Physician Compare Clinician Utilization Data

$179 / year

The dataset contains information on Physician Compare Clinician Utilization Data prepared by the Centers for Medicare & Medicaid Services (CMS) and organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code and place of service.

Complexity

This dataset is the first set utilization data for clinicians publicly reported through Physician Compare. This is a subset of the 2015 Healthcare Common Procedure Coding System (HCPCS) codes. This dataset provides useful information about groups, physicians and other clinicians currently enrolled in Medicare and what they’re doing to improve the care they provide. Physician Compare is publicly reporting utilization data for clinicians, starting with a subset of the 2015 Healthcare Common Procedure Coding System (HCPCS) codes. The goal of Centers for Medicare & Medicaid Services (CMS) is to define a subset of codes that would provide more information about the scope of care of the clinicians included on Physician Compare. The subset of publicly reported Healthcare Common Procedure Coding System (HCPCS) codes are based on the top 5 codes reported by each available Medicare specialty, excluding evaluation and management codes. The evaluation and management codes do not provide descriptive information regarding care and were, therefore, excluded from this dataset. The information available for any given clinician is not limited to their specific specialty but rather defines the subset of codes available for inclusion in the dataset. As a result, clinicians may have data publicly reported for more than 5 HCPCS codes.

Date Created

2018-05-18

Last Modified

2018-05-31

Version

2018-05-31

Update Frequency

Annual

Temporal Coverage

2018

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Physician Compare Clinician Data, Physician Services, Medicare Physicians, HCPCS Codes, Medicare Providers, Physician Compare, Providers Utilization Data

Other Titles

Medicare Providers Utilization Data for Clinicians, Clinicians Currently Enrolled in Medicare

NameDescriptionTypeConstraints
National_Provider_IdentifierNational Provider Identifier (NPI) for the performing provider.integerlevel : Nominal
PAC_IDGroup Practice ID assigned by PECOS (Provider Enrollment, Chain, and Ownership System) to the Group Practice.integerlevel : Nominal
Last_NameLast Name of the Providerstring-
First_NameFirst Name of the Providerstring-
SpecialtySpecialty of the Providerstring-
State_AbbreviationAbbreviation of the Provider's statestring-
HCPCS_CodeHealthcare Common Procedure Coding System (HCPCS) code for the specific medical service furnished by the provider.string-
Code_DescriptionDescription of the HCPCS code for the specific medical service furnished by the provider.string-
Number_Of_ServicesNumber of services provided; note that the metrics used to count the number provided can vary from service to service.integerlevel : Ratio
Number_Of_Medicare_BeneficiariesNumber of distinct Medicare beneficiaries receiving the service.integerlevel : Ratio
National Provider IdentifierPAC IDLast NameFirst NameSpecialtyState AbbreviationHCPCS CodeCode DescriptionNumber Of ServicesNumber Of Medicare Beneficiaries
10030001344284706367CIBULLTHOMASPATHOLOGYIL88304Pathology examination of tissue using a microscope, moderately low complexity261237
10030001344284706367CIBULLTHOMASPATHOLOGYIL88305Pathology examination of tissue using a microscope, intermediate complexity78414488
10030001344284706367CIBULLTHOMASPATHOLOGYIL88341Special stained specimen slides to examine tissue417145
10030001344284706367CIBULLTHOMASPATHOLOGYIL88342Tissue or cell analysis by immunologic technique481404
10030001429931380672KHALILRASHIDANESTHESIOLOGYOH20610Aspiration and/or injection of large joint or joint capsule1913
10030001429931380672KHALILRASHIDANESTHESIOLOGYOH62311Injections of substances into lower or sacral spine4637
10030001429931380672KHALILRASHIDANESTHESIOLOGYOH64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1615
10030004239133397268VELOTTAJENNIFEROBSTETRICS/GYNECOLOGYOHG0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2525
10030004239133397268VELOTTAJENNIFEROBSTETRICS/GYNECOLOGYOHQ0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1414
10030005224284705781WEIGANDFREDERICKFAMILY PRACTICEFL69210Removal of impact ear wax, one ear3328