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practice_id
int64
state
string
num_eps_vm
string
mssp
int64
gpro
int64
elig_up_adjust
string
category
string
vm_payment_adj
string
updated_vm
string
cost_comp_tier_text
string
qual_comp_tier_text
string
zb_cost_cmpscr_pool_rnd
string
zb_qual_cmpscr_pool_rnd
string
10,000,056,203
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,058,339
TX
10 to 99 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
.
10,000,077,431
CA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
-0.34
.
10,000,105,571
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,140,789
NJ
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,179,271
MO
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
-1.25
.
10,000,253,527
MS
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,305,814
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,330,520
MD
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-0.66
0.57
10,000,375,652
NC
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-0.07
-0.24
10,000,476,675
NY
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,503,259
.
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.13
-0.07
10,000,530,880
TX
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,532,070
PA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
-0.87
.
10,000,653,039
GA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,000,812,463
AZ
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.18
0.30
10,001,102,996
NC
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,116,491
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,129,394
CA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,182,212
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-1.25
0.56
10,001,198,273
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,270,199
IL
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-0.13
0.49
10,001,293,584
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,326,958
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,401,799
MA
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.45
10,001,417,974
MA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
0.00
.
10,001,454,268
NC
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,534,205
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,001,703,373
MD
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-1.42
0.18
10,001,714,703
NY
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Low Quality
.
-1.01
10,001,855,104
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.12
10,001,871,936
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,052,549
MI
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,104,135
NE
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,200,625
SD
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,221,147
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
0.06
.
10,002,305,774
CA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,324,209
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,412,517
TX
10 to 99 EPs
0
0
Not Elig
CAT1
0.0
0.0
High Cost
Low Quality
1.51
-1.33
10,002,455,416
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,460,985
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,504,739
NY
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,589,901
NC
10 to 99 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-0.22
-0.14
10,002,609,836
TX
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.25
0.07
10,002,775,263
PA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
-0.07
.
10,002,791,917
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,838,281
AZ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-1.94
0.87
10,002,844,735
LA
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
-0.25
10,002,890,477
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,002,947,008
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
-0.18
0.58
10,002,976,195
OH
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,013,951
PA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,049,304
PA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,148,392
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,153,326
NJ
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,209,767
CA
10 to 99 EPs
0
0
null
CAT2
-2.0%
-2.0%
null
null
2.05
.
10,003,302,852
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.75
10,003,303,597
NC
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
-0.43
.
10,003,407,428
NJ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
-0.12
10,003,410,215
TX
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,426,122
MO
100+ EPs
0
1
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.20
-0.64
10,003,455,093
NY
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.80
-0.32
10,003,481,168
NJ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.15
10,003,503,180
KY
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,566,060
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,577,238
OK
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,729,784
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,763,091
MO
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.17
10,003,874,465
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,885,699
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,893,099
PA
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.41
10,003,893,481
TX
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,917,991
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,003,932,789
MS
10 to 99 EPs
0
0
Not Elig
CAT1
0.0
0.0
High Cost
Low Quality
7.00
-1.63
10,004,000,168
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.27
0.83
10,004,016,983
WI
10 to 99 EPs
0
1
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.05
-0.38
10,004,030,425
MI
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,031,896
TX
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,079,990
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,095,089
LA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,105,303
MA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,226,706
NM
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.06
0.62
10,004,261,991
KY
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.17
10,004,326,897
ID
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.52
10,004,337,228
AZ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
.
10,004,352,341
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,421,671
PA
1 to 9 EPs
1
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
0.16
-0.19
10,004,424,672
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,474,614
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,499,089
AZ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
.
10,004,643,021
.
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Average Quality
.
0.40
10,004,659,889
MI
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,664,695
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,675,743
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,682,842
FL
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
0.05
.
10,004,700,930
PA
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,717,350
AZ
1 to 9 EPs
0
0
Not Elig
CAT1
0.0
0.0
Average Cost
Low Quality
0.44
-1.85
10,004,802,708
TX
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,808,221
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
10,004,815,348
.
1 to 9 EPs
0
0
null
CAT2
-1.0%
-1.0%
null
null
.
.
End of preview. Expand in Data Studio

Value Modifier

Description

The Medicare Value-Based Payment Modifier (Value Modifier) data contains the performance results of de-identified practices that were subject to the Value Modifier, such as the practices' quality and cost tiers along with any applicable Value Modifier payment adjustment. The Value Modifier provided for differential payment under the Medicare Physician Fee Schedule based on the quality of care furnished to Medicare beneficiaries compared to the cost of care during a performance period. Calendar Year 2015 was the first payment adjustment period under the Value Modifier based on performance in 2013. Calendar Year 2018 was the final payment adjustment period under the Value Modifier based on performance in 2016. 

 

The Merit-based Incentive Payment System (MIPS) under the Quality Payment Program has replaced the Value Modifier program. The Centers for Medicare & Medicaid Services (CMS) encourages everyone to learn more about the Quality Payment Program. 

Dataset Details

  • Publisher: Centers for Medicare & Medicaid Services
  • Temporal Coverage: 2013-01-01/2016-12-31
  • Last Modified: 2021-01-06
  • Contact: Quality Payment Program - CCSQ ([email protected])

Source

Original data can be found at: https://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier

Usage

You can load this dataset using:

from datasets import load_dataset
 dataset = load_dataset('HHS-Official/value-modifier')

License

This dataset is licensed under https://www.usa.gov/government-works

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