Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        254,773        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        254,773                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                        254,773                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,746                          Missing                                 
                        139,436        001-999           Survey-reported event                   
                        113,041        C001-C999         Event created from claim                
                            550        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        137,382        MP                Medical provider                        
                         34,392        OM                Other medical expense                   
                         50,124        SD                Separately billing physician            
                         32,875        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        114,787                          Missing                                 
                            742        ER                Emergency Room                          
                            972        IP                Inpatient                               
                         95,645        MP                Medical provider                        
                         21,108        OM                Other medical expense                   
                          3,558        OP                Outpatient                              
                         14,318        SD                Separately billing physician            
                          3,643        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         88,546                       .  Missing                                 
                        166,227        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         86,800                          Missing                                 
                         10,680        D                 DME claim                               
                        155,547        P                 Physician claim                         
                          1,746        R                 PDE claim                               
 
D_BEGYY  EVYY                          Event begin year                         
                          7,182                       .  Inapplicable                            
                             12                       N  Not ascertained                         
                        247,579        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                          1,396                       D  Don't Know                              
                          7,182                       .  Inapplicable                            
                             12                       N  Not ascertained                         
                              5                       R  Refused                                 
                        246,178        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                         14,381                       D  Don't Know                              
                         32,027                       .  Inapplicable                            
                             15                       N  Not ascertained                         
                             45                       R  Refused                                 
                        208,305        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both  
                         86,800                       1  Survey only                             
                        114,787                       2  Claims only                             
                         53,186                       3  Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                            176        B                 Both                                    
                        203,062        C                 Community                               
                          3,225        D                 Deemed Community                        
                         18,857        F                 Facility                                
                            176        G                 Deemed facility                         
                          1,743        H                 Hospice                                 
                         22,971        I                 Inpatient                               
                          4,563        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        169,442                       0  Not Imputed                             
                         85,331                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                        254,773                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare FFS        
                        245,961                       0  Not Imputed                             
                          8,812                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        231,790                       0  Not Imputed                             
                         22,983                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        219,012                       0  Not Imputed                             
                         35,761                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        231,469                       0  Not Imputed                             
                         23,304                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        224,723                       0  Not Imputed                             
                         30,050                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        245,999                       0  Not Imputed                             
                          8,774                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        244,027                       0  Not Imputed                             
                         10,746                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        242,046                       0  Not Imputed                             
                         12,727                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        237,513                       0  Not Imputed                             
                         17,260                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        234,286                       0  Not Imputed                             
                         20,487                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        228,940                       0  Not Imputed                             
                         25,833                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        252,121                       0  Not Imputed                             
                          2,652                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        252,121                       0  Not Imputed                             
                          2,652                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        254,773        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        201,009                       0  Not Imputed                             
                         53,764                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        172,637                       0  Not Imputed                             
                         82,136                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        254,773        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        139,859                       0  Not Imputed                             
                        114,914                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                        108,645                       0  Not Imputed                             
                        146,128                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        254,773        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        254,588                       0  Not Imputed                             
                            185                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        252,029                       0  Not Imputed                             
                          2,744                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         86,800                       .  Inapplicable/Missing                    
                        167,973        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         86,800                       .  Inapplicable/Missing                    
                        167,973        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         86,800                       .  Inapplicable/Missing                    
                        167,973        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         86,800                       .  Inapplicable/Missing                    
                        167,973        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         86,800                       .  Inapplicable/Missing                    
                        167,973        Range of values   Amount as $$$$$$.CC                     
 
PROVSPEC PROVSPEC                      Medical provider speciality              
                            275                       D  Don't know                              
                        157,462                       .  Inapplicable/Missing                    
                             65                       R  Refused                                 
                            427                       1  Dentist or dental provider              
                         50,056                       2  Medical doctor                          
                            620                       3  Audiologist                             
                          6,034                       4  Chiropractor                            
                            371                       5  Clinical Social Worker                  
                            104                       6  Dietician or nutritionist               
                             15                       7  Hearing therapist                       
                            476                       8  Home health/health aide                 
                              9                      10  Hospice worker                          
                            442                      11  I.V. Therapist                          
                          1,660                      12  Nurse (RN)                              
                          2,741                      13  Nurse Practitioner                      
                             41                      14  Nurse's aide                            
                            502                      15  Occupational Therapist (OT)             
                          2,122                      16  Optometrist                             
                          1,223                      17  Osteopath (DO)                          
                            108                      18  Paramedic                               
                         11,306                      19  Physical Therapist (PT)                 
                          2,033                      20  Physician's Assistant                   
                          2,788                      21  Podiatrist (foot doctor)                
                          1,424                      22  Psychologist                            
                            181                      23  Respiratory Therapist                   
                            591                      24  Social/case worker                      
                             64                      25  Speech Therapist                        
                            735                      26  Therapist (mental health)               
                          1,182                      27  X-Ray Technician                        
                             62                      28  Licensed Practical Nurse (LPN)          
                            460                      29  Acupuncturist                           
                             17                      30  Homeopath                               
                          1,626                      31  Massage therapist                       
                             43                      32  Naturopath                              
                            738                      33  Licensed Professional Counselor (LPC)   
                          1,578                      34  Lab Technician                          
                              6                      37  Dental/Oral Surgeon                     
                              1                      38  Orthodontist                            
                              1                      39  Endodontist                             
                              4                      40  Periodontist                            
                              1                      41  Prosthodontist                          
                            506                      42  Pharmacist                              
                          4,673                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        222,879                       .  Inapplicable/Missing                    
                          2,478                       1  Eyeglasses                              
                            690                       2  Hearing or speech device                
                          2,673                       3  Orthopedic                              
                          6,041                       4  Diabetic                                
                          4,361                       5  Ambulance                               
                             78                       6  Prosthesis                              
                            496                       7  Alteration                              
                          3,384                       8  Oxygen                                  
                             48                       9  Kidney dialysis                         
                         11,570                      10  Other                                   
                             75                      11  Hearing aid                             
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        252,100                       .  Inapplicable/Missing                    
                            839                       1  Braces or supports                      
                            244                       2  Cane                                    
                            324                       3  Corrective shoes or inserts             
                             39                       4  Crutches                                
                            412                       5  Walker                                  
                            274                       6  Wheelchair                              
                            375                       7  Stockings                               
                            166                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        254,277                       .  Inapplicable/Missing                    
                             25                       1  Elevator or incline chair               
                            144                       2  Handrails (other than tub)              
                             82                       3  Ramps                                   
                             94                       4  Tub handrails                           
                             33                       5  Tub seat                                
                             18                       6  Any car alteration                      
                            100                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        243,203                       .  Inapplicable/Missing                    
                            184                       1  Portable or raised toilet               
                             95                       2  Portable tub seat                       
                             81                       3  Special chair or cushion                
                            183                       4  Hospital bed                            
                            308                       5  Ostomy supplies                         
                          6,314                       6  Depends (diapers)                       
                            784                       7  Bandages, dressings, tape supplies      
                            802                       8  Pulmonary equipment                     
                            199                       9  Blood pressure equipment                
                          2,620                      91  Other                                   
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        161,547                       0  Event not provided by MCO/HMO           
                         91,480                       1  Event provided by MCO/HMO               
                          1,746                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         28,187                       .  Missing                                 
                        213,757                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                         12,829                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
