Hospital Outpatient Medicare Payments

SAS Name

This variable is the total Medicare payments in the hospital outpatient (HOP) setting for a given year. The total Medicare payments for HOP are calculated as the sum of CLM_PMT_AMT for all HOP claims where the CLM_PMT_AMT >= 0.


Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics” (see:

Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series” (see the list of MLN publications at: Publications.html)

Source: CCW (derived)