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Reference data & geographyVlada-integrated product
Billing Code Intelligence
The healthcare billing-code reference layer: code definitions and valid years, care-setting classification, revenue-code and hospital cost-center mappings, and the provider types that commonly perform each service.
What Vlada adds: Combines code definitions, validity, care setting, revenue-code, cost-center, and provider-pattern evidence into one version-aware reference layer.
- rows
- 919.5K
- rows
- datasets
- 6
- datasets
- cadence
- derived / annual
- cadence
- coverage
- Current
- coverage
Publishers: Vlada, assembled from public sources
What's inside
Billing-code institutional-vs-professional class
For each billing code, the learned billing class (institutional vs professional) from observed counts.
grain: One row per (code_system, billing_code) — learned institutional/professional class.
793.5K rows
Provider-type → procedure (HCPCS) profile
Which HCPCS each provider type performs, with provider_count, total_services, and rank.
grain: One row per (provider_type, HCPCS) — provider/service volume + rank.
28.6K rows
CPT/HCPCS → modal UB-04 Revenue Code mapping
Empirical CPT/HCPCS → UB-04 revenue-code mapping: for each billing code, the MODAL revenue code observed, the modal count, total rows, and modal share.
grain: One row per billing_code — its modal (most-common) UB-04 revenue code + support.
28.3K rows
HCPCS/CPT -> HCRIS cost-center crosswalk (the precision layer)
The map that makes cost-based pricing accurate: each billing code -> the cost center where a hospital accumulates that service's cost (CT, MRI, Lab, OR, Clinic, ...).
grain: One row per HCPCS/CPT code. 28,328 codes -> their HCRIS 2552-10 Worksheet C cost center, so a code can be priced on the RIGHT department cost-to-charge ratio.
28.3K rows
Code Vintage Validity (which years a billing code is valid)
For each billing code (HCPCS/CPT/DRG/etc.) the years it is valid.
grain: One row per (code, code_system) — first_year, last_year, year_count of validity.
20.5K rows
Billing Code Dictionary (HCPCS / CPT)
The canonical billing-code dimension: code + code_system + descriptions + effective window + source.
grain: One row per (code, code_system) — the billing-code vocabulary.
20.2K rows