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

CY 1999-2022

Date Requests Can Be Accepted for Upcoming Releases:

CY 2023 available 11/2024

See what is in this file