The Medicare Durable Medical Equipment (Encounter) file includes Medicare Advantage plans paid records for medical supplies.
This file includes (variable highlights):
- Part C Benefit Package and Contract number
- diagnosis (ICD diagnosis)
- HCPCS code
- Organization NPI
- NPI for line supplier
- Date of service (line date)
- Encounter records submitted to CMS by September, 2021 for dates of service in CY 2019
Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g., vision, hearing, dental, and/or health and wellness programs). Encounter data will include records for these additional items and services provided under the plan.