Provider classifier system, network curation methods informed by classifiers

A system comprising:

• at least one processor;
• and
• at least one non-transitory computer-readable storage medium storing instructions thereon that, when executed by the at least one processor, cause the system to:
• curate a list of differentiating services performed by providers within a selected specialty and a selected market;
• analyze practices of providers within the selected specialty and the selected market;
• based on the analysis of practices of providers, generate a distribution of a volume of at least one differentiating service performed by providers within the selected specialty and the selected market;
• determine a threshold within the distribution of the volume of the at least one differentiating service for qualifying a provider as a specialist in performing the at least one differentiating service;
• assign each provider within the selected market a percentage ranking within the distribution of a volume of the at least one differentiating service;
• generate classifiers for one or more providers, each classifier including an indication of the threshold, the provider's percentage ranking, and the specialty in performing the at least one differentiating service;
• and
• assign the classifiers to respective one or more providers.

A method of classifying a provider, comprising:

• analyzing practices of providers within a selected specialty and a selected market by analyzing claims data;
• based on the analysis of practices of providers, generating a data package representing a distribution of a volume of at least one differentiating service performed by providers within the selected specialty and the selected market;
• determining a threshold within the distribution of the volume of the at least one differentiating service for classifying a provider as a specialist in performing the at least one differentiating service;
• and
• generating a label representing a classification of providers as performing the at least one differentiating service based on the determined threshold;
• and
• classifying one or more providers as a specialist in performing the at least one differentiating service based on the threshold and by assigning the generated label to the one or more providers.