About this Dataset

Institutional Medical Billing Services (SV2) Detail Information - Historical

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) maintains a database of institutional medical billing services (SV2). It contains charges, payments, and treatments billed on a CMS-1450 form (UB-92, UB-04) by hospitals and medical facilities that treat injured employees, excluding ambulatory surgical centers, with dates of service more than five years going back to 2010. For datasets from the past five years, see institutional medical billing services (SV2) detail information. The detail contains information to identify insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill details are individual line items that are grouped in the header section of a single bill. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our institutional medical billing services (SV2) detail data dictionary. See institutional medical billing services (SV2) header information – historical for the corresponding header records related to this dataset. Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.
Organization: City of Austin
Last updated: 2023-08-25T23:33:16.645513
Tags: billing, cms-1450, cms-1500, dwc-066, facility, hospital, insurance, medical, pharmacy, professional, ub-04, ub-92, workers-compensation

Tables

Table 1

@usgov.city_of_austin_institutional_medical_billing_services__0da08dbd.table_1

390.17 MB
15821554 rows
51 columns


CREATE TABLE table_1 (
  "bill_selection_date" TIMESTAMP,
  "bill_id" BIGINT,
  "bill_detail_id" BIGINT,
  "line_number" BIGINT,
  "hcpcs_line_procedure_billed_code" VARCHAR,
  "first_hcpcs_modifier_billed_code" VARCHAR,
  "second_hcpcs_modifier_billed_code" VARCHAR,
  "third_hcpcs_modifier_billed_code" VARCHAR,
  "fourth_hcpcs_modifier_billed_code" VARCHAR,
  "procedure_description" VARCHAR,
  "total_charge_per_line" DOUBLE,
  "days_units_code" VARCHAR,
  "days_units_billed" BIGINT,
  "place_of_service_line_code" VARCHAR,
  "provider_agreement_line_code" VARCHAR,
  "revenue_billed_code" BIGINT,
  "revenue_unit_rate" DOUBLE,
  "service_line_from_date" TIMESTAMP,
  "service_line_to_date" VARCHAR,
  "contract_line_type_code" VARCHAR,
  "treatment_line_authorization_number" VARCHAR,
  "total_amount_paid_per_line" DOUBLE,
  "hcpcs_line_procedure_paid_code" VARCHAR,
  "first_hcpcs_modifier_paid_code" VARCHAR,
  "second_hcpcs_modifier_paid_code" VARCHAR,
  "third_hcpcs_modifier_paid_code" VARCHAR,
  "fourth_hcpcs_modifier_paid_code" VARCHAR,
  "revenue_paid_code" DOUBLE,
  "days_units_paid" DOUBLE,
  "rendering_line_provider_national_provider_id" DOUBLE,
  "number_of_service_adjustments" BIGINT,
  "service_adjustment_group_code_1" VARCHAR,
  "service_adjustment_reason_code_1" VARCHAR,
  "service_adjustment_amount_1" DOUBLE,
  "service_adjustment_units_1" DOUBLE,
  "service_adjustment_group_code_2" VARCHAR,
  "service_adjustment_reason_code_2" VARCHAR,
  "service_adjustment_amount_2" DOUBLE,
  "service_adjustment_units_2" DOUBLE,
  "service_adjustment_group_code_3" VARCHAR,
  "service_adjustment_reason_code_3" VARCHAR,
  "service_adjustment_amount_3" DOUBLE,
  "service_adjustment_units_3" DOUBLE,
  "service_adjustment_group_code_4" VARCHAR,
  "service_adjustment_reason_code_4" VARCHAR,
  "service_adjustment_amount_4" DOUBLE,
  "service_adjustment_units_4" DOUBLE,
  "service_adjustment_group_code_5" VARCHAR,
  "service_adjustment_reason_code_5" VARCHAR,
  "service_adjustment_amount_5" DOUBLE,
  "service_adjustment_units_5" DOUBLE
);