Others titles
- Outpatient Procedure Claims 2010
- Medicare Outpatient Procedure Payment 2010
- Medicare Outpatient Procedure Claims 2010
Keywords
- Outpatient Claims
- Outpatient Procedure Claims
- Medicare Outpatient Claims
- Medicare Outpatient Procedure Payments
- BSA Outpatient Claims
- Outpatient Procedures PUF
BSA Outpatient Procedures PUF 2010
BSA Outpatient Procedures PUF 2010 has information from Medicare outpatient claims. The CMS BSA Outpatient Procedures PUF is a procedure-level file in which each record is a procedure in an outpatient claim incurred by a 5% sample of Medicare beneficiaries. Demographic and claim-related variables most commonly reported/studied in health services research are included in this file.
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Description
The CMS BSA Outpatient Procedures PUF contains claims for a simple random sample of 5% of the 2010 beneficiary population. Out of approximately 2.5 million beneficiaries in the 5% sample, about 1.2 million had claims, resulting in a PUF of 33,600,194 procedures, after protecting the privacy of Medicare beneficiaries. It contains six analytic variables (in addition to a unique procedure key): Age, gender, ICD‐9 primary diagnosis code, HCPCS procedure code, count of the number of services, and Medicare payment for procedures. Some of these variables are aggregated or coarsened in order to protect individuals from identification while retaining the analytic value of the data.
A procedure is only included in the PUF if the combination of all six variables is shared by at least eleven beneficiaries in the population. Procedures cannot be linked by claim or beneficiary and cannot be linked to any external data source by means of the procedure ID. The procedure ID is a cryptographic key specific to this Outpatient Procedures PUF and not available elsewhere. The CMS 2010 BSA Outpatient Procedures PUF is sorted by this procedure ID to ensure that the relative positions of each procedure in the PUF and in the original source data are totally uncorrelated. BSA Outpatient Procedures PUF contains seven variables: A procedure count and six analytic variables, listed below.
About this Dataset
Data Info
Date Created | 2011 |
---|---|
Last Modified | 2012-07-18 |
Version | 2012-07-18 |
Update Frequency |
Biennial |
Temporal Coverage |
2010 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicaid and Medicare Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Outpatient Claims, Outpatient Procedure Claims, Medicare Outpatient Claims, Medicare Outpatient Procedure Payments, BSA Outpatient Claims, Outpatient Procedures PUF |
Other Titles | Outpatient Procedure Claims 2010, Medicare Outpatient Procedure Payment 2010, Medicare Outpatient Procedure Claims 2010 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Gender | Indicates whether is a male or female population group | string | - |
Age | Specifies the age interval for the population group | string | - |
ICD9_Diagnosis_Code | The International Classification of Diseases version 9.3; blank values indicates a the primary diagnosis associated to the procedure does not exist | string | maxLength : 3 |
HCPCS_Code | Healthcare Common Procedure Coding System (HCPCS) codes level I (or CPT) and level II | string | maxLength : 5 |
Total_Number_Of_HCPCS_Services | Total number of HCPCS coded services | integer | level : Ratio |
Medicare_Payment_Amount_For_Procedure | Medicare payment amount for procedure | number | - |
Number_Of_Outpatient_Procedures | Number of outpatient procedures | integer | level : Ratio |
Data Preview
Gender | Age | ICD9 Diagnosis Code | HCPCS Code | Total Number Of HCPCS Services | Medicare Payment Amount For Procedure | Number Of Outpatient Procedures |
Male | Under 65 years old | 5 | 36415 | 1 | 7 | |
Male | Under 65 years old | 5 | 80048 | 1 | 10.0 | 7 |
Male | Under 65 years old | 5 | 80053 | 1 | 10.0 | 1 |
Male | Under 65 years old | 5 | 80053 | 1 | 20.0 | 4 |
Male | Under 65 years old | 5 | 80076 | 1 | 10.0 | 3 |
Male | Under 65 years old | 5 | 81001 | 1 | 2 | |
Male | Under 65 years old | 5 | 82150 | 1 | 10.0 | 3 |
Male | Under 65 years old | 5 | 83690 | 1 | 10.0 | 6 |
Male | Under 65 years old | 5 | 83735 | 1 | 10.0 | 1 |
Male | Under 65 years old | 5 | 84484 | 1 | 10.0 | 1 |