Profile Picture Open Data NY - DOH

created Nov 19 2018

updated Mar 25 2019

Description

The institutional Provider Network Data displays information on health facilities and ancillary service providers (for example: hospitals, labs, home care agencies) participating in health plan networks from July through September, 2018. 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.

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Meta
Category
Health
Permissions
Public
Tags
facilities and services, pnds, provider network, facility, institutional
Row Label
SODA2 Only
Yes
Dataset Summary
Office/Division
Office of Quality and Patient Safety
Program Owner
Division of Performance Improvement and Patient Safety
Time Period
2018 Quarter 3 (July 1 - September 30)
Posting Frequency
Quarterly
Coverage
Statewide, with a small amount of additional information outside NYS (other States)
Granularity
Health facility at a specific location, in network with a specific health plan. Address information includes lat/long
Units
Facility-location-health plan (A hospital system with 2 locations in network with 2 plans at each location will have 4 rows of data)
Disclaimers
Disclaimer
PNDS data is reported by health plans. Certain fields, including the Medicaid Provider Identification Number, are plan-specific identifiers that are used to link to the health plan’s own data. This field may contain numbers, symbols, or characters, and cannot be used to identify a specific site across health plan networks. 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.
Dataset Information
Agency
Health, Department of
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