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Health First New York

Last updated: March 2026

Health First New York is a health insurer. They report 250 insurance plans covering 16K providers across 490 billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
March 2026
Overview
250

Plans

16K

Providers (NPIs)

XX% vs prev
6.4K

Tax IDs

XX% vs prev
490

Billing Codes

XX% vs prev
1.2K

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

New York (6.9K)
Florida (3K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

240

EIN

3

NPIs

Individual

14K

Group

2.6K

Tax IDs

EIN

4.7K

NPI (Individual)

1.5K

NPI (Group)

190

Billing Code Type
CodesRows

CDT

360

1.1K

CPT

120

150

HCPCS

16

24

Billing Class
Rows

Professional

1.2K

Negotiated Type
Rows

Fee Schedule

1.1K

Negotiated

150

Per Diem

25

Top States by # NPIs

New York

6.9K

Florida

3K

Texas

820

California

570

Illinois

550

Top Taxonomies by # NPIs

Optometrist

11K

Ophthalmology Physician

1.1K

General Practice Dentistry

880

Dentist

610

Chiropractor

480

Want to explore Health First New York's actual negotiated rates?

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
March 2026
25016K6.4K4901.2K
February 2026
25018K6.7K2.2K22K
January 2026

December 2025

November 2025

Show all 13 months

Data Coverage Scorecard
3/6 — Acceptable

This payer scores 3/6 on data quality (Acceptable). 3 criteria did not meet the threshold.

Professional & Institutional Rates

Data is missing professional and/or institutional billing class rates

Valid Tax IDs

Less than 80% of Tax IDs are EIN or NPI (Organization) type

HIOS Plan

Data includes at least one HIOS-identified plan

Low Derived/Percentage Rates

Less than 10% of negotiation entries are derived or percentage type

Standard Code Coverage

Insufficient CPT / HCPCS code coverage, or too many LOCAL entries

Common Taxonomies

NPIs in the dataset cover at least 50 distinct provider taxonomies

Methodology

The scorecard evaluates each payer's monthly price transparency data against six quality criteria:

  • If 5–6 criteria pass, the overall rating is Good.

  • If 3–4 criteria pass, the rating is Acceptable.

  • If 0–2 criteria pass, the rating is Poor.

Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.

PRICE TRANSPARENCY DATA

Explore Health First New York negotiated rates.