> ## Documentation Index > Fetch the complete documentation index at: https://docs.pricemedic.com/llms.txt > Use this file to discover all available pages before exploring further. # Data Dictionary > Comprehensive reference for all data fields and attributes in PriceMedic's reports database Fields marked with an asterisk (\*) are enhancements added by PriceMedic and do not appear in the original Transparency in Coverage (TiC) publications. ## Payer and Network Information | Field | Description | Example | Enhanced | | -------------------- | ------------------------------------------------------------ | ------------------------------------------ | -------- | | `payer_name` | The name of the insurance payer that negotiated this rate | "Aetna Better Health", "Anthem Blue Cross" | No | | `payer_slug`\* | Standardized payer identifier slug | "aetna-better-health" | Yes | | `network_name`\* | The specific insurance network or product name for this rate | "Aetna Better Health - Commercial" | Yes | | `network_id`\* | Original network identifier from source data | "choice-plus-network" | Yes | | `payer_network_id`\* | Combined identifier string linking payer with network | "aetna-better-health-commercial" | Yes | ## Provider and Organization Information | Field | Description | Example | Enhanced | | ---------------------- | --------------------------------------------------- | ---------------------------------------- | -------- | | `tin` | Tax Identification Number as published in TiC files | "12-3456789", "1234567890" | No | | `tin_type`\* | Type of tax identifier (ein, npi1, npi2) | "ein", "npi2" | Yes | | `entity_name`\* | Name of the entity corresponding to the Tax ID | "ABC Medical Group" | Yes | | `org_match_type`\* | Method used to match entity to organization | "direct\_match", "npi2\_imputed" | Yes | | `org_name`\* | Official name of the matched organization | "ABC Healthcare System" | Yes | | `org_ein`\* | Employer Identification Number of the organization | "12-3456789" | Yes | | `org_states`\* | States where the organization has presence | \["TX", "OK", "AR"] | Yes | | `org_taxonomies`\* | Healthcare specialty codes for the organization | \["207Q00000X", "208D00000X"] | Yes | | `org_taxonomy_names`\* | Human-readable specialty names | \["Family Medicine", "General Practice"] | Yes | | `org_est_count_md`\* | Estimated count of physicians in organization | 45 | Yes | | `org_est_count_app`\* | Estimated count of advanced practice providers | 12 | Yes | | `org_est_count_npi1`\* | Total estimated individual provider count | 67 | Yes | ## Rate and Contract Information | Field | Description | Example | Enhanced | | --------------------------- | ---------------------------------------------------- | ----------------------------------- | -------- | | `negotiated_rate` | Contracted rate amount between payer and provider | 125.50 | No | | `negotiation_arrangement` | Payment methodology (ffs, capitation, bundled) | "ffs" | No | | `negotiated_type` | Method used to determine the rate | "negotiated", "fee\_schedule" | No | | `derived_negotiated_type`\* | Standardized negotiation type | "negotiated", "fee\_schedule" | Yes | | `billing_class` | Type of billing entity (professional, institutional) | "professional" | No | | `expiration_date` | Contract expiration date when available | "2024-12-31" | No | | `additional_information` | Payer-specific rate context and conditions | "Covers codes 0120-0126" | No | | `description`\* | Human-readable service description | "Office visit, established patient" | Yes | | `billing_code` | Procedure or service code | "99213", "70553" | No | | `billing_code_type` | Category type of billing code | "CPT", "HCPCS" | No | | `billing_code_modifier` | List of modifiers applied to billing code | \["26"], \["TC"] | No | | `service_code` | CMS Place of Service codes | \["11"], \["22"] | No | | `iop`\* | Care setting (i=inpatient, o=outpatient, b=both) | "o", "i", "b" | Yes | | `is_fac_eligible`\* | Rate applies to facility-based services | true, false | Yes | | `is_non_fac_eligible`\* | Rate applies to office-based services | true, false | Yes | ## Provider Classification and Credentials | Field | Description | Example | Enhanced | | ------------------- | --------------------------------------------------- | ---------------------------------------- | -------- | | `npis`\* | Array of provider NPIs associated with rate | \["1234567890", "0987654321"] | Yes | | `cred_type`\* | Primary credential type for rate-specific providers | "phys", "app" | Yes | | `taxonomies`\* | Healthcare provider taxonomy codes | \["207Q00000X", "208D00000X"] | Yes | | `taxonomy_names`\* | Human-readable specialty names | \["Family Medicine", "General Practice"] | Yes | | `classifications`\* | High-level provider type classifications | \["Physicians", "Behavioral Health"] | Yes | | `can_bill`\* | Organization can bill for this service | true, false | Yes | ## Geographic and Location Data | Field | Description | Example | Enhanced | | ------------------ | ------------------------------------------- | ----------------- | -------- | | `address_line_1`\* | Primary street address | "123 Main Street" | Yes | | `city`\* | Provider entity city | "Dallas" | Yes | | `state`\* | Provider entity state | "TX" | Yes | | `zip_code`\* | Provider entity ZIP code | "75201" | Yes | | `locality`\* | Medicare Administrative Contractor locality | "01120:26" | Yes | ## Benchmarking and Reference Data | Field | Description | Example | Enhanced | | --------------------------- | --------------------------------------------- | ----------------------------------- | -------- | | `benchmark_name`\* | Human-readable benchmark source name | "2025 Dallas MCR (CARRIER 0112026)" | Yes | | `benchmark_type`\* | Benchmark calculation methodology | "MCR\_RBRVS", "MCR\_ASP" | Yes | | `benchmark_rate`\* | Medicare benchmark rate for comparison | 98.75 | Yes | | `national_benchmark_name`\* | Human-readable national benchmark source name | "2025 National MCR" | Yes | | `national_benchmark_type`\* | National benchmark calculation methodology | "MCR\_RBRVS", "MCR\_ASP" | Yes | | `national_benchmark_rate`\* | National Medicare rate without locality | 95.50 | Yes | ## Billing Eligibility and Service Classification | Field | Description | Example | Enhanced | | ------------------------- | ------------------------------- | -------------------------------------- | -------- | | `billing_code_group`\* | High-level service category | "Evaluation and Management", "Surgery" | Yes | | `billing_code_subgroup`\* | Detailed service classification | "Office/Outpatient Visits" | Yes | ## Data Quality and Lineage | Field | Description | Example | Enhanced | | ------------------- | -------------------------------- | ------------------------------- | -------- | | `source_file`\* | Original TiC filename | "2024-01-01\_aetna\_index.json" | Yes | | `source_file_ids`\* | Array of source file identifiers | \["file\_001", "file\_002"] | Yes | ## Rate Resolution and Ranking | Field | Description | Example | Enhanced | | ------------------------ | ---------------------------------------------------------- | ------------ | -------- | | `resolution_tin`\* | Standardized organizational identifier (EIN when possible) | "12-3456789" | Yes | | `is_best_rate`\* | Primary rate per payer's resolution policy | true, false | Yes | | `is_best_non_fac_rate`\* | Best rate for office-based services | true, false | Yes | | `is_best_fac_rate`\* | Best rate for facility-based services | true, false | Yes | | `has_most_npis`\* | Rate with most providers in group | true, false | Yes | | `has_max_rate`\* | Rate with highest amount in group | true, false | Yes |