Institutional Provider Network Data: 2020 Q1-Q2

Quarterly data from the New York State Department of Health details over 30 specific attributes for health facilities participating in Medicaid, Commercial, and Exchange health plans. Columns include NPI, License Number, Latitude, Longitude, and indicators for services and plan participation. This dataset enables analysis of provider network composition and geographic accessibility across New York State.

Use Cases

• Mapping provider locations and service areas using Latitude, Longitude, and Servicing County columns.
• Analyzing network participation by plan type (Medicaid, Commercial, Exchange) using plan-specific indicator columns.
• Verifying facility licensing and identification via NPI, License Number/Facility Operating Certificate, and PFI.
• Assessing the availability of specific medical services across counties using the Service 1-25 indicator columns.

Strengths

• Contains precise geospatial coordinates (Latitude, Longitude) for facility mapping.
• Includes multiple unique provider identifiers (NPI, PFI, Medicaid Provider ID) for record linkage.
• Covers three major health plan types (Medicaid, Commercial, Exchange) for comparative analysis.
• Data is collected quarterly, providing a temporal snapshot of network composition.

Limitations

• Row counts and dataset sizes are not provided by any source, obscuring scale.
• Sources conflict on the exact column set, with one listing 'Quarter/Year' and others not.
• Documentation on the meaning of specific 'Service' and indicator columns is not detailed in the metadata.

Provenance

Source

New York State Department of Health (NYSoH)

Collection Method

Collected quarterly from health plans including managed care, PPO, and EPO plans.

Time Range

January 2020 through June 2020 (Q1 and Q2).

Freshness

Last updated on 2020-09-28.

Geography

New York State, United States.