Overview of RepSignal Data

RepSignal primarily leverages a robust sample of Medicare FFS claims as well as summarized All-Payer Claims to provide insight on physician and hospital level procedure volumes.

• Physician level procedure data is updated quarterly, and currently includes data through Q4 2022 data.

• Hospital level procedure data is updated quarterly and currently includes data through Q4 2022 data.

• Note: RepSignal claims data does not include any procedures performed during clinical trials as those are non-reportable to Medicare.

• Note: The “RepSignal Procedure Volume Estimate” represents a total 2022 procedure volume estimate for the Target Procedures identified in your Procedure Module (for more, click here).

RepSignal uses Medicare Part D claims for its prescription volume estimate. RepSignal does not gross these estimates up to national, all-payer estimates. To learn more about Medicare Part D prescriptions, visit the CMS Data site at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Part-D-Prescriber

• Prescription claims data is updated annually.

RepSignal includes all hospitals that bill Medicare for services. This equates to >5,000 hospitals in the US and includes all major hospitals. RepSignal does not capture VA hospitals.

Each hospital profile RepSignal pulls from multiple national data sources - including Medicare Claims data, the American Hospital Association annual survey, CMS Open Payments, and other sources.

• Facility data is updated quarterly.

RepSignal includes all physicians registered with an NPI through the CMS National Plan and Provider Enumeration System (NPPES). This includes over 1.2M US physicians and includes all major clinical specialties.

To learn more about CMS NPPES and explore the dataset RepSignal uses, visit: ​​https://data.cms.gov/provider-data/dataset/mj5m-pzi6

• Physician data is updated biweekly.

RepSignal’s physician diagnosis data represents a summary of all captured Medicare FFS encounters by primary diagnosis. An encounter is a unique visit in which multiple procedures and diagnoses could be recorded. Also note that single patient could have many encounters with the same physician. The primary diagnosis is the condition that demands the most provider resources during the encounter, and generally represent the reason for the visit.

• Physician level procedure data is updated annually, and currently represents 2021 data.

RepSignal utilizes ClinicalTrials.gov to identify and display clinical trials within the platform. ClinicalTrials.gov is an online tool that provides the public with access to information on clinical studies conducted in humans. For more information about ClinicalTrials.gov, visit the Background page in the National Library of Medicine site: ClinicalTrials.gov About

• Trial information in RepSignal is updated daily.

RepSignal utilizes CMS OpenPayments data for its Reported Industry Payments. Open Payments is a publicly available resource that publishes information on the financial relationships between industry bodies and health care providers. These could include payments for research, meals, travel, gifts, royalties, and more. For more information about Open Payments, see the CMS site at: https://openpaymentsdata.cms.gov/about

• Reported Industry Payment data is updated annually.

RepSignal utilizes PubMed to identify and display information about recent relevant publications within the RepSignal platform. PubMed is a publicly available online searchable database containing >33M citations and abstractions from biomedical related literature. PubMed is maintained by the National Center for Biotechnology Information (NCBI), at the U.S. National Library of Medicine (NLM), located at the National Institutes of Health (NIH). For more information about PubMed, see the PubMed About Page at: NCBI - About

• Publications data in RepSignal is updated daily.

RepSignal utilizes the public Twitter API to identify relevant physician social media activity. This allows RepSignal to identify relevant social media accounts and incorporate public data into the RepSignal platform.

Note that only public social media information will be accessible through this data source. For more information about the Twitter API, see the API Documentation Page at: https://developer.twitter.com/en/products/twitter-api

RepSignal includes ASCs registered with or otherwise billing through the Center for Medicare Services (CMS), as well as ASCs that are registered with the Ambulatory Surgery Center Quality Reporting Program (ASCQR). This includes generalized day surgery centers, as well as specialized surgical centers like ophthalmology and endoscopy clinics, totaling over 13,000 ASC locations across the United States.

RepSignal includes Office Based Labs that are registered with or otherwise billing through the Center for Medicare Services (CMS). This primarily includes OBLs specializing in Venous and Vascular disorders. This includes over 1,200 OBL locations across the United States.

RepSignal includes Imaging Centers that are registered with or otherwise bill through the Center for Medicare Services (CMS), as well as Imaging Centers that are accredited by the American College of Radiology. In total, RepSignal includes over 25,000 Imaging Center locations across the United States.

RepSignal gets email address and LinkedIn account for physicians from a third party contact enrichment platform.

Note that not all RepSignal users will get access to contact information as this feature must be enabled at the company level. To learn more about gaining access to physician contact information in RepSignal, contact your RepSignal Account Representative.