Public sample Data files
Medicaid Claims by Provider (2018-2024)
This CMS dataset, which aggregates provider-level Medicaid spending data from outpatient and professional claims with valid HCPCS codes, covers the period from January 2018 to December 2024. It offers valuable insights into the distribution of Medicaid funds across providers and procedures across the nation. We've enriched this data with NPI details for billing organizations and service providers from NPPES. We've also added some derived metrics like the amount paid per claim. Columns in ALL CAPS are original CMS data. Columns in Title Case have been added by Gigasheet.
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Analyze negotiated rates across payers and providers, identify pricing variation, benchmark against the market, and surface opportunities to improve contracts and reduce costs. This sample dataset is a preview of what’s possible.
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