See the professional.
Understand the practice.

Recognize the provider and review available contact information.

• Provider name, NPI and Intent.Health HCP identifier
• Credentials and gender
• Email address and email type
• Email engagement or reliability indicator

Understand the provider’s clinical focus.

• Specialty group and primary specialty
• Prescription scope
• CPT codes associated with the profile

Connect professional background with the affiliated account.

• Medical school and graduation year
• Linked organization profile and address
• Organization phone and social links
• Group employee count and group revenue

Move from a provider to the facilities connected to their practice.

• Named affiliated organizations
• Affiliation counts within the provider profile
• Links to full organization profiles

Add facility and procedure context from the Medicare profile.

• Facility affiliation counts
• Distinct facility CCNs
• Facility types
• Procedure categories and top procedures where available

Access the location fields displayed in the HCP profile.

• Address lines
• City, state and ZIP code
• Telephone number
• Map view with location marker and zoom controls

Review the address and assignment fields associated with enrollment.

• Address identifier
• Address-line suppression indicator
• Individual assignment flag
• Group assignment flag

Connect the HCP record with CMS and Care Compare fields.

• CMS presence and enrollment indicators
• Individual PAC ID and enrollment ID
• NPPES / Care Compare identity and credentials
• Medical school and graduation year
• Primary and secondary specialties; telehealth indicator

Understand reported Medicare service activity and payment totals.

• Rendering provider identity, type and location
• Total HCPCS codes, beneficiaries and services
• Submitted charges and Medicare allowed amounts
• Medicare payment amounts
• Drug and medical service/payment breakdowns

Review available performance score fields.

• Final score
• Quality
• Promoting Interoperability
• Improvement Activities
• Cost

Review the eligibility and opt-out fields attached to the provider.

• Part B, DME and power mobility eligibility
• Home health and hospice eligibility
• Opt-out flag and specialty
• Effective and end dates
• Eligibility to order or refer

Review enrollment lifecycle indicators and dates.

• Revoked flag, provider type, reason and date
• Reenrollment bar expiration
• Revalidation enrollment and provider types
• Revalidation specialty
• Due date and adjusted due date

Access supplementary enrollment and participation context.

• Fee-for-service enrollment ID, provider type and state
• Multiple NPI flag
• Missing digital contact flag
• OTP provider flag
• Recognized attending/rendering provider indicator (FISS)

Understand aggregate beneficiary characteristics in the Medicare data.

• Average beneficiary age and risk score
• Dual-eligible beneficiary count
• Diabetes and hypertension percentages
• COPD and hyperlipidemia percentages

Explore participation and service-level activity.

• Ambulatory Specialty Model participation cohort
• Top billed Medicare service descriptions
• Service volumes
• Average Medicare payment per listed service

Review the provider’s prescribing totals and mix.

• Prescriber type
• Total claims, 30-day fills and day supply
• Total drug cost and beneficiary count
• Brand and generic claims
• Opioid claims and rate; antibiotic claims
• Beneficiary average age and risk score

Navigate available reporting years and inspect summary measures.

• Year selection
• Total claims and total drug cost
• Beneficiaries and 30-day fills
• Top drugs by claims volume chart

Explore the records behind the annual summary.

• Brand name and generic name
• Provider city, state, type and type source
• Claims, 30-day fills and day supply
• Drug cost and beneficiaries
• Age 65+ fields and suppression indicators
• Drug search and sortable table columns

Explore the intent information available for the provider.

• Dedicated profile view
• Context for relevant engagement

Review the available analysis alongside the provider’s profile and practice context.

• Dedicated profile view
• Additional context for research and prioritization