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Healthcare Payments Data Snapshot
This dataset contains data for the Healthcare Payments Data (HPD) Snapshot visualization. The Enrollment data file contains counts of claims and encounter data collected for California's statewide HPD Program. It includes counts of enrollment records, service records from medical and pharmacy claims, and the number of individuals represented across these records. Aggregate counts are grouped by payer type (Commercial, Medi-Cal, or Medicare), product type, and year. The Medical data file contains counts of medical procedures from medical claims and encounter data in HPD. Procedures are categorized using claim line procedure codes and grouped by year, type of setting (e.g., outpatient, laboratory, ambulance), and payer type. The Pharmacy data file contains counts of drug prescriptions from pharmacy claims and encounter data in HPD. Prescriptions are categorized by name and drug class using the reported National Drug Code (NDC) and grouped by year, payer type, and whether the drug dispensed is branded or a generic.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Department of Health Care Access and Information, Healthcare Payments Data (HPD) Program",
"@type": "vcard:Contact",
"hasEmail": "mailto:dataandreports@hcai.ca.gov"
}
|
| description | This dataset contains data for the Healthcare Payments Data (HPD) Snapshot visualization. The Enrollment data file contains counts of claims and encounter data collected for California's statewide HPD Program. It includes counts of enrollment records, service records from medical and pharmacy claims, and the number of individuals represented across these records. Aggregate counts are grouped by payer type (Commercial, Medi-Cal, or Medicare), product type, and year. The Medical data file contains counts of medical procedures from medical claims and encounter data in HPD. Procedures are categorized using claim line procedure codes and grouped by year, type of setting (e.g., outpatient, laboratory, ambulance), and payer type. The Pharmacy data file contains counts of drug prescriptions from pharmacy claims and encounter data in HPD. Prescriptions are categorized by name and drug class using the reported National Drug Code (NDC) and grouped by year, payer type, and whether the drug dispensed is branded or a generic. |
| distribution |
[
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"@type": "dcat:Distribution",
"title": "Data Dictionary: HPD Snapshot - Medical",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=658f0c3f-199f-496d-a6dd-6476525b4ea4&limit=0",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/72451bbb-b505-4486-8fb4-127686d15542/download/data-dictionary-medical_july2025.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Data - Enrollment (2018-2023)",
"format": "CSV",
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"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=8ed0bd18-8d0b-42c2-84c2-673c78955bcc&limit=0",
"description": "This data file contains counts of claims and encounter data collected in California's statewide Healthcare Payments Data (HPD). It includes counts of enrollment records, service records from medical and pharmacy claims, and the number of individuals represented across these records. Aggregate counts are grouped by payer type (Commercial, Medi-Cal, or Medicare), product type, and year. July 2025 Snapshot refresh.",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/043e313c-8838-4afd-af5c-951923894639/download/snapshot_data_enrollment_july2025.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Data - Medical (2018-2023)",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=9f3cd7d7-909d-4b12-98a2-0e80dfdb4fce&limit=0",
"description": "This data file contains counts of medical procedures from medical claims and encounter data in HPD. Procedures are categorized using claim line procedure codes and grouped by year, type of setting (e.g., outpatient, laboratory, ambulance), and payer type (Commercial, Medi-Cal, or Medicare). July 2025 Snapshot refresh.",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/7cf629c2-965b-4887-b43d-695b47f8a594/download/snapshot_data_medical_july2025.csv",
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},
{
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"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/9d788145-80e8-4f8c-8429-ee2cfbd1f278/download/data-dictionary-enrollment_july2025.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Data Dictionary: HPD Snapshot - Pharmacy",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=c35c627c-c394-4ec0-a0cd-ff7383811a18&limit=0",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/c61de98b-413e-46a8-877b-75f7e78457c6/download/data-dictionary-pharmacy_july2025.csv",
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{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Data - Pharmacy (2018-2023)",
"format": "CSV",
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"description": "This data file contains counts of drug prescriptions from pharmacy claims and encounter data in HPD. Prescriptions are categorized by name and drug class using the reported National Drug Code (NDC) and grouped by year, payer type (Commercial, Medi-Cal, or Medicare), and whether the drug dispensed is branded or a generic. July 2025 Snapshot refresh.",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/02fe6f0b-1e28-4677-95b5-4adc56a7d0a6/download/snapshot_data_pharmacy_july2025.csv",
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},
{
"@type": "dcat:Distribution",
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"format": "CSV",
"mediaType": "text/csv",
"description": "Data Dictionary for https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/7cf629c2-965b-4887-b43d-695b47f8a594/download/snapshot_data_medical_july2025.csv",
"downloadURL": "https://data.ca.gov/datastore/dictionary_download/9f3cd7d7-909d-4b12-98a2-0e80dfdb4fce",
"isDataDictionary": true
},
{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Technical Note (2018-2021 Data) - August 2024",
"format": "PDF",
"mediaType": "application/pdf",
"description": "Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2021)",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/f74261a9-b124-4197-ac91-83e563577508/download/hpd_snapshot_technical_note_2018-2021_aug2024_ada.pdf"
},
{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Technical Note (2018-2021 Data) - July 2023",
"format": "PDF",
"mediaType": "application/pdf",
"description": "Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2021). July 2023 launch version.",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/0094646c-4e86-44a9-9d06-951712072b23/download/hpd_snapshot_technical_note_2018-2021data_ada.pdf"
},
{
"@type": "dcat:Distribution",
"title": "HPD Snapshot Technical Note (2018-2023 Data) - July 2025",
"format": "PDF",
"mediaType": "application/pdf",
"description": "Technical Note for the HCAI Healthcare Payments Data (HPD) Snapshot (2018-2023)",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/66d6f7a2-e7be-4422-b09a-dde7473beb3a/download/_hpd_snapshot_technical_note_2018-2023_final_july2025_ada.pdf"
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "https://data.chhs.ca.gov/dataset/a2b7dc07-741c-46a0-ae41-899b1ce98bf6/resource/5cc6246c-bcd1-44a3-9561-ebc81b886f00/download/healthcare-payments-data-snapshot-7dugg7lp.zip"
}
]
|
| identifier | 85cec6b0-26de-4e1b-8145-206c479d77b5 |
| issued | 2023-06-15T22:09:07.670484 |
| keyword |
[
"all payer claims",
"apcd",
"department of health care access and information",
"enrollment",
"hcai",
"healthcare payments data",
"hpd",
"medical claims",
"pharmacy claims"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2025-11-07T00:56:08.966676 |
| publisher |
{
"name": "Department of Health Care Access and Information",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Healthcare Payments Data Snapshot |
