CMS Home Medical Equipment Provider Databank
About the Dataset
The CMS Home Medical Equipment Provider Databank is a comprehensive dataset that provides detailed reimbursement information for over 93,986 unique home medical equipment providers across the United States. This dataset covers an 8-year period from 2015 to the most current CMS release (2022 as of the latest update). It captures approximately $9 billion in total reimbursements for 2022 alone, offering valuable insights into provider performance, reimbursement trends, and market dynamics in the home medical equipment sector.
Dataset Features
Extensive Historical Data: Covers 7+ years of data from 2015 to 2022, providing a rich historical perspective on home medical equipment (HME) reimbursements.
Comprehensive Provider Coverage: Includes reimbursement information for more than 62,000 unique home medical equipment providers.
Broad Industry Representation: With data on 93,986 providers, this dataset offers a comprehensive view of the home medical equipment sector.
Significant Financial Scope: Tracks approximately $9 billion in reimbursement transactions for 2022, helping users understand the financial landscape of the industry.
Timely Updates: The dataset is updated within 24 hours of new CMS data releases, which occur annually.
Flexible Access Options:
Trial version: Access to the first 1,000 rows from each year of the dataset.
Full subscription: Complete dataset with approximately 550,000 provider records per year.
Data Quality and Maintenance
Data Source: Centers for Medicare & Medicaid Services (CMS)
Update Frequency: Annual updates, within 24 hours of new CMS data releases
Data Cleaning: Provider names are cleaned and standardized to account for variations across states
Quality Assurance: Regular checks to ensure data accuracy and consistency
Business Applications
Market analysis and trend identification in the home medical equipment sector
Competitive benchmarking for HME providers
Performance tracking and optimization for healthcare providers
Financial trend analysis for healthcare finance professionals
Strategic planning for market intelligence professionals
Example Use Cases
Market Share Analysis: Identify leading providers and their market share based on total Medicare payments and services rendered.
Regional Performance Comparison: Compare provider performance across different states or regions to identify growth opportunities.
Product Demand Trends: Analyze the most frequently reimbursed HCPCS codes to understand product demand trends.
Reimbursement Rate Analysis: Track changes in reimbursement rates over time for specific HCPCS codes.
Provider Efficiency Metrics: Calculate and compare efficiency metrics such as average reimbursement per claim or per beneficiary across providers.
Data Structure
Key columns in the dataset include:
provider_npi
VARCHAR
(Searchable) National Provider Identifier (NPI) for the supplying provider on the DMEPOS claim.
provider_name
VARCHAR
(Searchable) Provider name or organization, useful for tracking specific entities.
clean_provider_name
VARCHAR
(Searchable) Cleaned and standardized provider names to account for variations across states.
provider_state
VARCHAR
(Searchable) State where the supplier is located, using postal abbreviations.
provider_city
VARCHAR
City where the supplier is located.
provider_zip5
VARCHAR
5-digit ZIP code of the provider's location.
hcpcs_code
VARCHAR
(Searchable) The Healthcare Common Procedure Coding System (HCPCS) code for the specific product or service furnished by the supplier.
hcpcs_description
VARCHAR
A description of the HCPCS code, providing details on the services or products rendered.
total_claims
NUMBER
Total number of DMEPOS claims submitted by the supplier.
total_beneficiaries
NUMBER
Total number of beneficiaries associated with the supplier's services.
total_services
NUMBER
Number of DMEPOS products or services rendered by the supplier.
total_medicare_payments
NUMBER
Total Medicare reimbursement amount for all services provided.
total_medicare_allowed
NUMBER
Total amount allowed by Medicare for all services rendered.
Sample Queries
Top 10 providers by total Medicare payments in 2022:
Average reimbursement per claim by state in 2022:
Support and Contact
For questions, support, or custom data requests related to the CMS Home Medical Equipment Provider Databank, please contact Dataplex Consulting & Data Products at:
About Dataplex
Dataplex Consulting & Data Products is a comprehensive data consulting firm that empowers clients with reliable cloud data and analytics solutions. Our team of certified experts in data engineering and analytics offers tailored services to support data-driven enterprises. We provide high-quality data products available on various platforms, including the Snowflake Marketplace, Datarade Marketplace, Databricks Marketplace, Google Analytics Hub, and SAP Datasphere.
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