Overview
This enrichment enhances rate data by adding hierarchical classification information from PriceMedic’s billing code group reference data. It provides both broad categories and specific subgroups for better organization and analysis of healthcare services.Data Sources
The enrichment uses PriceMedic’s comprehensive billing code classification system with hierarchical groupings and subgroups for healthcare services analysis.Output Schema
The enrichment produces 4 columns that provide billing code classification:| Field | Description | Example |
|---|---|---|
billing_code | Procedure or service code for classification matching | ”99213”, “70553” |
billing_code_group | High-level service category classification | ”Evaluation and Management”, “Surgery”, “Radiology” |
billing_code_subgroup | Detailed service classification within broader group | ”Office/Outpatient Visits”, “Cardiovascular System” |
Processing Logic
This enrichment makes medical billing codes more understandable by organizing them into logical categories. Creating Meaningful GroupsMedical procedures are identified by cryptic codes like “99213” or “70553” that don’t tell you much at first glance. This process looks up each code in a comprehensive reference guide to assign clear category names like “Office Visits” or “MRI Scans.” Two Levels of Organization
Each code gets classified at two levels: a broad category (like “Surgery” or “Radiology”) and a more specific subcategory (like “Cardiovascular Surgery” or “Diagnostic Imaging”). This hierarchical approach makes it easy to analyze rates at whatever level of detail you need. Complete Data Preservation
If a billing code doesn’t have an established classification, it’s kept in the data but marked as unclassified. This ensures no rate information is lost while still providing organized groupings for the codes that can be categorized.