New York Health Plan Provider Network Data for 2018

Individual Provider Network Data from health.data.ny.gov details individuals participating in health plan networks. The dataset covers the first two quarters of 2018, from January through July. It was collected by the New York State Department of Health from Medicaid, Commercial, and Exchange plans.

Use Cases

• Analyze the distribution of providers across different plan types (e.g., NYSOH Indiv Non St Platinum 1, Commercial Non-MCO Dental Indicator) to understand market segmentation.
• Identify providers offering services for specific populations by examining flags like FIDA IDD Indicator, Medicaid Advantage Indicator, and Child Only plan columns.
• Study language accessibility in networks by analyzing columns such as Language 2 and Language 5 across different health plans.
• Correlate provider specialties from Board Status Primary Specialty with participation in specific plan networks (e.g., NYSOH SHOP St Bronze, NYSOH Indiv Non St Gold 1).

Strengths

• Contains detailed participation indicators for over 30 distinct health plan types and benefit categories.
• Data is sourced directly from quarterly submissions to the New York State Department of Health, ensuring an official origin.

Limitations

• The dataset is temporally limited, covering only a 7-month period from the first half of 2018.
• Key quantitative metrics like the total number of provider records or rows are unknown.
• The sample data is unavailable, preventing immediate assessment of data structure and completeness.

Provenance

Source

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

Collection Method

Collected quarterly from Medicaid, Commercial, and Exchange health plans, including managed care and PPO/EPO plans.

Time Range

January 2018 through July 2018 (Quarters 1 & 2 of 2018).

Freshness

Data is from 2018, with a metadata last update in March 2019, indicating it is not current.

Geography

New York State, United States.