Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                            384        LOW-HIGH          BASEID Count                                
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                            384                    2023  2023                                        
 
VERSION     VERSFMT                    Version Number                                    
                            384                       1  Version 1                                   
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                            150        001-999           Survey-reported event                       
                            232        C001-C999         Event created from claim                    
                              2        U001-U999         Event created from survey-reported event    
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                            232                          Missing                                     
                             35        IP                Inpatient                                   
                            117        IU                Institutional utilization                   
 
CLAIMID     CLAIMID                    1st Claim this survey event matched to            
                            112                       .  Missing                                     
                            272        Range of values   Claim ID                                    
 
CLMCNT      NUM3FMT                    Number of claims matched to this event            
                            112                       0  None                                        
                            272        Range of values   Number                                      
 
D_BEGYY     EVYY                       Event begin year                                  
                              1                       N  Not ascertained                             
                            383        Range of values   Year                                        
 
D_BEGMM     EVMM                       Event begin month                                 
                              5                       N  Not ascertained                             
                            379        01-12             Month                                       
 
D_BEGDD     EVDD                       Event begin day                                   
                              6                       .  Inapplicable                                
                             32                       N  Not ascertained                             
                            346        01-31             Day of month                                
 
D_ENDYY     EVYY                       Event end year                                    
                              5                       N  Not ascertained                             
                            379        Range of values   Year                                        
 
D_ENDMM     EVMM                       Event end month                                   
                              3                       D  Don't Know                                  
                              5                       N  Not ascertained                             
                            376        01-12             Month                                       
 
D_ENDDD     EVDD                       Event end day                                     
                             32                       D  Don't Know                                  
                              5                       N  Not ascertained                             
                            347        01-31             Day of month                                
 
SOURCE      SRCE                       Source of event: survey, claim, or both?          
                            112                       1  Survey only                                 
                            232                       2  Claims only                                 
                             40                       3  Both survey & claims                        
 
SITCODE     $SITCODE                   Community or facility setting?                    
                            102        C                 Community                                   
                              2        F                 Facility                                    
                              1        G                 Deemed facility                             
                              4        H                 Hospice                                     
                              1        I                 Inpatient                                   
                            274        S                 SNF                                         
 
AMTTOT      MONYFMT                    Total payment                                     
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPATOT     IMPFLAG                    Imputation flag: total payment                    
                            146                       0  Not Imputed                                 
                            238                       1  Imputed by hotdeck                          
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                            384        Range of values   Amount as $$$$$$.CC                         
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                            384        Range of values   Amount as $$$$$$.CC                         
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                            384                       0  Not Imputed                                 
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                            381                       0  Not Imputed                                 
                              3                       1  Imputed by hotdeck                          
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                            330                       0  Not Imputed                                 
                             54                       1  Imputed by hotdeck                          
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                            242                       0  Not Imputed                                 
                            142                       1  Imputed by hotdeck                          
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                            352                       0  Not Imputed                                 
                             32                       1  Imputed by hotdeck                          
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                            344                       0  Not Imputed                                 
                             40                       1  Imputed by hotdeck                          
 
AMTHMOP     MONYFMT                    Amount paid by private MCO/HMO                    
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Priv MCO/HMO                 
                            381                       0  Not Imputed                                 
                              3                       1  Imputed by hotdeck                          
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Priv MCO/HMO                 
                            381                       0  Not Imputed                                 
                              3                       1  Imputed by hotdeck                          
 
AMTPRVE     MONYFMT                    Amt paid by priv ins (employer spons)             
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                            372                       0  Not Imputed                                 
                             12                       1  Imputed by hotdeck                          
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                            367                       0  Not Imputed                                 
                             17                       1  Imputed by hotdeck                          
 
AMTPRVI     MONYFMT                    Amt paid by priv ins (indiv purch)                
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv purch         
                            373                       0  Not Imputed                                 
                             11                       1  Imputed by hotdeck                          
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv purch         
                            372                       0  Not Imputed                                 
                             12                       1  Imputed by hotdeck                          
 
AMTPRVU     MONYFMT                    Amt paid by priv ins (unknown purch)              
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                            374                       0  Not Imputed                                 
                             10                       1  Imputed by hotdeck                          
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                            374                       0  Not Imputed                                 
                             10                       1  Imputed by hotdeck                          
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                            384        Range of values   Amount as $$$$$$.CC                         
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by pers/fam             
                            285                       0  Not Imputed                                 
                             99                       1  Imputed by hotdeck                          
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by pers/fam             
                            260                       0  Not Imputed                                 
                            124                       1  Imputed by hotdeck                          
 
AMTDISC     MONYFMT                    Amount of uncollected SP liability                
                            384        Range of values   Amount as $$$$$$.CC                         
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                            328                       0  Not Imputed                                 
                             56                       1  Imputed by hotdeck                          
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                            191                       0  Not Imputed                                 
                            193                       1  Imputed by hotdeck                          
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                            384        Range of values   Amount as $$$$$$.CC                         
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                            367                       0  Not Imputed                                 
                             17                       1  Imputed by hotdeck                          
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                            367                       0  Not Imputed                                 
                             17                       1  Imputed by hotdeck                          
 
DGNCNT      NUM3FMT                    UNIQUE diagnosis codes for event                  
                            112                       .  Inapplicable/Missing                        
                            272        Range of values   Number                                      
 
PRINDIAG    $DIAGFMT                   Primary ICD-10 diag code from 1st claim           
                            112                          Missing                                     
                            272        Range of Codes    ICD Code                                    
 
PROV        $FIDFMT                    Medicare provider number from claim               
                            112                          Missing                                     
                            272        Provider ID       Provider Number                             
 
STATUS      STATUS                     Beneficiary status as of claim thru date          
                            112                       .  Inapplicable/Missing                        
                             72                       1  Discharged to home/self care                
                             43                       2  Discharged to other short-term hospital     
                              8                       3  Discharged to skilled nursing facility      
                              4                       4  Discharged to intermediate care facility    
                              2                       5  Disch to another type of institution        
                             17                       6  Discharged to home care of organized HMO    
                              4                      20  Expired (did not recover Christian Sci)     
                            121                      30  Still patient                               
                              1                      51  Hospice - medical facility                  
 
UTLZNDAY    NUM3FMT                    Number of covered days of care                    
                            112                       .  Inapplicable/Missing                        
                             42                       0  None                                        
                            230        Range of values   Number                                      
 
COINDAY     NUM3FMT                    Total number of coinsurance days                  
                            112                       .  Inapplicable/Missing                        
                            121                       0  None                                        
                            151        Range of values   Number                                      
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                            286                       0  Event not provided by MCO/HMO               
                             98                       1  Event provided by MCO/HMO                   
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                            175                       .  Missing                                     
                            204                       0  Not Srvy Only w/Medicare Pymnt (not MA)     
                              5                       1  Survey Only w/Medicare Payment (not MA)     
 
