What is NPI Referral Data?

Would you like to know how many patients are sent to you by your referring physicians and referring faciltities instead of being sent to your competitors?

We can provide you those insights utilizing CMS referral information. This fast data store tracks providers and facilitites who treat patients.

This data can be used by pratices and providers as a proxy for the healthcare network in order to examine referral information. The data is used to model the network share of patient referrals between providers, groups of providers and facilities.

Data Analysis

What Is In The Data?

Data is available from 2009 to 2016.

The data indicates shared relationships between physicians and other healthcare providers indicating the number of patients they share as well as who saw the patient first.

The datasets are very large. For example, the 2016 dataset is over 140 million records of referral data.

Correlation does not equal causation. The data can, however, visualize referral networks to help a practice gain isnight into their referral network and where patients are being referred to.

The datasets for 2014-2016 include the following:

  • The first provider or facilitiy seen in sequence, idenitified by NPI.
  • The second provider or facilitiy seen in sequence, idenitified by NPI.
  • The total number of patients shared between the two providers (or faciiltities) over the yearly period.
  • The transaction count, the number of times that a patient switched between the two providers, or visits.
  • The average number of days it took for a patient to visit the second provider after having seen the first provider.

The datasets for 2009-2013 include the following:

  • The provider or facilitiy source, idenitified by NPI.
  • The provider or facilitiy destination, idenitified by NPI.
  • The total number of patients shared between the two providers (or faciltities) over the yearly period.
  • The referral total, the number of times that a patient switched between the two providers (or faciltities), or visits.
  • The same day totals, the number of times a patient switched between the two providers (or faciltities) in the same day.

Example Data

If you want to see what the purchased data looks like, we have some files available for you to download.

To view a file without lab referrals, click here.

To view a file including lab referrals, click here.

Data Visualization

Our data visualization will easily let you discover the insights of relationships between the selected providers and organizaitons.

details view

Available Referral Data

Year Period Number of Records Date Range
2016 Over 140 Mio.(140,977,545) 01/01/2016 - 12/31/2016
2015 Over 105 Mio.(105,406,038) 01/01/2015 - 12/31/2015
2014 Over 104 Mio.(104,497,565) 01/01/2014 - 12/31/2014
2013 Over 135 Mio.(135,071,996) 01/01/2013 - 07/01/2014
2012 Over 133 Mio.(133,042,645) 01/01/2012 - 07/01/2013
2011 Almost 130 Mio.(129,968,445) 01/01/2011 - 07/01/2012
2010 Over 124 Mio.(124,844,963) 01/01/2010 - 07/01/2011
2009 Over 119 Mio.(119,270,681) 01/01/2009 - 07/01/2010

Cost

Year Period All Available Data Only Top 40 Only Top 40 (Include Laboratory Referral Data)
2016 $195.99 $165.99 $165.99
2015 $185.99 $155.99 $155.99
2014 $185.99 $155.99 $155.99
2013 $175.99 $145.99 $145.99
2012 $175.99 $145.99 $145.99
2011 $165.99 $135.99 $135.99
2010 $155.99 $125.99 $125.99
2009 $145.99 $115.99 $115.99

How Do You Get Started?

Simply use the button above to find the NPI records for which you want to purchase referral data.

If you want to purchase multiple records, either multiple NPI records or mulitple years, please contact us.

If you are looking for more detialed information, take a look at our Referral Insights Analysis solution.