The Texas Department of Insurance, Division of Workers’ Compensation (DWC) maintains a database of pharmacy medical billing services (SV4). It contains charges, payments, and prescriptions billed on a DWC Form-066, Statement of Pharmacy Services by pharmacies with dates of service for the last five years. For datasets going back to 2010, see pharmacy medical billing services (SV4) header information – historical. The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our pharmacy medical billing services (SV4) header data dictionary. See pharmacy medical billing services (SV4) detail information for the corresponding detail 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.

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.

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 for the last five years. For datasets going back to 2010, see institutional medical billing services (SV2) 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 institutional medical billing services (SV2) detail data dictionary. See institutional medical billing services (SV2) 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.

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) header information – historical. The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. 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) header data dictionary. See professional medical billing services (SV1) detail information for the corresponding detail 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.

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 for the last five years. For datasets going back to 2010, see institutional medical billing services (SV2) header information – historical. The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. 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) header data dictionary. See institutional medical billing services (SV2) detail information for the corresponding detail 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.

특정 상병 및 수가코드 그룹별 진료환자 정보D1. 2018~2022년 진료일기준(한의분류 제외, 약국 제외), 연령(연말기준)2. 건강보험 및 의료급여 실적이며, 비급여는 제외- 2023년 6월 심사분까지 반영3. 해당 질병통계 자료는 요양기관에서 환자진료 중 진단명이 확정되지 않은 상태에서의 호소, 증세 등에 따라일차진단명을 부여하고 청구한 내역 중 주진단명으로 발췌한 것이므로 최종 확정된 질병과는 다를 수 있음4. 분류 조건그룹1: 주상병코드 I63(뇌경색증) and 수가코드 M6636, M6637, M6639, O2056, O2059그룹2: 주상병코드 I21(급성 심근경색증) and 수가코드 M6638, M6639, O0260, O1950- 수가코드 설명은 KOICD(질병분류정보센터)에서 확인하시기 바랍니다.※ 민원인의 공공데이터 제공 신청에 따라 발췌된 데이터입니다.

근로복지공단 지사별 약제비 지급현황입니다.(2012년 4분기)

근로복지공단에서 제공하는 지사별 약제비 지급 현황(청구건수, 청구액, 지급 건 등)입니다. (2019년~2022년)