New York Health Plan Provider Networks for Q3 2018

Institutional Provider Network Data from the New York Department of Health details health facilities and service providers participating in Medicaid, Commercial, and Exchange plan networks. The data covers the third quarter of 2018 and includes columns for facility location, provider identifiers, and specific plan participation indicators. It was published by health.data.ny.gov and last updated in March 2019.

Use Cases

• Mapping provider network density using Latitude, True County Name, and Town/City for geographic analysis.
• Analyzing plan participation patterns across provider types using Commercial Provider Indicator, Child Health Plus Indicator, and HARP Indicator.
• Linking facility records across systems using National Provider ID (NPI), Permanent Facility Identifier, and License Number/Facility Operating Cert.
• Profiling service offerings by facility using columns like Designated Service, Service 1, and Service 3.

Strengths

• Includes precise geolocation data via Latitude and Longitude columns for spatial analysis.
• Contains multiple unique provider identifiers (NPI, Medicaid ID, License Number) for record linkage.
• Covers multiple insurance types (Medicaid, Commercial, Exchange) for cross-plan comparison.
• Data is structured with over 30 columns detailing facility attributes and plan participation.

Limitations

• Last updated 2019-03-25 14:44:47; freshness should be verified.
• Row count is unknown, which may limit suitability assessment.
• Description metadata is limited; actual data quality requires manual inspection after download.

Provenance

Source

health.data.ny.gov

Collection Method

Collected quarterly from Medicaid, Commercial, and Exchange health plans by the New York Department of Health.

Time Range

July through September 2018

Freshness

Data covers Q3 2018; metadata last updated March 2019.

Geography

New York State, United States