Others titles
- Physicians Fee Schedule Locality Structure
- Medicare PFS Locality
- PFS Locality County Crosswalk 2023
- PFS Locality County Crosswalk 2022
- PFS Locality County Crosswalk 2021
- PFS Locality County Crosswalk 2020
- PFS Locality County Crosswalk 2019
- PFS Locality County Crosswalk 2018
Keywords
- Medicare Part B Provider
- Medicare Fee Schedule
- Medicare Locality
- Medicare Locality Codes
- Medicare Payment
- Locality Number
Locality County Crosswalk
This dataset shows the 2018, 2019, 2020, 2021, 2022 and 2023 Locality County Crosswalk. Data includes 52 localities in the other 16 states, with 10 states having 2 localities, 2 states having 3 localities, 1 state having 4 localities, and 3 states have 5 or more localities.
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Description
The current Physician Fee Schedule (PFS) locality structure was developed and implemented in 1997. There are currently 89 total PFS localities; 34 localities are statewide areas (that is, only one locality for the entire state). The District of Columbia, Maryland, and Virginia suburbs, Puerto Rico, and the Virgin Islands are additional localities that make up the remainder of the total of 89 localities.
On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA 2014) was signed into law and Section 220(h) of the legislation adds section 1848(e)(6) of the Act, which now requires, for services furnished on or after January 1, 2017, that the locality definitions for California be based on the Metropolitan Statistical Area (MSA) delineations as defined by the Office of Management and Budget (OMB). The resulting modifications to California’s locality structure increase its number of localities from 9 under the current locality structure to 27 under the MSA based locality structure (operational note: for the purposes of payment the actual number of localities under the MSA-based locality structure would be 32). Additionally, for some of these new localities, PAMA requires that the GPCI values that would be realized under the new MSA based locality structure are gradually phased in (in one-sixth increments) over a period of 6 years.
About this Dataset
Data Info
Date Created | 2015-05-28 |
---|---|
Last Modified | 2022-11-14 |
Version | 2022-11-14 |
Update Frequency |
Quarterly |
Temporal Coverage |
2018-2023 |
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 | Medicare Part B Provider, Medicare Fee Schedule, Medicare Locality, Medicare Locality Codes, Medicare Payment, Locality Number |
Other Titles | Physicians Fee Schedule Locality Structure, Medicare PFS Locality, PFS Locality County Crosswalk 2023, PFS Locality County Crosswalk 2022, PFS Locality County Crosswalk 2021, PFS Locality County Crosswalk 2020, PFS Locality County Crosswalk 2019, PFS Locality County Crosswalk 2018 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Year | Year of Locality County Crosswalk (2018, 2019, 2020, 2021, 2022 and 2023) | date | - |
Carrier_Code | A number assigned to a specific carrier. | integer | level : Nominal |
Locality_Code | A number assigned to a specific locality. | string | - |
State | State Name | string | - |
Fee_Schedule_Area | Listing of fees used by Medicare to pay doctors or other providers/suppliers according to area. | string | - |
Counties | County name. | string | - |
Data Preview
Year | Carrier Code | Locality Code | State | Fee Schedule Area | Counties |
2018 | 10102 | 0 | ALABAMA | STATEWIDE | ALL COUNTIES |
2018 | 2102 | 1 | ALASKA | STATEWIDE | ALL COUNTIES |
2018 | 3102 | 0 | ARIZONA | STATEWIDE | ALL COUNTIES |
2018 | 7102 | 13 | ARKANSAS | STATEWIDE | ALL COUNTIES |
2018 | 1182 | 26 | CALIFORNIA | LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY) | ORANGE |
2018 | 1182 | 18 | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY) | LOS ANGELES | |
2018 | 1112 | 52 | SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY) | MARIN | |
2018 | 1112 | 7 | OAKLAND/BERKLEY | ALAMEDA AND CONTRA COSTA | |
2018 | 1112 | 5 | SAN FRANCISCO | SAN FRANCISCO | |
2018 | 1112 | 6 | SAN MATEO | SAN MATEO |