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Individual Provider Network Data: 2019 Quarter 3

Based on

Based on Individual Provider Network Data: 2019 Quarter 3

Publishing to the public requires approval

The Individual Provider Network Data displays information on individuals participating in health plan networks from July through September 2019. Plan network data is collected from Medicaid, Commercial, and Exchange plans on a quarterly basis by the Department of Health, including managed care plans, as well as PPO/EPO plans.
For more information, please visit https://pndslookup.health.ny.gov.

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Open Data NY - DOH

created Nov 27 2019

updated Feb 6 2020

The Individual Provider Network Data displays information on individuals participating in health plan networks from July through September 2019. Plan network data is collected from Medicaid, Commercial, and Exchange plans on a quarterly basis by the Department of Health, including managed care plans, as well as PPO/EPO plans.
For more information, please visit https://pndslookup.health.ny.gov.

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Category: Health
Permissions: Public
Tags: services, pnds, network, provider, individual, facilities
Row Label
SODA2 Only: Yes

Permalink: https://health.data.ny.gov/Health/Individual-Provider-Network-Data-2019-Quarter-3/3epr-ce7fOpens in new window.
Short URL: https://health.data.ny.gov/d/3epr-ce7f?category=Health&view_name=Individual-Provider-Network-Data-2019-Quarter-3Opens in new window.

Licensing and Attribution

Data Provided By: New York State Department of Health
Source Link: https://pndslookup.health.ny.gov

Dataset Summary

Office/Division: Office of Quality and Patient Safety
Program Owner: Division of Performance Improvement and Patient Safety
Time Period: 2019 Quarter 3 (July - September)
Posting Frequency: Quarterly
Coverage: Statewide, with a small amount of additional information outside New York State (other States)
Granularity: Individual provider at a specific location, networking with a specific health plan. Address information includes latitude/longitude.

Notes: Provider-practice location-health plan (A provider with 2 locations who networks with 2 plans at each will have 4 rows of data)

Disclaimer: NYSoH consolidated the way health plans submitted individual networks starting with Q3 2018. Instead of having each plan submit for each separate product they were offering, health plans began submitting different networks under separate network indicator fields.
Limitations: Provider/facility site locations are submitted by multiple health plans, and some may report the same data in different ways. Address information is standardized, but practice names are not.

Additional Resources

See Also: https://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf
See Also: https://pndslookup.health.ny.gov

Dataset Information

Agency: Health, Department of

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