Medicare Advantage, Part D, Medicaid

MA network intelligence: hospitals in each plan's published network, with evidence (CCN)

medicare_silver.ma_network_plan_hospital_v1·partial·mart
Rows
N/A
Columns
15
History
N/A
Card
nocolumns only
Typed tools
1

What it is

  1. 1Which hospitals each plan's directory puts in network: the hospital's own NPI listed (CMS hospital enrollment NPI = CCN), or how many of the clinicians CMS records as affiliated with it the plan lists (CMS Doctors and Clinicians, 2026-05-29), with the health system.
  2. 2Typed door get_plan_hospitals.

Grain

KeyGrain
N/A
  1. 1One row per plan_year x plan_key x hospital CCN with any evidence: facility_npi_listed, clinicians_listed, clinicians_affiliated, clinician_share, signal (hospital_npi_listed | many_affiliated_clinicians | few_affiliated_clinicians), hospital name, state, county, system_id, system_name, in_service_area, carried.
  2. 2Partitioned by dataset_id, plan_year.

Columns (15)

ColumnTypeMeaning
plan_keystring
contract_idstring
ccnstring
hospital_namestring
hospital_statestring
hospital_county_fipsstring
system_idstring
system_namestring
facility_npi_listedboolean
clinicians_listedbigint
clinicians_affiliatedbigint
clinician_sharedouble
signalstring
in_service_areaboolean
carriedboolean

Query it

describe_data_source(source_fqn="medicare_silver.ma_network_plan_hospital_v1")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.ma_network_plan_hospital_v1 WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itget_plan_hospitals
Identity keyccn
Joinhow_to_join(source_fqn="medicare_silver.ma_network_plan_hospital_v1")
Raw doorAthena (read-only via query_substrate): medicare_silver.ma_network_plan_hospital_v1 (pin dataset_id and plan_year; read signal before calling a hospital in network)

This page as markdown: /docs-md/data/medicare_silver_ma_network_plan_hospital_v1.md · every page in one file: /llms-full.txt