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Data Sources

CMS Medicare Provider Utilization and Payment Data: Inpatient

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That data provided in this source include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG)

CMS Physician Referral Data

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The physician referral data was initially provided as a response to a Freedom of Information (FOIA) request. These files represent data from 2009 through June 2013 showing the number of referrals from one physician to another. The data is available for download from: https://questions.cms.gov/faq.php?faqId=7977. Files can be downloaded as a txt

NUCC Health Care Provider Taxonomy Code Set

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National Uniform Claim Committee

The National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy Code Set contains HIPAA-compliant codes for specifying the specialty of a provider. Other CMS data products, including the NPPES provider database, use the taxonomy codes for self-reported specialty information. The NUCC Taxonomy Code Set can be used in conjunction with

National Provider Identifier (NPI) Standard

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The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial

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