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Federal
Provider of Services File - Hospital & Non-Hospital Facilities
U.S. Department of Health & Human Services —
Please be advised that as of Q4 2023 there is a new Provider of Service file (POS) that contains the provider and certification details for Home Health Agencies... -
Federal
Patient survey (HCAHPS) - Hospital
U.S. Department of Health & Human Services —
A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital... -
Federal
Medicare Physician & Other Practitioners - by Provider and Service
U.S. Department of Health & Human Services —
The Medicare Physician & Other Practitioners by Provider and Service dataset provides information on use, payments, and submitted charges organized by National... -
Federal
Medicare Fee-For-Service Public Provider Enrollment
U.S. Department of Health & Human Services —
The Medicare Fee-For-Service Public Provider Enrollment dataset includes information on providers who are actively approved to bill Medicare or have completed the... -
Federal
Home Health Care Agencies
U.S. Department of Health & Human Services —
A list of all Home Health Agencies that have been registered with Medicare. The list includes addresses, phone numbers, and quality measure ratings for each agency. -
Federal
Performance Year Financial and Quality Results
U.S. Department of Health & Human Services —
The Shared Savings Program Performance Year Financial and Quality Results data provides Medicare Shared Savings Program (Shared Savings Program) ACO-specific quality,... -
Federal
State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data
U.S. Department of Health & Human Services —
All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and... -
Federal
Complications and Deaths - Hospital
U.S. Department of Health & Human Services —
Complications and deaths - provider data. This data set includes provider-level data for the hip/knee complication measure, the CMS Patient Safety Indicators, and... -
Federal
Order and Referring
U.S. Department of Health & Human Services —
The Order and Referring dataset provides information on all physicians and non-physician practitioners, by their National Provider Identifier (NPI), who are of a... -
Federal
Managed Care Enrollment by Program and Population (All)
U.S. Department of Health & Human Services —
The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment... -
Federal
Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information
U.S. Department of Health & Human Services —
The Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information files contain formulary, pharmacy network, and pricing data for Medicare... -
Federal
Hospital Price Transparency Enforcement Activities and Outcomes
U.S. Department of Health & Human Services —
The Hospital Price Transparency Enforcement Activities and Outcomes dataset contains information related to enforcement actions taken by CMS following a compliance... -
Federal
Medicare Provider and Supplier Taxonomy Crosswalk
U.S. Department of Health & Human Services —
The Medicare Provider and Supplier Taxonomy Crosswalk dataset lists the providers and suppliers eligible to enroll in Medicare programs with the proper healthcare... -
Federal
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information
U.S. Department of Health & Human Services —
The Monthly Prescription Drug Plan Formulary and Pharmacy Network Information files contain formulary and pharmacy network data for Medicare Prescription Drug Plans... -
Federal
Provider of Services File - Clinical Laboratories
U.S. Department of Health & Human Services —
The Provider of Services (POS) Clinical Laboratories (CLIA) data provides information on CLIA demographics and types of testing services the facility provides. In... -
Federal
Accountable Care Organization Participants
U.S. Department of Health & Human Services —
The Accountable Care Organization (ACO) Participants data presents overview information on ACO participants in the Medicare Shared Savings Program (Shared Savings... -
Federal
Medicare Part D Spending by Drug
U.S. Department of Health & Human Services —
The Medicare Part D by Drug dataset presents information on spending for drugs prescribed to Medicare beneficiaries enrolled in Part D by physicians and other... -
Federal
Federally Qualified Health Center All Owners
U.S. Department of Health & Human Services —
The Federally Qualified Health Center (FQHC) All Owners dataset provides ownership information on all FQHCs currently enrolled in Medicare. This data includes... -
Federal
Healthcare Associated Infections - Hospital
U.S. Department of Health & Human Services —
The Healthcare-Associated Infection (HAI) measures - provider data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected... -
Federal
Hospital-Acquired Condition (HAC) Reduction Program
U.S. Department of Health & Human Services —
Hospital-Acquired Condition (HAC) Reduction Program (HACRP) - In October 2014, CMS began reducing Medicare fee-for-service payments for subsection (d) hospitals that...