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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” (see: http://www.medpac.gov/-documents-/payment-basics).
Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series” (see the list of MLN publications at: http://www.cms.gov/Outreach-andEducation/Medicare-Learning-Network-MLN/MLNProducts/MLN- Publications.html)
Source: CCW (derived)