Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         36,677        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                         36,677                    2023  2023                                    
 
VERSION     VERSFMT                    Version Number                                    
                         36,677                       1  Version 1                               
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                         21,569        001-999           Survey-reported event                   
                         14,964        C001-C999         Event created from claim                
                            144        U001-U999         Event created from survey-reported event
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                         14,964                          Missing                                 
                          1,449        ER                Emergency Room                          
                            559        IP                Inpatient                               
                         11,629        MP                Medical provider                        
                            218        OM                Other medical expense                   
                          6,760        OP                Outpatient                              
                            606        SD                Separately billing physician            
                            492        SL                Separately billing lab                  
 
CLAIMID     CLAIMID                    1st Claim this survey event matched to            
                         14,605                       .  Missing                                 
                         22,072        Range of values   Claim ID                                
 
D_BEGYY     EVYY                       Event begin year                                  
                             74                       .  Inapplicable                            
                         36,603        Range of values   Year                                    
 
D_BEGMM     EVMM                       Event begin month                                 
                            249                       D  Don't Know                              
                             77                       .  Inapplicable                            
                              4                       N  Not ascertained                         
                              1                       R  Refused                                 
                         36,346        01-12             Month                                   
 
D_BEGDD     EVDD                       Event begin day                                   
                          2,029                       D  Don't Know                              
                          3,812                       .  Inapplicable                            
                          2,526                       N  Not ascertained                         
                              6                       R  Refused                                 
                         28,304        01-31             Day of month                            
 
SOURCE      SRCE                       Source of event: survey, claim, or both?          
                         14,605                       1  Survey only                             
                         14,964                       2  Claims only                             
                          7,108                       3  Both survey & claims                    
 
SITCODE     $SITCODE                   Community or facility setting?                    
                              2        B                 Both community & facility               
                         32,994        C                 Community                               
                            206        D                 Deemed community                        
                          3,079        F                 Facility                                
                              9        G                 Deemed facility                         
                            157        H                 Hospice                                 
                            107        I                 Inpatient                               
                            123        S                 SNF                                     
 
TELEHLTH    YES1FMT                    Was this a Telehealth Visit?                      
                              3                       D  Don't know                              
                         25,030                       .  Inapplicable/Missing                    
                             22                       N  Not ascertained                         
                            707                       1  Yes                                     
                         10,915                       2  No                                      
 
AMTTOT      MONYFMT                    Total payment                                     
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT     IMPFLAG                    Imputation flag: total payment                    
                         21,611                       0  Not Imputed                             
                         15,066                       1  Imputed by hotdeck                      
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                              6                       .  Inapplicable/Missing                    
                         36,671        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                              6                       .  Inapplicable/Missing                    
                         36,671        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                         36,677                       0  Not Imputed                             
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                         35,692                       0  Not Imputed                             
                            985                       1  Imputed by hotdeck                      
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                         33,855                       0  Not Imputed                             
                          2,822                       1  Imputed by hotdeck                      
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                         31,759                       0  Not Imputed                             
                          4,918                       1  Imputed by hotdeck                      
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                         32,058                       0  Not Imputed                             
                          4,619                       1  Imputed by hotdeck                      
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                         29,758                       0  Not Imputed                             
                          6,919                       1  Imputed by hotdeck                      
 
AMTHMOP     MONYFMT                    Amount paid by private MCO/HMO                    
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Priv MCO/HMO                 
                         35,246                       0  Not Imputed                             
                          1,431                       1  Imputed by hotdeck                      
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Priv MCO/HMO                 
                         35,022                       0  Not Imputed                             
                          1,655                       1  Imputed by hotdeck                      
 
AMTPRVE     MONYFMT                    Amt paid by priv ins (employer spons)             
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                         35,432                       0  Not Imputed                             
                          1,245                       1  Imputed by hotdeck                      
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                         34,751                       0  Not Imputed                             
                          1,926                       1  Imputed by hotdeck                      
 
AMTPRVI     MONYFMT                    Amt paid by priv ins (indiv purch)                
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv purch         
                         33,823                       0  Not Imputed                             
                          2,854                       1  Imputed by hotdeck                      
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv purch         
                         33,003                       0  Not Imputed                             
                          3,674                       1  Imputed by hotdeck                      
 
AMTPRVU     MONYFMT                    Amt paid by priv ins (unknown purch)              
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                         36,537                       0  Not Imputed                             
                            140                       1  Imputed by hotdeck                      
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                         36,537                       0  Not Imputed                             
                            140                       1  Imputed by hotdeck                      
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                         36,677        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by pers/fam             
                         30,861                       0  Not Imputed                             
                          5,816                       1  Imputed by hotdeck                      
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by pers/fam             
                         29,058                       0  Not Imputed                             
                          7,619                       1  Imputed by hotdeck                      
 
AMTDISC     MONYFMT                    Amount of uncollected SP liability                
                         36,677        Range of values   Amount as $$$$$$.CC                     
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                         24,229                       0  Not Imputed                             
                         12,448                       1  Imputed by hotdeck                      
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                         20,653                       0  Not Imputed                             
                         16,024                       1  Imputed by hotdeck                      
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                         36,677        Range of values   Amount as $$$$$$.CC                     
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                         36,662                       0  Not Imputed                             
                             15                       1  Imputed by hotdeck                      
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                         36,491                       0  Not Imputed                             
                            186                       1  Imputed by hotdeck                      
 
DGNCNT      NUM3FMT                    Number of diagnosis codes on claim                
                         14,605                       .  Inapplicable/Missing                    
                         22,072        Range of values   Number                                  
 
PRINDIAG    $DIAGFMT                   Primary ICD-10 diag code                          
                         14,605                          Missing                                 
                         22,072        Range of Codes    ICD Code                                
 
PROV        $FIDFMT                    Medicare provider number from claim               
                         14,605                          Missing                                 
                         22,072        Provider ID       Provider Number                         
 
STATUS      STATUS                     Beneficiary status as of claim thru date          
                         14,605                       .  Inapplicable/Missing                    
                             21                       0  Other destination                       
                         19,171                       1  Discharged to home/self care            
                             74                       2  Discharged to other short-term hospital 
                            107                       3  Discharged to skilled nursing facility  
                             14                       4  Discharged to intermediate care facility
                             37                       6  Discharged to home care of organized HMO
                             19                       7  Left against medical advice/stopped care
                             12                      20  Expired (did not recover Christian Sci) 
                          2,589                      30  Still patient                           
                              2                      50  Hospice - home                          
                              2                      51  Hospice - medical facility              
                              6                      62  Disch inp rehab; inc distinct hosp      
                              3                      63  Disch to long term care hospital        
                              3                      64  Disch cert nursing; Mcaid, not Mcare    
                              3                      65  Disch to psychiatric hosp or unit       
                              8                      70  Disch to other institution, no code     
                              1                      92  Disch to Medicaid LTCH: planned readmit 
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                         21,485                       0  Event not provided by MCO/HMO           
                         15,192                       1  Event provided by MCO/HMO               
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                          3,299                       .  Missing                                 
                         32,223                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          1,155                       1  Survey Only w/Medicare Payment (not MA) 
 
