Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        220,258        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        220,258                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                        220,258                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,281                          Missing                                 
                        105,557        001-999           Survey-reported event                   
                        112,715        C001-C999         Event created from claim                
                            705        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        122,063        MP                Medical provider                        
                         26,664        OM                Other medical expense                   
                         43,796        SD                Separately billing physician            
                         27,735        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        113,996                          Missing                                 
                            370        ER                Emergency Room                          
                            641        IP                Inpatient                               
                         80,165        MP                Medical provider                        
                         15,522        OM                Other medical expense                   
                          2,270        OP                Outpatient                              
                          5,561        SD                Separately billing physician            
                          1,733        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         75,084                       .  Missing                                 
                        145,174        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         73,803                          Missing                                 
                          8,993        D                 DME claim                               
                        136,181        P                 Physician claim                         
                          1,281        R                 PDE claim                               
 
D_BEGYY  EVYY                          Event begin year                         
                          4,345                       .  Inapplicable                            
                        215,913        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                          1,800                       D  Don't Know                              
                          4,345                       .  Inapplicable                            
                              6                       R  Refused                                 
                        214,107        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                         15,213                       D  Don't Know                              
                         29,821                       .  Inapplicable                            
                            160                       N  Not ascertained                         
                             99                       R  Refused                                 
                        174,965        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both  
                         73,803                       1  Survey only                             
                        113,996                       2  Claims only                             
                         32,459                       3  Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                            108        B                 Both                                    
                        178,529        C                 Community                               
                          2,005        D                 Deemed Community                        
                         17,844        F                 Facility                                
                            153        G                 Deemed facility                         
                          1,559        H                 Hospice                                 
                         16,786        I                 Inpatient                               
                          3,274        S                 SNF                                     
 
TELEHLTH YES1FMT                       Was this a Telehealth Visit?             
                            110                       D  Don't know                              
                        140,085                       .  Inapplicable/Missing                    
                            230                       N  Not ascertained                         
                          8,142                       1  Yes                                     
                         71,691                       2  No                                      
 
AMTTOT   MONYFMT                       Total payment                            
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        145,603                       0  Not Imputed                             
                         74,655                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                              8                       .  Inapplicable/Missing                    
                        220,250        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                              8                       .  Inapplicable/Missing                    
                        220,250        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                        220,258                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare FFS        
                        213,904                       0  Not Imputed                             
                          6,354                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        201,637                       0  Not Imputed                             
                         18,621                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        188,884                       0  Not Imputed                             
                         31,374                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        202,493                       0  Not Imputed                             
                         17,765                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        197,259                       0  Not Imputed                             
                         22,999                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        210,912                       0  Not Imputed                             
                          9,346                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        209,470                       0  Not Imputed                             
                         10,788                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        206,137                       0  Not Imputed                             
                         14,121                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        202,005                       0  Not Imputed                             
                         18,253                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        199,092                       0  Not Imputed                             
                         21,166                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        193,721                       0  Not Imputed                             
                         26,537                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        218,810                       0  Not Imputed                             
                          1,448                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        218,810                       0  Not Imputed                             
                          1,448                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        220,258        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        179,458                       0  Not Imputed                             
                         40,800                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        163,462                       0  Not Imputed                             
                         56,796                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        220,258        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        211,897                       0  Not Imputed                             
                          8,361                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                        210,883                       0  Not Imputed                             
                          9,375                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        220,258        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        220,160                       0  Not Imputed                             
                             98                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        218,455                       0  Not Imputed                             
                          1,803                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         73,811                       .  Inapplicable/Missing                    
                        146,447        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         73,811                       .  Inapplicable/Missing                    
                        146,447        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         73,811                       .  Inapplicable/Missing                    
                        146,447        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         73,811                       .  Inapplicable/Missing                    
                        146,447        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         73,811                       .  Inapplicable/Missing                    
                        146,447        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              
                          1,291                       D  Don't know                              
                        139,282                       .  Inapplicable/Missing                    
                            222                       1  Dentist or dental provider              
                         33,858                       2  Medical doctor                          
                            113                       3  Audiologist                             
                          5,478                       4  Chiropractor                            
                            246                       5  Clinical Social Worker                  
                            100                       6  Dietician or nutritionist               
                            196                       8  Home health/health aide                 
                              1                       9  Homemaker                               
                             32                      11  I.V. Therapist                          
                          2,656                      12  Nurse (RN)                              
                          2,838                      13  Nurse Practitioner                      
                             54                      14  Nurse's aide                            
                            583                      15  Occupational Therapist (OT)             
                            101                      16  Optometrist                             
                            870                      17  Osteopath (DO)                          
                             72                      18  Paramedic                               
                         13,532                      19  Physical Therapist (PT)                 
                          1,792                      20  Physician's Assistant                   
                          2,148                      21  Podiatrist (foot doctor)                
                          1,766                      22  Psychologist                            
                             66                      23  Respiratory Therapist                   
                            395                      24  Social/case worker                      
                            277                      25  Speech Therapist                        
                            871                      26  Therapist (mental health)               
                          1,080                      27  X-Ray Technician                        
                             82                      28  Licensed Practical Nurse (LPN)          
                            901                      29  Acupuncturist                           
                             10                      30  Homeopath                               
                          1,165                      31  Massage therapist                       
                             55                      32  Naturopath                              
                            913                      33  Licensed Professional Counselor (LPC)   
                          1,429                      34  Lab Technician                          
                              1                      36  Dental Technician                       
                              4                      37  Dental/Oral Surgeon                     
                              1                      38  Orthodontist                            
                              1                      39  Endodontist                             
                              4                      40  Periodontist                            
                          1,158                      42  Pharmacist                              
                              4                      45  Hearing Instrument Specialist           
                          4,610                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        196,455                       .  Inapplicable/Missing                    
                          2,954                       1  Eyeglasses                              
                            240                       2  Hearing or speech device                
                          1,785                       3  Orthopedic                              
                          3,988                       4  Diabetic                                
                          2,859                       5  Ambulance                               
                             52                       6  Prosthesis                              
                            299                       7  Alteration                              
                          2,384                       8  Oxygen                                  
                             56                       9  Kidney dialysis                         
                          8,603                      10  Other                                   
                            583                      11  Hearing aid                             
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        218,473                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            550                       1  Braces or supports                      
                            205                       2  Cane                                    
                            216                       3  Corrective shoes or inserts             
                             19                       4  Crutches                                
                            273                       5  Walker                                  
                            137                       6  Wheelchair                              
                            212                       7  Stockings                               
                            170                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        219,959                       .  Inapplicable/Missing                    
                             10                       1  Elevator or incline chair               
                             69                       2  Handrails (other than tub)              
                             40                       3  Ramps                                   
                             57                       4  Tub handrails                           
                             13                       5  Tub seat                                
                              9                       6  Any car alteration                      
                            101                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        211,655                       .  Inapplicable/Missing                    
                             99                       1  Portable or raised toilet               
                             59                       2  Portable tub seat                       
                             39                       3  Special chair or cushion                
                            205                       4  Hospital bed                            
                            160                       5  Ostomy supplies                         
                          3,990                       6  Depends (diapers)                       
                            297                       7  Bandages, dressings, tape supplies      
                            698                       8  Pulmonary equipment                     
                            173                       9  Blood pressure equipment                
                          2,883                      91  Other                                   
 
VUTYPLEN IND1FMT                       Purchased glass lenses                   
                              1                       D  Don't know                              
                        217,380                       .  Inapplicable/Missing                    
                              5                       N  Not ascertained                         
                            323                       0  Not indicated                           
                          2,549                       1  Indicated                               
                 First available in 2019
 
VUTYPFRA IND1FMT                       Purchased glass frames                   
                              1                       D  Don't know                              
                        217,380                       .  Inapplicable/Missing                    
                              5                       N  Not ascertained                         
                            617                       0  Not indicated                           
                          2,255                       1  Indicated                               
                 First available in 2019
 
VUTYPCON IND1FMT                       Purchased contact lenses                 
                              1                       D  Don't know                              
                        217,380                       .  Inapplicable/Missing                    
                              5                       N  Not ascertained                         
                          2,654                       0  Not indicated                           
                            218                       1  Indicated                               
                 First available in 2019
 
VUTYPREP IND1FMT                       Repaired glasses                         
                              1                       D  Don't know                              
                        217,380                       .  Inapplicable/Missing                    
                              5                       N  Not ascertained                         
                          2,809                       0  Not indicated                           
                             63                       1  Indicated                               
                 First available in 2019
 
CANALLFT IND1FMT                       In the ear hearing aid, left ear         
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            420                       0  Not indicated                           
                            132                       1  Indicated                               
                 First available in 2019
 
CANALRGT IND1FMT                       In the ear hearing aid, right ear        
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            424                       0  Not indicated                           
                            128                       1  Indicated                               
                 First available in 2019
 
INEARLFT IND1FMT                       In the canal hearing aid, left ear       
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            421                       0  Not indicated                           
                            131                       1  Indicated                               
                 First available in 2019
 
INEARRGT IND1FMT                       In the canal hearing aid, right ear      
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            413                       0  Not indicated                           
                            139                       1  Indicated                               
                 First available in 2019
 
BHEARLFT IND1FMT                       Behind the ear hearing aid, left ear     
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            282                       0  Not indicated                           
                            270                       1  Indicated                               
                 First available in 2019
 
BHEARRGT IND1FMT                       Behind the ear hearing aid, right ear    
                             26                       D  Don't know                              
                        219,679                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            264                       0  Not indicated                           
                            288                       1  Indicated                               
                 First available in 2019
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        148,288                       0  Event not provided by MCO/HMO           
                         70,689                       1  Event provided by MCO/HMO               
                          1,281                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         24,787                       .  Missing                                 
                        188,443                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          7,028                       1  Survey Only w/Medicare Payment (not MA) 
 
