NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Provider of Services Files -- SAS, Stata, CSV

Provider of Services Data Centers for Medicare & Medicaid Services has information about Medicare approved providers.

Clinical Laboratory Improvement Act (CLIA) labs were separated from the other providers into their own file beginning in 1997.

Provider of service data is collected from CMS Form 1539 plus Medicare/Medicaid applications for certification:

The naming covention changed to mnemonic names from PROVNNNN-type names in 2011. A crosswalk for select variables is available.

Form Enrollment Application
CMS855A Institutional Providers
CMS855B Clinics, Group Practices, and Certain Other Suppliers
CMS855I Physicians and Non-Physician Practitioners
CMS855O Eligible Ordering and Referring Physicians and Non-physician Practitioners
CMS855S Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers

The Provider of Service file includes provider ZIP Code. A ZIP Code distance database is also available.

The provider category code variable lists the categories of providers or suppliers from 1991-on that are included in the provider of service file.

Some Hospitals ( provider category = "01" ) have an "E" or "F" in position 6 of the provider number. The "E" indicates a Non-federal emergency hospital. The "F" indicates a Federal emergency hospital. See 2779E on page 13 of R29SOMA.pdf. These hospitals are non-participating hospitals where participting is defined in part of Title XVIII in 1866.

The Provider of Services file is a historic file, so only a recent file might be needed.

Updates and changes.




Year
Data
Data
Dictionary
SAS
Program
Other Record Layout Formats
Stata
SAS
CSV
Desc
Source
COBOL SAS
Other
CLIA
Other
CLIA
Other
CLIA
Other
CLIA
Other
CLIA
2016 dta2016 dta2016 sas2016 sas2016 csv2016 csv2016 desc2016 desc2016 CSV  FLAT CSV  FLAT OTH  CLIA
--
OTH  CLIA OTH  CLIA
2015 dta2015 dta2015 sas2015 sas2015 csv2015 csv2015 desc2015 desc2015 CSV  FLAT CSV  FLAT OTH  CLIA
--
OTH  CLIA OTH  CLIA
2014 dta2014 dta2014 sas2014 sas2014 csv2014 csv2014 desc2014 desc2014 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2013 dta2013 dta2013 sas2013 sas2013 csv2013 csv2013 desc2013 desc2013 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2012 dta2012 dta2012 sas2012 sas2012 csv2012 csv2012 desc2012 desc2012 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2011 dta2011 dta2011 sas2011 sas2011 csv2011 csv2011 desc2011 desc2011 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
CMS moved from mostly PROVNNNN-style names to using more mnemonic style names in 2011. The data sets with PROVNNNN variables have original variable names that match the original documenation, and the crosswalk version has mnemonic style names like those in the 2011 file.
2010 dta  PROV dta2010 sas  PROV sas2010 csv  PROV csv2010 desc  PROV desc2010 CSV  FLAT CSV  FLAT OTH  CLIA
--
OTH  CLIA OTH  CLIA
2009 dta  PROV dta2009 sas  PROV sas2009 csv  PROV csv2009 desc  PROV desc2009 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2008 dta  PROV dta2008 sas  PROV sas2008 csv  PROV csv2008 desc  PROV desc2008 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2007 dta  PROV dta2007 sas  PROV sas2007 csv  PROV csv2007 desc  PROV desc2007 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2006 dta  PROV dta2006 sas  PROV sas2006 csv  PROV csv2006 desc  PROV desc2006 CSV  FLAT CSV  FLAT OTH  CLIA OTH  CLIA OTH  CLIA
2005 dta  PROV dta2005 sas  PROV sas2005 csv  PROV csv2005 desc  PROV desc2005 source2005 source2005 lay2005 sas2005 cob2005 sas2005
2004 dta  PROV dta2004 sas  PROV sas2004 csv  PROV csv2004 desc  PROV desc2004 source2004 source2004 lay2004 sas2004 cob2004 sas2004
2003 dta  PROV dta2003 sas  PROV sas2003 csv  PROV csv2003 desc  PROV desc2003 source2003 source2003 lay2003 sas2003 cob2003 sas2003
2002 dta  PROV
--
sas  PROV
--
csv  PROV
--
desc  PROV
--
source2002
--
lay2002 sas2002 cob2002 sas2002
2001 dta  PROV dta2001 sas  PROV sas2001 csv  PROV csv2001 desc  PROV desc2001 source2001 source2001 lay2001 sas2001 cob2001 sas2001
2000 dta  PROV dta2000 sas  PROV sas2000 csv  PROV csv2000 desc  PROV desc2000 source2000 source2000 lay2000 sas2000 cob2000 sas2000
1999 dta  PROV dta1999 sas  PROV sas1999 csv  PROV csv1999 desc  PROV desc1999 source1999 source1999 lay1999 sas1999 cob1999 sas1999
1998 dta  PROV dta1998 sas  PROV sas1998 csv  PROV csv1998 desc  PROV desc1998 source1998 source1998 lay1998 sas1998 cob1998 sas1998
1997 dta  PROV dta1997 sas  PROV sas1997 csv  PROV csv1997 desc  PROV desc1997 source1997 source1997 lay1997 sas1997 cob1997 sas1997
1996 dta  PROV
--
sas  PROV
--
csv  PROV
--
desc  PROV
--
source1996
--
lay1996 sas1996 cob1996 sas1996
1995 dta  PROV sas  PROV csv  PROV desc  PROV source1995 lay1995 sas1995 cob1995 sas1995
1994 dta  PROV sas  PROV csv  PROV desc  PROV source1994 lay1994 sas1994 cob1994 sas1994
1993 dta  PROV sas  PROV csv  PROV desc  PROV source1993 lay1993 sas1993 cob1993 sas1993
1992 dta  PROV sas  PROV csv  PROV desc  PROV source1992 lay1992 sas1992 cob1992 sas1992
1991 dta  PROV sas  PROV csv  PROV desc  PROV source1991 lay1991 sas1991 cob1991 sas1991
1990 dta1990 sas1990 csv1990 desc1990 source1990 01/29/82 sas1990
--
1989 dta1989 sas1989 csv1989 desc1989 source1989 sas1989
1988 dta1988 sas1988 csv1988 desc1988 source1988 sas1988
1987 dta1987 sas1987 csv1987 desc1987 source1987 sas1987
1986 dta1986 sas1986 csv1986 desc1986 source1986 sas1986
1985 dta1985 sas1985 csv1985 desc1985 source1985 sas1985
1984 dta1984 sas1984 csv1984 desc1984 source1984 sas1984

To report problems or if you have comments or suggestions , e-mail Jean Roth at jroth@nber.org

Last Update: May 17, 2017  
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