Others titles

  • Medicare Skilled Nursing Facility Utilization and Payment Data 2013
  • Skilled Nursing Facility Payment Amounts 2013

Keywords

  • Skilled Nursing Facility
  • SNF Payment
  • SNF Charges
  • Skilled Nursing Facility 2013
  • Nursing Utilization and Payment Data

Skilled Nursing Facility Utilization and Payment Data 2013

This dataset provides information on services provided to Medicare beneficiaries residing in skilled nursing facilities. The Skilled Nursing Facility Public Use File contains information on utilization, payment, submitted charges, and beneficiary demographic and chronic condition indicators organized by Centres for Medicare and Medicaid Services Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service.

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Description

The primary data source for these data is CMS’s Chronic Conditions Data Warehouse (CCW). The CCW Part A and Part B data files contain 100 percent of Medicare final action claims for beneficiaries who are enrolled in the FFS program. The CCW Part A institutional claims and revenue center files, restricted to claims where the claim type code was “20” or “30” indicating that the claim was a Skilled Nursing Facility claim, were used to create the Skilled Nursing Facility PUF. The Skilled Nursing Facility PUF also includes information on the amount of therapy provided to patients who are categorized into two specific RUGs, the RV (Very-high Rehab) and RU (Ultra-high Rehab) categories.

About this Dataset

Data Info

Date Created

2017-01-18

Last Modified

2016-01-18

Version

2016-01-18

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

Skilled Nursing Facility, SNF Payment, SNF Charges, Skilled Nursing Facility 2013, Nursing Utilization and Payment Data

Other Titles

Medicare Skilled Nursing Facility Utilization and Payment Data 2013, Skilled Nursing Facility Payment Amounts 2013

Data Fields

Name Description Type Constraints
Provider_IDThe 6-digit identification number for the SNF on the claim.integerlevel : Nominal
Facility_NameThe SNF name, as reported in the POS file.string-
Street_AddressAddress of SNF providerstring-
CityThe city where the SNF is located, as reported in the POS filestring-
StateThe state where the SNF is located, as reported in POS file. The fifty U.S. states and the District of Columbia are reported by the state postal abbreviation.string-
Zip_CodeThe SNF’s zip code, as reported in the POS file.integerlevel : Nominal
Total_StaysTotal count of stays provided by a SNF in the calendar year.numberlevel : Ratio
Distinct_Beneficiaries_Per_ProviderNumber of distinct Medicare beneficiaries with a least one SNF stay or SNF day in the calendar year. Beneficiaries may have more than one SNF stay or day per year but are only counted once in this field per row, however they may be double-counted across providers or RUGs. Therefore, this column will not sum to a total count of unique beneficiaries.numberlevel : Ratio
Average_Length_of_Stay_DaysAverage length of stay, in days.numberlevel : Ratio
Total_SNF_Charge_AmountCurrent: USDnumber-
Total_SNF_Medicare_Allowed_AmountCurrent: USDnumber-
Total_SNF_Medicare_Payment_AmountCurrent: USDnumber-
Total_SNF_Medicare_Standard_Payment_AmountCurrent: USDnumber-

Data Preview

Provider IDFacility NameStreet AddressCityStateZip CodeTotal StaysDistinct Beneficiaries Per ProviderAverage Length of Stay DaysTotal SNF Charge AmountTotal SNF Medicare Allowed AmountTotal SNF Medicare Payment AmountTotal SNF Medicare Standard Payment Amount
10007MIZELL MEMORIAL HOSPITAL702 N MAIN STOPPAL3646718189161776385063850647578
10022CHEROKEE MEDICAL CENTER400 NORTHWOOD DRCENTREAL359608376132858175452394449138546405
10025GEORGE H. LANIER MEMORIAL HOSPITAL4800 48TH STVALLEYAL36854165142111615816457827443471553094
10032WEDOWEE HOSPITAL209 NORTH MAIN STREETWEDOWEEAL36278232222555695156360133124169409
10044MARION REGIONAL MEDICAL CENTER1256 MILITARY STREET SOUTHHAMILTONAL355705954121392637228515227775279789
10045FAYETTE MEDICAL CENTER1653 TEMPLE AVENUE NORTHFAYETTEAL35555117109162841909769045731368897418
10058BIBB MEDICAL CENTER208 PIERSON AVECENTREVILLEAL350429282161643430590996544838626445
10069MEDICAL CENTER BARBOUR820 W WASHINGTON STEUFAULAAL3602726269369296592965796472211
10073CLAY COUNTY HOSPITAL83825 HIGHWAY 9 P O BOX 1270ASHLANDAL36251534811589920145002137306172883
10086NORTHWEST MEDICAL CENTER1530 U S HIGHWAY 43WINFIELDAL355943331161020022167266163418201531