Healthcare Payments Data Snapshot

Description

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.

Resources

Name Format Description Link
8 This 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 (Commercial, Medi-Cal, or Medicare). July 2025 Snapshot refresh. https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/7cf629c2-965b-4887-b43d-695b47f8a594/download/snapshot_data_medical_july2025.csv
8 Data Dictionary for https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/7cf629c2-965b-4887-b43d-695b47f8a594/download/snapshot_data_medical_july2025.csv https://data.ca.gov/datastore/dictionary_download/9f3cd7d7-909d-4b12-98a2-0e80dfdb4fce
8 This 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 (Commercial, Medi-Cal, or Medicare), and whether the drug dispensed is branded or a generic. July 2025 Snapshot refresh. https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/02fe6f0b-1e28-4677-95b5-4adc56a7d0a6/download/snapshot_data_pharmacy_july2025.csv
8 data-dictionary-enrollment_july2025.csv https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/9d788145-80e8-4f8c-8429-ee2cfbd1f278/download/data-dictionary-enrollment_july2025.csv
8 data-dictionary-medical_july2025.csv https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/72451bbb-b505-4486-8fb4-127686d15542/download/data-dictionary-medical_july2025.csv
8 data-dictionary-pharmacy_july2025.csv https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/c61de98b-413e-46a8-877b-75f7e78457c6/download/data-dictionary-pharmacy_july2025.csv
33 Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2023) https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/66d6f7a2-e7be-4422-b09a-dde7473beb3a/download/_hpd_snapshot_technical_note_2018-2023_final_july2025_ada.pdf
33 Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2021) https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/f74261a9-b124-4197-ac91-83e563577508/download/hpd_snapshot_technical_note_2018-2021_aug2024_ada.pdf
33 Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2021). July 2023 launch version. https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/0094646c-4e86-44a9-9d06-951712072b23/download/hpd_snapshot_technical_note_2018-2021data_ada.pdf
57 healthcare-payments-data-snapshot-7dugg7lp.zip https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/5cc6246c-bcd1-44a3-9561-ebc81b886f00/download/healthcare-payments-data-snapshot-7dugg7lp.zip
8 This data file contains counts of claims and encounter data collected in California's statewide Healthcare Payments Data (HPD). 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. July 2025 Snapshot refresh. https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/043e313c-8838-4afd-af5c-951923894639/download/snapshot_data_enrollment_july2025.csv

Tags

  • apcd
  • medical-claims
  • hcai
  • all-payer-claims
  • hpd
  • pharmacy-claims
  • department-of-health-care-access-and-information
  • healthcare-payments-data
  • enrollment

Topics

Categories