File: hepc_prescribers
Source: Centers for Medicare and Medicaid Services (CMS Chronic Conditions Warehouse)
Columns: 4
Rows: 6805
Size: 272KB
Dates Covered: January 2014 to December 2014
Other files provided: hepc_state_totals; hepc_national_totals
This data details Medicare claim and payment amounts for Sovaldi, Olysio, Harvoni and other Hepatitis C drugs for 2014. The data is broken down by doctor (identified by NPI) and drug.
CMS describes privacy redactions in the data as such: Information is suppressed that is based upon fewer than eleven (11) beneficiaries. In this case, those beneficiaries have been removed from the tables. For example, if a prescriber wrote claims for Sovaldi that were less than 11, these claims were suppressed and removed from the report.
Other Hepatitis C drugs (indicated as “Other_hep_c” in the data) are defined by CMS as “Copegus, Pegasys, Pegasys Proclick, Moderiba, Intron-A w Diluent, Victrelis, Intron-A, Rebetol, Rebetron, Peg-Intron, Sylatron, Peg-Intron Redipen, Ribavirin, Virazole, Infergen, Ribatab, Ribapak, Ribasphere, Incivek, Ribasphere, and Ribapak.”
BENE_COUNT: The total number of unique Medicare Part D beneficaries with at least one claim for the drug.
Claim_Count: Total number of Medicare Part D claims attributed to this drug. This includes original prescriptions and refills. Drugs with fewer than 11 claims are not displayed.
Drug Name: The name of the drug filled. This includes both brand names (for drugs that have patent protection) and generic names (for drugs that no longer have patent protection).
GROSS_DRUG_COST_SUM: Aggregate cost paid for all claims for this drug. This amount includes ingredient cost, dispensing fee and sales tax.
MONTH: Month described in data.
NPI: Prescriber’s National Provider Identifier number. This NPI can be joined to prescriber information from NPPES (National Plan and Provider Enumeration System).
STATE: State described in data.
ProPublica used this data in the story “The Cost of a Cure: Medicare Spent $4.5 Billion on New Hepatitis C Drugs Last Year.”
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