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Providing easy access to healthcare provider data through publicly available APIs.

📦 Installation

You can install provider from GitHub with:

# install.packages("pak")
pak::pak("andrewallenbruce/provider")

🔰 Usage

affiliations()

affiliations(npi = 1023630738, 
             pac = 9032521372, 
             facility_ccn = 370781) |> 
  glimpse()
#> Rows: 1
#> Columns: 6
#> $ npi           <chr> "1023630738"
#> $ pac           <chr> "9032521372"
#> $ first         <chr> "ALYSIA"
#> $ last          <chr> "SMITH"
#> $ facility_type <fct> Hospital
#> $ facility_ccn  <chr> "370781"

beneficiaries()

beneficiaries(year   = 2024, 
              period = "Month", 
              level  = "County", 
              state  = "GA", 
              county = "Lowndes County") |> 
  glimpse()
#> Rows: 3
#> Columns: 26
#> $ year              <int> 2024, 2024, 2024
#> $ period            <ord> January, February, March
#> $ level             <ord> County, County, County
#> $ state             <ord> GA, GA, GA
#> $ state_name        <ord> Georgia, Georgia, Georgia
#> $ county            <chr> "Lowndes County", "Lowndes County", "Lowndes County"
#> $ fips              <chr> "13185", "13185", "13185"
#> $ bene_total        <int> 20848, 20854, 20874
#> $ bene_orig         <int> 10648, 10609, 10579
#> $ bene_ma_oth       <int> 10200, 10245, 10295
#> $ bene_total_aged   <int> 17556, 17561, 17581
#> $ bene_aged_esrd    <int> 118, 114, 112
#> $ bene_aged_no_esrd <int> 17438, 17447, 17469
#> $ bene_total_dsb    <int> 3292, 3293, 3293
#> $ bene_dsb_esrd     <int> 144, 144, 142
#> $ bene_dsb_no_esrd  <int> 3148, 3149, 3151
#> $ bene_total_ab     <int> 19357, 19403, 19424
#> $ bene_ab_orig      <int> 9172, 9173, 9148
#> $ bene_ab_ma_oth    <int> 10185, 10230, 10276
#> $ bene_total_rx     <int> 15492, 15512, 15529
#> $ bene_rx_pdp       <int> 5868, 5835, 5809
#> $ bene_rx_mapd      <int> 9624, 9677, 9720
#> $ bene_rx_lis_elig  <int> 5669, 5675, 5678
#> $ bene_rx_lis_full  <int> 600, 595, 601
#> $ bene_rx_lis_part  <int> 23, 23, 22
#> $ bene_rx_lis_no    <int> 9200, 9219, 9228

clinicians()

clinicians(npi = 1932365699) |> 
  glimpse()
#> Rows: 1
#> Columns: 19
#> $ npi           <chr> "1932365699"
#> $ pac           <chr> "0042370496"
#> $ enid          <chr> "I20171107000894"
#> $ first         <chr> "STEFAN"
#> $ middle        <chr> "MICHAEL"
#> $ last          <chr> "SMITH"
#> $ gender        <fct> Male
#> $ credential    <chr> "OD"
#> $ school        <chr> "ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO"
#> $ grad_year     <int> 2008
#> $ specialty     <chr> "OPTOMETRY"
#> $ facility_name <chr> "LEE ANN HOVEN OD PC"
#> $ pac_org       <chr> "5193882009"
#> $ members_org   <int> 2
#> $ address_org   <chr> "1165 S CAMINO DEL RIO SUITE 100"
#> $ city_org      <chr> "DURANGO"
#> $ state_org     <ord> CO
#> $ zip_org       <chr> "81303"
#> $ phone_org     <chr> "9702478762"

hospitals()

hospitals(npi = 1720098791) |> 
  glimpse()
#> Rows: 1
#> Columns: 22
#> $ npi_org           <chr> "1720098791"
#> $ pac_org           <chr> "7618950643"
#> $ enid_org          <chr> "O20230310002325"
#> $ enid_state        <ord> GA
#> $ facility_ccn      <chr> "110779"
#> $ organization      <chr> "IRWIN COUNTY HOSPITAL"
#> $ doing_business_as <chr> "PROGRESSIVE MEDICAL ENTERPRISE"
#> $ specialty_code    <chr> "00-24"
#> $ specialty         <chr> "PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)"
#> $ incorp_state      <ord> GA
#> $ structure         <chr> "OTHER: HOSPITAL AUTHORITY"
#> $ address           <chr> "710 N IRWIN AVE"
#> $ city              <chr> "OCILLA"
#> $ state             <ord> GA
#> $ zip               <chr> "31774"
#> $ location_type     <chr> "OTHER HOSPITAL PRACTICE LOCATION: REH"
#> $ registration      <fct> Non-Profit
#> $ multi_npi         <lgl> FALSE
#> $ reh_date          <date> 2023-03-23
#> $ reh_ccns          <chr> "110130"
#> $ reh_conversion    <lgl> TRUE
#> $ subgroup          <fct> None

laboratories()

laboratories(clia = "11D0265516") |> 
  glimpse()
#> Rows: 1
#> Columns: 25
#> $ clia_number           <chr> "11D0265516"
#> $ provider_name         <chr> "DANIEL FELDMAN MD"
#> $ certificate           <ord> Compliance
#> $ clia_medicare         <chr> "00205114A3"
#> $ effective_date        <date> 1996-08-29
#> $ expiration_date       <date> 1998-08-04
#> $ expired               <lgl> TRUE
#> $ termination_reason    <ord> "Mail Returned No Forward Address Cert Ended (CL…
#> $ status                <ord> In Compliance
#> $ poc_ind               <lgl> TRUE
#> $ type_of_action        <ord> Recertification
#> $ ownership_type        <fct> Proprietary
#> $ facility_type         <ord> Physician Office
#> $ director_affiliations <int> 0
#> $ address               <chr> "205 WOODROW WILSON DR"
#> $ city                  <chr> "VALDOSTA"
#> $ state                 <ord> GA
#> $ zip                   <chr> "31602"
#> $ phone                 <chr> "8032619888"
#> $ orig_part_date        <date> 1992-09-01
#> $ application_date      <date> 1993-01-20
#> $ certification_date    <date> 1996-03-21
#> $ mailed_date           <date> 1996-09-25
#> $ region                <fct> Atlanta
#> $ clia_class_current    <fct> CLIA Lab

nppes()

nppes(npi = 1497535637) |> 
  glimpse()
#> Rows: 1
#> Columns: 23
#> $ npi         <chr> "1497535637"
#> $ entity_type <fct> Individual
#> $ enum_date   <date> 2023-10-04
#> $ cert_date   <date> 2023-10-05
#> $ last_update <date> 2023-10-05
#> $ status      <fct> Active
#> $ first       <chr> "CARTER"
#> $ last        <chr> "ADAMS"
#> $ gender      <fct> Male
#> $ credential  <chr> "NP-BC"
#> $ sole_prop   <lgl> FALSE
#> $ purpose     <fct> Practice
#> $ address     <chr> "2501 N PATTERSON ST"
#> $ city        <chr> "VALDOSTA"
#> $ state       <ord> GA
#> $ zip         <chr> "31602"
#> $ country     <chr> "US"
#> $ phone       <chr> "229-433-1000"
#> $ tx_code     <chr> "363L00000X"
#> $ tx_primary  <lgl> TRUE
#> $ tx_desc     <chr> "Nurse Practitioner"
#> $ tx_license  <chr> "RN272237"
#> $ tx_state    <ord> GA

open_payments()

open_payments(year  = 2021, 
              npi   = 1023630738, 
              na.rm = TRUE) |> 
  glimpse()
#> Rows: 1
#> Columns: 46
#> $ program_year        <int> 2021
#> $ npi                 <chr> "1023630738"
#> $ covered_recipient   <fct> Non-Physician Practitioner
#> $ first               <chr> "ALYSIA"
#> $ middle              <chr> "MOTA"
#> $ last                <chr> "SMITH"
#> $ address             <chr> "610 N HOY ST"
#> $ city                <chr> "BUFFALO"
#> $ state               <ord> OK
#> $ zip                 <chr> "73834"
#> $ country             <chr> "United States"
#> $ primary             <chr> "Physician Assistant"
#> $ specialty           <chr> "Physician Assistants & Advanced Practice Nursing …
#> $ license_state       <ord> OK
#> $ physician_ownership <lgl> FALSE
#> $ third_party_payment <chr> "No Third Party Payment"
#> $ publish_date        <date> 2024-06-28
#> $ publish_delay       <lgl> FALSE
#> $ publish_dispute     <lgl> FALSE
#> $ related_product     <lgl> TRUE
#> $ payer_id            <chr> "100000866821"
#> $ payer_sub           <chr> "Organon LLC"
#> $ payer_name          <chr> "Organon LLC"
#> $ payer_state         <ord> NJ
#> $ payer_country       <chr> "United States"
#> $ pay_form            <chr> "In-kind items and services"
#> $ pay_nature          <chr> "Food and Beverage"
#> $ pay_total           <dbl> 17.43
#> $ pay_date            <date> 2021-08-25
#> $ pay_count           <int> 1
#> $ row_id              <int> 1
#> $ group_id            <int> 1
#> $ name                <chr> "NEXPLANON"
#> $ covered             <lgl> TRUE
#> $ type                <chr> "Drug"
#> $ category            <chr> "CONTRACEPTIVES"
#> $ ndc                 <chr> "78206-145-01"
#> $ ndc.rxcui           <chr> "1111011"
#> $ ndc.atc             <chr> "G03AC"
#> $ ndc.status          <chr> "ACTIVE"
#> $ ndc.brand_name      <chr> "NEXPLANON"
#> $ ndc.drug_name       <chr> "etonogestrel 68 MG Drug Implant [Nexplanon]"
#> $ ndc.atc_first       <chr> "genito urinary system and sex hormones"
#> $ ndc.atc_second      <chr> "sex hormones and modulators of the genital system"
#> $ ndc.atc_third       <chr> "hormonal contraceptives for systemic use"
#> $ ndc.atc_fourth      <chr> "progestogens"

opt_out()

opt_out(npi = 1043522824) |> 
  glimpse()
#> Rows: 1
#> Columns: 12
#> $ npi               <chr> "1043522824"
#> $ first             <chr> "James"
#> $ last              <chr> "Smith"
#> $ specialty         <chr> "Nurse Practitioner"
#> $ order_refer       <lgl> TRUE
#> $ optout_start_date <date> 2019-07-01
#> $ optout_end_date   <date> 2025-07-01
#> $ last_updated      <date> 2023-09-15
#> $ address           <chr> "8585 E HARTFORD DR STE 111"
#> $ city              <chr> "SCOTTSDALE"
#> $ state             <ord> AZ
#> $ zip               <chr> "85255"

order_refer()

order_refer(npi = 1043522824, tidy = FALSE) |> 
  glimpse()
#> Rows: 1
#> Columns: 8
#> $ NPI        <chr> "1043522824"
#> $ LAST_NAME  <chr> "SMITH"
#> $ FIRST_NAME <chr> "JAMES"
#> $ PARTB      <chr> "Y"
#> $ DME        <chr> "Y"
#> $ HHA        <chr> "Y"
#> $ PMD        <chr> "Y"
#> $ HOSPICE    <chr> "N"

outpatient()

outpatient(year  = 2021, 
           state = "GA", 
           city  = "Valdosta", 
           apc   = "5072") |> 
  glimpse()
#> Rows: 1
#> Columns: 18
#> $ year                <int> 2021
#> $ ccn                 <chr> "110122"
#> $ organization        <chr> "South Georgia Medical Center"
#> $ address             <chr> "2501 North Patterson Street, Po Box 1727"
#> $ city                <chr> "Valdosta"
#> $ state               <ord> GA
#> $ fips                <chr> "13"
#> $ zip                 <chr> "31602"
#> $ ruca                <chr> "1"
#> $ apc                 <chr> "5072"
#> $ apc_desc            <chr> "Level 2 Excision/ Biopsy/ Incision and Drainage"
#> $ tot_benes           <int> 210
#> $ comp_apc_srvcs      <int> 222
#> $ avg_charges         <dbl> 6454.778
#> $ avg_allowed         <dbl> 1233.753
#> $ avg_payment         <dbl> 981.9733
#> $ tot_outlier_srvcs   <int> 0
#> $ avg_outlier_payment <dbl> 0

prescribers()

prescribers(year = 2019, 
            type = 'Provider', 
            npi = 1003000126) |> 
  glimpse()
#> Rows: 1
#> Columns: 27
#> $ year           <int> 2019
#> $ npi            <chr> "1003000126"
#> $ entity_type    <fct> Individual
#> $ first          <chr> "Ardalan"
#> $ last           <chr> "Enkeshafi"
#> $ gender         <fct> Male
#> $ credential     <chr> "MD"
#> $ specialty      <chr> "Internal Medicine"
#> $ source         <chr> "Claim-Specialty"
#> $ address        <chr> "900 Seton Dr"
#> $ city           <chr> "Cumberland"
#> $ state          <ord> MD
#> $ zip            <chr> "21502"
#> $ fips           <chr> "24"
#> $ ruca           <chr> "1"
#> $ country        <chr> "US"
#> $ tot_claims     <int> 589
#> $ tot_fills      <dbl> 681.7333
#> $ tot_cost       <dbl> 28902.12
#> $ tot_supply     <int> 15955
#> $ tot_benes      <int> 214
#> $ rx_rate_opioid <dbl> 5.093379
#> $ bene_race_blk  <int> 73
#> $ hcc_risk_avg   <dbl> 2.708114
#> $ detailed       <list> [<tbl_df[1 x 32]>]
#> $ demographics   <list> [<tbl_df[1 x 14]>]
#> $ gte_65         <list> [<tbl_df[1 x 8]>]
prescribers(year = 2019, 
            npi = 1003000126,
            type = 'Drug',
            brand_name = 'Atorvastatin Calcium') |> 
  glimpse()
#> Rows: 1
#> Columns: 18
#> $ year         <int> 2019
#> $ npi          <chr> "1003000126"
#> $ last         <chr> "Enkeshafi"
#> $ first        <chr> "Ardalan"
#> $ city         <chr> "Cumberland"
#> $ state        <ord> MD
#> $ fips         <chr> "24"
#> $ specialty    <chr> "Internal Medicine"
#> $ source       <chr> "Claim-Specialty"
#> $ brand_name   <chr> "Atorvastatin Calcium"
#> $ generic_name <chr> "Atorvastatin Calcium"
#> $ tot_claims   <int> 41
#> $ tot_fills    <dbl> 50
#> $ tot_supply   <int> 1482
#> $ tot_cost     <dbl> 373.6
#> $ tot_benes    <int> 22
#> $ level        <ord> Provider
#> $ gte_65       <list> [<tbl_df[1 x 7]>]
prescribers(year = 2021, 
            type = 'Geography',
            level = 'National',
            brand_name = 'Clotrimazole-Betamethasone') |> 
  glimpse()
#> Rows: 1
#> Columns: 20
#> $ year            <int> 2021
#> $ level           <ord> National
#> $ state           <ord> National
#> $ brand_name      <chr> "Clotrimazole-Betamethasone"
#> $ generic_name    <chr> "Clotrimazole/Betamethasone Dip"
#> $ tot_prescribers <int> 203283
#> $ tot_claims      <int> 1611886
#> $ tot_fills       <dbl> 1694182
#> $ tot_cost        <dbl> 43735273
#> $ tot_benes       <int> 887643
#> $ tot_claims_ge65 <int> 1363536
#> $ tot_fills_ge65  <dbl> 1435849
#> $ tot_cost_ge65   <dbl> 36509742
#> $ tot_benes_ge65  <int> 763073
#> $ tot_cost_lis    <dbl> 877005.8
#> $ tot_cost_nlis   <dbl> 11891222
#> $ opioid          <lgl> FALSE
#> $ opioid_la       <lgl> FALSE
#> $ antibiotic      <lgl> FALSE
#> $ antipsychotic   <lgl> FALSE

providers()

providers(npi  = 1720098791, 
          enid = "O20040610001257") |> 
  glimpse()
#> Rows: 1
#> Columns: 7
#> $ npi                   <chr> "1720098791"
#> $ pac                   <chr> "7618950643"
#> $ enid                  <chr> "O20040610001257"
#> $ specialty_code        <chr> "12-70"
#> $ specialty_description <chr> "PART B SUPPLIER - CLINIC/GROUP PRACTICE"
#> $ state                 <ord> GA
#> $ organization          <chr> "IRWIN COUNTY HOSPITAL"

quality_payment()

quality_payment(year = 2021, 
                npi  = 1932365699) |> 
  glimpse()
#> Rows: 1
#> Columns: 47
#> $ year                <int> 2021
#> $ npi                 <chr> "1932365699"
#> $ npi_type            <fct> Individual
#> $ first               <chr> "STEFAN"
#> $ middle              <chr> "MICHAEL"
#> $ last                <chr> "SMITH"
#> $ state               <ord> CO
#> $ first_approved_date <date> 2008-11-15
#> $ years_in_medicare   <dbl> 13
#> $ participation_type  <fct> Group
#> $ beneficiaries       <int> 555
#> $ services            <int> 1157
#> $ charges             <dbl> 112449
#> $ final_score         <dbl> 60
#> $ pay_adjust          <dbl> 0
#> $ quality_score       <dbl> 45
#> $ pi_score            <dbl> 0
#> $ ia_score            <dbl> 0
#> $ cost_score          <dbl> 0
#> $ complex_bonus       <dbl> 2.54
#> $ qi_bonus            <dbl> 0
#> $ newly_enrolled      <lgl> FALSE
#> $ is_maqi             <lgl> FALSE
#> $ org_id              <int> 1
#> $ org_size            <int> 3
#> $ org_name            <chr> "LEE ANN HOVEN OD PC"
#> $ org_address         <chr> "ADVANCED EYE CARE 1165S CAMINO DEL RIO SUITE 100"
#> $ org_city            <chr> "DURANGO"
#> $ org_state           <ord> CO
#> $ org_zip             <chr> "81303"
#> $ org_hosp_vbp_name   <chr> NA
#> $ org_facility_based  <lgl> FALSE
#> $ ind_lvt_status_code <chr> "BOTH"
#> $ ind_lvt_status_desc <chr> "Both the unique beneficiaries and Part B"
#> $ ind_hosp_vbp_score  <int> 0
#> $ specialty           <chr> "Optometry"
#> $ specialty_desc      <chr> "Optometry"
#> $ specialty_type      <chr> "Doctor of Optometry"
#> $ specialty_cat       <chr> "Physicians"
#> $ ind_specialty_code  <chr> "41"
#> $ ind_specialty_desc  <chr> "Optometry"
#> $ ind_specialty_type  <chr> "Doctor of Optometry"
#> $ ind_specialty_cat   <chr> "Physicians"
#> $ qpp_status          <list> [<tbl_df[9 x 1]>]
#> $ qpp_measures        <list> [<tbl_df[6 x 3]>]
#> $ ind_status          <list> [<tbl_df[8 x 1]>]
#> $ grp_status          <list> [<tbl_df[10 x 1]>]
q <- quality_payment(year = 2021, 
                     npi = 1932365699)

q |> 
  select(
    year,
    qpp_status
    ) |> 
  unnest(qpp_status)
#> # A tibble: 9 × 2
#>    year qualified                 
#>   <int> <fct>                     
#> 1  2021 Engaged                   
#> 2  2021 Small Practitioner        
#> 3  2021 Rural Clinician           
#> 4  2021 HPSA Clinician            
#> 5  2021 Extreme Hardship          
#> 6  2021 Extreme Hardship (Quality)
#> 7  2021 Extreme Hardship (PI)     
#> 8  2021 Extreme Hardship (IA)     
#> 9  2021 Extreme Hardship (Cost)
q |> 
  select(
    year,
    qpp_measures
    ) |> 
  unnest(qpp_measures)
#> # A tibble: 6 × 4
#>    year category measure_id score
#>   <int> <fct>    <chr>      <dbl>
#> 1  2021 Quality  141            3
#> 2  2021 Quality  014            3
#> 3  2021 Quality  110            3
#> 4  2021 Quality  47             3
#> 5  2021 Quality  1              0
#> 6  2021 Quality  117            0

quality_eligibility()

quality_eligibility(year = 2021, 
                    npi  = 1932365699) |> 
  glimpse()
#> Rows: 1
#> Columns: 30
#> $ year                <int> 2021
#> $ npi                 <chr> "1932365699"
#> $ npi_type            <fct> Individual
#> $ first               <chr> "STEFAN"
#> $ middle              <chr> "MICHAEL"
#> $ last                <chr> "SMITH"
#> $ first_approved_date <date> 2008-11-15
#> $ years_in_medicare   <dbl> 13
#> $ newly_enrolled      <lgl> FALSE
#> $ specialty_desc      <chr> "Optometry"
#> $ specialty_type      <chr> "Doctor of Optometry"
#> $ specialty_cat       <chr> "Physicians"
#> $ is_maqi             <lgl> FALSE
#> $ org_id              <int> 1
#> $ org_name            <chr> "LEE ANN HOVEN OD PC"
#> $ org_hosp_vbp_name   <chr> NA
#> $ org_facility_based  <lgl> FALSE
#> $ org_address         <chr> "ADVANCED EYE CARE 1165S CAMINO DEL RIO SUITE 100"
#> $ org_city            <chr> "DURANGO"
#> $ org_state           <ord> CO
#> $ org_zip             <chr> "81303"
#> $ ind_lvt_status_code <chr> "BOTH"
#> $ ind_lvt_status_desc <chr> "Both the unique beneficiaries and Part B"
#> $ ind_hosp_vbp_score  <int> 0
#> $ ind_specialty_code  <chr> "41"
#> $ ind_specialty_desc  <chr> "Optometry"
#> $ ind_specialty_type  <chr> "Doctor of Optometry"
#> $ ind_specialty_cat   <chr> "Physicians"
#> $ ind_status          <list> [<tbl_df[8 x 1]>]
#> $ grp_status          <list> [<tbl_df[10 x 1]>]

reassignments()

reassignments(npi = 1932365699, 
              pac_org = 7719037548) |> 
  glimpse()
#> Rows: 1
#> Columns: 12
#> $ npi           <chr> "1932365699"
#> $ pac           <chr> "42370496"
#> $ enid          <chr> "I20171107000894"
#> $ first         <chr> "STEFAN"
#> $ last          <chr> "SMITH"
#> $ associations  <int> 2
#> $ organization  <chr> "EYE CENTER OF THE ROCKIES PC"
#> $ pac_org       <chr> "7719037548"
#> $ enid_org      <chr> "O20090616000599"
#> $ state_org     <ord> CO
#> $ reassignments <int> 5
#> $ entry         <fct> Reassignment

utilization()

utilization(year = 2021, 
            npi  = 1932365699, 
            type = "Provider") |> 
  glimpse()
#> Rows: 1
#> Columns: 20
#> $ year         <int> 2021
#> $ npi          <chr> "1932365699"
#> $ entity_type  <fct> Individual
#> $ first        <chr> "Stefan"
#> $ middle       <chr> "M"
#> $ last         <chr> "Smith"
#> $ gender       <fct> Male
#> $ credential   <chr> "OD"
#> $ specialty    <chr> "Optometry"
#> $ address      <chr> "724 St. Louis Road"
#> $ city         <chr> "Collinsville"
#> $ state        <ord> IL
#> $ zip          <chr> "62234"
#> $ fips         <chr> "17"
#> $ ruca         <chr> "1"
#> $ country      <chr> "US"
#> $ par          <lgl> TRUE
#> $ performance  <list> [<tbl_df[1 x 11]>]
#> $ demographics <list> [<tbl_df[1 x 12]>]
#> $ conditions   <list> [<tbl_df[1 x 1]>]
p <- utilization(year = 2021, 
                 npi = 1932365699, 
                 type = "Provider")

select(p, year, performance) |> 
  unnest(performance) |> 
  glimpse()
#> Rows: 1
#> Columns: 12
#> $ year            <int> 2021
#> $ tot_hcpcs       <int> 19
#> $ tot_benes       <int> 279
#> $ tot_srvcs       <int> 475
#> $ tot_charges     <dbl> 57098.8
#> $ tot_allowed     <dbl> 48345.19
#> $ tot_payment     <dbl> 31966.13
#> $ tot_std_pymt    <dbl> 31316.51
#> $ .copay_deduct   <dbl> 16379.06
#> $ .srvcs_per_bene <dbl> 1.702509
#> $ .pymt_per_bene  <dbl> 114.5739
#> $ .pymt_per_srvc  <dbl> 67.29712
select(p, year, demographics) |> 
  unnest(demographics) |> 
  glimpse()
#> Rows: 1
#> Columns: 13
#> $ year               <int> 2021
#> $ bene_age_avg       <int> 72
#> $ bene_age_lt65      <int> 16
#> $ bene_age_65_74     <int> 181
#> $ bene_age_75_84     <int> 63
#> $ bene_age_gt84      <int> 19
#> $ bene_gen_female    <int> 157
#> $ bene_gen_male      <int> 122
#> $ bene_race_wht      <int> 245
#> $ bene_race_nonwht   <int> 34
#> $ bene_dual          <int> 40
#> $ bene_ndual         <int> 239
#> $ bene_race_detailed <list> [<tbl_df[1 x 5]>]
select(p, year, conditions) |> 
  unnest(conditions) |> 
  glimpse()
#> Rows: 1
#> Columns: 2
#> $ year         <int> 2021
#> $ hcc_risk_avg <dbl> 0.7719
utilization(year  = 2021, 
            npi   = 1932365699,
            hcpcs = "99214",
            type  = "Service") |> 
  glimpse()
#> Rows: 1
#> Columns: 32
#> $ year         <int> 2021
#> $ npi          <chr> "1932365699"
#> $ level        <ord> Provider
#> $ first        <chr> "Stefan"
#> $ middle       <chr> "M"
#> $ last         <chr> "Smith"
#> $ gender       <fct> Male
#> $ credential   <chr> "O.D."
#> $ specialty    <chr> "Optometry"
#> $ address      <chr> "724 St. Louis Road"
#> $ city         <chr> "Collinsville"
#> $ state        <ord> IL
#> $ zip          <chr> "62234"
#> $ fips         <chr> "17"
#> $ ruca         <chr> "1"
#> $ country      <chr> "US"
#> $ par          <lgl> TRUE
#> $ hcpcs        <chr> "99214"
#> $ hcpcs_desc   <chr> "Established patient outpatient visit, total time 30-39 m…
#> $ category     <chr> "E&M"
#> $ subcategory  <chr> "Office/Outpatient Services"
#> $ family       <chr> "Office E&M - Established"
#> $ procedure    <fct> Non-procedure
#> $ drug         <lgl> FALSE
#> $ pos          <fct> Non-facility
#> $ tot_benes    <int> 24
#> $ tot_srvcs    <int> 27
#> $ tot_day      <int> 27
#> $ avg_charge   <dbl> 134.7407
#> $ avg_allowed  <dbl> 132.7281
#> $ avg_payment  <dbl> 102.7159
#> $ avg_std_pymt <dbl> 99.46074
utilization(year  = 2021, 
            hcpcs = "99205", 
            level = "National",
            pos   = "F",
            type  = "Geography") |> 
  glimpse()
#> Rows: 1
#> Columns: 19
#> $ year         <int> 2021
#> $ level        <ord> National
#> $ state        <ord> National
#> $ hcpcs        <chr> "99205"
#> $ hcpcs_desc   <chr> "New patient outpatient visit, total time 60-74 minutes"
#> $ category     <chr> "E&M"
#> $ subcategory  <chr> "Office/Outpatient Services"
#> $ family       <chr> "Office E&M - New"
#> $ procedure    <fct> Non-procedure
#> $ drug         <lgl> FALSE
#> $ pos          <fct> Facility
#> $ tot_provs    <int> 65502
#> $ tot_benes    <int> 574426
#> $ tot_srvcs    <int> 653339
#> $ tot_day      <int> 653311
#> $ avg_charge   <dbl> 493.5003
#> $ avg_allowed  <dbl> 186.2096
#> $ avg_payment  <dbl> 143.4408
#> $ avg_std_pymt <dbl> 139.6115

⚖️ Code of Conduct

Please note that the provider project is released with a Contributor Code of Conduct. By contributing to this project, you agree to abide by its terms.

🏛️ Governance

This project is primarily maintained by Andrew Bruce. Other authors may occasionally assist with some of these duties.