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Federal
Medicare Appeals Council Decisions
U.S. Department of Health & Human Services —
Decisions of the Departmental Appeals Board's Medicare Appeals Council involving claims for entitlement to Medicare and individual claims for Medicare coverage and... -
Federal
CMS Program Statistics - Medicare Premiums
U.S. Department of Health & Human Services —
The CMS Program Statistics - Medicare Premium tables provide information on counts of Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) total... -
Federal
Center for Medicare and Medicaid Services- (CMS), Provider Enrollment Chain Ownership System (PECOS), National Plan and Provider Enumeration System (NPPES)
Social Security Administration —
Verify the accuracy of SSNs of all individual Medicare providers, owners, managing/directing employees, authorized representatives, ambulance service medical... -
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
Medicare Part D Prescribers - by Provider
U.S. Department of Health & Human Services —
The Medicare Part D Prescribers by Provider dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and... -
Federal
Opt Out Affidavits
U.S. Department of Health & Human Services —
The Opt Out Affidavits dataset provides information on providers who have decided not to participate in Medicare. It contains provider's NPI, specialty, address, 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
Physician/Supplier Procedure Summary
U.S. Department of Health & Human Services —
The Physician/Supplier Procedure Summary (PSPS) data provides a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service (FFS)... -
Federal
Revoked Medicare Providers and Suppliers
U.S. Department of Health & Human Services —
The Revoked Medicare Providers and Suppliers dataset contains information on providers and suppliers who are revoked and under a current re-enrollment bar. This... -
Federal
Accountable Care Organizations
U.S. Department of Health & Human Services —
The Accountable Care Organizations (ACOs) data provides information on ACOs participating in the Medicare Shared Savings Program (Shared Savings Program), including... -
Federal
CMS Statistics
U.S. Department of Health & Human Services —
This reference provides significant summary information about health expenditures and the Centers for Medicare & Medicaid Services' (CMS) programs. The... -
Federal
Medicare Quarterly Part B Spending by Drug
U.S. Department of Health & Human Services —
The Medicare Quarterly Part B Spending by Drug dataset presents information on spending for drugs administered in doctors’ offices and other outpatient settings by... -
Federal
Provider of Services File - Internet Quality Improvement and Evaluation System - Home Health Agency, Ambulatory Surgical Center, and Hospice Providers
U.S. Department of Health & Human Services —
The Provider of Services File (POS) - Internet Quality Improvement and Evaluation System (iQIES) - Home Health Agency (HHA), Ambulatory Surgical Center (ASC), and... -
Federal
Medicare Durable Medical Equipment, Devices & Supplies - by Supplier
U.S. Department of Health & Human Services —
The Medicare Durable Medical Equipment, Devices & Supplies by Supplier dataset contains information on usage, payments, submitted charges and beneficiary... -
Federal
CMS Program Statistics - Medicare Physician, Non-Physician Practitioner & Supplier
U.S. Department of Health & Human Services —
The CMS Program Statistics - Medicare Physician, Non-Physician Practitioner and Supplier tables provide use and payment data for physicians, other practitioners,... -
Federal
Medicare Outpatient Hospitals - by Provider and Service
U.S. Department of Health & Human Services —
The Medicare Outpatient Hospitals by Provider and Service dataset provides information on services for Original Medicare Part B beneficiaries by OPPS hospitals. These... -
Federal
Medicare Dialysis Facilities
U.S. Department of Health & Human Services —
The Medicare Dialysis Facilities data provides information on clinical and patient measures for Medicare-certified ESRD facilities, also known as dialysis facilities.... -
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
CMS Program Statistics - Medicare Inpatient Hospital
U.S. Department of Health & Human Services —
The CMS Program Statistics - Medicare Inpatient Hospital tables provide use and payment data for all inpatient hospitals, including short-stay hospitals, critical... -
Federal
Home Health Agency Cost Report
U.S. Department of Health & Human Services —
The Home Health Agency Provider Cost Report dataset provides select measures from the home health agency annual cost report. This data includes provider information...