Medicare Advantage, Part D, Medicaid

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

medicare_silver.fact_qpp_experience·live·silver·CMS Quality Payment Program Experience

Rows

503,917

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The 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.
2The clinician value-based-performance layer. ~500k-1.05M clinicians/year, 2017-2024.
3Curated ~21-col subset of the 212-col file.

Grain

Key	Grain
N/A	1One row per (data_year, clinician record) — MIPS final score + category scores + payment adjustment.

Columns (37)

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

describe_data_source(source_fqn="medicare_silver.fact_qpp_experience")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_qpp_experience WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`npi`
Join	`how_to_join(source_fqn="medicare_silver.fact_qpp_experience")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_qpp_experience
Note	Iceberg medicare_silver.fact_qpp_experience, partition by data_year, replace.

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