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SQL for Healthcare Data Extraction
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SQL for Healthcare Data Extraction

MediumSQL · PostgreSQL

Problem

Write a SQL query to extract specific data from a healthcare database at Cambia Health Solutions.

Using the provided claims, members, and providers tables, return providers with at least two paid claims in calendar year 2025. Include only claims associated with an existing member and provider.

Output

  1. One row per qualifying provider with provider_id, provider_name, specialty, total_paid_claims, unique_members, total_paid_amount, avg_billed_amount, and payment_band.
  2. Sort by total_paid_amount descending, then provider_id ascending.

Schema

claims
ColumnTypeDescription
claim_idPKINTUnique claim identifier
member_idINTMember associated with the claim
provider_idINTProvider who submitted the claim
service_dateDATEDate healthcare service was provided
claim_statusVARCHAR(20)Claim processing status
billed_amountDECIMAL(10,2)Amount billed on the claim
paid_amountDECIMAL(10,2)Amount paid for the claim
members
ColumnTypeDescription
member_idPKINTUnique member identifier
member_nameVARCHAR(100)Member display name
stateVARCHAR(2)Member residence state
providers
ColumnTypeDescription
provider_idPKINTUnique provider identifier
provider_nameVARCHAR(120)Provider organization name
specialtyVARCHAR(80)Provider clinical specialty
Tablesclaimsmembersproviders
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