Health Maintenance Organization - 302R00000X
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(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
| Field | Value |
|---|---|
| Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| Specialization | — |
| Category | Non-Individual |
NPI Registrations
5.3K NPIs are registered under this taxonomy code nationwide.
The table below splits that total by NPI type — Type 1 covers individual practitioners, Type 2 covers organizations and facilities — followed by the five states with the most NPIs registered under this taxonomy code.
| Field | Value |
|---|---|
| Registered NPIs | 5.3K |
| Type 1 (Individual) | 365 |
| Type 2 (Organizational) | 5.0K |
Frequently Asked Questions
References
- 1.Health Care Provider Taxonomy Code Set. National Uniform Claim Committee (NUCC). Retrieved Aug 11, 2026.The official registry of provider taxonomy codes used to classify individual and organizational health care providers by specialty on standard transactions such as claims, NPI enrollment, and prior authorization requests.
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