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Breakdown of Doctos

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cflorez:
Does anyone know of a website where I can go to gather some information. Here's what I am trying to find out. 1) what are the categories of doctors speciality.   2) what procedure codes are used by each speciality. ( to become familiar with the codes for that particular speciality)  3) average claim submitted per doctors speciality.

shanbull:
This is the official CMS taxonomy of provider types: http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Downloads/TaxonomyCrosswalk.pdf

As for which procedure codes, they tend to be related to a specific specialty (e.g. a psychiatrist will bill a 60 minute psychotherapy session which is 98037). I doubt there is an exhaustive list anywhere but you might be able to find the most commonly used codes.

I doubt average # of claims per specialty is a useful piece of data simply because each individual doctor's average has so many factors that are unrelated to specialty, such as geography, the type of facility, the patient population, etc. Averaging everything is likely to give you a really blurry picture.

RichardP:
The taxonomy codes will tell you what general part of the body the doctor specializes in.  These procedure codes are categorized according to the part of the body being worked on.

http://www.icd10data.com/ICD10PCS

That is the top-level link.  You will need to open subsequent links as you bore down to detail in your target area of the body.

PMRNC:

--- Quote ---I doubt average # of claims per specialty is a useful piece of data simply because each individual doctor's average has so many factors that are unrelated to specialty, such as geography, the type of facility, the patient population, etc. Averaging everything is likely to give you a really blurry picture.
--- End quote ---

I agree 100%

cflorez:
So, If I wanted to view which Doctor's specialty generates, on average, a dollar claim amount. There is no where to find this information. Let me explain my position. One of my instructors indicated that podiatry produces on average a claim amount of $540.00 where as chiropractor generates, on average, a claim amount of $125.00. I am wondering where this instructor would have generated this information.

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