CMS Data

Showing 1 to 20 of 22 results.
  1. NPI Downloadable File

    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 information about ...

  2. Medicare Basic Stand Alone Claims Files

    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) files that ...

  3. Healthcare Cost Report Information System

    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 institutional provider. The ...

  4. Part B Summary Data Files

    The data sets are summarized by Healthcare Common Procedure Coding (HCPCS) code ranges. The files include the following information summarized by HCPCS code: allowed services, allowed charges, and payment amounts For more information or to download the ...

  5. Prescription Drug Plan Formulary and Pharmacy Network Files

    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).  These public use files are comprised of the ...

  6. Provider of Services File

    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 and is updated ...

  7. UPIN Directory

    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 Program. This file was ...

  8. UPIN Group File

    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, group practice UPINs ...

  9. Medicaid State Drug Utilization File

    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 Specifications. The ...

  10. MAX Provider Characteristics File

    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 provider-based research ...

  11. Medicaid/CHIP Environmental Scanning and Program Characteristics File

    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 characteristics as well ...

  12. Hospital Service Area File

    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. This file includes: number of discharges, length of stay, and total charges. For more ...

  13. Health Care Information System (HCIS)

    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 and State of the ...

  14. Medicare Compare

    CMS has created databases that provide quality measures for nursing homes, home health agencies, hospitals, kidney dialysis facilities and drug and health plans. Medicare Compare databases include the following information: facility contact information ...

  15. Medicare Geographic Variation Files

    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. For more ...

  16. Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF)

    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, ...

  17. Healthcare Effectiveness Data and Information Set PUF

    The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Data for MA /PDE plans found here: http://www.cms.gov ...

  18. Health Outcomes Survey PUF

    HOS is an outcomes measurement tool used for Medicare Advantage plans. The goal of the Medicare HOS program is to gather valid and reliable health status data in Medicare managed care plans for use in quality improvement activities, plan accountability, ...

  19. Consumer Assessment of Healthcare Providers & Systems PUF

    The Centers for Medicare & Medicaid Services (CMS) develop, implement and administer several different patient experience surveys.  These surveys ask patients (or in some cases their families) about their experiences with, and ratings of, their health ...

  20. MCBS PUF

    The Medicare Current Beneficiary Survey (MCBS) is an ongoing survey of a nationally representative sample of the Medicare population. The survey goals include: Identify all health insurance coverage held by a Medicare beneficiary; Identify all health care ...

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