Tufts Health Plan (Point32Health)
Last updated: March 2026
Tufts Health Plan (Point32Health) is a health insurer. They report 27K insurance plans covering 61K providers across 1.6K billing codes.
Data Version
Price Transparency Machine-Readable Files Snapshot
Overview
27K
Plans
61K
Providers (NPIs)
XX% vs prev9.9K
Tax IDs
1.6K
Billing Codes
XX% vs prev1.9M
Data Rows
XX% vs prevGeographic Coverage
Top states by provider count:
Data Breakdown
Plans Type (HIOS vs EIN)
HIOS | 71 |
EIN | 27K |
NPIs
Individual | 55K |
Group | 5.5K |
Tax IDs
EIN | 9.9K |
Billing Code Type
| Codes | Rows | |
|---|---|---|
CPT | 1K | 1.5M |
HCPCS | 560 | 360K |
Billing Class
| Rows | |
|---|---|
Institutional | 1.3M |
Professional | 550K |
Negotiated Type
| Rows | |
|---|---|
Negotiated | 1.4M |
Percentage | 480K |
Top States by # NPIs
Massachusetts | 45K |
Rhode Island | 5.7K |
Connecticut | 1.9K |
New Hampshire | 1.6K |
New York | 810 |
Top Taxonomies by # NPIs
Clinical Social Worker | 4.6K |
Internal Medicine Physician | 3.8K |
Mental Health Counselor | 3.8K |
Physical Therapist | 3.3K |
Family Nurse Practitioner | 3.1K |
Want to explore Tufts Health Plan (Point32Health)'s actual negotiated rates?
See code-level rates by provider, specialty, and geography.
Historical Metrics
| Month | Plans | NPIs | Tax IDs | Billing Codes | Data Rows |
|---|---|---|---|---|---|
March 2026 | 27K | 61K | 9.9K | 1.6K | 1.9M |
February 2026 | 27K | 61K | 10K | 1.6K | 140K |
January 2026 | — | — | — | — | |
December 2025 | — | — | — | — | |
November 2025 | — | — | — | — |
Show all 12 months
Data Coverage Scorecard
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: low derived/percentage rates and standard code coverage.
Professional & Institutional Rates
Data includes both professional and institutional billing class rates
Valid Tax IDs
More 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
10% or more 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.