CMS General Payment Details for Covered Recipients 2016

$395 / year

This is the dataset for reported General Payments for the 2016 program year. General Payments are defined as payments or other transfers of value made to a covered recipient (physician or teaching hospital) not in connection with a research agreement or research protocol.
This dataset includes the most recent attested-to data for program year 2016.

Complexity

Open Payments, which is managed by the Centers for Medicare & Medicaid Services (CMS), is a national disclosure program created by the Affordable Care Act (ACA) that promotes transparency and accountability by helping consumers understand the financial relationships between pharmaceutical and medical device industries and physicians and teaching hospitals. These financial relationships may include consulting fees, research grants, travel reimbursements, and payments made from the industry to medical practitioners.

Each record includes identifying information for the applicable manufacturer or applicable Group Purchasing Organization (GPO) who made the payment, and identifying information for the recipient.

For program year 2016 and upcoming years, each record may list up to five products if the payment was made in relation to any such products. Note that records for program years 2013-2015 may include up to five covered drugs or biologicals and also up to five covered devices or medical supplies.

Each record now includes a Change Type indicator field. The Change Type value indicates that the payment record is new in General Payment, Research Payment, and Ownership/Investment records for program year 2015.

Date Created

2017-06

Last Modified

2017-06-30

Version

2017-06-30

Update Frequency

Annual

Temporal Coverage

2016-01 to 2016-12

Spatial Coverage

United States

Source

John Snow Labs => Centers of Medicare and Medicaid Services (CMS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Affordable Care Act, Open Payments, Transparency programs, Sunshine Act, General Payments

Other Titles

Transparency Reports and Reporting of Physician Ownership or Investment Interests, General Payment Data, General Payment Analytics, Covered Recipients Analytics (Physicians, Teaching Hospitals), Manufacturer’s or GPO’s Research Payments Analytics, Disputed / Undisputed Records Analytics

Name Description Type Constraints
Change_TypeIndicator showing if the payment record is New, Added, Modified, or Unchanged in the current publication compared to the previous publication.stringrequired : 1 enum : Array maxLength : 20
Covered_Recipient_TypeIndicator showing if recipient of the payment or other transfer of value is a physician covered recipient or a teaching hospitalstringrequired : 1 enum : Array maxLength : 50
Teaching_Hospital_CCNA unique identifying number (CMS Certification Number) of the Teaching Hospital receiving the payment or other transfer of valuestringmaxLength : 6
Teaching_Hospital_IDSystem-generated unique identifier of the teaching hospital receiving the payment or other transfer of valueintegerlevel : Nominal
Teaching_Hospital_NameThe name of the teaching hospital receiving the payment or other transfer of value – the name displayed is as listed in the CMS teaching hospital liststringmaxLength : 100
Physician_Profile_IDSystem-generated unique identifier for physician profile receiving the payment or other transfer of valueintegerlevel : Nominal
Physician_First_NameFirst name of the physician (covered recipient) receiving the payment or other transfer of value, as reported by the submitting entitystringmaxLength : 20
Physician_Middle_NameMiddle name of the physician (covered recipient) receiving the payment or other transfer of value, as reported by the submitting entitystringmaxLength : 20
Physician_Last_NameLast name of the physician (covered recipient) receiving the payment or other transfer of value, as reported by the submitting entitystringmaxLength : 35
Physician_Name_SuffixName suffix of the physician (covered recipient) receiving the payment or other transfer of value, as reported by the submitting entitystringmaxLength : 5
Recipient_Primary_Business_Street_Address_Line1The first line of the primary practice/business street address of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of valuestringmaxLength : 55
Recipient_Primary_Business_Street_Address_Line2The second line of the primary practice/business street address of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of valuestringmaxLength : 55
Recipient_CityThe primary practice/business city of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of valuestringrequired : 1 maxLength : 40
Recipient_StateThe primary practice/business state or territory abbreviation of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is in the United StatesstringmaxLength : 2
Recipient_Zip_CodeThe 9-digit zip code for the primary practice/business location of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of valuestringmaxLength : 10
Recipient_CountryThe primary practice/business address country name of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of valuestringrequired : 1 maxLength : 100
Recipient_ProvinceThe primary practice/business province name of the physician (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is outside the United States, and if applicablestringmaxLength : 20
Recipient_Postal_CodeThe international postal code for the primary practice/business location of the physician (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is outside the United StatesstringmaxLength : 20
Physician_Primary_TypePrimary type name of medicine practiced by the physician (covered recipient)stringmaxLength : 100
Physician_SpecialtyPhysician's single specialty chosen from the standardized "provider taxonomy" code liststringmaxLength : 300
Physician_License_State_Code1The state license number of the covered recipient physician, which is a 2-letter state abbreviation.stringmaxLength : 2
Physician_License_State_Code2The state license number of the covered recipient physician, which is a 2-letter state abbreviation.stringmaxLength : 2
Physician_License_State_Code3The state license number of the covered recipient physician, which is a 2-letter state abbreviation.stringmaxLength : 2
Physician_License_State_Code4The state license number of the covered recipient physician, which is a 2-letter state abbreviation.stringmaxLength : 2
Physician_License_State_Code5The state license number of the covered recipient physician, which is a 2-letter state abbreviation.stringmaxLength : 2
Submitting_Applicable_Manufacturer_or_Applicable_GPO_NameTextual proper name of either the submitting applicable manufacturer or applicable GPOstringrequired : 1 maxLength : 100
Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_IDSystem-generated unique identifier of the applicable manufacturer or applicable GPO making the payment or other transfer of valueintegerrequired : 1 level : Nominal
Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_NameTextual proper name of the applicable manufacturer or applicable GPO making the payment or other transfer of valuestringrequired : 1 maxLength : 100
Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_StateState name of the submitting applicable manufacturer or applicable GPOstringmaxLength : 2
Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_CountryCountry name of the applicable manufacturer or applicable GPOstringmaxLength : 100
Total_Amount_of_Payment_USDollarsUS dollar amount of payment or other transfer of value to recipientnumberrequired : 1 level : Ratio
Date_of_PaymentIf a singular payment, then this is the actual date the payment was issued; if a series of payments or an aggregated set of payments, this is the date of the first payment to the covered recipient in this program yeardaterequired : 1
Number_of_Payments_Included_in_Total_AmountThe number of discrete payments being reported in the "Total Amount of Payment"integerrequired : 1 level : Ratio
Form_of_Payment_or_Transfer_of_ValueThe method of payment used to pay the covered recipient or to make the transfer of valuestringrequired : 1 maxLength : 100
Nature_of_Payment_or_Transfer_of_ValueThe nature of payment used to pay the covered recipient or to make the transfer of valuestringmaxLength : 200
City_of_TravelFor "Travel and Lodging" payments, destination city where covered recipient traveledstringmaxLength : 40
State_of_TravelFor "Travel and Lodging" payments, destination state where covered recipient traveledstringmaxLength : 2
Country_of_TravelFor "Travel and Lodging" payments, destination state where covered recipient traveledstringmaxLength : 100
Is_Physician_Ownership_IndicatorIndicates whether the physician holds ownership or investment interest in the applicable manufacturer.boolean-
Third_Party_Payment_Recipient_IndicatorIndicates if a payment or other transfer of value was paid to a third party entity or individual at the request of or on behalf of a covered recipient (physician or teaching hospital)stringrequired : 1 enum : Array maxLength : 50
Name_of_Third_Party_Entity_Receiving_Payment_or_Transfer_of_ValueThe name of the entity that received the payment or other transfer of valuestringmaxLength : 50
Is_Charity_IndicatorIndicates the third party entity that received the payment or other transfer of value is a charityboolean-
Is_Third_Party_Equals_Covered_Recipient_IndicatorIndicator showing the "Third Party" that received the payment or other transfer of value is a covered recipientboolean-
Contextual_InformationAny free text which the reporting entity deems helpful or appropriate regarding this payment or other transfer of valuestringmaxLength : 500
Is_Delay_in_Publication_IndicatorIndicator showing if an applicable manufacturer or applicable GPO is requesting a delay in publication of a payment or other transfer of valueboolean-
Record_IDSystem-assigned identifier to the general transaction at the time of submissionintegerrequired : 1 level : Nominal
Is_Dispute_Status_for_PublicationIndicates whether the payment or other transfer of value is disputed by the covered recipient or notboolean-
Is_Related_Product_IndicatorIndicator allows the applicable manufacturer or applicable GPO to select whether the payment or other transfer of value is related to one or more product(s) (drugs, devices, biologicals, or medical supplies).boolean-
Covered_or_Noncovered_Indicator_1For each product listed in relation to the payment or other transfer of value, indicates if the product is a covered or non-covered product per the covered product definition in the Open Payments final rule.stringmaxLength : 100
Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_1For each product listed in relation to the payment or other transfer of value, indicates if the product is a drug, device, biological, or medical supply.stringmaxLength : 100
Product_Category_or_Therapeutic_Area_1Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value.stringmaxLength : 100
Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_1The marketed name of the drug, device, biological, or medical supply.stringmaxLength : 100
Associated_Drug_or_Biological_NDC_1The National Drug Code, if any, of the drug or biological associated with the payment or other transfer of value (if applicable); the record may report up to 5 codesstringmaxLength : 12
Covered_or_Noncovered_Indicator_2For each product listed in relation to the payment or other transfer of value, indicates if the product is a covered or non-covered product per the covered product definition in the Open Payments final rule.stringmaxLength : 100
Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_2For each product listed in relation to the payment or other transfer of value, indicates if the product is a drug, device, biological, or medical supply.stringmaxLength : 100
Product_Category_or_Therapeutic_Area_2Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value.stringmaxLength : 100
Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_2The marketed name of the drug, device, biological, or medical supply.stringmaxLength : 100
Associated_Drug_or_Biological_NDC_2The National Drug Code, if any, of the drug or biological associated with the payment or other transfer of value (if applicable); the record may report up to 5 codesstringmaxLength : 12
Covered_or_Noncovered_Indicator_3For each product listed in relation to the payment or other transfer of value, indicates if the product is a covered or non-covered product per the covered product definition in the Open Payments final rule.stringmaxLength : 100
Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_3For each product listed in relation to the payment or other transfer of value, indicates if the product is a drug, device, biological, or medical supply.stringmaxLength : 100
Product_Category_or_Therapeutic_Area_3Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value.stringmaxLength : 100
Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_3The marketed name of the drug, device, biological, or medical supply.stringmaxLength : 100
Associated_Drug_or_Biological_NDC_3The National Drug Code, if any, of the drug or biological associated with the payment or other transfer of value (if applicable); the record may report up to 5 codesstringmaxLength : 12
Covered_or_Noncovered_Indicator_4For each product listed in relation to the payment or other transfer of value, indicates if the product is a covered or non-covered product per the covered product definition in the Open Payments final rule.stringmaxLength : 100
Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_4For each product listed in relation to the payment or other transfer of value, indicates if the product is a drug, device, biological, or medical supply.stringmaxLength : 100
Product_Category_or_Therapeutic_Area_4Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value.stringmaxLength : 100
Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_4The marketed name of the drug, device, biological, or medical supply.stringmaxLength : 100
Associated_Drug_or_Biological_NDC_4The National Drug Code, if any, of the drug or biological associated with the payment or other transfer of value (if applicable); the record may report up to 5 codesstringmaxLength : 12
Covered_or_Noncovered_Indicator_5For each product listed in relation to the payment or other transfer of value, indicates if the product is a covered or non-covered product per the covered product definition in the Open Payments final rule.stringmaxLength : 100
Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_5For each product listed in relation to the payment or other transfer of value, indicates if the product is a drug, device, biological, or medical supply.stringmaxLength : 100
Product_Category_or_Therapeutic_Area_5Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value.stringmaxLength : 100
Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_5The marketed name of the drug, device, biological, or medical supply.stringmaxLength : 100
Associated_Drug_or_Biological_NDC_5The National Drug Code, if any, of the drug or biological associated with the payment or other transfer of value (if applicable); the record may report up to 5 codesstringmaxLength : 12
Program_YearThe year in which the payment occurreddaterequired : 1
Payment_Publication_DateThe predefined date when the payment or other transfer of value is scheduled to be publisheddaterequired : 1
Change_TypeCovered_Recipient_TypeTeaching_Hospital_CCNTeaching_Hospital_IDTeaching_Hospital_NamePhysician_Profile_IDPhysician_First_NamePhysician_Middle_NamePhysician_Last_NamePhysician_Name_SuffixRecipient_Primary_Business_Street_Address_Line1Recipient_Primary_Business_Street_Address_Line2Recipient_CityRecipient_StateRecipient_Zip_CodeRecipient_CountryRecipient_ProvinceRecipient_Postal_CodePhysician_Primary_TypePhysician_SpecialtyPhysician_License_State_Code1Physician_License_State_Code2Physician_License_State_Code3Physician_License_State_Code4Physician_License_State_Code5Submitting_Applicable_Manufacturer_or_Applicable_GPO_NameApplicable_Manufacturer_or_Applicable_GPO_Making_Payment_IDApplicable_Manufacturer_or_Applicable_GPO_Making_Payment_NameApplicable_Manufacturer_or_Applicable_GPO_Making_Payment_StateApplicable_Manufacturer_or_Applicable_GPO_Making_Payment_CountryTotal_Amount_of_Payment_USDollarsDate_of_PaymentNumber_of_Payments_Included_in_Total_AmountForm_of_Payment_or_Transfer_of_ValueNature_of_Payment_or_Transfer_of_ValueCity_of_TravelState_of_TravelCountry_of_TravelIs_Physician_Ownership_IndicatorThird_Party_Payment_Recipient_IndicatorName_of_Third_Party_Entity_Receiving_Payment_or_Transfer_of_ValueIs_Charity_IndicatorIs_Third_Party_Equals_Covered_Recipient_IndicatorContextual_InformationIs_Delay_in_Publication_IndicatorRecord_IDIs_Dispute_Status_for_PublicationIs_Related_Product_IndicatorCovered_or_Noncovered_Indicator_1Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_1Product_Category_or_Therapeutic_Area_1Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_1Associated_Drug_or_Biological_NDC_1Covered_or_Noncovered_Indicator_2Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_2Product_Category_or_Therapeutic_Area_2Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_2Associated_Drug_or_Biological_NDC_2Covered_or_Noncovered_Indicator_3Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_3Product_Category_or_Therapeutic_Area_3Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_3Associated_Drug_or_Biological_NDC_3Covered_or_Noncovered_Indicator_4Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_4Product_Category_or_Therapeutic_Area_4Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_4Associated_Drug_or_Biological_NDC_4Covered_or_Noncovered_Indicator_5Indicate_Drug_or_Biological_or_Device_or_Medical_Supply_5Product_Category_or_Therapeutic_Area_5Name_of_Drug_or_Biological_or_Device_or_Medical_Supply_5Associated_Drug_or_Biological_NDC_5Program_YearPayment_Publication_Date
NEWCovered Recipient Teaching Hospital4200274310ANMED HEALTH800 N Fant StAndersonSC29621United StatesACELL, INC.100000046254ACELL, INC.MDUnited States2311.432016-05-041Cash or cash equivalentEducationNo Third Party Paymentfalse385960218falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital5000274634SWEDISH MEDICAL CENTER747 BROADWAYSEATTLEWA98122United StatesPfizer Inc.100000000286Pfizer Inc.NYUnited States2000.002016-05-201Cash or cash equivalentGrantNo Third Party Paymentfalse404808956falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital2300534062HENRY FORD HOSPITALONE FORD PLACEDETROITMI48202United StatesPfizer Inc.100000000286Pfizer Inc.NYUnited States49281.002016-12-311Cash or cash equivalentGrantNo Third Party Paymentfalse404629442falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital0501534647OCONNOR HOSPITAL2105 Forest AveSan JoseCA95128United StatesACELL, INC.100000046254ACELL, INC.MDUnited States91.632016-05-231Cash or cash equivalentEducationNo Third Party Paymentfalse385930876falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital1000224355JACKSON MEMORIAL1611 NW 12th AveMiamiFL33136United StatesACELL, INC.100000046254ACELL, INC.MDUnited States1209.502016-03-301Cash or cash equivalentEducationNo Third Party Paymentfalse385958022falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital1000224355JACKSON MEMORIAL1611 NW 12th AveMiamiFL33136United StatesACELL, INC.100000046254ACELL, INC.MDUnited States1025.002016-04-061Cash or cash equivalentEducationNo Third Party Paymentfalse385958108falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital1000224355JACKSON MEMORIAL1611 NW 12th AveMiamiFL33136United StatesACELL, INC.100000046254ACELL, INC.MDUnited States1209.502016-02-261Cash or cash equivalentEducationNo Third Party Paymentfalse385957366falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital1000224355JACKSON MEMORIAL1611 NW 12th AveMiamiFL33136United StatesACELL, INC.100000046254ACELL, INC.MDUnited States1845.002016-03-191Cash or cash equivalentEducationNo Third Party Paymentfalse385968186falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital1000224355JACKSON MEMORIAL1611 NW 12th AveMiamiFL33136United StatesACELL, INC.100000046254ACELL, INC.MDUnited States1845.002016-09-211Cash or cash equivalentEducationNo Third Party Paymentfalse385985822falsefalse20162017-06-30
NEWCovered Recipient Teaching Hospital3901153788ARIA HEALTH10800 Knights RdPhiladelphiaPA19114United StatesACELL, INC.100000046254ACELL, INC.MDUnited States73.102016-12-151Cash or cash equivalentEducationNo Third Party Paymentfalse385988762falsefalse20162017-06-30