Others titles
- Medicare Chronic Conditions Claims PUF
- Medicare Covered Chronic Conditions Services Claims
- Medicare Reimbursment For Chronic Conditions
Keywords
- Chronic Conditions Claims
- Chronic Conditions Part A Enrollement Claims
- Chronic Conditions Part B Enrollement Claims
- Chronic Conditions Part C Enrollment Claims
- Chronic Conditions Part D Enrollment Claims
- Medicare Reimbursment for Chronic Conditions
- CMS Chronic Conditions PUF
- Chronic Conditions PUF
- Chronic Condition Benefits
Chronic Conditions Public Use File
The dataset Chronic Conditions Public Use Files has information from Medicare claims. The 100% Beneficiary Summary File is created annually and contains demographic, entitlement and enrollment data for beneficiaries who were: documented as being alive for some part of the reference year of the Beneficiary Summary File, are entitled to Medicare benefits during the reference year, and enrolled in Medicare Part A and/or Part B for at least one month in the reference year.
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Description
The CMS Chronic Conditions PUF provides various measures of utilization as averages for different groups of Medicare beneficiaries, or profiles. The 100% Beneficiary Summary File contains approximately 48 million beneficiaries, all of whom are represented in the PUF. As a result, the PUF provides utilization measures for Medicare beneficiaries who are enrolled in Fee-for-Service (FFS) plans. The averages are calculated for different types of Medicare beneficiaries by months of enrollment. Beneficiaries with 12 months of enrollment in FFS Part A or Part B are separated from beneficiaries with less than 12 months of enrollment.
Bellow are listed the chronic conditions included in this dataset:
– Alzheimer’s Disease and Related Disorders or Senile Dementia
– Cancer
– Heart Failure
– Chronic Kidney Disease
– Chronic Obstructive Pulmonary Disease
– Depression
– Diabetes
– Ischemic Heart Disease
– Osteoporosis
– Rheumatoid Arthritis/Osteoarthritis Arthritis
– Stroke / Transient Ischemic Attack
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 | Chronic Conditions Claims, Chronic Conditions Part A Enrollement Claims, Chronic Conditions Part B Enrollement Claims, Chronic Conditions Part C Enrollment Claims, Chronic Conditions Part D Enrollment Claims, Medicare Reimbursment for Chronic Conditions, CMS Chronic Conditions PUF, Chronic Conditions PUF, Chronic Condition Benefits |
| Other Titles | Medicare Chronic Conditions Claims PUF, Medicare Covered Chronic Conditions Services Claims, Medicare Reimbursment For Chronic Conditions |
Data Fields
| Name | Description | Type | Constraints |
|---|---|---|---|
| Gender | Beneficiary's gender | string | - |
| Age | Beneficiary’s age reported in six categories | string | - |
| Is_Alzheimers_Disease_And_Related_Disorders_Or_Senile_Dementia | Indicate if the condition exists | boolean | - |
| Is_Cancer | Indicate if the condition exists | boolean | - |
| Is_Heart_Failure | Indicate if the condition exists | boolean | - |
| Is_Chronic_Kidney_Disease | Indicate if the condition exists | boolean | - |
| Is_Chronic_Obstructive_Pulmonary_Disease | Indicate if the condition exists | boolean | - |
| Is_Depression | Indicate if the condition exists | boolean | - |
| Is_Diabetes | Indicate if the condition exists | boolean | - |
| Is_Ischemic_Heart_Disease | Indicate if the condition exists | boolean | - |
| Is_Osteoporosis | Indicate if the condition exists | boolean | - |
| Is_Rheumatoid_Or_Osteoarthritis_Arthritis | Indicate if the condition exists | boolean | - |
| Is_Stroke_Or_Transient_Ischemic_Attack | Indicate if the condition exists | boolean | - |
| Is_Two_Or_More_Chronic_Conditions | Indicate if the total number of chronic conditions is two or more | boolean | - |
| Is_Dual_Eligibile | Indicate if the beneficiary is dual eligible | boolean | - |
| Count_Of_Beneficiaries_PartA_1To12_Months | The number of beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
| Average_Months_Of_Enrollment_PartA_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Average_Payment_PartA_1To12_Months | Average Medicare payment per beneficiary for all Part A services for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Inpatient_1To12_Months | Average Medicare payment for inpatient services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Skilled_Nursing_Facility_1To12_Months | Average Medicare payment for skilled nursing facility services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Other_Services_PartA_1To12_Months | Average Medicare payment for the sum of home health agency and hospice services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Inpatient_Admissions_1To12_Months | Average number of inpatient admissions per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Average_Skilled_Nursing_Facility_Covered_Days_1To12_Months | Average number of skilled nursing facility covered days per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartA_12_Months | Count of beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | integer | level : Ratio |
| Average_Payment_PartA_12_Months | Average Medicare payment per beneficiary for all Part A services for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
| Average_Payment_Inpatient_12_Months | Average Medicare payment for inpatient services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
| Average_Payment_Skilled_Nursing_Facility_12_Months | Average Medicare payment for skilled nursing facility services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
| Average_Payment_Other_Services_PartA_12_Months | Average Medicare payment for the sum of home health agency and hospice services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
| Average_Inpatient_Admissions_For_12_Months | Average number of inpatient admissions per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | level : Ratio |
| Average_Skilled_Nursing_Facility_Covered_Days_12_Months | Average number of skilled nursing facility covered days per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartB_1To12_Months | Count of beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
| Average_Months_Of_Enrollment_PartB_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Average_Payment_PartB_1To12_Months | Average Medicare payment per beneficiary for all Part B services for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Carrier_Physician_1To12_Months | Average Medicare payment for carrier/physician services per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Outpatient_1To12_Months | Average Medicare payment for outpatient services per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Payment_Other_Services_PartB_1To12_Months | Average Medicare payment for the sum of home health agency services and durable medical equipment per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Visits_Carrier_Physician_1To12_Months | Average number of carrier/physician visits per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Average_Outpatient_Visits_1To12_Months | Average number of outpatient visits per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartB_12Months | Count of beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | integer | level : Ratio |
| Average_Payment_PartB_12Months | Average Medicare payment per beneficiary for all Part B services for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
| Average_Payment_Carrier_Physician_12Months | Average Medicare payment for carrier/physician services per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
| Average_Payment_Outpatient_12Months | Average Medicare payment for outpatient services per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
| Average_Payment_Other_Services_PartB_12Months | Average Medicare payment for the sum of home health agency services and durable medical equipment per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
| Average_Visits_Carrier_Physician_12Months | Average number of carrier/physician visits per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | level : Ratio |
| Average_Visits_Outpatient_12Months | Average number of outpatient visits per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartC_1To12Months | Count of beneficiaries enrolled in Medicare Part C (HMO) for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
| Average_Months_Of_Enrollment_PartC_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part C (HMO) for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartC_12Months | Count of beneficiaries enrolled in Medicare Part C (HMO) for than 12 months in the calendar year | integer | level : Ratio |
| Count_Of_Beneficiaries_PartD_1To12_Months | Count of beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
| Average_Months_Of_Enrollment_PartD_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Average_Drug_Cost_1To12_Months | Average prescription drug cost per beneficiary for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | - |
| Average_Prescriptions_1To12_Months | Average number of prescriptions per beneficiary for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
| Count_Of_Beneficiaries_PartD_12Months | Count of beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | integer | level : Ratio |
| Average_Drug_Cost_12Months | Average prescription drug cost per beneficiary for beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | number | - |
| Average_Prescriptions_12Months | Average number of prescriptions per beneficiary for beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | number | level : Ratio |
Data Preview
| Gender | Age | Is_Alzheimers_Disease_And_Related_Disorders_Or_Senile_Dementia | Is_Cancer | Is_Heart_Failure | Is_Chronic_Kidney_Disease | Is_Chronic_Obstructive_Pulmonary_Disease | Is_Depression | Is_Diabetes | Is_Ischemic_Heart_Disease | Is_Osteoporosis | Is_Rheumatoid_Or_Osteoarthritis_Arthritis | Is_Stroke_Or_Transient_Ischemic_Attack | Is_Two_Or_More_Chronic_Conditions | Is_Dual_Eligibile | Count_Of_Beneficiaries_PartA_1To12_Months | Average_Months_Of_Enrollment_PartA_1To12_Months | Average_Payment_PartA_1To12_Months | Average_Payment_Inpatient_1To12_Months | Average_Payment_Skilled_Nursing_Facility_1To12_Months | Average_Payment_Other_Services_PartA_1To12_Months | Average_Inpatient_Admissions_1To12_Months | Average_Skilled_Nursing_Facility_Covered_Days_1To12_Months | Count_Of_Beneficiaries_PartA_12_Months | Average_Payment_PartA_12_Months | Average_Payment_Inpatient_12_Months | Average_Payment_Skilled_Nursing_Facility_12_Months | Average_Payment_Other_Services_PartA_12_Months | Average_Inpatient_Admissions_For_12_Months | Average_Skilled_Nursing_Facility_Covered_Days_12_Months | Count_Of_Beneficiaries_PartB_1To12_Months | Average_Months_Of_Enrollment_PartB_1To12_Months | Average_Payment_PartB_1To12_Months | Average_Payment_Carrier_Physician_1To12_Months | Average_Payment_Outpatient_1To12_Months | Average_Payment_Other_Services_PartB_1To12_Months | Average_Visits_Carrier_Physician_1To12_Months | Average_Outpatient_Visits_1To12_Months | Count_Of_Beneficiaries_PartB_12Months | Average_Payment_PartB_12Months | Average_Payment_Carrier_Physician_12Months | Average_Payment_Outpatient_12Months | Average_Payment_Other_Services_PartB_12Months | Average_Visits_Carrier_Physician_12Months | Average_Visits_Outpatient_12Months | Count_Of_Beneficiaries_PartC_1To12Months | Average_Months_Of_Enrollment_PartC_1To12_Months | Count_Of_Beneficiaries_PartC_12Months | Count_Of_Beneficiaries_PartD_1To12_Months | Average_Months_Of_Enrollment_PartD_1To12_Months | Average_Drug_Cost_1To12_Months | Average_Prescriptions_1To12_Months | Count_Of_Beneficiaries_PartD_12Months | Average_Drug_Cost_12Months | Average_Prescriptions_12Months |
| Male | 70-74 years old | true | true | true | true | true | true | true | true | false | true | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 75-79 years old | true | true | true | true | true | true | true | true | false | true | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 80-84 years old | true | true | true | true | true | true | true | true | false | false | true | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 65-69 years old | true | true | true | true | true | true | true | true | false | false | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 70-74 years old | true | false | true | true | true | false | true | true | true | true | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 70-74 years old | true | false | true | true | true | true | false | true | false | true | true | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 70-74 years old | true | true | true | true | true | false | true | true | false | true | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 75-79 years old | true | false | false | true | true | true | true | true | false | true | true | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 75-79 years old | true | false | true | true | true | true | false | true | true | true | false | true | true | ||||||||||||||||||||||||||||||||||||||||
| Male | 75-79 years old | true | true | true | false | true | true | true | true | false | true | false | true | true |
16192 Coastal Highway
