Transcription
PROVIDER SPECIALTY CODE074-Clinical Neuropsychologist152-Counselor155-Counselor, Addiction177-Counselor, Licensed AssociateProfessional (LAPC)190-Counselor, Licensed ProfessionalClinical (LPCC)194-Counselor, Professional403-Marriage & Family Therapist191-Licensed Independent Clinical SocialWorker (LICSW, LCSW)050-Psychologist425-Social Worker (LSW)TAXONOMY 111N00000X019-Dentists062-Endodontics001-General Practice212-Oral Maxillofacial 01X1223S0112X1223X0400X063-Pedodontics (Pediatric tics1223P0300X1223P0700X013-Dietary & NutritionalService Providers056-Licensed Registered Dietician133V00000X015-Eye & Vision 00X152W00000X016-Nursing ServiceProviders130-Licensed Practical Nurse127-Licensed Vocational Nurse129-Registered Nurse164W00000X164X00000X163W00000XPROVIDER TYPE CODE010-Behavioral Health &Social Service Providers011-Chiropractic Providers012-Dental 041C0700X103T00000X104100000X
335-Case Manager/Care Coordinator468-County Social Service Office017-Other ServiceProviders339-Lodging393-Provide Meals018-Pharmacy ServiceProviders020-Physicians (Allopathic& Osteopathic)171M00000X171M00000Xno taxonomy coderequiredno taxonomy coderequired253-Pharmacist183500000X058-Adult Medicine003-Allergy & Immunology436 -Anatomic Pathology005-Anesthesiology006-Cardiovascular Disease078-Clinical & Laboratory DermatologicalImmunology083-Clinical Biochemical 7RC0000X084-Clinical Cardiac Electrophysiology207RC0001X085-Clinical Cytogenetic405-Clinical Genetics (MD)118-Clinical Molecular Genetics021-Clinical Pathology136 -Clinical Pathology/LaboratoryMedicine133-Clinical Pharmacology101-Colon and Rectal Surgery206-Critical Care gnostic Radiology270-Emergency Medicine093-Emergency Medical Services168-Endocrinology, Diabetes &Metabolism301-Facial Plastic Surgery173-Family Medicine302-Foot & Ankle Surgery010-Gastroenterology001-General Practice307-Gynecologic X207RH0003X
1-Independent Medical Examiner185-Infectious Diseases011-Internal Medicine188-Interventional Cardiology375-Legal Medicine404-Maternal & Fetal Medicine105-Nephrology014-Neurological iology103-Nuclear MedicineNuclear Radiology211-Obstetrics016-Obstetrics & Gynecology018-Ophthalmology212-Oral Maxillofacial Surgery214-Orthopedic Hand Surgery020-Orthopaedic Surgery217-Otolarynology020-Physicians (Allopathic219-Pain Medicine& Osteopathic)108-Pediatric Allergy & Immunology412-Pediatric Anesthesiology221-Pediatric Cardiology222-Pediatric Dermatology223-Pediatric Developmental & BehavioralPediatrics225-Pediatric Emergency Medicine226-Pediatric Endocrinology227-Pediatric Gastroenterology228-Pediatric Hematology-Oncology229-Pediatric Infectious Disease231-Pediatric Medical Toxicology232-Pediatric Nephrology233-Pediatric NeurodevelopmentDisabilities237-Pediatric Orthopedics Surgery140-Pediatric Otolaryngology238-Pediatric Pathology240-Pediatric Pulmonology241-Pediatric Radiology242-Pediatric Rehab Medicine243-Pediatric 6X
020-Physicians (Allopathic& Osteopathic)021-Podiatric Medicine&Surgery bilitative &Restorative ServiceProviders023-Speech, Language &Hearing Service Providers244-Pediatric Sports Medicine245-Pediatric Surgery246-Pediatric 0120X2088P0231X208000000X202K00000X025-Physical Medicine & Rehabilitation208100000X024-Plastic Surgery256-Plastic Surgery Hand Surgery208200000X2082S0105X257-Preventative Medicine/OccupationalEnvironmental Medicine2083P0500X414-Procedural Dermatology121-Psychiatry142-Psychiatry – Child/Adolescent029-Pulmonary DiseasesRadiation Oncology267-Rheumatology275-Surgery276-Surgical Oncology278-Therapeutic Radiology033-Thoracic Surgery279-Transplant 5R0203X208G00000X204F00000X208800000X189-Vascular and Interventional Radiology2085R0204X289-Vascular ational Therapy114-Orthotist123-Physical Therapist115-Prosthetist349-Respiratory Therapist, 27800000X430-Respiratory Therapist, peech-Language Pathologist235Z00000X
034-TransportationServices036-Physician Assistants&Advanced PracticeNursing Providers483-Air Carrier132-Ambulance385-Bus387-Private Vehicle388-Secured Medical Transport (Van)389-Taxi390-Train484-Transportation 00000X344600000X347D00000X347E00000X485-Advanced Practice Midwife367A00000X341-Certified Registered Nurse Anesthetist367500000X036-Clinical Nurse Specialist431-Nurse Practitioner; Adult Health364S00000X363LA2200X055-Nurse Practitioner;-Advanced Practice363L00000X432-Nurse Practitioner; Family466 -Nurse Practitioner; Neonatal; CriticalCare434 -Nurse Practitioner; OB/GYN435-Nurse Practitioner; Pediatrics469-Nurse Practitioner; Primary Care467-Nurse Practitioner; 200X363LP2300X363LP0808X470-Nurse Practitioner, Women's Health363LW0102X255-Physician Assistant363A00000X335-Case Manager/Care Coordinator380-Congregate Care (DD)374-Day Support (DD)373-Extended Services ily Support Services (DD)377-Ind Supp Lvg Arrangement (DD)372-Infant Development (DD)381-Minimally Suprvsd Lvg Arrngmnt (DD)382-Supported Living Arrangement (DD)376-Transitional Comm Living Facility (DD)no taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequired
323-Adult Day Care (QSP)318-Adult Family Foster Care (QSP)146-Attendant Care (QSP)312-Case Management – Assment (QSP)313-Case Management – Other (QSP)309-Chore Labor (QSP)308-Chore – Snow Removal (QSP)153-Chore Emrgncy Rspns Sys Comp (QSP)321-Environmental Modifications (QSP)394-Extended Personal Care (QSP)319-Family Home Care (QSP)048-Qualified ServiceProviders112-Family Personal Care (QSP)317-Higher Lvl Case Mgmt – Assmnt (QSP)316-Higher Lvl Case Mgmt – Other (QSP)330-Home Delivered Meals (QSP)180-Homemaker (QSP)310-Installation ERS (QSP)205-Non-Med Transport (Carrier-bus, taxi)(QSP)327-Non-Med Transport (Escort) (QSP)326-Non-Med Transport (local-round trip)(QSP)325-Non-Med Transport (out of town)(QSP)396-Nurse Education Care (QSP)209-Nurse Management (QSP)no taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequired
320-Personal Care – Assisted Living (QSP)251-Personal Care – Daily Rate (QSP)399-Personal Care – Unit Rate (QSP)324-Residential Service (QSP)081-Respite Care (QSP)306-Respite Care, Institutional (QSP)048-Qualified ServiceProviders125-Specialized Equipment (QSP)285-TBI Case Management Other (QSP)286-TBI Case Management Team Meeting(QSP)287-TBI Supportive Employment (QSP)314-Tech Depd Case Mgmt – Other (QSP)315-Tech Depd Case Mgmt – Asmt (QSP)329-Transitional Living (QSP)no taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequiredno taxonomy coderequired
093-Emergency Medical Services 207PE0004X 168-Endocrinology, Diabetes & Metabolism 207RE0101X 301-Facial Plastic Surgery 207YS0123X 173-Family Medicine 207Q00000X 302-Foot & Ankle Surgery 207XX0004X 010-Gastroenterology 207RG0100X 001-General Practice 208D00000X 307-Gynecologic Oncology 207VX0201X 179-Hematology/Oncology 207RH0003X
