# CMS Quality Payment Program (QPP/MIPS) Experience — clinician scores

`medicare_silver.fact_qpp_experience` · Medicare Advantage, Part D, Medicaid · status live · 503,917 rows

The CMS Quality Payment Program Experience file — per clinician (provider key / NPI) the MIPS final score, payment adjustment percentage, and the four category scores (quality, promoting interoperability, improvement activities, cost), plus practice size, specialty, participation option, and small/rural/ HPSA status. The clinician value-based-performance layer. ~500k-1.05M clinicians/year, 2017-2024. Curated ~21-col subset of the 212-col file.

**Grain.** One row per (data_year, clinician record) — MIPS final score + category scores + payment adjustment.

| column | type | meaning |
|---|---|---|
| data_year | int |  |
| row_seq | bigint |  |
| provider_key | string |  |
| npi | string |  |
| practice_state | string |  |
| practice_size | string |  |
| clinician_type | string |  |
| clinician_specialty | string |  |
| years_in_medicare | string |  |
| participation_option | string |  |
| small_practice_status | string |  |
| rural_status | string |  |
| hpsa_status | string |  |
| medicare_patients | double |  |
| allowed_charges | double |  |
| services | double |  |
| final_score | double |  |
| payment_adjustment_pct | double |  |
| quality_category_score | double |  |
| pi_category_score | double |  |
| ia_category_score | double |  |
| cost_category_score | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_qpp_experience WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_qpp_experience")` first.