Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         42,871        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         42,871                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                         42,871                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                         22,476        001-999           Survey-reported event                   
                         20,220        C001-C999         Event created from claim                
                            175        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                         20,220                          Missing                                 
                          1,472        ER                Emergency Room                          
                            603        IP                Inpatient                               
                         11,856        MP                Medical provider                        
                            581        OM                Other medical expense                   
                          6,961        OP                Outpatient                              
                            633        SD                Separately billing physician            
                            545        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                         14,284                       .  Missing                                 
                         28,587        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                            202                       .  Inapplicable                            
                         42,669        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                            506                       D  Don't Know                              
                            202                       .  Inapplicable                            
                              2                       R  Refused                                 
                         42,161        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                          2,444                       D  Don't Know                              
                          5,603                       .  Inapplicable                            
                             25                       N  Not ascertained                         
                             21                       R  Refused                                 
                         34,778        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                         14,284                       1  Survey only                             
                         20,220                       2  Claims only                             
                          8,367                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              6        B                 Both community & facility               
                         38,102        C                 Community                               
                            479        D                 Deemed community                        
                          3,596        F                 Facility                                
                             15        G                 Deemed facility                         
                            168        H                 Hospice                                 
                            167        I                 Inpatient                               
                            338        S                 SNF                                     
 
TELEHLTH YES1FMT                       Was this a Telehealth Visit?             
                             18                       D  Don't know                              
                         31,014                       .  Inapplicable/Missing                    
                             28                       N  Not ascertained                         
                          1,078                       1  Yes                                     
                         10,733                       2  No                                      
 
AMTTOT   MONYFMT                       Total payment                            
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                         28,657                       0  Not Imputed                             
                         14,214                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                              3                       .  Inapplicable/Missing                    
                         42,868        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                              3                       .  Inapplicable/Missing                    
                         42,868        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                         42,871                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                         41,726                       0  Not Imputed                             
                          1,145                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                         39,005                       0  Not Imputed                             
                          3,866                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                         37,011                       0  Not Imputed                             
                          5,860                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                         38,649                       0  Not Imputed                             
                          4,222                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                         37,176                       0  Not Imputed                             
                          5,695                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                         41,566                       0  Not Imputed                             
                          1,305                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                         41,114                       0  Not Imputed                             
                          1,757                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                         40,714                       0  Not Imputed                             
                          2,157                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                         39,854                       0  Not Imputed                             
                          3,017                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                         40,161                       0  Not Imputed                             
                          2,710                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                         39,113                       0  Not Imputed                             
                          3,758                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                         42,624                       0  Not Imputed                             
                            247                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                         42,624                       0  Not Imputed                             
                            247                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                         42,871        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                         35,427                       0  Not Imputed                             
                          7,444                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                         33,635                       0  Not Imputed                             
                          9,236                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                         42,871        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                         40,889                       0  Not Imputed                             
                          1,982                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                         40,729                       0  Not Imputed                             
                          2,142                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                         42,871        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                         42,857                       0  Not Imputed                             
                             14                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                         42,486                       0  Not Imputed                             
                            385                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                         14,925                       .  Inapplicable/Missing                    
                         27,946        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-10 diag code                 
                         14,925                          Missing                                 
                         27,946        Range of Codes    ICD Code                                
 
PROV     $FIDFMT                       Medicare provider number from claim      
                         14,925                          Missing                                 
                         27,946        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                         14,925                       .  Inapplicable/Missing                    
                             71                       0  Other destination                       
                         24,616                       1  Discharged to home/self care            
                             91                       2  Discharged to other short-term hospital 
                            110                       3  Discharged to skilled nursing facility  
                             51                       4  Discharged to intermediate care facility
                             67                       6  Discharged to home care of organized HMO
                             36                       7  Left against medical advice/stopped care
                             15                      20  Expired (did not recover Christian Sci) 
                          2,814                      30  Still patient                           
                             16                      43  Disch/Transferred to a Fed Hospital     
                              2                      50  Hospice - home                          
                              6                      51  Hospice - medical facility              
                              2                      61  Disch w/i facility to swing-bed SNF     
                              9                      62  Disch inp rehab; inc distinct hosp      
                              7                      63  Disch to long term care hospital        
                              8                      64  Disch cert nursing; Mcaid, not Mcare    
                             10                      65  Disch to psychiatric hosp or unit       
                             15                      70  Disch to other institution, no code     
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                         28,411                       0  Event not provided by MCO/HMO           
                         14,460                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                          3,950                       .  Missing                                 
                         37,601                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          1,320                       1  Survey Only w/Medicare Payment (not MA) 
 
