National provider-network reference and compliance asset

National provider-network reference and compliance asset: practitioner and facility records with specialty, location, accepting-new-patient status and panel capacity, scored against CMS network adequacy time/distance and ratio standards for Medicare Advantage, Medicaid, Marketplace and commercial lines — plus the provider-directory verification trail produced through the BetterDoctor practitioner portal, where providers self-attest to their own listing accuracy, and competitive network-composition comparisons across plans.

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Coverage

Universe, instruments and categories.

Industry: Health Care Technology
Instruments: equities
Categories: AlternativeReferenceGeospatial
Regions: US
Sample tickers: UNHELVHUMCNCMOHMCK

Dataset card

Type: not stated
Format: Tabular + geospatial — structured practitioner and facility records with latitude/longitude and time-distance geometry, delivered through the Quest Enterprise Services platform, the Quest Analytics Suite, and bulk data-management feeds
Volume: National provider universe — most US practitioners and facilities with specialty, location and status attributes, scored per plan per county per specialty; combined with adequacy scoring across four lines of business this is a multi-billion-point dataset of provider x plan x geography evaluations, plus a multi-year provider change/verification log.
Users: Not a registered-user product in the consumer sense — sold to health plans, health systems, dental and vision plans and federal/state regulators. The BetterDoctor practitioner portal does carry registered practitioners, but no count is published; scale is better proxied by the stated ~280 employees and ~$42.2M revenue
History: 10 years
Update frequency: not stated
Growth: Active — 2025-dated site assets, continuously-published CMS Medicare Advantage and Medicaid resource-hub content, and an enterprise provider-data-management offering under active promotion
Launched: ~2010-2013 — established provider-network analytics vendor whose core adequacy-scoring business predates the current platform generation (QES and QAS) and the BetterDoctor portal
Delivery: not stated
Entity mapping: not stated
Sample: not stated
Point-in-time: not stated
Licence: not stated

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