Overview
Medicare
The timeliness of Medicare Fee-for-Service data release is complicated.
Medicare Part A, which includes Inpatient and Outpatient claims, is released on a six-month lag each quarter. That means new Q1 data for any given year is available in September of that year, Q2 data is available in December of that year, Q3 data in March of the following year, etc.
Part B, which covers data outside of the Inpatient and Outpatient setting, is released annually and on a much longer lag of eighteen months.
Commercial
The timeliness of commercial data will vary based on when it was purchased. Commercial claims are made available very quickly (<1 month lag), however, for the most recent months a significant claims may not be captured as these take time to be adjudicated.
Lag Time
The following table gives a more comprehensive breakdown of when the various data is released by the source. Once data is released from the source, we order it, upload it, and quality check it before it is available in the app.
| Data | Source | Lag Time | Notes |
| Inpatient Claims | CMS (Medicare) | 6 months |
Q1 2024 available Q4 2024 All 2024 available mid-summer 2025 |
| Outpatient Claims | CMS (Medicare) | 6 months |
Q1 2024 available Q4 2024 All 2024 available mid-summer 2025 |
| Clinic (attached to hospital) | CMS (Medicare) | 6 months |
Q1 2024 available Q4 2024 All 2024 available mid-summer 2025 |
| Clinic (not attached to hospital) | CMS (Medicare) | 18 months | 2022 CMS claims from unattached clinics available full year only mid-2024 |
| Ambulatory Surgical Center | CMS (Medicare) | 9 months | Aggregate counts |
| Sunshine Act | Open Payments | 9 months | Data received in Aug or Sept of the following year |
| Affiliations |
CMS (Medicare) Commercial |
3 months | Affiliations updated quarterly when new claims data is released |
| Physician Addresses | NPPES, MCH | Depends | The NPPES database provides address information; we also verify from other sources and can override addresses in the app |
| Referrals |
Careset CMS (Medicare) |
3 - 18 months | |
| Referrals | Commercial | 1 month | While we have access to claims only one month old, these do not comprise all claims from that time period as most take time to be adjudicated |
| Inpatient Claims | Commercial | 1 month | While we have access to claims only one month old, these do not comprise all claims from that time period as most take time to be adjudicated |
| Outpatient Claims | Commercial | 1 month | While we have access to claims only one month old, these do not comprise all claims from that time period as most take time to be adjudicated |
| Ambulatory Surgical Center | Commercial | 1 month | While we have access to claims only one month old, these do not comprise all claims from that time period as most take time to be adjudicated |