About this Dataset

Professional Medical Billing Services (SV1) Detail Information

The Texas Department of Insurance, Division of Workers' Compensation (DWC) maintains a database of professional medical billing services (SV1). It contains charges, payments, and treatments billed on a CMS-1500 form by doctors and other health care professionals who treat injured employees, including ambulatory surgical centers, with dates of service for the last five years. For datasets going back to 2010, see professional medical billing services (SV1) detail information – historical. 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 professional medical billing services (SV1) detail data dictionary. See professional medical billing services (SV1) header information 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: 2023-08-25T22:35:19.234271
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_professional_medical_billing_services_s_b0b032d8.table_1

622.22 MB
22631130 rows
53 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" DOUBLE,
  "place_of_service_line_code" DOUBLE,
  "first_diagnosis_pointer" DOUBLE,
  "second_diagnosis_pointer" DOUBLE,
  "third_diagnosis_pointer" DOUBLE,
  "fourth_diagnosis_pointer" DOUBLE,
  "crna_supervision_indicator" VARCHAR,
  "provider_agreement_line_code" VARCHAR,
  "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,
  "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
);