The Texas Department of Insurance (TDI) collects and reports information about billing rates for emergency service providers by procedure code as set by the political subdivisions. The procedure codes include Healthcare Common Procedure Coding System (HCPCS) Codes and any other codes reported by the political subdivisions. This dataset lists the codes and the rates for residents of that political subdivision and for non-residents if that rate differs. There is a row for each procedure code and the rates set by a political subdivision. Political subdivisions with more than one code with a rate set will be listed in multiple rows. The data includes the year and quarter the information applies to as well as the date the political subdivision submitted their report. The Texas Legislature amended <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.38.htm" target="_blank"><u>Texas Insurance Code Chapter 38</u></a> via <a href="https://capitol.texas.gov/tlodocs/88R/billtext/html/SB02476F.htm" target="_blank"><u>Senate Bill 2476</u></a> during the 88th session to add reporting “relating to consumer protections against certain medical and health care billing by emergency medical services providers. A political subdivision may submit to the department a rate set, controlled, or regulated by the political subdivision for emergency services.” ► For contact information, refer to dataset: <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-Contact-List/xgca-u3qh" target="_blank"><u>Emergency Services Billing Rates - Contact List</u></a>. ► For National Provider Identifier Standard (NPI) information reported in each political subdivision, refer to dataset: <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-NPIs/w2yx-y2ra" target="_blank"><u>Emergency Services Billing Rates - NPI</u></a>. ► For ZIP codes within political subdivisions, refer to dataset: <a href="https://data.texas.gov/dataset/Emergency-Services-Billing-Rates-ZIPs/iyci-uypg" target="_blank"><u>Emergency Services Billing Rates - ZIPs</u></a>. Users are responsible for reviewing and updating data before the submission deadlines. Information entered or found in this dataset is subject to change. Visit <a href="https://www.tdi.texas.gov/general/disclaim.html" target="_blank"><u>TDI’s web site disclaimer</u></a> for more information. For more information related to this data, visit <a href="https://www.tdi.texas.gov/health/esbindex.html" target="_blank"><u>TDI’s FAQ page</u></a>.
This dataset has the following 7 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Year | year | number | The year for the billing rates a political subdivision reported. | 2024 view top 100 |
| Date submitted | date_submitted | calendar_date | The date a political subdivision submitted the report to TDI. | 2023-12-14T00:00:00.000 2023-12-06T00:00:00.000 2023-12-15T00:00:00.000 2023-12-13T00:00:00.000 2023-12-12T00:00:00.000 view top 100 |
| Political subdivision | political_subdivision | text | A jurisdiction within Texas that is not statewide. | Wilson County Emergency Services District No. 3 City of Seminole City of Earth EMS Olton Volunteer Ambulance Association Gonzales County Emergency Services District #1 view top 100 |
| Resident rate | res_rate | number | Rate the political subdivision set for residents. | 1400 1600 150 400 24 view top 100 |
| Non-Resident Rate | non_res_rate | number | Rate the political subdivision set for non-residents. | 1400 1600 150 400 24 view top 100 |
| Code | code | text | The medical procedure code for the rate set by the political subdivision. | A0425 A0429 A0433 A0427 A0428 view top 100 |
| Code type | code_type | text | The type of medical procedure code such as Healthcare Common Procedure Coding System (HCPCS) Codes. | CPT HCPCS Oxygen cpt BLS Disposables view top 100 |