Others titles
- Hospital Compare Medicare Hospital Spending
- Different Claim Types for Medicare Hospital Spending
- Medicare Spending per Beneficiary (MSPB)
Keywords
- Hospital Compare
- Medicare Hospital Spending
- Spending Claim Types
- Meicare Payment
Medicare Hospital Spending by Claim
This dataset includes a list of all hospitals that have been registered with Medicare and their Medicare Spending per Beneficiary (MSPB). The list includes Hospital Name, Period of hospital admission and Claim Type. It also includes Averages as well as Percentages of Spending per Episode for Hospital, State and Nation.
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Description
This dataset is also known as Medicare Spending per Beneficiary (MSPB) Spending Breakdowns by Claim Type file. This dataset shows average spending levels during hospitals’ Medicare Spending per Beneficiary (MSPB) episodes.
An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to a hospital admission through 30 days after discharge. These average Medicare payment amounts have been price-standardized to remove the effect of geographic payment differences and add-on payments for indirect medical education (IME) and disproportionate share hospitals (DSH). CMS uses the information on this webpage to calculate a hospital’s MSPB Measure value, which is reported on Hospital Compare.
Specifically, the MSPB Measure methodology risk-adjusts the values on this webpage to account for beneficiary age and severity of illness. This webpage provides the pre-risk-adjusted values to help the public understand the MSPB Measure and its composition.
The dataset under discussion divides each hospital’s average episode spending levels into three time periods:
1) 1 to 3 days Prior to Index Hospital Admission,
2) During Index Hospital Admission, and
3) 1 through 30 days After Discharge from Index Hospital Admission.
Within these three time periods, the average episode spending levels are further broken down into the seven claim types (e.g. inpatient, outpatient). The start and end date of this data set is July 01, 2020 to December 31st, 2020.
About this Dataset
Data Info
Date Created | 2012-07-07 |
---|---|
Last Modified | 2022-10-05 |
Version | 2022-10-05 |
Update Frequency |
Annual |
Temporal Coverage |
2020-07-01 to 2020-12-31 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services (CMS); |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Hospital Compare, Medicare Hospital Spending, Spending Claim Types, Meicare Payment |
Other Titles | Hospital Compare Medicare Hospital Spending, Different Claim Types for Medicare Hospital Spending, Medicare Spending per Beneficiary (MSPB) |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Hospital_Name | Name of the hospital (also referred to as the provider) | string | required : 1 |
Provider_ID | CMS certification number (CCN). Identification number of the hospital within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility. | integer | level : Nominalrequired : 1 |
State_Abbreviation | Two letter abbreviation of different states of U.S. This includes information on hospitals in: | string | required : 1 |
Hospital_Admission_Period | It represents the relevant time period during the Medicare Spending per Beneficiary (MSPB) episode. It contains one of the three episode time periods discussed above: (i) 1 to 3 days Prior to Index Hospital Admission, (ii) During Index Hospital Admission, and | string | required : 1 |
Claim_Type | Episode spending is broken down by seven claim settings. These include: (i) home health agency, (ii) hospice, (iii) inpatient, (iv) outpatient, (v) skilled nursing facility, (vi) durable medical equipment, and (vii) carrier. In addition, the “Total” claim type contains the total average price-standardized non-risk-adjusted spending for each hospitalization episode. | string | required : 1 |
Avg_Spending_Per_Episode_Per_Hospital | Average spending across each of the time period/claim type combinations for each hospital. The sum of the average spending per episode across these time period/claim type combinations is presented in an additional "Complete Episode/Total" category for each hospital entry. | integer | level : Ratio |
Avg_Spending_Per_Episode_Per_State | Average spending across each of the time period/claim type combinations for the state in which the hospital is located. The sum of the average spending per episode across these time period/claim type combinations is presented in an additional "Complete Episode/Total" category for each state. | integer | level : Ratio |
Avg_Spending_Per_Episode_Per_Nation | Average spending across each of the time period/claim type combinations for the nation. The sum of the average spending per episode across these time period/claim type combinations is presented in an additional "Complete Episode/Total" category for each nation. | integer | level : Ratio |
Percent_of_Spending_Per_Hospital | The portion of the total average episode spending amount that each of a hospital’s time period/claim type average episode spending amounts contributes to the total. | number | level : Ratio |
Percent_of_Spending_Per_State | The portion of the total average episode spending amount that each of a state’s time period/claim type average episode spending amounts contributes to the total. | number | level : Ratio |
Percent_of_Spending_Per_Nation | The portion of the total average episode spending amount that each of a nation’s time period/claim type average episode spending amounts contributes to the total. | number | level : Ratio |
Data Preview
Hospital Name | Provider ID | State Abbreviation | Hospital Admission Period | Claim Type | Avg Spending Per Episode Per Hospital | Avg Spending Per Episode Per State | Avg Spending Per Episode Per Nation | Percent of Spending Per Hospital | Percent of Spending Per State | Percent of Spending Per Nation |
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Home Health Agency | 17.0 | 12.0 | 0.08 | 0.05 | ||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Hospice | 1.0 | 1.0 | ||||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Inpatient | 9.0 | 6.0 | 0.04 | 0.03 | ||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Outpatient | 154.0 | 116.0 | 179.0 | 0.62 | 0.54 | 0.8 |
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Skilled Nursing Facility | 3.0 | 6.0 | 0.02 | 0.03 | ||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Durable Medical Equipment | 2.0 | 9.0 | 10.0 | 0.01 | 0.04 | 0.04 |
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 1 to 3 days Prior to Index Hospital Admission | Carrier | 536.0 | 622.0 | 664.0 | 2.17 | 2.9 | 2.95 |
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | During Index Hospital Admission | Home Health Agency | ||||||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | During Index Hospital Admission | Hospice | ||||||
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | During Index Hospital Admission | Inpatient | 11409.0 | 10987.0 | 11467.0 | 46.22 | 51.24 | 50.88 |