Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        259,594        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        259,594                    2017  2017                                    
 
VERSION  VERSFMT                       Version Number                           
                        259,594                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,750                          Missing                                 
                        142,057        001-999           Survey-reported event                   
                        115,098        C001-C999         Event created from claim                
                            689        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        139,907        MP                Medical provider                        
                         34,560        OM                Other medical expense                   
                         50,869        SD                Separately billing physician            
                         34,258        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        116,848                          Missing                                 
                            682        ER                Emergency Room                          
                          1,088        IP                Inpatient                               
                         98,425        MP                Medical provider                        
                         21,597        OM                Other medical expense                   
                          3,245        OP                Outpatient                              
                         14,010        SD                Separately billing physician            
                          3,699        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         86,637                       .  Missing                                 
                        172,957        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         84,887                          Missing                                 
                         11,408        D                 DME claim                               
                        161,549        P                 Physician claim                         
                          1,750        R                 PDE claim                               
 
D_BEGYY  EVYY                          Event begin year                         
                          7,459                       .  Inapplicable                            
                             11                       N  Not ascertained                         
                        252,124        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                          1,633                       D  Don't Know                              
                          7,459                       .  Inapplicable                            
                             12                       N  Not ascertained                         
                            101                       R  Refused                                 
                        250,389        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                         12,314                       D  Don't Know                              
                         30,894                       .  Inapplicable                            
                             15                       N  Not ascertained                         
                          1,780                       R  Refused                                 
                        214,591        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both  
                         84,887                       1  Survey only                             
                        116,848                       2  Claims only                             
                         57,859                       3  Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                            216        B                 Both                                    
                        206,622        C                 Community                               
                          2,606        D                 Deemed Community                        
                         19,139        F                 Facility                                
                            209        G                 Deemed facility                         
                          1,993        H                 Hospice                                 
                         24,325        I                 Inpatient                               
                             70        IH                Inpatient Hospice                       
                          4,414        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        174,372                       0  Not Imputed                             
                         85,222                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                        259,594                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare            
                        250,832                       0  Not Imputed                             
                          8,762                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        238,190                       0  Not Imputed                             
                         21,404                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        224,124                       0  Not Imputed                             
                         35,470                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        238,046                       0  Not Imputed                             
                         21,548                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        230,775                       0  Not Imputed                             
                         28,819                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        250,585                       0  Not Imputed                             
                          9,009                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        247,780                       0  Not Imputed                             
                         11,814                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        244,870                       0  Not Imputed                             
                         14,724                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        239,571                       0  Not Imputed                             
                         20,023                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        240,054                       0  Not Imputed                             
                         19,540                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        234,492                       0  Not Imputed                             
                         25,102                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        257,678                       0  Not Imputed                             
                          1,916                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        257,678                       0  Not Imputed                             
                          1,916                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        259,594        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        202,245                       0  Not Imputed                             
                         57,349                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        174,400                       0  Not Imputed                             
                         85,194                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        259,594        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        142,052                       0  Not Imputed                             
                        117,542                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                        110,182                       0  Not Imputed                             
                        149,412                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        259,594        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        259,223                       0  Not Imputed                             
                            371                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        256,884                       0  Not Imputed                             
                          2,710                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         84,887                       .  Inapplicable/Missing                    
                        174,707        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         84,887                       .  Inapplicable/Missing                    
                        174,707        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         84,887                       .  Inapplicable/Missing                    
                        174,707        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         84,887                       .  Inapplicable/Missing                    
                        174,707        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         84,887                       .  Inapplicable/Missing                    
                        174,707        Range of values   Amount as $$$$$$.CC                     
 
PROVSPEC PROVSPEC                      Medical provider speciality              
                        157,483                       .  Inapplicable/Missing                    
                            186                       R  Refused                                 
                            401                       1  Dentist or dental provider              
                         55,825                       2  Medical doctor                          
                            854                       3  Audiologist                             
                          5,893                       4  Chiropractor                            
                            237                       5  Clinical Social Worker                  
                             75                       6  Dietician or nutritionist               
                             16                       7  Hearing therapist                       
                            950                       8  Home health/health aide                 
                             22                       9  Homemaker                               
                             93                      10  Hospice worker                          
                            213                      11  I.V. Therapist                          
                          1,612                      12  Nurse (RN)                              
                          2,301                      13  Nurse Practitioner                      
                             75                      14  Nurse's aide                            
                            369                      15  Occupational Therapist (OT)             
                          2,451                      16  Optometrist                             
                            984                      17  Osteopath (DO)                          
                            135                      18  Paramedic                               
                         11,781                      19  Physical Therapist (PT)                 
                          1,767                      20  Physician's Assistant                   
                          2,780                      21  Podiatrist (foot doctor)                
                          1,420                      22  Psychologist                            
                            115                      23  Respiratory Therapist                   
                            493                      24  Social/case worker                      
                            171                      25  Speech Therapist                        
                            570                      26  Therapist (mental health)               
                          1,139                      27  X-Ray Technician                        
                            103                      28  Licensed Practical Nurse (LPN)          
                            515                      29  Acupuncturist                           
                             12                      30  Homeopath                               
                          1,182                      31  Massage therapist                       
                             70                      32  Naturopath                              
                            532                      33  Licensed Professional Counselor (LPC)   
                          1,484                      34  Lab Technician                          
                             12                      37  Dental/Oral Surgeon                     
                              1                      39  Endodontist                             
                              3                      40  Periodontist                            
                              1                      41  Prosthodontist                          
                            347                      42  Pharmacist                              
                          4,921                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        227,755                       .  Inapplicable/Missing                    
                          2,303                       1  Eyeglasses                              
                            724                       2  Hearing or speech device                
                          2,558                       3  Orthopedic                              
                          6,504                       4  Diabetic                                
                          3,757                       5  Ambulance                               
                             76                       6  Prosthesis                              
                            517                       7  Alteration                              
                          3,734                       8  Oxygen                                  
                             73                       9  Kidney dialysis                         
                         11,593                      10  Other                                   
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        257,036                       .  Inapplicable/Missing                    
                            691                       1  Braces or supports                      
                            293                       2  Cane                                    
                            329                       3  Corrective shoes or inserts             
                             36                       4  Crutches                                
                            411                       5  Walker                                  
                            320                       6  Wheelchair                              
                            336                       7  Stockings                               
                            142                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        259,077                       .  Inapplicable/Missing                    
                             15                       1  Elevator or incline chair               
                            141                       2  Handrails (other than tub)              
                             86                       3  Ramps                                   
                             97                       4  Tub handrails                           
                             28                       5  Tub seat                                
                             31                       6  Any car alteration                      
                            119                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        248,001                       .  Inapplicable/Missing                    
                            196                       1  Portable or raised toilet               
                             82                       2  Portable tub seat                       
                             63                       3  Special chair or cushion                
                            315                       4  Hospital bed                            
                            227                       5  Ostomy supplies                         
                          6,546                       6  Depends (diapers)                       
                            836                       7  Bandages, dressings, tape supplies      
                            605                       8  Pulmonary equipment                     
                            230                       9  Blood pressure equipment                
                          2,493                      91  Other                                   
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        164,970                       0  Event not provided by MCO/HMO           
                         92,874                       1  Event provided by MCO/HMO               
                          1,750                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         28,083                       .  Missing                                 
                        219,181                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                         12,330                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
