaid Services (C... (read more)

May 21, 2015

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. (read more)

May 14, 2015

DocGraph teaming data shows how healthcare providers who bill Medicare cooperate to deliver care to their patients. Essentially, the teaming dataset documents Medicare providers who share patients in a given year. The result of this is a data structure that data scientist call a weighted directed graph of relationships. To be more specific, the method used to generate the graph converts the bi-... (read more)

May 21, 2015

The Physician Compare National Downloadable file includes general information, such as demographic information and Medicare quality program participation, for individual eligible professionals (EPs). The Physician Compare 2013 Public Reporting downloadable file provides the 2013 Physician Quality Report System (PQRS) Group Practice Reporting Option (GPRO) performance rates for the three Diabete... (read more)