Texas Workers' Compensation Medical Billing Details

A database of professional medical billing services for injured employees in Texas. It contains charges, payments, and treatments billed on CMS-1500 forms by healthcare professionals, with dates of service for the last five years. The data is maintained by the Texas Department of Insurance, Division of Workers' Compensation.

Use Cases

• Analyze charges and payments for specific treatments to identify billing patterns across insurance carriers.
• Group individual line items into single bills using bill selection date and bill ID fields to reconstruct full claim details.
• Examine diagnostic information and place of service codes to understand treatment types for workers' compensation injuries.
• Link detail records to corresponding header information using bill ID for comprehensive claim analysis.

Strengths

• Contains five years of recent medical billing data for workers' compensation cases.
• Includes specific data fields for charges, payments, treatments, and diagnostic information.
• Provides a detailed data dictionary for field definitions and usage guidance.

Limitations

• Row count and column structure are unspecified, making scale and feature scope unknown.
• Requires joining with a separate header dataset using bill ID for complete bill context.
• Data may be limited to Texas geography and workers' compensation cases, not general healthcare billing.

Provenance

Source

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

Collection Method

Maintained database of bills submitted on CMS-1500 forms by healthcare professionals.

Time Range

Dates of service for the last five years (historical data available back to 2010).

Freshness

Last updated March 2026, indicating active maintenance.

Geography

Texas, United States.