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The Provider of Services (POS) Extract is created from the QIES (Quality Improvement Evaluation System) database as of second quarter 2011 and all future POS files. The file contains an individual record for each Medicare-approved provider ...

The CMS Linkable Medicare Data Entrepreneurs' Synthetic Public Use Files (DE-Syn PUF ) include five separate files: Beneficiary Summary DE-SynPUF : The CMS Beneficiary Summary DE-SynPUF contains information on demographics, health plan enrollment, ...

The National Provider Identifer ( NPI ) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other ...

The Healthcare Cost Report Information System (HCRIS) contains annual reports submitted by institutional providers to Medicare. It provides information to CMS that assists with the annual settlement summary between CMS and the ...

The data sets are summarized by Healthcare Common Procedure Coding ( HCPCS ) code ranges. ...

These public use files contain formulary, pharmacy network, and pricing data for Medicare Prescription Drug Plans and Medicare Advantage Prescription Drug Plans (with the exception of employer and PACE plans).  ...

There is currently considerable interest at CMS in examining health reform proposals, program integrity, and access-to-care issues among certain types of Medicaid providers. However, it has not been possible to easily conduct ...

This file is a 100% summary of all Part B Carrier and DMERC Claims processed. The file contains the the following information: carrier pricing locality Healthcare Common Procedure Coding System ( HCPCS ) code modifiers 1 and 2 specialty type of service ...

The Medicare HOS is the first outcomes measure survey used in Medicare managed care. The goal of the Medicare HOS program is to gather valid and reliable health status data in Medicare managed care for use in quality improvement activities, plan ...

The Unique Physician Identification Number ( UPIN ) Directory contains selected information on physicians, doctors of Osteopathy, limited licensed practitioners and some non-physician practitioners who are enrolled in the Medicare ...

The Group Unique Physician Identifier Number ( UPIN ) File is the business entity file that contains the group practice UPIN and descriptive information.  It does NOT associate individual physicians within the practice.  Additionally, ...

Drug utilization data is available for covered outpatient drugs paid for by State Medicaid agencies since the start of the Drug Rebate Program. For help in interpreting the data, please refer to the State Drug Utilization Data ...

The ESPC database is in a Microsoft (MS) Access format and contains Medicaid and CHIP data, for the 50 States and District of Columbia.  Specifically, The ESPC database predominantly houses information on Medicaid and CHIP program ...

This file is derived from the calendar year inpatient claims data. This file contains summarized information by provider number and ZIP code of the Medicare beneficiary. ...

The data was derived from the Health Care Information System (HCIS), which contains Medicare Part A (Inpatient, Skilled Nursing Facility, Home Health Agency (Part A & B) and Hospice) and Medicare Part B (Outpatient) based on the type ...

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CMS has created databases that provide quality measures for nursing homes, home health agencies, hospitals, kidney dialysis facilities and drug and health plans. ...

The Basic Stand Alone (BSA) files are de-identified data files available for public use based on the 5% sample fee-for-service claims files. They contain non-identifiable claim-specific information and are within the public domain.  The (BSA) ...

The Geographic Variation Public Use File provides the ability to view demographic, utilization and quality indicators at the state level (including Washington DC, Puerto Rico, and Virgin Islands), and at the Hospital Referral Region (HRR) level ...