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This variable is contained in the following files:
SAS Name
HOP_PRMRY_PMT
This variable indicates the total amount paid for hospital outpatient (HOP) visits by a primary payer other than Medicare. It is the sum of all the primary payer amounts (NCH_PRMRY_PYR_CLM_PD_AMT from each claim) in the HOP setting for the year.
This variable was new in 2010; it will always be null/missing in earlier files.
Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics”.
Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series”.
Source: CCW (derived)