Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
health.data.ny.gov | Last Updated 2 Aug 2023<b>Note: The final update to this dataset was on 7/31/2023.</b> The dataset is representative of financial incentive payments disbursed to Eligible Professionals (EPs) and Eligible Hospitals (EHs) by the NY Medicaid Electronic Health Records (EHR) Incentive Program, a CMS Promoting Interoperability Program. Authorized by the American Recovery and Reinvestment Act (ARRA) of 2009, this program provides multi-year financial incentives to EPs and EHs who adopt, implement, or upgrade, and subsequently demonstrate meaningful use of Certified Electronic Health Record Technology (CEHRT).
This dataset has the following 14 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Provider Type | prov_ty_tx | text | The category of healthcare provider qualifying for the incentive payment. Allowed values are: Acute Care Hospitals, Childrens Hospitals, Physician, Dentist, Nurse Practitioner, Certified Nurse Midwife, and Physician Assistant | PHYSICIAN NURSE PRACTITIONER DENTIST CERTIFIED NURSE MIDWIFE ACUTE CARE HOSPITALS view top 100 |
| Eligible Hospital Name | enty_nam_tx | text | Full name of hospital qualifying for the incentive payment (as provided during program registration; may not match name on Medicaid enrollment). This column is blank for non-hospital providers. | NEW YORK CITY HEALTH AND HOSPITALS CORPORATION CARTHAGE AREA HOSPITAL INC CATSKILL REGIONAL MEDICAL CENTER ST. MARY'S HEALTHCARE THE KINGSTON HOSPITAL view top 100 |
| Eligible Practitioner First Name | fst_nam_tx | text | First name (given name) of the practitioner qualifying for the incentive payment (as provided during program registration; may not match name on Medicaid enrollment). This column is blank for hospital providers. | ROBERT DAVID MICHAEL JOHN JOSEPH view top 100 |
| Eligible Practitioner Last Name | last_nam_tx | text | Last name (surname) of the practitioner qualifying for the incentive payment (as Provided during program registration; may not match name on Medicaid enrollment). This column is blank for hospital providers. | LEE PATEL KIM SMITH BROWN view top 100 |
| Provider NPI | reg_npi_num | text | 10-digit National Provider Identifier (NPI) of the provider qualifying for the incentive payment. NPIs are assigned by the federal Centers for Medicare & Medicaid Services (CMS) through the National Plan and Provider Enumeration System (NPPES). | 1497840458 1922076397 1992766307 1023036548 1447368246 view top 100 |
| Payee NPI | payee_npi_num | text | 10-digit National Provider Identifier (NPI) of the entity receiving the incentive payment. For non-hospital providers, this will either be the same as the Provider NPI or will be the NPI of the provider to whom the qualifying provider has assigned the incentive payment. For hospitals, which may not assign the incentive payment, this column will always be blank. | 1063525152 1063426377 1467454967 1164555124 1255360517 view top 100 |
| Payment Date | pmt_dt | calendar_date | Date upon which a payment instrument, either Electronic Funds Transfer (EFT) or check, was generated for payment of the incentive. NY Medicaid EHR Incentive payments are released approximately two weeks after generation of the payment instrument. | 2015-11-02T00:00:00.000 2017-09-04T00:00:00.000 2017-08-21T00:00:00.000 2017-08-28T00:00:00.000 2017-07-31T00:00:00.000 view top 100 |
| Payment Amount | pmt_disburs_amt | number | Dollar amount of the EHR incentive payment. | 8500.00 21250.00 -21250.00 5667.00 14167.00 view top 100 |
| Payment Year | pymt_fisc_yr | text | Calendar year (for practitioners) or Federal fiscal year (for hospitals) within which the qualifying activities for the EHR incentive payment were conducted. Valid range is 2011–2021. | 2016 2014 2013 2015 2012 view top 100 |
| Participation Year | pmt_yr_num | number | Number indicating the year within the given provider’s overall period of participation in the NY Medicaid EHR Incentive Program for which this payment was issued. Regardless of payment year, each provider will always start with participation year 1, will receive no more than one payment per participation year, and will not skip participation years. Valid range is 1–6 for practitioners and 1–3 for hospitals. | 1 2 3 4 5 view top 100 |
| Provider Zip Code | adr_zip_cd | text | 5-digit ZIP code for the address given by the provider during program registration; may not correspond to a service, payment, or correspondence address listed on the provider’s NY Medicaid enrollment. | 10038 10467 10032 14642 10461 view top 100 |
| County | county | text | Name of NY county associated with the address given by the provider during program registration. All addresses outside NY have “OUT OF STATE” listed for county. | NEW YORK BRONX KINGS QUEENS MONROE view top 100 |
| Payee Name | payee_name | text | Provider name listed on the NY Medicaid enrollment associated with the Payee NPI (or, in the case of hospital providers, the Provider NPI). | MONTEFIORE PROF BILLING GROUP ALBANY MEDICAL COLLEGE OF UNI ELMHURST HOSPITAL CENTER CHILDRENS PHYS WESTCHESTER LL NEW YORK UNIV DENTAL CTR view top 100 |
| Location # | location | location | Geographic coordinates (latitude/longitude) of a central point for the County associated with the address given by the provider during registration, used for visualizing incentive payments by county. Blank for records where county is “OUT OF STATE”. | view top 100 |