Referrals in 2025

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

Total Number of Issued Referrals Nationwide in 2025

28.28M
Shows the total number of issued referrals recorded in the NHIS by healthcare professionals during the year. Annulled referrals are excluded.

Data as of 02:03 PM on May 5th, 2026

referral_type,count_referrals Направление за лабораторни изследвания / Referral for Laboratory Procedures,14400845 Направление за консултация / Referral for Consultations,9498454 Направление за хоспитализация / Referral for Hospitalization,2865575 Направление за високоспециализирани дейности / Referral for Specialized Activities,903270 Направление за медицинска експертиза / Referral for Medical Expertise,468733 "Направление за ТЕЛК / Referral for Work Incapacity ",141065 Download CSV (preferably in text editor)

Number of issued referrals by type in 2025

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 02:00 PM on May 5th, 2026

referral_month,type,referrals_count Ян. / Jan,Направление за консултация / Referral for Consultations,792258 Ян. / Jan,Направление за високоспециализирани дейности / Referral for Specialized Activities,65790 Ян. / Jan,Направление за хоспитализация / Referral for Hospitalization,236042 Ян. / Jan,"Направление за ТЕЛК / Referral for Work Incapacity ",11361 Ян. / Jan,Направление за медицинска експертиза / Referral for Medical Expertise,34742 Ян. / Jan,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1081386 Февр. / Feb,Направление за високоспециализирани дейности / Referral for Specialized Activities,54215 Февр. / Feb,Направление за хоспитализация / Referral for Hospitalization,207875 Февр. / Feb,Направление за консултация / Referral for Consultations,646696 Февр. / Feb,Направление за лабораторни изследвания / Referral for Laboratory Procedures,952829 Февр. / Feb,Направление за медицинска експертиза / Referral for Medical Expertise,32645 Февр. / Feb,"Направление за ТЕЛК / Referral for Work Incapacity ",10328 Март / Mar,Направление за хоспитализация / Referral for Hospitalization,228662 Март / Mar,Направление за високоспециализирани дейности / Referral for Specialized Activities,62728 Март / Mar,Направление за консултация / Referral for Consultations,695433 Март / Mar,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1041201 Март / Mar,Направление за медицинска експертиза / Referral for Medical Expertise,33226 Март / Mar,"Направление за ТЕЛК / Referral for Work Incapacity ",10838 Апр. / Apr,Направление за консултация / Referral for Consultations,737629 Апр. / Apr,Направление за високоспециализирани дейности / Referral for Specialized Activities,70088 Апр. / Apr,Направление за хоспитализация / Referral for Hospitalization,214805 Апр. / Apr,"Направление за ТЕЛК / Referral for Work Incapacity ",9847 Апр. / Apr,Направление за медицинска експертиза / Referral for Medical Expertise,33732 Апр. / Apr,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1120475 Май / May,Направление за високоспециализирани дейности / Referral for Specialized Activities,61602 Май / May,Направление за консултация / Referral for Consultations,677254 Май / May,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1021386 Май / May,Направление за медицинска експертиза / Referral for Medical Expertise,32059 Май / May,"Направление за ТЕЛК / Referral for Work Incapacity ",10475 Май / May,Направление за хоспитализация / Referral for Hospitalization,214106 Юни / June,Направление за високоспециализирани дейности / Referral for Specialized Activities,57750 Юни / June,Направление за хоспитализация / Referral for Hospitalization,215726 Юни / June,"Направление за ТЕЛК / Referral for Work Incapacity ",10831 Юни / June,Направление за медицинска експертиза / Referral for Medical Expertise,34220 Юни / June,Направление за лабораторни изследвания / Referral for Laboratory Procedures,940607 Юни / June,Направление за консултация / Referral for Consultations,621843 Юли / July,"Направление за ТЕЛК / Referral for Work Incapacity ",11937 Юли / July,Направление за медицинска експертиза / Referral for Medical Expertise,37082 Юли / July,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1036393 Юли / July,Направление за консултация / Referral for Consultations,683435 Юли / July,Направление за хоспитализация / Referral for Hospitalization,213742 Юли / July,Направление за високоспециализирани дейности / Referral for Specialized Activities,62458 Авг. / Aug,Направление за хоспитализация / Referral for Hospitalization,196714 Авг. / Aug,Направление за консултация / Referral for Consultations,614598 Авг. / Aug,Направление за лабораторни изследвания / Referral for Laboratory Procedures,958541 Авг. / Aug,Направление за медицинска експертиза / Referral for Medical Expertise,32196 Авг. / Aug,"Направление за ТЕЛК / Referral for Work Incapacity ",10503 Авг. / Aug,Направление за високоспециализирани дейности / Referral for Specialized Activities,51747 Септ. / Sept,"Направление за ТЕЛК / Referral for Work Incapacity ",10816 Септ. / Sept,Направление за високоспециализирани дейности / Referral for Specialized Activities,61670 Септ. / Sept,Направление за консултация / Referral for Consultations,667857 Септ. / Sept,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1041413 Септ. / Sept,Направление за медицинска експертиза / Referral for Medical Expertise,35811 Септ. / Sept,Направление за хоспитализация / Referral for Hospitalization,211804 Окт. / Oct,Направление за хоспитализация / Referral for Hospitalization,239854 Окт. / Oct,"Направление за ТЕЛК / Referral for Work Incapacity ",13244 Окт. / Oct,Направление за консултация / Referral for Consultations,859516 Окт. / Oct,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1228415 Окт. / Oct,Направление за медицинска експертиза / Referral for Medical Expertise,37363 Окт. / Oct,Направление за високоспециализирани дейности / Referral for Specialized Activities,88041 Ноем. / Nov,Направление за консултация / Referral for Consultations,718167 Ноем. / Nov,Направление за високоспециализирани дейности / Referral for Specialized Activities,66960 Ноем. / Nov,Направление за хоспитализация / Referral for Hospitalization,220999 Ноем. / Nov,"Направление за ТЕЛК / Referral for Work Incapacity ",11899 Ноем. / Nov,Направление за медицинска експертиза / Referral for Medical Expertise,33907 Ноем. / Nov,Направление за лабораторни изследвания / Referral for Laboratory Procedures,1022426 Дек. / Dec,Направление за високоспециализирани дейности / Referral for Specialized Activities,44817 Дек. / Dec,Направление за консултация / Referral for Consultations,525300 Дек. / Dec,Направление за хоспитализация / Referral for Hospitalization,180948 Дек. / Dec,"Направление за ТЕЛК / Referral for Work Incapacity ",9825 Дек. / Dec,Направление за медицинска експертиза / Referral for Medical Expertise,31629 Дек. / Dec,Направление за лабораторни изследвания / Referral for Laboratory Procedures,722159 Download CSV (preferably in text editor)

Number of issued referrals by type and month in 2025

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,2497560 Направление за консултация / Referral for Consultations,София Град,Sofia City,1657556 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Пловдив,Plovdiv,1559463 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Варна,Varna,1101224 Направление за консултация / Referral for Consultations,Пловдив,Plovdiv,963249 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Бургас,Burgas,837075 Направление за хоспитализация / Referral for Hospitalization,София Град,Sofia City,695367 Направление за консултация / Referral for Consultations,Варна,Varna,654202 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Стара Загора,Stara Zagora,650158 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Благоевград,Blagoevgrad,631624 Направление за консултация / Referral for Consultations,Бургас,Burgas,576726 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Плевен,Pleven,542487 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Велико Търново,Veliko Tarnovo,517632 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Пазарджик,Pazardzhik,479406 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Русе,Ruse,475415 Направление за консултация / Referral for Consultations,Благоевград,Blagoevgrad,449643 Направление за консултация / Referral for Consultations,Стара Загора,Stara Zagora,438131 Направление за хоспитализация / Referral for Hospitalization,Пловдив,Plovdiv,436413 Направление за лабораторни изследвания / Referral for Laboratory Procedures,София Област,Sofia,425182 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Хасково,Haskovo,409841 Направление за консултация / Referral for Consultations,Плевен,Pleven,375257 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Сливен,Sliven,354786 Направление за консултация / Referral for Consultations,Пазарджик,Pazardzhik,350336 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Шумен,Shumen,348871 Направление за консултация / Referral for Consultations,Велико Търново,Veliko Tarnovo,337705 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Враца,Vratsa,332760 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Добрич,Dobrich,330598 Направление за консултация / Referral for Consultations,Русе,Ruse,312175 Направление за консултация / Referral for Consultations,София Област,Sofia,299413 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Перник,Pernik,283171 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Кърджали,Kardzhali,269380 Направление за консултация / Referral for Consultations,Хасково,Haskovo,263358 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Монтана,Montana,256346 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Ямбол,Yambol,253735 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Смолян,Smolyan,253662 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Кюстендил,Kyustendil,248674 Направление за консултация / Referral for Consultations,Враца,Vratsa,247340 Направление за консултация / Referral for Consultations,Сливен,Sliven,245085 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Габрово,Gabrovo,244311 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Ловеч,Lovech,242309 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Разград,Razgrad,224629 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Търговище,Targovishte,221379 Направление за консултация / Referral for Consultations,Добрич,Dobrich,206868 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Видин,Vidin,205228 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Силистра,Silistra,203896 Направление за консултация / Referral for Consultations,Шумен,Shumen,202642 Направление за хоспитализация / Referral for Hospitalization,Бургас,Burgas,193832 Направление за консултация / Referral for Consultations,Монтана,Montana,192927 Направление за консултация / Referral for Consultations,Габрово,Gabrovo,180351 Направление за консултация / Referral for Consultations,Кърджали,Kardzhali,178270 Направление за консултация / Referral for Consultations,Перник,Pernik,163408 Направление за консултация / Referral for Consultations,Разград,Razgrad,158206 Направление за консултация / Referral for Consultations,Ловеч,Lovech,158141 Направление за консултация / Referral for Consultations,Кюстендил,Kyustendil,157582 Направление за консултация / Referral for Consultations,Търговище,Targovishte,157231 Направление за консултация / Referral for Consultations,Ямбол,Yambol,151543 Направление за консултация / Referral for Consultations,Смолян,Smolyan,147989 Направление за консултация / Referral for Consultations,Видин,Vidin,146152 Направление за хоспитализация / Referral for Hospitalization,Варна,Varna,143809 Направление за хоспитализация / Referral for Hospitalization,Плевен,Pleven,141982 Направление за високоспециализирани дейности / Referral for Specialized Activities,София Град,Sofia City,134889 Направление за консултация / Referral for Consultations,Силистра,Silistra,126968 Направление за хоспитализация / Referral for Hospitalization,Стара Загора,Stara Zagora,118450 Направление за хоспитализация / Referral for Hospitalization,Пазарджик,Pazardzhik,117053 Направление за хоспитализация / Referral for Hospitalization,Русе,Ruse,112026 Направление за високоспециализирани дейности / Referral for Specialized Activities,Пловдив,Plovdiv,109695 Направление за хоспитализация / Referral for Hospitalization,Благоевград,Blagoevgrad,101111 Направление за медицинска експертиза / Referral for Medical Expertise,София Град,Sofia City,76969 Направление за високоспециализирани дейности / Referral for Specialized Activities,Варна,Varna,73436 Направление за хоспитализация / Referral for Hospitalization,Хасково,Haskovo,70656 Направление за хоспитализация / Referral for Hospitalization,Враца,Vratsa,67013 Направление за хоспитализация / Referral for Hospitalization,Велико Търново,Veliko Tarnovo,65162 Направление за хоспитализация / Referral for Hospitalization,Сливен,Sliven,64632 Направление за хоспитализация / Referral for Hospitalization,София Област,Sofia,62046 Направление за хоспитализация / Referral for Hospitalization,Монтана,Montana,47283 Направление за медицинска експертиза / Referral for Medical Expertise,Варна,Varna,44816 Направление за високоспециализирани дейности / Referral for Specialized Activities,Бургас,Burgas,44808 Направление за хоспитализация / Referral for Hospitalization,Шумен,Shumen,44197 Направление за високоспециализирани дейности / Referral for Specialized Activities,Плевен,Pleven,41410 Направление за хоспитализация / Referral for Hospitalization,Добрич,Dobrich,41196 Направление за медицинска експертиза / Referral for Medical Expertise,Пловдив,Plovdiv,40598 Направление за хоспитализация / Referral for Hospitalization,Кюстендил,Kyustendil,40499 Направление за хоспитализация / Referral for Hospitalization,Смолян,Smolyan,38833 Направление за високоспециализирани дейности / Referral for Specialized Activities,Велико Търново,Veliko Tarnovo,38245 Направление за високоспециализирани дейности / Referral for Specialized Activities,Благоевград,Blagoevgrad,37138 Направление за хоспитализация / Referral for Hospitalization,Кърджали,Kardzhali,35577 Направление за хоспитализация / Referral for Hospitalization,Габрово,Gabrovo,33145 Направление за хоспитализация / Referral for Hospitalization,Търговище,Targovishte,32495 Направление за високоспециализирани дейности / Referral for Specialized Activities,Стара Загора,Stara Zagora,32397 Направление за хоспитализация / Referral for Hospitalization,Ямбол,Yambol,31088 Направление за хоспитализация / Referral for Hospitalization,Ловеч,Lovech,30365 Направление за високоспециализирани дейности / Referral for Specialized Activities,Пазарджик,Pazardzhik,29179 Направление за хоспитализация / Referral for Hospitalization,Силистра,Silistra,28599 Направление за хоспитализация / Referral for Hospitalization,Перник,Pernik,27841 "Направление за ТЕЛК / Referral for Work Incapacity ",София Град,Sofia City,27449 Направление за високоспециализирани дейности / Referral for Specialized Activities,Русе,Ruse,26398 Направление за хоспитализация / Referral for Hospitalization,Разград,Razgrad,25423 Направление за високоспециализирани дейности / Referral for Specialized Activities,Шумен,Shumen,25012 Направление за медицинска експертиза / Referral for Medical Expertise,Бургас,Burgas,24571 Направление за високоспециализирани дейности / Referral for Specialized Activities,Хасково,Haskovo,22869 Направление за високоспециализирани дейности / Referral for Specialized Activities,Сливен,Sliven,22605 Направление за високоспециализирани дейности / Referral for Specialized Activities,Монтана,Montana,22446 Направление за медицинска експертиза / Referral for Medical Expertise,Габрово,Gabrovo,22240 Направление за медицинска експертиза / Referral for Medical Expertise,Стара Загора,Stara Zagora,21567 Направление за медицинска експертиза / Referral for Medical Expertise,Перник,Pernik,21486 Направление за високоспециализирани дейности / Referral for Specialized Activities,Перник,Pernik,21237 Направление за високоспециализирани дейности / Referral for Specialized Activities,Добрич,Dobrich,21197 Направление за високоспециализирани дейности / Referral for Specialized Activities,Ловеч,Lovech,21190 Направление за високоспециализирани дейности / Referral for Specialized Activities,София Област,Sofia,21128 Направление за високоспециализирани дейности / Referral for Specialized Activities,Видин,Vidin,20342 Направление за медицинска експертиза / Referral for Medical Expertise,Пазарджик,Pazardzhik,20188 Направление за хоспитализация / Referral for Hospitalization,Видин,Vidin,19482 Направление за високоспециализирани дейности / Referral for Specialized Activities,Ямбол,Yambol,19409 Направление за високоспециализирани дейности / Referral for Specialized Activities,Смолян,Smolyan,18083 Направление за медицинска експертиза / Referral for Medical Expertise,Русе,Ruse,17978 Направление за високоспециализирани дейности / Referral for Specialized Activities,Разград,Razgrad,17753 Направление за медицинска експертиза / Referral for Medical Expertise,Благоевград,Blagoevgrad,17600 Направление за високоспециализирани дейности / Referral for Specialized Activities,Враца,Vratsa,17179 Направление за високоспециализирани дейности / Referral for Specialized Activities,Габрово,Gabrovo,17133 Направление за медицинска експертиза / Referral for Medical Expertise,Плевен,Pleven,16506 Направление за медицинска експертиза / Referral for Medical Expertise,Велико Търново,Veliko Tarnovo,16382 Направление за медицинска експертиза / Referral for Medical Expertise,Монтана,Montana,15044 Направление за високоспециализирани дейности / Referral for Specialized Activities,Силистра,Silistra,14617 Направление за медицинска експертиза / Referral for Medical Expertise,Кюстендил,Kyustendil,13023 "Направление за ТЕЛК / Referral for Work Incapacity ",Пловдив,Plovdiv,12581 Направление за високоспециализирани дейности / Referral for Specialized Activities,Кюстендил,Kyustendil,12496 Направление за медицинска експертиза / Referral for Medical Expertise,Хасково,Haskovo,11618 Направление за медицинска експертиза / Referral for Medical Expertise,Добрич,Dobrich,11261 Направление за медицинска експертиза / Referral for Medical Expertise,София Област,Sofia,11133 Направление за високоспециализирани дейности / Referral for Specialized Activities,Кърджали,Kardzhali,11032 "Направление за ТЕЛК / Referral for Work Incapacity ",Кърджали,Kardzhali,10389 Направление за високоспециализирани дейности / Referral for Specialized Activities,Търговище,Targovishte,9947 Направление за медицинска експертиза / Referral for Medical Expertise,Враца,Vratsa,9219 Направление за медицинска експертиза / Referral for Medical Expertise,Сливен,Sliven,8408 Направление за медицинска експертиза / Referral for Medical Expertise,Кърджали,Kardzhali,7950 "Направление за ТЕЛК / Referral for Work Incapacity ",Благоевград,Blagoevgrad,7627 "Направление за ТЕЛК / Referral for Work Incapacity ",Плевен,Pleven,7568 "Направление за ТЕЛК / Referral for Work Incapacity ",Бургас,Burgas,7061 "Направление за ТЕЛК / Referral for Work Incapacity ",Хасково,Haskovo,6970 Направление за медицинска експертиза / Referral for Medical Expertise,Ловеч,Lovech,6603 Направление за медицинска експертиза / Referral for Medical Expertise,Смолян,Smolyan,6307 "Направление за ТЕЛК / Referral for Work Incapacity ",Пазарджик,Pazardzhik,6074 Направление за медицинска експертиза / Referral for Medical Expertise,Разград,Razgrad,5600 Направление за медицинска експертиза / Referral for Medical Expertise,Силистра,Silistra,5477 "Направление за ТЕЛК / Referral for Work Incapacity ",Стара Загора,Stara Zagora,5364 Направление за медицинска експертиза / Referral for Medical Expertise,Ямбол,Yambol,4798 "Направление за ТЕЛК / Referral for Work Incapacity ",Варна,Varna,4700 "Направление за ТЕЛК / Referral for Work Incapacity ",Ловеч,Lovech,4452 "Направление за ТЕЛК / Referral for Work Incapacity ",Велико Търново,Veliko Tarnovo,4196 "Направление за ТЕЛК / Referral for Work Incapacity ",Сливен,Sliven,4132 "Направление за ТЕЛК / Referral for Work Incapacity ",Монтана,Montana,4093 Направление за медицинска експертиза / Referral for Medical Expertise,Видин,Vidin,3958 Направление за медицинска експертиза / Referral for Medical Expertise,Шумен,Shumen,3842 Направление за медицинска експертиза / Referral for Medical Expertise,Търговище,Targovishte,3591 "Направление за ТЕЛК / Referral for Work Incapacity ",Русе,Ruse,3544 "Направление за ТЕЛК / Referral for Work Incapacity ",Добрич,Dobrich,3387 "Направление за ТЕЛК / Referral for Work Incapacity ",Видин,Vidin,3221 "Направление за ТЕЛК / Referral for Work Incapacity ",София Област,Sofia,3174 "Направление за ТЕЛК / Referral for Work Incapacity ",Габрово,Gabrovo,2660 "Направление за ТЕЛК / Referral for Work Incapacity ",Перник,Pernik,2466 "Направление за ТЕЛК / Referral for Work Incapacity ",Шумен,Shumen,2279 "Направление за ТЕЛК / Referral for Work Incapacity ",Ямбол,Yambol,2122 "Направление за ТЕЛК / Referral for Work Incapacity ",Разград,Razgrad,1668 "Направление за ТЕЛК / Referral for Work Incapacity ",Враца,Vratsa,1384 "Направление за ТЕЛК / Referral for Work Incapacity ",Кюстендил,Kyustendil,1201 "Направление за ТЕЛК / Referral for Work Incapacity ",Смолян,Smolyan,633 "Направление за ТЕЛК / Referral for Work Incapacity ",Търговище,Targovishte,375 "Направление за ТЕЛК / Referral for Work Incapacity ",Силистра,Silistra,295 Направление за лабораторни изследвания / Referral for Laboratory Procedures,Непосочено,Unspecified,43 Download CSV (preferably in text editor)

Number of issued referrals by type per district in 2025

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 2.50M
Referral for Consultations Sofia City 1.66M
Referral for Laboratory Procedures Plovdiv 1.56M
Referral for Laboratory Procedures Varna 1.10M
Referral for Consultations Plovdiv 963.25K
Referral for Laboratory Procedures Burgas 837.08K
Referral for Hospitalization Sofia City 695.37K
Referral for Consultations Varna 654.20K
Referral for Laboratory Procedures Stara Zagora 650.16K
Referral for Laboratory Procedures Blagoevgrad 631.62K
Referral for Consultations Burgas 576.73K
Referral for Laboratory Procedures Pleven 542.49K
Referral for Laboratory Procedures Veliko Tarnovo 517.63K
Referral for Laboratory Procedures Pazardzhik 479.41K
Referral for Laboratory Procedures Ruse 475.42K
Referral for Consultations Blagoevgrad 449.64K
Referral for Consultations Stara Zagora 438.13K
Referral for Hospitalization Plovdiv 436.41K
Referral for Laboratory Procedures Sofia 425.18K
Referral for Laboratory Procedures Haskovo 409.84K
Referral for Consultations Pleven 375.26K
Referral for Laboratory Procedures Sliven 354.79K
Referral for Consultations Pazardzhik 350.34K
Referral for Laboratory Procedures Shumen 348.87K
Referral for Consultations Veliko Tarnovo 337.70K
Referral for Laboratory Procedures Vratsa 332.76K
Referral for Laboratory Procedures Dobrich 330.60K
Referral for Consultations Ruse 312.18K
Referral for Consultations Sofia 299.41K
Referral for Laboratory Procedures Pernik 283.17K
Referral for Laboratory Procedures Kardzhali 269.38K
Referral for Consultations Haskovo 263.36K
Referral for Laboratory Procedures Montana 256.35K
Referral for Laboratory Procedures Yambol 253.74K
Referral for Laboratory Procedures Smolyan 253.66K
Referral for Laboratory Procedures Kyustendil 248.67K
Referral for Consultations Vratsa 247.34K
Referral for Consultations Sliven 245.09K
Referral for Laboratory Procedures Gabrovo 244.31K
Referral for Laboratory Procedures Lovech 242.31K
Referral for Laboratory Procedures Razgrad 224.63K
Referral for Laboratory Procedures Targovishte 221.38K
Referral for Consultations Dobrich 206.87K
Referral for Laboratory Procedures Vidin 205.23K
Referral for Laboratory Procedures Silistra 203.90K
Referral for Consultations Shumen 202.64K
Referral for Hospitalization Burgas 193.83K
Referral for Consultations Montana 192.93K
Referral for Consultations Gabrovo 180.35K
Referral for Consultations Kardzhali 178.27K
Referral for Consultations Pernik 163.41K
Referral for Consultations Razgrad 158.21K
Referral for Consultations Lovech 158.14K
Referral for Consultations Kyustendil 157.58K
Referral for Consultations Targovishte 157.23K
Referral for Consultations Yambol 151.54K
Referral for Consultations Smolyan 147.99K
Referral for Consultations Vidin 146.15K
Referral for Hospitalization Varna 143.81K
Referral for Hospitalization Pleven 141.98K
Referral for Specialized Activities Sofia City 134.89K
Referral for Consultations Silistra 126.97K
Referral for Hospitalization Stara Zagora 118.45K
Referral for Hospitalization Pazardzhik 117.05K
Referral for Hospitalization Ruse 112.03K
Referral for Specialized Activities Plovdiv 109.69K
Referral for Hospitalization Blagoevgrad 101.11K
Referral for Medical Expertise Sofia City 76.97K
Referral for Specialized Activities Varna 73.44K
Referral for Hospitalization Haskovo 70.66K
Referral for Hospitalization Vratsa 67.01K
Referral for Hospitalization Veliko Tarnovo 65.16K
Referral for Hospitalization Sliven 64.63K
Referral for Hospitalization Sofia 62.05K
Referral for Hospitalization Montana 47.28K
Referral for Medical Expertise Varna 44.82K
Referral for Specialized Activities Burgas 44.81K
Referral for Hospitalization Shumen 44.20K
Referral for Specialized Activities Pleven 41.41K
Referral for Hospitalization Dobrich 41.20K
Referral for Medical Expertise Plovdiv 40.60K
Referral for Hospitalization Kyustendil 40.50K
Referral for Hospitalization Smolyan 38.83K
Referral for Specialized Activities Veliko Tarnovo 38.24K
Referral for Specialized Activities Blagoevgrad 37.14K
Referral for Hospitalization Kardzhali 35.58K
Referral for Hospitalization Gabrovo 33.15K
Referral for Hospitalization Targovishte 32.49K
Referral for Specialized Activities Stara Zagora 32.40K
Referral for Hospitalization Yambol 31.09K
Referral for Hospitalization Lovech 30.36K
Referral for Specialized Activities Pazardzhik 29.18K
Referral for Hospitalization Silistra 28.60K
Referral for Hospitalization Pernik 27.84K
Referral for Work Incapacity Sofia City 27.45K
Referral for Specialized Activities Ruse 26.40K
Referral for Hospitalization Razgrad 25.42K
Referral for Specialized Activities Shumen 25.01K
Referral for Medical Expertise Burgas 24.57K
Referral for Specialized Activities Haskovo 22.87K
Referral for Specialized Activities Sliven 22.61K
Referral for Specialized Activities Montana 22.45K
Referral for Medical Expertise Gabrovo 22.24K
Referral for Medical Expertise Stara Zagora 21.57K
Referral for Medical Expertise Pernik 21.49K
Referral for Specialized Activities Pernik 21.24K
Referral for Specialized Activities Dobrich 21.20K
Referral for Specialized Activities Lovech 21.19K
Referral for Specialized Activities Sofia 21.13K
Referral for Specialized Activities Vidin 20.34K
Referral for Medical Expertise Pazardzhik 20.19K
Referral for Hospitalization Vidin 19.48K
Referral for Specialized Activities Yambol 19.41K
Referral for Specialized Activities Smolyan 18.08K
Referral for Medical Expertise Ruse 17.98K
Referral for Specialized Activities Razgrad 17.75K
Referral for Medical Expertise Blagoevgrad 17.60K
Referral for Specialized Activities Vratsa 17.18K
Referral for Specialized Activities Gabrovo 17.13K
Referral for Medical Expertise Pleven 16.51K
Referral for Medical Expertise Veliko Tarnovo 16.38K
Referral for Medical Expertise Montana 15.04K
Referral for Specialized Activities Silistra 14.62K
Referral for Medical Expertise Kyustendil 13.02K
Referral for Work Incapacity Plovdiv 12.58K
Referral for Specialized Activities Kyustendil 12.50K
Referral for Medical Expertise Haskovo 11.62K
Referral for Medical Expertise Dobrich 11.26K
Referral for Medical Expertise Sofia 11.13K
Referral for Specialized Activities Kardzhali 11.03K
Referral for Work Incapacity Kardzhali 10.39K
Referral for Specialized Activities Targovishte 9.95K
Referral for Medical Expertise Vratsa 9.22K
Referral for Medical Expertise Sliven 8.41K
Referral for Medical Expertise Kardzhali 7.95K
Referral for Work Incapacity Blagoevgrad 7.63K
Referral for Work Incapacity Pleven 7.57K
Referral for Work Incapacity Burgas 7.06K
Referral for Work Incapacity Haskovo 6.97K
Referral for Medical Expertise Lovech 6.60K
Referral for Medical Expertise Smolyan 6.31K
Referral for Work Incapacity Pazardzhik 6.07K
Referral for Medical Expertise Razgrad 5.60K
Referral for Medical Expertise Silistra 5.48K
Referral for Work Incapacity Stara Zagora 5.36K
Referral for Medical Expertise Yambol 4.80K
Referral for Work Incapacity Varna 4.70K
Referral for Work Incapacity Lovech 4.45K
Referral for Work Incapacity Veliko Tarnovo 4.20K
Referral for Work Incapacity Sliven 4.13K
Referral for Work Incapacity Montana 4.09K
Referral for Medical Expertise Vidin 3.96K
Referral for Medical Expertise Shumen 3.84K
Referral for Medical Expertise Targovishte 3.59K
Referral for Work Incapacity Ruse 3.54K
Referral for Work Incapacity Dobrich 3.39K
Referral for Work Incapacity Vidin 3.22K
Referral for Work Incapacity Sofia 3.17K
Referral for Work Incapacity Gabrovo 2.66K
Referral for Work Incapacity Pernik 2.47K
Referral for Work Incapacity Shumen 2.28K
Referral for Work Incapacity Yambol 2.12K
Referral for Work Incapacity Razgrad 1.67K
Referral for Work Incapacity Vratsa 1.38K
Referral for Work Incapacity Kyustendil 1.20K
Referral for Work Incapacity Smolyan 633
Referral for Work Incapacity Targovishte 375
Referral for Work Incapacity Silistra 295
Referral for Laboratory Procedures Unspecified 43

Data as of 02:07 PM on May 5th, 2026

age_group,total_referrals,executed_referrals,% "0 - 1","440847","374193","84.88" "1 - 4","1074759","893969","83.18" "5 - 9","933769","777882","83.31" "10 - 14","735293","616434","83.84" "15 - 19","801740","669921","83.56" "20 - 24","645074","534950","82.93" "25 - 29","704624","597102","84.74" "30 - 34","957344","793018","82.84" "35 - 39","1276617","1065930","83.5" "40 - 44","1433459","1225749","85.51" "45 - 49","1920123","1644715","85.66" "50 - 54","2185368","1897937","86.85" "55 - 59","2384746","2080704","87.25" "60 - 64","2669621","2343626","87.79" "65 - 69","2860626","2513424","87.86" "70 - 74","2821119","2478223","87.85" "75 - 79","2440857","2119151","86.82" "80 - 84","1280647","1081155","84.42" "85 - 89","550160","446251","81.11" "90 - 94","144073","110122","76.43" "95 - 99","16215","11854","73.11" "100 +","861","566","65.74" Download CSV (preferably in text editor)

Nationwide Distribution of issued referrals by age group in 2025

Age is determined as the date referral was issued.
Age group Total Issued referrals
0 - 1 440.85K
1 - 4 1.07M
5 - 9 933.77K
10 - 14 735.29K
15 - 19 801.74K
20 - 24 645.07K
25 - 29 704.62K
30 - 34 957.34K
35 - 39 1.28M
40 - 44 1.43M
45 - 49 1.92M
50 - 54 2.19M
55 - 59 2.38M
60 - 64 2.67M
65 - 69 2.86M
70 - 74 2.82M
75 - 79 2.44M
80 - 84 1.28M
85 - 89 550.16K
90 - 94 144.07K
95 - 99 16.21K
100 + 861

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

% of fulfilled referrals nationwide in 2025

85.85%
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 ",141065,132801,94.14 Направление за хоспитализация / Referral for Hospitalization,2865575,2581276,90.08 Направление за медицинска експертиза / Referral for Medical Expertise,468733,408612,87.17 Направление за консултация / Referral for Consultations,9498454,8239872,86.75 Направление за лабораторни изследвания / Referral for Laboratory Procedures,14400845,12167271,84.49 Направление за високоспециализирани дейности / Referral for Specialized Activities,903270,747859,82.79 Download CSV (preferably in text editor)

% of fulfilled referrals by type in 2025

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 14.40M 12.17M 84
Referral for Consultations 9.50M 8.24M 86
Referral for Hospitalization 2.87M 2.58M 90
Referral for Specialized Activities 903.27K 747.86K 82
Referral for Medical Expertise 468.73K 408.61K 87
Referral for Work Incapacity 141.06K 132.80K 94

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

age_group,total_referrals,executed_referrals,% "0 - 1","440847","374193","84.88" "1 - 4","1074759","893969","83.18" "5 - 9","933769","777882","83.31" "10 - 14","735293","616434","83.84" "15 - 19","801740","669921","83.56" "20 - 24","645074","534950","82.93" "25 - 29","704624","597102","84.74" "30 - 34","957344","793018","82.84" "35 - 39","1276617","1065930","83.5" "40 - 44","1433459","1225749","85.51" "45 - 49","1920123","1644715","85.66" "50 - 54","2185368","1897937","86.85" "55 - 59","2384746","2080704","87.25" "60 - 64","2669621","2343626","87.79" "65 - 69","2860626","2513424","87.86" "70 - 74","2821119","2478223","87.85" "75 - 79","2440857","2119151","86.82" "80 - 84","1280647","1081155","84.42" "85 - 89","550160","446251","81.11" "90 - 94","144073","110122","76.43" "95 - 99","16215","11854","73.11" "100 +","861","566","65.74" Download CSV (preferably in text editor)

% of fulfilled referrals by age group in 2025

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 issue.
Age group Total Issued Referrals Total Fulfilled referrals %
0 - 1 440.85K 374.19K 84
1 - 4 1.07M 893.97K 83
5 - 9 933.77K 777.88K 83
10 - 14 735.29K 616.43K 83
15 - 19 801.74K 669.92K 83
20 - 24 645.07K 534.95K 82
25 - 29 704.62K 597.10K 84
30 - 34 957.34K 793.02K 82
35 - 39 1.28M 1.07M 83
40 - 44 1.43M 1.23M 85
45 - 49 1.92M 1.64M 85
50 - 54 2.19M 1.90M 86
55 - 59 2.38M 2.08M 87
60 - 64 2.67M 2.34M 87
65 - 69 2.86M 2.51M 87
70 - 74 2.82M 2.48M 87
75 - 79 2.44M 2.12M 86
80 - 84 1.28M 1.08M 84
85 - 89 550.16K 446.25K 81
90 - 94 144.07K 110.12K 76
95 - 99 16.21K 11.85K 73
100 + 861 566 65

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-01,87.07,90.4,85.16,91.82,90.2,0,0,95.23 BG-02,83.81,88.35,83.57,89.76,90.05,0,0,92.55 BG-03,86.63,88.41,88.49,88.12,90.96,0,0,93.53 BG-04,85.61,89.16,83.88,91.99,93.04,0,0,95.45 BG-05,78.45,86.88,69.94,85.52,90.37,0,0,94.72 BG-06,85.56,87.97,89.02,88.42,86.5,0,0,95.52 BG-07,85.16,89.59,87.75,90.41,93.42,0,0,97.97 BG-08,83.68,88,80.53,91.27,91.08,0,0,90.08 BG-09,83.1,87.01,85.68,89.98,77.84,0,0,91.06 BG-10,85.42,73.63,66.7,90.54,61.69,0,0,94.42 BG-11,85.65,87.74,85.68,90.34,86.64,0,0,96.68 BG-12,85.37,87.1,86.48,90.76,88.02,0,0,91.28 BG-13,82.04,87.52,77.86,92.64,92.27,0,0,93.22 BG-14,83.35,86.03,82.62,86.16,93.21,0,0,95.3 BG-15,85.35,87.63,82.04,92.62,86.44,0,0,96.34 BG-16,82.06,85.34,81.77,91.33,82.68,0,0,94.14 BG-17,78.88,86.36,82.13,90.39,88.82,0,0,94.6 BG-18,85.05,87.48,79.16,91.93,89.94,0,0,93.54 BG-19,84.14,88.02,76.5,90.17,78.95,0,0,97.29 BG-20,86.57,89.7,86.27,88.69,88.48,0,0,95.81 BG-21,86.31,87.47,81.94,88.89,88.7,0,0,96.68 BG-22,85.06,83.49,82.53,89.4,87.89,0,0,90.93 BG-23,82.84,87.1,78.72,88.38,82.74,0,0,94.99 BG-24,83.31,86.43,80.89,87.65,84.24,0,0,95.02 BG-25,84.35,88.07,87.99,91.74,76.69,0,0,90.4 BG-26,85.99,87.94,83.19,89.86,84.02,0,0,94.45 BG-27,86.91,90.27,87.86,87.25,67.57,0,0,94.65 BG-28,84.16,87.83,82.04,86.76,77.24,0,0,93.87 Непосочено,90.7,,,,,0,0, Download CSV (preferably in text editor)

% fulfilled referrals by type and district in 2025

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,median_days_for_lab_procedures,median_days_for_consultations,median_days_for_spec_activities,median_days_for_hospitalization,median_days_for_med_expertise,median_days_for_clinical_monitoring,median_days_for_clinical_procedures,median_days_for_work_incapacity,p90_days_for_lab_procedures,p90_days_for_consultations,p90_days_for_spec_activities,p90_days_for_hospitalization,p90_days_for_med_expertise,p90_days_for_clinical_monitoring,p90_days_for_clinical_procedures,p90_days_for_work_incapacity BG-01,3.77,4.16,4.1,2.51,3.25,0,0,0,1,1,1,0,3,0,0,0,12,13,14,8,7,0,0,0 BG-02,4.58,5.26,5.11,2.48,4.25,0,0,0,1,2,1,0,3,0,0,0,15,15,17,8,9,0,0,0 BG-03,5.67,7.09,7.7,4.6,4.26,0,0,0,2,4,5,1,2,0,0,0,18,20,21,15,11,0,0,0 BG-04,4.98,5.58,7.23,2.43,4.42,0,0,0,2,3,4,0,3,0,0,0,16,16,21,8,11,0,0,0 BG-05,5.45,5.1,7.89,3.8,6.98,0,0,0,2,2,5,0,6,0,0,0,18,15,23,13,15,0,0,0 BG-06,4.27,4.77,4.38,2.86,3.15,0,0,0,1,2,1,0,2,0,0,0,14,14,14,9,7,0,0,0 BG-07,4,4.93,3.78,2.67,5.89,0,0,0,1,2,0,1,5,0,0,0,13,15,14,8,14,0,0,0 BG-08,4.16,5.53,6.2,4.03,6.55,0,0,0,1,3,3,1,3,0,0,0,13,15,18,13,20,0,0,0 BG-09,2.68,4.08,4.53,2.51,7.2,0,0,0,0,1,1,0,7,0,0,0,8,13,14,8,15,0,0,0 BG-10,4.85,5.56,6.98,3.1,4.2,0,0,0,2,3,5,1,3,0,0,0,15,16,20,8,9,0,0,0 BG-11,4.31,4.6,5.07,2.73,3.28,0,0,0,1,2,1,1,2,0,0,0,14,14,17,9,8,0,0,0 BG-12,4.48,4.99,5.47,2.05,4.97,0,0,0,1,2,2,0,3,0,0,0,14,15,17,7,12,0,0,0 BG-13,4.25,4.78,5.8,1.78,3.47,0,0,0,1,2,2,0,2,0,0,0,14,14,19,6,7,0,0,0 BG-14,5.44,6.82,8.19,4.82,4.58,0,0,0,2,4,6,3,3,0,0,0,17,19,21,14,11,0,0,0 BG-15,4.8,5.65,6.51,2.99,3.72,0,0,0,2,3,3,1,2,0,0,0,15,16,20,10,9,0,0,0 BG-16,5.31,6.58,6.8,2.28,5.04,0,0,0,2,4,4,0,3,0,0,0,17,19,20,8,13,0,0,0 BG-17,4.17,4.67,5.15,2.95,4.17,0,0,0,1,2,1,0,3,0,0,0,14,14,17,9,9,0,0,0 BG-18,5.03,5.71,6.76,1.84,3.55,0,0,0,2,3,3,0,1,0,0,0,16,17,20,6,10,0,0,0 BG-19,4.62,6.31,10.75,3.06,10.69,0,0,0,2,3,8,1,10,0,0,0,14,20,26,9,20,0,0,0 BG-20,4.32,4.88,6.02,2.96,5.03,0,0,0,1,2,2,1,4,0,0,0,14,15,19,10,12,0,0,0 BG-21,3.42,4.95,5.93,3.54,2.99,0,0,0,1,2,2,1,2,0,0,0,12,15,18,12,7,0,0,0 BG-22,6.36,7.74,6.9,3.16,5.04,0,0,0,3,5,3,0,4,0,0,0,20,21,21,12,12,0,0,0 BG-23,4.2,4.62,4.86,3.22,7.33,0,0,0,1,2,1,1,6,0,0,0,13,14,16,10,15,0,0,0 BG-24,5.84,6.48,7.63,3.68,8.37,0,0,0,2,4,5,0,7,0,0,0,18,18,21,13,18,0,0,0 BG-25,4.11,4.7,4.06,3.01,3.39,0,0,0,1,2,1,1,2,0,0,0,13,14,14,10,7,0,0,0 BG-26,4.44,5.54,5.67,3.05,4.28,0,0,7,1,2,2,0,3,0,0,7,14,17,18,10,8,0,0,7 BG-27,4.82,6.27,7.4,4.05,6.51,0,0,0,1,3,5,1,6,0,0,0,15,18,21,13,14,0,0,0 BG-28,4.44,5.61,7.24,3.88,3.85,0,0,0,1,2,4,1,2,0,0,0,14,17,21,13,11,0,0,0 Непосочено,1.97,,,,,0,0,0,0,,,,,0,0,0,6,,,,,0,0,0 Download CSV (preferably in text editor)

Average number of days to referral fulfillment by type and district in 2025

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 2025

49.92%
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 Детска нефрология и хемодиализа / Paediatric nephrology and haemodyalisis,27449,22562,82.2,10.05,8,23 Ангиология / Angiology,9998,7761,77.63,9.54,7,22 Ендокринология и болести на обмяната / Endocrinology and metabolic diseases,710007,616936,86.89,8.58,6,21 Детска ендокринология и болести на обмяната / Paediatric endocrinology and metabolic diseases,19385,15784,81.42,8.15,6,21 Детска кардиология / Paediatric cardiology,17326,13142,75.85,7.82,6,20 Кардиология / Cardiology,1309785,1110607,84.79,7.69,5,21 Ревматология / Rheumatology,117122,102899,87.86,7.52,5,19 Детска неврология / Paediatric neurology,19000,13584,71.49,7.5,5,20 Образна диагностика / Image diagnostics,220,2,0.91,7.5,7.5,13.5 Акушерство и гинекология / Obstetrics and gynaecology,658555,558354,84.78,7.4,5,21 Очни болести / Ophthalmology,997401,866829,86.91,7.27,5,20 Детска клинична хематология и онкология / Paediatric clinical haematology and oncology,1609,697,43.32,7.21,5,18 Детска психиатрия / Child psychiatry,7790,5935,76.19,7.15,5,19 Нефрология / Nephrology,138717,117162,84.46,7.11,5,19 Трансфузионна хематология / Transfusion haematology,107,4,3.74,7,6.5,13.4 Съдова хирургия / Vascular surgery,130452,107869,82.69,6.99,5,18 Детска гастроентерология / Paediatric gastroenterology,16842,11656,69.21,6.99,4,19 Клинична хематология / Clinical haematology,56056,46119,82.27,6.98,5,19 Детска ревматология / Paediatric reumatology,2383,1831,76.84,6.88,5,19 Урология / Urology,272989,231785,84.91,6.51,4,18 Детска клинична алергология / Clinical Allergology and Pediatrics,163,43,26.38,6.4,5,16 Клинична алергология / Clinical allergology,58958,49073,83.23,6.37,4,17 Гръдна хирургия / Thoracic surgery,5663,3810,67.28,6.36,4,16 Гастроентерология / Gastroenterology,306902,258039,84.08,6.31,4,18 Кардиохирургия / Cardiosurgery,166,6,3.61,6.17,4.5,11.5 Физикална и рехабилитационна медицина / Physical and rehabilitation medicine,552037,510533,92.48,6.01,4,15 Клинична вирусология / Clinical virology,18,1,5.56,6,6,6 Медицинска онкология / Medical oncology,22824,16764,73.45,5.94,4,15 Медицинска паразитология / Medical parasitology,1179,624,52.93,5.86,4,14.7 Неврохирургия / Neurosurgery,28045,20761,74.03,5.8,3,15 Клинична имунология / Clinical immunology,728,573,78.71,5.71,4,14 Обща медицина / General medicine,127,6,4.72,5.67,3.5,12.5 Психиатрия / Psychiatry,176344,155496,88.18,5.43,3,15 Нервни болести / Neurology ,762382,666782,87.46,5.39,3,15 Кожни и венерически болести / Dermatology and venereology,375260,328073,87.43,5.33,2,15 Детска хирургия / Paediatric surgery,10314,7111,68.95,5.19,2,15 Ортопедия и травматология / Orthopaedics and traumatology,643287,567051,88.15,5.11,2,15 Неонатология / Neonatology,73,2,2.74,4,4,6.4 Пневмология и фтизиатрия / Pneumology and phthisiatry,195548,166800,85.3,3.93,1,12 Ушно-носно-гърлени болести / Otorhinolaryngology,483809,426733,88.2,3.77,1,12 Хирургия / Surgery,316744,268871,84.89,3.48,1,10 Детска пневмология и фтизиатрия / Paediatric pneumology and phthysiatry ,28598,24709,86.4,3.47,1,10 Вътрешни болести / Internal diseases,39834,36291,91.11,3.18,1,9 Лъчелечение / Radiotherapy,46,1,2.17,3,3,3 Клинична лаборатория / Clinical laboratory,180,4,2.22,3,1.5,6.9 Инфекциозни болести / Infectious diseases,15545,11622,74.76,2.68,1,7 Педиатрия / Paediatrics,957547,868562,90.71,2.13,0,6 Анестезиология и интензивно лечение / Anaesthesiology and intensive care,115,8,6.96,2.13,1.5,4.6 Клинична токсикология / Clinical toxicology,61,1,1.64,2,2,2 Пластично-възстановителна и естетична хирургия / Plastic-reconstructive and aesthetic surgery,75,1,1.33,1,1,1 Нуклеарна медицина / Nuclear medicine,20,0,0,0,0,0 Медицинска генетика / Medical genetics,26,0,0,0,0,0 Професионални болести / Professional diseases,7,0,0,0,0,0 Лицево-челюстна хирургия / Maxillo-facial surgery,1494,1,0.07,0,0,0 Спешна медицина / Emergency medicine,3,1,33.33,0,0,0 Съдебна медицина и деонтология / Forensic medicine and deontology,0,0,0,0,0,0 Клинична микробиология / Clinical microbiology,7,0,0,0,0,0 Епидемиология на инфекциозните болести / Epidemiology of infectious diseases,1,1,100,0,0,0 Детска дентална медицина / Paediatric dental medicine,12,0,0,0,0,0 "Дентална, орална и лицево-челюстна хирургия / Dental, oral and maxillo-facial surgery",216,0,0,0,0,0 Обща и клинична патология / General and clinical pathology,10,0,0,0,0,0 Хранене и диететика / Nutrition and dietetics,69,0,0,0,0,0 Обща дентална медицина / General dental medicine,6,0,0,0,0,0 Оперативно зъболечение и ендодонтия / Surgical dental treatment and endodontics,1,0,0,0,0,0 Орална хирургия / Oral surgery,802,0,0,0,0,0 Няма специалност / No specialty,15,0,0,0,0,0 Download CSV (preferably in text editor)

% Fulfilled consultation referrals by medical specialty in 2025

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 1 309 785 1 110 607 84,79
Ophthalmology 997 401 866 829 86,91
Paediatrics 957 547 868 562 90,71
Neurology 762 382 666 782 87,46
Endocrinology and metabolic diseases 710 007 616 936 86,89
Obstetrics and gynaecology 658 555 558 354 84,78
Orthopaedics and traumatology 643 287 567 051 88,15
Physical and rehabilitation medicine 552 037 510 533 92,48
Otorhinolaryngology 483 809 426 733 88,20
Dermatology and venereology 375 260 328 073 87,43
Surgery 316 744 268 871 84,89
Gastroenterology 306 902 258 039 84,08
Urology 272 989 231 785 84,91
Pneumology and phthisiatry 195 548 166 800 85,30
Psychiatry 176 344 155 496 88,18
Nephrology 138 717 117 162 84,46
Vascular surgery 130 452 107 869 82,69
Rheumatology 117 122 102 899 87,86
Clinical allergology 58 958 49 073 83,23
Clinical haematology 56 056 46 119 82,27
Internal diseases 39 834 36 291 91,11
Paediatric pneumology and phthysiatry 28 598 24 709 86,40
Neurosurgery 28 045 20 761 74,03
Paediatric nephrology and haemodyalisis 27 449 22 562 82,20
Medical oncology 22 824 16 764 73,45
Paediatric endocrinology and metabolic diseases 19 385 15 784 81,42
Paediatric neurology 19 000 13 584 71,49
Paediatric cardiology 17 326 13 142 75,85
Paediatric gastroenterology 16 842 11 656 69,21
Infectious diseases 15 545 11 622 74,76
Paediatric surgery 10 314 7 111 68,95
Angiology 9 998 7 761 77,63
Child psychiatry 7 790 5 935 76,19
Thoracic surgery 5 663 3 810 67,28
Paediatric reumatology 2 383 1 831 76,84
Paediatric clinical haematology and oncology 1 609 697 43,32
Maxillo-facial surgery 1 494 1 0,07
Medical parasitology 1 179 624 52,93
Oral surgery 802 0 0
Clinical immunology 728 573 78,71
Image diagnostics 220 2 0,91
Dental, oral and maxillo-facial surgery 216 0 0
Clinical laboratory 180 4 2,22
Cardiosurgery 166 6 3,61
Clinical Allergology and Pediatrics 163 43 26,38
General medicine 127 6 4,72
Anaesthesiology and intensive care 115 8 6,96
Transfusion haematology 107 4 3,74
Plastic-reconstructive and aesthetic surgery 75 1 1,33
Neonatology 73 2 2,74
Nutrition and dietetics 69 0 0
Clinical toxicology 61 1 1,64
Radiotherapy 46 1 2,17
Medical genetics 26 0 0
Nuclear medicine 20 0 0
Clinical virology 18 1 5,56
No specialty 15 0 0
Paediatric dental medicine 12 0 0
General and clinical pathology 10 0 0
Clinical microbiology 7 0 0
Professional diseases 7 0 0
General dental medicine 6 0 0
Emergency medicine 3 1 33,33
Epidemiology of infectious diseases 1 1 100
Surgical dental treatment and endodontics 1 0 0
Forensic medicine and deontology 0 0 0

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 Детска нефрология и хемодиализа / Paediatric nephrology and haemodyalisis,27449,22562,82.2,10.05,8,23 Ангиология / Angiology,9998,7761,77.63,9.54,7,22 Ендокринология и болести на обмяната / Endocrinology and metabolic diseases,710007,616936,86.89,8.58,6,21 Детска ендокринология и болести на обмяната / Paediatric endocrinology and metabolic diseases,19385,15784,81.42,8.15,6,21 Детска кардиология / Paediatric cardiology,17326,13142,75.85,7.82,6,20 Кардиология / Cardiology,1309785,1110607,84.79,7.69,5,21 Ревматология / Rheumatology,117122,102899,87.86,7.52,5,19 Детска неврология / Paediatric neurology,19000,13584,71.49,7.5,5,20 Образна диагностика / Image diagnostics,220,2,0.91,7.5,7.5,13.5 Акушерство и гинекология / Obstetrics and gynaecology,658555,558354,84.78,7.4,5,21 Очни болести / Ophthalmology,997401,866829,86.91,7.27,5,20 Детска клинична хематология и онкология / Paediatric clinical haematology and oncology,1609,697,43.32,7.21,5,18 Детска психиатрия / Child psychiatry,7790,5935,76.19,7.15,5,19 Нефрология / Nephrology,138717,117162,84.46,7.11,5,19 Трансфузионна хематология / Transfusion haematology,107,4,3.74,7,6.5,13.4 Съдова хирургия / Vascular surgery,130452,107869,82.69,6.99,5,18 Детска гастроентерология / Paediatric gastroenterology,16842,11656,69.21,6.99,4,19 Клинична хематология / Clinical haematology,56056,46119,82.27,6.98,5,19 Детска ревматология / Paediatric reumatology,2383,1831,76.84,6.88,5,19 Урология / Urology,272989,231785,84.91,6.51,4,18 Детска клинична алергология / Clinical Allergology and Pediatrics,163,43,26.38,6.4,5,16 Клинична алергология / Clinical allergology,58958,49073,83.23,6.37,4,17 Гръдна хирургия / Thoracic surgery,5663,3810,67.28,6.36,4,16 Гастроентерология / Gastroenterology,306902,258039,84.08,6.31,4,18 Кардиохирургия / Cardiosurgery,166,6,3.61,6.17,4.5,11.5 Физикална и рехабилитационна медицина / Physical and rehabilitation medicine,552037,510533,92.48,6.01,4,15 Клинична вирусология / Clinical virology,18,1,5.56,6,6,6 Медицинска онкология / Medical oncology,22824,16764,73.45,5.94,4,15 Медицинска паразитология / Medical parasitology,1179,624,52.93,5.86,4,14.7 Неврохирургия / Neurosurgery,28045,20761,74.03,5.8,3,15 Клинична имунология / Clinical immunology,728,573,78.71,5.71,4,14 Обща медицина / General medicine,127,6,4.72,5.67,3.5,12.5 Психиатрия / Psychiatry,176344,155496,88.18,5.43,3,15 Нервни болести / Neurology ,762382,666782,87.46,5.39,3,15 Кожни и венерически болести / Dermatology and venereology,375260,328073,87.43,5.33,2,15 Детска хирургия / Paediatric surgery,10314,7111,68.95,5.19,2,15 Ортопедия и травматология / Orthopaedics and traumatology,643287,567051,88.15,5.11,2,15 Неонатология / Neonatology,73,2,2.74,4,4,6.4 Пневмология и фтизиатрия / Pneumology and phthisiatry,195548,166800,85.3,3.93,1,12 Ушно-носно-гърлени болести / Otorhinolaryngology,483809,426733,88.2,3.77,1,12 Хирургия / Surgery,316744,268871,84.89,3.48,1,10 Детска пневмология и фтизиатрия / Paediatric pneumology and phthysiatry ,28598,24709,86.4,3.47,1,10 Вътрешни болести / Internal diseases,39834,36291,91.11,3.18,1,9 Лъчелечение / Radiotherapy,46,1,2.17,3,3,3 Клинична лаборатория / Clinical laboratory,180,4,2.22,3,1.5,6.9 Инфекциозни болести / Infectious diseases,15545,11622,74.76,2.68,1,7 Педиатрия / Paediatrics,957547,868562,90.71,2.13,0,6 Анестезиология и интензивно лечение / Anaesthesiology and intensive care,115,8,6.96,2.13,1.5,4.6 Клинична токсикология / Clinical toxicology,61,1,1.64,2,2,2 Пластично-възстановителна и естетична хирургия / Plastic-reconstructive and aesthetic surgery,75,1,1.33,1,1,1 Нуклеарна медицина / Nuclear medicine,20,0,0,0,0,0 Медицинска генетика / Medical genetics,26,0,0,0,0,0 Професионални болести / Professional diseases,7,0,0,0,0,0 Лицево-челюстна хирургия / Maxillo-facial surgery,1494,1,0.07,0,0,0 Спешна медицина / Emergency medicine,3,1,33.33,0,0,0 Съдебна медицина и деонтология / Forensic medicine and deontology,0,0,0,0,0,0 Клинична микробиология / Clinical microbiology,7,0,0,0,0,0 Епидемиология на инфекциозните болести / Epidemiology of infectious diseases,1,1,100,0,0,0 Детска дентална медицина / Paediatric dental medicine,12,0,0,0,0,0 "Дентална, орална и лицево-челюстна хирургия / Dental, oral and maxillo-facial surgery",216,0,0,0,0,0 Обща и клинична патология / General and clinical pathology,10,0,0,0,0,0 Хранене и диететика / Nutrition and dietetics,69,0,0,0,0,0 Обща дентална медицина / General dental medicine,6,0,0,0,0,0 Оперативно зъболечение и ендодонтия / Surgical dental treatment and endodontics,1,0,0,0,0,0 Орална хирургия / Oral surgery,802,0,0,0,0,0 Няма специалност / No specialty,15,0,0,0,0,0 Download CSV (preferably in text editor)

Average Referral Issuance to Fulfilment Time by Medical Specialty in 2025

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 7,69
Ophthalmology 7,27
Paediatrics 2,13
Neurology 5,39
Endocrinology and metabolic diseases 8,58
Obstetrics and gynaecology 7,40
Orthopaedics and traumatology 5,11
Physical and rehabilitation medicine 6,01
Otorhinolaryngology 3,77
Dermatology and venereology 5,33
Surgery 3,48
Gastroenterology 6,31
Urology 6,51
Pneumology and phthisiatry 3,93
Psychiatry 5,43
Nephrology 7,11
Vascular surgery 6,99
Rheumatology 7,52
Clinical allergology 6,37
Clinical haematology 6,98
Internal diseases 3,18
Paediatric pneumology and phthysiatry 3,47
Neurosurgery 5,80
Paediatric nephrology and haemodyalisis 10,05
Medical oncology 5,94
Paediatric endocrinology and metabolic diseases 8,15
Paediatric neurology 7,50
Paediatric cardiology 7,82
Paediatric gastroenterology 6,99
Infectious diseases 2,68
Paediatric surgery 5,19
Angiology 9,54
Child psychiatry 7,15
Thoracic surgery 6,36
Paediatric reumatology 6,88
Paediatric clinical haematology and oncology 7,21
Maxillo-facial surgery 0
Medical parasitology 5,86
Oral surgery 0
Clinical immunology 5,71
Image diagnostics 7,50
Dental, oral and maxillo-facial surgery 0
Clinical laboratory 3
Cardiosurgery 6,17
Clinical Allergology and Pediatrics 6,40
General medicine 5,67
Anaesthesiology and intensive care 2,13
Transfusion haematology 7
Plastic-reconstructive and aesthetic surgery 1
Neonatology 4
Nutrition and dietetics 0
Clinical toxicology 2
Radiotherapy 3
Medical genetics 0
Nuclear medicine 0
Clinical virology 6
No specialty 0
Paediatric dental medicine 0
General and clinical pathology 0
Clinical microbiology 0
Professional diseases 0
General dental medicine 0
Emergency medicine 0
Epidemiology of infectious diseases 0
Surgical dental treatment and endodontics 0
Forensic medicine and deontology 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 Остеоденситометрия и интерпретация при следните случаи: Болни с трансплантирани органи. / Bone densitometry and interpretation for patients with transplanted organs,14,1,7.14,8,8,8 Фетална ехокардиография на рисков контингент за сърдечна патология на плода / Fetal echocardiography in high-risk pregnancies for fetal cardiac abnormalities,26,15,57.69,7.53,5,18.2 Ехокардиография / Echocardiography,696226,569534,81.8,7.3,4,21 Флуоресцентна ангиография на съдовете на окото / Fluorescein angiography,8624,7068,81.96,6.41,4,18 Непрекъснат 24-часов електрокардиографски запис (ЕКГ Холтер мониториране) / 24-hour ambulatory electrocardiographic monitoring (Holter ECG monitoring),10767,9467,87.93,6.13,3,17 Сърдечно-съдов тест с натоварване / Cardiovascular exercise stress test,9224,3147,34.12,5.8,2,19 Евокирани потенциали / Evoked potentials,400,137,34.25,5.47,0,21 Електромиография (ЕМГ) / Electromyography (EMG),32849,28423,86.53,5.39,1,17 "Деструктивно лечение на доброкачествени изменения на маточната шийка, с изключение на химична каут. / Destructive treatment of benign cervical lesions, excluding chemical cauterization",690,636,92.17,5.27,0,20 Електроенцефалография (ЕЕГ) / Electroencephalography (EEG),20355,16124,79.21,5.1,1,16 Интерпретация на резултат от изследване на кинетиката на радионуклидно маркирани еритроцоти-обем цир / Interpretation of radionuclide-labeled erythrocyte kinetic study (circulating blood volume),1,1,100,5,5,5 Непрекъснат 24-часов запис на артериално налягяне (Холтер мониториране) / 24-hour ambulatory blood pressure monitoring,2055,1816,88.37,4.96,2,15 Лазертерапия при очни заболявания / Laser therapy for ophthalmic diseases,7413,6548,88.33,4.5,0,16 Лазертерапия при ставни заболявания и трудно зарастващи рани / Laser therapy for joint disorders and chronic non-healing wounds,10907,10529,96.53,4.3,2,11 Снемане на анестезиологичен статус за планиране на оперативна интервенция с анестезия / Pre-anesthetic assessment for planned surgery,2631,2308,87.72,4.16,1,13 Доплерова сонография на периферни съдове и щит.жлеза / Doppler ultrasonography of peripheral vessels and the thyroid gland,40490,34452,85.09,3.98,0,14 Лигатура на вена при подкожни варикозни образувания и ексцизия на варикозни възли / Vein ligation for superficial varicose veins with excision of varicose nodules,4,4,100,3.75,1.5,9 Постизометрична релаксация (курс на лечение) / Post-isometric relaxation therapy (course of treatment),326,325,99.69,3.19,3,7 Венозна анестезия / Intravenous anesthesia,367,304,82.83,2.49,1,6 Фетална морфология / Fetal anomaly scan,489,347,70.96,2.19,0,7 Аспирационна ендометриална биопсия / Endometrial aspiration biopsy,8,7,87.5,2,0,5.6 Ехографско изследване на стави при деца / Pediatric joint ultrasonography,10465,9757,93.23,1.92,0,7 "Диагностична долна ендоскопия, фибросигмоидоскопия / Diagnostic flexible sigmoidoscopy",351,331,94.3,1.8,0,5 Колпоскопия с/без прицелна биопсия / Colposcopy with or without targeted biopsy,7080,6713,94.82,1.74,0,4.8 "Диагностична долна ендоскопия, фиброколоноскопия / Diagnostic colonoscopy",425,384,90.35,1.64,1,3 Екстензионна терапия (курс на лечение) / Traction therapy (course of treatment),57,52,91.23,1.48,1,3 Диагностична горна ендоскопия / Diagnostic upper gastrointestinal endoscopy,2065,1959,94.87,1.46,0,4 Уретроцистоскопия (диагностична) / Diagnostic urethrocystoscopy,926,901,97.3,1.43,0,4 Криотерапия и/или лазертерапия на доброкачествени кожни тумори / Cryotherapy and/or laser therapy for benign skin tumors,10057,9499,94.45,1.35,0,3 Инцизия и дренаж на палмарно или тенарно пространство / Incision and drainage of the palmar or thenar space,541,437,80.78,1.27,0,4 Трансфонтанелна ехография / Transfontanelle ultrasonography,1050,981,93.43,1.17,0,3 Ехография на млечна жлеза / Breast ultrasound,2274,2193,96.44,1.04,0,2 "Ларингостробоскопия, ларингостробография / Laryngostroboscopy and laryngostrobography",291,276,94.85,1.03,0,2 Интерпретация на комплексно изследване на стандартен панел от показатели при болен с левкемия / Interpretation of a comprehensive standard diagnostic panel in patients with leukemia,26,26,100,0.85,0,2.5 Инцизия на гръдна (млечна) жлеза / Incision of the breast,233,225,96.57,0.82,0,2 "Специализирани кинезитерапевтични методи, приложими при ДЦП / Specialized physiotherapy techniques for cerebral palsy",49,43,87.76,0.65,0,0 Сесия за кризисна интервенция / Crisis intervention session,456,432,94.74,0.59,0,2 Вземане на биопсичен материал от лимфен възел / Lymph node biopsy,205,202,98.54,0.51,0,1 Вземане на биопсичен материал от уретра / Urethral biopsy,2,2,100,0.5,0.5,0.9 Вагинотомия / Vaginotomy,6,6,100,0.5,0.5,1 Доплерово ултразвуково изследване на бъбречни съдове / Doppler ultrasound of the renal vessels,1664,1636,98.32,0.48,0,1 Вземане на биопсичен материал от гърда / Breast biopsy,261,249,95.4,0.47,0,1 Диагностична и терапевтична пункция на стави / Diagnostic and therapeutic joint aspiration,19077,18657,97.8,0.38,0,1 Тестуване за поносимост при прилагане на анестетици (за Анeстезиология и интензивно лечение) / Tolerance testing for anesthetic agents (Anesthesiology and Intensive Care),670,620,92.54,0.37,0,0 Пункция и аспирация на максиларен синус / Maxillary sinus puncture and aspiration,282,278,98.58,0.36,0,1 Абразио на цервикален канал / Endocervical curettage,72,69,95.83,0.32,0,1 Инцизия на тонзиларни и перитонзиларни абсцеси / Incision of tonsillar and peritonsillar abscesses,234,226,96.58,0.21,0,1 Фониатрична консултация с последваща гласова рехабилитация-курс 10 сеанса / Phoniatric consultation with subsequent voice rehabilitation (10-session course),342,317,92.69,0.2,0,0 Пункционна биопсия на щитовидната жлеза под ехографски контрол / Ultrasound-guided fine-needle aspiration biopsy of the thyroid gland,225,187,83.11,0.19,0,0 Назален провокационен тест с медиатори / Nasal provocation test with mediators,0,0,0,0,0,0 Локално обезболяване - проводна анестезия / Local anesthesia – nerve block anesthesia,4,0,0,0,0,0 Отстраняване на полипи от носната кухина / Nasal polypectomy,2,2,100,0,0,0 Интерпретация на резултат от изследване на кинетиката на радионуклидно маркирани тромбоцити / Interpretation of radionuclide-labeled platelet kinetic study,0,0,0,0,0,0 Уретротомия при стриктура / Urethrotomy for urethral stricture,3,2,66.67,0,0,0 Интерпретация на комплексно изследване на стандартен панел от показатели при пациенти с лимфом / Interpretation of a comprehensive standard diagnostic panel in patients with lymphoma,4,4,100,0,0,0 Вземане на биопсичен материал от пикочен мехур / Urinary bladder biopsy,2,0,0,0,0,0 Вземане на биопсичен материал от нос / Nasal biopsy,2,0,0,0,0,0 Бронхопровокационен тест с метилхолин / Methacholine bronchial provocation test,1,0,0,0,0,0 Снемане на анамнеза / History taking,0,0,0,0,0,0 Download CSV (preferably in text editor)

% fulfilment for highly specialized activities referrals by activity type in 2025

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 696 226 569 534 81,80
Doppler ultrasonography of peripheral vessels and the thyroid gland 40 490 34 452 85,09
Electromyography (EMG) 32 849 28 423 86,53
Electroencephalography (EEG) 20 355 16 124 79,21
Diagnostic and therapeutic joint aspiration 19 077 18 657 97,80
Laser therapy for joint disorders and chronic non-healing wounds 10 907 10 529 96,53
24-hour ambulatory electrocardiographic monitoring (Holter ECG monitoring) 10 767 9 467 87,93
Pediatric joint ultrasonography 10 465 9 757 93,23
или лазертерапия на доброкачествени кожни тумори 10 057 9 499 94,45
Cardiovascular exercise stress test 9 224 3 147 34,12
Fluorescein angiography 8 624 7 068 81,96
Laser therapy for ophthalmic diseases 7 413 6 548 88,33
без прицелна биопсия 7 080 6 713 94,82
Pre-anesthetic assessment for planned surgery 2 631 2 308 87,72
Breast ultrasound 2 274 2 193 96,44
Diagnostic upper gastrointestinal endoscopy 2 065 1 959 94,87
24-hour ambulatory blood pressure monitoring 2 055 1 816 88,37
Doppler ultrasound of the renal vessels 1 664 1 636 98,32
Transfontanelle ultrasonography 1 050 981 93,43
Diagnostic urethrocystoscopy 926 901 97,30
Destructive treatment of benign cervical lesions, excluding chemical cauterization 690 636 92,17
Tolerance testing for anesthetic agents (Anesthesiology and Intensive Care) 670 620 92,54
Incision and drainage of the palmar or thenar space 541 437 80,78
Fetal anomaly scan 489 347 70,96
Crisis intervention session 456 432 94,74
Diagnostic colonoscopy 425 384 90,35
Evoked potentials 400 137 34,25
Intravenous anesthesia 367 304 82,83
Diagnostic flexible sigmoidoscopy 351 331 94,30
Phoniatric consultation with subsequent voice rehabilitation (10-session course) 342 317 92,69
Post-isometric relaxation therapy (course of treatment) 326 325 99,69
Laryngostroboscopy and laryngostrobography 291 276 94,85
Maxillary sinus puncture and aspiration 282 278 98,58
Breast biopsy 261 249 95,40
Incision of tonsillar and peritonsillar abscesses 234 226 96,58
Incision of the breast 233 225 96,57
Ultrasound-guided fine-needle aspiration biopsy of the thyroid gland 225 187 83,11
Lymph node biopsy 205 202 98,54
Endocervical curettage 72 69 95,83
Traction therapy (course of treatment) 57 52 91,23
Specialized physiotherapy techniques for cerebral palsy 49 43 87,76
Fetal echocardiography in high-risk pregnancies for fetal cardiac abnormalities 26 15 57,69
Interpretation of a comprehensive standard diagnostic panel in patients with leukemia 26 26 100
Bone densitometry and interpretation for patients with transplanted organs 14 1 7,14
Endometrial aspiration biopsy 8 7 87,50
Vaginotomy 6 6 100
Local anesthesia – nerve block anesthesia 4 0 0
Interpretation of a comprehensive standard diagnostic panel in patients with lymphoma 4 4 100
Vein ligation for superficial varicose veins with excision of varicose nodules 4 4 100
Urethrotomy for urethral stricture 3 2 66,67
Urethral biopsy 2 2 100
Nasal polypectomy 2 2 100
Urinary bladder biopsy 2 0 0
Nasal biopsy 2 0 0
Interpretation of radionuclide-labeled erythrocyte kinetic study (circulating blood volume) 1 1 100
Methacholine bronchial provocation test 1 0 0
Nasal provocation test with mediators 0 0 0
Interpretation of radionuclide-labeled platelet kinetic study 0 0 0
History taking 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 Остеоденситометрия и интерпретация при следните случаи: Болни с трансплантирани органи. / Bone densitometry and interpretation for patients with transplanted organs,14,1,7.14,8,8,8 Фетална ехокардиография на рисков контингент за сърдечна патология на плода / Fetal echocardiography in high-risk pregnancies for fetal cardiac abnormalities,26,15,57.69,7.53,5,18.2 Ехокардиография / Echocardiography,696226,569534,81.8,7.3,4,21 Флуоресцентна ангиография на съдовете на окото / Fluorescein angiography,8624,7068,81.96,6.41,4,18 Непрекъснат 24-часов електрокардиографски запис (ЕКГ Холтер мониториране) / 24-hour ambulatory electrocardiographic monitoring (Holter ECG monitoring),10767,9467,87.93,6.13,3,17 Сърдечно-съдов тест с натоварване / Cardiovascular exercise stress test,9224,3147,34.12,5.8,2,19 Евокирани потенциали / Evoked potentials,400,137,34.25,5.47,0,21 Електромиография (ЕМГ) / Electromyography (EMG),32849,28423,86.53,5.39,1,17 "Деструктивно лечение на доброкачествени изменения на маточната шийка, с изключение на химична каут. / Destructive treatment of benign cervical lesions, excluding chemical cauterization",690,636,92.17,5.27,0,20 Електроенцефалография (ЕЕГ) / Electroencephalography (EEG),20355,16124,79.21,5.1,1,16 Интерпретация на резултат от изследване на кинетиката на радионуклидно маркирани еритроцоти-обем цир / Interpretation of radionuclide-labeled erythrocyte kinetic study (circulating blood volume),1,1,100,5,5,5 Непрекъснат 24-часов запис на артериално налягяне (Холтер мониториране) / 24-hour ambulatory blood pressure monitoring,2055,1816,88.37,4.96,2,15 Лазертерапия при очни заболявания / Laser therapy for ophthalmic diseases,7413,6548,88.33,4.5,0,16 Лазертерапия при ставни заболявания и трудно зарастващи рани / Laser therapy for joint disorders and chronic non-healing wounds,10907,10529,96.53,4.3,2,11 Снемане на анестезиологичен статус за планиране на оперативна интервенция с анестезия / Pre-anesthetic assessment for planned surgery,2631,2308,87.72,4.16,1,13 Доплерова сонография на периферни съдове и щит.жлеза / Doppler ultrasonography of peripheral vessels and the thyroid gland,40490,34452,85.09,3.98,0,14 Лигатура на вена при подкожни варикозни образувания и ексцизия на варикозни възли / Vein ligation for superficial varicose veins with excision of varicose nodules,4,4,100,3.75,1.5,9 Постизометрична релаксация (курс на лечение) / Post-isometric relaxation therapy (course of treatment),326,325,99.69,3.19,3,7 Венозна анестезия / Intravenous anesthesia,367,304,82.83,2.49,1,6 Фетална морфология / Fetal anomaly scan,489,347,70.96,2.19,0,7 Аспирационна ендометриална биопсия / Endometrial aspiration biopsy,8,7,87.5,2,0,5.6 Ехографско изследване на стави при деца / Pediatric joint ultrasonography,10465,9757,93.23,1.92,0,7 "Диагностична долна ендоскопия, фибросигмоидоскопия / Diagnostic flexible sigmoidoscopy",351,331,94.3,1.8,0,5 Колпоскопия с/без прицелна биопсия / Colposcopy with or without targeted biopsy,7080,6713,94.82,1.74,0,4.8 "Диагностична долна ендоскопия, фиброколоноскопия / Diagnostic colonoscopy",425,384,90.35,1.64,1,3 Екстензионна терапия (курс на лечение) / Traction therapy (course of treatment),57,52,91.23,1.48,1,3 Диагностична горна ендоскопия / Diagnostic upper gastrointestinal endoscopy,2065,1959,94.87,1.46,0,4 Уретроцистоскопия (диагностична) / Diagnostic urethrocystoscopy,926,901,97.3,1.43,0,4 Криотерапия и/или лазертерапия на доброкачествени кожни тумори / Cryotherapy and/or laser therapy for benign skin tumors,10057,9499,94.45,1.35,0,3 Инцизия и дренаж на палмарно или тенарно пространство / Incision and drainage of the palmar or thenar space,541,437,80.78,1.27,0,4 Трансфонтанелна ехография / Transfontanelle ultrasonography,1050,981,93.43,1.17,0,3 Ехография на млечна жлеза / Breast ultrasound,2274,2193,96.44,1.04,0,2 "Ларингостробоскопия, ларингостробография / Laryngostroboscopy and laryngostrobography",291,276,94.85,1.03,0,2 Интерпретация на комплексно изследване на стандартен панел от показатели при болен с левкемия / Interpretation of a comprehensive standard diagnostic panel in patients with leukemia,26,26,100,0.85,0,2.5 Инцизия на гръдна (млечна) жлеза / Incision of the breast,233,225,96.57,0.82,0,2 "Специализирани кинезитерапевтични методи, приложими при ДЦП / Specialized physiotherapy techniques for cerebral palsy",49,43,87.76,0.65,0,0 Сесия за кризисна интервенция / Crisis intervention session,456,432,94.74,0.59,0,2 Вземане на биопсичен материал от лимфен възел / Lymph node biopsy,205,202,98.54,0.51,0,1 Вземане на биопсичен материал от уретра / Urethral biopsy,2,2,100,0.5,0.5,0.9 Вагинотомия / Vaginotomy,6,6,100,0.5,0.5,1 Доплерово ултразвуково изследване на бъбречни съдове / Doppler ultrasound of the renal vessels,1664,1636,98.32,0.48,0,1 Вземане на биопсичен материал от гърда / Breast biopsy,261,249,95.4,0.47,0,1 Диагностична и терапевтична пункция на стави / Diagnostic and therapeutic joint aspiration,19077,18657,97.8,0.38,0,1 Тестуване за поносимост при прилагане на анестетици (за Анeстезиология и интензивно лечение) / Tolerance testing for anesthetic agents (Anesthesiology and Intensive Care),670,620,92.54,0.37,0,0 Пункция и аспирация на максиларен синус / Maxillary sinus puncture and aspiration,282,278,98.58,0.36,0,1 Абразио на цервикален канал / Endocervical curettage,72,69,95.83,0.32,0,1 Инцизия на тонзиларни и перитонзиларни абсцеси / Incision of tonsillar and peritonsillar abscesses,234,226,96.58,0.21,0,1 Фониатрична консултация с последваща гласова рехабилитация-курс 10 сеанса / Phoniatric consultation with subsequent voice rehabilitation (10-session course),342,317,92.69,0.2,0,0 Пункционна биопсия на щитовидната жлеза под ехографски контрол / Ultrasound-guided fine-needle aspiration biopsy of the thyroid gland,225,187,83.11,0.19,0,0 Назален провокационен тест с медиатори / Nasal provocation test with mediators,0,0,0,0,0,0 Локално обезболяване - проводна анестезия / Local anesthesia – nerve block anesthesia,4,0,0,0,0,0 Отстраняване на полипи от носната кухина / Nasal polypectomy,2,2,100,0,0,0 Интерпретация на резултат от изследване на кинетиката на радионуклидно маркирани тромбоцити / Interpretation of radionuclide-labeled platelet kinetic study,0,0,0,0,0,0 Уретротомия при стриктура / Urethrotomy for urethral stricture,3,2,66.67,0,0,0 Интерпретация на комплексно изследване на стандартен панел от показатели при пациенти с лимфом / Interpretation of a comprehensive standard diagnostic panel in patients with lymphoma,4,4,100,0,0,0 Вземане на биопсичен материал от пикочен мехур / Urinary bladder biopsy,2,0,0,0,0,0 Вземане на биопсичен материал от нос / Nasal biopsy,2,0,0,0,0,0 Бронхопровокационен тест с метилхолин / Methacholine bronchial provocation test,1,0,0,0,0,0 Снемане на анамнеза / History taking,0,0,0,0,0,0 Download CSV (preferably in text editor)

Average highly specialized activities referral issuance to fulfilment time by activity type in 2025

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
Bone densitometry and interpretation for patients with transplanted organs 8
Fetal echocardiography in high-risk pregnancies for fetal cardiac abnormalities 7,53
Echocardiography 7,30
Fluorescein angiography 6,41
24-hour ambulatory electrocardiographic monitoring (Holter ECG monitoring) 6,13
Cardiovascular exercise stress test 5,80
Evoked potentials 5,47
Electromyography (EMG) 5,39
Destructive treatment of benign cervical lesions, excluding chemical cauterization 5,27
Electroencephalography (EEG) 5,10
Interpretation of radionuclide-labeled erythrocyte kinetic study (circulating blood volume) 5
24-hour ambulatory blood pressure monitoring 4,96
Laser therapy for ophthalmic diseases 4,50
Laser therapy for joint disorders and chronic non-healing wounds 4,30
Pre-anesthetic assessment for planned surgery 4,16
Doppler ultrasonography of peripheral vessels and the thyroid gland 3,98
Vein ligation for superficial varicose veins with excision of varicose nodules 3,75
Post-isometric relaxation therapy (course of treatment) 3,19
Intravenous anesthesia 2,49
Fetal anomaly scan 2,19
Endometrial aspiration biopsy 2
Pediatric joint ultrasonography 1,92
Diagnostic flexible sigmoidoscopy 1,80
без прицелна биопсия 1,74
Diagnostic colonoscopy 1,64
Traction therapy (course of treatment) 1,48
Diagnostic upper gastrointestinal endoscopy 1,46
Diagnostic urethrocystoscopy 1,43
или лазертерапия на доброкачествени кожни тумори 1,35
Incision and drainage of the palmar or thenar space 1,27
Transfontanelle ultrasonography 1,17
Breast ultrasound 1,04
Laryngostroboscopy and laryngostrobography 1,03
Interpretation of a comprehensive standard diagnostic panel in patients with leukemia 0,85
Incision of the breast 0,82
Specialized physiotherapy techniques for cerebral palsy 0,65
Crisis intervention session 0,59
Lymph node biopsy 0,51
Urethral biopsy 0,50
Vaginotomy 0,50
Doppler ultrasound of the renal vessels 0,48
Breast biopsy 0,47
Diagnostic and therapeutic joint aspiration 0,38
Tolerance testing for anesthetic agents (Anesthesiology and Intensive Care) 0,37
Maxillary sinus puncture and aspiration 0,36
Endocervical curettage 0,32
Incision of tonsillar and peritonsillar abscesses 0,21
Phoniatric consultation with subsequent voice rehabilitation (10-session course) 0,20
Ultrasound-guided fine-needle aspiration biopsy of the thyroid gland 0,19
Nasal provocation test with mediators 0
Local anesthesia – nerve block anesthesia 0
Nasal polypectomy 0
Interpretation of radionuclide-labeled platelet kinetic study 0
Urethrotomy for urethral stricture 0
Interpretation of a comprehensive standard diagnostic panel in patients with lymphoma 0
Urinary bladder biopsy 0
Nasal biopsy 0
Methacholine bronchial provocation test 0
History taking 0

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

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