Others titles
- Medicare Providers Utilization Data for Clinicians
- Clinicians Currently Enrolled in Medicare
Keywords
- Physician Compare Clinician Data
- Physician Services
- Medicare Physicians
- HCPCS Codes
- Medicare Providers
- Physician Compare
- Providers Utilization Data
Physician Compare Clinician Utilization Data
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.
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Description
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.
About this Dataset
Data Info
Date Created | 2018-05-18 |
---|---|
Last Modified | 2023-08-21 |
Version | 2023-08-21 |
Update Frequency |
Annual |
Temporal Coverage |
2020 |
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 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
National_Provider_Identifier | National Provider Identifier (NPI) for the performing provider. | integer | level : Nominal |
PAC_ID | Group Practice ID assigned by PECOS (Provider Enrollment, Chain, and Ownership System) to the Group Practice. | string | - |
Last_Name | Last Name of the Provider | string | - |
First_Name | First Name of the Provider | string | - |
Specialty | Specialty of the Provider | string | - |
State_Abbreviation | Abbreviation of the Provider's state | string | - |
HCPCS_Code | Healthcare Common Procedure Coding System (HCPCS) code for the specific medical service furnished by the provider. | string | - |
Code_Description | Description of the HCPCS code for the specific medical service furnished by the provider. | string | - |
Number_Of_Services | Number of services provided; note that the metrics used to count the number provided can vary from service to service. | integer | level : Ratio |
Number_Of_Medicare_Beneficiaries | Number of distinct Medicare beneficiaries receiving the service. | integer | level : Ratio |
Data Preview
National Provider Identifier | PAC ID | Last Name | First Name | Specialty | State Abbreviation | HCPCS Code | Code Description | Number Of Services | Number Of Medicare Beneficiaries |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 125 | 114 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4307 | 2532 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88313 | Special stained specimen slides to examine tissue including interpretation and report | 109 | 63 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88341 | Special stained specimen slides to examine tissue | 122 | 30 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88342 | Tissue or cell analysis by immunologic technique | 54 | 46 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88346 | Antibody evaluation | 78 | 73 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88348 | Electron microscopy for diagnosis | 16 | 15 |
1003000134 | 4284706367 | Cibull | Thomas | PATHOLOGY | IL | 88350 | Antibody evaluation | 314 | 73 |
1003000142 | 9931380672 | Khalil | Rashid | ANESTHESIOLOGY | OH | 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 52 | 42 |
1003000142 | 9931380672 | Khalil | Rashid | ANESTHESIOLOGY | OH | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 27 | 19 |