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MVP Health Care

Last updated: May 2026

MVP Health Care is a health insurer. They report 790 insurance plans covering 90K providers across 25K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
May 2026
Overview
790

Plans

XX% vs prev
90K

Providers (NPIs)

31K

Tax IDs

25K

Billing Codes

XX% vs prev
110M

Data Rows

Geographic Coverage

Top states by provider count:

New York (71K)
New Jersey (7.4K)
Pennsylvania (2.2K)
Connecticut (1.4K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

370

EIN

420

NPIs

Individual

88K

Group

1.9K

Tax IDs

EIN

17K

NPI (Individual)

14K

NPI (Group)

8

Billing Code Type
CodesRows

CPT

15K

94M

HCPCS

9K

13M

CDT

910

420K

RC

130

9K

Billing Class
Rows

Professional

100M

Institutional

2.5M

Negotiated Type
Rows

Fee Schedule

81M

Negotiated

23M

Percentage

2.6M

Per Diem

170K

Top States by # NPIs

New York

71K

New Jersey

7.4K

Pennsylvania

2.2K

Connecticut

1.4K

Florida

1.1K

Top Taxonomies by # NPIs

Physician Assistant

6.1K

Internal Medicine Physician

5.8K

Family Nurse Practitioner

4.1K

Clinical Social Worker

3.8K

Family Medicine Physician

2.9K

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
May 2026
79090K31K25K110M
April 2026
77090K31K31K110M
March 2026
77090K31K31K110M
February 2026

January 2026

Show all 13 months

Data Coverage Scorecard
5/6 — Good

This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: valid tax ids.

Professional & Institutional Rates

Data includes both professional and 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

Sufficient CPT and HCPCS code coverage with low proportion of 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 MVP Health Care negotiated rates.