Inpatient Prospective Payment System Top 100 DRGS 2013

$179 / year

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.

Complexity

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.

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

NameDescriptionTypeConstraints
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 : 1 level : 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
DRG_DefinitionProvider_IdProvider_NameProvider_Street_AddressCityStateZip_CodeProvider_HRRTotal_Discharges_in_USDAverage_Covered_Charges_in_USDAverage_Total_Payments_in_USDAverage_Medicare_Payments_in_USD
100 - SEIZURES W MCC390063UPMC HAMOT201 STATE STREETERIEPA16550PA - Erie1573331.610069.678242.8
100 - SEIZURES W MCC520045THEDA CLARK MED CTR130 2ND STNEENAHWI54956WI - Neenah15185239465.28305.2
101 - SEIZURES W/O MCC390063UPMC HAMOT201 STATE STREETERIEPA16550PA - Erie2123944.674522.383592.57
100 - SEIZURES W MCC140011HERRIN HOSPITAL201 S 14TH STHERRINIL62948MO - St. Louis1434902.4389148176
069 - TRANSIENT ISCHEMIA390063UPMC HAMOT201 STATE STREETERIEPA16550PA - Erie3325372.824484.853152.12
100 - SEIZURES W MCC380051SALEM HOSPITAL890 OAK STREET, SESALEMOR97301OR - Salem12273001128710499.92
101 - SEIZURES W/O MCC100006ORLANDO HEALTH1414 S KUHL AVEORLANDOFL32806FL - Orlando6422704.854924255.5
101 - SEIZURES W/O MCC350006TRINITY HOSPITALS407 3RD ST SEMINOTND58701ND - Minot1218738.754800.53788.5
100 - SEIZURES W MCC70033DANBURY HOSPITAL24 HOSPITAL AVEDANBURYCT6810CT - New Haven15383431309511620.33
100 - SEIZURES W MCC180102LOURDES HOSPITAL1530 LONE OAK ROADPADUCAHKY42001KY - Paducah112933880017299.18