Available Datasets
Pricing Information
Release Requirements
Data Requests
Procedure for Ordering Data
Proposed Rule Changes
Recently Adopted Rules
Rules
Statutes
Peer Groupings Tables
Board Members
Board Minutes
Staff
Directions and Map
Newsletters
History
Maine Health Resources
States Health Resources
National Health Resources
FAQ - Frequently Asked Questions
Utilities and Downloads
Home
Data
Rules and Statutes
Information
HealthWeb
Quality Data Submission
Links
Help
151 Capitol Street
Augusta, Maine
Telephone:
(207) 287-6722
Fax:
(207) 287-6732
Mailing Address
102 SHS
Augusta, Maine
04333-0102
Restricted Hospital Ambulatory Services and Non-hospital Ambulatory Services
FACILITYID
DATE OF BIRTH
SEX
RACE
RESIDENCE
DATE OF SERVICE
REFERRING PHYSICIAN
RESPONSIBLE PHYSICIAN
DIRECT PROVIDER
PRIMARY ICD9 DIAGNOSIS CODE
SECONDARY ICD9 DIAGNOSIS CODE
SECONDARY ICD9 DIAGNOSIS CODE
DISPOSITION
PAYMENT SOURCE
ZIP CODE
TOTAL CHARGES
PHYSICIAN CHARGES
CPT4 PX CODE
CPT4 PX CODE
CPT4 PX CODE
AGE
SPECIALTY CODE (REFERRING PHYSICIAN)
SPECIALTY CODE (RESPONSIBLE PHYSICIAN)
SPECIALTY CODE (DIRECT PROVIDER)
UNIQUE IDENTIFIER
Home Page
|
Data Request Summary Page
|
Directions to MHDO
|
HealthWeb of Maine