Carrier (Fee-for-Service)

The Carrier File includes fee-for-service claims submitted by professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners.

Claims for some organizational providers, such as free-standing facilities are also found in the Carrier Claims File.  Examples include independent clinical laboratories, ambulance providers, free-standing ambulatory surgical centers and free-standing radiology centers.

Researchers rarely use this file alone.

This file is based on information from the CMS claim form 1500

What does this file include? (variable highlights)

  • diagnosis (ICD diagnosis)
  • procedure (CPT code)
  • dates of service
  • charges
  • allowed amounts
  • reimbursement amount
  • provider NPI number

Availability of this file

Availability:

CY 1999-2019
Q4 2020

Date Requests Can Be Accepted for Upcoming Releases:

CY 2020 available 11/2021
Q1 2021 available 08/2021

See what is in this file