Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        263,416        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        263,416                    2019  2019                                    
 
VERSION  VERSFMT                       Version Number                           
                        263,416                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,620                          Missing                                 
                        145,950        001-999           Survey-reported event                   
                        115,172        C001-C999         Event created from claim                
                            674        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        144,014        MP                Medical provider                        
                         36,347        OM                Other medical expense                   
                         50,480        SD                Separately billing physician            
                         32,575        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        116,792                          Missing                                 
                            758        ER                Emergency Room                          
                          1,137        IP                Inpatient                               
                         98,854        MP                Medical provider                        
                         23,143        OM                Other medical expense                   
                          4,355        OP                Outpatient                              
                         14,739        SD                Separately billing physician            
                          3,638        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         95,295                       .  Missing                                 
                        168,121        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         93,675                          Missing                                 
                         11,532        D                 DME claim                               
                        156,589        P                 Physician claim                         
                          1,620        R                 PDE claim                               
 
D_BEGYY  EVYY                          Event begin year                         
                              1                       D  Don't Know                              
                          7,868                       .  Inapplicable                            
                        255,547        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                          1,750                       D  Don't Know                              
                          7,868                       .  Inapplicable                            
                              3                       N  Not ascertained                         
                              2                       R  Refused                                 
                        253,793        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                         14,799                       D  Don't Know                              
                         38,143                       .  Inapplicable                            
                              5                       N  Not ascertained                         
                             32                       R  Refused                                 
                        210,437        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both  
                         93,675                       1  Survey only                             
                        116,792                       2  Claims only                             
                         52,949                       3  Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                            110        B                 Both                                    
                        211,351        C                 Community                               
                          3,532        D                 Deemed Community                        
                         20,078        F                 Facility                                
                            383        G                 Deemed facility                         
                          1,726        H                 Hospice                                 
                         22,803        I                 Inpatient                               
                          3,433        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        155,747                       0  Not Imputed                             
                        107,669                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                        263,416                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare FFS        
                        254,129                       0  Not Imputed                             
                          9,287                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        238,961                       0  Not Imputed                             
                         24,455                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        224,902                       0  Not Imputed                             
                         38,514                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        238,018                       0  Not Imputed                             
                         25,398                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        228,006                       0  Not Imputed                             
                         35,410                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        254,227                       0  Not Imputed                             
                          9,189                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        252,158                       0  Not Imputed                             
                         11,258                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        250,933                       0  Not Imputed                             
                         12,483                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        245,425                       0  Not Imputed                             
                         17,991                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        244,729                       0  Not Imputed                             
                         18,687                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        240,229                       0  Not Imputed                             
                         23,187                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        260,734                       0  Not Imputed                             
                          2,682                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        260,734                       0  Not Imputed                             
                          2,682                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        263,416        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        217,696                       0  Not Imputed                             
                         45,720                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        190,289                       0  Not Imputed                             
                         73,127                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        263,416        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        155,479                       0  Not Imputed                             
                        107,937                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                        110,332                       0  Not Imputed                             
                        153,084                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        263,416        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        263,255                       0  Not Imputed                             
                            161                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        260,918                       0  Not Imputed                             
                          2,498                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         93,675                       .  Inapplicable/Missing                    
                        169,741        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         93,675                       .  Inapplicable/Missing                    
                        169,741        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         93,675                       .  Inapplicable/Missing                    
                        169,741        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         93,675                       .  Inapplicable/Missing                    
                        169,741        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         93,675                       .  Inapplicable/Missing                    
                        169,741        Range of values   Amount as $$$$$$.CC                     
 
PROVSPEC PROVSPEC                      Medical provider speciality              
                            948                       D  Don't know                              
                        161,526                       .  Inapplicable/Missing                    
                             12                       R  Refused                                 
                            287                       1  Dentist or dental provider              
                         46,926                       2  Medical doctor                          
                             59                       3  Audiologist                             
                          8,082                       4  Chiropractor                            
                            431                       5  Clinical Social Worker                  
                             95                       6  Dietician or nutritionist               
                              1                       7  Hearing therapist                       
                            490                       8  Home health/health aide                 
                             52                      10  Hospice worker                          
                            235                      11  I.V. Therapist                          
                          1,832                      12  Nurse (RN)                              
                          3,411                      13  Nurse Practitioner                      
                             49                      14  Nurse's aide                            
                            823                      15  Occupational Therapist (OT)             
                            232                      16  Optometrist                             
                          1,585                      17  Osteopath (DO)                          
                            120                      18  Paramedic                               
                         15,615                      19  Physical Therapist (PT)                 
                          2,444                      20  Physician's Assistant                   
                          3,185                      21  Podiatrist (foot doctor)                
                          1,909                      22  Psychologist                            
                            249                      23  Respiratory Therapist                   
                            540                      24  Social/case worker                      
                            143                      25  Speech Therapist                        
                            836                      26  Therapist (mental health)               
                          1,164                      27  X-Ray Technician                        
                             83                      28  Licensed Practical Nurse (LPN)          
                            770                      29  Acupuncturist                           
                             35                      30  Homeopath                               
                          1,798                      31  Massage therapist                       
                             47                      32  Naturopath                              
                            647                      33  Licensed Professional Counselor (LPC)   
                          1,761                      34  Lab Technician                          
                              1                      36  Dental Technician                       
                             12                      37  Dental/Oral Surgeon                     
                              3                      38  Orthodontist                            
                              4                      40  Periodontist                            
                            603                      42  Pharmacist                              
                              2                      45  Hearing Instrument Specialist           
                          4,369                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        229,927                       .  Inapplicable/Missing                    
                          2,990                       1  Eyeglasses                              
                            365                       2  Hearing or speech device                
                          2,957                       3  Orthopedic                              
                          5,972                       4  Diabetic                                
                          3,724                       5  Ambulance                               
                            101                       6  Prosthesis                              
                            542                       7  Alteration                              
                          3,323                       8  Oxygen                                  
                             55                       9  Kidney dialysis                         
                         12,882                      10  Other                                   
                            578                      11  Hearing aid                             
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        260,459                       .  Inapplicable/Missing                    
                            885                       1  Braces or supports                      
                            313                       2  Cane                                    
                            387                       3  Corrective shoes or inserts             
                             36                       4  Crutches                                
                            439                       5  Walker                                  
                            324                       6  Wheelchair                              
                            407                       7  Stockings                               
                            166                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        262,878                       .  Inapplicable/Missing                    
                             21                       1  Elevator or incline chair               
                            152                       2  Handrails (other than tub)              
                             65                       3  Ramps                                   
                             97                       4  Tub handrails                           
                             46                       5  Tub seat                                
                             29                       6  Any car alteration                      
                            128                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        250,534                       .  Inapplicable/Missing                    
                            187                       1  Portable or raised toilet               
                             94                       2  Portable tub seat                       
                             84                       3  Special chair or cushion                
                            217                       4  Hospital bed                            
                            355                       5  Ostomy supplies                         
                          6,715                       6  Depends (diapers)                       
                            992                       7  Bandages, dressings, tape supplies      
                            844                       8  Pulmonary equipment                     
                            271                       9  Blood pressure equipment                
                          3,123                      91  Other                                   
 
VUTYPLEN IND1FMT                       Purchased glass lenses                   
                              1                       D  Don't know                              
                        260,499                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            337                       0  Not indicated                           
                          2,576                       1  Indicated                               
                 First available in 2019
 
VUTYPFRA IND1FMT                       Purchased glass frames                   
                              1                       D  Don't know                              
                        260,499                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            737                       0  Not indicated                           
                          2,176                       1  Indicated                               
                 First available in 2019
 
VUTYPCON IND1FMT                       Purchased contact lenses                 
                              1                       D  Don't know                              
                        260,499                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                          2,692                       0  Not indicated                           
                            221                       1  Indicated                               
                 First available in 2019
 
VUTYPREP IND1FMT                       Repaired glasses                         
                              1                       D  Don't know                              
                        260,499                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                          2,841                       0  Not indicated                           
                             72                       1  Indicated                               
                 First available in 2019
 
CANALLFT IND1FMT                       In the ear hearing aid, left ear         
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            472                       0  Not indicated                           
                             89                       1  Indicated                               
                 First available in 2019
 
CANALRGT IND1FMT                       In the ear hearing aid, right ear        
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            465                       0  Not indicated                           
                             96                       1  Indicated                               
                 First available in 2019
 
INEARLFT IND1FMT                       In the canal hearing aid, left ear       
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            457                       0  Not indicated                           
                            104                       1  Indicated                               
                 First available in 2019
 
INEARRGT IND1FMT                       In the canal hearing aid, right ear      
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            459                       0  Not indicated                           
                            102                       1  Indicated                               
                 First available in 2019
 
BHEARLFT IND1FMT                       Behind the ear hearing aid, left ear     
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            214                       0  Not indicated                           
                            347                       1  Indicated                               
                 First available in 2019
 
BHEARRGT IND1FMT                       Behind the ear hearing aid, right ear    
                              9                       D  Don't know                              
                        262,846                       .  Inapplicable/Missing                    
                            243                       0  Not indicated                           
                            318                       1  Indicated                               
                 First available in 2019
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        159,737                       0  Event not provided by MCO/HMO           
                        102,059                       1  Event provided by MCO/HMO               
                          1,620                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         29,096                       .  Missing                                 
                        221,934                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                         12,386                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
