CareJourney’s Provider Data Solutions data asset is the first comprehensive value based care resource to help you improve provider performance and referrals, grow your network, and build data-driven care teams.
Healthcare stakeholders have generally operated with insufficient data. Critical decisions regarding patient care, referrals, and provider performance have been made using incomplete, scattered, un-actionable datasets, resulting in patients and providers paying the price, both financially and with their most precious currency: patient health.
With over 2 million NPIs profiled, CareJourney’s data asset enables increased focus on making critical data-driven decisions around finding and recruiting the best providers who deliver high-quality, low-cost care.
Data sources:
- CMS Medicare fee-for-service claims details
- CMS Physician Compare
- NPPES data
- QPP eligibility data
Each view (by year) is organized by:
- Provider
- Provider x Facility
- Provider x APM
- Provider x Procedure
- Provider x Episode
Sample fields include:
Demographic Metrics
- Provider ID (NPI)
- Geographic Details
- Year
- Practice Group Affiliation
- Hospital Affiliation
- Taxonomy (NPPES and CareJourney)
- Number of Patients
Premium Metrics
- Medical Codes (procedure and diagnosis)
- CareJourney Cost Index
- CareJourney Outcomes Index
- Allowed Amount
- Number of Claims
- Episode Type
- Count of Episodes
- Observed Allowed Amount
- Expected Amount
- Average Risk Score
- Allowed Amount by Site of Service
- Episode Cost & Utilization
- Rate of Performance
- Probability of Performing Better
- Benchmarks
- Referral data including specialty, number of patients, allowed amounts etc.