Data Dictionary: HPD Snapshot - Medical

Healthcare Payments Data Snapshot

The 12-month calendar year used for the reporting period.

Reporting Year

The type of drug (e.g., respiratory agents, enzyme inhibitors) associated with the NDC .

Drug Class

Indicates if the drug dispensed is branded or a generic based on the NDC.

Brand/Generic

Payers are the companies, programs, and organizations that oversee insurance plans and reimburse healthcare providers. Commercial, Medi-Cal, and Medicare are the three main types of payers.

Payer Type

Prescriptions Filled

healthcare-payments-data-snapshot

Procedure code reported on a claim line for a rendered service. 

Procedure Code

The type of reported procedure code (e.g., CPT, HCPCS).

Procedure Code Type

The category of the rendered service (e.g., anesthesia, telehealth) based on the procedure code. These procedure categories are based on Agency for Healthcare Research and Quality (AHRQ) Clinical Classification Software (CCS) groups that have been parsed by Onpoint to provide greater detail.

Procedure Category

The type of service (e.g., inpatient, outpatient, professional) that was provided. These are based off of the bill type, revenue code, and/or place of service on a claim line. 

Data Dictionary: HPD Snapshot - Medical

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Dataset Name