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Medicare Provider and Utilization Payment Data | CMS - logo

Medicare Provider and Utilization Payment Data | CMS

This release provides information on procedures and services by medical professionals provided to those who have Medicare released by the Centers for Medicare & Medicaid Services (CMS).
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About

The source code outlining how this product gathers, transforms, revises and publishes its datasets is available at <https://github.com/rearc-data/medicare-provider-utilization-payment>.

## Main Overview

This release provides information on procedures and services by medical professionals provided to those who have Medicare released by the Centers for Medicare & Medicaid Services (CMS).

Centers for Medicare & Medicaid provide substantial amounts of data to the public about their programs, various health care topics, and care settings. If you are interested in learning more about datasets released by the CMS, please visit the [CMS Data homepage](https://data.cms.gov/).

#### Data Source

This resource is presented in both the JSON and CSV formats. The included dataset contains the following columns:

`"npi", "nppes_provider_last_org_name", "nppes_provider_first_name", "nppes_provider_mi", "nppes_credentials", "nppes_provider_gender", "nppes_entity_code", "nppes_provider_street1","nppes_provider_street2", "nppes_provider_city", "nppes_provider_zip", "nppes_provider_state", "nppes_provider_country", "provider_type", "medicare_participation_indicator", "place_of_service", "hcpcs_code", "hcpcs_description", "hcpcs_drug_indicator", "line_srvc_cnt", "bene_unique_cnt", "bene_day_srvc_cnt", "average_medicare_allowed_amt", "average_submitted_chrg_amt", "average_medicare_payment_amt", "average_medicare_standard_amt"`

## More Information

* Source - [Centers for Medicare & Medicaid Services (CMS)](https://data.cms.gov/Medicare-Physician-Supplier/Medicare-Provider-Utilization-and-Payment-Data-Phy/fs4p-t5eq)

* [CMS Data Homepage](https://data.cms.gov/)

* [Terms of Use](https://www.usa.gov/government-works)

* Frequency: Weekly

* Formats: CSV, JSON

## Contact Details

* If you find any issues or have enhancements with this product, open up a GitHub [issue](https://github.com/rearc-data/medicare-provider-utilization-payment/issues) and we will gladly take a look at it. Better yet, submit a pull request. Any contributions you make are greatly appreciated ❤️.

* If you are interested in any other open datasets, please create a request on our project board [here](https://github.com/rearc-data/covid-datasets-aws-data-exchange/projects/1).

* If you have questions about this source data, please send the Medicare Provider Data Team an email at medicareproviderdata@cms.hhs.gov.

* If you have any other questions or feedback, send us an email at data@rearc.io.

## About Rearc

Rearc is a cloud, software and services company. We believe that empowering engineers drives innovation. Cloud-native architectures, modern software and data practices, and the ability to safely experiment can enable engineers to realize their full potential. We have partnered with several enterprises and startups to help them achieve agility. Our approach is simple — empower engineers with the best tools possible to make an impact within their industry.

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