Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         35,382        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                         35,382                    2022  2022                                    
 
VERSION     VERSFMT                    Version Number                                    
                         35,382                       1  Version 1                               
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                         19,412        001-999           Survey-reported event                   
                         15,849        C001-C999         Event created from claim                
                            121        U001-U999         Event created from survey-reported event
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                         15,849                          Missing                                 
                          1,246        ER                Emergency Room                          
                            514        IP                Inpatient                               
                         10,451        MP                Medical provider                        
                            120        OM                Other medical expense                   
                          5,882        OP                Outpatient                              
                            705        SD                Separately billing physician            
                            615        SL                Separately billing lab                  
 
CLAIMID     CLAIMID                    1st Claim this survey event matched to            
                         11,754                       .  Missing                                 
                         23,628        Range of values   Claim ID                                
 
D_BEGYY     EVYY                       Event begin year                                  
                             29                       .  Inapplicable                            
                         35,353        Range of values   Year                                    
 
D_BEGMM     EVMM                       Event begin month                                 
                            199                       D  Don't Know                              
                             29                       .  Inapplicable                            
                              2                       N  Not ascertained                         
                         35,152        01-12             Month                                   
 
D_BEGDD     EVDD                       Event begin day                                   
                          1,793                       D  Don't Know                              
                          4,292                       .  Inapplicable                            
                             50                       N  Not ascertained                         
                              5                       R  Refused                                 
                         29,242        01-31             Day of month                            
 
SOURCE      SRCE                       Source of event: survey, claim, or both?          
                         11,754                       1  Survey only                             
                         15,849                       2  Claims only                             
                          7,779                       3  Both survey & claims                    
 
SITCODE     $SITCODE                   Community or facility setting?                    
                              2        B                 Both community & facility               
                         31,524        C                 Community                               
                            281        D                 Deemed community                        
                          3,101        F                 Facility                                
                             27        G                 Deemed facility                         
                            137        H                 Hospice                                 
                            107        I                 Inpatient                               
                            203        S                 SNF                                     
 
TELEHLTH    YES1FMT                    Was this a Telehealth Visit?                      
                              9                       D  Don't know                              
                         24,926                       .  Inapplicable/Missing                    
                             28                       N  Not ascertained                         
                              1                       R  Refused                                 
                            814                       1  Yes                                     
                          9,604                       2  No                                      
 
AMTTOT      MONYFMT                    Total payment                                     
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT     IMPFLAG                    Imputation flag: total payment                    
                         22,849                       0  Not Imputed                             
                         12,533                       1  Imputed by hotdeck                      
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                              1                       .  Inapplicable/Missing                    
                         35,381        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                              1                       .  Inapplicable/Missing                    
                         35,381        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                         35,382                       0  Not Imputed                             
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                         34,403                       0  Not Imputed                             
                            979                       1  Imputed by hotdeck                      
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                         32,560                       0  Not Imputed                             
                          2,822                       1  Imputed by hotdeck                      
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                         30,469                       0  Not Imputed                             
                          4,913                       1  Imputed by hotdeck                      
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                         31,788                       0  Not Imputed                             
                          3,594                       1  Imputed by hotdeck                      
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                         30,525                       0  Not Imputed                             
                          4,857                       1  Imputed by hotdeck                      
 
AMTHMOP     MONYFMT                    Amount paid by private MCO/HMO                    
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Priv MCO/HMO                 
                         34,237                       0  Not Imputed                             
                          1,145                       1  Imputed by hotdeck                      
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Priv MCO/HMO                 
                         33,992                       0  Not Imputed                             
                          1,390                       1  Imputed by hotdeck                      
 
AMTPRVE     MONYFMT                    Amt paid by priv ins (employer spons)             
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                         33,878                       0  Not Imputed                             
                          1,504                       1  Imputed by hotdeck                      
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                         33,131                       0  Not Imputed                             
                          2,251                       1  Imputed by hotdeck                      
 
AMTPRVI     MONYFMT                    Amt paid by priv ins (indiv purch)                
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv purch         
                         32,610                       0  Not Imputed                             
                          2,772                       1  Imputed by hotdeck                      
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv purch         
                         31,824                       0  Not Imputed                             
                          3,558                       1  Imputed by hotdeck                      
 
AMTPRVU     MONYFMT                    Amt paid by priv ins (unknown purch)              
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                         35,291                       0  Not Imputed                             
                             91                       1  Imputed by hotdeck                      
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                         35,291                       0  Not Imputed                             
                             91                       1  Imputed by hotdeck                      
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                         35,382        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by pers/fam             
                         28,780                       0  Not Imputed                             
                          6,602                       1  Imputed by hotdeck                      
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by pers/fam             
                         27,553                       0  Not Imputed                             
                          7,829                       1  Imputed by hotdeck                      
 
AMTDISC     MONYFMT                    Amount of uncollected SP liability                
                         35,382        Range of values   Amount as $$$$$$.CC                     
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                         25,018                       0  Not Imputed                             
                         10,364                       1  Imputed by hotdeck                      
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                         22,282                       0  Not Imputed                             
                         13,100                       1  Imputed by hotdeck                      
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                         35,382        Range of values   Amount as $$$$$$.CC                     
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                         35,356                       0  Not Imputed                             
                             26                       1  Imputed by hotdeck                      
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                         35,136                       0  Not Imputed                             
                            246                       1  Imputed by hotdeck                      
 
DGNCNT      NUM3FMT                    Number of diagnosis codes on claim                
                         11,754                       .  Inapplicable/Missing                    
                         23,628        Range of values   Number                                  
 
PRINDIAG    $DIAGFMT                   Primary ICD-10 diag code                          
                         11,754                          Missing                                 
                         23,628        Range of Codes    ICD Code                                
 
PROV        $FIDFMT                    Medicare provider number from claim               
                         11,754                          Missing                                 
                         23,628        Provider ID       Provider Number                         
 
STATUS      STATUS                     Beneficiary status as of claim thru date          
                         11,754                       .  Inapplicable/Missing                    
                         20,744                       1  Discharged to home/self care            
                             73                       2  Discharged to other short-term hospital 
                            118                       3  Discharged to skilled nursing facility  
                             12                       4  Discharged to intermediate care facility
                              2                       5  Disch to another type of institution    
                             44                       6  Discharged to home care of organized HMO
                             18                       7  Left against medical advice/stopped care
                             31                       9  Other destination                       
                              8                      20  Expired (did not recover Christian Sci) 
                          2,537                      30  Still patient                           
                              5                      50  Hospice - home                          
                              3                      51  Hospice - medical facility              
                              1                      61  Disch w/i facility to swing-bed SNF     
                              4                      62  Disch inp rehab; inc distinct hosp      
                              5                      63  Disch to long term care hospital        
                              8                      64  Disch cert nursing; Mcaid, not Mcare    
                              7                      65  Disch to psychiatric hosp or unit       
                              8                      70  Disch to other institution, no code     
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                         23,179                       0  Event not provided by MCO/HMO           
                         12,203                       1  Event provided by MCO/HMO               
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                          3,411                       .  Missing                                 
                         30,827                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          1,144                       1  Survey Only w/Medicare Payment (not MA) 
 
