RBRVS EZ-Fees®  Locality/ZIP Code/Carrier Table    

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Carrier and Zip Code Tables
  • Used by developers for advanced RBRVS fee analysis
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RBRVS EZ-Fees Pro Plus exports two tables related to zip codes, carriers and localities 

GPCI Locality Table State, County, Carrier and Locality.  

State ST DESC county carrier loccode work pract malp
ALABAMA AL ALABAMA ALL COUNTIES 00510 00 1 0.847 0.74
ALASKA AK ALASKA ALL COUNTIES 00831 01 1.017 1.105 1.013
ARIZONA AZ ARIZONA ALL COUNTIES 03102 00 1 0.994 1.052
ARKANSAS AR ARKANSAS ALL COUNTIES 00520 13 1 0.832 0.431
CALIFORNIA CA REST OF CALIFORNIA* ALL OTHER COUNTIES 31146 99 1.007 1.054 0.721
CALIFORNIA CA VENTURA, CA VENTURA 31146 17 1.028 1.181 0.732
CALIFORNIA CA LOS ANGELES, CA LOS ANGELES 31146 18 1.041 1.158 0.939
CALIFORNIA CA ANAHEIM/SANTA ANA, CA ORANGE 31146 26 1.034 1.238 0.939
CALIFORNIA CA REST OF CALIFORNIA* ALL OTHER COUNTIES 31140 99 1.007 1.054 0.721
CALIFORNIA CA MARIN/NAPA/SOLANO, CA MARIN, NAPA, AND SOLANO 31140 03 1.035 1.342 0.64
CALIFORNIA CA SAN FRANCISCO, CA SAN FRANCISCO 31140 05 1.06 1.546 0.64
CALIFORNIA CA SAN MATEO, CA SAN MATEO 31140 06 1.073 1.539 0.629
CALIFORNIA CA SANTA CLARA, CA SANTA CLARA 31140 09 1.083 1.543 0.595
CALIFORNIA CA OAKLAND/BERKLEY, CA ALMEDA AND CONTRA COSTA 31140 07 1.054 1.373 0.64
COLORADO CO COLORADO ALL COUNTIES 00824 01 1 1.015 0.79
CONNECTICUT CT CONNECTICUT ALL COUNTIES 00591 00 1.038 1.172 0.886
DELAWARE DE DELAWARE ALL COUNTIES 00902 01 1.012 1.02 0.877
DISTRICT OF COLUMBIA DC DC + MD/VA SUBURBS DISTRICT OF COLUMBIA; ALEXANDRIA CITY, ARLINGTON, FAIRFAX, FAIRFAX CITY, FALLS CHURCH CITY IN VIRGINIA; MONTGOMERY AND PRINCE GEORGE'S IN MARYLAND 00903 01 1.048 1.252 0.911
FLORIDA FL MIAMI, FL DADE AND MONROE 00590 04 1 1.048 2.233
FLORIDA FL FORT LAUDERDALE, FL BROWARD, COLLIER, INDIAN RIVER, LEE, MARTIN, PALM BEACH, AND ST. LUCIE 00590 03 1 0.99 1.675
FLORIDA FL REST OF FLORIDA ALL OTHER COUNTIES 00590 99 1 0.936 1.251
GEORGIA GA REST OF GEORGIA ALL OTHER COUNTIES 00511 99 1 0.874 0.95
GEORGIA GA ATLANTA, GA BUTTS, CHEROKEE, CLAYTON, COBB, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HENRY, NEWTON, PAULDING, ROCKDALE AND WALTON 00511 01 1.01 1.091 0.95
NEW YORK NY QUEENS, NY QUEENS 14330 04 1.032 1.23 1.682
NEW YORK NY REST OF NEW YORK ALL OTHER COUNTIES 00801 99 1 0.919 0.666
NEW YORK NY NYC SUBURBS/LONG I., NY BRONX, KINGS, NASSAU, RICHMOND, ROCKLAND, SUFFOLK AND WESTCHESTER 00803 02 1.052 1.283 1.756
NEW YORK NY MANHATTAN, NY NEW YORK 00803 01 1.065 1.3 1.48
NORTH CAROLINA NC NORTH CAROLINA ALL COUNTIES 05535 00 1 0.922 0.63
NORTH DAKOTA ND NORTH DAKOTA ALL COUNTIES 03302 01 1 0.861 0.593
OHIO OH OHIO ALL COUNTIES 00883 00 1 0.934 0.96
OKLAHOMA OK OKLAHOMA ALL COUNTIES 00522 00 1 0.856 0.376
OREGON OR PORTLAND, OR CLACKAMAS, MULTNOMAH AND WASHINGTON 00835 01 1.002 1.059 0.434
OREGON OR REST OF OREGON ALL OTHER COUNTIES 00835 99 1 0.927 0.434
PENNSYLVANIA PA METROPOLITAN PHILADELPHIA, BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA 00865 01 1.016 1.106 1.364
PENNSYLVANIA PA REST OF PENNSYLVANIA ALL OTHER COUNTIES 00865 99 1 0.904 0.793
PUERTO RICO PR PUERTO RICO ALL COUNTY EQUIVALENTS 00973 20 1 0.699 0.257
RHODE ISLAND RI RHODE ISLAND ALL COUNTIES 00524 01 1.045 0.991 0.895
SOUTH CAROLINA SC SOUTH CAROLINA ALL COUNTIES 00880 01 1 0.894 0.388
SOUTH DAKOTA SD SOUTH DAKOTA ALL COUNTIES 03402 02 1 0.877 0.359
TENNESSEE TN TENNESSEE ALL COUNTIES 05440 35 1 0.881 0.621
TEXAS TX BRAZORIA, TX BRAZORIA 00900 09 1.02 0.963 1.277
TEXAS TX DALLAS, TX DALLAS 00900 11 1.009 1.064 1.044
TEXAS TX GALVESTON, TX GALVESTON 00900 15 1 0.954 1.277
TEXAS TX HOUSTON, TX HARRIS 00900 18 1.016 1.016 1.276
TEXAS TX BEAUMONT, TX JEFFERSON 00900 20 1 0.862 1.277
TEXAS TX FORT WORTH, TX TARRANT 00900 28 1 0.991 1.044
TEXAS TX AUSTIN, TX TRAVIS 00900 31 1 1.048 0.97
TEXAS TX REST OF TEXAS ALL OTHER COUNTIES 00900 99 1 0.866 1.12

Zip Code to Carrier Crosswalk  


Record Layout:
Field Type Size  Description
Zip Code Text 5 5 digit Zip Code
Carrier Text 5 5 digit number assigned to Part B carrier
Locality Text 2 Two Digit Locality - "99" indicates statewide or rest of state
Rural Ind Text 1 HPSA Bonus Area Designator - "R" for Rural
Version Text 5 Year plus quarter - "20061" represents 2006 1st quarter
Work Num  9.999 RBRVS Work component
Pract Num 9.999 RBRVS Practice component (non facility)
Malp Num 9.999 RBRVS Malpractice component
State Text 2 Two letter abbreviation for state - "PA" for Pennsylvania 
County Text 50 Description of county or counties - "BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA"
Desc Text 50 METROPOLITAN PHILADELPHIA

Sample Data  download sample zip code to carrier crosswalk file 500 records 10KB download
 
ZIPCODE CARRIER LOCALITY RURAL IND VERSION WORK PRACT MALP STATE COUNTY DESC
18847 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18848 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18850 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18851 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18853 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18854 00865 99 R 20061 1 0.902 0.806 PA ALL OTHER COUNTIES REST OF PENNSYLVANIA
18901 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18910 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18911 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18912 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18913 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18914 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,
18915 00865 01
20061 1.016 1.104 1.386 PA BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA METROPOLITAN PHILADELPHIA,

Notes: The main purpose of this table is to provide a crosswalk between zip code and Medicare locality. This table is used by software developers who want to write a routine that will allow the user to enter a zip code and return a value that contains the carrier number plus locality. For example zip code "18915" returns "00865 01". This information can then be used to with the RBRVS EZ-Fees®  National Access® Table Export Wizard  to look up specific Medicare reimbursement rates.

 RBRVS EZ-Fees®  Locality/ZIP Code/Carrier Table     

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