Individual Health Provider Networks for New York State Medicaid and Commercial Plans

Individual Provider Network Data from health.data.ny.gov details individuals participating in health plan networks. It covers Medicaid, Commercial, and Exchange plans for the fourth quarter of 2018. The New York State Department of Health collects this data quarterly.

Use Cases

• Analyze provider geographic distribution using Latitude, Zip_std, and TrueCountyName columns.
• Identify specialists accepting Medicaid by cross-referencing primspec, secdspec, and mapind columns.
• Study network composition for specific plan types using commind, paceind, and chpind flags.
• Assess provider accessibility features like wheelchair accessibility via the wheelchr column.

Strengths

• Contains over 30 columns detailing provider attributes and plan participation.
• Includes geospatial coordinates (Latitude) and standardized addresses for location analysis.

Limitations

• Data is from a single quarter (Q4 2018), limiting longitudinal analysis.
• Sample size and total row count are unknown, affecting statistical confidence.
• Column names are abbreviated and lack clear documentation for interpretation.

Provenance

Source

health.data.ny.gov

Collection Method

Collected quarterly by the New York State Department of Health from health plans.

Time Range

October through December 2018

Freshness

Quarterly updates; data is from 2018.

Geography

New York State