​Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers

Description

The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of August 1, 2024. The data was retrieved from the Provider Master File (PMF), which has been used in the claims payment process and maintained by the Provider Enrollment Division (PED). The Variables in the dataset include provider number, name, type, specialty, geographic information, etc. This dataset does not include the Managed Care providers.

Resources

Name Format Description Link
8 Table of DHCS (Medi-Cal) Provider Type Codes and Descriptions used by the Medi-Cal Fiscal Intermediary. https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/50a74d55-c40c-4213-86f8-f7abbaa818dc/download/fi_provider_type_ref.csv
8 Table of DHCS (Medi-Cal) Provider Specialty Codes and Descriptions used by the Medi-Cal Fiscal Intermediary. https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/4135eb5a-5dea-4e5e-851b-33b223ee2ce6/download/fi_provider_spec_ref.csv
57 profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-121ww76f.zip https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/9768f9d4-62ef-49c8-a162-5986bf325948/download/profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-121ww76f.zip
57 profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-hhq3imj6.zip https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/a5c7aaa1-5fcb-4bdd-9bdf-28b6ad004c4e/download/profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-hhq3imj6.zip
8 The dataset provides enrollment and geographic data for Fee-for-Service (FFS) providers enrolled in the Medi-Cal. The data is based on a point in time, and it is to be updated monthly. The enrollment data is as of April 2024. This dataset does not include Dental Fee-for-Service providers. https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/d652b210-ec3d-4a92-b7e0-e55c3dcbc7dc/download/medi_cal_ffs_provider_listing_5_8_2024.csv
10 This document provides definitions for each column headers. https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/b8c9f023-2646-4577-bfb6-de5a826343cd/download/data_dictionary_ped_ffs_all_provider_enrollment.docx
21 This application allows for searching by Name or NPI, or using filters to create a subset of the data. Selected records can be viewed as a snapshot or the data table can be downloaded in part or full. https://gis.dhcs.ca.gov/pages/find-a-provider
8 The dataset provides enrollment and geographic data for Fee-for-Service (FFS) providers enrolled in the Medi-Cal. The data is based on a point in time, and it is to be updated monthly. The enrollment data is as of October 2024. This dataset does not include Dental Fee-for-Service providers. https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/d652b210-ec3d-4a92-b7e0-e55c3dcbc7dc/download/ffs_provider_11_18_2024.csv
57 profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-m8qk8kjq.zip https://data.chhs.ca.gov/dataset/514c5381-f3dc-4c4a-a9de-a4df9405f046/resource/9973b7b0-6515-4f02-abe0-c7d93794da29/download/profile-of-enrolled-medi-cal-fee-for-service-ffs-providers-m8qk8kjq.zip

Tags

  • provider-master-file
  • pmf
  • provider-enrollment
  • medi-cal
  • california-department-of-health-care-services
  • ped
  • fee-for-service-provider
  • ffs

Topics

Categories