Search Data Variables

Indicates when the operating authority is 1115/1915(k) for the MC_PLAN_ID; ever in the calendar year.

Indicates when the operating authority is 1115 demonstration for the MC_PLAN_ID; ever in the calendar year.

Indicates 1902(a)(70) Non-Emergency Medical Transport (NEMT) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(a) operating authority for the MC_PLAN_ID; ever in the calendar year

Indicates 1915(a)/1915(c) operating authority for the MC_PLAN_ID; ever in the calendar year

Indicates 1915(a)/1915(i) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(a)/1915(j) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(a)/1915(k) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates when the operating authority is 1915(b) for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(b)/1915(c) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(b)/1915(i) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1915(b)/1915(j) operating authority for the MC_PLAN_ID; ever in the calendar year

Indicates 1915(b)/1915(k) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates when the operating authority is 1932(a) for the MC_PLAN_ID; ever in the calendar year.

Indicates 1932(a)/1915(c) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1932(a)/1915(i) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1932(a)/1915(j) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1932(a)/1915(k) operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1937 operating authority for the MC_PLAN_ID; ever in the calendar year.

Indicates 1945 health homes for the MC_PLAN_ID; ever in the calendar year.

Indicates Program of All-Inclusive Care for the Elderly (PACE) programs for the MC_PLAN_ID; ever in the calendar year.

Indicates 1905(t) Voluntary Primary Care Case Management (PCCM) for the MC_PLAN_ID; ever in the calendar year.

This is one component of the total amount that is payable on prospective payment system (PPS) claims, and reflects the DSH (disproportionate share hospital) payments for operating expenses (such as labor) for the claim.

There are two types of DSH amounts that may be payable for many PPS claims; the other type of DSH payment is for the DSH capital amount (variable called CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT).

Both operating and capital DSH payments are components of the PPS, as well as numerous other factors.

The sum of the claim operating HSP amounts reported on the claims that comprise the stay. The operating HSP amount is used to identify the difference between the HSP rate payment (updated HSP x DRG weight) and the federal rate payment (includes DSH, IME, outliers, etc. as applicable) when HSP rate payment exceeds Federal rate payment (otherwise $0).

This is one component of the total amount that is payable on PPS claims, and reflects the IME (indirect medical education) payments for operating expenses (such as labor) for the claim.

There are two types of IME amounts that may be payable for many PPS claims; the other type of IME payment is for the IME capital amount (variable called CLM_PPS_CPTL_IME_AMT). Both operating and capital IME payments are components of the PPS, as well as numerous other factors.

The National Provider ID (NPI) of the provider who performed the surgical procedure(s).

The charge amount (rounded to whole dollars) for the operating room, recovery room, and labor delivery room used by the beneficiary during the stay.

This variable indicates whether a beneficiary met the criteria for Opioid-Related Hospitalization or emergency department (ED) visits as of the end of the calendar year.

This variable shows the date when the beneficiary first met the criteria for the Opioid- Related Hospitalization or emergency department (ED) visit indicator. The variable will be blank for beneficiaries that have never had the condition.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Opioid User Disorder-Related to Hospitalization or Emergency Department. 

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Opioid Use Disorder-Related to Hospitalization or Emergency Department

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Opioid Use Disorder -Related to Hospitalization or Emergency Department. 

The charge amount (rounded to whole dollars) for organ acquisition or other donor bank services related to a beneficiary's stay.

The code indicating the type of organ acquisition received by the beneficiary during the stay.

The code indicating whether or not the beneficiary received a organ transplant during the stay.

The National Provider Identifier (NPI) of the organization or group practice.

Name of organization.

 On an institutional claim or encounter record, the National Provider Identifier (NPI) number assigned to uniquely identify the institutional provider certified by Medicare to provide services to the beneficiary. 

For a non-institutional claim or encounter record, this is the NPI number of the billing provider on the claim. 

The National Provider Identifier (NPI) number assigned to uniquely identify the institutional provider certified by Medicare to provide services to the beneficiary.

This variable is the health care provider taxonomy (HCPT) code used to indicate the billing provider's specialty. This is a unique identifier for a classification of health care specialty at a specialized level of defined medical activity within a medical field as created by the National Uniform Claim Committee (NUCC).

This variable is the type of organization sponsoring the plan.

Original version (ASMT INT ID) of this assessment where Correction Number is 00.

A unique number assigned by the state’s payment system that identifies an original claim

This variable identifies an individual line number on an encounter record claim, as assigned in the CMS Integrated Data Repository (IDR). 

A unique number to identify the transaction line number that is being reported on the original claim.

Original reason for Medicare entitlement.

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for osteoporosis as of the end of the calendar year.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Osteoporosis.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Osteoporosis.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Osteoporosis.