Data Documentation

Value Modifier Beneficiary-Level File
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For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

SAS Name Variable Name
BENE_ID Encrypted CCW Beneficiary ID
PRACTICE_ID Unique identifier of practice to which beneficiary is attributed
IN_PATIENT Total costs for inpatient hospital facility services
MSPB_EPISODE Episode for MSPB measure
SSP_ADM Admission for ACO-level All Condition Readmission measure
Gender Gender
DOB Birth date
DIED Died during 2016
BENE_RISK_SCORE_PCTL Risk percentile rank
MSPB_RISK_SCORE_PCTL Risk percentile rank
COPD Chronic condition flag for COPD
IHD Chronic condition flag for CAD
DIA Chronic condition flag for diabetes
CHF Chronic condition flag for heart failure
ACSC_ADM_COPD ACSC admission for COPD or Asthma
ACSC_ADM_DIA ACSC admission for diabetes
ACSC_ADM_HF ACSC admission for heart failure
ACSC_ADM_DH ACSC admission for dehydration
ACSC_ADM_PN ACSC admission for pneumonia
ACSC_ADM_UTI ACSC admission for UTI
SURVIVED_RA_ALL Beneficiary included in Per Capita Costs for All Attributed Beneficiaries measure
ATTRIB_STEP Basis for attribution
ED_ADM Emergency department admission
NUM_PC_SVCS_PRAC Number of primary care services provided by practice
PCT_PC_SVCS_PRAC Percent of beneficiary primary care services billed by practice
LAST_CLM_DATE Date of last claim filed by practice
LAST_CLM_DATE_NPI_IN_PRIM Date of last claim filed by NPI for beneficiary for primary care
LAST_CLM_DATE_NPI_IN_NON Date of last claim filed by NPI for beneficiary for non primary care
LAST_CLM_DATE_NPI_OUT_PRIM Date of last claim filed by NPI for beneficiary for primary care outside practice
DATE_LAST_HOSP_ADM Date of last hospital admission
NAME_NPI_OUT_NON Name of EP billing most non primary care services outside practice
NAME_NPI_IN_NON Name of EP billing most non primary care services in practice
NAME_NPI_OUT_PRIM Name of EP billing most primary care services outside practice
NAME_NPI_IN_PRIM Name of EP billing most primary care services in practice
MAX_PCS_NPI_ATTRIB NPI of EP billing most primary care services in practice
MAX_NON_PCS_NPI_ATTRIB NPI of EP billing most non primary care services in practice
MAX_PCS_NPI_NOTATTRIB NPI of EP billing most primary care services outside practice
MAX_NON_PCS_NPI_NOTATTRIB NPI of EP billing most non primary care services outside practice
SPECIALTY_NPI_OUT_NON Specialty of EP billing most non primary care services outside practice
SPECIALTY_NPI_IN_NON Specialty of EP billing most non primary care services in practice
SPECIALTY_NPI_IN_NON Specialty of EP billing most non primary care services in practice
SPECIALTY_NPI_IN_PRIM Specialty of EP billing most primary care services in practice
TOTCOST Total payment-standardized Medicare FFS cost
OTHER_ALL Total costs for all other services
MINOR_PROCS_INGRP Total costs for ambulatory/minor procedures billed by EPs in practice
MINOR_PROCS_OTHGRP Total costs for ambulatory/minor procedures billed by EPs outside practice
TOTAL_ANC Total costs for ancillary services
ALL_EANDM_INGRP Total costs for E and M services billed by EPs in given practice
ALL_EANDM_OTHGRP Total costs for E and M services billed by EPs outside practice
TOTAL_ER Total costs for emergency services not included in a hospital admission
PHYS_DURHOSP_INGRP Total costs for EP services during hospitalization in practice
PHYS_DURHOSP_OTHGRP Total costs for EP services during hospitalization outside practice
HOSP_NAME Name of hospital at which hospitalization occurred
INPATIENT_STAY Inpatient stay for beneficiary attributed for per capita cost and claims-based quality outcome measures
MAJOR_PROCS_OTHGRP Total costs for major procedures billed by EPs outside practice
MAJOR_PROCS_INGRP Total costs for major procedures billed by EPs in practice
TOTAL_PA Total costs for other post-acute care services (excluding hospice)
OP_THERAPY Total costs for outpatient physical therapy, occupational therapy, or speech and language pathology therapy
CCN CCN of hospital at which hospitalization occurred
RADM30 Hospital readmission within 30 days
DGNSCD01 Primary diagnosis code for hospital admission
SHORT_DESCRIPTION Description of principal diagnosis code for hospital admission
ADMSN_DT Admission date of hospitalization
DSCHRGDT Discharge date of hospitalization
STUS_CD_ABBRV Discharge status abbreviation
STUS_CD Discharge status code for hospitalization
HOSPICE Total costs for hospice services
CITY_HOSP City of hospital at which hospitalization occurred
STATE_HOSP State of hospital at which hospitalization occurred
PDGNS_DESC Description of principal diagnosis code for MSPB index hospitalization
LEAD_NPI_NAME Name of EP with plurality of cost for MSPB
LEAD_NPI NPI of EP with plurality of cost for MSPB
LEAD_NPI_SPECIALTY Specialty of EP with plurality of cost for MSPB
STD_PMT_ALL_CLM Total payment-standardized episode cost
COST_OTHER MSPB all other service costs
COST_AMBULANCE MSPB ambulance costs
COST_ANCILLARY_IMAGING MSPB ancillary imaging costs
COST_ANCILLARY_TESTS MSPB ancillary lab, pathology, and other test costs
COST_CHEMO_PART_B MSPB chemotherapy and Part B drug costs
COST_DIALYSIS MSPB dialysis costs
COST_DME MSPB durable medical equipment costs
COST_ER_VISITS MSPB E and M costs in an ER setting
COST_EM MSPB E and M service costs
COST_OTHGRP_HOSP MSPB eligible professional services billed by other practices during hospitalization
COST_INGRP_HOSP MSPB eligible professional services billed by practice during hospitalization
COST_HH MSPB home health costs
COST_HOSPICE MSPB hospice costs
COST_ER_IMAGING MSPB imaging costs in an ER setting
COST_IP_TRIGGER MSPB inpatient costs incurred during hospitalization
COST_IP_READMIT MSPB inpatient costs incurred in a readmission after hospitalization within 30 days of discharge
COST_REHAB_LTCH MSPB inpatient rehabilitation or long-term care hospital costs
COST_ER_TESTS MSPB lab, pathology, and other test costs in an ER setting
COST_MAJOR_PROCS_ANESTHESIA MSPB major procedure and anesthesia costs
COST_MINOR_PROCS_AMBULATORY MSPB minor procedure and ambulatory service costs
COST_PRTB_HOSP MSPB other physician or supplier Part B services billed during any hospitalization
COST_OP_THERAPY MSPB outpatient physical, occupational, or speech and language pathology therapy costs
COST_ER_PROCS MSPB procedure costs in an ER setting
COST_SN MSPB skilled nursing costs