Search Data Variables

Bipolar Disorder - Medicaid Only Claims, First Ever Occurrence Date

Bipolar Disorder - Medicare Only Claims, First Ever Occurrence Date

This variable indicates whether a beneficiary met the condition criteria for bipolar disorders as of the end of the calendar year.

This variable shows the date when the beneficiary first met the criteria for the bipolar disorders 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 Mediare and Medicaid data, for having Bipolar Disorder.

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

This variable indicates whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for bipolar disorders as of the end of the calendar year.

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

BIRTH DATE OF THE MEDICAID ELIGIBLE.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program; most recent in the calendar year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

A monthly flag to identify children eligible through the conception to birth option, which is available only through a separate CHIP Program. There are separate variables for each of the 12 months during the year.

The weight of a newborn at time of birth in grams (applicable to newborns only).

The charge amount (rounded to whole dollars) for blood provided during the beneficiary's stay.

The number of whole pints of blood furnished to the beneficiary during the stay.

The charge amount (rounded to whole dollars) for blood storage and processing related to the beneficiary's stay.

This code indicates whether a beneficiary received services or equipment across state borders. (The provider location is out of state, but for payment purposes the provider is treated as an in-state provider.)

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Traumatic Brain Injury and Nonpsychotic Mental Disorders.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Traumatic Brain Injury and Nonpsychotic Mental Disorders.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Traumatic Brain Injury and Nonpsychotic Mental Disorders

Traumatic Brain Injury and Nonpsychotic Mental Disorders due to Brain Damage - Medicaid Only Claims, FIrst Ever Occurrence Date

Traumatic Brain Injury and Nonpsychotic Mental Disorders due to Brain Damage - Medicare Only Claims, First Ever Occurrence Date

Agency assigned branch identifier.

Indicates whether the drug is a brand name, generic, single-source, or multi-source drug.

This is the brand name of the dispensed PDE, according to the First DataBank (FDB) reference files.

The name that appears on the package label provided by the manufacturer.

When this variable appears in the Formulary file, it is the FDB brand name for a drug product on the formulary.

Plan reported value indicating whether the plan adjudicated the claim as a brand or generic drug.    

Applies to covered drugs only.

Breast Cancer - Medicaid Only Claims, First Ever Occurrence Date

Breast Cancer - Medicare Only Claims, First Ever Occurrence Date

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for breast cancer (female or male) as of the end of the calendar year.

This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for breast cancer (female or male) as of the end of the calendar year.

Breast cancer estrogen receptor.

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

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

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

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for breast cancer (female or male) on July 1 of the specified reference period.

Breast cancer progesterone receptor

This column documents whether, at the time of discharge, the facility felt a brief mental status interview should be conducted.

Brief Interview for Mental Status Section Notes

This field represents the amount (rounded to whole dollars) the claim was reduced by. This field only applies to providers participating in the CMMI model 1 bundled payment program and the adjustment is calculated off the base operating DRG amount field.