appendix i ‐ total number of healthcare providers contracted, july … · appendix i ‐ total...
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APPENDIX I ‐ Total number of healthcare providers contracted, July 1, 2017 ‐ June 30, 20181
By provider type
Provider Type DescriptionProvider Type
ABH ACLA HB LHCC UHC
TRANSITIONAL SUPPORT (WVR) 02 1 1
CHILDREN'S CHOICE (WVR)(IN‐ST) 03 78
PEDI DAY HLTH CARE (IN‐ST) 04 2 20 22 11 32
NOW PROFESSIONAL SERVICES 06 43 1
CASE MGMT‐INFT & TODD (IN‐ST) 07 1 58
HOSPICE SERVICES (IN‐ST) 09 32 91 82 114 106
COMPREHENSIVE COMM SUPPORT SRV 10 2 2
MULTI‐SYSTEMIC THER (IN‐ST) 12 5 2 15
PREVOC REHAB (WVR) (IN‐ST) 13 1
DAY HABILITAT (WVR) (IN‐ST) 14 1
PERS EMERG RESP SYS (WVR) 16 6
COMM MENTAL HLTH CTR/PART HOSP 18 44 8
DR OF OSTEOPATH MED (IND & GP) 19 72 238 484 3 153
PHYSICIAN (IND & GP) 20 4,921 13,337 8,347 12,787 12,541
PERSONAL CARE ATTENDANT (WVR) 22 2
INDEPENDENT LAB 23 8 32 32 46 54
PERSONAL CARE SERVICES (IN‐ST) 24 6 62 8 463 211
MOBILE XRAY/RADIATION THRPY CT 25 5 31 37 7 15
PHARMACY 26 1,366 1,741 1,633 1,210 637
Medicaid Managed Care Transparency Report | June 2019I - 1
Provider Type DescriptionProvider Type
ABH ACLA HB LHCC UHC
DENTIST (IND & GP) 27 277 539 505 161 477
OPTOMETRIST (IND & GP) 28 212 187 203 562 369
EARLYSTEPS (IND & GP) (IN‐ST) 29 20 7 152 1
CHIROPRACTOR (IND & GP) 30 41 34 23 29 97
PSYCHOLOGIST (LIC/MED) (IN‐ST) 31 237 130 162 165 357
PODIATRIST (IND & GP) 32 44 100 76 89 130
PRESCRIBING ONLY PROVIDER 33 27 135
AUDIOLOGIST (IN‐ST) 34 44 97 73 84 105
PHYSICAL THERAPIST (IN‐ST) 35 28 233 182 233 198
OCCUPATIONAL THERAPIST (IN‐ST) 37 25 96 76 96 76
SCHOOL BSED HEALTH CTR (IN‐ST) 38 32 56 45 10 94
SPEECH/LANGUAGE THERAP (IN‐ST) 39 50 157 124 133
DME 40 118 253 193 316 591
REGISTERED DIETICIAN (IN‐ST) 41 5 25 51 48 71
NON‐EMER MED TRANSPORT (IN‐ST) 42 1 253 1,454 109 272
CASE MGT ‐ NHV/FTM (IN‐ST) 43 5 1
HOME HEALTH AGENCY (IN‐ST) 44 24 136 166 159 251
CASE MGMT ‐ CONTRACTOR (IN‐ST) 45 38
AMBULANCE TRANSPORTATION 51 15 8 31 36
SELF DIRECTED/DIRECT SUPPORT 53 8
AMBULATORY SURGI CTR (IN‐ST) 54 13 48 38 44 54
EMERG ACCESS HOSPITAL (IN‐ST) 55 24
Medicaid Managed Care Transparency Report | June 2019I - 2
Provider Type DescriptionProvider Type
ABH ACLA HB LHCC UHC
PRESCRIBER ONLY FOR MCO 56 6
OPH REGISTERED NURSE (IN‐ST) 57 132
NEURO REHAB HOSPITAL (IN‐ST) 59 12
HOSPITAL 60 131 169 164 155 401
TUBERCULOSIS INPT HOSPITAL 63 1
MENTAL HLTH HOSP (FREE‐STAND) 64 32 39 40 41 47
REHABILITATION CENTER (IN‐ST) 65 5 17 93 23
KIDMED SCREENING CLINIC 66 10 1
PRENATAL HLTH CARE CL (IN‐ST) 67 28
SUBS/ALCOH ABSE CTR (X‐OVERS) 68 4 9 54 1 3
DIST PART PSYCH HOSP (IN‐ST) 69 7 33 17 25 46
EPSDT HEALTH SERVICES (IN‐ST) 70 2 1 16
FMLY PLANNING CLINIC (IN‐ST) 71 1 1 1
FED QUALIFIED HLTH CTR (IN‐ST) 72 32 165 37 225 241
LIC CL SOCIAL WORKER (IN‐ST) 73 414 365 714 4,473 1,205
MENTAL HEALTH CLINIC (IN‐ST) 74 112 44 16 52 10
OPTICAL SUPPLIER 75 15 54 18
HEMODIALYSIS CENTER (IN‐ST) 76 97 162 157 168 159
MENTAL REHAB AGENCY (IN‐ST) 77 83 150 76 430 51
NURSE PRACTITIONER (IND & GP) 78 940 2,333 2,550 2,567 3,199
RURAL HLTH CL(PROV‐BSE)(IN‐ST) 79 33 95 40 149 78
NURSING FACILITY (IN‐ST) 80 2 68 1 61 55
Medicaid Managed Care Transparency Report | June 2019I - 3
Provider Type DescriptionProvider Type
ABH ACLA HB LHCC UHC
PERS CARE ATTEND (WVR) (IN‐ST) 82 7 38
CTR BASED RESPITE CARE (IN‐ST) 83 4 1
ADLT DAY HLTH CA (WVR) (IN‐ST) 85 1 12
RURAL HLTH CL(INDEPEND)(IN‐ST) 87 12 71 1 116
ICF/DD ‐ GROUP HOME (IN‐ST) 88 1
SPRVISE INDEP LIV (WVR)(IN‐ST) 89 18
CERTIFIED NURSE MIDWIFE 90 6 32 32 22 30
CERT REG NURS ANEST (IND & GP) 91 250 1,183 1,280 1,248 1,087
CLINICAL NURSE SPECIALIST 93 10 4 37 87 40
PHYSICIAN ASSISTANT 94 243 627 629 655 877
AMERICAN INDIAN/638 FACILITY 95 1 2
PSYCH RESID TREAT FACILITY 96 13 6 3 4 4
ADULT RESIDENTIAL CARE FAC 97 2 4
ASSERTIVE COMM TREAT TEAM AA 3
FAMILY SUPPORT ORGANIZATION AC 2
TRANSITION COORDINATION AD 2
RESPITE CARE SERVICE AGENCY AE 2
CRISIS RECEIVING CENTER AF 18 195
BEHAVIORAL HLTH REHAB AGENCY AG 39 333 12 344
LIC MARRIAGE & FAMILY THERAPY AH 11 9 44 44 265
LICENSED ADDICTION COUNSELOR AJ 5 9 3 219
LICENSED PROFESSION COUNSELOR AK 181 334 753 769 1,635
Medicaid Managed Care Transparency Report | June 2019I - 4
Provider Type DescriptionProvider Type
ABH ACLA HB LHCC UHC
COMMUNITY CHOICE WAIVER‐NURS AL 1
THERAPEUTIC FOSTER CARE AR 4
OPH CLINIC AS 11 1
THERAPEUTIC GROUP HOME AT 5 4 4 6
CERTIFIED BEHAVIOR ANALYST AX 2 94 150 195 112
SUBST USE RESIDENT TX FAC AZ 7 17 24 27 49
OPR (ORDERING, PRESCRIBING, AND REFERRING) PO 15
Total2 10,439 24,299 20,989 28,435 28,185
1 Excludes out‐of‐state providers, except for those in a border county.2 Includes duplicative counts of individual providers who are enrolled under multiple provider types.
Source: LDH MARS Data Warehouse, June 29, 2018 Provider Registry
Medicaid Managed Care Transparency Report | June 2019I - 5
APPENDIX I ‐ Total number of healthcare providers contracted, July 1, 2017 ‐ June 30, 20181
By Taxonomy
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
101Y00000X Behavioral Health & Social Service Providers|Counselor| 83 38 28 808 218
101YA0400XBehavioral Health & Social Service Providers|Counselor|Addiction (Substance Use Disorder) 71 24 14 188 217
101YM0800X Behavioral Health & Social Service Providers|Counselor|Mental Health 93 86 66 2,369 589 101YP1600X Behavioral Health & Social Service Providers|Counselor|Pastoral 1 1 4 12 101YP2500X Behavioral Health & Social Service Providers|Counselor|Professional 239 272 698 750 1,061 101YS0200X Behavioral Health & Social Service Providers|Counselor|School 7 1 1 4 14 102L00000X Behavioral Health & Social Service Providers|Psychoanalyst| 3 1 102X00000X Behavioral Health & Social Service Providers|Poetry Therapist| 1
103G00000X Behavioral Health & Social Service Providers|Clinical Neuropsychologist| 3 7 9 10 25 103K00000X Behavioral Health & Social Service Providers|Behavior Analyst| 2 89 151 201 149 103T00000X Behavioral Health & Social Service Providers|Psychologist| 42 48 95 49 108
103TA0400XBehavioral Health & Social Service Providers|Psychologist|Addiction (Substance Use Disorder) 1 3
103TA0700XBehavioral Health & Social Service Providers|Psychologist|Adult Development & Aging 1 1 1 1
103TB0200XBehavioral Health & Social Service Providers|Psychologist|Cognitive & Behavioral 3 2 2 12
103TC0700X Behavioral Health & Social Service Providers|Psychologist|Clinical 39 58 70 75 150 103TC1900X Behavioral Health & Social Service Providers|Psychologist|Counseling 6 12 8 10 26
Medicaid Managed Care Transparency Report | June 2019I - 6
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
103TC2200X Adolescent 10 10 6 8 31 103TF0000X Behavioral Health & Social Service Providers|Psychologist|Family 1 9 103TF0200X Behavioral Health & Social Service Providers|Psychologist|Forensic 1 103TH0100X Behavioral Health & Social Service Providers|Psychologist|Health Service 1
103TM1800XBehavioral Health & Social Service Providers|Psychologist|Mental Retardation & Developmental Disabilities 2 3 2 6 11
103TP0016XBehavioral Health & Social Service Providers|Psychologist|Prescribing (Medical) 10 14 30 23 53
103TP2701XBehavioral Health & Social Service Providers|Psychologist|Group Psychotherapy 3
103TS0200X Behavioral Health & Social Service Providers|Psychologist|School 4 5 11 3 17 104100000X Behavioral Health & Social Service Providers|Social Worker| 70 72 114 549 279 1041C0700X Behavioral Health & Social Service Providers|Social Worker|Clinical 340 304 639 732 1,003 1041S0200X Behavioral Health & Social Service Providers|Social Worker|School 3 7 4 34 33 106H00000X Behavioral Health & Social Service Providers|Marriage & Family Therapist| 42 37 46 74 261 106S00000X Behavioral Health & Social Service Providers|Behavior Technician| 1 111N00000X Chiropractic Providers|Chiropractor| 39 37 22 28 89 111NN0400X Chiropractic Providers|Chiropractor|Neurology 1 1 111NN1001X Chiropractic Providers|Chiropractor|Nutrition 1 111NR0200X Chiropractic Providers|Chiropractor|Radiology 11 1 111NR0400X Chiropractic Providers|Chiropractor|Rehabilitation 1 3 111NS0005X Chiropractic Providers|Chiropractor|Sports Physician 1 111NT0100X Chiropractic Providers|Chiropractor|Thermography 1 2
Medicaid Managed Care Transparency Report | June 2019I - 7
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
111NX0800X Chiropractic Providers|Chiropractor|Orthopedic 1 1 8 3 122300000X Dental Providers|Dentist| 227 363 239 69 203
1223D0001X Dental Providers|Dentist|Dental Public Health 7 10 1 6
1223E0200X Dental Providers|Dentist|Endodontics 1 2 1 3
1223G0001X Dental Providers|Dentist|General Practice 30 223 269 57 213
1223P0106X Dental Providers|Dentist|Oral and Maxillofacial Pathology 3 4 2 7
1223P0221X Dental Providers|Dentist|Pediatric Dentistry 16 12 9 3 17
1223P0300X Dental Providers|Dentist|Periodontics 1 2 4 5
1223P0700X Dental Providers|Dentist|Prosthodontics 1 1 2
1223S0112X Dental Providers|Dentist|Oral and Maxillofacial Surgery 12 33 10 16 41 1223X0400X Dental Providers|Dentist|Orthodontics and Dentofacial Orthopedics 2 3 2 1 18
124Q00000X Dental Providers|Dental Hygienist| 1 132700000X Dietary & Nutritional Service Providers|Dietary Manager| 1
133N00000X Dietary & Nutritional Service Providers|Nutritionist| 1 2 5
133NN1002X Dietary & Nutritional Service Providers|Nutritionist|Nutrition, Education 2
133V00000X Dietary & Nutritional Service Providers|Dietitian, Registered| 4 24 50 48 70
133VN1004XDietary & Nutritional Service Providers|Dietitian, Registered|Nutrition, Pediatric 2
133VN1005X Dietary & Nutritional Service Providers|Dietitian, Registered|Nutrition, Renal 1 2
133VN1006XDietary & Nutritional Service Providers|Dietitian, Registered|Nutrition, Metabolic 1
146D00000XEmergency Medical Service Providers|Personal Emergency Response Attendant| 1 1 1 6
Medicaid Managed Care Transparency Report | June 2019I - 8
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
146L00000XEmergency Medical Service Providers|Emergency Medical Technician, Paramedic| 1 1
146N00000X Emergency Medical Service Providers|Emergency Medical Technician, Basic| 4
152W00000X Eye and Vision Services Providers|Optometrist| 207 201 196 579 255
152WC0802XEye and Vision Services Providers|Optometrist|Corneal and Contact Management 8 4 4 3 15
152WL0500X Eye and Vision Services Providers|Optometrist|Low Vision Rehabilitation 2 1 5
152WP0200X Eye and Vision Services Providers|Optometrist|Pediatrics 2 1 5
152WS0006X Eye and Vision Services Providers|Optometrist|Sports Vision 2 2
152WV0400X Eye and Vision Services Providers|Optometrist|Vision Therapy 1 1 1 1 7
152WX0102X Eye and Vision Services Providers|Optometrist|Occupational Vision 11 1 1 1 3
156FX1100X Eye and Vision Services Providers|Technician/Technologist|Ophthalmic 1 1 1
156FX1700X Eye and Vision Services Providers|Technician/Technologist|Ocularist 1
156FX1800X Eye and Vision Services Providers|Technician/Technologist|Optician 62 35 25
163W00000X Nursing Service Providers|Registered Nurse| 37 35 27 48 196
163WA0400XNursing Service Providers|Registered Nurse|Addiction (Substance Use Disorder) 1 1 3
163WA2000X Nursing Service Providers|Registered Nurse|Administrator 1 3
163WC0200X Nursing Service Providers|Registered Nurse|Critical Care Medicine 2 1 1
163WC0400X Nursing Service Providers|Registered Nurse|Case Management 1 1 2
163WC1500X Nursing Service Providers|Registered Nurse|Community Health 2 125
163WD1100X Nursing Service Providers|Registered Nurse|Dialysis, Peritoneal 1
163WE0003X Nursing Service Providers|Registered Nurse|Emergency 2 1 1 3
Medicaid Managed Care Transparency Report | June 2019I - 9
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
163WG0000X Nursing Service Providers|Registered Nurse|General Practice 1 5 8
163WG0100X Nursing Service Providers|Registered Nurse|Gastroenterology 1
163WG0600X Nursing Service Providers|Registered Nurse|Gerontology 1
163WH0200X Nursing Service Providers|Registered Nurse|Home Health 3
163WH1000X Nursing Service Providers|Registered Nurse|Hospice 1 1
163WL0100X Nursing Service Providers|Registered Nurse|Lactation Consultant 1
163WM0102X Nursing Service Providers|Registered Nurse|Maternal Newborn 1 1
163WM0705X Nursing Service Providers|Registered Nurse|Medical‐Surgical 1 1 1
163WN0002X Nursing Service Providers|Registered Nurse|Neonatal Intensive Care 1 2 1 5
163WN0003X Nursing Service Providers|Registered Nurse|Neonatal, Low‐Risk 6
163WN0300X Nursing Service Providers|Registered Nurse|Nephrology 1 6 1
163WN0800X Nursing Service Providers|Registered Nurse|Neuroscience 1 1
163WP0000X Nursing Service Providers|Registered Nurse|Pain Management 1 1
163WP0200X Nursing Service Providers|Registered Nurse|Pediatrics 2 2 5
163WP0218X Nursing Service Providers|Registered Nurse|Pediatric Oncology 1
163WP0807XNursing Service Providers|Registered Nurse|Psychiatric/Mental Health, Child & Adolescent 2 1
163WP0808X Nursing Service Providers|Registered Nurse|Psychiatric/Mental Health 14 8 4 14 24
163WP0809X Nursing Service Providers|Registered Nurse|Psychiatric/Mental Health, Adult 6 1 1 9 14 163WR0006X Nursing Service Providers|Registered Nurse|Registered Nurse First Assistant 1 2
163WU0100X Nursing Service Providers|Registered Nurse|Urology 6
163WW0000X Nursing Service Providers|Registered Nurse|Wound Care 1 1
Medicaid Managed Care Transparency Report | June 2019I - 10
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
163WW0101XNursing Service Providers|Registered Nurse|Women's Health Care, Ambulatory 1 1 4
163WX0200X Nursing Service Providers|Registered Nurse|Oncology 1 1
163WX0800X Nursing Service Providers|Registered Nurse|Orthopedic 1 1 3
164W00000X Nursing Service Providers|Licensed Practical Nurse| 10 1 2 3
164X00000X Nursing Service Providers|Licensed Vocational Nurse| 1
170100000X Other Service Providers|Medical Genetics, Ph.D. Medical Genetics| 1 2 1
171000000X Other Service Providers|Military Health Care Provider| 2 1 1 5
171100000X Other Service Providers|Acupuncturist| 1 2
171M00000X Other Service Providers|Case Manager/Care Coordinator| 5 59 17
171W00000X Other Service Providers|Contractor| 1 1 1 1 7
172A00000X Other Service Providers|Driver| 1 1 1
172V00000X Other Service Providers|Community Health Worker| 1 2 1 6 6
173000000X Other Service Providers|Legal Medicine| 3 7 1 4 22
174400000X Other Service Providers|Specialist| 130 212 54 122 667
1744P3200X Other Service Providers|Specialist|Prosthetics Case Management 2 1 1 3
174H00000X Other Service Providers|Health Educator| 1
174M00000X Other Service Providers|Veterinarian| 67
174MM1900X Other Service Providers|Veterinarian|Medical Research 26
176B00000X Other Service Providers|Midwife| 5 14 7 3
183500000X Pharmacy Service Providers|Pharmacist| 63 4 1 3 137
Medicaid Managed Care Transparency Report | June 2019I - 11
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
1835P0018XPharmacy Service Providers|Pharmacist|Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 3
183700000X Pharmacy Service Providers|Pharmacy Technician| 1 1 3
193200000X Group|Multi‐Specialty| 1 1,940 8 1,321 175
193400000X Group|Single Specialty| 5 3,360 15 1,955 101
202C00000X Allopathic & Osteopathic Physicians|Independent Medical Examiner| 9
202K00000X Allopathic & Osteopathic Physicians|Phlebology| 1
204C00000XAllopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine, Sports Medicine| 3
204D00000X Allopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine & OMM| 4 4 2 8 4
204E00000X Allopathic & Osteopathic Physicians|Oral & Maxillofacial Surgery| 4 17 23 23 25
204F00000X Allopathic & Osteopathic Physicians|Transplant Surgery| 7 14 11 15 19
204R00000X Allopathic & Osteopathic Physicians|Electrodiagnostic Medicine| 2 1
207K00000X Allopathic & Osteopathic Physicians|Allergy & Immunology| 25 62 47 62 67
207KA0200X Allopathic & Osteopathic Physicians|Allergy & Immunology|Allergy 2 3 1 10
207KI0005XAllopathic & Osteopathic Physicians|Allergy & Immunology|Clinical & Laboratory Immunology 1 1 2 2 3
207L00000X Allopathic & Osteopathic Physicians|Anesthesiology| 264 546 459 558 504
207LA0401X Allopathic & Osteopathic Physicians|Anesthesiology|Addiction Medicine 4
207LC0200X Allopathic & Osteopathic Physicians|Anesthesiology|Critical Care Medicine 4 7 6 4 10
207LH0002XAllopathic & Osteopathic Physicians|Anesthesiology|Hospice and Palliative Medicine 1
Medicaid Managed Care Transparency Report | June 2019I - 12
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207LP2900X Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine 3 24 14 26 31
207LP3000X Allopathic & Osteopathic Physicians|Anesthesiology|Pediatric Anesthesiology 2 7 5 5 8
207N00000X Allopathic & Osteopathic Physicians|Dermatology| 50 100 92 100 134
207ND0101XAllopathic & Osteopathic Physicians|Dermatology|MOHS‐Micrographic Surgery 24 5 4 4 13
207ND0900X Allopathic & Osteopathic Physicians|Dermatology|Dermatopathology 3 2 2 1 5
207NI0002XAllopathic & Osteopathic Physicians|Dermatology|Clinical & Laboratory Dermatological Immunology 1 1 1 2
207NP0225X Allopathic & Osteopathic Physicians|Dermatology|Pediatric Dermatology 2
207NS0135X Allopathic & Osteopathic Physicians|Dermatology|Procedural Dermatology 2 4 2 2 10
207P00000X Allopathic & Osteopathic Physicians|Emergency Medicine| 237 635 805 1,022 843
207PE0004XAllopathic & Osteopathic Physicians|Emergency Medicine|Emergency Medical Services 143 28 27 44 44
207PE0005XAllopathic & Osteopathic Physicians|Emergency Medicine|Undersea and Hyperbaric Medicine 7 7 9 9 8
207PH0002XAllopathic & Osteopathic Physicians|Emergency Medicine|Hospice and Palliative Medicine 1 2
207PP0204XAllopathic & Osteopathic Physicians|Emergency Medicine|Pediatric Emergency Medicine 3 35 23 29 26
207PS0010X Allopathic & Osteopathic Physicians|Emergency Medicine|Sports Medicine 2 1 1 1
207Q00000X Allopathic & Osteopathic Physicians|Family Medicine| 589 1,173 1,088 1,169 1,349
207QA0000X Allopathic & Osteopathic Physicians|Family Medicine|Adolescent Medicine 1 2 3 4
207QA0401X Allopathic & Osteopathic Physicians|Family Medicine|Addiction Medicine 1 1 1 3 5
Medicaid Managed Care Transparency Report | June 2019I - 13
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207QA0505X Allopathic & Osteopathic Physicians|Family Medicine|Adult Medicine 1 7 7 6 14
207QB0002X Allopathic & Osteopathic Physicians|Family Medicine|Obesity Medicine 1
207QG0300X Allopathic & Osteopathic Physicians|Family Medicine|Geriatric Medicine 5 10 5 10 12
207QH0002XAllopathic & Osteopathic Physicians|Family Medicine|Hospice and Palliative Medicine 1 6 1
207QS0010X Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine 2 13 8 15 12
207QS1201X Allopathic & Osteopathic Physicians|Family Medicine|Sleep Medicine 4 10 5 8 3
207R00000X Allopathic & Osteopathic Physicians|Internal Medicine| 665 1,472 1,424 1,781 1,627
207RA0000X Allopathic & Osteopathic Physicians|Internal Medicine|Adolescent Medicine 7 29 8 6
207RA0001XAllopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology 29 1
207RA0201X Allopathic & Osteopathic Physicians|Internal Medicine|Allergy & Immunology 2 2 4 5
207RA0401X Allopathic & Osteopathic Physicians|Internal Medicine|Addiction Medicine 1 2 2 2
207RB0002X Allopathic & Osteopathic Physicians|Internal Medicine|Obesity Medicine 4 1 2 1
207RC0000X Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease 236 455 380 412 460
207RC0001XAllopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology 10 23 20 26 48
207RC0200X Allopathic & Osteopathic Physicians|Internal Medicine|Critical Care Medicine 30 51 31 82 86
207RE0101XAllopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism 28 55 42 62 75
Medicaid Managed Care Transparency Report | June 2019I - 14
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207RG0100X Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology 93 171 164 186 205
207RG0300X Allopathic & Osteopathic Physicians|Internal Medicine|Geriatric Medicine 12 18 9 23 28
207RH0000X Allopathic & Osteopathic Physicians|Internal Medicine|Hematology 6 14 13 26 13
207RH0002XAllopathic & Osteopathic Physicians|Internal Medicine|Hospice and Palliative Medicine 7 1 1 9 11
207RH0003XAllopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology 73 129 113 125 164
207RI0001XAllopathic & Osteopathic Physicians|Internal Medicine|Clinical & Laboratory Immunology 1 1 4
207RI0008X Allopathic & Osteopathic Physicians|Internal Medicine|Hepatology 3 5 5 6 11
207RI0011XAllopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology 36 93 74 127 153
207RI0200X Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease 55 88 87 94 101
207RM1200XAllopathic & Osteopathic Physicians|Internal Medicine|Magnetic Resonance Imaging (MRI) 1 2 1 1 1
207RN0300X Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology 71 164 148 157 190
207RP1001X Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease 88 152 153 156 201
207RR0500X Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology 35 59 50 51 69
207RS0010X Allopathic & Osteopathic Physicians|Internal Medicine|Sports Medicine 2 1 5 2
207RS0012X Allopathic & Osteopathic Physicians|Internal Medicine|Sleep Medicine 2 11 4 19 26
207RT0003X Allopathic & Osteopathic Physicians|Internal Medicine|Transplant Hepatology 3 3 2 4 4
Medicaid Managed Care Transparency Report | June 2019I - 15
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207RX0202X Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology 29 31 40 61 23
207SG0201X Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) 3 6 5 10 10
207SG0202XAllopathic & Osteopathic Physicians|Medical Genetics|Clinical Biochemical Genetics 1 1 2 2
207SG0205X Allopathic & Osteopathic Physicians|Medical Genetics|Ph.D. Medical Genetics 1
207T00000X Allopathic & Osteopathic Physicians|Neurological Surgery| 39 78 54 85 100
207U00000X Allopathic & Osteopathic Physicians|Nuclear Medicine| 8 9 8 15 11
207UN0901X Allopathic & Osteopathic Physicians|Nuclear Medicine|Nuclear Cardiology 3 3 1 6 11
207UN0902XAllopathic & Osteopathic Physicians|Nuclear Medicine|Nuclear Imaging & Therapy 1 1 3
207UN0903XAllopathic & Osteopathic Physicians|Nuclear Medicine|In Vivo & In Vitro Nuclear Medicine 1 1
207V00000X Allopathic & Osteopathic Physicians|Obstetrics & Gynecology| 309 546 509 548 574
207VC0200XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Critical Care Medicine 1 1 2
207VE0102XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Reproductive Endocrinology 3 4 1 3 5
207VF0040XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery 4 3 2 2 5
207VG0400X Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Gynecology 20 33 34 29 48
207VH0002XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Hospice and Palliative Medicine 1 1
207VM0101XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine 30 32 33 35 44
Medicaid Managed Care Transparency Report | June 2019I - 16
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207VX0000X Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Obstetrics 15 19 31 14 22
207VX0201XAllopathic & Osteopathic Physicians|Obstetrics & Gynecology|Gynecologic Oncology 6 14 12 12 14
207W00000X Allopathic & Osteopathic Physicians|Ophthalmology| 200 287 229 353 285
207WX0107X Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist 5 1 1 5
207WX0120XAllopathic & Osteopathic Physicians|Ophthalmology|Cornea and External Diseases Specialist 1
207X00000X Allopathic & Osteopathic Physicians|Orthopaedic Surgery| 117 238 196 258 293
207XP3100XAllopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery 9 14 13 16 18
207XS0106X Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery 6 15 8 20 15
207XS0114XAllopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery 2 3 1 3 5
207XS0117XAllopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine 17 12 6 6 19
207XX0004XAllopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery 4 5 3 6 6
207XX0005X Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine 11 23 15 22 41
207XX0801X Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma 6 6 6 5 9
207Y00000X Allopathic & Osteopathic Physicians|Otolaryngology| 84 196 166 206 210
207YP0228X Allopathic & Osteopathic Physicians|Otolaryngology|Pediatric Otolaryngology 2 3 2 3 6
207YS0012X Allopathic & Osteopathic Physicians|Otolaryngology|Sleep Medicine 2 1 6 2
Medicaid Managed Care Transparency Report | June 2019I - 17
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
207YS0123X Allopathic & Osteopathic Physicians|Otolaryngology|Facial Plastic Surgery 2 7 5 8 15
207YX0007XAllopathic & Osteopathic Physicians|Otolaryngology|Plastic Surgery within the Head & Neck 7 12 6 13 12
207YX0602X Allopathic & Osteopathic Physicians|Otolaryngology|Otolaryngic Allergy 2 4 1 5 8
207YX0901X Allopathic & Osteopathic Physicians|Otolaryngology|Otology & Neurotology 1 5 3 1 7
207YX0905XAllopathic & Osteopathic Physicians|Otolaryngology|Otolaryngology/Facial Plastic Surgery 1 10 4 5 13
207ZB0001XAllopathic & Osteopathic Physicians|Pathology|Blood Banking & Transfusion Medicine 1 5 2 5 8
207ZC0006X Allopathic & Osteopathic Physicians|Pathology|Clinical Pathology 6 8 18 1
207ZC0500X Allopathic & Osteopathic Physicians|Pathology|Cytopathology 5 15 8 11 22
207ZD0900X Allopathic & Osteopathic Physicians|Pathology|Dermatopathology 3 9 7 9 10
207ZH0000X Allopathic & Osteopathic Physicians|Pathology|Hematology 1 4 4 5 6
207ZM0300X Allopathic & Osteopathic Physicians|Pathology|Medical Microbiology 1 1
207ZN0500X Allopathic & Osteopathic Physicians|Pathology|Neuropathology 1 1 3 1
207ZP0007X Allopathic & Osteopathic Physicians|Pathology|Molecular Genetic Pathology 3 1 1
207ZP0101X Allopathic & Osteopathic Physicians|Pathology|Anatomic Pathology 8 20 40 25 23
207ZP0102XAllopathic & Osteopathic Physicians|Pathology|Anatomic Pathology & Clinical Pathology 118 203 169 192 186
207ZP0105XAllopathic & Osteopathic Physicians|Pathology|Clinical Pathology/Laboratory Medicine 1 17 22 11 8
207ZP0213X Allopathic & Osteopathic Physicians|Pathology|Pediatric Pathology 2 2 2
208000000X Allopathic & Osteopathic Physicians|Pediatrics| 440 801 343 952 1,000
Medicaid Managed Care Transparency Report | June 2019I - 18
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
2080A0000X Allopathic & Osteopathic Physicians|Pediatrics|Adolescent Medicine 11 33 6 22 46
2080C0008X Allopathic & Osteopathic Physicians|Pediatrics|Child Abuse Pediatrics 1 3 2 3 5
2080H0002XAllopathic & Osteopathic Physicians|Pediatrics|Hospice and Palliative Medicine 1 2
2080N0001X Allopathic & Osteopathic Physicians|Pediatrics|Neonatal‐Perinatal Medicine 40 55 67 87 81
2080P0006XAllopathic & Osteopathic Physicians|Pediatrics|Developmental ‐ Behavioral Pediatrics 7 4 2 5 4
2080P0201X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Allergy/Immunology 5 11 14 15 13
2080P0202X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Cardiology 28 38 53 43 46
2080P0203X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Critical Care Medicine 19 34 39 46 48
2080P0204X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Emergency Medicine 32 14 28 21 22
2080P0205X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Endocrinology 10 14 11 14 18
2080P0206X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Gastroenterology 13 26 14 31 32
2080P0207XAllopathic & Osteopathic Physicians|Pediatrics|Pediatric Hematology‐Oncology 15 27 15 25 25
2080P0208X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Infectious Diseases 7 20 13 23 24
2080P0210X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Nephrology 7 12 5 10 21
2080P0214X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Pulmonology 7 15 13 22 21
2080P0216X Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Rheumatology 2 2 1 3 4
2080S0010X Allopathic & Osteopathic Physicians|Pediatrics|Sports Medicine 1 1 2
Medicaid Managed Care Transparency Report | June 2019I - 19
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
2080S0012X Allopathic & Osteopathic Physicians|Pediatrics|Sleep Medicine 1 1 2 1
208100000X Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation| 32 70 53 73 83
2081N0008XAllopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Neuromuscular Medicine 1
2081P0004XAllopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Spinal Cord Injury Medicine 1 1
2081P2900XAllopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine 3 9 4 11 13
2081S0010XAllopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Sports Medicine 1 4 3 2
208200000X Allopathic & Osteopathic Physicians|Plastic Surgery| 15 30 26 39 27
2082S0099XAllopathic & Osteopathic Physicians|Plastic Surgery|Plastic Surgery Within the Head and Neck 2 1 3 6
2082S0105X Allopathic & Osteopathic Physicians|Plastic Surgery|Surgery of the Hand 1 1 2 1 3
2083A0100X Allopathic & Osteopathic Physicians|Preventive Medicine|Aerospace Medicine 2 1 2 4
2083C0008X Allopathic & Osteopathic Physicians|Preventive Medicine|Clinical Informatics 1
2083P0011XAllopathic & Osteopathic Physicians|Preventive Medicine|Undersea and Hyperbaric Medicine 1 5 5 3 4
2083P0500XAllopathic & Osteopathic Physicians|Preventive Medicine|Preventive Medicine/Occupational Environmental Medicine 2 1 3
2083P0901XAllopathic & Osteopathic Physicians|Preventive Medicine|Public Health & General Preventive Medicine 2 3 1 7 6
2083S0010X Allopathic & Osteopathic Physicians|Preventive Medicine|Sports Medicine 1
Medicaid Managed Care Transparency Report | June 2019I - 20
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
2083X0100XAllopathic & Osteopathic Physicians|Preventive Medicine|Occupational Medicine 1 6 4 4 7
2084A0401XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Addiction Medicine 7 5 4 9 10
2084A2900X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurocritical Care 1
2084B0040XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Behavioral Neurology & Neuropsychiatry 2
2084D0003XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Diagnostic Neuroimaging 3 2 2 2
2084F0202XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Forensic Psychiatry 2 2 9 10
2084N0008XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Neuromuscular Medicine 1 1
2084N0400X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology 79 170 155 176 179
2084N0402XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology 12 23 21 16 28
2084N0600XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Clinical Neurophysiology 3 3 4 9 7
2084P0005XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurodevelopmental Disabilities 3 1
2084P0015XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychosomatic Medicine 1 2 2 1 3
2084P0800X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry 247 255 322 353 453
2084P0802XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Addiction Psychiatry 2 5 4 7 9
2084P0804XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Child & Adolescent Psychiatry 29 36 54 55 85
Medicaid Managed Care Transparency Report | June 2019I - 21
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
2084P0805XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Geriatric Psychiatry 7 4 4 7 16
2084P2900X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Pain Medicine 1 3 2 3 4
2084S0010X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Sports Medicine 1 1
2084S0012X Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Sleep Medicine 4 7 4 9 10
2084V0102XAllopathic & Osteopathic Physicians|Psychiatry & Neurology|Vascular Neurology 3 3 2 1 6
2085B0100X Allopathic & Osteopathic Physicians|Radiology|Body Imaging 17 21 23 21 23
2085D0003X Allopathic & Osteopathic Physicians|Radiology|Diagnostic Neuroimaging 1 2 3
2085N0700X Allopathic & Osteopathic Physicians|Radiology|Neuroradiology 9 11 8 22 16
2085N0904X Allopathic & Osteopathic Physicians|Radiology|Nuclear Radiology 2 4 3 10 12
2085P0229X Allopathic & Osteopathic Physicians|Radiology|Pediatric Radiology 1 7 5 10 10
2085R0001X Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology 15 61 63 69 70
2085R0202X Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology 239 540 624 633 579
2085R0203X Allopathic & Osteopathic Physicians|Radiology|Therapeutic Radiology 1 4 5 5 5
2085R0204XAllopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology 10 26 15 37 42
2085R0205X Allopathic & Osteopathic Physicians|Radiology|Radiological Physics 2
2085U0001X Allopathic & Osteopathic Physicians|Radiology|Diagnostic Ultrasound 2 7
208600000X Allopathic & Osteopathic Physicians|Surgery| 196 386 340 436 408
2086H0002X Allopathic & Osteopathic Physicians|Surgery|Hospice and Palliative Medicine 1
Medicaid Managed Care Transparency Report | June 2019I - 22
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
2086S0102X Allopathic & Osteopathic Physicians|Surgery|Surgical Critical Care 6 18 14 19 24
2086S0105X Allopathic & Osteopathic Physicians|Surgery|Surgery of the Hand 8 6 5 7 7
2086S0120X Allopathic & Osteopathic Physicians|Surgery|Pediatric Surgery 14 15 15 16 20
2086S0122XAllopathic & Osteopathic Physicians|Surgery|Plastic and Reconstructive Surgery 14 16 15 16 25
2086S0127X Allopathic & Osteopathic Physicians|Surgery|Trauma Surgery 3 21 18 19 20
2086S0129X Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery 24 45 45 51 49
2086X0206X Allopathic & Osteopathic Physicians|Surgery|Surgical Oncology 7 19 13 13 25
208800000X Allopathic & Osteopathic Physicians|Urology| 79 145 127 148 170
2088F0040XAllopathic & Osteopathic Physicians|Urology|Female Pelvic Medicine and Reconstructive Surgery 1
2088P0231X Allopathic & Osteopathic Physicians|Urology|Pediatric Urology 4 4 3 7 7
208C00000X Allopathic & Osteopathic Physicians|Colon & Rectal Surgery| 14 28 25 26 30
208D00000X Allopathic & Osteopathic Physicians|General Practice| 55 126 85 183 125
208G00000XAllopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)| 33 69 61 76 71
208M00000X Allopathic & Osteopathic Physicians|Hospitalist| 52 127 199 218 258
208U00000X Allopathic & Osteopathic Physicians|Clinical Pharmacology| 1 1
208VP0000X Allopathic & Osteopathic Physicians|Pain Medicine|Pain Medicine 2 7 6 13 7
208VP0014XAllopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine 10 7 2 7 28
209800000X Allopathic & Osteopathic Physicians|Legal Medicine| 1 1
213E00000X Podiatric Medicine & Surgery Service Providers|Podiatrist| 21 46 73 49 57
213EP0504X Podiatric Medicine & Surgery Service Providers|Podiatrist|Public Medicine 1
Medicaid Managed Care Transparency Report | June 2019I - 23
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
213EP1101XPodiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine 1 6 1 2 8
213ES0000X Podiatric Medicine & Surgery Service Providers|Podiatrist|Sports Medicine 1 1
213ES0103XPodiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery 18 49 24 35 61
213ES0131X Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot Surgery 29 7 6 16 16
221700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Art Therapist| 1
222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Developmental Therapist| 2 8
222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Orthotist| 1
224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Prosthetist| 1
224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapy Assistant| 2 1
225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapist| 31 211 174 224 190
2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapist|Neurology 5 2 1
2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapist|Pediatrics 2 3 1 5
2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapist|Sports 1 1
2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapist|Orthopedic 2 9 5 11 13
225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Physical Therapy Assistant| 2 4
Medicaid Managed Care Transparency Report | June 2019I - 24
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Rehabilitation Practitioner| 1 3 1 3
2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Specialist/Technologist|Athletic Trainer 3
225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Rehabilitation Counselor| 1
225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapist| 29 92 67 85 67
225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapist|Hand 1 4 6 4
225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapist|Neurorehabilitation 1 1
225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapist|Physical Rehabilitation 1 1 3 1
225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Occupational Therapist|Pediatrics 2 6 8 4 7
227800000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Certified| 1 1
2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Certified|Home Health 1
2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Certified|Pulmonary Diagnostics 1
2278P3900XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Certified|Neonatal/Pediatrics 1
227900000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Registered| 1
2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service Providers|Respiratory Therapist, Registered|Neonatal/Pediatrics 4
231H00000X Speech, Language and Hearing Service Providers|Audiologist| 37 76 65 66 74
Medicaid Managed Care Transparency Report | June 2019I - 25
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
231HA2400XSpeech, Language and Hearing Service Providers|Audiologist|Assistive Technology Practitioner 1 1 6
231HA2500XSpeech, Language and Hearing Service Providers|Audiologist|Assistive Technology Supplier 1 1 4
235500000X Speech, Language and Hearing Service Providers|Specialist/Technologist| 2
2355A2700XSpeech, Language and Hearing Service Providers|Specialist/Technologist|Audiology Assistant 1
2355S0801XSpeech, Language and Hearing Service Providers|Specialist/Technologist|Speech‐Language Assistant 5 1 1
235Z00000XSpeech, Language and Hearing Service Providers|Speech‐Language Pathologist| 60 157 125 156 129
237600000XSpeech, Language and Hearing Service Providers|Audiologist‐Hearing Aid Fitter| 15 31 13 21 44
237700000XSpeech, Language and Hearing Service Providers|Hearing Instrument Specialist| 1 2
246Q00000XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist, Pathology| 1 4
246QH0000XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist, Pathology|Hematology 1
246W00000XTechnologists, Technicians & Other Technical Service Providers|Technician, Cardiology| 3 1 1
246X00000XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist Cardiovascular| 1 1 2
246XC2901XProviders|Specialist/Technologist Cardiovascular|Cardiovascular Invasive Specialist 9
246XS1301XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist Cardiovascular|Sonography 2
Medicaid Managed Care Transparency Report | June 2019I - 26
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
246ZE0600XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist, Other|Electroneurodiagnostic 1 1 1 4
246ZN0300XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist, Other|Nephrology 1
246ZS0410XTechnologists, Technicians & Other Technical Service Providers|Specialist/Technologist, Other|Surgical Technologist 1
247100000XTechnologists, Technicians & Other Technical Service Providers|Radiologic Technologist| 1
2471C1101XTechnologists, Technicians & Other Technical Service Providers|Radiologic Technologist|Cardiovascular‐Interventional Technology 1
2471M1202XTechnologists, Technicians & Other Technical Service Providers|Radiologic Technologist|Magnetic Resonance Imaging 2 2
2471V0105XTechnologists, Technicians & Other Technical Service Providers|Radiologic Technologist|Vascular Sonography 1
2471V0106XTechnologists, Technicians & Other Technical Service Providers|Radiologic Technologist|Vascular‐Interventional Technology 1
2472R0900XTechnologists, Technicians & Other Technical Service Providers|Technician, Other|Renal Dialysis 1
2472V0600XTechnologists, Technicians & Other Technical Service Providers|Technician, Other|Veterinary 1,154
251300000X Agencies|Local Education Agency (LEA)| 2 2 2 15
251B00000X Agencies|Case Management| 12 12 20 16 55
251C00000X Agencies|Day Training, Developmentally Disabled Services| 3 11 1 3 91
251E00000X Agencies|Home Health| 23 147 72 147 208
251F00000X Agencies|Home Infusion| 1 7 5 14 9
251G00000X Agencies|Hospice Care, Community Based| 33 85 73 112 100
251J00000X Agencies|Nursing Care| 2 5 1 3 22
Medicaid Managed Care Transparency Report | June 2019I - 27
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
251K00000X Agencies|Public Health or Welfare| 4 11 3 9 20
251S00000X Agencies|Community/Behavioral Health| 181 330 37 459 373
251T00000XAgencies|Program of All‐Inclusive Care for the Elderly (PACE) Provider Organization| 1 3
251V00000X Agencies|Voluntary or Charitable| 1 1 7
251X00000X Agencies|Supports Brokerage| 1
252Y00000X Agencies|Early Intervention Provider Agency| 1 6 2 3 4
253J00000X Agencies|Foster Care Agency| 1 2 2 4
253Z00000X Agencies|In Home Supportive Care| 17 73 6 58
261Q00000X Ambulatory Health Care Facilities|Clinic/Center| 9 32 63 75 104
261QA0005XAmbulatory Health Care Facilities|Clinic/Center|Ambulatory Family Planning Facility 1
261QA0600X Ambulatory Health Care Facilities|Clinic/Center|Adult Day Care 2 3 2 12
261QA1903X Ambulatory Health Care Facilities|Clinic/Center|Ambulatory Surgical 8 43 38 45 51
261QB0400X Ambulatory Health Care Facilities|Clinic/Center|Birthing 1
261QC0050X Ambulatory Health Care Facilities|Clinic/Center|Critical Access Hospital 1 4
261QC1500X Ambulatory Health Care Facilities|Clinic/Center|Community Health 7 2 5 8
261QD0000X Ambulatory Health Care Facilities|Clinic/Center|Dental 4 1 11 11
261QD1600X Ambulatory Health Care Facilities|Clinic/Center|Developmental Disabilities 6
261QE0002X Ambulatory Health Care Facilities|Clinic/Center|Emergency Care 1 5 1 2
261QE0700XAmbulatory Health Care Facilities|Clinic/Center|End‐Stage Renal Disease (ESRD) Treatment 97 161 155 169 153
261QE0800X Ambulatory Health Care Facilities|Clinic/Center|Endoscopy 1 2 2 2
Medicaid Managed Care Transparency Report | June 2019I - 28
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
261QF0050X Ambulatory Health Care Facilities|Clinic/Center|Family Planning, Non‐Surgical 3
261QF0400XAmbulatory Health Care Facilities|Clinic/Center|Federally Qualified Health Center (FQHC) 40 160 34 232 210
261QG0250X Ambulatory Health Care Facilities|Clinic/Center|Genetics 2
261QH0100X Ambulatory Health Care Facilities|Clinic/Center|Health Service 4 3 4 14
261QH0700X Ambulatory Health Care Facilities|Clinic/Center|Hearing and Speech 2 3 6
261QI0500X Ambulatory Health Care Facilities|Clinic/Center|Infusion Therapy 2 1
261QL0400X Ambulatory Health Care Facilities|Clinic/Center|Lithotripsy 2
261QM0801XAmbulatory Health Care Facilities|Clinic/Center|Mental Health (Including Community Mental Health Center) 35 220 56 63 171
261QM0850X Ambulatory Health Care Facilities|Clinic/Center|Adult Mental Health 3 1 2 6 9
261QM0855XAmbulatory Health Care Facilities|Clinic/Center|Adolescent and Children Mental Health 3 4 4 5 13
261QM1200XAmbulatory Health Care Facilities|Clinic/Center|Magnetic Resonance Imaging (MRI) 5 9 11 13 9
261QM1300X Ambulatory Health Care Facilities|Clinic/Center|Multi‐Specialty 115 9 1 18 32 261QM2500X Ambulatory Health Care Facilities|Clinic/Center|Medical Specialty 5 10 18 261QM2800X Ambulatory Health Care Facilities|Clinic/Center|Methadone 1
261QM3000XAmbulatory Health Care Facilities|Clinic/Center|Medically Fragile Infants and Children Day Care 1 8 9 21 14
261QP0905X Ambulatory Health Care Facilities|Clinic/Center|Public Health, State or Local 3 3 1 261QP1100X Ambulatory Health Care Facilities|Clinic/Center|Podiatric 1 2 1 5 261QP2000X Ambulatory Health Care Facilities|Clinic/Center|Physical Therapy 1 12 2 8 17 261QP2300X Ambulatory Health Care Facilities|Clinic/Center|Primary Care 9 42 12 26 80 261QP3300X Ambulatory Health Care Facilities|Clinic/Center|Pain 1
Medicaid Managed Care Transparency Report | June 2019I - 29
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
261QR0200X Ambulatory Health Care Facilities|Clinic/Center|Radiology 3 6 36 7 9 261QR0208X Ambulatory Health Care Facilities|Clinic/Center|Radiology, Mobile 2 6 3 2 261QR0400X Ambulatory Health Care Facilities|Clinic/Center|Rehabilitation 4 4 3
261QR0401XAmbulatory Health Care Facilities|Clinic/Center|Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 1 4 21 3 3
261QR0404XAmbulatory Health Care Facilities|Clinic/Center|Rehabilitation, Cardiac Facilities 1 1
261QR0405XAmbulatory Health Care Facilities|Clinic/Center|Rehabilitation, Substance Use Disorder 7 29 3 3 11
261QR0800X Ambulatory Health Care Facilities|Clinic/Center|Recovery Care 3 7 1 3 261QR1100X Ambulatory Health Care Facilities|Clinic/Center|Research 1 261QR1300X Ambulatory Health Care Facilities|Clinic/Center|Rural Health 49 116 31 155 137 261QS0132X Ambulatory Health Care Facilities|Clinic/Center|Ophthalmologic Surgery 3 1 2 1 261QS1000X Ambulatory Health Care Facilities|Clinic/Center|Student Health 1 16 36 20 37 261QS1200X Ambulatory Health Care Facilities|Clinic/Center|Sleep Disorder Diagnostic 3 5 6 6 9 261QU0200X Ambulatory Health Care Facilities|Clinic/Center|Urgent Care 13 21 56 55 49
261QV0200X Ambulatory Health Care Facilities|Clinic/Center|VA 2 261QX0100X Ambulatory Health Care Facilities|Clinic/Center|Occupational Medicine 2 261QX0203X Ambulatory Health Care Facilities|Clinic/Center|Oncology, Radiation 3 1 2 273100000X Hospital Units|Epilepsy Unit| 1 273R00000X Hospital Units|Psychiatric Unit| 11 31 18 28 46 273Y00000X Hospital Units|Rehabilitation Unit| 1 5 1 8 12 275N00000X Hospital Units|Medicare Defined Swing Bed Unit| 1 2 2 11 276400000X Hospital Units|Rehabilitation, Substance Use Disorder Unit| 1 5 7 1 281PC2000X Hospitals|Chronic Disease Hospital|Children 15 282E00000X Hospitals|Long Term Care Hospital| 1 13 5 16 23
Medicaid Managed Care Transparency Report | June 2019I - 30
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
282N00000X Hospitals|General Acute Care Hospital| 51 128 106 117 255 282NC0060X Hospitals|General Acute Care Hospital|Critical Access 24 37 33 35 51 282NC2000X Hospitals|General Acute Care Hospital|Children 26 3 4 2 4 282NR1301X Hospitals|General Acute Care Hospital|Rural 4 13 12 12 13 282NW0100X Hospitals|General Acute Care Hospital|Women 1 1 1 1 283Q00000X Hospitals|Psychiatric Hospital| 36 44 41 41 47 283X00000X Hospitals|Rehabilitation Hospital| 40 24 15 18 21 283XC2000X Hospitals|Rehabilitation Hospital|Children 43 284300000X Hospitals|Special Hospital| 5 3 1 9 286500000X Hospitals|Military Hospital| 1 291U00000X Laboratories|Clinical Medical Laboratory| 9 30 29 44 40 293D00000X Laboratories|Physiological Laboratory| 3 2 2 4 9 302F00000X Managed Care Organizations|Exclusive Provider Organization| 1 1 3 5 302R00000X Managed Care Organizations|Health Maintenance Organization| 3 12 4 1 20 305R00000X Managed Care Organizations|Preferred Provider Organization| 2 6 1 3 14 305S00000X Managed Care Organizations|Point of Service| 2 3 2 5 310400000X Nursing & Custodial Care Facilities|Assisted Living Facility| 3 13
3104A0630XNursing & Custodial Care Facilities|Assisted Living Facility|Assisted Living, Behavioral Disturbances 1
311500000X Nursing & Custodial Care Facilities|Alzheimer Center (Dementia Center)| 1
311Z00000X Nursing & Custodial Care Facilities|Custodial Care Facility| 1 2 10
311ZA0620X Nursing & Custodial Care Facilities|Custodial Care Facility|Adult Care Home 1 1 3
313M00000X Nursing & Custodial Care Facilities|Nursing Facility/Intermediate Care Facility| 2 3
Medicaid Managed Care Transparency Report | June 2019I - 31
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
314000000X Nursing & Custodial Care Facilities|Skilled Nursing Facility| 3 65 5 22 52
3140N1450XNursing & Custodial Care Facilities|Skilled Nursing Facility|Nursing Care, Pediatric 30 3 3 2 3
315D00000X Nursing & Custodial Care Facilities|Hospice, Inpatient| 8 8 3 5
315P00000XNursing & Custodial Care Facilities|Intermediate Care Facility, Mentally Retarded| 1 1
320600000XResidential Treatment Facilities|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities| 8 2 7 7
320700000XResidential Treatment Facilities|Residential Treatment Facility, Physical Disabilities| 1
320800000XResidential Treatment Facilities|Community Based Residential Treatment Facility, Mental Illness| 3 8 5 4 6
320900000XResidential Treatment Facilities|Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities| 1 1 1 11
322D00000XResidential Treatment Facilities|Residential Treatment Facility, Emotionally Disturbed Children| 1 2 2 1
323P00000X Residential Treatment Facilities|Psychiatric Residential Treatment Facility| 1 8 5 3
324500000X Residential Treatment Facilities|Substance Abuse Rehabilitation Facility| 23 20 28 28 48
3245S0500XResidential Treatment Facilities|Substance Abuse Rehabilitation Facility|Substance Abuse Treatment, Children 1
332000000X Suppliers|Military/U.S. Coast Guard Pharmacy| 9 332100000X Suppliers|Department of Veterans Affairs (VA) Pharmacy| 9 2 2
332800000X Suppliers|Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy| 3 1 1 332900000X Suppliers|Non‐Pharmacy Dispensing Site| 9 1 17 9 2 332B00000X Suppliers|Durable Medical Equipment & Medical Supplies| 515 472 769 702 518
Medicaid Managed Care Transparency Report | June 2019I - 32
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
332BC3200XSuppliers|Durable Medical Equipment & Medical Supplies|Customized Equipment 1 27 3 12 44
332BD1200XSuppliers|Durable Medical Equipment & Medical Supplies|Dialysis Equipment & Supplies 1
332BN1400XSuppliers|Durable Medical Equipment & Medical Supplies|Nursing Facility Supplies 1 5 2 1 14
332BP3500XSuppliers|Durable Medical Equipment & Medical Supplies|Parenteral & Enteral Nutrition 10 23 11 2 60
332BX2000XSuppliers|Durable Medical Equipment & Medical Supplies|Oxygen Equipment & Supplies 15 49 24 33 64
332H00000X Suppliers|Eyewear Supplier| 7 42 104 332S00000X Suppliers|Hearing Aid Equipment| 1 2 2 333600000X Suppliers|Pharmacy| 636 409 1,350 650 410 3336C0002X Suppliers|Pharmacy|Clinic Pharmacy 14 5 18 6 6 3336C0003X Suppliers|Pharmacy|Community/Retail Pharmacy 1,248 987 1,397 261 536 3336C0004X Suppliers|Pharmacy|Compounding Pharmacy 26 17 142 3 32 3336H0001X Suppliers|Pharmacy|Home Infusion Therapy Pharmacy 21 17 46 7 40 3336I0012X Suppliers|Pharmacy|Institutional Pharmacy 9 4 19 3 9 3336L0003X Suppliers|Pharmacy|Long Term Care Pharmacy 68 29 186 19 63 3336M0002X Suppliers|Pharmacy|Mail Order Pharmacy 16 9 3336M0003X Suppliers|Pharmacy|Managed Care Organization Pharmacy 7 1 3336S0011X Suppliers|Pharmacy|Specialty Pharmacy 9 19 71 2 34 335E00000X Suppliers|Prosthetic/Orthotic Supplier| 9 42 50 50 74
335V00000X Suppliers|Portable X‐ray and/or Other Portable Diagnostic Imaging Supplier| 3 3 2 7 6 341600000X Transportation Services|Ambulance| 12 32 18 22 3416A0800X Transportation Services|Ambulance|Air Transport 3 3 5 5
Medicaid Managed Care Transparency Report | June 2019I - 33
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
3416L0300X Transportation Services|Ambulance|Land Transport 7 8 12 14 343800000X Transportation Services|Secured Medical Transport (VAN)| 1 2 3 343900000X Transportation Services|Non‐emergency Medical Transport (VAN)| 2 240 1,350 107 264 344600000X Transportation Services|Taxi| 2 52 2 4 347B00000X Transportation Services|Bus| 16 1 347C00000X Transportation Services|Private Vehicle| 3 1 347E00000X Transportation Services|Transportation Broker| 97 2
363A00000XPhysician Assistants & Advanced Practice Nursing Providers|Physician Assistant| 214 441 560 530 626
363AM0700XPhysician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical 48 156 100 106 211
363AS0400XPhysician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Surgical 16 70 45 67 102
363L00000XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner| 431 587 754 652 1,804
363LA2100XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care 25 107 95 117 137
363LA2200XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health 59 124 111 134 162
363LC0200XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Critical Care Medicine 3 1 4 3
363LC1500XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Community Health 4 7 4 4 7
363LF0000XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family 427 1,336 1,596 1,461 1,673
363LG0600XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology 2 7 5 22 17
Medicaid Managed Care Transparency Report | June 2019I - 34
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
363LN0000XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Neonatal 9 22 54 57 39
363LN0005XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Neonatal, Critical Care 5 22 22 24 22
363LP0200XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics 72 152 105 165 196
363LP0222XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics, Critical Care 2 5 6 5 5
363LP0808XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health 55 69 104 107 151
363LP2300XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Primary Care 4 20 10 22 37
363LS0200XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|School 1 2 1 3 7
363LW0102XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Women's Health 29 57 52 52 86
363LX0001XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Obstetrics & Gynecology 39 21 43 13 24
363LX0106XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Occupational Health 1 1
364S00000XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist| 4 6 9 7 11
364SA2100XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Acute Care 2 4 1 3 4
364SA2200XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Adult Health 4 13 2 11 12
364SC0200XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Critical Care Medicine 1
Medicaid Managed Care Transparency Report | June 2019I - 35
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
364SC1501XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Community Health/Public Health 2 1 1 1
364SC2300XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Chronic Care 73
364SF0001XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Family Health 46 8 4 9 10
364SG0600XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Gerontology 2
364SM0705XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Medical‐Surgical 57 1
364SN0000XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Neonatal 1 2 2 1
364SP0200XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Pediatrics 1 3 2 3 7
364SP0807XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Psychiatric/Mental Health, Child & Adolescent 1 1
364SP0808XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Psychiatric/Mental Health 1 10 2 5 8
364SP0809XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Psychiatric/Mental Health, Adult 3 3 1 4 9
364SP0810XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Psychiatric/Mental Health, Child & Family 2 1 1
364SS0200XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|School 8
364SW0102XPhysician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Women's Health 1 3 3 1
367500000XPhysician Assistants & Advanced Practice Nursing Providers|Nurse Anesthetist, Certified Registered| 98 1,170 1,258 1,273 1,077
Medicaid Managed Care Transparency Report | June 2019I - 36
TAXONOMY GROUP |CLASSIFICATION ABH ACLA HB LHCC UHC
367A00000XPhysician Assistants & Advanced Practice Nursing Providers|Advanced Practice Midwife| 8 24 26 23 30
367H00000XPhysician Assistants & Advanced Practice Nursing Providers|Anesthesiologist Assistant| 1 7 3 7
372500000X Nursing Service Related Providers|Chore Provider| 7 372600000X Nursing Service Related Providers|Adult Companion| 1 6 13 374700000X Nursing Service Related Providers|Technician| 1 3747A0650X Nursing Service Related Providers|Technician|Attendant Care Provider 1 11 3747P1801X Nursing Service Related Providers|Technician|Personal Care Attendant 20 9 467 54 385H00000X Respite Care Facility|Respite Care| 1 4 7 385HR2055X Respite Care Facility|Respite Care|Respite Care, Mental Illness, Child 2
385HR2060XRespite Care Facility|Respite Care|Respite Care, Mental Retardation and/or Developmental Disabilities 3
385HR2065X Respite Care Facility|Respite Care|Respite Care, Physical Disabilities, Child 1 1 1
390200000XStudent, Health Care|Student in an Organized Health Care Education/Training Program| 127 195 77 43 1,621
13,614 28,553 25,744 34,567 34,323
1 Excludes out‐of‐state providers, except for those in a border county.2 Includes duplicative counts of individual providers who are enrolled under multiple provider taxonomies.
Source: LDH MARS Data Warehouse, June 29, 2018 Provider Registry
TOTAL
Medicaid Managed Care Transparency Report | June 2019I - 37
APPENDIX I: Total number of healthcare providers contracted, July 1, 2017 ‐ June 30, 20181
By Parish
Parish Parish Code ABH ACLA HB LHCC UHC Parish Parish Code ABH ACLA HB LHCC UHC
Acadia 01 87 220 348 425 168 Natchitoches 35 56 189 218 275 163Allen 02 58 188 235 223 85 Orleans 36 1,431 2,937 3,599 3,852 3,975Ascension 03 127 461 695 615 341 Ouachita 37 331 1,235 1,438 1,792 1,199Assumption 04 29 57 135 99 38 Plaquemines 38 16 30 136 32 38Avoyelles 05 56 180 230 314 131 Pointe Coupee 39 39 77 145 100 61Beauregard 06 29 102 167 217 84 Rapides 40 330 937 1,030 1,198 755Bienville 07 11 61 100 82 47 Red River 41 18 40 32 40 29Bossier 08 173 340 429 559 302 Richland 42 76 160 248 119 129Caddo 09 1,047 2,350 2,082 3,246 2,619 Sabine 43 34 78 109 61 58Calcasieu 10 392 850 849 1,345 853 St Bernard 44 65 183 362 190 154Caldwell 11 26 50 58 59 52 St Charles 45 62 313 577 403 119Cameron 12 10 59 41 59 19 St Helena 46 24 49 83 150 33Catahoula 13 15 31 46 169 37 St James 47 13 49 58 50 40Claiborne 14 32 68 145 17 35 St John 48 47 194 328 33 131Concordia 15 29 128 137 174 73 St Landry 49 196 455 537 741 360Desoto 16 106 57 94 143 59 St Martin 50 77 136 188 129 81East Baton Rouge 17 1,240 3,106 3,329 4,437 3,122 St Mary 51 92 237 362 264 176East Carroll 18 6 51 59 52 28 St Tammany 52 547 1,667 2,018 1,764 1,369East Feliciana 19 48 122 210 163 95 Tangipahoa 53 188 925 1,237 832 672Evangeline 20 89 178 210 229 148 Tensas 54 11 49 65 38 24Franklin 21 33 122 180 211 104 Terrebonne 55 227 675 914 750 627Grant 22 11 1,783 61 35 Union 56 29 77 124 47 70Iberia 23 160 304 484 551 284 Vermilion 57 55 184 266 205 128Iberville 24 51 88 320 210 91 Vernon 58 45 150 161 130 119Jackson 25 16 74 88 413 58 Washington 59 168 326 590 306 246Jefferson 26 1,503 3,834 4,081 4,716 3,501 Webster 60 68 191 262 240 168Jefferson Davis 27 42 141 174 192 92 West Baton Rouge 61 19 83 267 40 55Lafayette 28 709 1,629 1,733 2,256 1,531 West Carroll 62 12 29 37 37 28Lafourche 29 181 564 758 625 416 West Feliciana 63 28 43 162 73 38LaSalle 30 38 106 135 63 78 Winn 64 16 68 82 65 36Lincoln 31 59 169 250 12 222 Texas Counties 90 92 70 548Livingston 32 109 362 654 421 235 Mississippi Counties 91 5 302 316Madison 33 16 44 58 209 71 Arkansas Counties 92 245 19 149Morehouse 34 64 143 212 196 121 6,602 18,022 18,787 22,702 15,175
1 Excludes out‐of‐state providers, except for those in a border county.2 Includes duplicative counts of individual providers who provide services in multiple parishes.
TOTAL2
Source: LDH MARS Data Warehouse, June 29, 2018 Provider Registry
Medicaid Managed Care Transparency Report | June 2019I - 38
APPENDIX I ‐ Total number of MCNA providers contracted, July 1, 2017 ‐ June 30, 20181
By provider type
Provider Type Description Provider Type Provider Count
DENTIST (IND & GP) 27 1,500
HOSPITAL 60 1
FED QUALIFIED HLTH CTR (IN‐ST) 72 78
AMERICAN INDIAN/638 FACILITY 95 1 1,580
1 Excludes out‐of‐state providers, except those located in border county.2 Includes duplicative counts of individual providers who are enrolled under multiple provider types.
Source: LDH MARS Data Warehouse, June 29, 2018 Provider Registry
Total2
Medicaid Managed Care Transparency Report | June 2019 I - 39
APPENDIX I ‐ Total number of MCNA providers contracted, July 1, 2017 ‐ June 30, 20181
By Taxonomy
Taxonomy Group|ClassifictaionProvider Count
101Y00000X Behavioral Health & Social Service Providers | Counselor 4
101YM0800X Behavioral Health & Social Service Providers | Counselor 10
103T00000X Behavioral Health & Social Service Providers | Psychologist 13
104100000X Behavioral Health & Social Service Providers | Social Worker 10
1041C0700X Behavioral Health & Social Service Providers | Social Worker 5
122300000X Dental Providers | Dentist 590
1223D0001X Dental Providers | Dentist 11
1223D0004X Dental Providers | Dentist 2
1223E0200X Dental Providers | Dentist 70
1223G0001X Dental Providers | Dentist 1,070
1223P0106X Dental Providers | Dentist 8
1223P0221X Dental Providers | Dentist 135
1223P0300X Dental Providers | Dentist 7
1223P0700X Dental Providers | Dentist 3
1223S0112X Dental Providers | Dentist 141
1223X0400X Dental Providers | Dentist 60
124Q00000X Dental Providers | Dental Hygienist 8
126800000X Dental Providers | Dental Assistant 4
174400000X Other Service Providers | Specialist 5
183500000X Pharmacy Service Providers | Pharmacist 1
193200000X Group | Multi‐Specialty 6
193400000X Group | Single Specialty 29
Medicaid Managed Care Transparency Report | June 2019 I - 40
Taxonomy Group|ClassifictaionProvider Count
204E00000X Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery 22
207K00000X Allopathic & Osteopathic Physicians | Allergy & Immunology 3
207KA0200X Allopathic & Osteopathic Physicians | Allergy & Immunology 1
207N00000X Allopathic & Osteopathic Physicians | Dermatology 3
207Q00000X Allopathic & Osteopathic Physicians | Family Medicine 13
207QA0505X Allopathic & Osteopathic Physicians | Family Medicine 1
207R00000X Allopathic & Osteopathic Physicians | Internal Medicine 1
207SG0201X Allopathic & Osteopathic Physicians | Medical Genetics 1
207X00000X Allopathic & Osteopathic Physicians | Orthopaedic Surgery 1
208000000X Allopathic & Osteopathic Physicians | Pediatrics 4
2080P0008X Allopathic & Osteopathic Physicians | Pediatrics 1
2082S0099X Allopathic & Osteopathic Physicians | Plastic Surgery 1
2083P0901X Allopathic & Osteopathic Physicians | Preventive Medicine 2
2086S0122X Allopathic & Osteopathic Physicians | Surgery 1
208D00000X Allopathic & Osteopathic Physicians | General Practice 2
225X00000X Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupa 1
261Q00000X Ambulatory Health Care Facilities | Clinic/Center 10
261QA1903X Ambulatory Health Care Facilities | Clinic/Center 2
261QC1500X Ambulatory Health Care Facilities | Clinic/Center 2
261QD0000X Ambulatory Health Care Facilities | Clinic/Center 17
261QF0400X Ambulatory Health Care Facilities | Clinic/Center 78
261QH0100X Ambulatory Health Care Facilities | Clinic/Center 2
261QM1300X Ambulatory Health Care Facilities | Clinic/Center 2
261QP2300X Ambulatory Health Care Facilities | Clinic/Center 2
261QR1300X Ambulatory Health Care Facilities | Clinic/Center 1
Medicaid Managed Care Transparency Report | June 2019 I - 41
Taxonomy Group|ClassifictaionProvider Count
261QS0112X Ambulatory Health Care Facilities | Clinic/Center 1
282N00000X Hospitals | General Acute Care Hospital 2
284300000X Hospitals | Special Hospital 1
363LF0000X Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner 3
390200000X Student, Health Care | Student in an Organized Health Care Education/Training Progra 29 2,402
1 Excludes out‐of‐state providers, except those located in border county.2 Includes duplicative counts of individual providers who are enrolled under multiple provider taxonomies.
Source: LDH MARS Data Warehouse, June 29, 2018 Provider Registry
TOTAL2
Medicaid Managed Care Transparency Report | June 2019 I - 42
APPENDIX I: Total number of MCNA providers contracted, July 1, 2017 ‐ June 30, 20181
By Parish
Parish Parish Code Provider Count Parish Parish Code Provider CountAcadia 01 32 Natchitoches 35 6Allen 02 5 Orleans 36 130Ascension 03 22 Ouachita 37 102 Assumption 04 1 Plaquemines 38 2Avoyelles 05 11 Pointe Coupee 39 6Beauregard 06 9 Rapides 40 81Bienville 07 6 Red River 41 3Bossier 08 41 Richland 42 14Caddo 09 99 Sabine 43 3Calcasieu 10 41 St Bernard 44 83Caldwell 11 4 St Charles 45 20Cameron 12 ‐ St Helena 46 4Catahoula 13 3 St James 47 9Claiborne 14 3 St John 48 13Concordia 15 8 St Landry 49 21Desoto 16 7 St Martin 50 14East Baton Rouge 17 159 St Mary 51 14East Carroll 18 ‐ St Tammany 52 72East Feliciana 19 9 Tangipahoa 53 54Evangeline 20 16 Tensas 54 2Franklin 21 6 Terrebonne 55 33Grant 22 3 Union 56 5Iberia 23 15 Vermilion 57 12Iberville 24 11 Vernon 58 9Jackson 25 2 Washington 59 15Jefferson 26 283 Webster 60 14Jefferson Davis 27 8 West Baton Rouge 61 4Lafayette 28 86 West Carroll 62 7Lafourche 29 56 West Feliciana 63 3LaSalle 30 3 Winn 64 7Lincoln 31 6 Texas Counties 90 4Livingston 32 56 Mississippi Counties 91 9Madison 33 3 Arkansas Counties 92 ‐Morehouse 34 13 1,802
1 Excludes out‐of‐state providers, except those located in border county.2 Includes duplicative counts of individual providers who provide services in multiple parishes.
Source: LDH MARS Data Warehouse, June 29, 2018 Provider RegistryTotal2
Medicaid Managed Care Transparency Report | June 2019 I - 43