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_ID | The 6-digit identification number for the SNF on the claim. | integer | level : Nominal |
Facility_Name | The SNF name, as reported in the POS file. | string | - |
Street_Address | Address of SNF provider | string | - |
City | The city where the SNF is located, as reported in the POS file | string | - |
State | The 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_Code | The SNF’s zip code, as reported in the POS file. | integer | level : Nominal |
Total_Stays | Total count of stays provided by a SNF in the calendar year. | number | level : Ratio |
Distinct_Beneficiaries_Per_Provider | Number 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. | number | level : Ratio |
Average_Length_of_Stay_Days | Average length of stay, in days. | number | level : Ratio |
Total_SNF_Charge_Amount | Current: USD | number | - |
Total_SNF_Medicare_Allowed_Amount | Current: USD | number | - |
Total_SNF_Medicare_Payment_Amount | Current: USD | number | - |
Total_SNF_Medicare_Standard_Payment_Amount | Current: USD | number | - |
Data Preview
Provider ID | Facility Name | Street Address | City | State | Zip Code | Total Stays | Distinct Beneficiaries Per Provider | Average Length of Stay Days | Total SNF Charge Amount | Total SNF Medicare Allowed Amount | Total SNF Medicare Payment Amount | Total SNF Medicare Standard Payment Amount |
10007 | MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | 18 | 18 | 9 | 161776 | 38506 | 38506 | 47578 |
10022 | CHEROKEE MEDICAL CENTER | 400 NORTHWOOD DR | CENTRE | AL | 35960 | 83 | 76 | 13 | 2858175 | 452394 | 449138 | 546405 |
10025 | GEORGE H. LANIER MEMORIAL HOSPITAL | 4800 48TH ST | VALLEY | AL | 36854 | 165 | 142 | 11 | 1615816 | 457827 | 443471 | 553094 |
10032 | WEDOWEE HOSPITAL | 209 NORTH MAIN STREET | WEDOWEE | AL | 36278 | 23 | 22 | 22 | 555695 | 156360 | 133124 | 169409 |
10044 | MARION REGIONAL MEDICAL CENTER | 1256 MILITARY STREET SOUTH | HAMILTON | AL | 35570 | 59 | 54 | 12 | 1392637 | 228515 | 227775 | 279789 |
10045 | FAYETTE MEDICAL CENTER | 1653 TEMPLE AVENUE NORTH | FAYETTE | AL | 35555 | 117 | 109 | 16 | 2841909 | 769045 | 731368 | 897418 |
10058 | BIBB MEDICAL CENTER | 208 PIERSON AVE | CENTREVILLE | AL | 35042 | 92 | 82 | 16 | 1643430 | 590996 | 544838 | 626445 |
10069 | MEDICAL CENTER BARBOUR | 820 W WASHINGTON ST | EUFAULA | AL | 36027 | 26 | 26 | 9 | 369296 | 59296 | 57964 | 72211 |
10073 | CLAY COUNTY HOSPITAL | 83825 HIGHWAY 9 P O BOX 1270 | ASHLAND | AL | 36251 | 53 | 48 | 11 | 589920 | 145002 | 137306 | 172883 |
10086 | NORTHWEST MEDICAL CENTER | 1530 U S HIGHWAY 43 | WINFIELD | AL | 35594 | 33 | 31 | 16 | 1020022 | 167266 | 163418 | 201531 |