RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,723             LOW-HIGH BASEID Count

H_DOB      12  8  $DTE8FMT                              C Date of birth

                              11,723                      Date as YYYYMMDD

H_DOD      20  8  $DTE8FMT                              C Date of death

                              11,141                      Missing
                                 582                      Date as YYYYMMDD

H_DODSRC   28  2  $SRCFMT                               C Source of date of death

                              11,141                      No date of death
                                   1                   01 From Medicare bill
                                   0                   03 Clerical entry
                                   0                   05 Bill and clerical entry
                                 304                   10 Proven Medicare Benefits record
                                  52                   11 Proven Medicare Benefits record & bills
                                 185                   20 Unproven Medicare Benefits record
                                  39                   21 Unproven Mcare Benefits record & bills
                                   0                   23 Unproven Mcare Benefits rec & clerical
                                   1                   25 Unproven Mcare Benefits rec, bill & cler

H_SEX      30  1  $SEXFMT                               C Sex code

                               5,269                    1 Male
                               6,454                    2 Female

H_RACE     31  1  $RACEFMT                              C Race code

                                  10                    0 Unknown
                               9,911                    1 White
                               1,202                    2 Black
                                 141                    3 Other
                                 129                    4 Asian
                                 268                    5 Hispanic
                                  62                    6 North American Native

H_AGE      32  3                                        N SP age based on CMS date of birth

D_STRAT    35  1  $AGEFMT                               C MCBS Sample age stratum

                                 980                    1  0-44
                               1,006                    2 45-64
                               1,977                    3 65-69
                               2,075                    4 70-74
                               1,753                    5 75-79
                               1,862                    6 80-84
                               2,070                    7 85 +

H_ENT01    36  1  $ENTFMT                               C Medicare entitlement code for Jan

                                 476                    A Part A Medicare only
                                  58                    B Part B Medicare only
                              10,860                    C Parts A and B Medicare
                                 329                    N No Medicare entitlement

H_ENT02    37  1  $ENTFMT                               C Medicare entitlement code for Feb

                                 473                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              10,840                    C Parts A and B Medicare
                                 350                    N No Medicare entitlement

H_ENT03    38  1  $ENTFMT                               C Medicare entitlement code for Mar

                                 470                    A Part A Medicare only
                                  59                    B Part B Medicare only
                              10,806                    C Parts A and B Medicare
                                 388                    N No Medicare entitlement

H_ENT04    39  1  $ENTFMT                               C Medicare entitlement code for Apr

                                 471                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              10,769                    C Parts A and B Medicare
                                 423                    N No Medicare entitlement

H_ENT05    40  1  $ENTFMT                               C Medicare entitlement code for May

                                 477                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              10,743                    C Parts A and B Medicare
                                 443                    N No Medicare entitlement

H_ENT06    41  1  $ENTFMT                               C Medicare entitlement code for Jun

                                 477                    A Part A Medicare only
                                  59                    B Part B Medicare only
                              10,731                    C Parts A and B Medicare
                                 456                    N No Medicare entitlement

H_ENT07    42  1  $ENTFMT                               C Medicare entitlement code for Jul

                                 473                    A Part A Medicare only
                                  57                    B Part B Medicare only
                              10,730                    C Parts A and B Medicare
                                 463                    N No Medicare entitlement

H_ENT08    43  1  $ENTFMT                               C Medicare entitlement code for Aug

                                 472                    A Part A Medicare only
                                  55                    B Part B Medicare only
                              10,720                    C Parts A and B Medicare
                                 476                    N No Medicare entitlement

H_ENT09    44  1  $ENTFMT                               C Medicare entitlement code for Sep

                                 468                    A Part A Medicare only
                                  55                    B Part B Medicare only
                              10,703                    C Parts A and B Medicare
                                 497                    N No Medicare entitlement

H_ENT10    45  1  $ENTFMT                               C Medicare entitlement code for Oct

                                 472                    A Part A Medicare only
                                  54                    B Part B Medicare only
                              10,700                    C Parts A and B Medicare
                                 497                    N No Medicare entitlement

H_ENT11    46  1  $ENTFMT                               C Medicare entitlement code for Nov

                                 474                    A Part A Medicare only
                                  54                    B Part B Medicare only
                              10,674                    C Parts A and B Medicare
                                 521                    N No Medicare entitlement

H_ENT12    47  1  $ENTFMT                               C Medicare entitlement code for Dec

                                 476                    A Part A Medicare only
                                  55                    B Part B Medicare only
                              10,654                    C Parts A and B Medicare
                                 538                    N No Medicare entitlement

H_DOE      48  8  $DTE8FMT                              C Medicare entitlement start date

                              11,723                      Date as YYYYMMDD

H_DOT      56  8  $DTE8FMT                              C Medicare entitlement end date

                              11,698                      Missing
                                  25                      Date as YYYYMMDD

H_MEDSTA   64  2  $MSCFMT                               C Medicare status code as of 12/31

                                  11                      Unknown
                               9,622                   10 Aged, no ESRD
                                  53                   11 Aged, ESRD
                               1,991                   20 Disabled, no ESRD
                                  39                   21 Disabled, ESRD
                                   7                   31 ESRD only

H_LAF      66  2  $LAFFMT                               C Status of SSA check (LAF) as of 12/31

                                  22                      Unknown
                                   0                   AD Cur pay-adj for dual entitlement
                                   0                   AF Transfer to another PC or dio
                                   0                   A9 Cur pay-miscellaneous adjustment
                              10,720                    C Current payment status
                                   0                   DW Deferred-Workers' Compensation
                                   0                   D2 DEF-retirement test
                                   0                   D3 DEF-D2 for primary
                                   3                   D6 DEF-recover overpayment
                                   5                   D9 DEF-miscellaneous reason
                                   0                    J Advanced filing-current pay
                                   0                   L2 Advanced filing-worked inside U S
                                   0                   L3 Advanced filing-insured worked in U S
                                   0                    N Not in pay status
                                   0                   PB Delayed-benefit due but not paid
                                   0                    R Cur pay-Part B reinstated
                                   0                   RN Cur pay-Part B reinstated
                                   2                    S SUSP-deferred retirement
                                   2                   SD SUSP-other
                                   0                   SF SUSP-fails to meet residence requirment
                                  52                   SH SUSP-government pension
                                   0                   SP SUSP-public assistance
                                   0                   SW SUSP-Workers' Compensation
                                   2                   S0 SUSP-continuing disability investig
                                   1                   S2 SUSP-fails retirement test
                                   0                   S3 SUSP-primary account S2
                                   8                   S6 SUSP-check returned for address
                                  21                   S7 SUSP-vocational rehab refusal
                                   3                   S8 SUSP-payee not determined
                                  12                   S9 SUSP-miscellaneous reason
                                   0                   TA TERM-prior to entitlement
                                   0                   TJ TERM-prior to entlmt, not stop debit
                                   0                   TR TERM-claim withdrawn
                                   0                   T0 TERM-benefits paid by another agency
                                 536                   T1 TERM-death of beneficiary
                                   0                   T2 TERM-death of primary
                                   0                   T3 TERM-divorce, marriage, remarriage
                                   0                   T4 TERM-dependent child attained age 18
                                   0                   T5 TERM-entitled on another account
                                   0                   T6 TERM-child no longer student, disabled
                                   2                   T8 TERM-recovery from disability
                                   0                   T9 TERM-miscellaneous
                                 311                    U Active uninsured status (no SSA check)
                                   0                   XF Transfer to another PC or DIO
                                   0                   XR Terminated -
                                  11                   X1 TERM-death of insured
                                   0                   X5 TERM-entitled to another benefit
                                  10                   X7 TERM of uninsured
                                   0                   X9 TERM miscellaneous
                                   0                   ZZ Erroneous entitlement

H_RESST    68  2  $STFMT                                C SSA State code of residence as of 12/31

                                 424                   01 Alabama
                                   0                   02 Alaska
                                 211                   03 Arizona
                                 120                   04 Arkansas
                                 774                   05 California
                                  90                   06 Colorado
                                 154                   07 Connecticut
                                   4                   08 Delaware
                                  15                   09 Washington, DC
                                 864                   10 Florida
                                 401                   11 Georgia
                                   0                   12 Hawaii
                                   0                   13 Idaho
                                 367                   14 Illinois
                                  36                   15 Indiana
                                 113                   16 Iowa
                                 124                   17 Kansas
                                 219                   18 Kentucky
                                 113                   19 Louisiana
                                   0                   20 Maine
                                 178                   21 Maryland
                                 218                   22 Massachusetts
                                 636                   23 Michigan
                                 187                   24 Minnesota
                                   0                   25 Mississippi
                                 305                   26 Missouri
                                   0                   27 Montana
                                 106                   28 Nebraska
                                 251                   29 Nevada
                                   2                   30 New Hampshire
                                 340                   31 New Jersey
                                 210                   32 New Mexico
                                 783                   33 New York
                                 589                   34 North Carolina
                                   0                   35 North Dakota
                                 546                   36 Ohio
                                 121                   37 Oklahoma
                                   0                   38 Oregon
                                 609                   39 Pennsylvania
                                 216                   40 Puerto Rico
                                   0                   41 Rhode Island
                                  93                   42 South Carolina
                                   1                   43 South Dakota
                                 334                   44 Tennessee
                                 758                   45 Texas
                                   1                   46 Utah
                                   0                   47 Vermont
                                   0                   48 Virgin Islands
                                 129                   49 Virginia
                                 452                   50 Washington
                                 171                   51 West Virginia
                                 331                   52 Wisconsin
                                 107                   53 Wyoming
                                  20                      Unknown

H_RESCTY   70  3  $CTYFMT                               C SSA county code of residence as of 12/31

                                  20                      Unknown
                              11,703                      County code

H_ZIP      73  5  $ZIPFMT                               C Postal zip code of residence as of 12/31

                                  20                      Unknown
                              11,703                      ZIP Code

H_CENSUS   78  2  $CENFMT                               C Census Region of residence as of 12/31

                                 374                   01 New England
                               1,732                   02 Middle Atlantic
                               1,916                   03 East North Central
                                 836                   04 West North Central
                               2,444                   05 South Atlantic
                                 977                   06 East South Central
                               1,112                   07 West South Central
                                 870                   08 Mountain
                               1,226                   09 Pacific
                                 216                   10 Puerto Rico
                                  20                      Unknown

H_METRO    80  1  $METFMT                               C Metro status

                               3,065                    N Non-metro area
                                  20                    U Unknown
                               8,638                    Y Metro area

H_HSBEG1   81  8  $DTE8FMT                              C Beginning date of latest hospice period

                              11,085                      Missing
                                 638                      Date as YYYYMMDD

H_HSEND1   89  8  $DTE8FMT                              C Ending date of latest hospice period

                              11,085                      Missing
                                 638                      Date as YYYYMMDD

H_HSBEG2   97  8  $DTE8FMT                              C Beginning date of 2nd hospice period

                              11,500                      Missing
                                 223                      Date as YYYYMMDD

H_HSEND2  105  8  $DTE8FMT                              C Ending date of 2nd hospice period

                              11,500                      Missing
                                 223                      Date as YYYYMMDD

H_HSBEG3  113  8  $DTE8FMT                              C Beginning date of 3rd hospice period

                              11,578                      Missing
                                 145                      Date as YYYYMMDD

H_HSEND3  121  8  $DTE8FMT                              C Ending date of 3rd hospice period

                              11,578                      Missing
                                 145                      Date as YYYYMMDD

H_HSBEG4  129  8  $DTE8FMT                              C Beginning date of 4th hospice period

                              11,614                      Missing
                                 109                      Date as YYYYMMDD

H_HSEND4  137  8  $DTE8FMT                              C Ending date of 4th hospice period

                              11,614                      Missing
                                 109                      Date as YYYYMMDD

H_ESRBEG  145  8  $DTE8FMT                              C Beginning date of ESRD period

                              11,559                      Missing
                                 164                      Date as YYYYMMDD

H_ESREND  153  8  $DTE8FMT                              C Ending date of ESRD period

                              11,654                      Missing
                                  69                      Date as YYYYMMDD

H_GHPSW   161  1  $GHPSW                                C Some group health participation in year

                               8,904                    0 No enrollment
                               2,819                    1 Some enrollment

H_PNUM    162  3                                        N Number of GHPs in bene area in 2006

H_MANUM   165  3                                        N Number of MA plans in bene area in 2006

H_PFSNUM  168  3                                        N Number of PFFS plans in bene area in 200

H_PLTP01  171  2  $PLNFMT                               C GHP plan type for Jan

                               9,322                      No enrollment for month
                                  16                   01 Health care prepayment plan
                                  56                   02 Cost HMO
                               2,301                   06 Risk HMO
                                  28                   16 Employer PDP

H_PLPY01  173  5                                        N Medicare capitation payment for Jan

H_PLTP02  178  2  $PLNFMT                               C GHP plan type for Feb

                               9,216                      No enrollment for month
                                  16                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               2,403                   06 Risk HMO
                                  29                   16 Employer PDP

H_PLPY02  180  5                                        N Medicare capitation payment for Feb

H_PLTP03  185  2  $PLNFMT                               C GHP plan type for Mar

                               9,202                      No enrollment for month
                                  16                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               2,418                   06 Risk HMO
                                  28                   16 Employer PDP

H_PLPY03  187  5                                        N Medicare capitation payment for Mar

H_PLTP04  192  2  $PLNFMT                               C GHP plan type for Apr

                               9,185                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  60                   02 Cost HMO
                               2,436                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY04  194  5                                        N Medicare capitation payment for Apr

H_PLTP05  199  2  $PLNFMT                               C GHP plan type for May

                               9,154                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  63                   02 Cost HMO
                               2,464                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY05  201  5                                        N Medicare capitation payment for May

H_PLTP06  206  2  $PLNFMT                               C GHP plan type for Jun

                               9,150                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  63                   02 Cost HMO
                               2,468                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY06  208  5                                        N Medicare capitation payment for Jun

H_PLTP07  213  2  $PLNFMT                               C GHP plan type for Jul

                               9,140                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  63                   02 Cost HMO
                               2,478                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY07  215  5                                        N Medicare capitation payment for Jul

H_PLTP08  220  2  $PLNFMT                               C GHP plan type for Aug

                               9,144                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  63                   02 Cost HMO
                               2,474                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY08  222  5                                        N Medicare capitation payment for Aug

H_PLTP09  227  2  $PLNFMT                               C GHP plan type for Sep

                               9,157                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  63                   02 Cost HMO
                               2,461                   06 Risk HMO
                                  27                   16 Employer PDP

H_PLPY09  229  5                                        N Medicare capitation payment for Sep

H_PLTP10  234  2  $PLNFMT                               C GHP plan type for Oct

                               9,141                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  62                   02 Cost HMO
                               2,477                   06 Risk HMO
                                  28                   16 Employer PDP

H_PLPY10  236  5                                        N Medicare capitation payment for Oct

H_PLTP11  241  2  $PLNFMT                               C GHP plan type for Nov

                               9,142                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  61                   02 Cost HMO
                               2,477                   06 Risk HMO
                                  28                   16 Employer PDP

H_PLPY11  243  5                                        N Medicare capitation payment for Nov

H_PLTP12  248  2  $PLNFMT                               C GHP plan type for Dec

                               9,153                      No enrollment for month
                                  15                   01 Health care prepayment plan
                                  61                   02 Cost HMO
                               2,466                   06 Risk HMO
                                  28                   16 Employer PDP

H_PLPY12  250  5                                        N Medicare capitation payment for Dec

H_PDTP01  255  1  $DPLNFMT                              C Part D plan type for Jan

                               4,769                    0 No Part D enrollment
                               2,125                    1 MA-PD plan
                               4,829                    2 PDP

H_PDPY01  256  5                                        N Part D capitation payment for Jan

H_PDLS01  261  1  $DLISFMT                              C LIS Indicator for Jan

                                 330                      Unknown
                               8,432                    1 No premium subsidy
                                  24                    2 25% premium subsidy
                                  34                    3 50% premium subsidy
                                  38                    4 75% premium subsidy
                               2,865                    5 100% premium subsidy

H_PDRS01  262  1  $DRDSFMT                              C RDS Indicator for Jan

                                 330                      Unknown
                               9,738                    N Employer not subsidized for the benefici
                               1,655                    Y Employer subsidized for the beneficiary

H_CRED01  263  1  $YES8FMT                              C Creditable Coverage for Jan

                               2,184                    1 Yes
                               9,539                    2 No

H_PDTP02  264  1  $DPLNFMT                              C Part D plan type for Feb

                               4,778                    0 No Part D enrollment
                               2,133                    1 MA-PD plan
                               4,812                    2 PDP

H_PDPY02  265  5                                        N Part D capitation payment for Feb

H_PDLS02  270  1  $DLISFMT                              C LIS Indicator for Feb

                                 351                      Unknown
                               8,415                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  34                    3 50% premium subsidy
                                  35                    4 75% premium subsidy
                               2,863                    5 100% premium subsidy

H_PDRS02  271  1  $DRDSFMT                              C RDS Indicator for Feb

                                 351                      Unknown
                               9,711                    N Employer not subsidized for the benefici
                               1,661                    Y Employer subsidized for the beneficiary

H_CRED02  272  1  $YES8FMT                              C Creditable Coverage for Feb

                               2,189                    1 Yes
                               9,534                    2 No

H_PDTP03  273  1  $DPLNFMT                              C Part D plan type for Mar

                               4,793                    0 No Part D enrollment
                               2,139                    1 MA-PD plan
                               4,791                    2 PDP

H_PDPY03  274  5                                        N Part D capitation payment for Mar

H_PDLS03  279  1  $DLISFMT                              C LIS Indicator for Mar

                                 389                      Unknown
                               8,387                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  34                    3 50% premium subsidy
                                  35                    4 75% premium subsidy
                               2,853                    5 100% premium subsidy

H_PDRS03  280  1  $DRDSFMT                              C RDS Indicator for Mar

                                 389                      Unknown
                               9,675                    N Employer not subsidized for the benefici
                               1,659                    Y Employer subsidized for the beneficiary

H_CRED03  281  1  $YES8FMT                              C Creditable Coverage for Mar

                               2,185                    1 Yes
                               9,538                    2 No

H_PDTP04  282  1  $DPLNFMT                              C Part D plan type for Apr

                               4,823                    0 No Part D enrollment
                               2,144                    1 MA-PD plan
                               4,756                    2 PDP

H_PDPY04  283  5                                        N Part D capitation payment for Apr

H_PDLS04  288  1  $DLISFMT                              C LIS Indicator for Apr

                                 431                      Unknown
                               8,359                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  35                    3 50% premium subsidy
                                  34                    4 75% premium subsidy
                               2,839                    5 100% premium subsidy

H_PDRS04  289  1  $DRDSFMT                              C RDS Indicator for Apr

                                 431                      Unknown
                               9,636                    N Employer not subsidized for the benefici
                               1,656                    Y Employer subsidized for the beneficiary

H_CRED04  290  1  $YES8FMT                              C Creditable Coverage for Apr

                               2,176                    1 Yes
                               9,547                    2 No

H_PDTP05  291  1  $DPLNFMT                              C Part D plan type for May

                               4,837                    0 No Part D enrollment
                               2,157                    1 MA-PD plan
                               4,729                    2 PDP

H_PDPY05  292  5                                        N Part D capitation payment for May

H_PDLS05  297  1  $DLISFMT                              C LIS Indicator for May

                                 451                      Unknown
                               8,338                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  35                    3 50% premium subsidy
                                  34                    4 75% premium subsidy
                               2,840                    5 100% premium subsidy

H_PDRS05  298  1  $DRDSFMT                              C RDS Indicator for May

                                 451                      Unknown
                               9,620                    N Employer not subsidized for the benefici
                               1,652                    Y Employer subsidized for the beneficiary

H_CRED05  299  1  $YES8FMT                              C Creditable Coverage for May

                               2,168                    1 Yes
                               9,555                    2 No

H_PDTP06  300  1  $DPLNFMT                              C Part D plan type for Jun

                               4,854                    0 No Part D enrollment
                               2,160                    1 MA-PD plan
                               4,709                    2 PDP

H_PDPY06  301  5                                        N Part D capitation payment for Jun

H_PDLS06  306  1  $DLISFMT                              C LIS Indicator for Jun

                                 464                      Unknown
                               8,329                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  35                    4 75% premium subsidy
                               2,833                    5 100% premium subsidy

H_PDRS06  307  1  $DRDSFMT                              C RDS Indicator for Jun

                                 464                      Unknown
                               9,604                    N Employer not subsidized for the benefici
                               1,655                    Y Employer subsidized for the beneficiary

H_CRED06  308  1  $YES8FMT                              C Creditable Coverage for Jun

                               2,166                    1 Yes
                               9,557                    2 No

H_PDTP07  309  1  $DPLNFMT                              C Part D plan type for Jul

                               4,850                    0 No Part D enrollment
                               2,164                    1 MA-PD plan
                               4,709                    2 PDP

H_PDPY07  310  5                                        N Part D capitation payment for Jul

H_PDLS07  315  1  $DLISFMT                              C LIS Indicator for Jul

                                 471                      Unknown
                               8,311                    1 No premium subsidy
                                  24                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  36                    4 75% premium subsidy
                               2,844                    5 100% premium subsidy

H_PDRS07  316  1  $DRDSFMT                              C RDS Indicator for Jul

                                 471                      Unknown
                               9,600                    N Employer not subsidized for the benefici
                               1,652                    Y Employer subsidized for the beneficiary

H_CRED07  317  1  $YES8FMT                              C Creditable Coverage for Jul

                               2,165                    1 Yes
                               9,558                    2 No

H_PDTP08  318  1  $DPLNFMT                              C Part D plan type for Aug

                               4,858                    0 No Part D enrollment
                               2,166                    1 MA-PD plan
                               4,699                    2 PDP

H_PDPY08  319  5                                        N Part D capitation payment for Aug

H_PDLS08  324  1  $DLISFMT                              C LIS Indicator for Aug

                                 483                      Unknown
                               8,295                    1 No premium subsidy
                                  24                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,847                    5 100% premium subsidy

H_PDRS08  325  1  $DRDSFMT                              C RDS Indicator for Aug

                                 483                      Unknown
                               9,588                    N Employer not subsidized for the benefici
                               1,652                    Y Employer subsidized for the beneficiary

H_CRED08  326  1  $YES8FMT                              C Creditable Coverage for Aug

                               2,168                    1 Yes
                               9,555                    2 No

H_PDTP09  327  1  $DPLNFMT                              C Part D plan type for Sep

                               4,867                    0 No Part D enrollment
                               2,170                    1 MA-PD plan
                               4,686                    2 PDP

H_PDPY09  328  5                                        N Part D capitation payment for Sep

H_PDLS09  333  1  $DLISFMT                              C LIS Indicator for Sep

                                 503                      Unknown
                               8,281                    1 No premium subsidy
                                  23                    2 25% premium subsidy
                                  36                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,843                    5 100% premium subsidy

H_PDRS09  334  1  $DRDSFMT                              C RDS Indicator for Sep

                                 503                      Unknown
                               9,571                    N Employer not subsidized for the benefici
                               1,649                    Y Employer subsidized for the beneficiary

H_CRED09  335  1  $YES8FMT                              C Creditable Coverage for Sep

                               2,161                    1 Yes
                               9,562                    2 No

H_PDTP10  336  1  $DPLNFMT                              C Part D plan type for Oct

                               4,865                    0 No Part D enrollment
                               2,179                    1 MA-PD plan
                               4,679                    2 PDP

H_PDPY10  337  5                                        N Part D capitation payment for Oct

H_PDLS10  342  1  $DLISFMT                              C LIS Indicator for Oct

                                 504                      Unknown
                               8,279                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  36                    4 75% premium subsidy
                               2,842                    5 100% premium subsidy

H_PDRS10  343  1  $DRDSFMT                              C RDS Indicator for Oct

                                 504                      Unknown
                               9,568                    N Employer not subsidized for the benefici
                               1,651                    Y Employer subsidized for the beneficiary

H_CRED10  344  1  $YES8FMT                              C Creditable Coverage for Oct

                               2,160                    1 Yes
                               9,563                    2 No

H_PDTP11  345  1  $DPLNFMT                              C Part D plan type for Nov

                               4,880                    0 No Part D enrollment
                               2,174                    1 MA-PD plan
                               4,669                    2 PDP

H_PDPY11  346  5                                        N Part D capitation payment for Nov

H_PDLS11  351  1  $DLISFMT                              C LIS Indicator for Nov

                                 528                      Unknown
                               8,248                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  36                    4 75% premium subsidy
                               2,849                    5 100% premium subsidy

H_PDRS11  352  1  $DRDSFMT                              C RDS Indicator for Nov

                                 528                      Unknown
                               9,542                    N Employer not subsidized for the benefici
                               1,653                    Y Employer subsidized for the beneficiary

H_CRED11  353  1  $YES8FMT                              C Creditable Coverage for Nov

                               2,160                    1 Yes
                               9,563                    2 No

H_PDTP12  354  1  $DPLNFMT                              C Part D plan type for Dec

                               4,908                    0 No Part D enrollment
                               2,164                    1 MA-PD plan
                               4,651                    2 PDP

H_PDPY12  355  5                                        N Part D capitation payment for Dec

H_PDLS12  360  1  $DLISFMT                              C LIS Indicator for Dec

                                 545                      Unknown
                               8,234                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  36                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,845                    5 100% premium subsidy

H_PDRS12  361  1  $DRDSFMT                              C RDS Indicator for Dec

                                 545                      Unknown
                               9,527                    N Employer not subsidized for the benefici
                               1,651                    Y Employer subsidized for the beneficiary

H_CRED12  362  1  $YES8FMT                              C Creditable Coverage for Dec

                               2,147                    1 Yes
                               9,576                    2 No

H_MCSW    363  1  $SWFMT                                C Some Medicaid eligibility for the year

                               9,295                    N No participation
                               2,428                    Y Some participation

H_MCDE01  364  1  $MCDCFMT                              C Medicaid eligibility for Jan

                                   0                    A State Part A buy-in
                                 847                    B State Part B buy-in
                                  41                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,496                    N No buy-in this month
                               1,000                    Q State Part B QMB buy-in
                                 272                    S State Part B SLMB buy-in

H_MCDE02  365  1  $MCDCFMT                              C Medicaid eligibility for Feb

                                   0                    A State Part A buy-in
                                 847                    B State Part B buy-in
                                  41                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,490                    N No buy-in this month
                               1,005                    Q State Part B QMB buy-in
                                 273                    S State Part B SLMB buy-in

H_MCDE03  366  1  $MCDCFMT                              C Medicaid eligibility for Mar

                                   0                    A State Part A buy-in
                                 850                    B State Part B buy-in
                                  41                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,487                    N No buy-in this month
                               1,009                    Q State Part B QMB buy-in
                                 269                    S State Part B SLMB buy-in

H_MCDE04  367  1  $MCDCFMT                              C Medicaid eligibility for Apr

                                   0                    A State Part A buy-in
                                 842                    B State Part B buy-in
                                  41                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,489                    N No buy-in this month
                               1,005                    Q State Part B QMB buy-in
                                 279                    S State Part B SLMB buy-in

H_MCDE05  368  1  $MCDCFMT                              C Medicaid eligibility for May

                                   0                    A State Part A buy-in
                                 834                    B State Part B buy-in
                                  40                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,503                    N No buy-in this month
                               1,008                    Q State Part B QMB buy-in
                                 271                    S State Part B SLMB buy-in

H_MCDE06  369  1  $MCDCFMT                              C Medicaid eligibility for Jun

                                   0                    A State Part A buy-in
                                 836                    B State Part B buy-in
                                  41                    C State Part A and B buy-in
                                  66                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,510                    N No buy-in this month
                               1,007                    Q State Part B QMB buy-in
                                 263                    S State Part B SLMB buy-in

H_MCDE07  370  1  $MCDCFMT                              C Medicaid eligibility for Jul

                                   0                    A State Part A buy-in
                                 835                    B State Part B buy-in
                                  40                    C State Part A and B buy-in
                                  66                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,505                    N No buy-in this month
                               1,011                    Q State Part B QMB buy-in
                                 266                    S State Part B SLMB buy-in

H_MCDE08  371  1  $MCDCFMT                              C Medicaid eligibility for Aug

                                   0                    A State Part A buy-in
                                 831                    B State Part B buy-in
                                  39                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,506                    N No buy-in this month
                               1,016                    Q State Part B QMB buy-in
                                 264                    S State Part B SLMB buy-in

H_MCDE09  372  1  $MCDCFMT                              C Medicaid eligibility for Sep

                                   0                    A State Part A buy-in
                                 827                    B State Part B buy-in
                                  39                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,513                    N No buy-in this month
                               1,015                    Q State Part B QMB buy-in
                                 262                    S State Part B SLMB buy-in

H_MCDE10  373  1  $MCDCFMT                              C Medicaid eligibility for Oct

                                   0                    A State Part A buy-in
                                 819                    B State Part B buy-in
                                  39                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,521                    N No buy-in this month
                               1,013                    Q State Part B QMB buy-in
                                 264                    S State Part B SLMB buy-in

H_MCDE11  374  1  $MCDCFMT                              C Medicaid eligibility for Nov

                                   0                    A State Part A buy-in
                                 815                    B State Part B buy-in
                                  38                    C State Part A and B buy-in
                                  67                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,528                    N No buy-in this month
                               1,008                    Q State Part B QMB buy-in
                                 267                    S State Part B SLMB buy-in

H_MCDE12  375  1  $MCDCFMT                              C Medicaid eligibility for Dec

                                   0                    A State Part A buy-in
                                 793                    B State Part B buy-in
                                  37                    C State Part A and B buy-in
                                  66                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,567                    N No buy-in this month
                                 993                    Q State Part B QMB buy-in
                                 267                    S State Part B SLMB buy-in

H_MACY01  376  3  $MACYFMT                              C Buy-in agency for Jan

                               9,496                    N Unknown, or no buy-in
                               2,227              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY02  379  3  $MACYFMT                              C Buy-in agency for Feb

                               9,490                    N Unknown, or no buy-in
                               2,233              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY03  382  3  $MACYFMT                              C Buy-in agency for Mar

                               9,487                    N Unknown, or no buy-in
                               2,236              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY04  385  3  $MACYFMT                              C Buy-in agency for Apr

                               9,489                    N Unknown, or no buy-in
                               2,234              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY05  388  3  $MACYFMT                              C Buy-in agency for May

                               9,503                    N Unknown, or no buy-in
                               2,220              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY06  391  3  $MACYFMT                              C Buy-in agency for Jun

                               9,510                    N Unknown, or no buy-in
                               2,213              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY07  394  3  $MACYFMT                              C Buy-in agency for Jul

                               9,505                    N Unknown, or no buy-in
                               2,218              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY08  397  3  $MACYFMT                              C Buy-in agency for Aug

                               9,506                    N Unknown, or no buy-in
                               2,217              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY09  400  3  $MACYFMT                              C Buy-in agency for Sep

                               9,513                    N Unknown, or no buy-in
                               2,210              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY10  403  3  $MACYFMT                              C Buy-in agency for Oct

                               9,521                    N Unknown, or no buy-in
                               2,202              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY11  406  3  $MACYFMT                              C Buy-in agency for Nov

                               9,528                    N Unknown, or no buy-in
                               2,195              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY12  409  3  $MACYFMT                              C Buy-in agency for Dec

                               9,567                    N Unknown, or no buy-in
                               2,156              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_HOSSW   412  1  $UTLFMT                               C One or more hospice bills in CY

                              11,416                    0 No utilization this type
                                 307                    1 Some utilization this type

H_INPSW   413  1  $UTLFMT                               C One or more inpatient discharges in CY

                               9,689                    0 No utilization this type
                               2,034                    1 Some utilization this type

H_SNFSW   414  1  $UTLFMT                               C One or more SNF admissions in CY

                              11,160                    0 No utilization this type
                                 563                    1 Some utilization this type

H_HHASW   415  1  $UTLFMT                               C 1 = one or more HHA visits in CY

                              10,793                    0 No utilization this type
                                 930                    1 Some utilization this type

H_OUTSW   416  1  $UTLFMT                               C One or more outpatient visits in CY

                               5,351                    0 No utilization this type
                               6,372                    1 Some utilization this type

H_PBSW    417  1  $UTLFMT                               C One or more Part B claims in CY

                               2,879                    0 No utilization this type
                               8,844                    1 Some utilization this type

H_PTARMB  418  7                                        N Total Part A reimbursement in CY ($)

H_PTBRMB  425  7                                        N Total Part B reimbursement in CY ($)

H_PTAPRM  432  8                                        N Total Pt. A premium SP paid in CY ($.CC)

H_PTBPRM  440  8                                        N Total Pt. B premium SP paid in CY ($.CC)

H_LATDCH  448  8  $DTE8FMT                              C Discharge date of latest inpatient stay

                               9,689                      Missing
                               2,034                      Date as YYYYMMDD

H_LATDRG  456  3  $DRGFMT                               C DRG code for latest inpatient stay

                               9,689                      Unknown, or no discharge
                               2,034                      DRG

H_DISDES  459  2  $STATUS                               C Discharge dest for latest inpatient stay

                               9,689                      Missing
                               1,049                   01 Discharged to home/self care
                                   9                   02 Discharged to other short-term hospital
                                 343                   03 Discharged to skilled nursing facility
                                  34                   04 Discharged to intermediate care facility
                                   3                   05 Disch to another type of institution
                                 312                   06 Discharged to home care of organized HMO
                                   5                   07 Left against medical advice/stopped care
                                   0                   08 Disch home under care of IV therapy prov
                                 140                   20 Expired (did not recover Christian Sci)
                                   1                   30 Still patient
                                   0                   40 Expired at home (hospice claims only)
                                   0                   41 Expired in hospital, SNF, ICF or hospice
                                   0                   42 Expired in unknown place (hospice only)
                                  36                   50 Hospice - home (eff. 10/96)
                                  48                   51 Hospice - medical facility (eff. 10/96)
                                  25                   61 Disch w/i facility to swing-bed SNF (99)
                                   0                   71 Disch to other facility for O/P svcs(99)
                                   0                   72 Disch to this facility for O/P svcs (99)
                                  29                      Other destination

H_INPSTY  461  2                                        N No. of inpatient stays for CY

H_INPDAY  463  3                                        N No. of inpatient covered days for CY

H_INPCHG  466  7                                        N Inpatient charges for CY ($)

H_INPCCH  473  7                                        N Inpatient covered charges for CY ($)

H_INPRMB  480  7                                        N Inpatient reimbursement for CY ($)

H_INPCDY  487  2                                        N Inpatient coinsurance days used in CY

H_INPCAM  489  5                                        N Total inpatient coinsurance amt CY ($)

H_SNFSTY  494  2                                        N Total SNF stays in CY

H_SNFDAY  496  3                                        N Total SNF covered days in CY

H_SNFCHG  499  7                                        N Total SNF charges in CY  ($)

H_SNFCCH  506  7                                        N Total SNF covered charges in CY ($)

H_SNFRMB  513  7                                        N Total SNF reimbursement in CY ($)

H_SNFCDY  520  3                                        N Total SNF coinsurance days in CY

H_SNFCAM  523  7                                        N Total SNF coinsurance amount in CY ($)

H_HHAVST  530  5                                        N Total HHA visits in CY

H_HHACCH  535  7                                        N Total HHA covered charges in CY ($)

H_HHACHO  542  7                                        N Total HHA other covered charges CY ($)

H_HHRMBA  549  7                                        N Total HHA reimbursement in CY ($), Pt. A

                 Notes: Prior to 1998 this was included in H_HHARMB.
                        First available in 1998

H_HHRMBB  556  7                                        N Total HHA reimbursement in CY ($), Pt. B

                 Notes: Prior to 1998 this was included in H_HHARMB.
                        First available in 1998

H_HSDAYS  563  3                                        N Total covered hospice days in CY

H_HSTCHG  566  7                                        N Total hospice charges CY ($)

H_HSREIM  573  7                                        N Total hospice reimbursement in CY ($)

H_OUTBIL  580  3                                        N Total outpatient bills in CY

H_OUTCHG  583  7                                        N Total outpatient covered charges CY ($)

H_OUTRMB  590  7                                        N Total outpatient reimbursement CY ($)

H_PMTCLM  597  4                                        N Total physician/supplier claims in CY

H_PMTLIN  601  4                                        N Total phys./supplier line items in CY

H_PMTSCH  605  7                                        N Total submitted phys/supplier charge ($)

H_PMTACH  612  7                                        N Total allowed phys/supplier charges ($)

H_PMTRMB  619  7                                        N Total phys/supplier reimbursement ($)

H_PMTVST  626  3                                        N Total office visits in CY

H_PMTCHO  629  7                                        N Total office visit charges in CY ($)

H_DMECLM  636  4                                        N Total DME supplier claims in CY

                 Notes: Prior to 1998 this was included in H_PMTCLM.
                        First available in 1998

H_DMELIN  640  4                                        N Total DME supplier line items in CY

                 Notes: Prior to 1998 this was included in H_PMTLIN.
                        First available in 1998

H_DMESCH  644  7                                        N Total DME supplier submitted charges ($)

                 Notes: Prior to 1998 this was included in H_PMTSCH.
                        First available in 1998

H_DMEACH  651  7                                        N Total DME supplier allowed charges ($)

                 Notes: Prior to 1998 this was included in H_PMTACH.
                        First available in 1998

H_DMERMB  658  7                                        N Total DME supplier reimbursement ($)

                 Notes: Prior to 1998 this was included in H_PMTRMB.
                        First available in 1998

