Durable Medical Equipment Primary Payer Amount

This variable is contained in the following files:

Master Beneficiary Summary File (MBSF): Cost and Use Segment

SAS Name

DME_PRMRY_PMT

This variable indicates the total amount paid for part B durable medical equipment (DME) by a primary payer other than Medicare for a given year. Claims for DME are a subset of the claims in the Part B Carrier and DME data files.

These claims are defined as those with a line BETOS code (BETOS_CD) where the first three digits are ('D1A','D1B','D1C','D1D','D1E', or 'D1F'). The total Primary Payer Payments are calculated as the sum of the LINE_BENE_PRMRY_PYR_PD_AMT.

Comments

There are 11 cost/use categories from the Carrier Part B and DME data files – the ASC, Anesthesia, Part B Drug, Physician, E & M, dialysis, imaging, tests, other procedures, DME and other carrier claims.

Source: CCW (derived)