{"id":166,"date":"2016-03-27T22:52:55","date_gmt":"2016-03-27T22:52:55","guid":{"rendered":"http:\/\/healthca.mp\/onfhir\/?page_id=166"},"modified":"2016-03-29T15:44:11","modified_gmt":"2016-03-29T15:44:11","slug":"medicare-data-sources","status":"publish","type":"page","link":"https:\/\/healthca.mp\/onfhir\/april-1-2-2016-code-a-thon\/info\/code-a-thon-apis\/bluebutton-api\/medicare-data-sources\/","title":{"rendered":"Medicare Data Sources"},"content":{"rendered":"

CMS has made available a number of data files available that can be used for reference. These files will be loaded on a USB Drive which will be available to load onto your own system.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Medicare<\/strong>
\n Provider Utilization and Payment Data<\/strong><\/td>\n<\/tr>\n
File<\/td>\nYears Available<\/td>\nFormat<\/td>\n<\/tr>\n
Physician and Other Supplier<\/td>\n2012-2013<\/td>\ntab delimited<\/td>\n<\/tr>\n
Inpatient<\/td>\n2012-2013<\/td>\ncsv<\/td>\n<\/tr>\n
Outpatient<\/td>\n2012-2013<\/td>\ncsv<\/td>\n<\/tr>\n
Part D Prescriber<\/td>\n2013<\/td>\ntab delimited<\/td>\n<\/tr>\n
Referring DMEPOS<\/td>\n2013<\/td>\ntab delimited<\/td>\n<\/tr>\n
Home Health Agencies<\/td>\n2013<\/td>\ncsv<\/td>\n<\/tr>\n
Skilled Nursing Facilities<\/td>\n2013<\/td>\ncsv<\/td>\n<\/tr>\n
Medicare Compare Data<\/strong><\/td>\n<\/tr>\n
Dialysis Facilities Compare<\/td>\n2015<\/td>\ncsv,
\nMSAccess<\/td>\n<\/tr>\n
Home Health Compare<\/td>\n2015<\/td>\ncsv,
\nMSAccess<\/td>\n<\/tr>\n
Hospital Compare<\/td>\n2015<\/td>\ncsv,
\nMSAccess<\/td>\n<\/tr>\n
Nursing Home Compare<\/td>\n2015<\/td>\ncsv,
\nMSAccess<\/td>\n<\/tr>\n
Physician Compare<\/td>\n2015<\/td>\ncsv<\/td>\n<\/tr>\n
Open Payments Data<\/strong><\/td>\n<\/tr>\n
Complete 2013 Program Year Open Payments
\nData<\/td>\n		2013 (8\/1-12\/31)<\/td>\ncsv<\/td>\n<\/tr>\n
Complete 2014 Program Year Open Payments
\nData<\/td>\n		2014<\/td>\ncsv<\/td>\n<\/tr>\n
Provider of Services File<\/strong><\/td>\n<\/tr>\n
POS CLIA<\/td>\n2008-2015<\/td>\ncsv<\/td>\n<\/tr>\n
POS OTHER<\/td>\n2008-2015<\/td>\ncsv<\/td>\n<\/tr>\n
Public Provider Enrollment<\/strong>
\nFiles<\/strong><\/td>\n<\/tr>\n
Base Provider Enrollment File<\/td>\nJan-16<\/td>\ncsv<\/td>\n<\/tr>\n
Reassignment File<\/td>\nJan-16<\/td>\ncsv<\/td>\n<\/tr>\n
Address File<\/td>\nJan-16<\/td>\ncsv<\/td>\n<\/tr>\n
National Provider Identifier<\/strong>
\n Registry NPPES Data<\/strong><\/td>\n<\/tr>\n
NPPES Data Dissemination Public File<\/td>\n2005-2016<\/td>\ncsv<\/td>\n<\/tr>\n
Medicare Geographic Variation<\/strong>
\n PUF<\/strong><\/td>\n<\/tr>\n
State\/County Table – All Beneficiaries<\/td>\n2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
HRR Table – All Beneficiaries<\/td>\n2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions<\/strong><\/td>\n<\/tr>\n
Chronic Conditions Prevalence
\nState\/County Level by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions Prevalence State
\nLevel by Sex and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions Prevalence State
\nLevel\u00a0\u00a0by Race\/Ethnicity and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions Prevalence State
\nLevel\u00a0\u00a0by Medicare-Medicaid
\nEnrollment and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions Prevalence HRR
\nLevel by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Chronic Conditions Utilization\/Spending
\nState Level<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions Prevalence
\nState\/County Level by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions Prevalence
\nState Level by Sex and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions Prevalence
\nState Level by Race\/Ethnicity and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions Prevalence
\nState Level by Medicare-Medicaid Enrollment and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions Prevalence
\nHRR Level by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions
\nUtilization\/Spending State\/County Level by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions
\nUtilization\/Spending State Level by Sex and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions
\nUtilization\/Spending State Level by Race\/Ethnicity and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions
\nUtilization\/Spending State Level by Medicare-Medicaid Enrollment and Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n
Multiple Chronic Conditions
\nUtilization\/Spending HRR Level by Age<\/td>\n		2007-2014<\/td>\nxlsx<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

If you want to download any of these resources directly please use the following links:<\/p>\n

Medicare Provider Utilization and Payment Data:<\/b> Medicare fee-for-service utilization and payment information for procedures, services, and prescription drugs summarized at the individual inpatient and outpatient hospital, physician, and other supplier level<\/p>\n

https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Medicare-Provider-Charge-Data\/index.html<\/a><\/u><\/p>\n

Medicare Compare Data: <\/b>Information on provider quality, among other metrics, for hospitals, nursing homes, home health agencies, dialysis facilities, physicians, and other suppliers<\/p>\n

https:\/\/data.medicare.gov\/data<\/a><\/u><\/p>\n

Open Payments Data: <\/b>Information about applicable manufacturers and group purchasing organizations (GPOs) financial relationships with physicians and hospitals<\/p>\n

https:\/\/www.cms.gov\/openpayments\/<\/a><\/u><\/p>\n

Provider of Services (POS): <\/b>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<\/p>\n

https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Downloadable-Public-Use-Files\/Provider-of-Services\/index.html<\/a><\/u><\/p>\n

Public Provider Enrollment Data: <\/b>Data on providers enrolled in Medicare, including provider name and specialty (sourced from the CMS Provider Enrollment and Chain Ownership System, PECOS)<\/p>\n

https:\/\/data.cms.gov\/public-provider-enrollment<\/a><\/u><\/p>\n

National Provider Identifier Registry:<\/b> Directory of all active National Provider Identifier (NPI) records, including the name, address, and specialty<\/p>\n

https:\/\/npiregistry.cms.hhs.gov\/<\/a><\/u><\/p>\n

Medicare Geographic Variation PUF:<\/b> Demographic, spending, utilization, and quality indicators based on Medicare fee-for-service data aggregated at the state, hospital referral region (HRR), and county level<\/p>\n

https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Medicare-Geographic-Variation\/GV_PUF.html<\/a><\/u><\/p>\n

Chronic Conditions and Multiple Chronic Conditions PUFs:<\/b> Medicare fee-for-service data on prevalence of certain chronic conditions, as well as utilization, spending, and quality indicators for beneficiaries with chronic conditions aggregated at the state, hospital referral region (HRR), and county level<\/p>\n

https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Chronic-Conditions\/CC_Main.html<\/a><\/u><\/p>\n

https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Chronic-Conditions\/MCC_Main.html<\/a><\/u><\/p>\n

Tools to Search for other Data Resources<\/b><\/p>\n

Healthdata.gov Data Inventory<\/b>: Comprehensive inventory of health care-related data products\u2014mainly from federal sources<\/p>\n

http:\/\/www.healthdata.gov\/dataset<\/a><\/u><\/p>\n","protected":false},"excerpt":{"rendered":"

CMS has made available a number of data files available that can be used for reference. These files will be loaded on a USB Drive which will be available to load onto your own system. Medicare Provider Utilization and Payment Data File Years Available Format Physician and Other Supplier 2012-2013 tab delimited Inpatient 2012-2013 csv […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":161,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-166","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P70glK-2G","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/pages\/166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/comments?post=166"}],"version-history":[{"count":3,"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/pages\/166\/revisions"}],"predecessor-version":[{"id":188,"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/pages\/166\/revisions\/188"}],"up":[{"embeddable":true,"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/pages\/161"}],"wp:attachment":[{"href":"https:\/\/healthca.mp\/onfhir\/wp-json\/wp\/v2\/media?parent=166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}