RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              14,695             LOW-HIGH BASEID Count

H_DOB      12  8  $DTE8FMT                              C Date of birth

                              14,695                      Date as YYYYMMDD

H_DOD      20  8  $DTE8FMT                              C Date of death

                              14,585                      Missing
                                 110                      Date as YYYYMMDD

H_DODSRC   28  2  $SRCFMT                               C Source of date of death

                              14,585                      No date of death
                                   0                   01 From Medicare bill
                                   0                   03 Clerical entry
                                   0                   05 Bill and clerical entry
                                  56                   10 Proven Medicare Benefits record
                                   4                   11 Proven Medicare Benefits record & bills
                                  42                   20 Unproven Medicare Benefits record
                                   8                   21 Unproven Mcare Benefits record & bills
                                   0                   23 Unproven Mcare Benefits rec & clerical
                                   0                   25 Unproven Mcare Benefits rec, bill & cler

H_SEX      30  1  $SEXFMT                               C Sex code

                               6,619                    1 Male
                               8,076                    2 Female

H_RACE     31  1  $RACEFMT                              C Race code

                                  14                    0 Unknown
                              12,314                    1 White
                               1,580                    2 Black
                                 171                    3 Other
                                 164                    4 Asian
                                 378                    5 Hispanic
                                  74                    6 North American Native

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

                              14,695                      Age in years

D_STRAT    35  1  $AGEFMT                               C MCBS Sample age stratum

                               1,262                    1  0-44
                               1,275                    2 45-64
                               2,426                    3 65-69
                               2,492                    4 70-74
                               2,407                    5 75-79
                               2,386                    6 80-84
                               2,447                    7 85 +

H_ENT01    36  1  $ENTFMT                               C Medicare entitlement code for Jan

                                 647                    A Part A Medicare only
                                  73                    B Part B Medicare only
                              13,974                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT02    37  1  $ENTFMT                               C Medicare entitlement code for Feb

                                 640                    A Part A Medicare only
                                  72                    B Part B Medicare only
                              13,981                    C Parts A and B Medicare
                                   2                    N No Medicare entitlement

H_ENT03    38  1  $ENTFMT                               C Medicare entitlement code for Mar

                                 632                    A Part A Medicare only
                                  72                    B Part B Medicare only
                              13,989                    C Parts A and B Medicare
                                   2                    N No Medicare entitlement

H_ENT04    39  1  $ENTFMT                               C Medicare entitlement code for Apr

                                 618                    A Part A Medicare only
                                  72                    B Part B Medicare only
                              14,003                    C Parts A and B Medicare
                                   2                    N No Medicare entitlement

H_ENT05    40  1  $ENTFMT                               C Medicare entitlement code for May

                                 614                    A Part A Medicare only
                                  72                    B Part B Medicare only
                              14,006                    C Parts A and B Medicare
                                   3                    N No Medicare entitlement

H_ENT06    41  1  $ENTFMT                               C Medicare entitlement code for Jun

                                 608                    A Part A Medicare only
                                  70                    B Part B Medicare only
                              14,014                    C Parts A and B Medicare
                                   3                    N No Medicare entitlement

H_ENT07    42  1  $ENTFMT                               C Medicare entitlement code for Jul

                                 573                    A Part A Medicare only
                                  67                    B Part B Medicare only
                              14,052                    C Parts A and B Medicare
                                   3                    N No Medicare entitlement

H_ENT08    43  1  $ENTFMT                               C Medicare entitlement code for Aug

                                 572                    A Part A Medicare only
                                  67                    B Part B Medicare only
                              14,053                    C Parts A and B Medicare
                                   3                    N No Medicare entitlement

H_ENT09    44  1  $ENTFMT                               C Medicare entitlement code for Sep

                                 571                    A Part A Medicare only
                                  68                    B Part B Medicare only
                              14,053                    C Parts A and B Medicare
                                   3                    N No Medicare entitlement

H_ENT10    45  1  $ENTFMT                               C Medicare entitlement code for Oct

                                 565                    A Part A Medicare only
                                  68                    B Part B Medicare only
                              14,054                    C Parts A and B Medicare
                                   8                    N No Medicare entitlement

H_ENT11    46  1  $ENTFMT                               C Medicare entitlement code for Nov

                                 558                    A Part A Medicare only
                                  68                    B Part B Medicare only
                              14,047                    C Parts A and B Medicare
                                  22                    N No Medicare entitlement

H_ENT12    47  1  $ENTFMT                               C Medicare entitlement code for Dec

                                 553                    A Part A Medicare only
                                  67                    B Part B Medicare only
                              14,016                    C Parts A and B Medicare
                                  59                    N No Medicare entitlement

H_DOE      48  8  $DTE8FMT                              C Medicare entitlement start date

                                   1                      Missing
                              14,694                      Date as YYYYMMDD

H_DOT      56  8  $DTE8FMT                              C Medicare entitlement end date

                              14,677                      Missing
                                  18                      Date as YYYYMMDD

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

                                  15                      Unknown
                              12,085                   10 Aged, no ESRD
                                  71                   11 Aged, ESRD
                               2,470                   20 Disabled, no ESRD
                                  45                   21 Disabled, ESRD
                                   9                   31 ESRD only

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

                                   3                      Unknown
                                   0                   AD Cur pay-adj for dual entitlement
                                   0                   AF Transfer to another PC or dio
                                   0                   A9 Cur pay-miscellaneous adjustment
                              14,101                    C Current payment status
                                   0                   DW Deferred-Workers' Compensation
                                   1                   D2 DEF-retirement test
                                   0                   D3 DEF-D2 for primary
                                  10                   D6 DEF-recover overpayment
                                   3                   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
                                   5                   SD SUSP-other
                                   0                   SF SUSP-fails to meet residence requirment
                                  64                   SH SUSP-government pension
                                   0                   SP SUSP-public assistance
                                   0                   SW SUSP-Workers' Compensation
                                   3                   S0 SUSP-continuing disability investig
                                   1                   S2 SUSP-fails retirement test
                                   0                   S3 SUSP-primary account S2
                                   4                   S6 SUSP-check returned for address
                                  26                   S7 SUSP-vocational rehab refusal
                                   1                   S8 SUSP-payee not determined
                                  15                   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
                                  85                   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
                                   1                   T8 TERM-recovery from disability
                                   0                   T9 TERM-miscellaneous
                                 363                    U Active uninsured status (no SSA check)
                                   0                   XF Transfer to another PC or DIO
                                   0                   XR Terminated -
                                   2                   X1 TERM-death of insured
                                   0                   X5 TERM-entitled to another benefit
                                   5                   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

                                 562                   01 Alabama
                                   0                   02 Alaska
                                 269                   03 Arizona
                                 152                   04 Arkansas
                                 996                   05 California
                                 123                   06 Colorado
                                 209                   07 Connecticut
                                   0                   08 Delaware
                                  17                   09 Washington, DC
                               1,093                   10 Florida
                                 504                   11 Georgia
                                   0                   12 Hawaii
                                   0                   13 Idaho
                                 471                   14 Illinois
                                  44                   15 Indiana
                                 129                   16 Iowa
                                 151                   17 Kansas
                                 274                   18 Kentucky
                                 142                   19 Louisiana
                                   1                   20 Maine
                                 225                   21 Maryland
                                 256                   22 Massachusetts
                                 779                   23 Michigan
                                 263                   24 Minnesota
                                   1                   25 Mississippi
                                 382                   26 Missouri
                                   0                   27 Montana
                                 119                   28 Nebraska
                                 289                   29 Nevada
                                   0                   30 New Hampshire
                                 409                   31 New Jersey
                                 291                   32 New Mexico
                                 921                   33 New York
                                 723                   34 North Carolina
                                   0                   35 North Dakota
                                 696                   36 Ohio
                                 157                   37 Oklahoma
                                   2                   38 Oregon
                                 762                   39 Pennsylvania
                                 268                   40 Puerto Rico
                                   0                   41 Rhode Island
                                 128                   42 South Carolina
                                   0                   43 South Dakota
                                 412                   44 Tennessee
                                 984                   45 Texas
                                   0                   46 Utah
                                   0                   47 Vermont
                                   0                   48 Virgin Islands
                                 182                   49 Virginia
                                 539                   50 Washington
                                 215                   51 West Virginia
                                 431                   52 Wisconsin
                                 124                   53 Wyoming

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

                              14,695                      County code

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

                              14,695                      ZIP Code

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

                                   0                   ** Unknown
                                 466                   01 New England
                               2,092                   02 Middle Atlantic
                               2,421                   03 East North Central
                               1,044                   04 West North Central
                               3,087                   05 South Atlantic
                               1,249                   06 East South Central
                               1,435                   07 West South Central
                               1,096                   08 Mountain
                               1,537                   09 Pacific
                                 268                   10 Puerto Rico

H_METRO    80  1  $METFMT                               C Metro status

                               3,770                    N Non-metro area
                                   0                    U Unknown
                              10,925                    Y Metro area

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

                              14,298                      Missing
                                 397                      Date as YYYYMMDD

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

                              14,298                      Missing
                                 397                      Date as YYYYMMDD

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

                              14,531                      Missing
                                 164                      Date as YYYYMMDD

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

                              14,531                      Missing
                                 164                      Date as YYYYMMDD

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

                              14,589                      Missing
                                 106                      Date as YYYYMMDD

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

                              14,589                      Missing
                                 106                      Date as YYYYMMDD

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

                              14,611                      Missing
                                  84                      Date as YYYYMMDD

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

                              14,611                      Missing
                                  84                      Date as YYYYMMDD

H_ESRBEG  145  8  $DTE8FMT                              C Beginning date of ESRD period

                              14,509                      Missing
                                 186                      Date as YYYYMMDD

H_ESREND  153  8  $DTE8FMT                              C Ending date of ESRD period

                              14,637                      Missing
                                  58                      Date as YYYYMMDD

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

                              10,796                    0 No enrollment
                               3,899                    1 Some enrollment

H_PNUM    162  3                                        N Number of GHPs in bene area

H_MANUM   165  3                                        N Number of MA plans in bene area

H_PFSNUM  168  3                                        N Number of PFFS plans in bene area

H_PLPY01  171  5                                        N Medicare capitation payment for Jan

H_PLPY02  176  5                                        N Medicare capitation payment for Feb

H_PLPY03  181  5                                        N Medicare capitation payment for Mar

H_PLPY04  186  5                                        N Medicare capitation payment for Apr

H_PLPY05  191  5                                        N Medicare capitation payment for May

H_PLPY06  196  5                                        N Medicare capitation payment for Jun

H_PLPY07  201  5                                        N Medicare capitation payment for Jul

H_PLPY08  206  5                                        N Medicare capitation payment for Aug

H_PLPY09  211  5                                        N Medicare capitation payment for Sep

H_PLPY10  216  5                                        N Medicare capitation payment for Oct

H_PLPY11  221  5                                        N Medicare capitation payment for Nov

H_PLPY12  226  5                                        N Medicare capitation payment for Dec

H_PDPY01  231  5                                        N Part D capitation payment for Jan

H_PDLS01  236  1  $DLISFMT                              C LIS Indicator for Jan

                              10,978                    1 No premium subsidy
                                  38                    2 25% premium subsidy
                                  41                    3 50% premium subsidy
                                  47                    4 75% premium subsidy
                               3,591                    5 100% premium subsidy

H_PDRS01  237  1  $DRDSFMT                              C RDS Indicator for Jan

                              12,527                    N Employer not subsidized for the benefici
                               2,168                    Y Employer subsidized for the beneficiary

H_CRED01  238  1  $YES8FMT                              C Creditable Coverage For Jan

                               2,779                    1 Yes
                              11,916                    2 No

H_PDPY02  239  5                                        N Part D capitation payment for Feb

H_PDLS02  244  1  $DLISFMT                              C LIS Indicator for Feb

                                   1                      Unknown
                              10,958                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  41                    3 50% premium subsidy
                                  45                    4 75% premium subsidy
                               3,611                    5 100% premium subsidy

H_PDRS02  245  1  $DRDSFMT                              C RDS Indicator for Feb

                                   1                      Unknown
                              12,497                    N Employer not subsidized for the benefici
                               2,197                    Y Employer subsidized for the beneficiary

H_CRED02  246  1  $YES8FMT                              C Creditable Coverage For Feb

                               2,779                    1 Yes
                              11,916                    2 No

H_PDPY03  247  5                                        N Part D capitation payment for Mar

H_PDLS03  252  1  $DLISFMT                              C LIS Indicator for Mar

                                   1                      Unknown
                              10,942                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  45                    4 75% premium subsidy
                               3,629                    5 100% premium subsidy

H_PDRS03  253  1  $DRDSFMT                              C RDS Indicator for Mar

                                   1                      Unknown
                              12,490                    N Employer not subsidized for the benefici
                               2,204                    Y Employer subsidized for the beneficiary

H_CRED03  254  1  $YES8FMT                              C Creditable Coverage For Mar

                               2,779                    1 Yes
                              11,916                    2 No

H_PDPY04  255  5                                        N Part D capitation payment for Apr

H_PDLS04  260  1  $DLISFMT                              C LIS Indicator for Apr

                                   1                      Unknown
                              10,935                    1 No premium subsidy
                                  37                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               3,644                    5 100% premium subsidy

H_PDRS04  261  1  $DRDSFMT                              C RDS Indicator for Apr

                                   1                      Unknown
                              12,490                    N Employer not subsidized for the benefici
                               2,204                    Y Employer subsidized for the beneficiary

H_CRED04  262  1  $YES8FMT                              C Creditable Coverage For Apr

                               2,779                    1 Yes
                              11,916                    2 No

H_PDPY05  263  5                                        N Part D capitation payment for May

H_PDLS05  268  1  $DLISFMT                              C LIS Indicator for May

                                   3                      Unknown
                              10,923                    1 No premium subsidy
                                  38                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               3,653                    5 100% premium subsidy

H_PDRS05  269  1  $DRDSFMT                              C RDS Indicator for May

                                   3                      Unknown
                              12,516                    N Employer not subsidized for the benefici
                               2,176                    Y Employer subsidized for the beneficiary

H_CRED05  270  1  $YES8FMT                              C Creditable Coverage For May

                               2,778                    1 Yes
                              11,917                    2 No

H_PDPY06  271  5                                        N Part D capitation payment for Jun

H_PDLS06  276  1  $DLISFMT                              C LIS Indicator for Jun

                                   3                      Unknown
                              10,910                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  42                    4 75% premium subsidy
                               3,664                    5 100% premium subsidy

H_PDRS06  277  1  $DRDSFMT                              C RDS Indicator for Jun

                                   3                      Unknown
                              12,515                    N Employer not subsidized for the benefici
                               2,177                    Y Employer subsidized for the beneficiary

H_CRED06  278  1  $YES8FMT                              C Creditable Coverage For Jun

                               2,778                    1 Yes
                              11,917                    2 No

H_PDPY07  279  5                                        N Part D capitation payment for Jul

H_PDLS07  284  1  $DLISFMT                              C LIS Indicator for Jul

                                   3                      Unknown
                              10,894                    1 No premium subsidy
                                  40                    2 25% premium subsidy
                                  38                    3 50% premium subsidy
                                  42                    4 75% premium subsidy
                               3,678                    5 100% premium subsidy

H_PDRS07  285  1  $DRDSFMT                              C RDS Indicator for Jul

                                   3                      Unknown
                              12,497                    N Employer not subsidized for the benefici
                               2,195                    Y Employer subsidized for the beneficiary

H_CRED07  286  1  $YES8FMT                              C Creditable Coverage For Jul

                               2,777                    1 Yes
                              11,918                    2 No

H_PDPY08  287  5                                        N Part D capitation payment for Aug

H_PDLS08  292  1  $DLISFMT                              C LIS Indicator for Aug

                                   3                      Unknown
                              10,884                    1 No premium subsidy
                                  40                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  42                    4 75% premium subsidy
                               3,687                    5 100% premium subsidy

H_PDRS08  293  1  $DRDSFMT                              C RDS Indicator for Aug

                                   3                      Unknown
                              12,494                    N Employer not subsidized for the benefici
                               2,198                    Y Employer subsidized for the beneficiary

H_CRED08  294  1  $YES8FMT                              C Creditable Coverage For Aug

                               2,777                    1 Yes
                              11,918                    2 No

H_PDPY09  295  5                                        N Part D capitation payment for Sep

H_PDLS09  300  1  $DLISFMT                              C LIS Indicator for Sep

                                   3                      Unknown
                              10,868                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  43                    4 75% premium subsidy
                               3,703                    5 100% premium subsidy

H_PDRS09  301  1  $DRDSFMT                              C RDS Indicator for Sep

                                   3                      Unknown
                              12,495                    N Employer not subsidized for the benefici
                               2,197                    Y Employer subsidized for the beneficiary

H_CRED09  302  1  $YES8FMT                              C Creditable Coverage For Sep

                               2,777                    1 Yes
                              11,918                    2 No

H_PDPY10  303  5                                        N Part D capitation payment for Oct

H_PDLS10  308  1  $DLISFMT                              C LIS Indicator for Oct

                                  12                      Unknown
                              10,840                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  42                    4 75% premium subsidy
                               3,723                    5 100% premium subsidy

H_PDRS10  309  1  $DRDSFMT                              C RDS Indicator for Oct

                                  12                      Unknown
                              12,399                    N Employer not subsidized for the benefici
                               2,284                    Y Employer subsidized for the beneficiary

H_CRED10  310  1  $YES8FMT                              C Creditable Coverage For Oct

                               2,772                    1 Yes
                              11,923                    2 No

H_PDPY11  311  5                                        N Part D capitation payment for Nov

H_PDLS11  316  1  $DLISFMT                              C LIS Indicator for Nov

                                  26                      Unknown
                              10,818                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               3,732                    5 100% premium subsidy

H_PDRS11  317  1  $DRDSFMT                              C RDS Indicator for Nov

                                  26                      Unknown
                              12,385                    N Employer not subsidized for the benefici
                               2,284                    Y Employer subsidized for the beneficiary

H_CRED11  318  1  $YES8FMT                              C Creditable Coverage For Nov

                               2,770                    1 Yes
                              11,925                    2 No

H_PDPY12  319  5                                        N Part D capitation payment for Dec

H_PDLS12  324  1  $DLISFMT                              C LIS Indicator for Dec

                                  63                      Unknown
                              10,785                    1 No premium subsidy
                                  38                    2 25% premium subsidy
                                  40                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               3,728                    5 100% premium subsidy

H_PDRS12  325  1  $DRDSFMT                              C RDS Indicator for Dec

                                  63                      Unknown
                              12,349                    N Employer not subsidized for the benefici
                               2,283                    Y Employer subsidized for the beneficiary

H_CRED12  326  1  $YES8FMT                              C Creditable Coverage For Dec

                               2,764                    1 Yes
                              11,931                    2 No

H_MCSW    327  1  $SWFMT                                C Some Medicaid eligibility for the year

                              11,643                    N No participation
                               3,052                    Y Some participation

H_MCDE01  328  1  $MCDCFMT                              C Medicaid eligibility for Jan

                                   0                    A State Part A buy-in
                               1,115                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  85                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,813                    N No buy-in this month
                               1,285                    Q State Part B QMB buy-in
                                 348                    S State Part B SLMB buy-in

H_MCDE02  329  1  $MCDCFMT                              C Medicaid eligibility for Feb

                                   0                    A State Part A buy-in
                               1,117                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  86                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,801                    N No buy-in this month
                               1,292                    Q State Part B QMB buy-in
                                 350                    S State Part B SLMB buy-in

H_MCDE03  330  1  $MCDCFMT                              C Medicaid eligibility for Mar

                                   0                    A State Part A buy-in
                               1,116                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  86                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,797                    N No buy-in this month
                               1,295                    Q State Part B QMB buy-in
                                 352                    S State Part B SLMB buy-in

H_MCDE04  331  1  $MCDCFMT                              C Medicaid eligibility for Apr

                                   0                    A State Part A buy-in
                               1,114                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  85                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,796                    N No buy-in this month
                               1,302                    Q State Part B QMB buy-in
                                 349                    S State Part B SLMB buy-in

H_MCDE05  332  1  $MCDCFMT                              C Medicaid eligibility for May

                                   1                    A State Part A buy-in
                               1,121                    B State Part B buy-in
                                  48                    C State Part A and B buy-in
                                  85                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,794                    N No buy-in this month
                               1,292                    Q State Part B QMB buy-in
                                 354                    S State Part B SLMB buy-in

H_MCDE06  333  1  $MCDCFMT                              C Medicaid eligibility for Jun

                                   0                    A State Part A buy-in
                               1,124                    B State Part B buy-in
                                  48                    C State Part A and B buy-in
                                  85                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,784                    N No buy-in this month
                               1,296                    Q State Part B QMB buy-in
                                 358                    S State Part B SLMB buy-in

H_MCDE07  334  1  $MCDCFMT                              C Medicaid eligibility for Jul

                                   0                    A State Part A buy-in
                               1,121                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,787                    N No buy-in this month
                               1,294                    Q State Part B QMB buy-in
                                 356                    S State Part B SLMB buy-in

H_MCDE08  335  1  $MCDCFMT                              C Medicaid eligibility for Aug

                                   0                    A State Part A buy-in
                               1,119                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,783                    N No buy-in this month
                               1,294                    Q State Part B QMB buy-in
                                 362                    S State Part B SLMB buy-in

H_MCDE09  336  1  $MCDCFMT                              C Medicaid eligibility for Sep

                                   0                    A State Part A buy-in
                               1,110                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,780                    N No buy-in this month
                               1,300                    Q State Part B QMB buy-in
                                 368                    S State Part B SLMB buy-in

H_MCDE10  337  1  $MCDCFMT                              C Medicaid eligibility for Oct

                                   0                    A State Part A buy-in
                               1,108                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,773                    N No buy-in this month
                               1,306                    Q State Part B QMB buy-in
                                 371                    S State Part B SLMB buy-in

H_MCDE11  338  1  $MCDCFMT                              C Medicaid eligibility for Nov

                                   0                    A State Part A buy-in
                               1,106                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,775                    N No buy-in this month
                               1,308                    Q State Part B QMB buy-in
                                 369                    S State Part B SLMB buy-in

H_MCDE12  339  1  $MCDCFMT                              C Medicaid eligibility for Dec

                                   0                    A State Part A buy-in
                               1,092                    B State Part B buy-in
                                  49                    C State Part A and B buy-in
                                  88                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,805                    N No buy-in this month
                               1,294                    Q State Part B QMB buy-in
                                 367                    S State Part B SLMB buy-in

H_MACY01  340  3  $MACYFMT                              C Buy-in agency for Jan

                              11,813                    N Unknown, or no buy-in
                               2,882                      State Agency code

H_MACY02  343  3  $MACYFMT                              C Buy-in agency for Feb

                              11,801                    N Unknown, or no buy-in
                               2,894                      State Agency code

H_MACY03  346  3  $MACYFMT                              C Buy-in agency for Mar

                              11,797                    N Unknown, or no buy-in
                               2,898                      State Agency code

H_MACY04  349  3  $MACYFMT                              C Buy-in agency for Apr

                              11,796                    N Unknown, or no buy-in
                               2,899                      State Agency code

H_MACY05  352  3  $MACYFMT                              C Buy-in agency for May

                              11,794                    N Unknown, or no buy-in
                               2,901                      State Agency code

H_MACY06  355  3  $MACYFMT                              C Buy-in agency for Jun

                              11,784                    N Unknown, or no buy-in
                               2,911                      State Agency code

H_MACY07  358  3  $MACYFMT                              C Buy-in agency for Jul

                              11,787                    N Unknown, or no buy-in
                               2,908                      State Agency code

H_MACY08  361  3  $MACYFMT                              C Buy-in agency for Aug

                              11,783                    N Unknown, or no buy-in
                               2,912                      State Agency code

H_MACY09  364  3  $MACYFMT                              C Buy-in agency for Sep

                              11,780                    N Unknown, or no buy-in
                               2,915                      State Agency code

H_MACY10  367  3  $MACYFMT                              C Buy-in agency for Oct

                              11,773                    N Unknown, or no buy-in
                               2,922                      State Agency code

H_MACY11  370  3  $MACYFMT                              C Buy-in agency for Nov

                              11,775                    N Unknown, or no buy-in
                               2,920                      State Agency code

H_MACY12  373  3  $MACYFMT                              C Buy-in agency for Dec

                              11,805                    N Unknown, or no buy-in
                               2,890                      State Agency code

H_HOSSW   376  1  $UTLFMT                               C One or more hospice bills in CY

                              14,524                    0 No utilization this type
                                 171                    1 Some utilization this type

H_INPSW   377  1  $UTLFMT                               C One or more inpatient discharges in CY

                              12,492                    0 No utilization this type
                               2,203                    1 Some utilization this type

H_SNFSW   378  1  $UTLFMT                               C One or more SNF admissions in CY

                              14,074                    0 No utilization this type
                                 621                    1 Some utilization this type

H_HHASW   379  1  $UTLFMT                               C 1 = one or more HHA visits in CY

                              13,618                    0 No utilization this type
                               1,077                    1 Some utilization this type

H_OUTSW   380  1  $UTLFMT                               C One or more outpatient visits in CY

                               6,890                    0 No utilization this type
                               7,805                    1 Some utilization this type

H_PBSW    381  1  $UTLFMT                               C One or more Part B claims in CY

                               3,924                    0 No utilization this type
                              10,771                    1 Some utilization this type

H_PTARMB  382  7                                        N Total Part A reimbursement in CY ($)

H_PTBRMB  389  7                                        N Total Part B reimbursement in CY ($)

H_PTAPRM  396  8                                        N Total Pt. A premium SP paid in CY ($.CC)

H_PTBPRM  404  8                                        N Total Pt. B premium SP paid in CY ($.CC)

H_LATDCH  412  8  $DTE8FMT                              C Discharge date of latest inpatient stay

                              12,492                      Missing
                               2,203                      Date as YYYYMMDD

H_LATDRG  420  3  $DRGFMT                               C DRG code for latest inpatient stay

                              12,492                      Unknown, or no discharge
                               2,203                      DRG

H_DISDES  423  2  $STATUS                               C Discharge dest for latest inpatient stay

                              12,492                      Missing
                               1,258                   01 Discharged to home/self care
                                   7                   02 Discharged to other short-term hospital
                                 414                   03 Discharged to skilled nursing facility
                                  27                   04 Discharged to intermediate care facility
                                   5                   05 Disch to another type of institution
                                 388                   06 Discharged to home care of organized HMO
                                  14                   07 Left against medical advice/stopped care
                                   0                   08 Disch home under care of IV therapy prov
                                  19                   20 Expired (did not recover Christian Sci)
                                   5                   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)
                                  14                   50 Hospice - home (eff. 96)
                                  11                   51 Hospice - medical facility (eff. 96)
                                  18                   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)
                                  23                      Other destination

H_INPSTY  425  2                                        N No. of inpatient stays for CY

H_INPDAY  427  3                                        N No. of inpatient covered days for CY

H_INPCHG  430  7                                        N Inpatient charges for CY ($)

H_INPCCH  437  7                                        N Inpatient covered charges for CY ($)

H_INPRMB  444  7                                        N Inpatient reimbursement for CY ($)

H_INPCDY  451  2                                        N Inpatient coinsurance days used in CY

H_INPCAM  453  5                                        N Total inpatient coinsurance amt CY ($)

H_SNFSTY  458  2                                        N Total SNF stays in CY

H_SNFDAY  460  3                                        N Total SNF covered days in CY

H_SNFCHG  463  7                                        N Total SNF charges in CY  ($)

H_SNFCCH  470  7                                        N Total SNF covered charges in CY ($)

H_SNFRMB  477  7                                        N Total SNF reimbursement in CY ($)

H_SNFCDY  484  3                                        N Total SNF coinsurance days in CY

H_SNFCAM  487  7                                        N Total SNF coinsurance amount in CY ($)

H_HHAVST  494  5                                        N Total HHA visits in CY

H_HHACCH  499  7                                        N Total HHA covered charges in CY ($)

H_HHACHO  506  7                                        N Total HHA other covered charges CY ($)

H_HHRMBA  513  7                                        N Total HHA reimbursement in CY ($), Pt. A

                 Notes: Prior to 2000 this was included in H_HHARMB.
                        First available in 2000

H_HHRMBB  520  7                                        N Total HHA reimbursement in CY ($), Pt. B

                 Notes: Prior to 2000 this was included in H_HHARMB.
                        First available in 2000

H_HSDAYS  527  3                                        N Total covered hospice days in CY

H_HSTCHG  530  7                                        N Total hospice charges CY ($)

H_HSREIM  537  7                                        N Total hospice reimbursement in CY ($)

H_OUTBIL  544  3                                        N Total outpatient bills in CY

H_OUTCHG  547  7                                        N Total outpatient covered charges CY ($)

H_OUTRMB  554  7                                        N Total outpatient reimbursement CY ($)

H_PHYCLM  561  4                                        N Total physician claims in CY

                 Notes: Prior to 2000 this was included in H_PMTCLM.
                        First available in 2000

H_PHYLIN  565  4                                        N Total physician line items in CY

                 Notes: Prior to 2000 this was included in H_PMTLIN.
                        First available in 2000

H_PHYSCH  569  7                                        N Total physician submitted charges ($)

                 Notes: Prior to 2000 this was included in H_PMTSCH.
                        First available in 2000

H_PHYACH  576  7                                        N Total physician allowed charges ($)

                 Notes: Prior to 2000 this was included in H_PMTACH.
                        First available in 2000

H_PHYRMB  583  7                                        N Total physician reimbursement ($)

                 Notes: Prior to 2000 this was included in H_PMTRMB.
                        First available in 2000

H_PMTVST  590  3                                        N Total office visits in CY

H_PMTCHO  593  7                                        N Total office visit charges in CY ($)

H_DMECLM  600  4                                        N Total DME supplier claims in CY

                 Notes: Prior to 2000 this was included in H_PMTCLM.
                        First available in 2000

H_DMELIN  604  4                                        N Total DME supplier line items in CY

                 Notes: Prior to 2000 this was included in H_PMTLIN.
                        First available in 2000

H_DMESCH  608  7                                        N Total DME supplier submitted charges ($)

                 Notes: Prior to 2000 this was included in H_PMTSCH.
                        First available in 2000

H_DMEACH  615  7                                        N Total DME supplier allowed charges ($)

                 Notes: Prior to 2000 this was included in H_PMTACH.
                        First available in 2000

H_DMERMB  622  7                                        N Total DME supplier reimbursement ($)

                 Notes: Prior to 2000 this was included in H_PMTRMB.
                        First available in 2000

DUAL_JAN  629  2  $DUALMON                              C Dual eligibity code for Jan

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,561                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 342                   01 QMB-only
                               1,649                   02 QMB & full Medicaid covrge, + Rx drugs
                                 244                   03 SLMB-only
                                 104                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 138                   06 Qualifying individuals
                                 590                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  65                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_FEB  631  2  $DUALMON                              C Dual eligibity code for Feb

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,517                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   1                   00 Not enrolled in Medicare for the month
                                 352                   01 QMB-only
                               1,663                   02 QMB & full Medicaid covrge, + Rx drugs
                                 250                   03 SLMB-only
                                 108                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 142                   06 Qualifying individuals
                                 593                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_MAR  633  2  $DUALMON                              C Dual eligibity code for Mar

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,506                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   1                   00 Not enrolled in Medicare for the month
                                 349                   01 QMB-only
                               1,603                   02 QMB & full Medicaid covrge, + Rx drugs
                                 253                   03 SLMB-only
                                 109                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 147                   06 Qualifying individuals
                                 658                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_APR  635  2  $DUALMON                              C Dual eligibity code for Apr

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,506                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   1                   00 Not enrolled in Medicare for the month
                                 336                   01 QMB-only
                               1,660                   02 QMB & full Medicaid covrge, + Rx drugs
                                 251                   03 SLMB-only
                                 118                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 143                   06 Qualifying individuals
                                 611                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_MAY  637  2  $DUALMON                              C Dual eligibity code for May

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,499                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   2                   00 Not enrolled in Medicare for the month
                                 342                   01 QMB-only
                               1,646                   02 QMB & full Medicaid covrge, + Rx drugs
                                 252                   03 SLMB-only
                                 120                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   1                   05 QDWI
                                 150                   06 Qualifying individuals
                                 614                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_JUN  639  2  $DUALMON                              C Dual eligibity code for Jun

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,492                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   2                   00 Not enrolled in Medicare for the month
                                 341                   01 QMB-only
                               1,662                   02 QMB & full Medicaid covrge, + Rx drugs
                                 254                   03 SLMB-only
                                 121                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 155                   06 Qualifying individuals
                                 598                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  68                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_JUL  641  2  $DUALMON                              C Dual eligibity code for Jul

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,505                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   2                   00 Not enrolled in Medicare for the month
                                 321                   01 QMB-only
                               1,669                   02 QMB & full Medicaid covrge, + Rx drugs
                                 266                   03 SLMB-only
                                 121                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 150                   06 Qualifying individuals
                                 592                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_AUG  643  2  $DUALMON                              C Dual eligibity code for Aug

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,486                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   2                   00 Not enrolled in Medicare for the month
                                 328                   01 QMB-only
                               1,680                   02 QMB & full Medicaid covrge, + Rx drugs
                                 266                   03 SLMB-only
                                 128                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 148                   06 Qualifying individuals
                                 587                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  68                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_SEP  645  2  $DUALMON                              C Dual eligibity code for Sep

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,477                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   2                   00 Not enrolled in Medicare for the month
                                 325                   01 QMB-only
                               1,683                   02 QMB & full Medicaid covrge, + Rx drugs
                                 280                   03 SLMB-only
                                 122                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 148                   06 Qualifying individuals
                                 587                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  69                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_OCT  647  2  $DUALMON                              C Dual eligibity code for Oct

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,457                   NA Non-Medicaid
                                   5                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   7                   00 Not enrolled in Medicare for the month
                                 339                   01 QMB-only
                               1,688                   02 QMB & full Medicaid covrge, + Rx drugs
                                 280                   03 SLMB-only
                                 116                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 143                   06 Qualifying individuals
                                 592                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  66                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_NOV  649  2  $DUALMON                              C Dual eligibity code for Nov

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,431                   NA Non-Medicaid
                                   5                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                  22                   00 Not enrolled in Medicare for the month
                                 340                   01 QMB-only
                               1,695                   02 QMB & full Medicaid covrge, + Rx drugs
                                 282                   03 SLMB-only
                                 117                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 142                   06 Qualifying individuals
                                 592                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  67                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_DEC  651  2  $DUALMON                              C Dual eligibity code for Dec

                                   2                      Beneficiary not found in duals data
                                   0                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,403                   NA Non-Medicaid
                                   5                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                  59                   00 Not enrolled in Medicare for the month
                                 342                   01 QMB-only
                               1,689                   02 QMB & full Medicaid covrge, + Rx drugs
                                 281                   03 SLMB-only
                                 119                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 141                   06 Qualifying individuals
                                 586                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  68                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

OP_MDCD   653  1  $DUALFMT                              C Medicare-Medicaid dual eligibility indic

                               2,497                    1 FULL-Bene elig. full Medicaid benefits
                              11,371                    2 NONDUAL-Bene not elig Medicaid benfits
                                 463                    3 PARTIAL-Bene elig part Medicd- not QMB
                                 364                    4 QMB ONLY-Bene elig for part Medicd-QMB

PARTD_01  654  1  $YNO8FMT                              C Part D plan flag for Jan

                               5,607                    N No
                               9,088                    Y Yes

PARTD_02  655  1  $YNO8FMT                              C Part D plan flag for Feb

                               5,583                    N No
                               9,112                    Y Yes

PARTD_03  656  1  $YNO8FMT                              C Part D plan flag for Mar

                               5,563                    N No
                               9,132                    Y Yes

PARTD_04  657  1  $YNO8FMT                              C Part D plan flag for Apr

                               5,563                    N No
                               9,132                    Y Yes

PARTD_05  658  1  $YNO8FMT                              C Part D plan flag for May

                               5,550                    N No
                               9,145                    Y Yes

PARTD_06  659  1  $YNO8FMT                              C Part D plan flag for Jun

                               5,539                    N No
                               9,156                    Y Yes

PARTD_07  660  1  $YNO8FMT                              C Part D plan flag for Jul

                               5,503                    N No
                               9,192                    Y Yes

PARTD_08  661  1  $YNO8FMT                              C Part D plan flag for Aug

                               5,497                    N No
                               9,198                    Y Yes

PARTD_09  662  1  $YNO8FMT                              C Part D plan flag for Sep

                               5,487                    N No
                               9,208                    Y Yes

PARTD_10  663  1  $YNO8FMT                              C Part D plan flag for Oct

                               5,476                    N No
                               9,219                    Y Yes

PARTD_11  664  1  $YNO8FMT                              C Part D plan flag for Nov

                               5,476                    N No
                               9,219                    Y Yes

PARTD_12  665  1  $YNO8FMT                              C Part D plan flag for Dec

                               5,502                    N No
                               9,193                    Y Yes

MAFLAG01  666  3  $MAFLAG                               C MA flag for January

                                   1                      No Entitlement
                              11,044                  FFS Original Medicare/FFS
                               3,650                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG02  669  3  $MAFLAG                               C MA flag for February

                                   2                      No Entitlement
                              11,022                  FFS Original Medicare/FFS
                               3,671                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG03  672  3  $MAFLAG                               C MA flag for March

                                   2                      No Entitlement
                              10,996                  FFS Original Medicare/FFS
                               3,697                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG04  675  3  $MAFLAG                               C MA flag for April

                                   2                      No Entitlement
                              10,970                  FFS Original Medicare/FFS
                               3,723                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG05  678  3  $MAFLAG                               C MA flag for May

                                   3                      No Entitlement
                              10,958                  FFS Original Medicare/FFS
                               3,734                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG06  681  3  $MAFLAG                               C MA flag for June

                                   3                      No Entitlement
                              10,955                  FFS Original Medicare/FFS
                               3,737                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG07  684  3  $MAFLAG                               C MA flag for July

                                   3                      No Entitlement
                              10,936                  FFS Original Medicare/FFS
                               3,756                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG08  687  3  $MAFLAG                               C MA flag for August

                                   3                      No Entitlement
                              10,924                  FFS Original Medicare/FFS
                               3,768                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG09  690  3  $MAFLAG                               C MA flag for September

                                   3                      No Entitlement
                              10,914                  FFS Original Medicare/FFS
                               3,778                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG10  693  3  $MAFLAG                               C MA flag for October

                                   8                      No Entitlement
                              10,910                  FFS Original Medicare/FFS
                               3,777                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG11  696  3  $MAFLAG                               C MA flag for November

                                  22                      No Entitlement
                              10,903                  FFS Original Medicare/FFS
                               3,770                   MA MA/Other Medicare Capitated Paymnt Plans

MAFLAG12  699  3  $MAFLAG                               C MA flag for December

                                  59                      No Entitlement
                              10,870                  FFS Original Medicare/FFS
                               3,766                   MA MA/Other Medicare Capitated Paymnt Plans

