RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              15,117             LOW-HIGH BASEID Count

H_DOB      12  8  $DTE8FMT                              C Date of birth

                              15,117                      Date as YYYYMMDD

H_DOD      20  8  $DTE8FMT                              C Date of death

                              15,015                      Missing
                                 102                      Date as YYYYMMDD

H_DODSRC   28  2  $SRCFMT                               C Source of date of death

                              15,015                      No date of death
                                   0                   01 From Medicare bill
                                   0                   03 Clerical entry
                                   0                   05 Bill and clerical entry
                                  56                   10 Proven Medicare Benefits record
                                   4                   11 Proven Medicare Benefits record & bills
                                  35                   20 Unproven Medicare Benefits record
                                   7                   21 Unproven Mcare Benefits record & bills
                                   0                   23 Unproven Mcare Benefits rec & clerical
                                   0                   25 Unproven Mcare Benefits rec, bill & cler

H_SEX      30  1  $SEXFMT                               C Sex code

                               6,853                    1 Male
                               8,264                    2 Female

H_RACE     31  1  $RACEFMT                              C Race code

                                  34                    0 Unknown
                              12,473                    1 White
                               1,713                    2 Black
                                 213                    3 Other
                                 189                    4 Asian
                                 412                    5 Hispanic
                                  83                    6 North American Native

H_AGE      32  3  AGEFMT                                N SP age based on CMS date of birth

                              15,117                      Age in years

D_STRAT    35  1  $AGEFMT                               C MCBS Sample age stratum

                               1,377                    1  0-44
                               1,358                    2 45-64
                               2,593                    3 65-69
                               2,550                    4 70-74
                               2,451                    5 75-79
                               2,447                    6 80-84
                               2,341                    7 85 +

H_ENT01    36  1  $ENTFMT                               C Medicare entitlement code for Jan

                                 665                    A Part A Medicare only
                                  65                    B Part B Medicare only
                              14,386                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT02    37  1  $ENTFMT                               C Medicare entitlement code for Feb

                                 658                    A Part A Medicare only
                                  64                    B Part B Medicare only
                              14,394                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT03    38  1  $ENTFMT                               C Medicare entitlement code for Mar

                                 651                    A Part A Medicare only
                                  64                    B Part B Medicare only
                              14,401                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT04    39  1  $ENTFMT                               C Medicare entitlement code for Apr

                                 649                    A Part A Medicare only
                                  64                    B Part B Medicare only
                              14,403                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT05    40  1  $ENTFMT                               C Medicare entitlement code for May

                                 646                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,407                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT06    41  1  $ENTFMT                               C Medicare entitlement code for Jun

                                 638                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,415                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT07    42  1  $ENTFMT                               C Medicare entitlement code for Jul

                                 607                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,446                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT08    43  1  $ENTFMT                               C Medicare entitlement code for Aug

                                 599                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,454                    C Parts A and B Medicare
                                   1                    N No Medicare entitlement

H_ENT09    44  1  $ENTFMT                               C Medicare entitlement code for Sep

                                 589                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,463                    C Parts A and B Medicare
                                   2                    N No Medicare entitlement

H_ENT10    45  1  $ENTFMT                               C Medicare entitlement code for Oct

                                 585                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,461                    C Parts A and B Medicare
                                   8                    N No Medicare entitlement

H_ENT11    46  1  $ENTFMT                               C Medicare entitlement code for Nov

                                 582                    A Part A Medicare only
                                  63                    B Part B Medicare only
                              14,447                    C Parts A and B Medicare
                                  25                    N No Medicare entitlement

H_ENT12    47  1  $ENTFMT                               C Medicare entitlement code for Dec

                                 580                    A Part A Medicare only
                                  62                    B Part B Medicare only
                              14,420                    C Parts A and B Medicare
                                  55                    N No Medicare entitlement

H_DOE      48  8  $DTE8FMT                              C Medicare entitlement start date

                                   1                      Missing
                              15,116                      Date as YYYYMMDD

H_DOT      56  8  $DTE8FMT                              C Medicare entitlement end date

                              15,088                      Missing
                                  29                      Date as YYYYMMDD

H_MEDSTA   64  2  $MSCFMT                               C Medicare status code as of 12/31

                                  18                      Unknown
                              12,301                   10 Aged, no ESRD
                                  77                   11 Aged, ESRD
                               2,666                   20 Disabled, no ESRD
                                  47                   21 Disabled, ESRD
                                   8                   31 ESRD only

H_LAF      66  2  $LAFFMT                               C Status of SSA check (LAF) as of 12/31

                                   1                      Unknown
                                   0                   AD Cur pay-adj for dual entitlement
                                   0                   AF Transfer to another PC or dio
                                   0                   A9 Cur pay-miscellaneous adjustment
                              14,465                    C Current payment status
                                   0                   DW Deferred-Workers' Compensation
                                   0                   D2 DEF-retirement test
                                   0                   D3 DEF-D2 for primary
                                   3                   D6 DEF-recover overpayment
                                   7                   D9 DEF-miscellaneous reason
                                   0                    J Advanced filing-current pay
                                   0                   L2 Advanced filing-worked inside U S
                                   0                   L3 Advanced filing-insured worked in U S
                                   0                    N Not in pay status
                                   0                   PB Delayed-benefit due but not paid
                                   0                    R Cur pay-Part B reinstated
                                   0                   RN Cur pay-Part B reinstated
                                   0                    S SUSP-deferred retirement
                                   7                   SD SUSP-other
                                   0                   SF SUSP-fails to meet residence requirment
                                  74                   SH SUSP-government pension
                                   1                   SJ SUSP-alien suspension
                                   0                   SP SUSP-public assistance
                                   0                   SW SUSP-Workers' Compensation
                                   2                   S0 SUSP-continuing disability investig
                                   0                   S2 SUSP-fails retirement test
                                   0                   S3 SUSP-primary account S2
                                  10                   S6 SUSP-check returned for address
                                  21                   S7 SUSP-vocational rehab refusal
                                   0                   S8 SUSP-payee not determined
                                  22                   S9 SUSP-miscellaneous reason
                                   0                   TA TERM-prior to entitlement
                                   0                   TJ TERM-prior to entlmt, not stop debit
                                   0                   TR TERM-claim withdrawn
                                   0                   T0 TERM-benefits paid by another agency
                                  77                   T1 TERM-death of beneficiary
                                   0                   T2 TERM-death of primary
                                   0                   T3 TERM-divorce, marriage, remarriage
                                   0                   T4 TERM-dependent child attained age 18
                                   0                   T5 TERM-entitled on another account
                                   0                   T6 TERM-child no longer student, disabled
                                   1                   T8 TERM-recovery from disability
                                   0                   T9 TERM-miscellaneous
                                 419                    U Active uninsured status (no SSA check)
                                   0                   XF Transfer to another PC or DIO
                                   0                   XR Terminated -
                                   2                   X1 TERM-death of insured
                                   0                   X5 TERM-entitled to another benefit
                                   5                   X7 TERM of uninsured
                                   0                   X9 TERM miscellaneous
                                   0                   ZZ Erroneous entitlement

H_RESST    68  2  $STFMT                                C SSA State code of residence as of 12/31

                                 569                   01 Alabama
                                   0                   02 Alaska
                                 261                   03 Arizona
                                 154                   04 Arkansas
                               1,060                   05 California
                                 104                   06 Colorado
                                 188                   07 Connecticut
                                   1                   08 Delaware
                                  16                   09 Washington, DC
                               1,105                   10 Florida
                                 512                   11 Georgia
                                   0                   12 Hawaii
                                   0                   13 Idaho
                                 509                   14 Illinois
                                  44                   15 Indiana
                                 137                   16 Iowa
                                 148                   17 Kansas
                                 242                   18 Kentucky
                                 177                   19 Louisiana
                                   0                   20 Maine
                                 232                   21 Maryland
                                 258                   22 Massachusetts
                                 789                   23 Michigan
                                 312                   24 Minnesota
                                   0                   25 Mississippi
                                 376                   26 Missouri
                                   0                   27 Montana
                                 124                   28 Nebraska
                                 315                   29 Nevada
                                   3                   30 New Hampshire
                                 397                   31 New Jersey
                                 363                   32 New Mexico
                                 868                   33 New York
                                 763                   34 North Carolina
                                   0                   35 North Dakota
                                 790                   36 Ohio
                                 139                   37 Oklahoma
                                   2                   38 Oregon
                                 758                   39 Pennsylvania
                                 263                   40 Puerto Rico
                                   1                   41 Rhode Island
                                 149                   42 South Carolina
                                   0                   43 South Dakota
                                 434                   44 Tennessee
                               1,017                   45 Texas
                                   1                   46 Utah
                                   0                   47 Vermont
                                   0                   48 Virgin Islands
                                 217                   49 Virginia
                                 547                   50 Washington
                                 184                   51 West Virginia
                                 452                   52 Wisconsin
                                 136                   53 Wyoming

H_RESCTY   70  3  $CTYFMT                               C SSA county code of residence as of 12/31

                              15,117                      County code

H_ZIP      73  5  $ZIPFMT                               C Postal zip code of residence as of 12/31

                              15,117                      ZIP Code

H_CENSUS   78  2  $CENFMT                               C Census Region of residence as of 12/31

                                   0                   ** Unknown
                                 450                   01 New England
                               2,023                   02 Middle Atlantic
                               2,584                   03 East North Central
                               1,097                   04 West North Central
                               3,179                   05 South Atlantic
                               1,245                   06 East South Central
                               1,487                   07 West South Central
                               1,180                   08 Mountain
                               1,609                   09 Pacific
                                 263                   10 Puerto Rico

H_METRO    80  1  $METFMT                               C Metro status

                               3,952                    N Non-metro area
                                   0                    U Unknown
                              11,165                    Y Metro area

H_HSBEG1   81  8  $DTE8FMT                              C Beginning date of latest hospice period

                              14,490                      Missing
                                 627                      Date as YYYYMMDD

H_HSEND1   89  8  $DTE8FMT                              C Ending date of latest hospice period

                              14,490                      Missing
                                 627                      Date as YYYYMMDD

H_HSBEG2   97  8  $DTE8FMT                              C Beginning date of 2nd hospice period

                              14,875                      Missing
                                 242                      Date as YYYYMMDD

H_HSEND2  105  8  $DTE8FMT                              C Ending date of 2nd hospice period

                              14,875                      Missing
                                 242                      Date as YYYYMMDD

H_HSBEG3  113  8  $DTE8FMT                              C Beginning date of 3rd hospice period

                              14,962                      Missing
                                 155                      Date as YYYYMMDD

H_HSEND3  121  8  $DTE8FMT                              C Ending date of 3rd hospice period

                              14,962                      Missing
                                 155                      Date as YYYYMMDD

H_HSBEG4  129  8  $DTE8FMT                              C Beginning date of 4th hospice period

                              14,996                      Missing
                                 121                      Date as YYYYMMDD

H_HSEND4  137  8  $DTE8FMT                              C Ending date of 4th hospice period

                              14,996                      Missing
                                 121                      Date as YYYYMMDD

H_ESRBEG  145  8  $DTE8FMT                              C Beginning date of ESRD period

                              14,907                      Missing
                                 210                      Date as YYYYMMDD

H_ESREND  153  8  $DTE8FMT                              C Ending date of ESRD period

                              15,025                      Missing
                                  92                      Date as YYYYMMDD

H_GHPSW   161  1  $GHPSW                                C Some group health participation in year

                              10,629                    0 No enrollment
                               4,488                    1 Some enrollment

H_PNUM    162  3                                        N Number of GHPs in bene area

H_MANUM   165  3                                        N Number of MA plans in bene area

H_PFSNUM  168  3                                        N Number of PFFS plans in bene area

H_PLPY01  171  5                                        N Medicare capitation payment for Jan

H_PLPY02  176  5                                        N Medicare capitation payment for Feb

H_PLPY03  181  5                                        N Medicare capitation payment for Mar

H_PLPY04  186  5                                        N Medicare capitation payment for Apr

H_PLPY05  191  5                                        N Medicare capitation payment for May

H_PLPY06  196  5                                        N Medicare capitation payment for Jun

H_PLPY07  201  5                                        N Medicare capitation payment for Jul

H_PLPY08  206  5                                        N Medicare capitation payment for Aug

H_PLPY09  211  5                                        N Medicare capitation payment for Sep

H_PLPY10  216  5                                        N Medicare capitation payment for Oct

H_PLPY11  221  5                                        N Medicare capitation payment for Nov

H_PLPY12  226  5                                        N Medicare capitation payment for Dec

H_PDPY01  231  5                                        N Part D capitation payment for Jan

H_PDLS01  236  1  $DLISFMT                              C LIS Indicator for Jan

                                   6                      Unknown
                              11,127                    1 No premium subsidy
                                  43                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  49                    4 75% premium subsidy
                               3,855                    5 100% premium subsidy

H_PDRS01  237  1  $DRDSFMT                              C RDS Indicator for Jan

                                   6                      Unknown
                              13,345                    N Employer not subsidized for the benefici
                               1,766                    Y Employer subsidized for the beneficiary

H_CRED01  238  1  $YES8FMT                              C Creditable Coverage For Jan

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY02  239  5                                        N Part D capitation payment for Feb

H_PDLS02  244  1  $DLISFMT                              C LIS Indicator for Feb

                                   6                      Unknown
                              11,112                    1 No premium subsidy
                                  43                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  50                    4 75% premium subsidy
                               3,869                    5 100% premium subsidy

H_PDRS02  245  1  $DRDSFMT                              C RDS Indicator for Feb

                                   6                      Unknown
                              13,344                    N Employer not subsidized for the benefici
                               1,767                    Y Employer subsidized for the beneficiary

H_CRED02  246  1  $YES8FMT                              C Creditable Coverage For Feb

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY03  247  5                                        N Part D capitation payment for Mar

H_PDLS03  252  1  $DLISFMT                              C LIS Indicator for Mar

                                   6                      Unknown
                              11,091                    1 No premium subsidy
                                  43                    2 25% premium subsidy
                                  38                    3 50% premium subsidy
                                  50                    4 75% premium subsidy
                               3,889                    5 100% premium subsidy

H_PDRS03  253  1  $DRDSFMT                              C RDS Indicator for Mar

                                   6                      Unknown
                              13,343                    N Employer not subsidized for the benefici
                               1,768                    Y Employer subsidized for the beneficiary

H_CRED03  254  1  $YES8FMT                              C Creditable Coverage For Mar

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY04  255  5                                        N Part D capitation payment for Apr

H_PDLS04  260  1  $DLISFMT                              C LIS Indicator for Apr

                                   6                      Unknown
                              11,089                    1 No premium subsidy
                                  37                    2 25% premium subsidy
                                  36                    3 50% premium subsidy
                                  47                    4 75% premium subsidy
                               3,902                    5 100% premium subsidy

H_PDRS04  261  1  $DRDSFMT                              C RDS Indicator for Apr

                                   6                      Unknown
                              13,339                    N Employer not subsidized for the benefici
                               1,772                    Y Employer subsidized for the beneficiary

H_CRED04  262  1  $YES8FMT                              C Creditable Coverage For Apr

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY05  263  5                                        N Part D capitation payment for May

H_PDLS05  268  1  $DLISFMT                              C LIS Indicator for May

                                   6                      Unknown
                              11,071                    1 No premium subsidy
                                  37                    2 25% premium subsidy
                                  36                    3 50% premium subsidy
                                  47                    4 75% premium subsidy
                               3,920                    5 100% premium subsidy

H_PDRS05  269  1  $DRDSFMT                              C RDS Indicator for May

                                   6                      Unknown
                              13,335                    N Employer not subsidized for the benefici
                               1,776                    Y Employer subsidized for the beneficiary

H_CRED05  270  1  $YES8FMT                              C Creditable Coverage For May

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY06  271  5                                        N Part D capitation payment for Jun

H_PDLS06  276  1  $DLISFMT                              C LIS Indicator for Jun

                                   6                      Unknown
                              11,054                    1 No premium subsidy
                                  36                    2 25% premium subsidy
                                  36                    3 50% premium subsidy
                                  47                    4 75% premium subsidy
                               3,938                    5 100% premium subsidy

H_PDRS06  277  1  $DRDSFMT                              C RDS Indicator for Jun

                                   6                      Unknown
                              13,341                    N Employer not subsidized for the benefici
                               1,770                    Y Employer subsidized for the beneficiary

H_CRED06  278  1  $YES8FMT                              C Creditable Coverage For Jun

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY07  279  5                                        N Part D capitation payment for Jul

H_PDLS07  284  1  $DLISFMT                              C LIS Indicator for Jul

                                   6                      Unknown
                              11,044                    1 No premium subsidy
                                  36                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  46                    4 75% premium subsidy
                               3,948                    5 100% premium subsidy

H_PDRS07  285  1  $DRDSFMT                              C RDS Indicator for Jul

                                   6                      Unknown
                              13,357                    N Employer not subsidized for the benefici
                               1,754                    Y Employer subsidized for the beneficiary

H_CRED07  286  1  $YES8FMT                              C Creditable Coverage For Jul

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY08  287  5                                        N Part D capitation payment for Aug

H_PDLS08  292  1  $DLISFMT                              C LIS Indicator for Aug

                                   6                      Unknown
                              11,030                    1 No premium subsidy
                                  37                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  46                    4 75% premium subsidy
                               3,961                    5 100% premium subsidy

H_PDRS08  293  1  $DRDSFMT                              C RDS Indicator for Aug

                                   6                      Unknown
                              13,366                    N Employer not subsidized for the benefici
                               1,745                    Y Employer subsidized for the beneficiary

H_CRED08  294  1  $YES8FMT                              C Creditable Coverage For Aug

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY09  295  5                                        N Part D capitation payment for Sep

H_PDLS09  300  1  $DLISFMT                              C LIS Indicator for Sep

                                   6                      Unknown
                              11,017                    1 No premium subsidy
                                  37                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  47                    4 75% premium subsidy
                               3,973                    5 100% premium subsidy

H_PDRS09  301  1  $DRDSFMT                              C RDS Indicator for Sep

                                   6                      Unknown
                              13,365                    N Employer not subsidized for the benefici
                               1,746                    Y Employer subsidized for the beneficiary

H_CRED09  302  1  $YES8FMT                              C Creditable Coverage For Sep

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY10  303  5                                        N Part D capitation payment for Oct

H_PDLS10  308  1  $DLISFMT                              C LIS Indicator for Oct

                                  12                      Unknown
                              10,996                    1 No premium subsidy
                                  38                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  46                    4 75% premium subsidy
                               3,988                    5 100% premium subsidy

H_PDRS10  309  1  $DRDSFMT                              C RDS Indicator for Oct

                                  12                      Unknown
                              13,360                    N Employer not subsidized for the benefici
                               1,745                    Y Employer subsidized for the beneficiary

H_CRED10  310  1  $YES8FMT                              C Creditable Coverage For Oct

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY11  311  5                                        N Part D capitation payment for Nov

H_PDLS11  316  1  $DLISFMT                              C LIS Indicator for Nov

                                  26                      Unknown
                              10,972                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  48                    4 75% premium subsidy
                               3,995                    5 100% premium subsidy

H_PDRS11  317  1  $DRDSFMT                              C RDS Indicator for Nov

                                  26                      Unknown
                              13,348                    N Employer not subsidized for the benefici
                               1,743                    Y Employer subsidized for the beneficiary

H_CRED11  318  1  $YES8FMT                              C Creditable Coverage For Nov

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_PDPY12  319  5                                        N Part D capitation payment for Dec

H_PDLS12  324  1  $DLISFMT                              C LIS Indicator for Dec

                                  45                      Unknown
                              10,936                    1 No premium subsidy
                                  39                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  46                    4 75% premium subsidy
                               4,014                    5 100% premium subsidy

H_PDRS12  325  1  $DRDSFMT                              C RDS Indicator for Dec

                                  45                      Unknown
                              13,329                    N Employer not subsidized for the benefici
                               1,743                    Y Employer subsidized for the beneficiary

H_CRED12  326  1  $YES8FMT                              C Creditable Coverage For Dec

                                   6                      Unknown
                               2,229                    1 Yes
                              12,882                    2 No

H_MCSW    327  1  $SWFMT                                C Some Medicaid eligibility for the year

                              11,844                    N No participation
                               3,273                    Y Some participation

H_MCDE01  328  1  $MCDCFMT                              C Medicaid eligibility for Jan

                                   0                    A State Part A buy-in
                               1,186                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 100                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,032                    N No buy-in this month
                               1,373                    Q State Part B QMB buy-in
                                 369                    S State Part B SLMB buy-in

H_MCDE02  329  1  $MCDCFMT                              C Medicaid eligibility for Feb

                                   0                    A State Part A buy-in
                               1,190                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,029                    N No buy-in this month
                               1,373                    Q State Part B QMB buy-in
                                 367                    S State Part B SLMB buy-in

H_MCDE03  330  1  $MCDCFMT                              C Medicaid eligibility for Mar

                                   0                    A State Part A buy-in
                               1,196                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,021                    N No buy-in this month
                               1,377                    Q State Part B QMB buy-in
                                 365                    S State Part B SLMB buy-in

H_MCDE04  331  1  $MCDCFMT                              C Medicaid eligibility for Apr

                                   0                    A State Part A buy-in
                               1,192                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,006                    N No buy-in this month
                               1,391                    Q State Part B QMB buy-in
                                 370                    S State Part B SLMB buy-in

H_MCDE05  332  1  $MCDCFMT                              C Medicaid eligibility for May

                                   0                    A State Part A buy-in
                               1,186                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 102                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,004                    N No buy-in this month
                               1,395                    Q State Part B QMB buy-in
                                 373                    S State Part B SLMB buy-in

H_MCDE06  333  1  $MCDCFMT                              C Medicaid eligibility for Jun

                                   0                    A State Part A buy-in
                               1,193                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 102                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,998                    N No buy-in this month
                               1,392                    Q State Part B QMB buy-in
                                 375                    S State Part B SLMB buy-in

H_MCDE07  334  1  $MCDCFMT                              C Medicaid eligibility for Jul

                                   0                    A State Part A buy-in
                               1,188                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,994                    N No buy-in this month
                               1,398                    Q State Part B QMB buy-in
                                 379                    S State Part B SLMB buy-in

H_MCDE08  335  1  $MCDCFMT                              C Medicaid eligibility for Aug

                                   0                    A State Part A buy-in
                               1,196                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 102                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,986                    N No buy-in this month
                               1,397                    Q State Part B QMB buy-in
                                 379                    S State Part B SLMB buy-in

H_MCDE09  336  1  $MCDCFMT                              C Medicaid eligibility for Sep

                                   0                    A State Part A buy-in
                               1,201                    B State Part B buy-in
                                  57                    C State Part A and B buy-in
                                 102                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,972                    N No buy-in this month
                               1,407                    Q State Part B QMB buy-in
                                 378                    S State Part B SLMB buy-in

H_MCDE10  337  1  $MCDCFMT                              C Medicaid eligibility for Oct

                                   0                    A State Part A buy-in
                               1,204                    B State Part B buy-in
                                  56                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,962                    N No buy-in this month
                               1,411                    Q State Part B QMB buy-in
                                 383                    S State Part B SLMB buy-in

H_MCDE11  338  1  $MCDCFMT                              C Medicaid eligibility for Nov

                                   0                    A State Part A buy-in
                               1,201                    B State Part B buy-in
                                  56                    C State Part A and B buy-in
                                 101                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              11,965                    N No buy-in this month
                               1,412                    Q State Part B QMB buy-in
                                 382                    S State Part B SLMB buy-in

H_MCDE12  339  1  $MCDCFMT                              C Medicaid eligibility for Dec

                                   0                    A State Part A buy-in
                               1,176                    B State Part B buy-in
                                  56                    C State Part A and B buy-in
                                 100                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                              12,001                    N No buy-in this month
                               1,405                    Q State Part B QMB buy-in
                                 379                    S State Part B SLMB buy-in

H_MACY01  340  3  $MACYFMT                              C Buy-in agency for Jan

                              12,032                    N Unknown, or no buy-in
                               3,085                      State Agency code

H_MACY02  343  3  $MACYFMT                              C Buy-in agency for Feb

                              12,029                    N Unknown, or no buy-in
                               3,088                      State Agency code

H_MACY03  346  3  $MACYFMT                              C Buy-in agency for Mar

                              12,021                    N Unknown, or no buy-in
                               3,096                      State Agency code

H_MACY04  349  3  $MACYFMT                              C Buy-in agency for Apr

                              12,006                    N Unknown, or no buy-in
                               3,111                      State Agency code

H_MACY05  352  3  $MACYFMT                              C Buy-in agency for May

                              12,004                    N Unknown, or no buy-in
                               3,113                      State Agency code

H_MACY06  355  3  $MACYFMT                              C Buy-in agency for Jun

                              11,998                    N Unknown, or no buy-in
                               3,119                      State Agency code

H_MACY07  358  3  $MACYFMT                              C Buy-in agency for Jul

                              11,994                    N Unknown, or no buy-in
                               3,123                      State Agency code

H_MACY08  361  3  $MACYFMT                              C Buy-in agency for Aug

                              11,986                    N Unknown, or no buy-in
                               3,131                      State Agency code

H_MACY09  364  3  $MACYFMT                              C Buy-in agency for Sep

                              11,972                    N Unknown, or no buy-in
                               3,145                      State Agency code

H_MACY10  367  3  $MACYFMT                              C Buy-in agency for Oct

                              11,962                    N Unknown, or no buy-in
                               3,155                      State Agency code

H_MACY11  370  3  $MACYFMT                              C Buy-in agency for Nov

                              11,965                    N Unknown, or no buy-in
                               3,152                      State Agency code

H_MACY12  373  3  $MACYFMT                              C Buy-in agency for Dec

                              12,001                    N Unknown, or no buy-in
                               3,116                      State Agency code

H_HOSSW   376  1  $UTLFMT                               C One or more hospice bills in CY

                              14,946                    0 No utilization this type
                                 171                    1 Some utilization this type

H_INPSW   377  1  $UTLFMT                               C One or more inpatient discharges in CY

                              13,038                    0 No utilization this type
                               2,079                    1 Some utilization this type

H_SNFSW   378  1  $UTLFMT                               C One or more SNF admissions in CY

                              14,477                    0 No utilization this type
                                 640                    1 Some utilization this type

H_HHASW   379  1  $UTLFMT                               C 1 = one or more HHA visits in CY

                              14,001                    0 No utilization this type
                               1,116                    1 Some utilization this type

H_OUTSW   380  1  $UTLFMT                               C One or more outpatient visits in CY

                               7,289                    0 No utilization this type
                               7,828                    1 Some utilization this type

H_PBSW    381  1  $UTLFMT                               C One or more Part B claims in CY

                               4,488                    0 No utilization this type
                              10,629                    1 Some utilization this type

H_PTARMB  382  7                                        N Total Part A reimbursement in CY ($)

H_PTBRMB  389  7                                        N Total Part B reimbursement in CY ($)

H_PTAPRM  396  8                                        N Total Pt. A premium SP paid in CY ($.CC)

H_PTBPRM  404  8                                        N Total Pt. B premium SP paid in CY ($.CC)

H_LATDCH  412  8  $DTE8FMT                              C Discharge date of latest inpatient stay

                              13,038                      Missing
                               2,079                      Date as YYYYMMDD

H_LATDRG  420  3  $DRGFMT                               C DRG code for latest inpatient stay

                              13,038                      Unknown, or no discharge
                               2,079                      DRG

H_DISDES  423  2  $STATUS                               C Discharge dest for latest inpatient stay

                              13,038                      Missing
                               1,154                   01 Discharged to home/self care
                                   4                   02 Discharged to other short-term hospital
                                 424                   03 Discharged to skilled nursing facility
                                  43                   04 Discharged to intermediate care facility
                                   2                   05 Disch to another type of institution
                                 344                   06 Discharged to home care of organized HMO
                                  15                   07 Left against medical advice/stopped care
                                   0                   08 Disch home under care of IV therapy prov
                                  23                   20 Expired (did not recover Christian Sci)
                                   3                   30 Still patient
                                   0                   40 Expired at home (hospice claims only)
                                   0                   41 Expired in hospital, SNF, ICF or hospice
                                   0                   42 Expired in unknown place (hospice only)
                                   2                   43 Disch/Transferred to a Fed Hospital (10)
                                  15                   50 Hospice - home (eff. 96)
                                   7                   51 Hospice - medical facility (eff. 96)
                                  16                   61 Disch w/i facility to swing-bed SNF (99)
                                  16                   62 Disch inp rehab; inc distinct hosp (10)
                                   5                   63 Disch to long term care hospital (10)
                                   4                   64 Disch cert nursing; Mcaid, not Mcare(10)
                                   1                   65 Disch to psychiatric hosp or unit   (10)
                                   1                   70 Disch to other institution, no code (10)
                                   0                   71 Disch to other facility for O/P svcs(99)
                                   0                   72 Disch to this facility for O/P svcs (99)

H_INPSTY  425  2                                        N No. of inpatient stays for CY

H_INPDAY  427  3                                        N No. of inpatient covered days for CY

H_INPCHG  430  7                                        N Inpatient charges for CY ($)

H_INPCCH  437  7                                        N Inpatient covered charges for CY ($)

H_INPRMB  444  7                                        N Inpatient reimbursement for CY ($)

H_INPCDY  451  2                                        N Inpatient coinsurance days used in CY

H_INPCAM  453  5                                        N Total inpatient coinsurance amt CY ($)

H_SNFSTY  458  2                                        N Total SNF stays in CY

H_SNFDAY  460  3                                        N Total SNF covered days in CY

H_SNFCHG  463  7                                        N Total SNF charges in CY  ($)

H_SNFCCH  470  7                                        N Total SNF covered charges in CY ($)

H_SNFRMB  477  7                                        N Total SNF reimbursement in CY ($)

H_SNFCDY  484  3                                        N Total SNF coinsurance days in CY

H_SNFCAM  487  7                                        N Total SNF coinsurance amount in CY ($)

H_HHAVST  494  5                                        N Total HHA visits in CY

H_HHACCH  499  7                                        N Total HHA covered charges in CY ($)

H_HHACHO  506  7                                        N Total HHA other covered charges CY ($)

H_HHRMBA  513  7                                        N Total HHA reimbursement in CY ($), Pt. A

                 Notes: Prior to 2000 this was included in H_HHARMB.
                        First available in 2000

H_HHRMBB  520  7                                        N Total HHA reimbursement in CY ($), Pt. B

                 Notes: Prior to 2000 this was included in H_HHARMB.
                        First available in 2000

H_HSDAYS  527  3                                        N Total covered hospice days in CY

H_HSTCHG  530  7                                        N Total hospice charges CY ($)

H_HSREIM  537  7                                        N Total hospice reimbursement in CY ($)

H_OUTBIL  544  3                                        N Total outpatient bills in CY

H_OUTCHG  547  7                                        N Total outpatient covered charges CY ($)

H_OUTRMB  554  7                                        N Total outpatient reimbursement CY ($)

H_PHYCLM  561  4                                        N Total physician claims in CY

                 Notes: Prior to 2000 this was included in H_PMTCLM.
                        First available in 2000

H_PHYLIN  565  4                                        N Total physician line items in CY

                 Notes: Prior to 2000 this was included in H_PMTLIN.
                        First available in 2000

H_PHYSCH  569  7                                        N Total physician submitted charges ($)

                 Notes: Prior to 2000 this was included in H_PMTSCH.
                        First available in 2000

H_PHYACH  576  7                                        N Total physician allowed charges ($)

                 Notes: Prior to 2000 this was included in H_PMTACH.
                        First available in 2000

H_PHYRMB  583  7                                        N Total physician reimbursement ($)

                 Notes: Prior to 2000 this was included in H_PMTRMB.
                        First available in 2000

H_PMTVST  590  3                                        N Total office visits in CY

H_PMTCHO  593  7                                        N Total office visit charges in CY ($)

H_DMECLM  600  4                                        N Total DME supplier claims in CY

                 Notes: Prior to 2000 this was included in H_PMTCLM.
                        First available in 2000

H_DMELIN  604  4                                        N Total DME supplier line items in CY

                 Notes: Prior to 2000 this was included in H_PMTLIN.
                        First available in 2000

H_DMESCH  608  7                                        N Total DME supplier submitted charges ($)

                 Notes: Prior to 2000 this was included in H_PMTSCH.
                        First available in 2000

H_DMEACH  615  7                                        N Total DME supplier allowed charges ($)

                 Notes: Prior to 2000 this was included in H_PMTACH.
                        First available in 2000

H_DMERMB  622  7                                        N Total DME supplier reimbursement ($)

                 Notes: Prior to 2000 this was included in H_PMTRMB.
                        First available in 2000

DUAL_JAN  629  2  $DUALMON                              C Dual eligibity code for Jan

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,842                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 360                   01 QMB-only
                               1,740                   02 QMB & full Medicaid covrge, + Rx drugs
                                 285                   03 SLMB-only
                                 101                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 141                   06 Qualifying individuals
                                 588                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  52                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_FEB  631  2  $DUALMON                              C Dual eligibity code for Feb

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,767                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 367                   01 QMB-only
                               1,796                   02 QMB & full Medicaid covrge, + Rx drugs
                                 290                   03 SLMB-only
                                 105                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 144                   06 Qualifying individuals
                                 586                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  54                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_MAR  633  2  $DUALMON                              C Dual eligibity code for Mar

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,793                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 367                   01 QMB-only
                               1,802                   02 QMB & full Medicaid covrge, + Rx drugs
                                 287                   03 SLMB-only
                                 104                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 144                   06 Qualifying individuals
                                 598                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  14                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_APR  635  2  $DUALMON                              C Dual eligibity code for Apr

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,777                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 364                   01 QMB-only
                               1,810                   02 QMB & full Medicaid covrge, + Rx drugs
                                 300                   03 SLMB-only
                                 108                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 144                   06 Qualifying individuals
                                 592                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  14                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_MAY  637  2  $DUALMON                              C Dual eligibity code for May

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,763                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 371                   01 QMB-only
                               1,798                   02 QMB & full Medicaid covrge, + Rx drugs
                                 306                   03 SLMB-only
                                 111                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 140                   06 Qualifying individuals
                                 606                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  14                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_JUN  639  2  $DUALMON                              C Dual eligibity code for Jun

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,758                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 369                   01 QMB-only
                               1,798                   02 QMB & full Medicaid covrge, + Rx drugs
                                 308                   03 SLMB-only
                                 111                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 138                   06 Qualifying individuals
                                 613                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  14                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_JUL  641  2  $DUALMON                              C Dual eligibity code for Jul

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,769                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 366                   01 QMB-only
                               1,801                   02 QMB & full Medicaid covrge, + Rx drugs
                                 309                   03 SLMB-only
                                 113                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 137                   06 Qualifying individuals
                                 606                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                   8                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_AUG  643  2  $DUALMON                              C Dual eligibity code for Aug

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,741                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   0                   00 Not enrolled in Medicare for the month
                                 365                   01 QMB-only
                               1,806                   02 QMB & full Medicaid covrge, + Rx drugs
                                 310                   03 SLMB-only
                                 114                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 143                   06 Qualifying individuals
                                 615                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  15                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_SEP  645  2  $DUALMON                              C Dual eligibity code for Sep

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,742                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   1                   00 Not enrolled in Medicare for the month
                                 370                   01 QMB-only
                               1,814                   02 QMB & full Medicaid covrge, + Rx drugs
                                 306                   03 SLMB-only
                                 114                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 143                   06 Qualifying individuals
                                 607                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                  12                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_OCT  647  2  $DUALMON                              C Dual eligibity code for Oct

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,728                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                   7                   00 Not enrolled in Medicare for the month
                                 369                   01 QMB-only
                               1,813                   02 QMB & full Medicaid covrge, + Rx drugs
                                 306                   03 SLMB-only
                                 116                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 147                   06 Qualifying individuals
                                 615                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                   8                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_NOV  649  2  $DUALMON                              C Dual eligibity code for Nov

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,711                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                  24                   00 Not enrolled in Medicare for the month
                                 376                   01 QMB-only
                               1,811                   02 QMB & full Medicaid covrge, + Rx drugs
                                 305                   03 SLMB-only
                                 112                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 142                   06 Qualifying individuals
                                 620                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                   8                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

DUAL_DEC  651  2  $DUALMON                              C Dual eligibity code for Dec

                                   2                      Beneficiary not found in duals data
                                   6                   ** Bene enrold PtA &/or PtB, no PtD enrlmnt
                              11,664                   NA Non-Medicaid
                                   0                   XX Bene enrold PtA &/or PtB, no '06-'09 PtD
                                  53                   00 Not enrolled in Medicare for the month
                                 379                   01 QMB-only
                               1,809                   02 QMB & full Medicaid covrge, + Rx drugs
                                 311                   03 SLMB-only
                                 112                   04 SLMB & full Medicaid covrge, + Rx drugs
                                   0                   05 QDWI
                                 139                   06 Qualifying individuals
                                 634                   08 Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                                   8                   09 Other dual eligible, no Medicaid covrage
                                   0                   99 Unknown

OP_MDCD   653  1  $DUALFMT                              C Medicare-Medicaid dual eligibility indic

                               2,653                    1 FULL-Bene elig. full Medicaid benefits
                              11,567                    2 NONDUAL-Bene not elig Medicaid benfits
                                 497                    3 PARTIAL-Bene elig part Medicd- not QMB
                                 400                    4 QMB ONLY-Bene elig for part Medicd-QMB

PARTD_01  654  1  $YNO8FMT                              C Part D plan flag for Jan

                               4,972                    N No
                              10,145                    Y Yes

PARTD_02  655  1  $YNO8FMT                              C Part D plan flag for Feb

                               4,954                    N No
                              10,163                    Y Yes

PARTD_03  656  1  $YNO8FMT                              C Part D plan flag for Mar

                               4,945                    N No
                              10,172                    Y Yes

PARTD_04  657  1  $YNO8FMT                              C Part D plan flag for Apr

                               4,939                    N No
                              10,178                    Y Yes

PARTD_05  658  1  $YNO8FMT                              C Part D plan flag for May

                               4,920                    N No
                              10,197                    Y Yes

PARTD_06  659  1  $YNO8FMT                              C Part D plan flag for Jun

                               4,915                    N No
                              10,202                    Y Yes

PARTD_07  660  1  $YNO8FMT                              C Part D plan flag for Jul

                               4,882                    N No
                              10,235                    Y Yes

PARTD_08  661  1  $YNO8FMT                              C Part D plan flag for Aug

                               4,853                    N No
                              10,264                    Y Yes

PARTD_09  662  1  $YNO8FMT                              C Part D plan flag for Sep

                               4,839                    N No
                              10,278                    Y Yes

PARTD_10  663  1  $YNO8FMT                              C Part D plan flag for Oct

                               4,831                    N No
                              10,286                    Y Yes

PARTD_11  664  1  $YNO8FMT                              C Part D plan flag for Nov

                               4,834                    N No
                              10,283                    Y Yes

PARTD_12  665  1  $YNO8FMT                              C Part D plan flag for Dec

                               4,845                    N No
                              10,272                    Y Yes

MAFLAG01  666  3  $MAFLAG                               C MA flag for January

                              10,819                  FFS Fee for Service
                               4,298                   MA Medicare Advantage

MAFLAG02  669  3  $MAFLAG                               C MA flag for February

                              10,808                  FFS Fee for Service
                               4,309                   MA Medicare Advantage

MAFLAG03  672  3  $MAFLAG                               C MA flag for March

                              10,803                  FFS Fee for Service
                               4,314                   MA Medicare Advantage

MAFLAG04  675  3  $MAFLAG                               C MA flag for April

                              10,794                  FFS Fee for Service
                               4,323                   MA Medicare Advantage

MAFLAG05  678  3  $MAFLAG                               C MA flag for May

                              10,779                  FFS Fee for Service
                               4,338                   MA Medicare Advantage

MAFLAG06  681  3  $MAFLAG                               C MA flag for June

                              10,778                  FFS Fee for Service
                               4,339                   MA Medicare Advantage

MAFLAG07  684  3  $MAFLAG                               C MA flag for July

                              10,760                  FFS Fee for Service
                               4,357                   MA Medicare Advantage

MAFLAG08  687  3  $MAFLAG                               C MA flag for August

                              10,758                  FFS Fee for Service
                               4,359                   MA Medicare Advantage

MAFLAG09  690  3  $MAFLAG                               C MA flag for September

                              10,743                  FFS Fee for Service
                               4,374                   MA Medicare Advantage

MAFLAG10  693  3  $MAFLAG                               C MA flag for October

                              10,735                  FFS Fee for Service
                               4,382                   MA Medicare Advantage

MAFLAG11  696  3  $MAFLAG                               C MA flag for November

                              10,738                  FFS Fee for Service
                               4,379                   MA Medicare Advantage

MAFLAG12  699  3  $MAFLAG                               C MA flag for December

                              10,740                  FFS Fee for Service
                               4,377                   MA Medicare Advantage

