Health Maintenance Organization
There are 4587 active health maintenance organization providers in the United States, distributed across 61 states. (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-p
By state
Top metros
- MIAMI, FL 154 providers
- TAMPA, FL 118 providers
- HOUSTON, TX 78 providers
- NEW YORK, NY 64 providers
- LAS VEGAS, NV 52 providers
- CHICAGO, IL 51 providers
- BROOKLYN, NY 49 providers
- LOS ANGELES, CA 48 providers
- PLANTATION, FL 43 providers
- SAN JUAN, PR 34 providers
- PORTLAND, OR 33 providers
- SAINT LOUIS, MO 33 providers
- DETROIT, MI 33 providers
- SAN DIEGO, CA 31 providers
- ATLANTA, GA 29 providers
- DALLAS, TX 29 providers
- SAN JOSE, CA 23 providers
- BRONX, NY 23 providers
- PHOENIX, AZ 23 providers
- ORLANDO, FL 21 providers
About health maintenance organization
(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.
Frequently asked
What does a health maintenance organization provider do?
Health Maintenance Organization providers are healthcare professionals classified under the NUCC Healthcare Provider Taxonomy. Refer to the NUCC taxonomy definitions and your state licensing board for scope of practice details.
How do I verify a health maintenance organization provider's NPI?
Every NPI on Praxis MD has a verifiable record in the official CMS NPPES registry. Open NPPES to confirm, then check the issuing state board for current license status.
How current is this data?
Praxis MD refreshes the monthly NPPES bulk file and applies weekly delta updates. Each page shows its 'Updated' date.