DRILL DOWN TABLES. Episodes Attributed to Your Medical Group Practice																																		
																																		
																																		
Beneficiary/Episode Information							"TABLE 2. Breakdown of Episode Costs from Claims Billed, Ordered, or Referred by EPs WITHIN YOUR MEDICAL GROUP PRACTICE"						" TABLE 2 (cont.). Breakdown of Episode Costs from Claims Billed, Ordered, or Referred by EPs WITHIN YOUR MEDICAL GROUP PRACTICE"																					
													 Inpatient Hospital			Post-Acute Care			Outpatient Hospital and Physician Office Services					Emergency Room Services				Ancillary Services in All Non-Inpatient Settings			Hospice Care	Other Services		
"        
Episode ID

"	"        

Beneficiary HIC"	"

Gender"	"

Date of Birth"	"Episode Type

"		"Episode Start
Date"	"# EPs Within Your Medical Group Practice Treating
Episode      "	Hospital Where Your Medical Group Practice Provided Care Earliest in Episode	Hospital Where Your Medical Group Practice Provided Care Second in Episode	"Skilled Nursing Facilities or Home Health Agencies Referred/ Ordered by Your Medical Group Practice
Earliest in Episode"	"Skilled Nursing Facilities or Home Health Agencies Referred/ Ordered by Your 
Medical Group Practice
Second in Episode      "	"All Cost   
(Non-Risk-
Adjusted)  "	" Inpatient Hospital: 
Trigger 
"	" Inpatient Hospital: 
Readmission"	" Physician Services 
During Hospitalization "	 Skilled Nursing	" Home Health 
"	" Inpatient Rehabilitation or 
Long Term Care Hospital"	 Outpatient PT/OT/SLP	 Dialysis	" Evaluation & Management 
Services"	" Major Procedures and 
Anesthesia"	" Ambulatory/ Minor 
Procedures"	" Evaluation & Management 
Services"	 Procedures	"Lab/ Pathology/
 Other Tests"	 Imaging	"Lab/ Pathology/ 
Other Tests"	 Imaging	"Durable Medical 
Equipment/ Supplies"	 Hospice	 Ambulance	 Chemo. And Part B Drugs	 All Other Services
1000000000000001		M 		ACS with CABG			1	HOSPITAL A				"$68,546"	"$68,297"	$0	$249	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000002		F 		ACS with PCI			1	HOSPITAL A		SKILLED NURSING A		"$22,673"	"$19,829"	$0	$84	"$2,761"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000003		F 		ACS without PCI/CABG			1	HOSPITAL A				"$7,942"	"$7,704"	$0	$238	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000006		M 		Cellulitis			4	HOSPITAL A	HOSPITAL D			"$14,295"	"$5,957"	"$6,994"	"$1,116"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$228	$0	$0	$0	$0	$0	$0
1000000000000007		F 		COPD/asthma			1	HOSPITAL A				$115	$0	$0	$0	$0	$0	$0	$0	$0	$115	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000009		F 		Chronic atrial fibrillation/flutter			1	HOSPITAL A				$355	$0	$0	$0	$0	$0	$0	$0	$0	$355	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000010		F 		GI hemorrhage			1	HOSPITAL A	HOSPITAL F			"$7,237"	"$6,551"	$0	$663	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$22	$0	$0	$0	$0	$0	$0
1000000000000011		M 		Chronic CHF			1	HOSPITAL A				$237	$0	$0	$0	$0	$0	$0	$0	$0	$214	$0	$0	$0	$0	$0	$0	$23	$0	$0	$0	$0	$0	$0
1000000000000012		M 		IHD with ACS			1	HOSPITAL A				"$3,016"	$0	"$2,888"	$0	$0	$0	$0	$0	$0	$129	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000013		F 		IHD without ACS			2	HOSPITAL A				"$1,367"	$0	$0	$0	$0	$0	$0	$0	$0	$422	$0	$0	$0	$0	$0	$0	$277	$345	$0	$0	$0	$199	$124
1000000000000014		F 		Kidney/urinary tract infection			1	HOSPITAL B				"$6,947"	"$6,613"	$0	$334	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000018		M 		Pneumonia with IP hospitalization			2	HOSPITAL A	HOSPITAL J			"$74,092"	"$30,598"	$0	"$1,975"	$0	$0	"$41,518"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
1000000000000019		M 		Pneumonia without IP hospitalization			1	HOSPITAL A				"$1,710"	$0	$0	$702	$0	$0	$0	$0	$0	$606	$0	$0	$0	$0	$0	$0	$0	$336	$0	$0	$0	$0	$66
2000000000000008		F 		"Acute COPD/asthma, inpatient exacerbation"			1	HOSPITAL A				"$3,502"	"$3,290"	$0	$211	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
9000000000000004		M 		CABG			5	HOSPITAL A		HOME HEALTH A		"$38,080"	"$26,712"	$0	"$7,668"	$0	"$3,584"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$85	$0	$0	$0	$0	$32
9000000000000005		F 		CABG without ACS			3	HOSPITAL A				"$26,530"	"$24,191"	$0	"$2,232"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$27	$72	$0	$0	$0	$8
9000000000000015		M 		Permanent pacemaker system replacement/insertion			2	HOSPITAL A				"$22,022"	"$20,719"	$0	"$1,278"	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$25
9000000000000016		M 		PCI			1	HOSPITAL A		HOME HEALTH C		"$15,447"	"$10,557"	$0	"$1,659"	$0	"$2,942"	$0	$0	$0	$109	$0	$0	$0	$0	$0	$0	$21	$124	$0	$0	$0	$0	$34
9000000000000017		M 		PCI without ACS			2	HOSPITAL C				"$15,139"	"$14,610"	$0	$530	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
