Others titles
- CMS Medicare Total Costs
- Medicare Doctors and Medicare Total Costs
Keywords
- CMS Medicare
- Medicare Doctors
- Hospital Reimbursements
- Actual Total Costs CMS Medicare
- Medicare Doctors Fee for Service
- Medicare Actual Total Service Costs
- Medicare Beneficiary Expenditures
Actual Total Costs of Medicare Fee for Service Beneficiaries
This dataset contains health indicator information about the total Medicare costs for Medicare fee-for-service beneficiaries. The variable used equals the total amount that Medicare paid for a particular claim, revenue center record, claim line, or service category.
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Description
This variable equals the total amount that Medicare paid for a particular claim, revenue center record, claim line, or service category. The exact method used to derive the variable differs based on the nature of the original claim, but the meaning of the variable is the same. Part A Claim File: For services provided by any type of hospital, this variable equals the sum of the claim payment amount and the claim pass-through payment amount on the original claim. Medicare uses pass-through payments to provide funding for direct graduate medical education, coverage of some bad debt, and other purposes. The amounts on the claim are interim payments; the final amount is determined when hospitals file their cost reports. For non-hospital services (SNF, home health, and hospice), this variable equals the claim payment amount (CLM_PMT_AMT).
Part B Institutional Revenue Center File: This variable equals the revenue line payment amount (REV_CNTR_PRVDR_PMT_AMT). Can add ACTUAL_PMT for each revenue center record on the claim to get the total payment amount for the claim, which is already summed in the GVDB and called the CLM_PMT variable. Part B Non-Institutional Claim Line File: This variable equals the line payment amount (LINE_NCH_PMT_AMT) from the original claim. Can add up the line-level payments for a claim to get the total amount that Medicare paid for the claim. Medicare FFS beneficiaries limited to those who (a) have no months of HMO enrollment and (b) have both Part A and Part B for whatever portion of the year that they are covered by FFS Medicare (i.e., they have no months of A-only or B-only coverage)..
About this Dataset
Data Info
Date Created | 2007 |
---|---|
Last Modified | 2013 |
Version | 2013 |
Update Frequency |
Annual |
Temporal Coverage |
2013 |
Spatial Coverage |
United States |
Source | John Snow Labs; Health Indicators Warehouse (HIW); Chronic Condition Data Warehouse (CCW); Centers for Medicare and Medicaid Services (CMS); |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | CMS Medicare, Medicare Doctors, Hospital Reimbursements, Actual Total Costs CMS Medicare, Medicare Doctors Fee for Service, Medicare Actual Total Service Costs, Medicare Beneficiary Expenditures |
Other Titles | CMS Medicare Total Costs, Medicare Doctors and Medicare Total Costs |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Indicator_ID | Unique ID assigned to sampling statistic. A health indicator is a measure of the health of people in a community, such as infant mortality rates, rates of obesity, or incidence of diabetes. | integer | level : Nominalrequired : 1 |
Dimension_List | Dimension covers Age limit and Total. | string | - |
Time_Frame | Time frame corresponds to the data years; 2007-2013 in this case. | date | - |
Numeric_Value_in_USD | Value of total cost in U.S Dollars | number | level : Ratio |
Missing_Value_Flag | Missing value flag, alternatively DSU (Data statistically unreliable) indicates that data do not meet the criteria for statistical reliability, data quality, or confidentiality and therefore data are suppressed. | string | - |
Locale_ID | ID assigned to a Locality of the sample population | integer | level : Nominalrequired : 1 |
Locale | Locality of the sample population | string | required : 1 |
Locale_Level | Locality level of the sample population | string | required : 1 |
Locale_State_FIPS_Code | Federal Information Processing Standard state code. Federal Information Processing Series codes (FIPS codes) are a standardized set of numeric or alphabetic codes issued by the National Institute of Standards and Technology (NIST) to ensure uniform identification of geographic entities through all federal government agencies. | integer | level : Nominal |
Locale_County_FIPS_Code | Federal Information Processing Standard County code. Federal Information Processing Series codes (FIPS codes) are a standardized set of numeric or alphabetic codes issued by the National Institute of Standards and Technology (NIST) to ensure uniform identification of geographic entities through all federal government agencies. | integer | level : Nominal |
Locale_HRR_Code | Hospital Referral Region Code. Hospital referral regions are defined by the Dartmouth Atlas Group by documenting where patients were referred for major cardiovascular surgical procedures and for neurosurgery | integer | level : Nominal |
Age | Age of the beneficiary | string | - |
Data Preview
Indicator ID | Dimension List | Time Frame | Numeric Value in USD | Missing Value Flag | Locale ID | Locale | Locale Level | Locale State FIPS Code | Locale County FIPS Code | Locale HRR Code | Age |
416208753 | Total | 2013 | 323000000000.0 | 0 | National | National | 0 | ||||
416208754 | Aged less than 65 years | 2013 | 62180400000.0 | 0 | National | National | 0 | Aged less than 65 years | |||
416208755 | Aged 65 years and over | 2013 | 261000000000.0 | 0 | National | National | 0 | Aged 65 years and over | |||
416208756 | Total | 2013 | 5691887874.0 | 1 | Alabama | State | 1.0 | 1 | |||
416208757 | Aged less than 65 years | 2013 | 1259811644.0 | 1 | Alabama | State | 1.0 | 1 | Aged less than 65 years | ||
416208758 | Aged 65 years and over | 2013 | 4432076231.0 | 1 | Alabama | State | 1.0 | 1 | Aged 65 years and over | ||
416208915 | Total | 2013 | 46931930.7 | 101 | Alabama - Autauga | County | 1.0 | 1001 | |||
416208916 | Total | 2013 | 210654068.0 | 102 | Alabama - Baldwin | County | 1.0 | 1003 | |||
416208917 | Total | 2013 | 36374332.7 | 103 | Alabama - Barbour | County | 1.0 | 1005 | |||
416208918 | Total | 2013 | 23296322.6 | 104 | Alabama - Bibb | County | 1.0 | 1007 |