Data.CMS.gov

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Author
OEDA
Description
The Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Medicare Provider Utilization and Payment Data: Part D Prescriber Public Use File (PUF), with information on the prescription drugs that individual physicians and other health care providers prescribed in 2013 under the Medicare Part D Prescription Drug Program. The Part D Prescriber PUF is based on information from CMS’s Prescription Drug Event Standard Analytic File, which has final-action claims that are submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). The new dataset identifies providers using their National Provider Identifier (NPI) and the specific prescriptions that were dispensed on their behalf, listed by brand name (if applicable) and generic name. For each prescriber and drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payors. Although the Part D Prescriber PUF has a wealth of information on payment and utilization for Medicare Part D prescriptions, the dataset has a number of limitations. Of particular importance is the fact that the data may not be representative of a physician’s entire practice or all of Medicare as it only includes information on beneficiaries enrolled in the Medicare Part D prescription drug program (i.e., approximately two-thirds of all Medicare beneficiaries). In addition, the data are not intended to indicate the quality of care provided. For additional limitations, please review the methodology document available in the About tab.
Category
Medicare - Part D
Tags
prescription drug, drug, generic, brand name, part d, prescriber, utilization, payment, provider summary, 2013, mpup
Rating
Current value: 0 out of 5
Data Provided By
CMS
Source Link
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Part-D-Prescriber.html
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The Socrata Open Data API (SODA) provides programmatic access to this dataset including the ability to filter, query, and aggregate data. For more more information, view the API docs for this dataset or visit our developer portal

API Endpoint:

Field Names:

npi
npi
nppes_provider_last_org_name
nppes_provider_last_org_name
nppes_provider_first_name
nppes_provider_first_name
nppes_provider_mi
nppes_provider_mi
nppes_credentials
nppes_credentials
nppes_provider_gender
nppes_provider_gender
nppes_entity_code
nppes_entity_code
nppes_provider_street1
nppes_provider_street1
nppes_provider_street2
nppes_provider_street2
nppes_provider_city
nppes_provider_city
nppes_provider_zip5
nppes_provider_zip5
nppes_provider_zip4
nppes_provider_zip4
nppes_provider_state
nppes_provider_state
nppes_provider_country
nppes_provider_country
specialty_description
specialty_description
description_flag
description_flag
medicare_prvdr_enroll_status
medicare_prvdr_enroll_status
total_claim_count
total_claim_count
total_30_day_fill_count
total_30_day_fill_count
total_drug_cost
total_drug_cost
total_day_supply
total_day_supply
bene_count
bene_count
ge65_suppress_flag
ge65_suppress_flag
total_claim_count_ge65
total_claim_count_ge65
total_30_day_fill_count_ge65
total_30_day_fill_count_ge65
total_drug_cost_ge65
total_drug_cost_ge65
total_day_supply_ge65
total_day_supply_ge65
bene_count_ge65_suppress_flag
bene_count_ge65_suppress_flag
bene_count_ge65
bene_count_ge65
brand_suppress_flag
brand_suppress_flag
brand_claim_count
brand_claim_count
brand_drug_cost
brand_drug_cost
generic_suppress_flag
generic_suppress_flag
generic_claim_count
generic_claim_count
generic_drug_cost
generic_drug_cost
other_suppress_flag
other_suppress_flag
other_claim_count
other_claim_count
other_drug_cost
other_drug_cost
mapd_suppress_flag
mapd_suppress_flag
mapd_claim_count
mapd_claim_count
mapd_drug_cost
mapd_drug_cost
pdp_suppress_flag
pdp_suppress_flag
pdp_claim_count
pdp_claim_count
pdp_drug_cost
pdp_drug_cost
lis_suppress_flag
lis_suppress_flag
lis_claim_count
lis_claim_count
lis_drug_cost
lis_drug_cost
nonlis_suppress_flag
nonlis_suppress_flag
nonlis_claim_count
non_lis_claim_count
nonlis_drug_cost
nonlis_drug_cost
opioid_claim_count
opioid_claim_count
opioid_drug_cost
opioid_drug_cost
opioid_day_supply
opioid_day_supply
opioid_bene_count
opioid_bene_count
opioid_prescriber_rate
opioid_prescriber_rate
la_opioid_claim_count
la_opioid_claim_count
la_opioid_drug_cost
la_opioid_drug_cost
la_opioid_day_supply
la_opioid_day_supply
la_opioid_bene_count
la_opioid_bene_count
la_opioid_prescriber_rate
la_opioid_prescriber_rate
antibiotic_claim_count
antibiotic_claim_count
antibiotic_drug_cost
antibiotic_drug_cost
antibiotic_bene_count
antibiotic_bene_count
antipsych_ge65_suppress_flag
antipsych_ge65_suppress_flag
antipsych_claim_count_ge65
antipsych_claim_count_ge65
antipsych_drug_cost_ge65
antipsych_drug_cost_ge65
antipsych_bene_ge65_suppress_flg
antipsych_bene_ge65_suppress_flg
antipsych_bene_count_ge65
antipsych_bene_count_ge65
average_age_of_beneficiaries
average_age_of_beneficiaries
beneficiary_age_less_65_count
beneficiary_age_less_65_count
beneficiary_age_65_74_count
beneficiary_age_65_74_count
beneficiary_age_75_84_count
beneficiary_age_75_84_count
beneficiary_age_greater_84_count
beneficiary_age_greater_84_count
beneficiary_female_count
beneficiary_female_count
beneficiary_male_count
beneficiary_male_count
beneficiary_race_white_count
beneficiary_race_white_count
beneficiary_race_black_count
beneficiary_race_black_count
beneficiary_race_asian_pi_count
beneficiary_race_asian_pi_count
beneficiary_race_hispanic_count
beneficiary_race_hispanic_count
beneficiary_race_nat_ind_count
beneficiary_race_nat_ind_count
beneficiary_race_other_count
beneficiary_race_other_count
beneficiary_nondual_count
beneficiary_nondual_count
beneficiary_dual_count
beneficiary_dual_count
beneficiary_average_risk_score
beneficiary_average_risk_score

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OData V2 Endpoint:

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