Others titles
- Inpatient CMS Medicare Prospective Payment System Top 100 Diagnosis Related Group 2013
- Medicare Reimbursement for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013
- Medicare List for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013
- CMS Report for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013
Keywords
- Inpatient Payment
- Medicare Reimbursement
- Medicare List
- Inpatient CMS Medicare Prospective Payment
Inpatient Prospective Payment System Top 100 DRGS 2013
The dataset provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2013. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
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Description
The dataset provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2013. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
About this Dataset
Data Info
Date Created | 2015-05-05 |
---|---|
Last Modified | 2015-06-04 |
Version | 2015-06-04 |
Update Frequency |
Never |
Temporal Coverage |
Fiscal Year (FY) 2013. |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services; |
Source License URL | |
Source License Requirements |
Open for commercial Use |
Source Citation |
Open for commercial Use |
Keywords | Inpatient Payment, Medicare Reimbursement, Medicare List, Inpatient CMS Medicare Prospective Payment |
Other Titles | Inpatient CMS Medicare Prospective Payment System Top 100 Diagnosis Related Group 2013, Medicare Reimbursement for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013, Medicare List for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013, CMS Report for Inpatient Prospective Payment System Top 100 Diagnosis Related Group 2013 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
DRG_Definition | Code and description identifying the DRG. DRGs are a classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay. | string | - |
Provider_Id | Provider Identifier billing for inpatient hospital services. | integer | - |
Provider_Name | Name of the provider. | string | - |
Provider_Street_Address | Street address in which the provider is physically located. | string | - |
City | City in which the provider is physically located. | string | required : 1 |
State | State in which the provider is physically located. | string | required : 1 |
Zip_Code | Zip code in which the provider is physically located. | integer | level : Nominalrequired : 1 |
Provider_HRR | HRR in which the provider is physically located. | string | required : 1 |
Total_Discharges_in_USD | The number of discharges billed by the provider for inpatient hospital services. | number | - |
Average_Covered_Charges_in_USD | The provider's average charge for services covered by Medicare for all discharges in the DRG. These will vary from hospital to hospital because of differences in hospital charge structures. | number | required : 1 |
Average_Total_Payments_in_USD | The average total payments to all providers for the MS-DRG including the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits. | number | required : 1 |
Average_Medicare_Payments_in_USD | The average of Medicare payments to the provider for the DRG including the DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included are co-payment and deductible amounts that the patient is responsible for | number | required : 1 |
Data Preview
DRG Definition | Provider Id | Provider Name | Provider Street Address | City | State | Zip Code | Provider HRR | Total Discharges in USD | Average Covered Charges in USD | Average Total Payments in USD | Average Medicare Payments in USD |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10001 | SOUTHEAST ALABAMA MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | AL - Dothan | 98 | 37988.98 | 5872.19 | 4838.32 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10005 | MARSHALL MEDICAL CENTER SOUTH | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | AL - Birmingham | 34 | 15554.88 | 6053.29 | 5255.65 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10006 | ELIZA COFFEE MEMORIAL HOSPITAL | 205 MARENGO STREET | FLORENCE | AL | 35631 | AL - Birmingham | 30 | 40380.1 | 5319.83 | 4150.87 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10011 | ST VINCENT'S EAST | 50 MEDICAL PARK EAST DRIVE | BIRMINGHAM | AL | 35235 | AL - Birmingham | 17 | 22026.24 | 5767.88 | 4268.35 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10016 | SHELBY BAPTIST MEDICAL CENTER | 1000 FIRST STREET NORTH | ALABASTER | AL | 35007 | AL - Birmingham | 17 | 45663.06 | 5785.12 | 4886.29 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10023 | BAPTIST MEDICAL CENTER SOUTH | 2105 EAST SOUTH BOULEVARD | MONTGOMERY | AL | 36116 | AL - Montgomery | 44 | 16579.82 | 6485.68 | 5375.16 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10024 | JACKSON HOSPITAL & CLINIC INC | 1725 PINE STREET | MONTGOMERY | AL | 36106 | AL - Montgomery | 15 | 23243.73 | 5553.87 | 4376.6 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10029 | EAST ALABAMA MEDICAL CENTER AND SNF | 2000 PEPPERELL PARKWAY | OPELIKA | AL | 36801 | AL - Birmingham | 46 | 11807.78 | 6200.33 | 4766.89 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10033 | UNIVERSITY OF ALABAMA HOSPITAL | 619 SOUTH 19TH STREET | BIRMINGHAM | AL | 35233 | AL - Birmingham | 34 | 45288.24 | 8977.32 | 6238.85 |
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC | 10039 | HUNTSVILLE HOSPITAL | 101 SIVLEY RD | HUNTSVILLE | AL | 35801 | AL - Huntsville | 111 | 33108.31 | 5948.0 | 4780.08 |