New York Health Plan Provider Networks For 2017

Individual Provider Network Data displays information on individuals participating in health plan networks. The data was collected quarterly by the New York State Department of Health from Medicaid, Commercial, and Exchange plans. It was last updated on the data platform in July 2018.

Use Cases

• Analyze network density by comparing `Plan Name`, `Provider Type`, and `True County` across different plan types.
• Assess provider accessibility by geocoding addresses using `Street Address`, `Town/City`, `Zip Code`, `Latitude`, and `Longitude`.
• Identify multi-specialty providers by cross-referencing `Primary Specialty` and `Secondary Specialty` columns.
• Study hospital affiliations by linking providers to facilities via `Hospital Affiliation (HA) Operating Certificate (OPCERT)` and `HA Permanent Facility Identifier (PFI)` fields.
• Filter network participation for specific plan types using indicator columns like `NYSOH Standard Essential Plan (EP) Indicator` and `Commercial Provider Indicator`.

Strengths

• Contains detailed provider information including `National Provider Identifier`, specialty, and address.
• Includes geospatial coordinates (`Latitude`, `Longitude`) for mapping analysis.
• Covers multiple plan types: Medicaid, Commercial, and Exchange.

Limitations

• Data is from 2017 and may not reflect current provider networks.
• Sample size and row count are unknown, limiting statistical confidence.
• Geographic coverage is limited to New York State providers.

Provenance

Source

New York State Department of Health via health.data.ny.gov.

Collection Method

Collected quarterly from Medicaid, Commercial, and Exchange health plans.

Time Range

2017.

Freshness

Data reflects 2017 plan year; last platform update was July 2018.

Geography

New York State, USA.