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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 October through December 2019. Plan network data is collected from Medicaid, Commercial, and Exchange plans on a quarterly basis by NYSoH, including managed care plans, as well as PPO/EPO plans. For more information, please visit: https://pndslookup.health.ny.gov.
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Meta
- Category
- Health
- Permissions
- Public
- Tags
- Row Label
- SODA2 Only
- Yes
Licensing and Attribution
- Data Provided By
- New York State Department of Health
- Source Link
- (none)
Dataset Summary
- Office/Division
- Office of Quality and Patient Safety
- Program Owner
- Division of Performance Improvement and Patient Safety
- Time Period
- 2019 Quarter 4 (October - December)
- Posting Frequency
- Quarterly
- Coverage
- Statewide, with a small amount of additional information outside New York State (other States).
- Granularity
- Health facility at a specific location, in network with a specific health plan. Address information includes latitude and longitude.
- 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
- 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. The 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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