Texas Workers' Compensation Hospital Billing Records for Five Years

Five years of institutional medical billing services data from the Texas Department of Insurance, Division of Workers’ Compensation. The dataset contains charges, payments, and treatments billed by hospitals and medical facilities for injured employees on CMS-1450 forms. It includes details to identify insurance carriers, employees, employers, place of service, and diagnostic information.

Use Cases

• Analyze payment patterns across insurance carriers and place of service categories for billed treatments.
• Model treatment charges based on diagnostic information and employer identifiers.
• Group individual bill details into single bills using bill selection date and bill ID fields.
• Investigate temporal trends in charges and payments over the five-year service date range.

Strengths

• Covers five years of detailed billing records for workers' compensation claims.
• Includes specific data fields for charges, payments, treatments, and diagnostic information.
• Data is maintained by the authoritative Texas Department of Insurance, Division of Workers’ Compensation.
• Available in multiple machine-readable formats including JSON, RDF, CSV, and XML.

Limitations

• Row count and column structure are unknown, limiting assessment of scale and feature set.
• Excludes data from ambulatory surgical centers, which may bias the view of medical facility treatments.
• Requires joining with a separate header dataset for complete bill context, adding complexity.

Provenance

Source

Texas Department of Insurance, Division of Workers’ Compensation (DWC).

Collection Method

Maintained database of institutional medical billing services (SV2) submitted on CMS-1450 forms.

Time Range

Dates of service for the last five years (specific years not stated).

Freshness

Last updated March 2026.

Geography

Texas, United States.