Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011

health.data.ny.gov | Last Updated 6 Dec 2019

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).

Tags: medicaid, ehr, incentive payment, meaningful use, hit, dsrip, quality-safety-costs

This dataset has the following 14 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
Provider Typeprov_ty_txtextThe 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
Eligible Hospital Nameenty_nam_txtextFull 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.
Eligible Practitioner First Namefst_nam_txtextFirst 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.
Eligible Practitioner Last Namelast_nam_txtextLast 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.
Provider NPIreg_npi_numtext10-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).
Payee NPIpayee_npi_numtext10-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.
Payment Datepmt_dtcalendar_dateDate 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.
Payment Amountpmt_disburs_amttextDollar amount of the EHR incentive payment.
Payment Yearpymt_fisc_yrtextCalendar 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.
Participation Yearpmt_yr_numnumberNumber 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.
Provider Zip Codeadr_zip_cdtext5-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.
CountycountytextName 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.
Payee Namepayee_nametextProvider name listed on the NY Medicaid enrollment associated with the Payee NPI (or, in the case of hospital providers, the Provider NPI).
Location #locationlocationGeographic 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”.