CY 2022 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 for comparison purposes - 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, for comparison purposes - use 2020 data.  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 (Labor related shares in in 2021 and 2022 are the same values).
J	Total Payment for Step 4 Non-Outlier	"This step applies a budget neutrality factor to account for the change in the wage index (Labor related shares in in 2021 and 2022 are the same values), 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 under CBSA delineations
		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"	"2021 Wage Index, 0.5 Wage Floor"
W	"2022 Wage Index, 0.5 Wage Floor"	"2022 Wage Index, 0.5 Wage Floor"
