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This is a Non-Federal dataset covered by different Terms of Use than Data.gov.

Healthcare Payments Data (HPD) Services Report

Metadata Updated: July 24, 2025

This dataset contains data for the Healthcare Payments Data (HPD) Services report. The term "Services" refers to individual procedures reported on the service lines of healthcare claims in California, categorized using the Restructured Berenson-Eggers Type of Services (BETOS) Classification System (RBCS) from the Centers for Medicare & Medicaid Services (CMS). The data in the report includes three main metrics: Total services, the total member count, and the service rate per 1,000 members. Total services represents the total number of services received by members during the reporting year. The member count reports the total number of unique individuals who received at least one service during the reporting year. The service rate per 1,000 members is calculated by dividing the total number of services during the reporting year by the total sum of monthly member enrollments (provided in the data) and multiplying the result by 12,000. The metrics can be grouped by year, age, sex (assigned at birth), county of residence (including an option for Los Angeles Service Planning Areas, or SPAs), Covered California Region, and payer.

Users can choose to view the data at two different levels. The most aggregate level groups the data by the eight main RBCS categories: Anesthesia, Durable Medical Equipment (DME), Evaluation and Management (E&M), Imaging, Procedure, Test, Treatment and Other. The second level breaks the eight aggregate RBCS categories into more specific subcategories. Data files are provided for each choice.

Access & Use Information

Public: This dataset is intended for public access and use. Non-Federal: This dataset is covered by different Terms of Use than Data.gov. License: See this page for license information.

Downloads & Resources

Dates

Metadata Created Date July 23, 2025
Metadata Updated Date July 24, 2025

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date July 23, 2025
Metadata Updated Date July 24, 2025
Publisher Department of Health Care Access and Information
Maintainer
Identifier 529f34ef-39b4-441e-aff5-66664ba88944
Data First Published 2024-12-20T21:50:27.256165
Data Last Modified 2025-02-14T22:57:34.735293
Category Health and Human Services
Public Access Level public
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Datagov Dedupe Retained 20250724151128
Harvest Object Id 9ff94fc7-1f1d-430d-965d-6c788abae326
Harvest Source Id 3ba8a0c1-5dc2-4897-940f-81922d3cf8bc
Harvest Source Title State of California
License http://www.opendefinition.org/licenses/cc-by
Source Datajson Identifier True
Source Hash 73ab40a1c31cc4b3bc72bbdeee14665bf302eaf43ee12602df36edd7b4f6c9d3
Source Schema Version 1.1

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