Hospice Providers Utilization and Payment Data 2014

$79 / year

The Hospice providers utilization and payment data 2014 provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF contains information on utilization, payment (Medicare payment and standard payment), submitted charges, primary diagnoses, sites of service, and hospice beneficiary demographics organized by CMS Certification Number (6-digit provider identification number), and state.

Complexity

The dataset is based on information from CMS’s Chronic Conditions Data Warehouse (CCW) data files. The data in the Hospice PUF covers calendar year 2014 and contains 100% final-action (i.e., all claim adjustments have been resolved) hospice claims for the Medicare population including beneficiaries enrolled in a Medicare Advantage plan. Although the Hospice PUF has a wealth of payment and utilization information about hospice services, the data set also has a number of limitations. The information presented in this file does not indicate the quality of care provided by individual hospice providers. The file only contains cost and utilization information. Additionally, the data are not risk adjusted and thus do not account for differences in patient populations.

Date Created

2016-12-20

Last Modified

2016-12-20

Version

2016.12

Update Frequency

Annual

Temporal Coverage

2014

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

Hospice providers, Payment data, Hospice charges

Other Titles

Hospice Providers Utilization and Payment data 2014, Medicare Hospice Utilization and Payment data 2014, Medicare Hospice Charges and Amounts 2014

NameDescriptionTypeConstraints
Provider_IdProvider identification, 6-digit identification number for the hospice provider on the claimintegerlevel : Nominal
NameNmae of Hospice provider as reported in the provider of service (POS) file.stringmaxLength : 50
Street_AddressThe hospice provider address, as reported in the POS file.stringmaxLength : 50
CityCity where the hospice provider is located, as reported in the POS file.stringmaxLength : 20
StateState where the hospice is located, as reported in the POS file. The fifty U.S. states, the District of Columbia and Puerto Rico are reported by the state postal abbreviation.stringmaxLength : 2
Zip_CodeZipcode of the provider areaintegerlevel : Nominal
Hospital_Referral_RegionRegion of Hospice HRR of the hospice provider based on provider ZIP code.stringmaxLength : 31
Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Total_DaysTotal count of hospice care days provided in the calendar year. Includes first and last day of care.numberlevel : Ratio
Total_Medicare_Payment_AmountTotal amount that Medicare paid for hospice care. Hospice services do not have any cost-sharing requirements and the Medicare payment amount will equal the allowed amount.numberlevel : Ratio
Total_Medicare_Standard_Payment_AmountTotal amount that Medicare paid for hospice care adjusted for geographic differences in payment rates.numberlevel : Ratio
Total_Charge_AmountTotal charges that hospice providers submitted for hospice care.numberlevel : Ratio
Percent_Routine_Home_Care_DaysPercent of total number of hospice days that were routine home care (RHC) days. RHC days identified using Revenue Code 0651.numberlevel : Ratio
Physician_ServicesTotal number of hospice care physician services provided. Physician services identified using Revenue Code 0657.numberlevel : Ratio
Home_Health_Visit_Hours_Per_DayAverage number of hours per day of home health hospice care provided. Home health visits identified using Revenue Codes 0570, 0571, 0572 and 0579.numberlevel : Ratio
Skilled_Nursing_Visit_Hours_Per_DayAverage number of hours per day of skilled nursing hospice care provided. Skilled nursing visits identified using Revenue Codes 0550, 0551, 0552 and 0559.numberlevel : Ratio
Social_Service_Visit_Hours_Per_DayAverage number of hours per day of social services hospice care provided. Social service visits identified using Revenue Codes 0560, 0561, 0562 and 0569.numberlevel : Ratio
Total_Live_DischargesNumber of distinct Medicare beneficiaries with live discharges from hospice care. A hospice beneficiary was considered to have a live discharge if hospice beneficary did not die in hospice care and was not receiving hospice care in CY2015. Includes live discharges for any reason including revocation.numberlevel : Ratio
Hospice_Beneficiaries_With_7_Or_Fewer_Hospice_Care_DaysNumber of distinct Medicare beneficiaries with 7 or fewer hospice care days in CY2014. Excludes hospice beneficaries whose hospice care continued from a previous calendar year or into the next calendar year.numberlevel : Ratio
Hospice_Beneficiaries_With_More_Than_60_Hospice_Care_DaysNumber of distinct Medicare beneficiaries with more than 60 hospice care days in CY2014.numberlevel : Ratio
Hospice_Beneficiaries_With_More_Than_180_Hospice_Care_DaysNumber of distinct Medicare beneficiaries with more than 180 hospice care days in CY2014.numberlevel : Ratio
Home_Health_Visit_Hours_Per_Day_During_Week_Prior_To_DeathAverage number of hours per day of home health hospice care provided during the seven days prior to death. Home health visits identified using Revenue Codes 0570, 0571, 0572 and 0579.numberlevel : Ratio
Skilled_Nursing_Visit_Hours_Per_Day_During_Week_Prior_To_DeathAverage number of hours per day of skilled nursing hospice care provided during the seven days prior to death. Skilled nursing visits identified using Revenue Codes 0550, 0551, 0552 and 0559.numberlevel : Ratio
Social_Service_Visit_Hours_Per_Day_During_Week_Prior_To_DeathAverage number of hours per day of social services hospice care provided during the seven days prior to death. Social service visits identified using Revenue Codes 0560, 0561, 0562 and 0569.numberlevel : Ratio
Average_AgeAverage age of Medicare beneficiaries using hospice care in CY2014.numberlevel : Ratio
Male_Hospice_BeneficiariesNumber of distinct male Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Female_Hospice_BeneficiariesNumber of distinct female Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
White_Hospice_BeneficiariesNumber of distinct white Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Black_Hospice_BeneficiariesNumber of distinct black Medicare beneficiaries receiving at least one day of hospice care in the calendar yearnumberlevel : Ratio
Asian_Hospice_BeneficiariesNumber of distinct Asian Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Hispanic_Hospice_BeneficiariesNumber of distinct Hispanic Medicare beneficiaries receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Other_Unknown_Race_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries of other/unknown race receiving at least one day of hospice care in the calendar year.numberlevel : Ratio
Medicare_Advantage_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries enrolled in Medicare Advantage for at least one month and receiving at least one day of hospice care in the calendar yearnumberlevel : Ratio
Medicaid_Eligible_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries eligible for Medicaid for at least one month and receiving at least one day of hospice care in the calendar yearnumberlevel : Ratio
Hospice_Beneficiaries_With_A_Primary_Diagnosis_Of_CancerNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis of cancer. Clinical Classifications Software single level diagnosis categories 11-17 were used to define cancer diagnoses. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Hospice_Beneficiaries_With_A_Primary_Diagnosis_Of_DementiaNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis of dementia. Clinical Classifications Software single level diagnosis category 653 were used to define dementia diagnoses. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Hospice_Beneficiaries_With_A_Primary_Diagnosis_Of_StrokeNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis of circulatory/heart disease. Clinical Classifications Software single level diagnosis categories 96-108 and 114-121 were used to define circulatory/heart diagnoses. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Hospice_Beneficiaries_With_Primary_Diagnosis_Circulatory_Heart_DiseaseNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis of stroke. Clinical Classifications Software single level diagnosis categories 109-113 were used to define stroke diagnoses. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Hospice_Beneficiaries_With_A_Primary_Diagnosis_Of_Respiratory_DiseaseNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis of respiratory disease. Clinical Classifications Software single level diagnosis categories 127-134 were used to define respiratory diagnoses. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Hospice_Beneficiaries_With_Other_Primary_DiagnosesNumber of distinct Medicare beneficiaries receiving hospice care for a primary diagnosis other than cancer, dementia, circulatory/heart, stroke, or respiratory. If a hospice beneficiary had more than one primary diagnosis the most frequent diagnosis in terms of hospice care days was used.numberlevel : Ratio
Site_Of_Service_Home_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days at home. Site of service was determined using HCPCS codes Q5001-Q5010, Q5001 indicates care provided in hospice beneficiary's private residence (home).numberlevel : Ratio
Site_Of_Service_Assisted_Living_Facility_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in an assisted living facility. Site of service was determined using HCPCS codes Q5001-Q5010, Q5002 indicates care provided in an assisted living facility.numberlevel : Ratio
Site_Long_Term_Care_Non_Skilled_Nursing_Facility_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in a long term care or non-skilled nursing facility. Site of service was determined using HCPCS codes Q5001-Q5010, Q5003 indicates care provided in a long term care or non-skilled nursing facility.numberlevel : Ratio
Site_Of_Service_Skilled_Nursing_Facility_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in a skilled nursing facility. Site of service was determined using HCPCS codes Q5001-Q5010, Q5004 indicates care provided in a skilled nursing facility.numberlevel : Ratio
Site_Of_Service_Inpatient_Hospital_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in an inpatient hospital. Site of service was determined using HCPCS codes Q5001-Q5010, Q5005 indicates care provided in an inpatient hospital.numberlevel : Ratio
Site_Of_Service_Inpatient_Hospice_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in an inpatient hospice facility. Site of service was determined using HCPCS codes Q5001-Q5010, Q5006 indicates care provided in an inpatient hospice facility.numberlevel : Ratio
Site_Of_Service_Other_Facility_Hospice_BeneficiariesNumber of distinct Medicare beneficiaries receiving the majority of their hospice care days in a long term care hospital, psychiatric facility, home care in a hospice facility or unknown facility. Site of service was determined using HCPCS codes Q5001-Q5010, Q5007-Q5010 indicate care provided in other facilities.numberlevel : Ratio
Provider_IdNameStreet_AddressCityStateZip_CodeHospital_Referral_RegionHospice_BeneficiariesTotal_DaysTotal_Medicare_Payment_AmountTotal_Medicare_Standard_Payment_AmountTotal_Charge_AmountPercent_Routine_Home_Care_DaysPhysician_ServicesHome_Health_Visit_Hours_Per_DaySkilled_Nursing_Visit_Hours_Per_DaySocial_Service_Visit_Hours_Per_DayTotal_Live_DischargesHospice_Beneficiaries_With_7_Or_Fewer_Hospice_Care_DaysHospice_Beneficiaries_With_More_Than_60_Hospice_Care_DaysHospice_Beneficiaries_With_More_Than_180_Hospice_Care_DaysHome_Health_Visit_Hours_Per_Day_During_Week_Prior_To_DeathSkilled_Nursing_Visit_Hours_Per_Day_During_Week_Prior_To_DeathSocial_Service_Visit_Hours_Per_Day_During_Week_Prior_To_DeathAverage_AgeMale_Hospice_BeneficiariesFemale_Hospice_BeneficiariesWhite_Hospice_BeneficiariesBlack_Hospice_BeneficiariesAsian_Hospice_BeneficiariesHispanic_Hospice_BeneficiariesOther_Unknown_Race_Hospice_BeneficiariesMedicare_Advantage_Hospice_BeneficiariesMedicaid_Eligible_Hospice_BeneficiariesHospice_Beneficiaries_With_A_Primary_Diagnosis_Of_CancerHospice_Beneficiaries_With_A_Primary_Diagnosis_Of_DementiaHospice_Beneficiaries_With_A_Primary_Diagnosis_Of_StrokeHospice_Beneficiaries_With_Primary_Diagnosis_Circulatory_Heart_DiseaseHospice_Beneficiaries_With_A_Primary_Diagnosis_Of_Respiratory_DiseaseHospice_Beneficiaries_With_Other_Primary_DiagnosesSite_Of_Service_Home_Hospice_BeneficiariesSite_Of_Service_Assisted_Living_Facility_Hospice_BeneficiariesSite_Long_Term_Care_Non_Skilled_Nursing_Facility_Hospice_BeneficiariesSite_Of_Service_Skilled_Nursing_Facility_Hospice_BeneficiariesSite_Of_Service_Inpatient_Hospital_Hospice_BeneficiariesSite_Of_Service_Inpatient_Hospice_Hospice_BeneficiariesSite_Of_Service_Other_Facility_Hospice_Beneficiaries
371579SHARE MEDICAL CENTER800 SHARE DRIVEALVAOK73717OK - Oklahoma City1468688885105016102970100000000079.21300000
671799PEGASUS HOSPICE LLC1513 VICEROY DRIVEDALLASTX75235TX - Dallas16369562655702969260100000.207000.213077.11100000000
61587HOSPICE CARE OF THE ROCKIES6851 S HOLLY CIRCLECENTENNIALCO80112CO - Denver204967990979640151813100000000083.218000000
161565SMC HOME HEALTH & HOSPICE300 PARK AVENUESHENANDOAHIA51601NE - Omaha134085612362544123335100000000088.913000013000000
191606AAA HOSPICE2111 HWY 14NEW IBERIALA70560LA - Lafayette178301110641280111815831000.0950.1770.0320.33377.616000017000000
551651GHC HOSPICE INC906 W 9TH STREETUPLANDCA91786CA - San Bernardino20284448880444116052196610000.0130.0051500087.3120140000
231634FIRST STATE HOSPICE CARE INC3901 FORTUNE BLVDSAGINAWMI48603MI - Saginaw1853279935825407627910000.187000083.21600000130000
251631INFINITY HOSPICE, LLC206 NORTH VAN BUREN STREETCARTHAGEMS39051MS - Jackson1924814533615339604930008800001285.415000130000
741538HALCYON HOME LLC8133 MESA DR STE 200AUSTINTX78759TX - Austin1469610611410725912788910000.0340.1480.0080.15582.51200000000
71532VNA NORTHWEST, INC607 BANTAM ROAD, UNIT FBANTAMCT6750CT - Hartford512021341234312244356158990000121200082.92130490011480000