Demos
Others titles
- NPDB Public Use Datafile
- Medical Malpractice Database
- US Malpractice Payments
Keywords
- Public Use Data File
- Practitioner Malpractice
- Medical Malpractice
- Malpractice Lawyer
- Personal Injury Lawyer
- Malpractice Lawsuits
- National Practitioner Data Bank
- Medicaid Fraud
US Healthcare Practitioner Malpractice Payments II
This dataset contains the second part of the National Practitioner Data Bank (NPDB) Public Use Data File, which contains reports from 1991 to March 2016 of sequence number 1357833 to 1544073. The NPDB, according to the Health Care Quality Improvement Act of 1986 collects and discloses de-identified professional competence and conduct of professionals reports about practitioners, providers, suppliers and entities figuring malpractice payments, adverse reactions and other actions or decisions.
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Description
The Health Care Quality Improvement Act of 1986 (HCQIA), as amended, Title IV of Public Law 99- 660, led to the establishment of the National Practitioner Data Bank (NPDB).
The National Practitioner Data Bank Public (NPDB) Public Use Data File contains reports received by the NPDB concerning healthcare practitioners, entities, providers and suppliers. Reports in the NPDB Public Use File include medical malpractice payments, and adverse actions, including clinical privileges actions, Federal and state licensure and certification actions, professional society membership actions, peer review organization actions, private accreditation actions, exclusions from Federal or state healthcare programs, and other adjudicated actions or decisions.
Information reported to the NPDB is confidential and can be provided only to authorized queriers, based on their eligibility to receive the information under each of the three laws. Authorized queriers include hospitals, other healthcare entities with formal peer review, professional societies with formal peer review, quality improvement organizations, health plans, state licensing and certification authorities, Federal licensing and certification agencies, state law enforcement agencies, state agencies administering State healthcare programs, state Medicaid Fraud Units, agencies or contractors administering Federal healthcare programs, U.S. Comptroller General, Federal law enforcement agencies and officials, healthcare practitioners (self-query), and plaintiff’s attorney/pro se plaintiffs (under limited circumstances).
Under section 426 of the HCQIA(42 USC 11135), as implemented by regulations at 45 CFR part 60.13(a)(2)(ix), data may be released to a person or entity who requests information in a form which does not permit the identification of any particular healthcare entity, physician, dentist, or other healthcare practitioner. This file is released in accordance with that provision to facilitate research use of NPDB information by persons interested in medical malpractice, licensing, discipline, and quality assurance issues.
In accordance with the Law and Regulations, variables which identify or would allow identification of individual entities or practitioners are excluded from the public use file. In order to assure confidentiality of all types of practitioners, the smallest geographic unit identified in each record in this file is a State.
However the Division of Practitioner Data Bank may be able to provide datasets for particular types of practitioners identified to smaller geographic units. Normally geographical units will have to contain at least several counties.
The NPDB Public Use Data File contains one record for each report in the NPDB as a result of the HIPDB merger on May 6, 2013, the NPDB Public Use File includes all NPDB reports from Section 1921(a)(1)(A) and 1921(a)(1)(B) with the exception of Judgment or Conviction Reports (JOCRs).
Description Source: National Practitioner Data Bank Public Use Data File, 2016, U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Practitioner Data Bank.
The reports are provided by different entities, organizations, Federal agencies, Medicaid Fraud Unites and offices, some are self-reports from practitioners and under limited circumstances attorney plaintiffs. The Public Use Data File is available for individual research in medical malpractice, discipline, and quality. To ensure confidentiality, geographical identification is limited to the country or state area. The dataset contains demographic and professional information on the practitioner and demographic information of the patients affected by malpractice.
About this Dataset
Data Info
| Date Created | 2016-05-01 |
|---|---|
| Last Modified | 2015-05-01 |
| Version | 2015-05-01 |
| Update Frequency |
Quarterly |
| Temporal Coverage |
1991-01-01 to 2016-03-31 |
| Spatial Coverage |
United States |
| Source | John Snow Labs; Health Resources and Services Administration; |
| Source License URL | |
| Source License Requirements |
N/A |
| Source Citation |
N/A |
| Keywords | Public Use Data File, Practitioner Malpractice, Medical Malpractice, Malpractice Lawyer, Personal Injury Lawyer, Malpractice Lawsuits, National Practitioner Data Bank, Medicaid Fraud |
| Other Titles | NPDB Public Use Datafile, Medical Malpractice Database, US Malpractice Payments |
Data Fields
| Name | Description | Type | Constraints |
|---|---|---|---|
| ID | Record Number. Sequence number is a unique number assigned to each record. The assigned numbers are not necessarily continuous or sequential. In addition, the sequence number assigned to any particular record may not be the same in different editions of the Public Use File. | integer | level : Nominal |
| Record_Type | Type of record | string | - |
| Report_Type | Type of report | string | - |
| Practitioner_Type | Type of practitioner (Individual, Organization) | string | - |
| Original_Year | Period original report processed. Year this record (or, if the record was later corrected or changed, the year the original version of this record) was processed into the National Practitioner Data Bank. This variable is a reasonable substitute for year of Judgment or Settlement, which is an optional field, and frequently was not reported in the first few years of NPDB operation. Reports must be made to the Data Bank within 30 days of a payment, so in most cases this value represents the year the payment was made or the adverse action was taken. | string | - |
| Work_State | Practitioner's work state. | string | - |
| Work_Country | Practitioner's Work Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data - i.e., numerical values, punctuation marks, etc...) | string | - |
| Home_State | Practitioner's home state | string | - |
| Home_Country | Practitioner’s Home Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data such - i.e., numerical values, punctuation marks, etc...) | string | - |
| License_State | Practitioner's State of License (First Listed State of License -- practitioners may be licensed in more than one State. Up to 10 States of license may be reported to the NDPB. Only the first State listed in an NPDB report is provided in this file.) >>>>> Note to users concerning State variables: Researchers often want to assign reports to a State for analysis purposes. Licensure Actions might normally be assigned to a State on the basis of the practitioner’s License State. | string | - |
| License_Field | Practitioner's Field of License. [Note: Reporting is required for malpractice payments made for all practitioners regardless of their field of license. Prior to implementation of Section 1921, the Public Use File collected reports required for adverse actions (other than exclusions) only for practitioners in license fields 10 through 35 (physicians and dentists). As of March 10, 2010 reporting of licensure adverse actions is collected for all practitioner types.] | string | - |
| License_Date | License Date on Practitioner's Field. | date | - |
| Practicioner_Age | Practitioner's Age Group. (Based on the age of the practitioner at the time of the event leading to the report.) | string | - |
| Graduation | Practitioner's Professional School Graduation Year Group | string | - |
| Allegation_Group | Malpractice Allegation Group. This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the act or omission codes used in old format reports. [This field is blank in Adverse Action records.] IMPORTANT NOTE: When analyzing physician malpractice payments, Allegation Group should not be used as a substitute for physician specialty. | string | - |
| Allegation_1 | First Specific Malpractice Act or Omission Code. (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the first listed code.) This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records.] | string | - |
| Allegation_2 | Second Specific Malpractice Act or Omission Code (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the second listed code.) This variable was first used in reports on 1/31/2004. For records with a Record Type value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records and Malpractice Payment records in which a second Allegation code was not supplied.] | string | - |
| Outcome | Severity of Alleged Malpractice Injury. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.] | string | - |
| Malpractice_Year_1 | Year of Act or Omission 1. (Beginning year of acts or omissions) [Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.][This field is blank in Adverse Action records.] | date | - |
| Malpractice_Year_2 | Year of Act or Omission 2. (End year of acts or omissions) [Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Adverse Action records and Malpractice Payment records for which a second date was not supplied.] May be blank if same as Malpractice Year 1 | date | - |
| Payment | Amount of Reported Payment. This is the amount of the specific payment that led to the filing of this malpractice payment report. Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. Payments from $101 to $500 are coded as $300. Payments from $501 to $1,000 are coded as $750. Payments between $1,001 and $5,000 are coded as the midpoint of $1,000 increments, e.g. payments between $1,001 and $2,000 are coded as $1,500; payments between $2,001 and $3,000 are coded as $2,500; etc. | string | - |
| Total_Payment | Total Payment by this Payer for This Practitioner. In most cases this will equal PAYMENT; however, if the reporting entity has made or will make other payments to this plaintiff for this practitioner in this case, this variable represents the total paid or to be paid. (Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. | string | - |
| Payment_Number | Single or Multiple Payment. (Malpractice settlements or judgments may be paid in one payment or in multiple payments. This variable specifies which is applicable to this record.) [This field is blank in Adverse Action records.] | string | - |
| Number_Of_Practitioners | Number of Practitioners Included in the Payment (Payments may be made which pertain to the acts or omissions of a number of practitioners. A separate report must be filed for each named practitioner.) [This field is blank in Adverse Action records.] >>>>> Note to users concerning NUMBPRSN: NUMBPRSN is an indicator of the total number of practitioners involved in a case. | number | level : Ratio |
| Payment_Type | Payment a Result of Judgment or Settlement. [This field is blank in Adverse Action records.] >>>>> Note to users concerning Payment Type: We recommend that analysis of the Payment Type variable be done by considering all values except "Judgement" to be settlements of one type or another.) | string | - |
| Payment_Relationship | Relationship of Paying Entity to the Practitioner. [This field is blank in Adverse Action records.] | string | - |
| Patient_Age | Patient Age in Groups of Years. (Patient Age at the time of the incident which led to the payment. Fractional years are used only for patients less than one year old. Fetuses are coded as -1.) This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.] | string | - |
| Patient_Gender | Gender of Patient. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.] | string | - |
| Patient_Type | Patient Type (Inpatient, Outpatient, Both). This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type “M” Malpractice Payment records.] | string | - |
| Action_Year | Year of Adverse Action. [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the reporting entity. The process to obtain corrections for erroneous years is currently underway.][This field is blank in Malpractice Payment records.] | date | - |
| Action_Class_1 | Adverse Action Classification 1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A", the value shown has been translated into the new Consolidated Adverse Action Report codes from the codes used in old format reports. | string | - |
| Action_Class_2 | Adverse Action Classification 2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Class_3 | Adverse Action Classification 3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Class_4 | Adverse Action Classification 4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Class_5 | Adverse Action Classification 5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Basis_1 | Basis for Action1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a Record Type value of "A" (old format Adverse Action Reports), the value shown has been translated into the new Consolidated Adverse Action Report Action Basis 1 codes from the codes used in old format reports. | string | - |
| Action_Basis_2 | Basis for Action2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Basis_3 | Basis for Action3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Basis_4 | Basis for Action4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. | string | - |
| Action_Basis_5 | Basis for Action5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 9/2/2002; between 11/22/1999 and 9/2/2002 only four basis codes were allowed. | string | - |
| Action_Length_Type | Adverse Action Length Type. [This field is blank in Malpractice Payment records.] | string | - |
| Action_Penalty_Length | For specified penalty lengths, Length of Adverse Action Penalty, in Years and Fractions of Years (i.e., 2.25 is 2 years 3 months). [This field is blank in Malpractice Payment, Old Format Exclusion, and Adverse Action Records which do not have a specified penalty length.] | number | level : Ratio |
| Action_Effective_Year | Effective Year of Adverse Action [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.][This field is blank in Malpractice Payment records.] | date | - |
| Action_Signature_Year | Year of Adverse Action Report Signature. [Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Malpractice Payment records.] | date | - |
| Type | Type of Reporting Entity. (assigned) | string | - |
| Practitioner_Number | Practitioner Number. (This number is assigned solely to each individual practitioner listed in this edition of the NPDB Public Use Data File. Its use allows researchers to link reports concerning the same practitioner. For example, if the fictional Dr. James Kildare had been reported for a malpractice payment, a clinical privileges action, and a state licensure action, the records for all three reports would list the same Practitioner Number in this file. | integer | level : Ratio |
| Is_Accreditation_Reports | Is report Accredited | boolean | - |
| Practitioner_Malpractice_Number | Subject's Number of Malpractice Payment Reports submitted under Title IV . CAUTION: This variable counts the number of malpractice payments for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of payment reports in your selected subset. | integer | level : Ratio |
| Practitioner_Licensure_Number | Subject's Number of Licensure Reports submitted under Title IV and/or Section 1921. CAUTION: This variable counts the number of licensure actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of licensure action reports in your selected subset. | integer | level : Ratio |
| Practitioner_Privileges_Number | Subject's Number of Clinical Privileges or Panel Member Reports submitted under Title IV. CAUTION: This variable counts the number of clinical privileges or panel membership actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of clinical privileges or panel membership action reports in your selected subset. | integer | level : Ratio |
| Practitioner_Membership_Number | Subject's Number of Professional Society Membership Reports submitted under Title IV. CAUTION: This variable counts the number of professional society membership action reports for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of professional society membership action reports in your selected subset. | integer | level : Ratio |
| Practitioner_DEA_Number | Subject's Number of DEA Reports submitted under Title IV. CAUTION: This variable counts the number of DEA actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of DEA action reports in your selected subset. | integer | level : Ratio |
| Practitioner_Exclusion_Number | Subject's Number of Exclusion Reports submitted under Title IV and/or Section 1921. CAUTION: This variable counts the number of exclusion actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of exclusion action reports in your selected subset. | integer | level : Ratio |
| Practitioner_Government_Number | Subject's Number of Government Administrative Reports submitted under Section 1921. CAUTION: This variable counts the number of government administrative actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of government administrative action reports in your selected subset. | integer | level : Ratio |
| Practitioner_Termination_Number | Subject's Number of Contract Termination Reports submitted under Section 1921. CAUTION: This variable counts the number of contract termination actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner’s number of contract termination action reports in your selected subset. | integer | level : Ratio |
| Fund_Payment | Malpractice Payment Made by a State Patient Compensation Fund, Excess Judgment Fund, or Other Similar State Funds. (Nine States -- Florida, Indiana, Kansas, Louisiana, Nebraska, New Mexico, Pennsylvania, South Carolina, and Wisconsin -- have or had State funds which make malpractice payments in addition to the payment made by a practitioner's primary malpractice insurance carrier if the total amount of the settlement or judgment is more than a maximum amount set in State law for payments by a primary insurance carrier. | string | - |
Data Preview
| ID | Record Type | Report Type | Practitioner Type | Original Year | Work State | Work Country | Home State | Home Country | License State | License Field | License Date | Practicioner Age | Graduation | Allegation Group | Allegation 1 | Allegation 2 | Outcome | Malpractice Year 1 | Malpractice Year 2 | Payment | Total Payment | Payment Number | Number Of Practitioners | Payment Type | Payment Relationship | Patient Age | Patient Gender | Patient Type | Action Year | Action Class 1 | Action Class 2 | Action Class 3 | Action Class 4 | Action Class 5 | Action Basis 1 | Action Basis 2 | Action Basis 3 | Action Basis 4 | Action Basis 5 | Action Length Type | Action Penalty Length | Action Effective Year | Action Signature Year | Type | Practitioner Number | Is Accreditation Reports | Practitioner Malpractice Number | Practitioner Licensure Number | Practitioner Privileges Number | Practitioner Membership Number | Practitioner DEA Number | Practitioner Exclusion Number | Practitioner Government Number | Practitioner Termination Number | Fund Payment |
| 1357833 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | North Carolina | North Carolina | Allopathic Physician (MD) | Ages 50 through 59 | 1990 through 1999 | 2014.0 | Suspension of License (Individual) | Unable to Practice Safely: Psych Impairment or Mental Dsrdr | Violation of or Failure to Comply w a Licensing Board Order | Indefinite Penalty Length | 2014.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 575239 | False | 3 | |||||||||||||||||||||||||||||||||||
| 1357834 | Consolidated Adverse Action Report | Clin Priv/Panel Mmbrshp Actn | Individuals | 2014 | Kentucky | Kentucky | Kentucky | Allopathic Physician (MD) | Ages 50 through 59 | 1970 through 1979 | 2014.0 | Vol Surrender of Clin. Priv/Panel Memb. Under Investig (Ind) | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Permanent Penalty | 2014.0 | 2014.0 | General/Acute Care Hospital | 587586 | False | 5 | 2.0 | ||||||||||||||||||||||||||||||
| 1357835 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | Michigan | Michigan | Prof. Counselor | Ages 50 through 59 | 1990 through 1999 | 2013.0 | Sumry/Emergcy Suspension of Licn. (Phys. & Dent. Only) | Criminal Conviction | Indefinite Penalty Length | 2013.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 587587 | False | 2 | ||||||||||||||||||||||||||||||||||||
| 1357836 | Consolidated Adverse Action Report | Exclusions & Debarments--non-HHS | Individuals | 2014 | Texas | Texas | LPN or Vocational Nurse | Ages 30 through 39 | 2014.0 | Exclusion from a State Health Care Program (Individual) | License Action by Fed. | Indefinite Penalty Length | 2013.0 | 2014.0 | Medicaid Agency | 551638 | False | 4 | 2.0 | ||||||||||||||||||||||||||||||||||||
| 1357837 | Malpractice Payment Report | Insurance Company Malpractice Payment | Individuals | 2014 | New York | New York | Allopathic Physician (MD) | Ages 40 through 49 | 1990 through 1999 | Treatment Related | Failure to Treat | Minor Temporary Injury | 2008.0 | "$50,001 through $55,000" | "$50,001 through $55,000" | Single | 1.0 | Settlement | Insurance Company - Primary Insurer | Ages 60 through 69 | Female | Inpatient | Malpractice Payer (Organization) | 541340 | False | 1.0 | 2 | 1.0 | 1.0 | Insurance Company or Self-Insured Payment | |||||||||||||||||||||||||
| 1357838 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | Maine | Maine | Pharmacy Technician | 2002-09-09 | Ages 20 through 29 | 1990 through 1999 | 2011.0 | Voluntary Limitation/Restriction on License(Ind)(av 8-13-07) | Criminal Conviction | Indefinite Penalty Length | 2011.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 587588 | False | 1 | |||||||||||||||||||||||||||||||||||
| 1357839 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | Florida | Florida | Physical Therapist | Ages 50 through 59 | 1980 through 1989 | 2014.0 | Other Licensure Action (Not Classfied) Specify | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Permanent Penalty | 2014.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 572325 | False | 2 | ||||||||||||||||||||||||||||||||
| 1357840 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | Michigan | Michigan | Prof. Counselor | Ages 50 through 59 | 1990 through 1999 | 2013.0 | Revocation of License (Individual) | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Indefinite Penalty Length | 2013.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 587587 | False | 2 | ||||||||||||||||||||||||||||||||
| 1357841 | Consolidated Adverse Action Report | Exclusions & Debarments--non-HHS | Individuals | 2014 | Texas | Texas | Registered Nurse | Ages 30 through 39 | 2014.0 | Exclusion from a State Health Care Program (Individual) | Felony Conviction Related to Health Care Fraud | Indefinite Penalty Length | 2013.0 | 2014.0 | Medicaid Agency | 521088 | False | 2 | 2.0 | ||||||||||||||||||||||||||||||||||||
| 1357842 | Consolidated Adverse Action Report | State Licensure Actn | Individuals | 2014 | Michigan | Michigan | Dentist | Ages 40 through 49 | 1980 through 1989 | 2014.0 | Licensure Restored or Reinstated (Complete)(Individual) | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | Basis Code Not Required | 2014.0 | 2014.0 | Health Care Practitioner Licensing Board/Authority | 561714 | False | 2 |