CMS Home Medical Equipment Product Databank
About the Dataset
The CMS Home Medical Equipment Product Databank is a comprehensive dataset providing detailed reimbursement information for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) products and services across the United States. Covering the period from 2014 to 2022, this dataset offers critical insights into product performance, market trends, and supplier behaviors in the home medical equipment industry.
Key aspects of the dataset include:
Reimbursement data for DMEPOS products and services
Information on referring providers, suppliers, and Medicare beneficiaries
Detailed breakdown of claims and reimbursement amounts
Annual updates within 24 hours of new CMS data releases
Coverage of approximately 1,300 records per year in the full subscription
Dataset Features
Comprehensive Coverage: 9 years of data from 2014 to 2022, offering a robust foundation for analyzing long-term trends in home medical equipment reimbursement.
Detailed Product Information: Includes HCPCS codes and descriptions for DMEPOS products and services rendered by suppliers.
Extensive Metrics: Provides data on the number of referring providers, suppliers, Medicare beneficiaries, total claims, and reimbursement amounts for each product and service.
Regular Updates: Dataset is updated annually within 24 hours of each new CMS data release, ensuring access to the most current information.
Flexible Access Options: Offers both a trial version with 200 rows per year and a full subscription with approximately 1,300 records per year.
Data Quality and Maintenance
Data Source: Derived from official CMS data releases, ensuring reliability and accuracy.
Update Frequency: Annual updates, with the most recent data available as of September 2024.
Quality Assurance: Rigorous data cleaning and validation processes to maintain high data quality standards.
Version Control: Each update is versioned, allowing for tracking of changes over time.
Business Applications
Product Performance Analysis
Market Trend Identification
Competitive Benchmarking
Healthcare Finance Insights
Reimbursement Strategy Optimization
Supplier Behavior Analysis
Example Use Cases
Healthcare Providers: Track product performance and optimize reimbursement strategies based on claims and payment data.
Market Analysts: Leverage historical data to analyze trends in Medicare reimbursement and provider behavior over time.
Payers & Insurers: Assess reimbursement patterns and predict future trends for cost-saving opportunities and strategic decision-making.
Medical Equipment Manufacturers: Identify high-performing products and market gaps to inform product development and marketing strategies.
Healthcare Consultants: Provide data-driven recommendations to clients on optimizing their DMEPOS product offerings and reimbursement strategies.
Data Structure
The dataset includes the following key columns:
row_number
NUMBER
Unique ID for each row in the report.
year
NUMBER
The year the data was reported.
product
VARCHAR
Betos Classification System description with the corresponding HCPCS code in parentheses.
hcpcs_code
VARCHAR
(Searchable) HCPCS code for the specific product or service furnished by the DMEPOS supplier.
hcpcs_description
VARCHAR
Detailed description of the HCPCS code and the related product or service.
total_referring_providers
NUMBER
The number of providers who referred the DMEPOS products or services.
total_providers
NUMBER
The number of suppliers rendering DMEPOS products or services.
total_medicare_beneficiaries
NUMBER
The number of unique Medicare beneficiaries linked to the DMEPOS claims submitted by the suppliers.
total_provider_claims
NUMBER
Total number of claims submitted by suppliers for the products/services ordered by referring providers.
total_services
NUMBER
Number of DMEPOS products or services provided, with varying metrics depending on the service.
medicare_allowed_amount
NUMBER
Total Medicare allowed amount for all services rendered.
submitted_charges_amount
NUMBER
Total submitted charges for all services provided.
medicare_payments_amount
NUMBER
The total amount paid by Medicare for the services, calculated as the average supplier Medicare payment amount multiplied by the total number of services.
created_at
TIMESTAMP
The timestamp when the record was created by Dataplex.
updated_at
TIMESTAMP
The timestamp when the record was last updated by Dataplex.
Sample Queries
Top 10 DMEPOS products by Medicare payment amount in 2022:
Year-over-year growth in total services for a specific HCPCS code:
Average Medicare allowed amount per service by product category in 2022:
Support and Contact
For questions, support, or custom data requests related to the CMS Home Medical Equipment Product Databank, please contact:
About Dataplex
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