Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         96,530        LOW-HIGH          BASEID Count                                
 
SURVEYYR    SVYRFMT                    Survey year                                       
                         96,530                    2023  2023                                        
 
VERSION     VERSFMT                    Version Number                                    
                         96,530                       1  Version 1                                   
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                         95,638        001-999           Survey-reported event                       
                            515        C001-C999         Event created from claim                    
                            377        U001-U999         Event created from survey-reported event    
 
EVNTTYPE    $EVNTTYP                   Event type                                        
                         40,909        HF                Home health friend or relative              
                         55,621        HP                Home health provider                        
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                            515                          Missing                                     
                         40,909        HF                Home health friend or relative              
                         55,106        HP                Home health provider                        
 
CLAIMID     CLAIMID                    Claim this survey is matched to                   
                         92,850                       .  Missing                                     
                          3,680        Range of values   Claim ID                                    
 
D_BEGYY     EVYY                       Event begin year                                  
                              9                       D  Don't Know                                  
                              1                       R  Refused                                     
                         96,520        Range of values   Year                                        
 
D_BEGMM     EVMM                       Event begin month                                 
                            780                       D  Don't Know                                  
                              1                       R  Refused                                     
                         95,749        01-12             Month                                       
 
D_BEGDD     EVDD                       Event begin day                                   
                            564                       D  Don't Know                                  
                         56,636                       .  Inapplicable                                
                         34,241                       N  Not ascertained                             
                              4                       R  Refused                                     
                          5,085        01-31             Day of month                                
 
SOURCE      SRCE                       Source of event: Survey, claim, or both?          
                         92,850                       1  Survey only                                 
                            515                       2  Claims only                                 
                          3,165                       3  Both survey & claims                        
 
SITCODE     $CODEFMT                   Community or facility setting?                    
                         93,561        C                 Community                                   
                            247        D                 Deemed Community                            
                            181        F                 Facility                                    
                             19        G                 Deemed facility                             
                          2,030        H                 Hospice                                     
                            254        I                 Inpatient                                   
                            238        S                 SNF                                         
 
AMTTOT      MONYFMT                    Total payment                                     
                            823                       .  Inapplicable/Missing                        
                         95,707        Range of values   Amount as $$$$$$.CC                         
 
IMPATOT     IMPFLAG                    Imputation flag:  Amt total payment               
                         45,363                       0  Not Imputed                                 
                         51,167                       1  Imputed by hotdeck                          
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                         96,530        Range of values   Amount as $$$$$$.CC                         
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                            823                       .  Inapplicable/Missing                        
                         95,707        Range of values   Amount as $$$$$$.CC                         
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                            823                       .  Inapplicable/Missing                        
                         95,707        Range of values   Amount as $$$$$$.CC                         
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                         96,530                       0  Not Imputed                                 
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                         96,530                       0  Not Imputed                                 
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                            745                       .  Inapplicable/Missing                        
                         95,785        Range of values   Amount as $$$$$$.CC                         
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                         78,020                       0  Not Imputed                                 
                         18,510                       1  Imputed by hotdeck                          
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                         69,860                       0  Not Imputed                                 
                         26,670                       1  Imputed by hotdeck                          
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                            180                       .  Inapplicable/Missing                        
                         96,350        Range of values   Amount as $$$$$$.CC                         
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                         86,881                       0  Not Imputed                                 
                          9,649                       1  Imputed by hotdeck                          
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                         84,408                       0  Not Imputed                                 
                         12,122                       1  Imputed by hotdeck                          
 
AMTHMOP     MONYFMT                    Amount paid by Private MCO/HMO                    
                            645                       .  Inapplicable/Missing                        
                         95,885        Range of values   Amount as $$$$$$.CC                         
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Private MCO/HMO              
                         94,633                       0  Not Imputed                                 
                          1,897                       1  Imputed by hotdeck                          
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Private MCO/HMO              
                         94,574                       0  Not Imputed                                 
                          1,956                       1  Imputed by hotdeck                          
 
AMTPRVE     MONYFMT                    Amount paid by priv ins(employer spons)           
                            571                       .  Inapplicable/Missing                        
                         95,959        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                         96,522                       0  Not Imputed                                 
                              8                       1  Imputed by hotdeck                          
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                         96,195                       0  Not Imputed                                 
                            335                       1  Imputed by hotdeck                          
 
AMTPRVI     MONYFMT                    Amount paid by priv ins (indiv purch)             
                            571                       .  Inapplicable/Missing                        
                         95,959        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv pur           
                         96,530                       0  Not Imputed                                 
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv pur           
                         95,402                       0  Not Imputed                                 
                          1,128                       1  Imputed by hotdeck                          
 
AMTPRVU     MONYFMT                    Amount paid by priv ins (unknown purch)           
                         96,530        Range of values   Amount as $$$$$$.CC                         
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                         96,530                       0  Not Imputed                                 
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                         96,530                       0  Not Imputed                                 
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                            489                       .  Inapplicable/Missing                        
                         96,041        Range of values   Amount as $$$$$$.CC                         
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by person               
                         93,373                       0  Not Imputed                                 
                          3,157                       1  Imputed by hotdeck                          
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by person               
                         83,269                       0  Not Imputed                                 
                         13,261                       1  Imputed by hotdeck                          
 
AMTDISC     MONYFMT                    Amount of uncollected liabilities                 
                            823                       .  Inapplicable/Missing                        
                         95,707        Range of values   Amount as $$$$$$.CC                         
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                         96,502                       0  Not Imputed                                 
                             28                       1  Imputed by hotdeck                          
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                         96,084                       0  Not Imputed                                 
                            446                       1  Imputed by hotdeck                          
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                            476                       .  Inapplicable/Missing                        
                         96,054        Range of values   Amount as $$$$$$.CC                         
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                         96,530                       0  Not Imputed                                 
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                         96,176                       0  Not Imputed                                 
                            354                       1  Imputed by hotdeck                          
 
PROFWORK    WORKSFOR                   Whom does prov work for?                          
                            434                       D  Don't know                                  
                         35,507                       .  Inapplicable/Missing                        
                            113                       N  Not ascertained                             
                         49,095                       1  Works for organization                      
                         11,381                       2  Works for self                              
 
PROVSPEC    PROVSPEC                   Medical provider specialty                        
                            900                       D  Don't know                                  
                          1,003                       .  Inapplicable/Missing                        
                              2                       N  Not ascertained                             
                              1                       R  Refused                                     
                            219                       2  Medical doctor                              
                             69                       5  Clinical Social Worker                      
                         75,289                       8  Home health/health aide                     
                          4,384                       9  Homemaker                                   
                             66                      10  Hospice worker                              
                          5,259                      12  Nurse (RN)                                  
                            622                      13  Nurse Practitioner                          
                          3,117                      14  Nurse's aide                                
                            391                      15  Occupational Therapist (OT)                 
                          2,573                      19  Physical Therapist (PT)                     
                             99                      20  Physician's Assistant                       
                            128                      24  Social/case worker                          
                            136                      25  Speech Therapist                            
                            112                      26  Therapist (mental health)                   
                            439                      28  Licensed Practical Nurse (LPN)              
                             40                      31  Massage therapist                           
                          1,681                      91  Other medical provider                      
 
HHPLACE     HHPLACEF                   Type of HH place/organization                     
                            670                       D  Don't know                                  
                         45,661                       .  Inapplicable/Missing                        
                          2,352                       1  Managed care plan such as an HMO            
                          1,482                       3  Visiting nurse association                  
                         39,164                       4  Home Health agency                          
                            324                       5  Hospital                                    
                            125                       6  Private physician/group practice            
                            185                       7  Hospice                                     
                            523                       8  Rehab or sports medicine therapy            
                          2,130                       9  Local govt organization                     
                            723                      10  Church or community organization            
                            504                      11  Assisted living/retirement home             
                          2,687                      91  Other                                       
 
HHFTYPE     HHFTYPF                    Is HH prov - friend, neighbor, or other?          
                          2,787                       D  Don't know                                  
                         52,427                       .  Inapplicable/Missing                        
                              8                       N  Not ascertained                             
                            104                       R  Refused                                     
                         11,820                       1  Friend/neighbor                             
                         29,384                       2  Relative                                    
 
HHFRELAT    RELFMT                     Home hlth provider relationship to SP             
                            245                       D  Don't know                                  
                         67,198                       .  Inapplicable/Missing                        
                            149                       2  Spouse                                      
                             92                      56  Partner                                     
                         18,243                      58  Child                                       
                          2,227                      59  Grandchild                                  
                          1,537                      60  Parent                                      
                          3,210                      61  Sibling                                     
                          3,629                      91  Other                                       
 
NEEDNURS    YESNOATL                   Prov help by giving nursing treatment?            
                             22                       D  Don't know                                  
                            655                       .  Inapplicable/Missing                        
                             11                       N  Not ascertained                             
                         50,054                       1  Yes at least once                           
                         45,788                       2  No                                          
 
NEEDMEAL    YESNOATL                   Prov help with daily needs?                       
                             15                       D  Don't know                                  
                            655                       .  Inapplicable/Missing                        
                             13                       N  Not ascertained                             
                         78,536                       1  Yes at least once                           
                         17,311                       2  No                                          
 
NEEDCARE    YESNOATL                   Prov help with personal care?                     
                             17                       D  Don't know                                  
                            655                       .  Inapplicable/Missing                        
                             27                       N  Not ascertained                             
                         63,033                       1  Yes at least once                           
                         32,798                       2  No                                          
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                         37,223                       0  Event not provided by MCO/HMO               
                         59,307                       1  Event provided by MCO/HMO                   
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                            144                       .  Missing                                     
                         96,351                       0  Not Srvy Only w/Medicare Pymnt (not MA)     
                             35                       1  Survey Only w/Medicare Payment (not MA)     
 
