Healthcare Payments Data Snapshot

This dataset contains data for the Healthcare Payments Data (HPD) Snapshot visualization. The Enrollment data file contains counts of claims and encounter data collected for California's statewide HPD Program. It includes counts of enrollment records, service records from medical and pharmacy claims, and the number of individuals represented across these records. Aggregate counts are grouped by payer type (Commercial, Medi-Cal, or Medicare), product type, and year. The Medical data file contains counts of medical procedures from medical claims and encounter data in HPD. Procedures are categorized using claim line procedure codes and grouped by year, type of setting (e.g., outpatient, laboratory, ambulance), and payer type. The Pharmacy data file contains counts of drug prescriptions from pharmacy claims and encounter data in HPD. Prescriptions are categorized by name and drug class using the reported National Drug Code (NDC) and grouped by year, payer type, and whether the drug dispensed is branded or a generic.

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Data and Resources

Additional Info

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Field Value
Contact Email [email protected]
Program Department of Health Care Access and Information, Healthcare Payments Data (HPD) Program
Homepage URL https://hcai.ca.gov/data-and-reports/cost-transparency/healthcare-payments/
Temporal Coverage

Updated on an annual basis.
Spatial/Geographic Coverage

Statewide
Geographic Granularity Statewide
Language English (EN)
Frequency Annually
De-Identification Method

The HPD Snapshot follows the California Health and Human Services Agency’s Data De-Identification Guidelines (https://chhsdata.github.io/dataplaybook/documents/CHHS-DDG-V1.0-092316.pdf).
Source Link https://hcai.ca.gov/data-and-reports/cost-transparency/healthcare-payments/
Data Collection Tool

https://hcai.ca.gov/data-and-reports/cost-transparency/healthcare-payments/
License Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Additional Limitations

Use of this data is subject to the CalHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.

See technical note for specific information about the underlying data.
Related Resources

Direct link to HPD Snapshot visualization: https://hcai.ca.gov/visualizations/healthcare-payments-data-hpd-snapshot/
Citation

HCAI: Healthcare Payments Data – Healthcare Payments Data Snapshot, 2018-2021
Last Updated November 8, 2023, 22:54 (UTC)