Document
Medicare Advantage Applications - Part C
ICR 200809-0938-012 · OMB 0938-0935 · Object 9678801.
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Document Metadata
| File Type | application/vnd.ms-excel |
|---|---|
| File Title | Medicare Advantage Applications - Part C |
| Author | CMS |
| Last Modified By | Calc |
| File Modified | 2008-12-05 |
| File Created | 2026-10-06 |
| Conversion State | complete |
Extracted Text
HSD- 1 County Projected Enrollment: County Served (state/county code) Specialty Code Specialty or Required Medicare Service # of Available Medicare Providers by County Medicare Provider Breakdown Direct w/MAO 001 General Practice 002 Family Practice 003 Internal Medicine 004 Geriatrics Mid -Level Practitioners 005 Obstetrics/Gynecology 006 007 Cardiology 008 Chiropractic 009 Dermatology 010 Endocrinology 011 ENT 012 Gastroenterology 013 General Surgery 014 Nephrology 015 Neurology 016 Oncology 017 Ophthalmology 018 Oral Surgery 019 Orthopedics 020 Podiatry 021 Psychiatry 022 Pulmonology 023 Radiology 024 Rheumatology 025 Urology 026 Vascular Surgery 027 Acute Inpatient Hospitals Diagnostic & Terapeeutic Radiology (Excluding 028 Mammogram) 029 DME/Prosthetic Devices 030 Home Health 031 Lab Services 032 IP - Mental Illness 033 OP- Mental Illness 034 Mammography 035 OP - Renal Dialysis 036 Skilled Nursing Facility Downstream Arrangement Total # of Providers Total # of PCPs Accepting New Patients Total # of PCPs Accepting Only Established Patients Other Counties Served Surgical Services - OP or 037 Ambulatory 038 Therapy - Occupational/Physical 039 Therapy - Speech 040 Heart Transplant Facilities Heart & Lung Transplant 041 Facilities 042 Intestinal Transplant Facilities 043 Kidney Transplant Facilities 044 Liver Transplant Facilities 045 Lung Transplant Facilities 046 Pancreas Transplant Facilities