• Market Saturation and Utilization Data Tool

    Market saturation, in the present context, refers to the density of providers of a particular service within a defined geographic area relative to the number of beneficiaries receiving that service in the area. The Market Saturation and Utilization Data Tool includes interactive maps and a data set that shows national-, state-, and county-level provider services and utilization data for selected health service areas. The data can be used by the Centers for Medicare and Medicaid Services (CMS) to monitor and manage market saturation as a means to prevent fraud, waste, and abuse. The data can also be used to reveal the degree to which use of a service is related to the number of providers servicing a geographic region.
  • Public Provider Enrollment

    The Public Provider Enrollment data files have key non- sensitive Medicare Provider Enrollment information for providers who are approved to bill Medicare. Data elements include NPI, Enrollment ID, Enrollment Type and State, Gender, Provider Specialty, Reassignment Relationships and Limited Practice Location Information.
  • Medicare Part D Prescriber Look-up Tool

    Updated data for 2014 now available. Data from the 2014 Medicare Part D Prescriber Public Use File can be easily searched to find information on drugs prescribed by physicians and other practitioners for Medicare beneficiaries. Information available include drug name, number of prescriptions dispensed (including original prescriptions and refills) and drug cost.
  • Medicare Physician and Other Supplier Look-up Tool

    Updated data for 2014 now available. Quickly find information on services and procedures delivered by a provider, including average payments for those services, by entering the provider name and/or location.
  • Mapping Medicare Disparities

    The Mapping Medicare Disparities Tool identifies areas of disparities between subgroups of Medicare beneficiaries (e.g., racial and ethnic groups) in health outcomes, utilization, and spending. It is an excellent starting point to understand and investigate geographic and racial and ethnic differences in health outcomes. This information may be used to inform policy decisions and to target populations and geographies for potential interventions.
  • Market Saturation and Utilization Data Tool
  • Public Provider Enrollment
  • Medicare Part D Prescriber Look-up Tool
  • Medicare Physician and Other Supplier Look-up Tool
  • Mapping Medicare Disparities
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