Census-level

Name: Census-level (100%, not sampled) adjudicated Medicare Parts A, B, C and D claims plus Medicare Advantage and Medicaid claims, normalized and enriched into a longitudinal prescriber / payer / patient-journey layer with plan-level Part D (MAPD and PDP) visibility, specialty- and institutional-pharmacy channel attribution, and formulary-versus-prescribing gap analysis
Creator: CareSet Systems

CARESET SYSTEMSManage supplier listing

Census-level (100%, not sampled) adjudicated Medicare Parts A, B, C and D claims plus Medicare Advantage and Medicaid claims, normalized and enriched into a longitudinal prescriber / payer / patient-journey layer with plan-level Part D (MAPD and PDP) visibility, specialty- and institutional-pharmacy channel attribution, and formulary-versus-prescribing gap analysis

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Coverage

Universe, instruments and categories.

Industry: PharmaceuticalsHealth Care Technology
Instruments: equities
Categories: Alternative

Dataset card

Type: not stated
Format: Tabular claims records (adjudicated claim-line grain: NPI, payer/plan, HCPCS/NDC/ICD, service dates, allowed amounts) delivered as licensed data extracts and as hosted analytics/reporting
Volume: Census scale: 100% of US Medicare FFS, Medicare Advantage and Medicaid adjudicated claims — on the order of tens of billions of claim lines (Medicare alone adjudicates roughly a billion+ claim lines annually across Parts A-D), with 226 academic medical centers and additional prescriber coverage explicitly called out beyond what sample-based aggregators capture
Users: N/A — licensed B2B data and analytics product, no registered-user base; customers are pharmaceutical enterprises under contract
History: 26 years
Update frequency: not stated
Growth: Active — monthly claims refresh maintained since early 2020, active peer-reviewed publication record, and a deep standing business-development bench (multiple VP and Director level BD roles open on staff) indicating commercial expansion
Launched: 2012 (company states it has worked with government open and claims-based datasets since 2012)
Delivery: not stated
Entity mapping: not stated
Sample: not stated
Point-in-time: not stated
Licence: not stated

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