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151 Capitol Street
Augusta, Maine
Telephone:
(207) 287-6722
Fax:
(207) 287-6732
 
Mailing Address
102 SHS
Augusta, Maine
04333-0102  


Restricted Hospital Outpatient Data

Receipt of this file requires that the requester sign a confidentiality agreement. Data providers are notified of data requests and a 10-day comment period is imposed.

  • Hospital Code
  • Medical Record Number (Encrypted)
  • Date of Birth
  • Patient Gender
  • Patient Age
  • Patient Residence - Town/ County Code
  • Patient Residence - Zip Code
  • Patient Residence - Hospital Service Area (35)
  • Patient Residence - Health Planning Area (66)
  • Date of Service From
  • Date of Service Thru
  • Patient Disposition
  • Source of Admission
  • ICD-9 Principal Diagnosis
  • ICD-9 Other Diagnoses 1 - 8
  • CPT-4 Procedure Codes
  • Service Dates
  • E-Codes
  • Ordering/Referring Practitioner Specialty Code
  • Ordering/Referring Practitioner (MHDO ID Encrypted)
  • Operating Practitioner Specialty Code
  • Operating Practitioner (MHDO ID Encrypted)
  • Primary Payer ID
  • Revenue Codes
  • Charges by Revenue Codes1
  • Total Charges1

1Beginning with 2003 data, charge information is no longer available.

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