data.cms.gov
Quality Payment Program Experience
The Quality Payment Program (QPP) Experience dataset provides participation and performance information in the Merit-based Incentive Payment System (MIPS) during each performance year.
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Columns 212
| Column | What it means | Type |
|---|---|---|
Provider Keyprovider key | Random unique key assigned to each row. | string |
Practice State or US territorypractice state or us territory | The Practice State or United States (US) territory code location of the Taxpayer Identifier Numbers (TIN) associated with the clinician. | string |
Practice Sizepractice size | Count of clinicians associated with the TIN through Medicare Part B claims from October 1, 2023, through September 30, 2024 (the second 12 month segment of the MIPS eligibility determination period for the 2024 performance year). | number |
Clinician Typeclinician type | Clinician type is derived from the category associated with the specialty included on Medicare Part B claims and submitted to the Centers for Medicare & Medicaid Services (CMS) for reimbursement; clinician type is determined for each unique TIN/NPI combination associated with an individual clinician. | string |
Clinician Specialtyclinician specialty | Specialty is derived from the specialty codes in Medicare Part B claims submitted to CMS for reimbursement; specialty is determined for each unique TIN/NPI combination associated with an individual clinician. | string |
Years in Medicareyears in medicare | The number of years since the first date on which an enrollment was approved for this NPI across all enrollments in PECOS (Provider, Enrollment, Chain and Ownership System). | number |
NPInpi | The National Provider Identifier (NPI) assigned to the clinician when they enrolled in Medicare. Multiple rows for the same NPI indicate that an individual clinician has reassigned billing rights to multiple TINs and was identified as a MIPS eligible clinician under multiple TIN/NPI combinations. | string |
Non-Reportingnon-reporting | A non-reporting clinician (i.e., an individually eligible clinician, an opt-in eligible clinician or group that submitted an election to opt in to the program, or a clinician in a CMS-approved virtual group) was required to report but didn’t actively submit any data for the quality, Promoting Interoperability, or improvement activities performance categories. (This includes clinicians who received reweighting in one or more performance categories because of an exception application, the extreme and uncontrollable circumstances policy, or special status.) Refer to the Key Terms & Definitions section of the 2024 QPP Data Use Guide (PDF) for more information. | string |
Participation Optionparticipation option | The level at which data is collected and submitted to CMS for MIPS. There are 5 participation options for 2023: Individual: Data is collected and submitted by or on behalf of an individual MIPS eligible clinician (identified by TIN/NPI). Group: Data is collected and submitted on behalf of all MIPS eligible clinicians in a practice (identified by TIN). Subgroup: (New) Data is collected by a subset of clinicians in a group (at least 2 clinicians) that contains at least one individually eligible MIPS eligible clinician. Only available for reporting an MVP and requires advance registration. Virtual group: Data is collected and submitted on behalf of all MIPS eligible clinicians in a CMS-approved virtual group (identified by virtual group ID). APM Entity: Data is collected and submitted on behalf of the MIPS eligible clinicians in an APM Entity (identified by APM ID). | string |
Reporting Optionreporting option | The way that a MIPS eligible clinician chooses to meet their MIPS reporting requirements. There are 3 MIPS reporting options for 2024: Traditional MIPS, established in the first year of QPP, is the original reporting option for MIPS eligible clinicians. The Alternative Payment Model (APM) Performance Pathway (APP) is a streamlined reporting option for clinicians who participate in a MIPS APM. MIPS Value Pathways (MVPs) are the newest reporting option that offer clinicians a subset of measures and activities relevant to a specialty or medical condition. | string |
MIPS Value Pathway IDmips value pathway id | The MVP ID associated with the MVP used for the clinician’s final score; this field will only be populated if “MIPS Value Pathways” is identified in the "Reporting Option" column. | string |
MIPS Value Pathway Titlemips value pathway title | The name of the MVP associated with the MVP used for the clinician’s final score; this field will only be populated if “MIPS Value Pathways" is identified in the "Reporting Option" column. | string |
Medicare Patientsmedicare patients | The number of Medicare patients who received covered professional services during one of the two 12-month segments of the MIPS eligibility determination period. | number |
Allowed Chargesallowed charges | The allowed charges under the Physician Fee Schedule on Medicare Part B claims with a service date during one of the two 12-month segments of the MIPS eligibility determination period. | number |
Servicesservices | The number of covered professional services provided to Medicare Part B patients with a service date during one of the two 12-month segments of the MIPS eligibility determination period. | number |
Opted In to MIPSopted into mips | Indicates if an “opt-in eligible” clinician or group elected to participate in MIPS and receive a payment adjustment. (A clinician or group that is otherwise eligible for MIPS and exceeds 1 or 2, but not all 3 low-volume threshold criteria, is considered “opt-in eligible.”) Learn more on the QPP website. | string |
Small Practice Statussmall practice status | Indicates if the clinician or group had the small practice special status (15 or fewer clinicians billed under the TIN) based on one of the two 12-month segments of the MIPS eligibility determination period. Solo practitioners also receive this special status. Learn more about the small practice status on the QPP website. Note: This number may contradict the “Practice Size” column, which is always based on the second 12 months of the MIPS eligibility determination period (October1,2023 - September30,2024, for the 2024 performance year). | string |
Rural Statusrural status | Indicates if the clinician or group had the rural special status (practiced ina ZIP code designated as rural by the Federal Office of Rural Health Policy (FORHP) using the most recent FORHP Eligible ZIP code file available). Learn more about the rural status on the QPP website. | string |
Health Professional Shortage Area Statushealth professional shortage area status | Indicates if the clinician or group had the HPSA special status (practiced in a Health Professional Shortage Area [HPSA]). Learn more about the HPSA status on the QPP website. | string |
Ambulatory Surgical Center-Based Statusambulatory surgical center-based status | Indicates if the clinician or group had the ambulatory surgical center-based (ASC-based) special status, which is determined by the volume of their covered professional services furnished in an ambulatory surgical center. Learn more about the ASC-based status on the QPP website. | string |
Hospital-Based Statushospital-based status | Indicates if the clinician or group had the hospital-based special status, which is determined by the volume of their covered professional services furnished in a hospital setting. Learn more about the hospital-based status on the QPP website. | string |
Non-Patient Facing Statusnon-patient facing status | Indicates if the clinician or group has the non-patient facing special status, which is determined by volume of Medicare Part B patient-facing encounters, including telehealth services. Learn more about the non-patient facing status on the QPP website. | string |
Facility-Based Statusfacility-based status | Indicates if the clinician or group has the facility-based special status, which is determined based on volume of services furnished in a facility eligible for the Hospital Value-based Purchasing program. Learn more about the facility-based status on the QPP website. A value of “TRUE" doesn’t indicate that the final score was derived from facility-based scoring; that information is provided in the "Received Facility Score" column. | string |
Received Facility Scorereceived facility score | Indicates if the clinician or group received facility-based scoring, based on their assigned facility’s total performance score for the Hospital Value-based Purchasing program. Learn more about facility-based scoring in the 2024 Facility-based Quick Start Guide (PDF). | string |
Dual Eligibility Ratiodual eligibility ratio | Dual Eligibility Ratio is derived by using the following formula: the number of unique Medicare patientswho are also Medicaid eligible and who received covered professional services between October1,2023, and September30,2024, divided by the number of unique Medicare patients seen during the same time period. | string |
Safety-Net Statussafety-net status | Indicates if the dual eligibility ratio falls in the top 20th percentile of all MIPS eligible clinicians. | string |
Extreme Uncontrollable Circumstance (EUC)extreme uncontrollable circumstance (euc) | Indicates if the clinician, group, or APM Entity was affected by extreme and uncontrollable circumstances (EUC) and qualified for reweighting in one or more performance categories because of the MIPS automatic EUC policy or an approved MIPS EUC exception application. | string |
Final Scorefinal score | The MIPS final score attributed to the clinician (identified by TIN/NPI combination). | number |
Payment Adjustment Percentagepayment adjustment percentage | The total payment adjustment percentage associated with the clinician’s 2023 final score. Payment adjustments are determined by comparing the final score to the performance thresholds and then scaled to ensure budget neutrality. 2026 is the payment year for performance year 2024. Max Negative: The maximum negative payment adjustment is -9%. Final score between 0 and 18.75 points. Negative: A negative payment adjustment is between -9% and 0%. Final score between 18.76 and 74.99 points. Neutral: A neutral payment adjustment is 0% (i.e., no increase or decrease in payment). Final score of 75 points. Positive: A positive payment adjustment is greater than 0%. Final score between 75.01 and 100 points. | number |
Complex Patient Bonuscomplex patient bonus | The complex patient bonus points (added to the final score, based on the medical and social complexity of the patient population) associated with the final score attributed to the clinician. | number |
Quality Category Scorequality category score | The unweighted quality score is the sum of points earned (including small practice bonus points) divided by the sum of available points for the performance category plus quality improvement. The unweighted score is represented as a percentage from 0 - 100, before it’s multiplied by the performance category’s weight (as documented in the "Quality Category Weight" column). | number |
Quality Improvement Scorequality improvement score | These points represent the rate of improvement from the prior year’s quality score; there are between 0 and 10 percentage points available for quality improvement. These points are already accounted for in the quality category score. | number |
Quality Category Weightquality category weight | The weight represents the performance category’s contribution to a clinician’s final score. For example, if the quality category is weighted at 30% of the final score, it can contribute up to 30 points towards the final score. A value of “0%” means the category didn’t contribute to the clinician’s final score. | number |
Quality Reweighting (EUC)quality reweighting (euc) | Indicates if the clinician, group, or APM Entity was approved for reweighting of the quality performance category due to extreme and uncontrollable circumstances. (Note: “True” indicates approval for reweighting, not whether the performance category was ultimately reweighted. Data submission overrides performance category reweighting on a category-by-category basis.) | string |
Small Practice Bonussmall practice bonus | The small practice bonus points received for the quality category (if applicable). | number |
Quality Measure ID 1quality measure id 1 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 1quality measure collection type 1 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 1quality measure score 1 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 2quality measure id 2 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 2quality measure collection type 2 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 2quality measure score 2 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 3quality measure id 3 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 3quality measure collection type 3 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 3quality measure score 3 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 4quality measure id 4 | MIPS Quality ID for one for the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 4quality measure collection type 4 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 4quality measure score 4 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 5quality measure id 5 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 5quality measure collection type 5 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 5quality measure score 5 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 6quality measure id 6 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 6quality measure collection type 6 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 6quality measure score 6 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 7quality measure id 7 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 7quality measure collection type 7 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 7quality measure score 7 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 8quality measure id 8 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 8quality measure collection type 8 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 8quality measure score 8 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 9quality measure id 9 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 9quality measure collection type 9 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 9quality measure score 9 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 10quality measure id 10 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 10quality measure collection type 10 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 10quality measure score 10 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 11quality measure id 11 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 11quality measure collection type 11 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 11quality measure score 11 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Quality Measure ID 12quality measure id 12 | MIPS Quality ID for one of the quality measures that contributed to the final score. | string |
Quality Measure Collection Type 12quality measure collection type 12 | The collection type of the measure submitted. (Each collection type has its own specification and specific benchmark used to determine how many points the quality measure earns.) | string |
Quality Measure Score 12quality measure score 12 | Measure score achieved for the corresponding MIPS Quality ID that contributed to the final score. | number |
Promoting Interoperability (PI) Category Scorepromoting interoperability (pi) category score | The unweighted quality score is the sum of points achieved (including bonus points) divided by the sum of available points for the performance category. The unweighted score is represented as a percentage from 0 - 100, before it’s multiplied by the performance category’s weight (as documented in the "Promoting Interoperability (PI) Category Weight" column). | number |
Promoting Interoperability (PI) Category Weightpromoting interoperability (pi) category weight | The weight represents the performance category’s contribution to a clinician’s final score. For example, if the Promoting Interoperability category is weighted at 25% of the final score, it can contribute up to 25 points towards the final score. A value of “0%” means the category didn’t contribute to the clinician’s final score. | number |
PI Reweighting (EUC)pi reweighting (euc) | Indicates if the clinician, group, or APM Entity was approved for reweighting of the Promoting Interoperability performance category due to extreme and uncontrollable circumstances. (Note: “True” indicates approval for reweighting, not whether the performance category was ultimately reweighted. Data submission overrides performance category reweighting on a category-by-category basis.) | string |
PI Reweighting (Hardship Exception)pi reweighting (hardship exception) | Indicates if the clinician or group had an approved MIPS Promoting Interoperability performance category hardship exception due to decertified Electronic Health Record (EHR) technology, extreme and uncontrollable circumstances, insufficient internet connectivity, or lack of control over the availability of certified EHR technology (CEHRT). (Note: “True” indicates approval for reweighting, not whether the performance category was ultimately reweighted. Data submission overrides performance category reweighting on a category-by-category basis.) | string |
PI Reweighting (Special Status or Clinician Type)pi reweighting (special status or clinician type) | Indicates if the clinician or group qualified for an automatic reweighting from the Promoting Interoperability performance category due to special status or clinician type. (Note: “True” indicates approval for reweighting, not whether the performance category was ultimately reweighted. Data submission overrides performance category reweighting on a category-by-category basis.) | string |
CEHRT IDcehrt id | This is a unique identifier generated by the Office of the National Coordinator for Health Information Technology (ONC) that identifies a specific bundle of software or EHR. The CEHRT ID is a 15-character alpha-numeric string that can be found on the Certified Health IT Product List (CHPL) website. This is the CEHRT ID included in the data that contributed to the clinician’s final score. | string |
PI Measure ID 1pi measure id 1 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 1pi measure type 1 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 1pi measure score 1 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 2pi measure id 2 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 2pi measure type 2 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 2pi measure score 2 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 3pi measure id 3 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 3pi measure type 3 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 3pi measure score 3 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 4pi measure id 4 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 4pi measure type 4 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 4pi measure score 4 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 5pi measure id 5 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 5pi measure type 5 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 5pi measure score 5 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 6pi measure id 6 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 6pi measure type 6 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 6pi measure score 6 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 7pi measure id 7 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 7pi measure type 7 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 7pi measure score 7 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 8pi measure id 8 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 8pi measure type 8 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 8pi measure score 8 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 9pi measure id 9 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 9pi measure type 9 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 9pi measure score 9 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 10pi measure id 10 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 10pi measure type 10 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 10pi measure score 10 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 11pi measure id 11 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 11pi measure type 11 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 11pi measure score 11 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 12pi measure id 12 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 12pi measure type 12 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 12pi measure score 12 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 13pi measure id 13 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 13pi measure type 13 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 13pi measure score 13 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 14pi measure id 14 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 14pi measure type 14 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 14pi measure score 14 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 15pi measure id 15 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 15pi measure type 15 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 15pi measure score 15 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 16pi measure id 16 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 16pi measure type 16 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 16pi measure score 16 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 17pi measure id 17 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 17pi measure type 17 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 17pi measure score 17 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 18pi measure id 18 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 18pi measure type 18 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 18pi measure score 18 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 19pi measure id 19 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 19pi measure type 19 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 19pi measure score 19 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 20pi measure id 20 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 20pi measure type 20 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 20pi measure score 20 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
PI Measure ID 21pi measure id 21 | MIPS Promoting Interoperability ID for one of the Promoting Interoperability measures that contributed to the final score. | string |
PI Measure Type 21pi measure type 21 | Indicates if the measure is required, reported as an exclusion, or is an optional/bonus measure. | string |
PI Measure Score 21pi measure score 21 | Measure score achieved for the corresponding MIPS Promoting Interoperability ID that contributed to the final score. | number |
Improvement Activities (IA) Category Scoreimprovement activities (ia) category score | The score received for the improvement activities performance category is based on all the activities the clinician or group implemented and that contributed to the final score. There’s a maximum of 40 points available in this category. Data use tip: Divide the value in this column by 40 to arrive at the unweighted score. (E.g., a category score of 40 equals an unweighted category score of 100%.) Multiply the unweighted score by the “Improvement Activities (IA) Category Weight” in the next column to arrive at the points contributing to the clinician’s final score. | number |
Improvement Activities (IA) Category Weightimprovement activities (ia) category weight | The weight represents the performance category’s contribution to a clinician’s final score. For example, if the improvement activities category is weighted at 15% of the final score, it can contribute up to 15 points towards the final score. A value of “0%” means the category didn’t contribute to the clinician’s final score. | number |
IA Reweighting (EUC)ia reweighting (euc) | Indicates if the clinician, group, or APM Entity was approved for reweighting of the improvement activities performance category due to extreme and uncontrollable circumstances. (Note: “TRUE” indicates approval for reweighting, not whether the performance category was ultimately reweighted. Data submission overrides performance category reweighting on a category-by-category basis.) | string |
IA Creditia credit | This data element will show as FALSE for everyone because this study (awarding credit in the improvement activities performance category) concluded after the 2019 performance year. | string |
IA Measure ID 1ia measure id 1 | MIPS Improvement Activity ID for one of the improvement activities that contributed to the final score. | string |
IA Measure Score 1ia measure score 1 | Activity score achieved for the corresponding MIPS Improvement Activity ID that contributed to the final score. | number |
IA Measure ID 2ia measure id 2 | MIPS Improvement Activity ID for one of the improvement activities that contributed to the final score. | string |
IA Measure Score 2ia measure score 2 | Activity score achieved for the corresponding MIPS Improvement Activity ID that contributed to the final score. | number |
IA Measure ID 3ia measure id 3 | MIPS Improvement Activity ID for one of the improvement activities that contributed to the final score. | string |
IA Measure Score 3ia measure score 3 | Activity score achieved for the corresponding MIPS Improvement Activity ID that contributed to the final score. | number |
IA Measure ID 4ia measure id 4 | MIPS Improvement Activity ID for one of the improvement activities that contributed to the final score. | string |
IA Measure Score 4ia measure score 4 | Activity score achieved for the corresponding MIPS Improvement Activity ID that contributed to the final score. | number |
Cost Category Scorecost category score | The unweighted cost category score is the sum of points achieved on the attributed cost measure(s) divided by the sum of available points for the performance category. The unweighted score is represented as a percentage from 0-100, before it’s multiplied by the performance category’s weight (documented in the "Cost Category Weight" column). | number |
Cost Improvement Scorecost improvement score | These points represent the rate of improvement from the prior year’s cost score; there are between 0 and 1 percentage points available for cost improvement. These points are already accounted for in the cost category score. | number |
Cost Category Weightcost category weight | The weight represents the performance category’s contribution to a clinician’s final score. For example, if the cost category is weighted at 30% of the final score, it can contribute up to 30 points towards the final score. | number |
Cost Reweighting (EUC)cost reweighting (euc) | Indicates if the clinician or group was approved for reweighting of the cost performance category due to extreme and uncontrollable circumstances. (Note: Unlike other performance categories, clinicians can’t override approved cost reweighting.) | string |
Cost Measure ID 1cost measure id 1 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 1cost measure achievement points 1 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 2cost measure id 2 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 2cost measure achievement points 2 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 3cost measure id 3 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 3cost measure achievement points 3 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 4cost measure id 4 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 4cost measure achievement points 4 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 5cost measure id 5 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 5cost measure achievement points 5 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 6cost measure id 6 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 6cost measure achievement points 6 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 7cost measure id 7 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 7cost measure achievement points 7 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 8cost measure id 8 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 8cost measure achievement points 8 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 9cost measure id 9 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 9cost measure achievement points 9 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 10cost measure id 10 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 10cost measure achievement points 10 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 11cost measure id 11 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 11cost measure achievement points 11 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 12cost measure id 12 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 12cost measure achievement points 12 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 13cost measure id 13 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 13cost measure achievement points 13 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 14cost measure id 14 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 14cost measure achievement points 14 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 15cost measure id 15 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 15cost measure achievement points 15 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 16cost measure id 16 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 16cost measure achievement points 16 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 17cost measure id 17 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 17cost measure achievement points 17 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 18cost measure id 18 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 18cost measure achievement points 18 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 19cost measure id 19 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 19cost measure achievement points 19 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed .to the final score. | number |
Cost Measure ID 20cost measure id 20 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 20cost measure achievement points 20 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 21cost measure id 21 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 21cost measure achievement points 21 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 22cost measure id 22 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 22cost measure achievement points 22 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 23cost measure id 23 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 23cost measure achievement points 23 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 24cost measure id 24 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 24cost measure achievement points 24 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 25cost measure id 25 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 25cost measure achievement points 25 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 26cost measure id 26 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 26cost measure achievement points 26 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 27cost measure id 27 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 27cost measure achievement points 27 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
Cost Measure ID 28cost measure id 28 | MIPS Cost ID for one of the cost measures that contributed to the final score. | string |
Cost Measure Achievement Points 28cost measure achievement points 28 | Cost measure achievement points for the corresponding MIPS Cost ID that contributed to the final score. | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 503,917
- Columns
- 212
- State column
practice state or us territory- Contact
- qpp@cms.hhs.gov
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/7adb8b1b-b85c-4ed3-b314-064776e50180/data?size=10
To keep only one state, filter on the practice state or us territory column.
Versions 8
The newest version is the one linked above. Older releases stay on the official site.
- 2024-01-01posted May 19, 2026
- 2023-01-02posted Jul 21, 2025
- 2022-01-01posted May 8, 2024
- 2021-05-30posted Jun 12, 2023
- 2020-12-31posted May 11, 2023
- 2019-12-31posted May 11, 2023
- 2018-12-31posted Apr 26, 2023
- 2017-12-31posted May 11, 2023
CMS's description
The Quality Payment Program (QPP) Experience dataset provides participation and performance information in the Merit-based Incentive Payment System (MIPS) during each performance year. They cover eligibility and participation, performance categories, and final score and payment adjustments. The dataset provides additional details at the TIN/NPI level on what was published in the previous performance year. You can sort the data by variables like clinician type, practice size, scores, and payment adjustments.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:7adb8b1b-b85c-4ed3-b314-064776e50180. This record as JSON.