Others titles

  • NPDB Public Use Datafile
  • Medical Malpractice Database
  • US Malpractice Payments

Keywords

  • Public Use Data File
  • Practitioner Malpractice
  • Medical Malpractice
  • Malpractice Lawyer
  • Personal Injury Lawyer
  • Malpractice Lawsuits
  • National Practitioner Data Bank
  • Medicaid Fraud

US Healthcare Practitioner Malpractice Payments I

This dataset contains the first part of the National Practitioner Data Bank (NPDB) Public Use Data File, which contains reports from 1990 to 2014 of sequence number 1 to 1357832. The NPDB, according to the Health Care Quality Improvement Act of 1986 collects and discloses de-identified professional competence and conduct of professionals reports about practitioners, providers, suppliers and entities figuring malpractice payments, adverse reactions and other actions or decisions.

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Description

The Health Care Quality Improvement Act of 1986 (HCQIA), as amended, Title IV of Public Law 99- 660, led to the establishment of the National Practitioner Data Bank (NPDB).

The National Practitioner Data Bank Public (NPDB) Public Use Data File contains reports received by the NPDB concerning healthcare practitioners, entities, providers and suppliers. Reports in the NPDB Public Use File include medical malpractice payments, and adverse actions, including clinical privileges actions, Federal and state licensure and certification actions, professional society membership actions, peer review organization actions, private accreditation actions, exclusions from Federal or state healthcare programs, and other adjudicated actions or decisions.

Information reported to the NPDB is confidential and can be provided only to authorized queriers, based on their eligibility to receive the information under each of the three laws. Authorized queriers include hospitals, other healthcare entities with formal peer review, professional societies with formal peer review, quality improvement organizations, health plans, state licensing and certification authorities, Federal licensing and certification agencies, state law enforcement agencies, state agencies administering State healthcare programs, state Medicaid Fraud Units, agencies or contractors administering Federal healthcare programs, U.S. Comptroller General, Federal law enforcement agencies and officials, healthcare practitioners (self-query), and plaintiff’s attorney/pro se plaintiffs (under limited circumstances).

Under section 426 of the HCQIA(42 USC 11135), as implemented by regulations at 45 CFR part 60.13(a)(2)(ix), data may be released to a person or entity who requests information in a form which does not permit the identification of any particular healthcare entity, physician, dentist, or other healthcare practitioner. This file is released in accordance with that provision to facilitate research use of NPDB information by persons interested in medical malpractice, licensing, discipline, and quality assurance issues.

In accordance with the Law and Regulations, variables which identify or would allow identification of individual entities or practitioners are excluded from the public use file. In order to assure confidentiality of all types of practitioners, the smallest geographic unit identified in each record in this file is a State.

However the Division of Practitioner Data Bank may be able to provide datasets for particular types of practitioners identified to smaller geographic units. Normally geographical units will have to contain at least several counties.

The NPDB Public Use Data File contains one record for each report in the NPDB as a result of the HIPDB merger on May 6, 2013, the NPDB Public Use File includes all NPDB reports from Section 1921(a)(1)(A) and 1921(a)(1)(B) with the exception of Judgment or Conviction Reports (JOCRs).

Description Source: National Practitioner Data Bank Public Use Data File, 2016, U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Practitioner Data Bank.

The reports are provided by different entities, organizations, Federal agencies, Medicaid Fraud Unites and offices, some are self-reports from practitioners and under limited circumstances attorney plaintiffs. The Public Use Data File is available for individual research in medical malpractice, discipline, and quality. To ensure confidentiality, geographical identification is limited to the country or state area. The dataset contains demographic and professional information on the practitioner and demographic information of the patients affected by malpractice.

About this Dataset

Data Info

Date Created

2016-05-01

Last Modified

2015-05-01

Version

2015-05-01

Update Frequency

Quarterly

Temporal Coverage

1990-09-01 to 2016-03-31

Spatial Coverage

United States

Source

John Snow Labs; Health Resources and Services Administration;

Source License URL

Source License Requirements

N/A

Source Citation

National Practitioner Data Bank Public Use Data File, 2016, U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Practitioner Data Bank.

Keywords

Public Use Data File, Practitioner Malpractice, Medical Malpractice, Malpractice Lawyer, Personal Injury Lawyer, Malpractice Lawsuits, National Practitioner Data Bank, Medicaid Fraud

Other Titles

NPDB Public Use Datafile, Medical Malpractice Database, US Malpractice Payments

Data Fields

Name Description Type Constraints
IDRecord Number. Sequence number is a unique number assigned to each record. The assigned numbers are not necessarily continuous or sequential. In addition, the sequence number assigned to any particular record may not be the same in different editions of the Public Use File.integerlevel : Nominal
Record_TypeType of recordstring-
Report_TypeType of reportstring-
Practitioner_TypeType of practitioner (Individual, Organization)string-
Original_YearPeriod original report processed.string-
Work_StatePractitioner's work state.string-
Work_CountryPractitioner's Work Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data - i.e., numerical values, punctuation marks, etc)string-
Home_StatePractitioner's home statestring-
Home_CountryPractitioner’s Home Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data such - i.e., numerical values, punctuation marks, etc)string-
License_StatePractitioner's State of License (First Listed State of License -- practitioners may be licensed in more than one State. Up to 10 States of license may be reported to the NDPB. Only the first State listed in an NPDB report is provided in this file.)string-
License_FieldPractitioner's Field of License. IMPORTANT NOTE: Prior to March 10, 2010, adverse actions concerning practitioners in license fields other than 10 through 35 were occasionally reported to the NPDB although these reports were not required. Since the implementation of Section 1921 licensure actions on all practitioner types have been required to be reported to the NPDB. Additionally, be aware that some professions have different names in different states and could yield inconclusive results from state to state.string-
License_DateLicense Date on Practitioner's Field.date-
Practicioner_AgePractitioner's Age Group. (Based on the age of the practitioner at the time of the event leading to the report.)string-
GraduationPractitioner's Professional School Graduation Year Groupstring-
Allegation_GroupMalpractice Allegation Group. This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the act or omission codes used in old format reports.string-
Allegation_1First Specific Malpractice Act or Omission Code. (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the first listed code.)string-
Allegation_2Second Specific Malpractice Act or Omission Code (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the second listed code.)string-
OutcomeSeverity of Alleged Malpractice Injury. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.]string-
Malpractice_Year_1Year of Act or Omission 1. (Beginning year of acts or omissions) [Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.][This field is blank in Adverse Action records.]integer-
Malpractice_Year_2Year of Act or Omission 2. (End year of acts or omissions) [Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Adverse Action records and Malpractice Payment records for which a second date was not supplied.] May be blank if same as Malpractice Year 1date-
PaymentAmount of Reported Payment.string-
Total_PaymentTotal Payment by this Payer for This Practitioner. See the discussion of adjustment for inflation with the PAYMENT variable.string-
Payment_NumberSingle or Multiple Payment. (Malpractice settlements or judgments may be paid in one payment or in multiple payments. This variable specifies which is applicable to this record.) [This field is blank in Adverse Action records.]string-
Number_Of_PractitionersNumber of Practitioners Included in the Payment. Note to users concerning NUMBPRSN: NUMBPRSN is an indicator of the total number of practitioners involved in a case. The PAYMENT and TOTALPMT fields should refer to the amounts paid or to be paid for this specific practitioner regardless of the number of other practitioners involved. Other reports should specify the amounts paid for other practitioners. Dividing PAYMENT or TOTALPMT by NUMBPRSN does not generate a meaningful result.numberlevel : Ratio
Payment_TypePayment a Result of Judgment or Settlement. [This field is blank in Adverse Action records.] >>>>> Note to users concerning Payment Type: We recommend that analysis of the Payment Type variable be done by considering all values except "Judgement" to be settlements of one type or another.)string-
Payment_RelationshipRelationship of Paying Entity to the Practitioner. [This field is blank in Adverse Action records.]string-
Patient_AgePatient Age in Groups of Years. (Patient Age at the time of the incident which led to the payment. Fractional years are used only for patients less than one year old. Fetuses are coded as -1.) This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.]string-
Patient_GenderGender of Patient. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.]string-
Patient_TypePatient Type (Inpatient, Outpatient, Both). This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.]string-
Action_YearYear of Adverse Action. [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the reporting entity. The process to obtain corrections for erroneous years is currently underway.][This field is blank in Malpractice Payment records.]date-
Action_Class_1Adverse Action Classification 1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A", the value shown has been translated into the new Consolidated Adverse Action Report codes from the codes used in old format reports.string-
Action_Class_2Adverse Action Classification 2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Class_3Adverse Action Classification 3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Class_4Adverse Action Classification 4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Class_5Adverse Action Classification 5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Basis_1Basis for Action1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a Record Type value of "A" (old format Adverse Action Reports), the value shown has been translated into the new Consolidated Adverse Action Report Action Basis 1 codes from the codes used in old format reports.string-
Action_Basis_2Basis for Action2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Basis_3Basis for Action3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Basis_4Basis for Action4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.string-
Action_Basis_5Basis for Action5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 9/2/2002; between 11/22/1999 and 9/2/2002 only four basis codes were allowed.string-
Action_Length_TypeAdverse Action Length Type. [This field is blank in Malpractice Payment records.]string-
Action_Penalty_LengthFor specified penalty lengths, Length of Adverse Action Penalty, in Years and Fractions of Years (i.e., 2.25 is 2 years 3 months). [This field is blank in Malpractice Payment, Old Format Exclusion, and Adverse Action Records which do not have a specified penalty length.]numberlevel : Ratio
Action_Effective_YearEffective Year of Adverse Action [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.][This field is blank in Malpractice Payment records.]date-
Action_Signature_YearYear of Adverse Action Report Signature. [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Malpractice Payment records.]integer-
TypeType of Reporting Entity. (assigned)string-
Practitioner_NumberPractitioner Number. (This number is assigned solely to each individual practitioner listed in this edition of the NPDB Public Use Data File. Its use allows researchers to link reports concerning the same practitioner. Practitioner Act Number is not used by the National Practitioner Data Bank in any way. It is neither linked to nor derived from any practitioner identification numbers used by the National Practitioner Data Bank.)integer-
Is_Accreditation_ReportsIs report Accreditedboolean-
Practitioner_Malpractice_NumberSubject's Number of Malpractice Payment Reports submitted under Title IV . CAUTION: This variable counts the number of malpractice payments for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of payment reports in your selected subset.integerlevel : Ratio
Practitioner_Licensure_NumberSubject's Number of Licensure Reports submitted under Title IV and/or Section 1921. CAUTION: This variable counts the number of licensure actions for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of licensure action reports in your selected subset.integerlevel : Ratio
Practitioner_Privileges_NumberSubject's Number of Clinical Privileges or Panel Member Reports submitted under Title IV. CAUTION: This variable counts the number of clinical privileges or panel membership actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of clinical privileges or panel membership action reports in your selected subset.integerlevel : Ratio
Practitioner_Membership_NumberSubject's Number of Professional Society Membership Reports submitted under Title IV. CAUTION: This variable counts the number of professional society membership action reports for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of professional society membership action reports in your selected subset.integerlevel : Ratio
Practitioner_DEA_NumberSubject's Number of DEA Reports submitted under Title IV. CAUTION: This variable counts the number of DEA actions for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of DEA action reports in your selected subset.integerlevel : Ratio
Practitioner_Exclusion_NumberSubject's Number of Exclusion Reports submitted under Title IV and/or Section 1921. CAUTION: This variable counts the number of exclusion actions for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of exclusion action reports in your selected subset.integerlevel : Ratio
Practitioner_Government_NumberSubject's Number of Government Administrative Reports submitted under Section 1921. CAUTION: This variable counts the number of government administrative actions for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of government administrative action reports in your selected subset.integerlevel : Ratio
Practitioner_Termination_NumberSubject's Number of Contract Termination Reports submitted under Section 1921. CAUTION: This variable counts the number of contract termination actions for the practitioner in the full Public Use File. If you select a subset of the file this value may not reflect the practitioner’s number of contract termination action reports in your selected subset.integerlevel : Ratio
Fund_PaymentMalpractice Payment Made by a State Patient Compensation Fund, Excess Judgment Fund, or Other Similar State Funds.string-

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IDRecord TypeReport TypePractitioner TypeOriginal YearWork StateWork CountryHome StateHome CountryLicense StateLicense FieldLicense DatePracticioner AgeGraduationAllegation GroupAllegation 1Allegation 2OutcomeMalpractice Year 1Malpractice Year 2PaymentTotal PaymentPayment NumberNumber Of PractitionersPayment TypePayment RelationshipPatient AgePatient GenderPatient TypeAction YearAction Class 1Action Class 2Action Class 3Action Class 4Action Class 5Action Basis 1Action Basis 2Action Basis 3Action Basis 4Action Basis 5Action Length TypeAction Penalty LengthAction Effective YearAction Signature YearTypePractitioner NumberIs Accreditation ReportsPractitioner Malpractice NumberPractitioner Licensure NumberPractitioner Privileges NumberPractitioner Membership NumberPractitioner DEA NumberPractitioner Exclusion NumberPractitioner Government NumberPractitioner Termination NumberFund Payment
1Adverse Action Report (Legacy Format)State Licensure Action Individuals1991Oklahoma OklahomaAllopathic Physician (MD)Ages 60 through 691950 through 1959 1990Probation of License (Individual) Narcotics Violation Specified Penalty Length3.019901990Health Care Practitioner Licensing Board/Authority31418False2
2Adverse Action Report (Legacy Format)State Licensure Action Individuals1991Oklahoma OklahomaAllopathic Physician (MD)Ages 40 through 491960 through 1969 1990Probation of License (Individual) Narcotics Violation Specified Penalty Length5.019901990Health Care Practitioner Licensing Board/Authority31258False71.0
4Adverse Action Report (Legacy Format)State Licensure Action Individuals1991Massachusetts MassachusettsPhysician Resident (MD)Ages 30 through 391980 through 1989 1990Revocation of License (Individual) Other (Not Classified) Permanent Penalty19901990Health Care Practitioner Licensing Board/Authority17196False1.012.0
6Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Oklahoma OklahomaAllopathic Physician (MD)Ages 40 through 491970 through 1979 1990Probation of License (Individual) Alcohol and Other Substance Abuse Specified Penalty Length5.019901990Health Care Practitioner Licensing Board/Authority31389False2
8Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Oklahoma OklahomaAllopathic Physician (MD)Ages 40 through 491970 through 1979 1990Suspension of License (Individual) Alcohol and Other Substance Abuse Indefinite Penalty Length19901990Health Care Practitioner Licensing Board/Authority31280False61.0
9Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Oklahoma Oklahoma OklahomaAllopathic Physician (MD)Ages 40 through 491970 through 1979 1990Probation of License (Individual) Alcohol and Other Substance Abuse Specified Penalty Length5.019901990Health Care Practitioner Licensing Board/Authority31311False1.03
12Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Virginia Illinois VirginiaAllopathic Physician (MD)Ages 30 through 391980 through 1989 1990Probation of License (Individual) Narcotics Violation Indefinite Penalty Length19901990State Composite Board39298False10
13Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Kentucky Kentucky District of ColumbiaAllopathic Physician (MD)Ages 70 through 791950 through 1959 1990Probation of License (Individual) License Action by Fed. Indefinite Penalty Length19901990State Composite Board7260False1
14Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Ohio OhioDentistAges 60 through 691950 through 1959 1990Suspension of License (Individual) Other (Not Classified) Specified Penalty Length19901990Health Care Practitioner Licensing Board/Authority51046False1
15Adverse Action Report (Legacy Format)State Licensure Action Individuals1990Ohio OhioDentistAges 40 through 491970 through 1979 1990Suspension of License (Individual) Allowing Unlicensed Person to Practice Specified Penalty Length2.019901990Health Care Practitioner Licensing Board/Authority51302False3