CY 2022 ESRD PPS FR 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 2020 data with the predicted 2021 outlier thresholds from the previous FR2021.  It uses 2021 prices, 2021 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 2020 data with the predicted 2021 outlier thresholds from the previous FR2021.  It uses 2021 prices, 2021 wage indices, and a 0.5 wage floor."		
E	Total Payment for Step 2	This step updates the baseline result by enforcing the 1% outlier policy.		
F	Total Payment for Step 2 Non-Outlier	This is the baseline result without outlier payments.  This is the same as Step 1 Non-Outlier.		
G	Total Payment for Step 3	This step updates the wage index from its 2021 value (used in Steps 1 and 2) to its 2022 value.		
H	Total Payment for Step 3 Non-Outlier	"This step updates the wage index from its 2021 value (used in Steps 1 and 2) to its 2022 value, without outlier payments."		
I	Total Payment for Step 4	This step applies a budget neutrality factor to account for the change in the wage index .		
J	Total Payment for Step 4 Non-Outlier	"This step applies a budget neutrality factor to account for the change in the wage index,  without outlier payments."		
K	Total Payment for Step 5	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2022 prices are used and the outlier payments are recalculated."		
L	Total Payment for Step 5 Non-Outlier	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2022 prices are used.  This step does not include outlier payments."		
M	Rural	Identifies urban or rural status based on geographic location		
		Yes=Rural		
		No=Urban		
N	Hospital Based	Yes=Hospital-based		
		No=Freestanding		
O	Low Volume	Identifies facilities that qualify for low-volume adjustment		
		Yes = Low Volume		
		No = Not low volume		
P	Census Region	Identifies location of facility by Census Region		
Q	State	Identifies the facility's state		
R	Pediatric	Identifies percentage of pediatric patients		
		1=Less than 2%		
		2=From 2% to 19%		
		3=From 20% to 49%		
		4=50% or more		
S	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		
T	Ownership	Identifies type of ownership by:		
		1=Large dialysis organization		
		2=Regional chain		
		3=Independent		
		4=Hospital-based		
		5=Unknown		
U	For Profit	Identifies facilities profit status		
		1) Yes		
		2) No		
V	"2021 Wage Index, 0.5 Wage Floor"	Final Wage Index for 2021		
W	"2022 Wage Index, 0.5 Wage Floor"	Final Wage Index for 2022		
