Provider Performance and Quality Metrics
This dataset provides comprehensive scorecards for healthcare providers, detailing quality metrics such as HEDIS measures, patient satisfaction, cost efficiency, clinical outcomes, MIPS scores, and value-based payment performance. It enables robust benchmarking, network management, and supports value-based care initiatives by offering granular, period-specific insights into provider performance.
Sample rows
preview · 8 of 100 rows · all 21 columns| provider_idstring | provider_typestring | num_patients_servedinteger | hedis_measure_idstring | provider_namestring | network_idstring | hedis_measure_namestring | hedis_scorefloat | patient_satisfaction_scorefloat | cost_efficiency_scorefloat | outcomes_scorefloat | mips_scorefloat | value_based_payment_scorefloat | scorecard_period_startdate | scorecard_period_enddate | address_streetstring | address_citystring | address_statestring | address_postal_codestring | address_countrystring | last_updateddatetime |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRV-00001 | PCP | 1580 | HEDIS-501 | Maple Health Partners | NET-101 | Comprehensive Diabetes Care | 94.6 | 4.6 | 88.1 | 91.3 | 95.2 | 89.7 | 2023-01-01 | 2023-12-31 | 1200 Maple Ave | Springfield | IL | 62701 | USA | 2024-05-21T09:17:24 |
| PRV-00002 | Specialist | 940 | HEDIS-502 | Downtown Cardiology Group | NET-102 | Heart Failure Management | 86.5 | 3.9 | 74.3 | 81.2 | 88.7 | 77.2 | 2023-01-01 | 2023-12-31 | 304 S Main St Suite 200 | Chicago | IL | 60605 | USA | 2024-05-22T10:24:41 |
| PRV-00003 | Clinic | 1217 | HEDIS-503 | Cedar Grove Pediatrics | NET-103 | Childhood Immunization | 91.2 | 4.8 | 82.9 | 92.5 | 90.3 | 85.5 | 2023-07-01 | 2024-06-30 | 785 Cedar Lane | Evanston | IL | 60201 | USA | 2024-05-21T13:32:10 |
| PRV-00004 | Hospital | 3625 | HEDIS-504 | Riverbend Hospital | NET-104 | Acute Inpatient Care | 77.9 | 3.4 | 67.2 | 72.8 | 78.1 | 71 | 2022-10-01 | 2023-09-30 | 2100 River Rd | Peoria | IL | 61614 | USA | 2024-05-21T16:58:31 |
| PRV-00005 | PCP | 1320 | HEDIS-505 | Summit Family Practice | NET-105 | Adult BMI Assessment | 88.4 | 4.2 | 85.7 | 89.1 | 92.4 | 86.8 | 2023-04-01 | 2024-03-31 | 455 Summit Ave | Naperville | IL | 60540 | USA | 2024-05-22T08:44:53 |
| PRV-00006 | Specialist | 760 | HEDIS-506 | Lincoln Women's Health | NET-106 | Prenatal and Postpartum Care | 90.7 | 4.5 | 80.2 | 88.9 | 91.5 | 84.4 | 2023-01-01 | 2023-12-31 | 1215 Lincoln St | Rockford | IL | 61107 | USA | 2024-05-22T11:10:03 |
| PRV-00007 | Hospital | 4210 | HEDIS-507 | Eastside Medical Center | NET-107 | Hospital Readmission Rate | 73.1 | 2.7 | 62.6 | 70.4 | 72.9 | 66.2 | 2023-04-01 | 2024-03-31 | 800 Eastside Blvd | Aurora | IL | 60502 | USA | 2024-05-22T09:25:47 |
| PRV-00008 | Clinic | 930 | HEDIS-508 | Oakwood Behavioral Clinic | NET-108 | Depression Screening | 80.9 | 4 | 79.5 | 83.6 | 86.8 | 81.3 | 2022-10-01 | 2023-09-30 | 350 Oakwood Dr | Elgin | IL | 60120 | USA | 2024-05-21T12:40:19 |
| PRV-00009 | PCP | 1425 | HEDIS-503 | Lakeshore Pediatrics | NET-109 | Childhood Immunization | 93.5 | 4.9 | 87.3 | 94.1 | 94.7 | 90.6 | 2023-07-01 | 2024-06-30 | 143 Lakeshore Dr | Lake Forest | IL | 60045 | USA | 2024-05-22T13:08:11 |
| PRV-00010 | Specialist | 1185 | HEDIS-502 | Westfield Cardiology Associates | NET-110 | Heart Failure Management | 84.7 | 3.7 | 70.9 | 79.1 | 86.6 | 76.4 | 2023-01-01 | 2023-12-31 | 2200 Westfield Rd | Schaumburg | IL | 60193 | USA | 2024-05-21T18:41:55 |
| PRV-00011 | PCP | 1260 | blank | Prairie Family Health | NET-111 | blank | blank | 4.1 | 86.4 | 88.2 | 91.7 | 87.9 | 2023-04-01 | 2024-03-31 | 301 Prairie Ave | Galesburg | IL | 61401 | USA | 2024-05-22T11:50:17 |
| PRV-00012 | Clinic | 680 | HEDIS-506 | Horizon Women's Clinic | NET-112 | Prenatal and Postpartum Care | 89.8 | 4.4 | 81.7 | 87.2 | 90.9 | 83.7 | 2023-01-01 | 2023-12-31 | 990 Horizon Blvd | Orland Park | IL | 60462 | USA | 2024-05-22T14:26:06 |
| PRV-00013 | Hospital | 3890 | HEDIS-504 | Northern General Hospital | NET-113 | Acute Inpatient Care | 75.4 | 3.2 | 65.8 | 69.7 | 74.2 | 68.5 | 2022-10-01 | 2023-09-30 | 4200 North Ave | Waukegan | IL | 60087 | USA | 2024-05-21T17:15:36 |
| PRV-00014 | PCP | 1742 | HEDIS-501 | Southside Medical Associates | NET-114 | Comprehensive Diabetes Care | 92.1 | 4.3 | 89 | 90.8 | 93.6 | 88.8 | 2023-01-01 | 2023-12-31 | 852 Southside St | Joliet | IL | 60435 | USA | 2024-05-22T07:35:29 |
| PRV-00015 | Clinic | 540 | blank | Elm Street Clinic | NET-115 | blank | blank | 3.8 | 78.7 | 81.1 | 84 | 80.2 | 2023-07-01 | 2024-06-30 | 215 Elm St | Bloomington | IL | 61701 | USA | 2024-05-21T15:03:22 |
| PRV-00016 | PCP | 1338 | HEDIS-503 | Sunrise Pediatric Care | NET-116 | Childhood Immunization | 90.1 | 4.7 | 85.6 | 92.2 | 93.1 | 89.2 | 2023-07-01 | 2024-06-30 | 963 Sunrise Blvd | Decatur | IL | 62521 | USA | 2024-05-22T10:58:46 |
| PRV-00017 | Specialist | 830 | blank | Valley Orthopedic Group | NET-117 | blank | blank | 3.5 | 76.4 | 79.5 | 82.3 | 75.8 | 2023-04-01 | 2024-03-31 | 1780 Valley Rd | Champaign | IL | 61820 | USA | 2024-05-21T11:16:34 |
| PRV-00018 | Hospital | 4052 | HEDIS-504 | Greenfield Community Hospital | NET-118 | Acute Inpatient Care | 79.6 | 3.7 | 68.9 | 74.1 | 76.8 | 70.3 | 2022-10-01 | 2023-09-30 | 99 Greenfield Ave | Quincy | IL | 62301 | USA | 2024-05-22T14:54:08 |
| PRV-00019 | PCP | 1700 | HEDIS-501 | Pinecrest Family Medicine | NET-119 | Comprehensive Diabetes Care | 89.5 | 4.5 | 90.2 | 91.8 | 92.8 | 90.4 | 2023-01-01 | 2023-12-31 | 438 Pinecrest Rd | Kankakee | IL | 60901 | USA | 2024-05-21T20:11:37 |
| PRV-00020 | PCP | 1392 | HEDIS-503 | Lakeview Pediatric Associates | NET-120 | Childhood Immunization | 92.7 | 4.8 | 86.9 | 93.9 | 95.5 | 91.1 | 2023-07-01 | 2024-06-30 | 111 Lakeview Dr | Moline | IL | 61265 | USA | 2024-05-22T16:45:02 |
What the 100 rows show
from the 100-row sampleHospital (provider type) stands out: mean num_
- 975median num_
patients_ served - 15hedis measure names
- 23address states
- 87.6median hedis_
score - 4.2median patient_
satisfaction_ score - 81.6median cost_
efficiency_ score
Median 975, from 370 to 4,588.
- string 11
- integer 1
- float 6
- date 2
- datetime 1
Columns
21 columns in three groups| column | type | description | example |
|---|---|---|---|
| Text 11 columns | |||
provider_id | string | Unique identifier for the healthcare providerunique | PRV-00001 |
provider_name | string | Full name of the healthcare provider or practice | Maple Health Partners |
provider_type | string | Type of provider (e.g., PCP, Specialist, Hospital)PCP · Specialist · Hospital · Clinic · Other | PCP |
network_id | string | Identifier for the provider's network affiliationoptional | NET-101 |
hedis_measure_id | string | Unique identifier for the HEDIS measureoptional | HEDIS-501 |
hedis_measure_name | string | Name of the HEDIS measure evaluatedoptional | Heart Failure Management |
address_street | string | Provider's street addressoptional | 1200 Maple Ave |
address_city | string | Provider's cityoptional | Springfield |
address_state | string | Provider's stateoptional | IL |
address_postal_code | string | Provider's postal codeoptional | 62701 |
address_country | string | Provider's countryoptional | USA |
| Numbers 7 columns | |||
hedis_score | float | Provider's score for the HEDIS measure (0-100)0 to 100 · optional | 94.6 |
patient_satisfaction_score | float | Average patient satisfaction score (0-5 scale)0 to 5 · optional | 4.6 |
cost_efficiency_score | float | Provider's cost efficiency score (0-100)0 to 100 · optional | 88.1 |
outcomes_score | float | Provider's clinical outcomes score (0-100)0 to 100 · optional | 91.3 |
mips_score | float | Provider's MIPS (Merit-based Incentive Payment System) score (0-100)0 to 100 · optional | 95.2 |
value_based_payment_score | float | Provider's value-based payment performance score (0-100)0 to 100 · optional | 89.7 |
num_patients_served | integer | Number of patients served by the provider during the reporting period0 or more · optional | 1580 |
| Dates and times 3 columns | |||
scorecard_period_start | date | Start date of the scorecard reporting period | 2023-01-01 |
scorecard_period_end | date | End date of the scorecard reporting period | 2023-12-31 |
last_updated | datetime | Timestamp when the record was last updated | 2024-05-21T09:17:24 |
Use it for
A healthcare dashboard
Num_
patients_ served by provider_ type and a breakdown of hedis_ measure_ id. Excel, Power BI or Tableau. Why do the 15 Hospital rows have a mean num_
patients_ served of 3,614? A root-cause class exercise
Hand out the rows and one question. The answer is in the data, not in the brief.
- Providers100PRV-000011580PCPPRV-00002940Speciali…PRV-000031217Clinic
A software demo
Believable providers with provider_
name, provider_ type and network_ id to fill a screen in front of a buyer.
This dataset100 rows21 columns
Yours1,000 rows21 columnsaddress_street: UK only
blueprint · provider-performance-and-quality-metrics
Behind this dataset
Same schema. As many rows as you need.
These 100 rows came out of a blueprint — 21 columns with generation rules behind each one. Open it in Data Factory to retune a column, add your own, wire in foreign keys, and run it at the size you actually need.
Rules it was built with
- Provider NPI and measurement period
- Quality measures: HEDIS, CMS quality measures, specialty-specific
- Patient satisfaction scores: CAHPS, Press Ganey
- Cost efficiency: cost per episode, total cost of care
- Utilization metrics: admission rate, ER visits, imaging utilization
- Outcomes data: readmissions, mortality, complications
- MIPS composite score (quality, cost, improvement, IA)
- Star ratings for Medicare Advantage
Open the blueprint in Data Factory
1 credit per row. Preview 20 rows free. Buy rows for the full run.
- Exports
- CSV, JSON, JSONL, Parquet, SQL, Excel, TSV, XML
- Licence
- yours to use, including commercially
- API slug
- provider-performance-and-quality-metrics