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

Centre for Medicare & Medicaid Services (CMS.gov), Release 2015.06

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_DefinitionCode 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_IdProvider Identifier billing for inpatient hospital services.integer-
Provider_NameName of the provider.string-
Provider_Street_AddressStreet address in which the provider is physically located.string-
CityCity in which the provider is physically located.stringrequired : 1
StateState in which the provider is physically located.stringrequired : 1
Zip_CodeZip code in which the provider is physically located.integerrequired : 1level : Nominal
Provider_HRRHRR in which the provider is physically located.stringrequired : 1
Total_Discharges_in_USDThe number of discharges billed by the provider for inpatient hospital services.number-
Average_Covered_Charges_in_USDThe 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.numberrequired : 1
Average_Total_Payments_in_USDThe 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.numberrequired : 1
Average_Medicare_Payments_in_USDThe 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 fornumberrequired : 1

Data Preview

DRG DefinitionProvider IdProvider NameProvider Street AddressCityStateZip CodeProvider HRRTotal Discharges in USDAverage Covered Charges in USDAverage Total Payments in USDAverage Medicare Payments in USD
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10001SOUTHEAST ALABAMA MEDICAL CENTER1108 ROSS CLARK CIRCLEDOTHANAL36301AL - Dothan9837988.985872.194838.32
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10005MARSHALL MEDICAL CENTER SOUTH2505 U S HIGHWAY 431 NORTHBOAZAL35957AL - Birmingham3415554.886053.295255.65
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10006ELIZA COFFEE MEMORIAL HOSPITAL205 MARENGO STREETFLORENCEAL35631AL - Birmingham3040380.15319.834150.87
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10011ST VINCENT'S EAST50 MEDICAL PARK EAST DRIVEBIRMINGHAMAL35235AL - Birmingham1722026.245767.884268.35
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10016SHELBY BAPTIST MEDICAL CENTER1000 FIRST STREET NORTHALABASTERAL35007AL - Birmingham1745663.065785.124886.29
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10023BAPTIST MEDICAL CENTER SOUTH2105 EAST SOUTH BOULEVARDMONTGOMERYAL36116AL - Montgomery4416579.826485.685375.16
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10024JACKSON HOSPITAL & CLINIC INC1725 PINE STREETMONTGOMERYAL36106AL - Montgomery1523243.735553.874376.6
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10029EAST ALABAMA MEDICAL CENTER AND SNF2000 PEPPERELL PARKWAYOPELIKAAL36801AL - Birmingham4611807.786200.334766.89
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10033UNIVERSITY OF ALABAMA HOSPITAL619 SOUTH 19TH STREETBIRMINGHAMAL35233AL - Birmingham3445288.248977.326238.85
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC10039HUNTSVILLE HOSPITAL101 SIVLEY RDHUNTSVILLEAL35801AL - Huntsville11133108.315948.04780.08