BSA Durable Medical Equipment Line Items PUF

$79 / year

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.

Complexity

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.

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

John Snow Labs Standard License

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

NameDescriptionTypeConstraints
GenderThe gender of Medicare beneficiaries corresponding to the line item servicestring-
AgeThe age group of Medicare beneficiaries corresponding to the line item servicestring-
ICD9_CodeThe ICD‐9‐CM code of the diagnosis associated with the DME line item servicestring-
HCPCS_CodeThe Healthcare Common Procedure Coding System (HCPCS Level II) associated with the DME line item servicestring-
HCPCS_Code_DescriptionThe full description of the HCPCS codestring-
Services_NumberThe total number of services for the DEM line itemintegerlevel : Ratio
Payment_AmountThe payment made by Medicare for the DME line item; the Medicare payments amounts between $0 and $4.99 are suppressednumber-
Outpatient_ProceduresThe total number of outpatient procedures, HCPCS coded, associated with the line itemintegerlevel : Ratio
GenderAgeICD9_CodeHCPCS_CodeHCPCS_Code_DescriptionServices_NumberPayment_AmountOutpatient_Procedures
MaleUnder 65 years old319E0776Iv pole11
MaleUnder 65 years old149E0776Iv pole1203
MaleUnder 65 years old195E0776Iv pole1203
MaleUnder 65 years old230E0776Iv pole1201
MaleUnder 65 years old294E0776Iv pole1201
MaleUnder 65 years old141E0776Iv pole12011
MaleUnder 65 years old146E0776Iv pole12011
MaleUnder 65 years old150E0776Iv pole12014
MaleUnder 65 years old161E0776Iv pole12039
MaleUnder 65 years old250E0776Iv pole12025