Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        205,189        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        205,189                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                        205,189                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,432                          Missing                                 
                         91,070        001-999           Survey-reported event                   
                        112,100        C001-C999         Event created from claim                
                            587        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        114,000        MP                Medical provider                        
                         26,322        OM                Other medical expense                   
                         35,933        SD                Separately billing physician            
                         28,934        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        113,532                          Missing                                 
                            311        ER                Emergency Room                          
                            791        IP                Inpatient                               
                         68,831        MP                Medical provider                        
                         14,230        OM                Other medical expense                   
                          1,981        OP                Outpatient                              
                          4,168        SD                Separately billing physician            
                          1,345        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         63,873                       .  Missing                                 
                        141,316        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         62,441                          Missing                                 
                          9,879        D                 DME claim                               
                        131,437        P                 Physician claim                         
                          1,432        R                 PDE claim                               
 
D_BEGYY  EVYY                          Event begin year                         
                          3,851                       .  Inapplicable                            
                        201,338        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                          2,466                       D  Don't Know                              
                          3,851                       .  Inapplicable                            
                              7                       R  Refused                                 
                        198,865        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                         13,463                       D  Don't Know                              
                         26,099                       .  Inapplicable                            
                             36                       N  Not ascertained                         
                            108                       R  Refused                                 
                        165,483        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both  
                         62,441                       1  Survey only                             
                        113,532                       2  Claims only                             
                         29,216                       3  Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                             46        B                 Both                                    
                        163,452        C                 Community                               
                          1,653        D                 Deemed Community                        
                         17,400        F                 Facility                                
                            231        G                 Deemed facility                         
                          1,694        H                 Hospice                                 
                         17,148        I                 Inpatient                               
                          3,565        S                 SNF                                     
 
TELEHLTH YES1FMT                       Was this a Telehealth Visit?             
                            153                       D  Don't know                              
                        147,640                       .  Inapplicable/Missing                    
                            144                       N  Not ascertained                         
                              1                       R  Refused                                 
                          9,620                       1  Yes                                     
                         47,631                       2  No                                      
 
AMTTOT   MONYFMT                       Total payment                            
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        141,317                       0  Not Imputed                             
                         63,872                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                        205,189                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare FFS        
                        199,257                       0  Not Imputed                             
                          5,932                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        185,190                       0  Not Imputed                             
                         19,999                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        175,618                       0  Not Imputed                             
                         29,571                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        181,999                       0  Not Imputed                             
                         23,190                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        176,916                       0  Not Imputed                             
                         28,273                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        194,438                       0  Not Imputed                             
                         10,751                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        192,876                       0  Not Imputed                             
                         12,313                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        192,581                       0  Not Imputed                             
                         12,608                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        189,801                       0  Not Imputed                             
                         15,388                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        185,094                       0  Not Imputed                             
                         20,095                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        181,395                       0  Not Imputed                             
                         23,794                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        203,021                       0  Not Imputed                             
                          2,168                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        203,021                       0  Not Imputed                             
                          2,168                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        205,189        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        167,410                       0  Not Imputed                             
                         37,779                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        149,854                       0  Not Imputed                             
                         55,335                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        205,189        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        173,839                       0  Not Imputed                             
                         31,350                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                        163,962                       0  Not Imputed                             
                         41,227                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        205,189        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        205,042                       0  Not Imputed                             
                            147                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        203,719                       0  Not Imputed                             
                          1,470                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         62,441                       .  Inapplicable/Missing                    
                        142,748        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         62,441                       .  Inapplicable/Missing                    
                        142,748        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         62,441                       .  Inapplicable/Missing                    
                        142,748        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         62,441                       .  Inapplicable/Missing                    
                        142,748        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         62,441                       .  Inapplicable/Missing                    
                        142,748        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2019 this field includes adjustments for Medicare Advantage.
                 See the Data User Guide for Details.
 
PROVSPEC PROVSPEC                      Medical provider speciality              
                            733                       D  Don't know                              
                        136,504                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            254                       1  Dentist or dental provider              
                         31,400                       2  Medical doctor                          
                             57                       3  Audiologist                             
                          4,830                       4  Chiropractor                            
                            343                       5  Clinical Social Worker                  
                            123                       6  Dietician or nutritionist               
                              7                       7  Hearing therapist                       
                            204                       8  Home health/health aide                 
                             20                       9  Homemaker                               
                             47                      10  Hospice worker                          
                            166                      11  I.V. Therapist                          
                          1,616                      12  Nurse (RN)                              
                          2,482                      13  Nurse Practitioner                      
                             32                      14  Nurse's aide                            
                            493                      15  Occupational Therapist (OT)             
                            111                      16  Optometrist                             
                          1,001                      17  Osteopath (DO)                          
                             53                      18  Paramedic                               
                          9,283                      19  Physical Therapist (PT)                 
                          1,504                      20  Physician's Assistant                   
                          1,817                      21  Podiatrist (foot doctor)                
                          1,989                      22  Psychologist                            
                             65                      23  Respiratory Therapist                   
                            527                      24  Social/case worker                      
                            113                      25  Speech Therapist                        
                            829                      26  Therapist (mental health)               
                            730                      27  X-Ray Technician                        
                             28                      28  Licensed Practical Nurse (LPN)          
                            410                      29  Acupuncturist                           
                              7                      30  Homeopath                               
                            811                      31  Massage therapist                       
                             46                      32  Naturopath                              
                            925                      33  Licensed Professional Counselor (LPC)   
                          1,134                      34  Lab Technician                          
                             10                      37  Dental/Oral Surgeon                     
                              2                      39  Endodontist                             
                             12                      40  Periodontist                            
                              1                      41  Prosthodontist                          
                            555                      42  Pharmacist                              
                              1                      43  Optician                                
                              2                      45  Hearing Instrument Specialist           
                          3,911                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        181,678                       .  Inapplicable/Missing                    
                          2,256                       1  Eyeglasses                              
                            165                       2  Hearing or speech device                
                          1,825                       3  Orthopedic                              
                          4,728                       4  Diabetic                                
                          2,744                       5  Ambulance                               
                             70                       6  Prosthesis                              
                            284                       7  Alteration                              
                          2,860                       8  Oxygen                                  
                             79                       9  Kidney dialysis                         
                          8,092                      10  Other                                   
                            408                      11  Hearing aid                             
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        203,364                       .  Inapplicable/Missing                    
                            545                       1  Braces or supports                      
                            192                       2  Cane                                    
                            201                       3  Corrective shoes or inserts             
                             27                       4  Crutches                                
                            289                       5  Walker                                  
                            246                       6  Wheelchair                              
                            187                       7  Stockings                               
                            138                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        204,905                       .  Inapplicable/Missing                    
                             17                       1  Elevator or incline chair               
                             63                       2  Handrails (other than tub)              
                             42                       3  Ramps                                   
                             60                       4  Tub handrails                           
                             17                       5  Tub seat                                
                              9                       6  Any car alteration                      
                             76                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        197,097                       .  Inapplicable/Missing                    
                             95                       1  Portable or raised toilet               
                             55                       2  Portable tub seat                       
                             29                       3  Special chair or cushion                
                            149                       4  Hospital bed                            
                            241                       5  Ostomy supplies                         
                          3,421                       6  Depends (diapers)                       
                            325                       7  Bandages, dressings, tape supplies      
                            657                       8  Pulmonary equipment                     
                            181                       9  Blood pressure equipment                
                          2,939                      91  Other                                   
 
VUTYPLEN IND1FMT                       Purchased glass lenses                   
                        202,993                       .  Inapplicable/Missing                    
                              2                       N  Not ascertained                         
                            257                       0  Not indicated                           
                          1,937                       1  Indicated                               
                 First available in 2019
 
VUTYPFRA IND1FMT                       Purchased glass frames                   
                        202,993                       .  Inapplicable/Missing                    
                              2                       N  Not ascertained                         
                            517                       0  Not indicated                           
                          1,677                       1  Indicated                               
                 First available in 2019
 
VUTYPCON IND1FMT                       Purchased contact lenses                 
                        202,993                       .  Inapplicable/Missing                    
                              2                       N  Not ascertained                         
                          2,018                       0  Not indicated                           
                            176                       1  Indicated                               
                 First available in 2019
 
VUTYPREP IND1FMT                       Repaired glasses                         
                        202,993                       .  Inapplicable/Missing                    
                              2                       N  Not ascertained                         
                          2,153                       0  Not indicated                           
                             41                       1  Indicated                               
                 First available in 2019
 
CANALLFT IND1FMT                       In the ear hearing aid, left ear         
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            303                       0  Not indicated                           
                             89                       1  Indicated                               
                 First available in 2019
 
CANALRGT IND1FMT                       In the ear hearing aid, right ear        
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            298                       0  Not indicated                           
                             94                       1  Indicated                               
                 First available in 2019
 
INEARLFT IND1FMT                       In the canal hearing aid, left ear       
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            307                       0  Not indicated                           
                             85                       1  Indicated                               
                 First available in 2019
 
INEARRGT IND1FMT                       In the canal hearing aid, right ear      
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            308                       0  Not indicated                           
                             84                       1  Indicated                               
                 First available in 2019
 
BHEARLFT IND1FMT                       Behind the ear hearing aid, left ear     
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            182                       0  Not indicated                           
                            210                       1  Indicated                               
                 First available in 2019
 
BHEARRGT IND1FMT                       Behind the ear hearing aid, right ear    
                             11                       D  Don't know                              
                        204,786                       .  Inapplicable/Missing                    
                            186                       0  Not indicated                           
                            206                       1  Indicated                               
                 First available in 2019
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        129,951                       0  Event not provided by MCO/HMO           
                         73,806                       1  Event provided by MCO/HMO               
                          1,432                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         25,700                       .  Missing                                 
                        173,730                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          5,759                       1  Survey Only w/Medicare Payment (not MA) 
 
