Others titles
- Durable Medical Equipment Line Items Claims File
- Medicare Durable Medical Equipment Services
- Medicare Beneficiaries Durable Medical Equipment
Keywords
- Medical Equipment Claim
- Durable Medical Equipment Line Items
- DME Line Items
- HCPCS Procedures
- ICD-9 Diagnosis
- Medicare Payment
- Outpatient Procedures
- Medical Equipment Services
- Medicare Beneficiaries Gender
- Medicare Beneficiaries Age
BSA Durable Medical Equipment Line Items PUF
This dataset contains the Basic Stand Alone (BSA) Durable Medical Equipment (DME) Line Items with information from 2010 Medicare DME claims. Each record is a line item of a DME claim incurred by a 5% sample of Medicare beneficiaries (each claim is comprised of up to 13 line item services). The dataset can be useful in assessing the utilization of Durable Medical Equipment which can be useful to make estimations for resources planning and to estimate associated costs.
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Description
The Centers for Medicare and Medicaid Services (CMS) BSA DME Line Items dataset originates from a 5% simple random sample of beneficiaries drawn (without replacement) from the CMS 100% Beneficiary Summary File for the reference year. The sample that is used for the CMS BSA DME Line Items dataset is disjoint from the existing 5% CMS research sample in the sense that there is no overlap in terms of the beneficiaries in the CMS BSA DME Line Items dataset and the 5% CMS research sample. It is also disjoint from the other BSA Public Use Files (PUF) that have been released so far. This property prevents users from linking data across multiple files for identification purposes.
About this Dataset
Data Info
Date Created | 2011 |
---|---|
Last Modified | 2017-02-10 |
Version | 2017-02-10 |
Update Frequency |
Biennial |
Temporal Coverage |
2010 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Medical Equipment Claim, Durable Medical Equipment Line Items, DME Line Items, HCPCS Procedures, ICD-9 Diagnosis, Medicare Payment, Outpatient Procedures, Medical Equipment Services, Medicare Beneficiaries Gender, Medicare Beneficiaries Age |
Other Titles | Durable Medical Equipment Line Items Claims File, Medicare Durable Medical Equipment Services, Medicare Beneficiaries Durable Medical Equipment |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Gender | The gender of Medicare beneficiaries corresponding to the line item service | string | - |
Age | The age group of Medicare beneficiaries corresponding to the line item service | string | - |
ICD9_Code | The ICD‐9‐CM code of the diagnosis associated with the DME line item service | string | - |
HCPCS_Code | The Healthcare Common Procedure Coding System (HCPCS Level II) associated with the DME line item service | string | - |
HCPCS_Code_Description | The full description of the HCPCS code | string | - |
Services_Number | The total number of services for the DEM line item | integer | level : Ratio |
Payment_Amount | The payment made by Medicare for the DME line item; the Medicare payments amounts between $0 and $4.99 are suppressed | number | - |
Outpatient_Procedures | The total number of outpatient procedures, HCPCS coded, associated with the line item | integer | level : Ratio |
Data Preview
Gender | Age | ICD9 Code | HCPCS Code | HCPCS Code Description | Services Number | Payment Amount | Outpatient Procedures |
Male | Under 65 years old | 38 | E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1 | 80 | 9 |
Male | Under 65 years old | 38 | E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1 | 100 | 3 |
Male | Under 65 years old | 42 | E0143 | Walker, folding, wheeled, adjustable or fixed height | 1 | 80 | 4 |
Male | Under 65 years old | 42 | E0156 | Seat attachment, walker | 1 | 20 | 3 |
Male | Under 65 years old | 42 | E0163 | Commode chair, mobile or stationary, with fixed arms | 1 | 90 | 3 |
Male | Under 65 years old | 42 | E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | 1 | 250 | 2 |
Male | Under 65 years old | 42 | E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1 | 80 | 20 |
Male | Under 65 years old | 42 | E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1 | 100 | 5 |
Male | Under 65 years old | 42 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1 | 20 | 6 |
Male | Under 65 years old | 42 | E0570 | Nebulizer, with compressor | 1 | 10 | 4 |