Others titles
- Medicare Inpatient Utilization and Payment Data 2013
- Medicare Inpatient Charges Data 2013
Keywords
- Inpatient Utilization Payment
- Medicare Reimbursement
- Medicare Payment List
- Inpatient CMS Medicare Prospective Payment
- Inpatient Data
- DRG Charges
- Medicare Payment
- Inpatient Payment Data
Inpatient Utilization and Payment Data 2013
The dataset includes hospital-specific charges for U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for 2013 for discharges paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG).
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Description
Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount. Average charges, average total payments, and average Medicare payments are calculated at the individual hospital level. The amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay can be compared.
About this Dataset
Data Info
Date Created | 2016-06-23 |
---|---|
Last Modified | 2016-06-23 |
Version | 2016-06-23 |
Update Frequency |
Annual |
Temporal Coverage |
2013 |
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 | Inpatient Utilization Payment, Medicare Reimbursement, Medicare Payment List, Inpatient CMS Medicare Prospective Payment, Inpatient Data, DRG Charges, Medicare Payment, Inpatient Payment Data |
Other Titles | Medicare Inpatient Utilization and Payment Data 2013, Medicare Inpatient Charges Data 2013 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
DRG_Code | Diagnosis related group definition, The code identifying the MS-DRG. MS-DRGs are a classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay. | string | - |
DRG_Definition | Diagnosis related group definition, The description identifying the MS-DRG. MS-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 identification, The CMS Certification Number (CCN) assigned to the Medicare certified hospital facility | integer | level : Nominal |
Provider_Name | Name of provider | string | - |
Provider_Street_Address | Street address of the provider | string | - |
City | City of the provider | string | - |
State_Abbreviation | State of the provider | string | - |
Zip_Code | Zipcode of the provider region | integer | level : Nominal |
Hospital_Referral_Region_Description | Hospital referral region location of the provider | string | - |
Total_Discharges | Number of total discharges billed by the provider for inpatient hospital services | number | level : Ratio |
Average_Covered_Charges | The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures. | number | - |
Average_Total_Payments | The average total payments to all providers for the MS-DRG including the MSDRG 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 | - |
Average_Medicare_Payments | The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. | number | - |
Data Preview
DRG Code | DRG Definition | Provider Id | Provider Name | Provider Street Address | City | State Abbreviation | Zip Code | Hospital Referral Region Description | Total Discharges | Average Covered Charges | Average Total Payments | Average Medicare Payments |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10001 | SOUTHEAST ALABAMA MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | AL - Dothan | 98 | 37988.979589999995 | 5872.193878 | 4838.3163270000005 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10005 | MARSHALL MEDICAL CENTER SOUTH | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | AL - Birmingham | 34 | 15554.88235 | 6053.294118 | 5255.647059000001 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10006 | ELIZA COFFEE MEMORIAL HOSPITAL | 205 MARENGO STREET | FLORENCE | AL | 35631 | AL - Birmingham | 30 | 40380.1 | 5319.833333 | 4150.866667 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10011 | ST VINCENT'S EAST | 50 MEDICAL PARK EAST DRIVE | BIRMINGHAM | AL | 35235 | AL - Birmingham | 17 | 22026.23529 | 5767.882353 | 4268.352940999999 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10016 | SHELBY BAPTIST MEDICAL CENTER | 1000 FIRST STREET NORTH | ALABASTER | AL | 35007 | AL - Birmingham | 17 | 45663.05882 | 5785.117647 | 4886.294118 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10023 | BAPTIST MEDICAL CENTER SOUTH | 2105 EAST SOUTH BOULEVARD | MONTGOMERY | AL | 36116 | AL - Montgomery | 44 | 16579.818180000002 | 6485.681818 | 5375.1590909999995 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10024 | JACKSON HOSPITAL & CLINIC INC | 1725 PINE STREET | MONTGOMERY | AL | 36106 | AL - Montgomery | 15 | 23243.733330000003 | 5553.866667 | 4376.6 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10029 | EAST ALABAMA MEDICAL CENTER AND SNF | 2000 PEPPERELL PARKWAY | OPELIKA | AL | 36801 | AL - Birmingham | 46 | 11807.78261 | 6200.3260869999995 | 4766.891304 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10033 | UNIVERSITY OF ALABAMA HOSPITAL | 619 SOUTH 19TH STREET | BIRMINGHAM | AL | 35233 | AL - Birmingham | 34 | 45288.23529 | 8977.323529000001 | 6238.852940999999 |
39 | EXTRACRANIAL PROCEDURES W/O CC/MCC | 10039 | HUNTSVILLE HOSPITAL | 101 SIVLEY RD | HUNTSVILLE | AL | 35801 | AL - Huntsville | 111 | 33108.30631 | 5948.0 | 4780.081081 |