CY 2021 ESRD PPS NPRM Provider Level Impact File		
		
Column	Title	Description
A	Provider ID	Six character OSCAR Provider Number (CMS Certification Number). 
B	Number of Dialysis Treatments	Hemo-equivalent treatments
C	Total Payment for Step 1	"This is the baseline result  - use 2019 data with the predicted 2020 outlier thresholds from the previous FR2020.  It uses 2020 prices, 2020 wage indices, and a 0.5 wage floor."
D	Total Payment for Step 1 Non-Outlier	"This is the baseline result  without outlier payments- use 2019 data. It uses 2020 prices, 2020 wage indices, and a 0.5 wage floor."
E	Total Payment for Step 1 TDAPA	This is the baseline TDAPA payments  - use 2019 data and 2020 prices.
F	Total Payment for Step 2	This step updates the baseline result(Step 1) by enforcing the 1% outlier policy.
G	Total Payment for Step 2 Non-Outlier	This is the baseline result without outlier payments.  This is the same as Step 1 Non-Outlier.
H	Total Payment for Step 2 TDAPA	This is the baseline TDAPA payments. This is the same as Step 1 TDAPA.
I	Total Payment for Step 3	"This step updates the wage index from its 2020 value (used in Steps 1 and 2) to its 2021 value (using 2020 CBSA delineations), with a budget neutrality factor applied the end."
J	Total Payment for Step 3 Non-Outlier	"This step updates the wage index from its 2020 value (used in Steps 1 and 2) to its 2021 value (using 2020 CBSA delineations), with a budget neutrality factor applied the end, without outlier payments."
K	Total Payment for Step 3 TDAPA	This is the baseline TDAPA payments. This is the same as Step 1 TDAPA.
L	Total Payment for Step 4	"This step updates the wage index from its 2021 value (using 2020 CBSA delineations) to its 2021 value (using 2021 CBSA delineations with 5% cap for declines), with a budget neutrality factor applied the end."
M	Total Payment for Step 4 Non-Outlier	"This step updates the wage index from its 2021 value (using 2020 CBSA delineations) to its 2021 value (using 2021 CBSA delineations with 5% cap for declines), with a budget neutrality factor applied the end, without outlier payments."
N	Total Payment for Step 4 TDAPA	This is the baseline TDAPA payments. This is the same as Step 1 TDAPA.
O	Total Payment for Step 5	"This step removes TDAPA payment, adds calcimimetics amount into the base rate, and incorporates them in outlier calculations. The 1% outlier policy is enforced."
P	Total Payment for Step 5 Non-Outlier	"This step removes TDAPA payment, adds calcimimetics amount into the base rate.  This step does not include outlier payments."
Q	Total Payment for Step 6	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2021 prices are used and the outlier payments are recalculated."
R	Total Payment for Step 6 Non-Outlier	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2021 prices are used.  This step does not incluce outlier payments."
S	Rural (old CBSA)	Identifies urban or rural status based on geographic location under 2020 CBSA delineations
		Yes=Rural
		No=Urban
T	Rural (New CBSA)	Identifies urban or rural status based on geographic location under 2021 CBSA delineations
		Yes=Rural
		No=Urban
U	Rural/Urban Status Change	Identifies urban or rural status changed due to change in CBSA delineations
V	Hospital Based	Yes=Hospital-based
		No=Freestanding
W	Low Volume	Identifies facilities that qualify for low-volume adjustment
		Yes = Low Volume
		No = Not low volume
X	Census Region	Identifies location of facility by Census Region
Y	State	Identifies the facility's state
Z	Pediatric	Identifies percentage of pediatric patients
		1=Less than 2%
		2=From 2% to 19%
		3=From 20% to 49%
		4=50% or more
AA	Size	Identifies size of facility based on total number of hemo-equivalent treatments (including treatments for non-Medicare patients)
		"1=Less than 4,000 treatments"
		"2=4,000 to 9,999 treatments"
		"3=More than 10,000 treatments"
		4=Unkown
AB	Ownership	Identifies type of ownership by:
		1=Large dialysis organization
		2=Regional chain
		3=Independent
		4=Hospital-based
		5=Unknown
AC	For Profit	Identifies facilities profit status
		1) Yes
		2) No
AD	"2020 Wage Index, 0.5 Wage Floor"	Wage Index for 2020
AE	"2021 Wage Index
(Old CBSA)"	Proposed 2021 Wage Index with old CBSA delineations
AF	WI Change Due to Updated Data	Percentage change in wage index due to updated data
AG	"2021 Wage Index
(New CBSA, w/ 5% Cap)"	Proposed 2021 Wage Index with new  CBSA delineations and 5% Cap policy
AH	5% Cap Applied	Identifies whether 5% Cap Policy was Applied
		0 = No
		1 = Yes
AI	WI Change Due to CBSA Update and 5% Cap	Percentage change in wage index due  to change in CBSA delineations and application of 5% Cap Policy
