ResDAC is currently experiencing a high volume of requests, which may delay response and processing times. We are working to address the backlog as quickly as possible and appreciate your patience.
This variable is contained in the following files:
SAS Name
PHYS_PRMRY_PMT
This variable indicates the total amount paid for part B physician office services (PHYS) by a primary payer other than Medicare for a given year. Physician office claims are a subset of the claims in the Part B Carrier and DME data files, and a subset of physician evaluation and management claims (note that E&M are tabulated separately in this data file).
The PHYS claims are defined as those with a line BETOS code (BETOS_CD) where the first three digits =M1A or M1B (the remainder of physician services which occur in different settings appear in EM_MDCR_PMT). The total Primary Payer Payments are calculated as the sum of the LINE_BENE_PRMRY_PYR_PD_AMT.
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.