Medical item prescription reporting amount (year)
Provide the medical order application data for each medical service for public review.
Data fields
Cost per year、Medical service code、中文項目名稱、English item name、The effective date、Declaration amount (times)、Note payment standards transfer plan、Note the plan transfer payment standards
Contact person
陳小姐 ((02)2706-5866#2635)
Update frequency
Every June
License
Open Government Data License, version 1.0
Charge
free
Publish date
2025-12-10
Dataset type
System programming interface
Updated time
2025-12-15 14:55
Topic
Other
Service category
Dataset Category
Data archives
Keyword
Medical administrationLifeMedical serviceBenefit itemsDeclaration volume
Note
1. Data source: National Health Insurance Administration's multi-model health insurance data platform, payment standard historical file, payment standard declaration file (monthly cumulative quarter).2. This report was created on 114/12/10, the data year starts from the 114th year, and the data is presented in the form of the latest diagnostic item parts, chapters, sections, and effective expiration date from the payment standard historical file on the day of data extraction.3. The data is calculated based on the medical order codes reported by medical, inpatient, and dispensing institutions, excluding specific medical order categories (outpatient or dispensing medical order categories are 3, D, E, F, and inpatient medical order categories are 3, A, B, D, E, F, Y, Z), and changes in certain cost-sharing codes.4. Starting from February 19, 108th year, medical order category K (average nursing-patient ratio reaching a specific threshold bonus on a daily basis) is not included in the calculation of medical order declarations.5. If the declared quantity (times) is 0, it means that there is no declaration data for the payment standard during the effective period of the treatment item.6. This database is based on quarters: (1) Note of Payment Standard to Plan Conversion: The medical order code is converted from the payment standard to the plan after the effective expiration date. Therefore, the declared quantity and medical order points are calculated until the end of the quarter after the effective expiration date. (2) Note of Plan to Payment Standard Conversion: The medical order code is converted from the plan to the payment standard from the effective date, so the declared quantity and medical order points are calculated starting from the quarter after the effective date. (e.g. Data year 2024, treatment item 91090C payment standard period 2022/03/01-2024/02/29, converted to a plan on 2024/03/01, hence the declared quantity is tallied until 2024/03/31, with the column marked with "V", and a blank value presented as "-") (file update time: 2025-12-10 10:37:38)
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Applications
No available applications