Referrals in 2023

The reports are based on data submitted by medical professionals to the NHIS.

Total Number of Issued Referrals Nationwide in 2023

25.73M
Shows the total number of referrals recorded in the NHIS by healthcare professionals during the year. Annulled referrals are excluded.

Data as of 11:07 AM on Sep 1st, 2026

"referral_type","count_referrals" "Направление за лабораторни изследвания / Referral for Laboratory Procedures",12764043 "Направление за консултация / Referral for Consultations",8944551 "Направление за хоспитализация / Referral for Hospitalization",2557701 "Направление за високоспециализирани дейности / Referral for Specialized Activities",915125 "Направление за медицинска експертиза / Referral for Medical Expertise",446562 "Направление за ТЕЛК / Referral for Work Incapacity ",97227 Download CSV (preferably in text editor)

Number of issued referrals by type in 2023

Shows the total number of issued referrals by type recorded in the NHIS by healthcare professionals during the year. Annulled referrals are excluded.

Data as of 11:07 AM on Sep 1st, 2026

referral_month,type,referrals_count Ян. / Jan,Направление за хоспитализация / Referral for Hospitalization,199851 Ян. / Jan,Направление за високоспециализирани дейности / Referral for Specialized Activities,58573 Ян. / Jan,Направление за консултация / Referral for Consultations,731811 Ян. / Jan,Направление за лабораторни изследвания / Referral for Laboratory Procedures,903049 Ян. / Jan,Направление за медицинска експертиза / Referral for Medical Expertise,32590 Февр. / Feb,Направление за високоспециализирани дейности / Referral for Specialized Activities,50655 Февр. / Feb,Направление за хоспитализация / Referral for Hospitalization,179914 Февр. / Feb,"Направление за ТЕЛК / Referral for Work Incapacity ",4414 Февр. / Feb,Направление за медицинска експертиза / Referral for Medical Expertise,30731 Февр. / Feb,Направление за лабораторни изследвания / Referral for Laboratory Procedures,860862 Февр. / Feb,Направление за консултация / Referral for Consultations,634583 Март / Mar,Направление за консултация / Referral for Consultations,680557 Март / Mar,Направление за високоспециализирани дейности / Referral for Specialized Activities,57276 Март / Mar,Направление за лабораторни изследвания / Referral for Laboratory Procedures,941872 Март / Mar,Направление за медицинска експертиза / Referral for Medical Expertise,33249 Март / Mar,"Направление за ТЕЛК / Referral for Work Incapacity ",8573 Март / Mar,Направление за хоспитализация / Referral for Hospitalization,204507 Апр. / Apr,Направление за хоспитализация / Referral for Hospitalization,174520 Апр. / Apr,Направление за консултация / Referral for Consultations,640664 Апр. / Apr,Направление за високоспециализирани дейности / Referral for Specialized Activities,60258 Апр. / Apr,Направление за лабораторни изследвания / Referral for Laboratory Procedures,875936 Апр. / Apr,Направление за медицинска експертиза / Referral for Medical Expertise,29154 Апр. / Apr,"Направление за ТЕЛК / Referral for Work Incapacity ",7531 Май / May,Направление за хоспитализация / Referral for Hospitalization,199485 Май / May,Направление за високоспециализирани дейности / Referral for Specialized Activities,65010 Май / May,Направление за консултация / Referral for Consultations,676412 Май / May,Направление за лабораторни изследвания / Referral for Laboratory Procedures,929861 Май / May,Направление за медицинска експертиза / Referral for Medical Expertise,33004 Май / May,"Направление за ТЕЛК / Referral for Work Incapacity ",8761 Юни / June,Направление за хоспитализация / Referral for Hospitalization,194215 Юни / June,"Направление за ТЕЛК / Referral for Work Incapacity ",9066 Юни / June,Направление за медицинска експертиза / Referral for Medical Expertise,33233 Юни / June,Направление за лабораторни изследвания / Referral for Laboratory Procedures,851095 Юни / June,Направление за консултация / Referral for Consultations,618962 Юни / June,Направление за високоспециализирани дейности / Referral for Specialized Activities,71998 Юли / July,Направление за хоспитализация / Referral for Hospitalization,181305 Юли / July,Направление за високоспециализирани дейности / Referral for Specialized Activities,58227 Юли / July,Направление за консултация / Referral for Consultations,604114 Юли / July,Направление за лабораторни изследвания / Referral for Laboratory Procedures,815713 Юли / July,Направление за медицинска експертиза / Referral for Medical Expertise,33244 Юли / July,"Направление за ТЕЛК / Referral for Work Incapacity ",8153 Авг. / Aug,Направление за високоспециализирани дейности / Referral for Specialized Activities,55668 Авг. / Aug,Направление за консултация / Referral for Consultations,625820 Авг. / Aug,Направление за лабораторни изследвания / Referral for Laboratory Procedures,908736 Авг. / Aug,Направление за медицинска експертиза / Referral for Medical Expertise,33474 Авг. / Aug,"Направление за ТЕЛК / Referral for Work Incapacity ",8837 Авг. / Aug,Направление за хоспитализация / Referral for Hospitalization,189186 Септ. / Sept,Направление за хоспитализация / Referral for Hospitalization,182547 Септ. / Sept,"Направление за ТЕЛК / Referral for Work Incapacity ",8056 Септ. / Sept,Направление за медицинска експертиза / Referral for Medical Expertise,32452 Септ. / Sept,Направление за лабораторни изследвания / Referral for Laboratory Procedures,921063 Септ. / Sept,Направление за консултация / Referral for Consultations,622467 Септ. / Sept,Направление за високоспециализирани дейности / Referral for Specialized Activities,54656 Окт. / Oct,Направление за хоспитализация / Referral for Hospitalization,215843 Окт. / Oct,"Направление за ТЕЛК / Referral for Work Incapacity ",10222 Окт. / Oct,Направление за медицинска експертиза / Referral for Medical Expertise,36572 Окт. / Oct,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1049860 Окт. / Oct,Направление за консултация / Referral for Consultations,804375 Окт. / Oct,Направление за високоспециализирани дейности / Referral for Specialized Activities,79128 Ноем. / Nov,Направление за хоспитализация / Referral for Hospitalization,210506 Ноем. / Nov,"Направление за ТЕЛК / Referral for Work Incapacity ",10350 Ноем. / Nov,Направление за медицинска експертиза / Referral for Medical Expertise,36271 Ноем. / Nov,Направление за лабораторни изследвания / Referral for Laboratory Procedures,965881 Ноем. / Nov,Направление за консултация / Referral for Consultations,713733 Ноем. / Nov,Направление за високоспециализирани дейности / Referral for Specialized Activities,63773 Дек. / Dec,Направление за хоспитализация / Referral for Hospitalization,154555 Дек. / Dec,"Направление за ТЕЛК / Referral for Work Incapacity ",7486 Дек. / Dec,Направление за медицинска експертиза / Referral for Medical Expertise,29581 Дек. / Dec,Направление за лабораторни изследвания / Referral for Laboratory Procedures,670294 Дек. / Dec,Направление за консултация / Referral for Consultations,475084 Дек. / Dec,Направление за високоспециализирани дейности / Referral for Specialized Activities,42724 Download CSV (preferably in text editor)

Number of issued referrals by type and month in 2023

Shows the monthly distribution of issued referrals by type during the year. Interactive Visualization. To exclude a category from the chart, click on its menu color.

Data as of 11:07 AM on Sep 1st, 2026

"referral_type","district_of_medical_institution_bg","district_of_medical_institution_en","count_referrals" "Направление за лабораторни изследвания / Referral for Laboratory Procedures","София Град","Sofia City",2172350 "Направление за консултация / Referral for Consultations","София Град","Sofia City",1553291 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Пловдив","Plovdiv",1377596 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Варна","Varna",944226 "Направление за консултация / Referral for Consultations","Пловдив","Plovdiv",898025 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Бургас","Burgas",736033 "Направление за хоспитализация / Referral for Hospitalization","София Град","Sofia City",613241 "Направление за консултация / Referral for Consultations","Варна","Varna",613017 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Благоевград","Blagoevgrad",569580 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Стара Загора","Stara Zagora",562177 "Направление за консултация / Referral for Consultations","Бургас","Burgas",536522 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Плевен","Pleven",503214 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Велико Търново","Veliko Tarnovo",466741 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Пазарджик","Pazardzhik",461520 "Направление за консултация / Referral for Consultations","Благоевград","Blagoevgrad",434816 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Русе","Ruse",410925 "Направление за консултация / Referral for Consultations","Стара Загора","Stara Zagora",398939 "Направление за хоспитализация / Referral for Hospitalization","Пловдив","Plovdiv",388519 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","София Област","Sofia",387062 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Хасково","Haskovo",354603 "Направление за консултация / Referral for Consultations","Плевен","Pleven",351611 "Направление за консултация / Referral for Consultations","Пазарджик","Pazardzhik",337755 "Направление за консултация / Referral for Consultations","Велико Търново","Veliko Tarnovo",328738 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Сливен","Sliven",319208 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Добрич","Dobrich",309371 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Шумен","Shumen",299904 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Враца","Vratsa",297744 "Направление за консултация / Referral for Consultations","Русе","Ruse",294932 "Направление за консултация / Referral for Consultations","София Област","Sofia",294928 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Ямбол","Yambol",250310 "Направление за консултация / Referral for Consultations","Хасково","Haskovo",248321 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Перник","Pernik",245955 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Монтана","Montana",236953 "Направление за консултация / Referral for Consultations","Враца","Vratsa",235972 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Кърджали","Kardzhali",235923 "Направление за консултация / Referral for Consultations","Сливен","Sliven",229109 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Ловеч","Lovech",215502 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Габрово","Gabrovo",215100 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Кюстендил","Kyustendil",213296 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Смолян","Smolyan",212661 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Търговище","Targovishte",212235 "Направление за консултация / Referral for Consultations","Добрич","Dobrich",198679 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Видин","Vidin",196266 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Разград","Razgrad",193233 "Направление за консултация / Referral for Consultations","Шумен","Shumen",189365 "Направление за консултация / Referral for Consultations","Монтана","Montana",183312 "Направление за консултация / Referral for Consultations","Габрово","Gabrovo",168369 "Направление за консултация / Referral for Consultations","Кърджали","Kardzhali",164977 "Направление за лабораторни изследвания / Referral for Laboratory Procedures","Силистра","Silistra",164355 "Направление за консултация / Referral for Consultations","Перник","Pernik",154728 "Направление за консултация / Referral for Consultations","Ловеч","Lovech",153527 "Направление за хоспитализация / Referral for Hospitalization","Бургас","Burgas",150340 "Направление за консултация / Referral for Consultations","Търговище","Targovishte",147392 "Направление за консултация / Referral for Consultations","Кюстендил","Kyustendil",145881 "Направление за консултация / Referral for Consultations","Ямбол","Yambol",144837 "Направление за консултация / Referral for Consultations","Разград","Razgrad",143879 "Направление за консултация / Referral for Consultations","Видин","Vidin",142997 "Направление за консултация / Referral for Consultations","Смолян","Smolyan",136659 "Направление за високоспециализирани дейности / Referral for Specialized Activities","София Град","Sofia City",131491 "Направление за хоспитализация / Referral for Hospitalization","Варна","Varna",128879 "Направление за хоспитализация / Referral for Hospitalization","Плевен","Pleven",121227 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Пловдив","Plovdiv",118100 "Направление за консултация / Referral for Consultations","Силистра","Silistra",113973 "Направление за хоспитализация / Referral for Hospitalization","Пазарджик","Pazardzhik",106114 "Направление за хоспитализация / Referral for Hospitalization","Стара Загора","Stara Zagora",104594 "Направление за хоспитализация / Referral for Hospitalization","Русе","Ruse",99554 "Направление за хоспитализация / Referral for Hospitalization","Благоевград","Blagoevgrad",89518 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Варна","Varna",74232 "Направление за медицинска експертиза / Referral for Medical Expertise","София Град","Sofia City",72440 "Направление за хоспитализация / Referral for Hospitalization","Хасково","Haskovo",67320 "Направление за хоспитализация / Referral for Hospitalization","Враца","Vratsa",64282 "Направление за хоспитализация / Referral for Hospitalization","Сливен","Sliven",60651 "Направление за хоспитализация / Referral for Hospitalization","Велико Търново","Veliko Tarnovo",58855 "Направление за хоспитализация / Referral for Hospitalization","София Област","Sofia",58090 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Бургас","Burgas",44601 "Направление за хоспитализация / Referral for Hospitalization","Монтана","Montana",44578 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Плевен","Pleven",43835 "Направление за медицинска експертиза / Referral for Medical Expertise","Варна","Varna",43353 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Велико Търново","Veliko Tarnovo",40521 "Направление за хоспитализация / Referral for Hospitalization","Шумен","Shumen",39432 "Направление за хоспитализация / Referral for Hospitalization","Кюстендил","Kyustendil",38534 "Направление за медицинска експертиза / Referral for Medical Expertise","Пловдив","Plovdiv",38319 "Направление за хоспитализация / Referral for Hospitalization","Добрич","Dobrich",37818 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Благоевград","Blagoevgrad",37141 "Направление за хоспитализация / Referral for Hospitalization","Смолян","Smolyan",34740 "Направление за хоспитализация / Referral for Hospitalization","Габрово","Gabrovo",32548 "Направление за хоспитализация / Referral for Hospitalization","Кърджали","Kardzhali",32522 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Пазарджик","Pazardzhik",31915 "Направление за хоспитализация / Referral for Hospitalization","Търговище","Targovishte",29668 "Направление за хоспитализация / Referral for Hospitalization","Ловеч","Lovech",29276 "Направление за хоспитализация / Referral for Hospitalization","Ямбол","Yambol",29027 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Стара Загора","Stara Zagora",28814 "Направление за хоспитализация / Referral for Hospitalization","Силистра","Silistra",28775 "Направление за хоспитализация / Referral for Hospitalization","Разград","Razgrad",25756 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Русе","Ruse",25745 "Направление за медицинска експертиза / Referral for Medical Expertise","Бургас","Burgas",25592 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Сливен","Sliven",25556 "Направление за хоспитализация / Referral for Hospitalization","Перник","Pernik",25179 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Шумен","Shumen",23937 "Направление за ТЕЛК / Referral for Work Incapacity ","София Град","Sofia City",23378 "Направление за медицинска експертиза / Referral for Medical Expertise","Габрово","Gabrovo",23243 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Хасково","Haskovo",22972 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Монтана","Montana",22808 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Ловеч","Lovech",22727 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Добрич","Dobrich",22493 "Направление за високоспециализирани дейности / Referral for Specialized Activities","София Област","Sofia",21561 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Видин","Vidin",21237 "Направление за медицинска експертиза / Referral for Medical Expertise","Перник","Pernik",21004 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Ямбол","Yambol",20201 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Перник","Pernik",19902 "Направление за медицинска експертиза / Referral for Medical Expertise","Стара Загора","Stara Zagora",19090 "Направление за хоспитализация / Referral for Hospitalization","Видин","Vidin",18664 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Габрово","Gabrovo",18100 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Смолян","Smolyan",17229 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Враца","Vratsa",17081 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Разград","Razgrad",16993 "Направление за медицинска експертиза / Referral for Medical Expertise","Велико Търново","Veliko Tarnovo",16785 "Направление за медицинска експертиза / Referral for Medical Expertise","Благоевград","Blagoevgrad",15944 "Направление за медицинска експертиза / Referral for Medical Expertise","Плевен","Pleven",15794 "Направление за медицинска експертиза / Referral for Medical Expertise","Монтана","Montana",15696 "Направление за медицинска експертиза / Referral for Medical Expertise","Русе","Ruse",14108 "Направление за медицинска експертиза / Referral for Medical Expertise","Пазарджик","Pazardzhik",13726 "Направление за медицинска експертиза / Referral for Medical Expertise","Кюстендил","Kyustendil",12900 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Кърджали","Kardzhali",12474 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Кюстендил","Kyustendil",12351 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Силистра","Silistra",11504 "Направление за медицинска експертиза / Referral for Medical Expertise","Хасково","Haskovo",11283 "Направление за медицинска експертиза / Referral for Medical Expertise","Добрич","Dobrich",10785 "Направление за високоспециализирани дейности / Referral for Specialized Activities","Търговище","Targovishte",9604 "Направление за медицинска експертиза / Referral for Medical Expertise","Враца","Vratsa",9508 "Направление за медицинска експертиза / Referral for Medical Expertise","София Област","Sofia",9348 "Направление за ТЕЛК / Referral for Work Incapacity ","Пловдив","Plovdiv",9132 "Направление за ТЕЛК / Referral for Work Incapacity ","Кърджали","Kardzhali",8245 "Направление за медицинска експертиза / Referral for Medical Expertise","Кърджали","Kardzhali",7563 "Направление за медицинска експертиза / Referral for Medical Expertise","Сливен","Sliven",7525 "Направление за медицинска експертиза / Referral for Medical Expertise","Ловеч","Lovech",6910 "Направление за медицинска експертиза / Referral for Medical Expertise","Смолян","Smolyan",6670 "Направление за медицинска експертиза / Referral for Medical Expertise","Силистра","Silistra",6308 "Направление за медицинска експертиза / Referral for Medical Expertise","Разград","Razgrad",5835 "Направление за ТЕЛК / Referral for Work Incapacity ","Плевен","Pleven",5011 "Направление за медицинска експертиза / Referral for Medical Expertise","Търговище","Targovishte",4730 "Направление за ТЕЛК / Referral for Work Incapacity ","Благоевград","Blagoevgrad",4662 "Направление за медицинска експертиза / Referral for Medical Expertise","Ямбол","Yambol",4449 "Направление за ТЕЛК / Referral for Work Incapacity ","Хасково","Haskovo",3993 "Направление за медицинска експертиза / Referral for Medical Expertise","Видин","Vidin",3876 "Направление за медицинска експертиза / Referral for Medical Expertise","Шумен","Shumen",3778 "Направление за ТЕЛК / Referral for Work Incapacity ","Бургас","Burgas",3717 "Направление за ТЕЛК / Referral for Work Incapacity ","Ловеч","Lovech",3687 "Направление за ТЕЛК / Referral for Work Incapacity ","Пазарджик","Pazardzhik",3427 "Направление за ТЕЛК / Referral for Work Incapacity ","Стара Загора","Stara Zagora",3140 "Направление за ТЕЛК / Referral for Work Incapacity ","Варна","Varna",3114 "Направление за ТЕЛК / Referral for Work Incapacity ","Сливен","Sliven",3023 "Направление за ТЕЛК / Referral for Work Incapacity ","Монтана","Montana",2776 "Направление за ТЕЛК / Referral for Work Incapacity ","Велико Търново","Veliko Tarnovo",2443 "Направление за ТЕЛК / Referral for Work Incapacity ","София Област","Sofia",2243 "Направление за ТЕЛК / Referral for Work Incapacity ","Русе","Ruse",2115 "Направление за ТЕЛК / Referral for Work Incapacity ","Видин","Vidin",2053 "Направление за ТЕЛК / Referral for Work Incapacity ","Добрич","Dobrich",1891 "Направление за ТЕЛК / Referral for Work Incapacity ","Габрово","Gabrovo",1824 "Направление за ТЕЛК / Referral for Work Incapacity ","Перник","Pernik",1608 "Направление за ТЕЛК / Referral for Work Incapacity ","Враца","Vratsa",1276 "Направление за ТЕЛК / Referral for Work Incapacity ","Шумен","Shumen",1274 "Направление за ТЕЛК / Referral for Work Incapacity ","Ямбол","Yambol",1144 "Направление за ТЕЛК / Referral for Work Incapacity ","Разград","Razgrad",905 "Направление за ТЕЛК / Referral for Work Incapacity ","Кюстендил","Kyustendil",676 "Направление за ТЕЛК / Referral for Work Incapacity ","Силистра","Silistra",219 "Направление за ТЕЛК / Referral for Work Incapacity ","Търговище","Targovishte",176 "Направление за ТЕЛК / Referral for Work Incapacity ","Смолян","Smolyan",75 Download CSV (preferably in text editor)

Number of issued referrals by type per district in 2023

The report considers the region in which the healthcare facility where the referral was issued is located.
Referral type District Total Issued Referrals
Referral for Laboratory Procedures Sofia City 2.17M
Referral for Consultations Sofia City 1.55M
Referral for Laboratory Procedures Plovdiv 1.38M
Referral for Laboratory Procedures Varna 944.23K
Referral for Consultations Plovdiv 898.02K
Referral for Laboratory Procedures Burgas 736.03K
Referral for Hospitalization Sofia City 613.24K
Referral for Consultations Varna 613.02K
Referral for Laboratory Procedures Blagoevgrad 569.58K
Referral for Laboratory Procedures Stara Zagora 562.18K
Referral for Consultations Burgas 536.52K
Referral for Laboratory Procedures Pleven 503.21K
Referral for Laboratory Procedures Veliko Tarnovo 466.74K
Referral for Laboratory Procedures Pazardzhik 461.52K
Referral for Consultations Blagoevgrad 434.82K
Referral for Laboratory Procedures Ruse 410.93K
Referral for Consultations Stara Zagora 398.94K
Referral for Hospitalization Plovdiv 388.52K
Referral for Laboratory Procedures Sofia 387.06K
Referral for Laboratory Procedures Haskovo 354.60K
Referral for Consultations Pleven 351.61K
Referral for Consultations Pazardzhik 337.75K
Referral for Consultations Veliko Tarnovo 328.74K
Referral for Laboratory Procedures Sliven 319.21K
Referral for Laboratory Procedures Dobrich 309.37K
Referral for Laboratory Procedures Shumen 299.90K
Referral for Laboratory Procedures Vratsa 297.74K
Referral for Consultations Ruse 294.93K
Referral for Consultations Sofia 294.93K
Referral for Laboratory Procedures Yambol 250.31K
Referral for Consultations Haskovo 248.32K
Referral for Laboratory Procedures Pernik 245.96K
Referral for Laboratory Procedures Montana 236.95K
Referral for Consultations Vratsa 235.97K
Referral for Laboratory Procedures Kardzhali 235.92K
Referral for Consultations Sliven 229.11K
Referral for Laboratory Procedures Lovech 215.50K
Referral for Laboratory Procedures Gabrovo 215.10K
Referral for Laboratory Procedures Kyustendil 213.30K
Referral for Laboratory Procedures Smolyan 212.66K
Referral for Laboratory Procedures Targovishte 212.24K
Referral for Consultations Dobrich 198.68K
Referral for Laboratory Procedures Vidin 196.27K
Referral for Laboratory Procedures Razgrad 193.23K
Referral for Consultations Shumen 189.37K
Referral for Consultations Montana 183.31K
Referral for Consultations Gabrovo 168.37K
Referral for Consultations Kardzhali 164.98K
Referral for Laboratory Procedures Silistra 164.35K
Referral for Consultations Pernik 154.73K
Referral for Consultations Lovech 153.53K
Referral for Hospitalization Burgas 150.34K
Referral for Consultations Targovishte 147.39K
Referral for Consultations Kyustendil 145.88K
Referral for Consultations Yambol 144.84K
Referral for Consultations Razgrad 143.88K
Referral for Consultations Vidin 143.00K
Referral for Consultations Smolyan 136.66K
Referral for Specialized Activities Sofia City 131.49K
Referral for Hospitalization Varna 128.88K
Referral for Hospitalization Pleven 121.23K
Referral for Specialized Activities Plovdiv 118.10K
Referral for Consultations Silistra 113.97K
Referral for Hospitalization Pazardzhik 106.11K
Referral for Hospitalization Stara Zagora 104.59K
Referral for Hospitalization Ruse 99.55K
Referral for Hospitalization Blagoevgrad 89.52K
Referral for Specialized Activities Varna 74.23K
Referral for Medical Expertise Sofia City 72.44K
Referral for Hospitalization Haskovo 67.32K
Referral for Hospitalization Vratsa 64.28K
Referral for Hospitalization Sliven 60.65K
Referral for Hospitalization Veliko Tarnovo 58.85K
Referral for Hospitalization Sofia 58.09K
Referral for Specialized Activities Burgas 44.60K
Referral for Hospitalization Montana 44.58K
Referral for Specialized Activities Pleven 43.84K
Referral for Medical Expertise Varna 43.35K
Referral for Specialized Activities Veliko Tarnovo 40.52K
Referral for Hospitalization Shumen 39.43K
Referral for Hospitalization Kyustendil 38.53K
Referral for Medical Expertise Plovdiv 38.32K
Referral for Hospitalization Dobrich 37.82K
Referral for Specialized Activities Blagoevgrad 37.14K
Referral for Hospitalization Smolyan 34.74K
Referral for Hospitalization Gabrovo 32.55K
Referral for Hospitalization Kardzhali 32.52K
Referral for Specialized Activities Pazardzhik 31.91K
Referral for Hospitalization Targovishte 29.67K
Referral for Hospitalization Lovech 29.28K
Referral for Hospitalization Yambol 29.03K
Referral for Specialized Activities Stara Zagora 28.81K
Referral for Hospitalization Silistra 28.77K
Referral for Hospitalization Razgrad 25.76K
Referral for Specialized Activities Ruse 25.75K
Referral for Medical Expertise Burgas 25.59K
Referral for Specialized Activities Sliven 25.56K
Referral for Hospitalization Pernik 25.18K
Referral for Specialized Activities Shumen 23.94K
Referral for Work Incapacity Sofia City 23.38K
Referral for Medical Expertise Gabrovo 23.24K
Referral for Specialized Activities Haskovo 22.97K
Referral for Specialized Activities Montana 22.81K
Referral for Specialized Activities Lovech 22.73K
Referral for Specialized Activities Dobrich 22.49K
Referral for Specialized Activities Sofia 21.56K
Referral for Specialized Activities Vidin 21.24K
Referral for Medical Expertise Pernik 21.00K
Referral for Specialized Activities Yambol 20.20K
Referral for Specialized Activities Pernik 19.90K
Referral for Medical Expertise Stara Zagora 19.09K
Referral for Hospitalization Vidin 18.66K
Referral for Specialized Activities Gabrovo 18.10K
Referral for Specialized Activities Smolyan 17.23K
Referral for Specialized Activities Vratsa 17.08K
Referral for Specialized Activities Razgrad 16.99K
Referral for Medical Expertise Veliko Tarnovo 16.79K
Referral for Medical Expertise Blagoevgrad 15.94K
Referral for Medical Expertise Pleven 15.79K
Referral for Medical Expertise Montana 15.70K
Referral for Medical Expertise Ruse 14.11K
Referral for Medical Expertise Pazardzhik 13.73K
Referral for Medical Expertise Kyustendil 12.90K
Referral for Specialized Activities Kardzhali 12.47K
Referral for Specialized Activities Kyustendil 12.35K
Referral for Specialized Activities Silistra 11.50K
Referral for Medical Expertise Haskovo 11.28K
Referral for Medical Expertise Dobrich 10.79K
Referral for Specialized Activities Targovishte 9.60K
Referral for Medical Expertise Vratsa 9.51K
Referral for Medical Expertise Sofia 9.35K
Referral for Work Incapacity Plovdiv 9.13K
Referral for Work Incapacity Kardzhali 8.24K
Referral for Medical Expertise Kardzhali 7.56K
Referral for Medical Expertise Sliven 7.53K
Referral for Medical Expertise Lovech 6.91K
Referral for Medical Expertise Smolyan 6.67K
Referral for Medical Expertise Silistra 6.31K
Referral for Medical Expertise Razgrad 5.83K
Referral for Work Incapacity Pleven 5.01K
Referral for Medical Expertise Targovishte 4.73K
Referral for Work Incapacity Blagoevgrad 4.66K
Referral for Medical Expertise Yambol 4.45K
Referral for Work Incapacity Haskovo 3.99K
Referral for Medical Expertise Vidin 3.88K
Referral for Medical Expertise Shumen 3.78K
Referral for Work Incapacity Burgas 3.72K
Referral for Work Incapacity Lovech 3.69K
Referral for Work Incapacity Pazardzhik 3.43K
Referral for Work Incapacity Stara Zagora 3.14K
Referral for Work Incapacity Varna 3.11K
Referral for Work Incapacity Sliven 3.02K
Referral for Work Incapacity Montana 2.78K
Referral for Work Incapacity Veliko Tarnovo 2.44K
Referral for Work Incapacity Sofia 2.24K
Referral for Work Incapacity Ruse 2.12K
Referral for Work Incapacity Vidin 2.05K
Referral for Work Incapacity Dobrich 1.89K
Referral for Work Incapacity Gabrovo 1.82K
Referral for Work Incapacity Pernik 1.61K
Referral for Work Incapacity Vratsa 1.28K
Referral for Work Incapacity Shumen 1.27K
Referral for Work Incapacity Yambol 1.14K
Referral for Work Incapacity Razgrad 905
Referral for Work Incapacity Kyustendil 676
Referral for Work Incapacity Silistra 219
Referral for Work Incapacity Targovishte 176
Referral for Work Incapacity Smolyan 75

Data as of 11:07 AM on Sep 1st, 2026

age_group,total_referrals,executed_referrals,% 0 - 1,445231,380945,85.56 1 - 4,1095015,922762,84.27 5 - 9,971395,823345,84.76 10 - 14,703815,593156,84.28 15 - 19,669852,559550,83.53 20 - 24,585984,476171,81.26 25 - 29,663023,549585,82.89 30 - 34,994560,815070,81.95 35 - 39,1174848,972075,82.74 40 - 44,1332724,1123676,84.31 45 - 49,1709953,1457680,85.25 50 - 54,1963310,1690146,86.09 55 - 59,2093362,1814853,86.7 60 - 64,2490924,2171798,87.19 65 - 69,2618722,2289790,87.44 70 - 74,2576318,2264385,87.89 75 - 79,1990772,1733784,87.09 80 - 84,1064127,903603,84.91 85 - 89,461714,377603,81.78 90 - 94,107572,83578,77.69 95 - 99,11394,8223,72.17 100 +,589,410,69.61 Download CSV (preferably in text editor)

Nationwide Distribution of issued referrals by age group in 2023

Age is determined as the date referral was issued.
Age group Total Issued referrals
0 - 1 445.23K
1 - 4 1.10M
5 - 9 971.39K
10 - 14 703.82K
15 - 19 669.85K
20 - 24 585.98K
25 - 29 663.02K
30 - 34 994.56K
35 - 39 1.17M
40 - 44 1.33M
45 - 49 1.71M
50 - 54 1.96M
55 - 59 2.09M
60 - 64 2.49M
65 - 69 2.62M
70 - 74 2.58M
75 - 79 1.99M
80 - 84 1.06M
85 - 89 461.71K
90 - 94 107.57K
95 - 99 11.39K
100 + 589

Data as of 11:07 AM on Sep 1st, 2026

% of fulfilled referrals nationwide in 2023

85.57%
A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional.

Data as of 11:07 AM on Sep 1st, 2026

"refferral_type","total_referrals","executed_referrals","percent" "Направление за ТЕЛК / Referral for Work Incapacity ",97227,91449,94.06 Направление за хоспитализация / Referral for Hospitalization,2557701,2286434,89.39 Направление за медицинска експертиза / Referral for Medical Expertise,446562,393555,88.13 Направление за консултация / Referral for Consultations,8944551,7828582,87.52 Направление за лабораторни изследвания / Referral for Laboratory Procedures,12764038,10694222,83.78 Направление за високоспециализирани дейности / Referral for Specialized Activities,915125,717946,78.45 Download CSV (preferably in text editor)

% of fulfilled referrals by type in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional.
Referral Types Total Issued Referrals total Fulfilled referrals %
Referral for Laboratory Procedures 12.76M 10.69M 83
Referral for Consultations 8.94M 7.83M 87
Referral for Hospitalization 2.56M 2.29M 89
Referral for Specialized Activities 915.12K 717.95K 78
Referral for Medical Expertise 446.56K 393.56K 88
Referral for Work Incapacity 97.23K 91.45K 94

Data as of 11:07 AM on Sep 1st, 2026

age_group,total_referrals,executed_referrals,% 0 - 1,445231,380945,85.56 1 - 4,1095015,922762,84.27 5 - 9,971395,823345,84.76 10 - 14,703815,593156,84.28 15 - 19,669852,559550,83.53 20 - 24,585984,476171,81.26 25 - 29,663023,549585,82.89 30 - 34,994560,815070,81.95 35 - 39,1174848,972075,82.74 40 - 44,1332724,1123676,84.31 45 - 49,1709953,1457680,85.25 50 - 54,1963310,1690146,86.09 55 - 59,2093362,1814853,86.7 60 - 64,2490924,2171798,87.19 65 - 69,2618722,2289790,87.44 70 - 74,2576318,2264385,87.89 75 - 79,1990772,1733784,87.09 80 - 84,1064127,903603,84.91 85 - 89,461714,377603,81.78 90 - 94,107572,83578,77.69 95 - 99,11394,8223,72.17 100 +,589,410,69.61 Download CSV (preferably in text editor)

% of fulfilled referrals by age group in 2023

A referral is considered fulfilled when it is marked as fully or partially fulfilled in the NHIS by a healthcare professional. Age is determined as of the date of referral issuance.
Age group Total Issued Referrals Total Fulfilled referrals %
0 - 1 445.23K 380.94K 85
1 - 4 1.10M 922.76K 84
5 - 9 971.39K 823.35K 84
10 - 14 703.82K 593.16K 84
15 - 19 669.85K 559.55K 83
20 - 24 585.98K 476.17K 81
25 - 29 663.02K 549.59K 82
30 - 34 994.56K 815.07K 81
35 - 39 1.17M 972.08K 82
40 - 44 1.33M 1.12M 84
45 - 49 1.71M 1.46M 85
50 - 54 1.96M 1.69M 86
55 - 59 2.09M 1.81M 86
60 - 64 2.49M 2.17M 87
65 - 69 2.62M 2.29M 87
70 - 74 2.58M 2.26M 87
75 - 79 1.99M 1.73M 87
80 - 84 1.06M 903.60K 84
85 - 89 461.71K 377.60K 81
90 - 94 107.57K 83.58K 77
95 - 99 11.39K 8.22K 72
100 + 589 410 69

Data as of 11:07 AM on Sep 1st, 2026

"district","%_executed_referral_for_laboratory_procedures","%_executed_referral_for_consultations","%_executed_referral_for_specialized_activities","%_executed_referral_for_hospitalization","%_executed_referral_for_medical_expertise","%_executed_referral_for_clinical_monitoring","%_executed_referral_for_clinical_procedures","%_executed_referral_for_work_incapacity" BG-01,86.49,90.50,81.60,91.52,79.03,0,0,95.50 BG-02,84.01,88.85,88.53,87.55,90.72,0,0,92.49 BG-03,87.13,88.33,69.77,88.29,90.78,0,0,94.77 BG-04,84.01,90.10,76.63,90.49,92.70,0,0,93.82 BG-05,75.78,87.52,74.87,85.42,88.91,0,0,96.35 BG-06,83.19,89.04,79.77,90.00,86.59,0,0,95.85 BG-07,82.49,90.53,89.63,89.87,93.57,0,0,96.60 BG-08,86.33,89.59,65.57,90.87,89.80,0,0,89.53 BG-09,79.66,87.94,86.60,90.69,82.15,0,0,91.73 BG-10,85.46,89.45,85.74,90.20,88.98,0,0,94.23 BG-11,85.73,88.10,80.45,91.79,83.79,0,0,99.13 BG-12,85.49,87.62,88.34,90.27,88.91,0,0,93.19 BG-13,81.59,87.97,84.04,91.50,89.38,0,0,94.16 BG-14,81.54,86.95,84.71,86.59,94.88,0,0,96.33 BG-15,84.33,88.54,56.54,91.21,87.25,0,0,95.99 BG-16,79.32,84.92,82.08,90.92,83.75,0,0,94.31 BG-17,80.19,85.56,82.72,90.59,83.74,0,0,95.58 BG-18,85.43,88.10,78.52,90.31,88.80,0,0,94.99 BG-19,86.22,89.14,86.09,88.73,76.38,0,0,96.80 BG-20,86.56,90.16,59.65,89.13,86.86,0,0,97.39 BG-21,85.24,87.39,83.57,88.86,87.63,0,0,89.33 BG-22,84.10,83.95,84.04,88.15,89.65,0,0,91.71 BG-23,82.00,88.52,81.93,87.59,85.37,0,0,95.63 BG-24,84.67,87.90,57.29,87.68,88.75,0,0,97.58 BG-25,83.25,88.46,64.22,92.59,84.06,0,0,95.45 BG-26,85.50,88.94,73.62,89.68,87.20,0,0,95.47 BG-27,87.37,91.49,87.74,87.27,65.88,0,0,96.08 BG-28,83.19,87.90,84.18,86.93,76.98,0,0,93.53 Download CSV (preferably in text editor)

% fulfilled referrals by type and district in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional. The report considers the region in which the healthcare facility where the referral was issued is located.
Region

value

Yambol Shumen Haskovo Targovishte Stara Zagora Sofia oblast Sofia (capital) Smolyan Sliven Silistra Ruse Razgrad Plovdiv Pleven Pernik Pazardzhik Montana Lovech Kyustendil Kardzhali Dobrich Gabrovo Vratsa Vidin Veliko Tarnovo Varna Burgas Blagoevgrad

Data as of 11:07 AM on Sep 1st, 2026

"region","avg_days_for_lab_procedures","avg_days_for_consultations","avg_days_for_spec_activities","avg_days_for_hospitalization","avg_days_for_med_expertise","avg_days_for_clinical_monitoring","avg_days_for_clinical_procedures","avg_days_for_work_incapacity" BG-01,3.55,4.38,4.18,2.57,3.81,0,0,0 BG-02,4.33,5.36,4.60,2.82,3.71,0,0,0 BG-03,5.32,6.96,6.87,4.88,4.46,0,0,0 BG-04,4.82,5.52,6.82,2.24,3.80,0,0,0 BG-05,5.14,4.81,6.32,3.35,6.27,0,0,0 BG-06,4.00,4.53,4.38,2.59,2.60,0,0,0 BG-07,4.75,5.04,3.62,2.21,5.55,0,0,0 BG-08,3.96,5.58,5.89,4.11,6.53,0,0,0 BG-09,2.54,3.92,3.77,2.16,6.90,0,0,0 BG-10,5.14,5.91,6.82,3.00,4.96,0,0,0 BG-11,3.94,4.73,5.36,2.35,3.49,0,0,0 BG-12,4.11,4.90,5.20,1.88,4.79,0,0,0 BG-13,4.02,4.91,4.29,1.96,3.48,0,0,0 BG-14,5.24,6.40,7.45,4.76,4.41,0,0,0 BG-15,4.61,5.66,5.93,3.05,3.13,0,0,0 BG-16,4.97,6.64,5.95,2.39,4.97,0,0,0 BG-17,3.97,5.22,4.63,2.44,3.84,0,0,0 BG-18,4.77,5.79,7.10,1.96,4.04,0,0,0 BG-19,4.28,6.54,10.23,2.78,14.89,0,0,0 BG-20,4.13,4.67,3.92,2.90,4.69,0,0,0 BG-21,2.91,4.88,5.28,2.91,2.50,0,0,0 BG-22,5.87,7.47,6.78,3.13,4.69,0,0,0 BG-23,3.87,4.56,5.11,3.10,6.19,0,0,0 BG-24,5.30,6.18,6.76,3.68,6.39,0,0,0 BG-25,3.87,4.91,4.11,3.31,3.56,0,0,0 BG-26,4.40,5.19,4.54,2.92,4.70,0,0,0 BG-27,6.02,5.68,6.04,4.04,6.39,0,0,0 BG-28,4.29,5.74,6.52,4.00,3.98,0,0,0 Download CSV (preferably in text editor)

Average number of days to referral fulfillment by type and district in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional. The report considers the region in which the healthcare facility where the referral was issued is located.
Region

value

Yambol Shumen Haskovo Targovishte Stara Zagora Sofia oblast Sofia (capital) Smolyan Sliven Silistra Ruse Razgrad Plovdiv Pleven Pernik Pazardzhik Montana Lovech Kyustendil Kardzhali Dobrich Gabrovo Vratsa Vidin Veliko Tarnovo Varna Burgas Blagoevgrad

Data as of 11:07 AM on Sep 1st, 2026

Share of GP consultations with at least one referral issued in 2023

49.87%
The report presents the percentage of GP consultations during which at least one referral was issued.

Data as of 11:07 AM on Sep 1st, 2026

"medical_specialization","total_referrals","executed_referrals","percent_executed_referrals","avg_days_untill_execution","median_days_untill_execution","p90_days_untill_execution" Епидемиология на инфекциозните болести / Epidemiology of infectious diseases,1,1,100.00,20.00,20.00,20.00 Лицево-челюстна хирургия / Maxillo-facial surgery,1332,1,0.08,15.00,15.00,15.00 Пластично-възстановителна и естетична хирургия / Plastic-reconstructive and aesthetic surgery,47,1,2.13,15.00,15.00,15.00 Образна диагностика / Image diagnostics,177,1,0.56,12.00,12.00,12.00 Детска клинична алергология / Clinical Allergology and Pediatrics,114,17,14.91,11.12,8.00,24.40 Детска нефрология и хемодиализа / Paediatric nephrology and haemodyalisis,25310,21161,83.61,9.85,8.00,22.00 Клинична токсикология / Clinical toxicology,52,5,9.62,9.80,11.00,18.40 Ангиология / Angiology,12992,10921,84.06,9.18,7.00,22.00 Трансфузионна хематология / Transfusion haematology,110,2,1.82,9.00,9.00,10.60 Детска клинична хематология и онкология / Paediatric clinical haematology and oncology,1478,488,33.02,8.72,6.00,20.00 Ендокринология и болести на обмяната / Endocrinology and metabolic diseases,600451,526905,87.75,8.46,6.00,21.00 Детска ендокринология и болести на обмяната / Paediatric endocrinology and metabolic diseases,15893,13025,81.95,8.44,6.00,21.00 Детска кардиология / Paediatric cardiology,17097,13226,77.36,8.32,6.00,21.00 Детска неврология / Paediatric neurology,17486,12717,72.73,7.83,6.00,20.00 Клинична имунология / Clinical immunology,290,176,60.69,7.74,4.00,20.50 Детска психиатрия / Child psychiatry,6776,5167,76.25,7.68,5.00,20.00 Ревматология / Rheumatology,103786,90151,86.86,7.65,5.00,20.00 Клинична хематология / Clinical haematology,53594,44393,82.83,7.56,5.00,20.00 Акушерство и гинекология / Obstetrics and gynaecology,614906,524429,85.29,7.48,5.00,21.00 Кардиология / Cardiology,1207039,1036130,85.84,7.46,5.00,20.00 Очни болести / Ophthalmology,954290,839978,88.02,7.18,4.00,20.00 Съдова хирургия / Vascular surgery,116796,96027,82.22,7.06,5.00,19.00 Детска ревматология / Paediatric reumatology,2112,1598,75.66,6.95,5.00,19.00 Детска гастроентерология / Paediatric gastroenterology,15354,10990,71.58,6.83,4.00,19.00 Неонатология / Neonatology,93,10,10.75,6.80,4.50,13.70 Нефрология / Nephrology,119910,102955,85.86,6.76,4.00,19.00 Урология / Urology,245442,208243,84.84,6.49,4.00,18.00 Обща медицина / General medicine,77,12,15.58,6.42,4.00,13.00 Гастроентерология / Gastroenterology,278412,234678,84.29,6.35,4.00,18.00 Клинична алергология / Clinical allergology,59826,49797,83.24,6.35,4.00,17.00 Физикална и рехабилитационна медицина / Physical and rehabilitation medicine,498452,458711,92.03,6.20,4.00,16.00 Анестезиология и интензивно лечение / Anaesthesiology and intensive care,114,30,26.32,6.00,4.00,13.10 Медицинска онкология / Medical oncology,20049,14284,71.25,5.98,4.00,15.00 Гръдна хирургия / Thoracic surgery,5062,3333,65.84,5.95,4.00,15.00 Детска хирургия / Paediatric surgery,8933,6214,69.56,5.57,3.00,15.00 Неврохирургия / Neurosurgery,21480,15489,72.11,5.56,3.00,15.00 Кожни и венерически болести / Dermatology and venereology,350724,305578,87.13,5.40,2.00,16.00 Психиатрия / Psychiatry,175077,154611,88.31,5.39,3.00,15.00 Нервни болести / Neurology ,741841,657689,88.66,5.35,2.00,16.00 Медицинска паразитология / Medical parasitology,1616,1042,64.48,5.27,3.00,15.00 Ортопедия и травматология / Orthopaedics and traumatology,591955,525061,88.70,5.15,2.00,15.00 Пневмология и фтизиатрия / Pneumology and phthisiatry,183991,158097,85.93,4.05,1.00,12.00 "Дентална, орална и лицево-челюстна хирургия / Dental, oral and maxillo-facial surgery",193,1,0.52,4.00,4.00,4.00 Ушно-носно-гърлени болести / Otorhinolaryngology,497319,442252,88.93,3.81,1.00,12.00 Детска пневмология и фтизиатрия / Paediatric pneumology and phthysiatry ,27859,24507,87.97,3.58,1.00,10.00 Хирургия / Surgery,320925,275464,85.83,3.40,1.00,10.00 Вътрешни болести / Internal diseases,43681,40031,91.64,3.09,1.00,8.00 Лъчелечение / Radiotherapy,28,1,3.57,3.00,3.00,3.00 Клинична лаборатория / Clinical laboratory,154,9,5.84,2.89,1.00,7.00 Инфекциозни болести / Infectious diseases,15639,11586,74.08,2.52,1.00,7.00 Педиатрия / Paediatrics,967822,891385,92.10,2.38,1.00,7.00 Хранене и диететика / Nutrition and dietetics,12,2,16.67,0.00,0.00,0.00 Клинична микробиология / Clinical microbiology,9,0,0.00,0,0,0 Кардиохирургия / Cardiosurgery,168,0,0.00,0,0,0 Медицинска генетика / Medical genetics,13,0,0.00,0,0,0 Нуклеарна медицина / Nuclear medicine,15,0,0.00,0,0,0 Няма специалност / No specialty,11,0,0.00,0,0,0 Детска дентална медицина / Paediatric dental medicine,8,0,0.00,0,0,0 Обща дентална медицина / General dental medicine,9,0,0.00,0,0,0 Обща и клинична патология / General and clinical pathology,10,0,0.00,0,0,0 Орална хирургия / Oral surgery,117,0,0.00,0,0,0 Професионални болести / Professional diseases,5,0,0.00,0,0,0 Спешна медицина / Emergency medicine,1,0,0.00,0,0,0 Клинична вирусология / Clinical virology,16,0,0.00,0,0,0 Download CSV (preferably in text editor)

% Fulfilled consultation referrals by medical specialty in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional. The report considers referrals for consultations in the specialty where the person was referred.
Medical specialty Total Issued referrals Total Fulfilled Referrals % Fulfilment
Cardiology 1 207 039 1 036 130 85,84
Paediatrics 967 822 891 385 92,10
Ophthalmology 954 290 839 978 88,02
Neurology 741 841 657 689 88,66
Obstetrics and gynaecology 614 906 524 429 85,29
Endocrinology and metabolic diseases 600 451 526 905 87,75
Orthopaedics and traumatology 591 955 525 061 88,70
Physical and rehabilitation medicine 498 452 458 711 92,03
Otorhinolaryngology 497 319 442 252 88,93
Dermatology and venereology 350 724 305 578 87,13
Surgery 320 925 275 464 85,83
Gastroenterology 278 412 234 678 84,29
Urology 245 442 208 243 84,84
Pneumology and phthisiatry 183 991 158 097 85,93
Psychiatry 175 077 154 611 88,31
Nephrology 119 910 102 955 85,86
Vascular surgery 116 796 96 027 82,22
Rheumatology 103 786 90 151 86,86
Clinical allergology 59 826 49 797 83,24
Clinical haematology 53 594 44 393 82,83
Internal diseases 43 681 40 031 91,64
Paediatric pneumology and phthysiatry 27 859 24 507 87,97
Paediatric nephrology and haemodyalisis 25 310 21 161 83,61
Neurosurgery 21 480 15 489 72,11
Medical oncology 20 049 14 284 71,25
Paediatric neurology 17 486 12 717 72,73
Paediatric cardiology 17 097 13 226 77,36
Paediatric endocrinology and metabolic diseases 15 893 13 025 81,95
Infectious diseases 15 639 11 586 74,08
Paediatric gastroenterology 15 354 10 990 71,58
Angiology 12 992 10 921 84,06
Paediatric surgery 8 933 6 214 69,56
Child psychiatry 6 776 5 167 76,25
Thoracic surgery 5 062 3 333 65,84
Paediatric reumatology 2 112 1 598 75,66
Medical parasitology 1 616 1 042 64,48
Paediatric clinical haematology and oncology 1 478 488 33,02
Maxillo-facial surgery 1 332 1 0,08
Clinical immunology 290 176 60,69
Dental, oral and maxillo-facial surgery 193 1 0,52
Image diagnostics 177 1 0,56
Cardiosurgery 168 0 0,00
Clinical laboratory 154 9 5,84
Oral surgery 117 0 0,00
Anaesthesiology and intensive care 114 30 26,32
Clinical Allergology and Pediatrics 114 17 14,91
Transfusion haematology 110 2 1,82
Neonatology 93 10 10,75
General medicine 77 12 15,58
Clinical toxicology 52 5 9,62
Plastic-reconstructive and aesthetic surgery 47 1 2,13
Radiotherapy 28 1 3,57
Clinical virology 16 0 0,00
Nuclear medicine 15 0 0,00
Medical genetics 13 0 0,00
Nutrition and dietetics 12 2 16,67
No specialty 11 0 0,00
General and clinical pathology 10 0 0,00
Clinical microbiology 9 0 0,00
General dental medicine 9 0 0,00
Paediatric dental medicine 8 0 0,00
Professional diseases 5 0 0,00
Emergency medicine 1 0 0,00
Epidemiology of infectious diseases 1 1 100,00

Data as of 11:07 AM on Sep 1st, 2026

"medical_specialization","total_referrals","executed_referrals","percent_executed_referrals","avg_days_untill_execution","median_days_untill_execution","p90_days_untill_execution" Епидемиология на инфекциозните болести / Epidemiology of infectious diseases,1,1,100.00,20.00,20.00,20.00 Лицево-челюстна хирургия / Maxillo-facial surgery,1332,1,0.08,15.00,15.00,15.00 Пластично-възстановителна и естетична хирургия / Plastic-reconstructive and aesthetic surgery,47,1,2.13,15.00,15.00,15.00 Образна диагностика / Image diagnostics,177,1,0.56,12.00,12.00,12.00 Детска клинична алергология / Clinical Allergology and Pediatrics,114,17,14.91,11.12,8.00,24.40 Детска нефрология и хемодиализа / Paediatric nephrology and haemodyalisis,25310,21161,83.61,9.85,8.00,22.00 Клинична токсикология / Clinical toxicology,52,5,9.62,9.80,11.00,18.40 Ангиология / Angiology,12992,10921,84.06,9.18,7.00,22.00 Трансфузионна хематология / Transfusion haematology,110,2,1.82,9.00,9.00,10.60 Детска клинична хематология и онкология / Paediatric clinical haematology and oncology,1478,488,33.02,8.72,6.00,20.00 Ендокринология и болести на обмяната / Endocrinology and metabolic diseases,600451,526905,87.75,8.46,6.00,21.00 Детска ендокринология и болести на обмяната / Paediatric endocrinology and metabolic diseases,15893,13025,81.95,8.44,6.00,21.00 Детска кардиология / Paediatric cardiology,17097,13226,77.36,8.32,6.00,21.00 Детска неврология / Paediatric neurology,17486,12717,72.73,7.83,6.00,20.00 Клинична имунология / Clinical immunology,290,176,60.69,7.74,4.00,20.50 Детска психиатрия / Child psychiatry,6776,5167,76.25,7.68,5.00,20.00 Ревматология / Rheumatology,103786,90151,86.86,7.65,5.00,20.00 Клинична хематология / Clinical haematology,53594,44393,82.83,7.56,5.00,20.00 Акушерство и гинекология / Obstetrics and gynaecology,614906,524429,85.29,7.48,5.00,21.00 Кардиология / Cardiology,1207039,1036130,85.84,7.46,5.00,20.00 Очни болести / Ophthalmology,954290,839978,88.02,7.18,4.00,20.00 Съдова хирургия / Vascular surgery,116796,96027,82.22,7.06,5.00,19.00 Детска ревматология / Paediatric reumatology,2112,1598,75.66,6.95,5.00,19.00 Детска гастроентерология / Paediatric gastroenterology,15354,10990,71.58,6.83,4.00,19.00 Неонатология / Neonatology,93,10,10.75,6.80,4.50,13.70 Нефрология / Nephrology,119910,102955,85.86,6.76,4.00,19.00 Урология / Urology,245442,208243,84.84,6.49,4.00,18.00 Обща медицина / General medicine,77,12,15.58,6.42,4.00,13.00 Гастроентерология / Gastroenterology,278412,234678,84.29,6.35,4.00,18.00 Клинична алергология / Clinical allergology,59826,49797,83.24,6.35,4.00,17.00 Физикална и рехабилитационна медицина / Physical and rehabilitation medicine,498452,458711,92.03,6.20,4.00,16.00 Анестезиология и интензивно лечение / Anaesthesiology and intensive care,114,30,26.32,6.00,4.00,13.10 Медицинска онкология / Medical oncology,20049,14284,71.25,5.98,4.00,15.00 Гръдна хирургия / Thoracic surgery,5062,3333,65.84,5.95,4.00,15.00 Детска хирургия / Paediatric surgery,8933,6214,69.56,5.57,3.00,15.00 Неврохирургия / Neurosurgery,21480,15489,72.11,5.56,3.00,15.00 Кожни и венерически болести / Dermatology and venereology,350724,305578,87.13,5.40,2.00,16.00 Психиатрия / Psychiatry,175077,154611,88.31,5.39,3.00,15.00 Нервни болести / Neurology ,741841,657689,88.66,5.35,2.00,16.00 Медицинска паразитология / Medical parasitology,1616,1042,64.48,5.27,3.00,15.00 Ортопедия и травматология / Orthopaedics and traumatology,591955,525061,88.70,5.15,2.00,15.00 Пневмология и фтизиатрия / Pneumology and phthisiatry,183991,158097,85.93,4.05,1.00,12.00 "Дентална, орална и лицево-челюстна хирургия / Dental, oral and maxillo-facial surgery",193,1,0.52,4.00,4.00,4.00 Ушно-носно-гърлени болести / Otorhinolaryngology,497319,442252,88.93,3.81,1.00,12.00 Детска пневмология и фтизиатрия / Paediatric pneumology and phthysiatry ,27859,24507,87.97,3.58,1.00,10.00 Хирургия / Surgery,320925,275464,85.83,3.40,1.00,10.00 Вътрешни болести / Internal diseases,43681,40031,91.64,3.09,1.00,8.00 Лъчелечение / Radiotherapy,28,1,3.57,3.00,3.00,3.00 Клинична лаборатория / Clinical laboratory,154,9,5.84,2.89,1.00,7.00 Инфекциозни болести / Infectious diseases,15639,11586,74.08,2.52,1.00,7.00 Педиатрия / Paediatrics,967822,891385,92.10,2.38,1.00,7.00 Хранене и диететика / Nutrition and dietetics,12,2,16.67,0.00,0.00,0.00 Клинична микробиология / Clinical microbiology,9,0,0.00,0,0,0 Кардиохирургия / Cardiosurgery,168,0,0.00,0,0,0 Медицинска генетика / Medical genetics,13,0,0.00,0,0,0 Нуклеарна медицина / Nuclear medicine,15,0,0.00,0,0,0 Няма специалност / No specialty,11,0,0.00,0,0,0 Детска дентална медицина / Paediatric dental medicine,8,0,0.00,0,0,0 Обща дентална медицина / General dental medicine,9,0,0.00,0,0,0 Обща и клинична патология / General and clinical pathology,10,0,0.00,0,0,0 Орална хирургия / Oral surgery,117,0,0.00,0,0,0 Професионални болести / Professional diseases,5,0,0.00,0,0,0 Спешна медицина / Emergency medicine,1,0,0.00,0,0,0 Клинична вирусология / Clinical virology,16,0,0.00,0,0,0 Download CSV (preferably in text editor)

Average Referral Issuance to Fulfilment Time by Medical Specialty in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional. The report presents the average time to fulfilment of consultation referrals by the specialty to which the person was referred
Medical specialty Average number of days to fulfilment
Cardiology 7,46
Paediatrics 2,38
Ophthalmology 7,18
Neurology 5,35
Obstetrics and gynaecology 7,48
Endocrinology and metabolic diseases 8,46
Orthopaedics and traumatology 5,15
Physical and rehabilitation medicine 6,20
Otorhinolaryngology 3,81
Dermatology and venereology 5,40
Surgery 3,40
Gastroenterology 6,35
Urology 6,49
Pneumology and phthisiatry 4,05
Psychiatry 5,39
Nephrology 6,76
Vascular surgery 7,06
Rheumatology 7,65
Clinical allergology 6,35
Clinical haematology 7,56
Internal diseases 3,09
Paediatric pneumology and phthysiatry 3,58
Paediatric nephrology and haemodyalisis 9,85
Neurosurgery 5,56
Medical oncology 5,98
Paediatric neurology 7,83
Paediatric cardiology 8,32
Paediatric endocrinology and metabolic diseases 8,44
Infectious diseases 2,52
Paediatric gastroenterology 6,83
Angiology 9,18
Paediatric surgery 5,57
Child psychiatry 7,68
Thoracic surgery 5,95
Paediatric reumatology 6,95
Medical parasitology 5,27
Paediatric clinical haematology and oncology 8,72
Maxillo-facial surgery 15,00
Clinical immunology 7,74
Dental, oral and maxillo-facial surgery 4,00
Image diagnostics 12,00
Cardiosurgery 0
Clinical laboratory 2,89
Oral surgery 0
Anaesthesiology and intensive care 6,00
Clinical Allergology and Pediatrics 11,12
Transfusion haematology 9,00
Neonatology 6,80
General medicine 6,42
Clinical toxicology 9,80
Plastic-reconstructive and aesthetic surgery 15,00
Radiotherapy 3,00
Clinical virology 0
Nuclear medicine 0
Medical genetics 0
Nutrition and dietetics 0,00
No specialty 0
General and clinical pathology 0
Clinical microbiology 0
General dental medicine 0
Paediatric dental medicine 0
Professional diseases 0
Emergency medicine 0
Epidemiology of infectious diseases 20,00

Data as of 11:07 AM on Sep 1st, 2026

"specialized_activity","total_referrals","executed_referrals","percent_executed_referrals","avg_days_untill_execution","median_days_untill_execution","p90_days_untill_execution" Индуциране на храчка и нейната обработка / Induced sputum collection and processing,1,1,100.00,28.00,28.00,28.00 Ехокардиография / Echocardiography,653043,508919,77.93,6.69,3.00,20.00 Флуоресцентна ангиография на съдовете на окото / Fluorescein angiography of ocular vessels,12082,8761,72.51,6.43,4.00,18.00 Непрекъснат 24-часов запис на артериално налягяне (Холтер мониториране) / Continuous 24-hour blood pressure monitoring (Holter monitoring),2182,1682,77.09,6.22,5.00,15.00 Фетална ехокардиография на рисков контингент за сърдечна патология на плода / Fetal echocardiography in high-risk pregnancy for cardiac pathology,29,16,55.17,6.06,3.00,17.00 Непрекъснат 24-часов електрокардиографски запис (ЕКГ Холтер мониториране) / Continuous 24-hour ECG recording (ECG Holter monitoring),14304,12107,84.64,6.06,3.00,16.00 Лазертерапия при очни заболявания / Laser therapy for eye diseases,9708,7530,77.56,6.02,2.00,19.00 Електромиография (ЕМГ) / Electromyography (EMG),42536,33334,78.37,5.50,1.00,17.00 Електроенцефалография (ЕЕГ) / Electroencephalography (EEG),27151,19834,73.05,4.88,1.00,16.00 Сърдечно-съдов тест с натоварване / Cardiovascular stress test,8113,4928,60.74,4.46,1.00,14.00 Венозна анестезия / Intravenous anesthesia,165,128,77.58,4.46,2.00,12.00 Интерпретация на комплексно изследване на стандартен панел от показатели при болен с левкемия / Interpretation of full diagnostic panel in leukemia patients,22,16,72.73,4.44,1.00,12.00 Снемане на анестезиологичен статус за планиране на оперативна интервенция с анестезия / Anesthesiological assessment for planning surgical intervention,2956,2580,87.28,4.34,1.00,14.00 Лазертерапия при ставни заболявания и трудно зарастващи рани / Laser therapy for joint diseases and slow-healing wounds,15601,13009,83.39,4.15,2.00,10.00 "Диагностична долна ендоскопия, фибросигмоидоскопия / Diagnostic lower endoscopy, fiber sigmoidoscopy",713,610,85.55,4.01,1.00,13.10 Доплерова сонография на периферни съдове и щит.жлеза / Doppler sonography of peripheral vessels and thyroid gland,46406,36497,78.65,3.97,0.00,15.00 Постизометрична релаксация (курс на лечение) / Post-isometric relaxation (treatment course),299,295,98.66,3.27,3.00,7.00 "Деструктивно лечение на доброкачествени изменения на маточната шийка, с изключение на химична каут. / Destructive treatment of benign cervical lesions, excluding chemical cauterization",1808,1270,70.24,3.11,0.00,12.00 Евокирани потенциали / Evoked potentials,480,273,56.88,2.95,0.00,11.00 Фетална морфология / Fetal morphology scan,289,91,31.49,2.66,0.00,9.00 Ехографско изследване на стави при деца / Pediatric joint ultrasound,12947,11565,89.33,2.32,0.00,9.00 Екстензионна терапия (курс на лечение) / Extension therapy (treatment course),120,116,96.67,2.12,2.00,4.00 Трансфонтанелна ехография / Transfontanelle ultrasound,1159,729,62.90,2.10,0.00,7.00 Диагностична горна ендоскопия / Diagnostic upper endoscopy,3606,3115,86.38,2.06,1.00,7.00 Колпоскопия с/без прицелна биопсия / Colposcopy with/without targeted biopsy,8228,7666,93.17,1.99,0.00,6.00 Инцизия и дренаж на палмарно или тенарно пространство / Incision and drainage of palmar or thenar space,674,512,75.96,1.93,0.00,5.00 "Диагностична долна ендоскопия, фиброколоноскопия / Diagnostic lower endoscopy, fiber colonoscopy",468,423,90.38,1.82,1.00,4.00 Аспирационна ендометриална биопсия / Endometrial aspiration biopsy,22,19,86.36,1.68,0.00,7.80 Ехография на млечна жлеза / Breast ultrasound,2395,1961,81.88,1.59,0.00,4.00 Уретроцистоскопия (диагностична) / Urethrocystoscopy (diagnostic),1581,1028,65.02,1.49,0.00,3.00 Уретротомия при стриктура / Urethrotomy for stricture,4,4,100.00,1.25,1.00,1.70 Сесия за кризисна интервенция / Crisis intervention session,137,126,91.97,1.25,0.00,3.00 Криотерапия и/или лазертерапия на доброкачествени кожни тумори / Cryotherapy and/or laser therapy for benign skin tumors,12546,10952,87.29,1.16,0.00,2.00 Тестуване за поносимост при прилагане на анестетици (за Анeстезиология и интензивно лечение) / Tolerance testing with anesthetics (for Anesthesiology and Intensive Care),906,777,85.76,1.16,0.00,3.00 Инцизия на гръдна (млечна) жлеза / Breast (mammary gland) incision,422,299,70.85,1.00,0.00,3.00 Вземане на биопсичен материал от простата / Prostate biopsy,5,3,60.00,1.00,1.00,1.80 Вземане на биопсичен материал от лимфен възел / Biopsy sample collection from lymph node,351,212,60.40,0.91,0.00,1.00 Доплерово ултразвуково изследване на бъбречни съдове / Doppler ultrasound of renal vessels,2997,2621,87.45,0.71,0.00,2.00 Диагностична и терапевтична пункция на стави / Diagnostic and therapeutic joint puncture,24366,20938,85.93,0.65,0.00,1.00 Вземане на биопсичен материал от гърда / Breast biopsy,417,343,82.25,0.64,0.00,1.00 Пункция и аспирация на максиларен синус / Puncture and aspiration of maxillary sinus,814,774,95.09,0.57,0.00,1.00 Лигатура на вена при подкожни варикозни образувания и ексцизия на варикозни възли / Vein ligation for subcutaneous varicose formations and varix excision,5,2,40.00,0.50,0.50,0.90 Инцизия на тонзиларни и перитонзиларни абсцеси / Incision of tonsillar and peritonsillar abscesses,419,403,96.18,0.48,0.00,1.00 Вагинотомия / Vaginotomy,5,5,100.00,0.40,0.00,1.00 Пункционна биопсия на щитовидната жлеза под ехографски контрол / Thyroid gland fine-needle biopsy under ultrasound guidance,1413,505,35.74,0.33,0.00,0.00 "Ларингостробоскопия, ларингостробография / Laryngostroboscopy, laryngostrobography",238,229,96.22,0.31,0.00,1.00 Отстраняване на полипи от носната кухина / Removal of nasal polyps,18,18,100.00,0.22,0.00,0.30 Фониатрична консултация с последваща гласова рехабилитация-курс 10 сеанса / Phoniatric consultation followed by voice rehabilitation – 10-session course,753,529,70.25,0.22,0.00,0.00 Назален провокационен тест с медиатори / Nasal provocation test with mediators,9,9,100.00,0.22,0.00,1.00 "Специализирани кинезитерапевтични методи, приложими при ДЦП / Specialized kinesiotherapy methods for cerebral palsy",45,41,91.11,0.20,0.00,1.00 Абразио на цервикален канал / Cervical canal curettage,142,136,95.77,0.16,0.00,0.00 Локално обезболяване - проводна анестезия / Local anesthesia – conduction block,1,0,0.00,0,0,0 Интерпретация на комплексно изследване на стандартен панел от показатели при пациенти с лимфом / Interpretation of full diagnostic panel in lymphoma patients,4,2,50.00,0.00,0.00,0.00 Вземане на материал чрез костномозъчна пункция за специализирани изследвания / Bone marrow aspiration for specialized tests,1,0,0.00,0,0,0 Вземане на биопсичен материал от уретра / Urethral biopsy,1,0,0.00,0,0,0 Вземане на биопсичен материал от нос / Biopsy sample collection from the nose,2,0,0.00,0,0,0 Бронхопровокационен тест с метилхолин / Bronchoprovocation test with methacholine,0,0,0,0,0,0 Фонетография / Phonetography,5,0,0.00,0,0,0 Остеоденситометрия и интерпретация при следните случаи: Болни с трансплантирани органи. / Osteodensitometry and interpretation in organ transplant patients,11,3,27.27,0.00,0.00,0.00 Download CSV (preferably in text editor)

% fulfilment for highly specialized activities referrals by activity type in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional.
Highly Specialized activity Type Total Issued referrals Total Fulfilled referrals % Fulfilment
Echocardiography 653 043 508 919 77,93
Doppler sonography of peripheral vessels and thyroid gland 46 406 36 497 78,65
Electromyography (EMG) 42 536 33 334 78,37
Electroencephalography (EEG) 27 151 19 834 73,05
Diagnostic and therapeutic joint puncture 24 366 20 938 85,93
Laser therapy for joint diseases and slow-healing wounds 15 601 13 009 83,39
Continuous 24-hour ECG recording (ECG Holter monitoring) 14 304 12 107 84,64
Pediatric joint ultrasound 12 947 11 565 89,33
или лазертерапия на доброкачествени кожни тумори 12 546 10 952 87,29
Fluorescein angiography of ocular vessels 12 082 8 761 72,51
Laser therapy for eye diseases 9 708 7 530 77,56
без прицелна биопсия 8 228 7 666 93,17
Cardiovascular stress test 8 113 4 928 60,74
Diagnostic upper endoscopy 3 606 3 115 86,38
Doppler ultrasound of renal vessels 2 997 2 621 87,45
Anesthesiological assessment for planning surgical intervention 2 956 2 580 87,28
Breast ultrasound 2 395 1 961 81,88
Continuous 24-hour blood pressure monitoring (Holter monitoring) 2 182 1 682 77,09
Destructive treatment of benign cervical lesions, excluding chemical cauterization 1 808 1 270 70,24
Urethrocystoscopy (diagnostic) 1 581 1 028 65,02
Thyroid gland fine-needle biopsy under ultrasound guidance 1 413 505 35,74
Transfontanelle ultrasound 1 159 729 62,90
Tolerance testing with anesthetics (for Anesthesiology and Intensive Care) 906 777 85,76
Puncture and aspiration of maxillary sinus 814 774 95,09
Phoniatric consultation followed by voice rehabilitation – 10-session course 753 529 70,25
Diagnostic lower endoscopy, fiber sigmoidoscopy 713 610 85,55
Incision and drainage of palmar or thenar space 674 512 75,96
Evoked potentials 480 273 56,88
Diagnostic lower endoscopy, fiber colonoscopy 468 423 90,38
Breast (mammary gland) incision 422 299 70,85
Incision of tonsillar and peritonsillar abscesses 419 403 96,18
Breast biopsy 417 343 82,25
Biopsy sample collection from lymph node 351 212 60,40
Post-isometric relaxation (treatment course) 299 295 98,66
Fetal morphology scan 289 91 31,49
Laryngostroboscopy, laryngostrobography 238 229 96,22
Intravenous anesthesia 165 128 77,58
Cervical canal curettage 142 136 95,77
Crisis intervention session 137 126 91,97
Extension therapy (treatment course) 120 116 96,67
Specialized kinesiotherapy methods for cerebral palsy 45 41 91,11
Fetal echocardiography in high-risk pregnancy for cardiac pathology 29 16 55,17
Interpretation of full diagnostic panel in leukemia patients 22 16 72,73
Endometrial aspiration biopsy 22 19 86,36
Removal of nasal polyps 18 18 100,00
Osteodensitometry and interpretation in organ transplant patients 11 3 27,27
Nasal provocation test with mediators 9 9 100,00
Prostate biopsy 5 3 60,00
Vein ligation for subcutaneous varicose formations and varix excision 5 2 40,00
Vaginotomy 5 5 100,00
Phonetography 5 0 0,00
Interpretation of full diagnostic panel in lymphoma patients 4 2 50,00
Urethrotomy for stricture 4 4 100,00
Biopsy sample collection from the nose 2 0 0,00
Local anesthesia – conduction block 1 0 0,00
Bone marrow aspiration for specialized tests 1 0 0,00
Urethral biopsy 1 0 0,00
Induced sputum collection and processing 1 1 100,00
Bronchoprovocation test with methacholine 0 0 0

Data as of 11:07 AM on Sep 1st, 2026

"specialized_activity","total_referrals","executed_referrals","percent_executed_referrals","avg_days_untill_execution","median_days_untill_execution","p90_days_untill_execution" Индуциране на храчка и нейната обработка / Induced sputum collection and processing,1,1,100.00,28.00,28.00,28.00 Ехокардиография / Echocardiography,653043,508919,77.93,6.69,3.00,20.00 Флуоресцентна ангиография на съдовете на окото / Fluorescein angiography of ocular vessels,12082,8761,72.51,6.43,4.00,18.00 Непрекъснат 24-часов запис на артериално налягяне (Холтер мониториране) / Continuous 24-hour blood pressure monitoring (Holter monitoring),2182,1682,77.09,6.22,5.00,15.00 Фетална ехокардиография на рисков контингент за сърдечна патология на плода / Fetal echocardiography in high-risk pregnancy for cardiac pathology,29,16,55.17,6.06,3.00,17.00 Непрекъснат 24-часов електрокардиографски запис (ЕКГ Холтер мониториране) / Continuous 24-hour ECG recording (ECG Holter monitoring),14304,12107,84.64,6.06,3.00,16.00 Лазертерапия при очни заболявания / Laser therapy for eye diseases,9708,7530,77.56,6.02,2.00,19.00 Електромиография (ЕМГ) / Electromyography (EMG),42536,33334,78.37,5.50,1.00,17.00 Електроенцефалография (ЕЕГ) / Electroencephalography (EEG),27151,19834,73.05,4.88,1.00,16.00 Сърдечно-съдов тест с натоварване / Cardiovascular stress test,8113,4928,60.74,4.46,1.00,14.00 Венозна анестезия / Intravenous anesthesia,165,128,77.58,4.46,2.00,12.00 Интерпретация на комплексно изследване на стандартен панел от показатели при болен с левкемия / Interpretation of full diagnostic panel in leukemia patients,22,16,72.73,4.44,1.00,12.00 Снемане на анестезиологичен статус за планиране на оперативна интервенция с анестезия / Anesthesiological assessment for planning surgical intervention,2956,2580,87.28,4.34,1.00,14.00 Лазертерапия при ставни заболявания и трудно зарастващи рани / Laser therapy for joint diseases and slow-healing wounds,15601,13009,83.39,4.15,2.00,10.00 "Диагностична долна ендоскопия, фибросигмоидоскопия / Diagnostic lower endoscopy, fiber sigmoidoscopy",713,610,85.55,4.01,1.00,13.10 Доплерова сонография на периферни съдове и щит.жлеза / Doppler sonography of peripheral vessels and thyroid gland,46406,36497,78.65,3.97,0.00,15.00 Постизометрична релаксация (курс на лечение) / Post-isometric relaxation (treatment course),299,295,98.66,3.27,3.00,7.00 "Деструктивно лечение на доброкачествени изменения на маточната шийка, с изключение на химична каут. / Destructive treatment of benign cervical lesions, excluding chemical cauterization",1808,1270,70.24,3.11,0.00,12.00 Евокирани потенциали / Evoked potentials,480,273,56.88,2.95,0.00,11.00 Фетална морфология / Fetal morphology scan,289,91,31.49,2.66,0.00,9.00 Ехографско изследване на стави при деца / Pediatric joint ultrasound,12947,11565,89.33,2.32,0.00,9.00 Екстензионна терапия (курс на лечение) / Extension therapy (treatment course),120,116,96.67,2.12,2.00,4.00 Трансфонтанелна ехография / Transfontanelle ultrasound,1159,729,62.90,2.10,0.00,7.00 Диагностична горна ендоскопия / Diagnostic upper endoscopy,3606,3115,86.38,2.06,1.00,7.00 Колпоскопия с/без прицелна биопсия / Colposcopy with/without targeted biopsy,8228,7666,93.17,1.99,0.00,6.00 Инцизия и дренаж на палмарно или тенарно пространство / Incision and drainage of palmar or thenar space,674,512,75.96,1.93,0.00,5.00 "Диагностична долна ендоскопия, фиброколоноскопия / Diagnostic lower endoscopy, fiber colonoscopy",468,423,90.38,1.82,1.00,4.00 Аспирационна ендометриална биопсия / Endometrial aspiration biopsy,22,19,86.36,1.68,0.00,7.80 Ехография на млечна жлеза / Breast ultrasound,2395,1961,81.88,1.59,0.00,4.00 Уретроцистоскопия (диагностична) / Urethrocystoscopy (diagnostic),1581,1028,65.02,1.49,0.00,3.00 Уретротомия при стриктура / Urethrotomy for stricture,4,4,100.00,1.25,1.00,1.70 Сесия за кризисна интервенция / Crisis intervention session,137,126,91.97,1.25,0.00,3.00 Криотерапия и/или лазертерапия на доброкачествени кожни тумори / Cryotherapy and/or laser therapy for benign skin tumors,12546,10952,87.29,1.16,0.00,2.00 Тестуване за поносимост при прилагане на анестетици (за Анeстезиология и интензивно лечение) / Tolerance testing with anesthetics (for Anesthesiology and Intensive Care),906,777,85.76,1.16,0.00,3.00 Инцизия на гръдна (млечна) жлеза / Breast (mammary gland) incision,422,299,70.85,1.00,0.00,3.00 Вземане на биопсичен материал от простата / Prostate biopsy,5,3,60.00,1.00,1.00,1.80 Вземане на биопсичен материал от лимфен възел / Biopsy sample collection from lymph node,351,212,60.40,0.91,0.00,1.00 Доплерово ултразвуково изследване на бъбречни съдове / Doppler ultrasound of renal vessels,2997,2621,87.45,0.71,0.00,2.00 Диагностична и терапевтична пункция на стави / Diagnostic and therapeutic joint puncture,24366,20938,85.93,0.65,0.00,1.00 Вземане на биопсичен материал от гърда / Breast biopsy,417,343,82.25,0.64,0.00,1.00 Пункция и аспирация на максиларен синус / Puncture and aspiration of maxillary sinus,814,774,95.09,0.57,0.00,1.00 Лигатура на вена при подкожни варикозни образувания и ексцизия на варикозни възли / Vein ligation for subcutaneous varicose formations and varix excision,5,2,40.00,0.50,0.50,0.90 Инцизия на тонзиларни и перитонзиларни абсцеси / Incision of tonsillar and peritonsillar abscesses,419,403,96.18,0.48,0.00,1.00 Вагинотомия / Vaginotomy,5,5,100.00,0.40,0.00,1.00 Пункционна биопсия на щитовидната жлеза под ехографски контрол / Thyroid gland fine-needle biopsy under ultrasound guidance,1413,505,35.74,0.33,0.00,0.00 "Ларингостробоскопия, ларингостробография / Laryngostroboscopy, laryngostrobography",238,229,96.22,0.31,0.00,1.00 Отстраняване на полипи от носната кухина / Removal of nasal polyps,18,18,100.00,0.22,0.00,0.30 Фониатрична консултация с последваща гласова рехабилитация-курс 10 сеанса / Phoniatric consultation followed by voice rehabilitation – 10-session course,753,529,70.25,0.22,0.00,0.00 Назален провокационен тест с медиатори / Nasal provocation test with mediators,9,9,100.00,0.22,0.00,1.00 "Специализирани кинезитерапевтични методи, приложими при ДЦП / Specialized kinesiotherapy methods for cerebral palsy",45,41,91.11,0.20,0.00,1.00 Абразио на цервикален канал / Cervical canal curettage,142,136,95.77,0.16,0.00,0.00 Локално обезболяване - проводна анестезия / Local anesthesia – conduction block,1,0,0.00,0,0,0 Интерпретация на комплексно изследване на стандартен панел от показатели при пациенти с лимфом / Interpretation of full diagnostic panel in lymphoma patients,4,2,50.00,0.00,0.00,0.00 Вземане на материал чрез костномозъчна пункция за специализирани изследвания / Bone marrow aspiration for specialized tests,1,0,0.00,0,0,0 Вземане на биопсичен материал от уретра / Urethral biopsy,1,0,0.00,0,0,0 Вземане на биопсичен материал от нос / Biopsy sample collection from the nose,2,0,0.00,0,0,0 Бронхопровокационен тест с метилхолин / Bronchoprovocation test with methacholine,0,0,0,0,0,0 Фонетография / Phonetography,5,0,0.00,0,0,0 Остеоденситометрия и интерпретация при следните случаи: Болни с трансплантирани органи. / Osteodensitometry and interpretation in organ transplant patients,11,3,27.27,0.00,0.00,0.00 Download CSV (preferably in text editor)

Average highly specialized activities referral issuance to fulfillment time by activity type in 2023

A referral is considered fulfilled when it is recorded as fully or partially fulfilled in the NHIS by a healthcare professional.
Highly Specialised Activity Type Average number of days to referral fulfilment
Induced sputum collection and processing 28,00
Echocardiography 6,69
Fluorescein angiography of ocular vessels 6,43
Continuous 24-hour blood pressure monitoring (Holter monitoring) 6,22
Fetal echocardiography in high-risk pregnancy for cardiac pathology 6,06
Continuous 24-hour ECG recording (ECG Holter monitoring) 6,06
Laser therapy for eye diseases 6,02
Electromyography (EMG) 5,50
Electroencephalography (EEG) 4,88
Cardiovascular stress test 4,46
Intravenous anesthesia 4,46
Interpretation of full diagnostic panel in leukemia patients 4,44
Anesthesiological assessment for planning surgical intervention 4,34
Laser therapy for joint diseases and slow-healing wounds 4,15
Diagnostic lower endoscopy, fiber sigmoidoscopy 4,01
Doppler sonography of peripheral vessels and thyroid gland 3,97
Post-isometric relaxation (treatment course) 3,27
Destructive treatment of benign cervical lesions, excluding chemical cauterization 3,11
Evoked potentials 2,95
Fetal morphology scan 2,66
Pediatric joint ultrasound 2,32
Extension therapy (treatment course) 2,12
Transfontanelle ultrasound 2,10
Diagnostic upper endoscopy 2,06
без прицелна биопсия 1,99
Incision and drainage of palmar or thenar space 1,93
Diagnostic lower endoscopy, fiber colonoscopy 1,82
Endometrial aspiration biopsy 1,68
Breast ultrasound 1,59
Urethrocystoscopy (diagnostic) 1,49
Urethrotomy for stricture 1,25
Crisis intervention session 1,25
или лазертерапия на доброкачествени кожни тумори 1,16
Tolerance testing with anesthetics (for Anesthesiology and Intensive Care) 1,16
Breast (mammary gland) incision 1,00
Prostate biopsy 1,00
Biopsy sample collection from lymph node 0,91
Doppler ultrasound of renal vessels 0,71
Diagnostic and therapeutic joint puncture 0,65
Breast biopsy 0,64
Puncture and aspiration of maxillary sinus 0,57
Vein ligation for subcutaneous varicose formations and varix excision 0,50
Incision of tonsillar and peritonsillar abscesses 0,48
Vaginotomy 0,40
Thyroid gland fine-needle biopsy under ultrasound guidance 0,33
Laryngostroboscopy, laryngostrobography 0,31
Removal of nasal polyps 0,22
Phoniatric consultation followed by voice rehabilitation – 10-session course 0,22
Nasal provocation test with mediators 0,22
Specialized kinesiotherapy methods for cerebral palsy 0,20
Cervical canal curettage 0,16
Local anesthesia – conduction block 0
Interpretation of full diagnostic panel in lymphoma patients 0,00
Bone marrow aspiration for specialized tests 0
Urethral biopsy 0
Biopsy sample collection from the nose 0
Bronchoprovocation test with methacholine 0
Phonetography 0
Osteodensitometry and interpretation in organ transplant patients 0,00

Data as of 11:07 AM on Sep 1st, 2026

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