Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         14,068        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         14,068                    2015  2015                                    
 
VERSION  VERSFMT                       Version Number                           
                         14,068                       3  Version 3                               
 
H_PTDAMT MONYFMT                       PTD Total Payment - Annual               
                          2,974                       .  Inapplicable/Missing                    
                         11,094        Range of values   Amount as $$$$$$.CC                     
 
H_MAPMT  MONYFMT                       Total MA A/B Payment – Annual            
                          2,974                       .  Inapplicable/Missing                    
                         11,094        Range of values   Amount as $$$$$$.CC                     
 
H_DUAL01 $DUALMON                      Dual eligibity code - Jan                
                            215        00                Not enrolled in Medicare for the month  
                            390        01                QMB-only                                
                          1,620        02                QMB & full Medicaid covrge, + Rx drugs  
                            273        03                SLMB-only                               
                            105        04                SLMB & full Medicaid covrge, + Rx drugs 
                            154        06                Qualifying individuals                  
                            648        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,662        NA                Non-Medicaid                            
 
H_DUAL02 $DUALMON                      Dual eligibity code - Feb                
                            245        00                Not enrolled in Medicare for the month  
                            390        01                QMB-only                                
                          1,616        02                QMB & full Medicaid covrge, + Rx drugs  
                            269        03                SLMB-only                               
                            106        04                SLMB & full Medicaid covrge, + Rx drugs 
                            155        06                Qualifying individuals                  
                            641        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              8        99                Unknown                                 
                         10,638        NA                Non-Medicaid                            
 
H_DUAL03 $DUALMON                      Dual eligibity code - Mar                
                            268        00                Not enrolled in Medicare for the month  
                            380        01                QMB-only                                
                          1,617        02                QMB & full Medicaid covrge, + Rx drugs  
                            267        03                SLMB-only                               
                            103        04                SLMB & full Medicaid covrge, + Rx drugs 
                            160        06                Qualifying individuals                  
                            644        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         10,625        NA                Non-Medicaid                            
 
H_DUAL04 $DUALMON                      Dual eligibity code - Apr                
                            303        00                Not enrolled in Medicare for the month  
                            374        01                QMB-only                                
                          1,613        02                QMB & full Medicaid covrge, + Rx drugs  
                            268        03                SLMB-only                               
                            102        04                SLMB & full Medicaid covrge, + Rx drugs 
                            157        06                Qualifying individuals                  
                            642        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         10,606        NA                Non-Medicaid                            
 
H_DUAL05 $DUALMON                      Dual eligibity code - May                
                            341        00                Not enrolled in Medicare for the month  
                            377        01                QMB-only                                
                          1,611        02                QMB & full Medicaid covrge, + Rx drugs  
                            263        03                SLMB-only                               
                            106        04                SLMB & full Medicaid covrge, + Rx drugs 
                            155        06                Qualifying individuals                  
                            653        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         10,559        NA                Non-Medicaid                            
 
H_DUAL06 $DUALMON                      Dual eligibity code - Jun                
                            369        00                Not enrolled in Medicare for the month  
                            375        01                QMB-only                                
                          1,615        02                QMB & full Medicaid covrge, + Rx drugs  
                            258        03                SLMB-only                               
                            105        04                SLMB & full Medicaid covrge, + Rx drugs 
                            155        06                Qualifying individuals                  
                            647        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         10,539        NA                Non-Medicaid                            
 
H_DUAL07 $DUALMON                      Dual eligibity code - Jul                
                            379        00                Not enrolled in Medicare for the month  
                            368        01                QMB-only                                
                          1,614        02                QMB & full Medicaid covrge, + Rx drugs  
                            262        03                SLMB-only                               
                            105        04                SLMB & full Medicaid covrge, + Rx drugs 
                            155        06                Qualifying individuals                  
                            647        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         10,534        NA                Non-Medicaid                            
 
H_DUAL08 $DUALMON                      Dual eligibity code - Aug                
                            409        00                Not enrolled in Medicare for the month  
                            364        01                QMB-only                                
                          1,607        02                QMB & full Medicaid covrge, + Rx drugs  
                            263        03                SLMB-only                               
                            105        04                SLMB & full Medicaid covrge, + Rx drugs 
                            160        06                Qualifying individuals                  
                            641        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              6        99                Unknown                                 
                         10,513        NA                Non-Medicaid                            
 
H_DUAL09 $DUALMON                      Dual eligibity code - Sep                
                            428        00                Not enrolled in Medicare for the month  
                            365        01                QMB-only                                
                          1,610        02                QMB & full Medicaid covrge, + Rx drugs  
                            267        03                SLMB-only                               
                            106        04                SLMB & full Medicaid covrge, + Rx drugs 
                            162        06                Qualifying individuals                  
                            641        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              7        99                Unknown                                 
                         10,482        NA                Non-Medicaid                            
 
H_DUAL10 $DUALMON                      Dual eligibity code - Oct                
                            458        00                Not enrolled in Medicare for the month  
                            370        01                QMB-only                                
                          1,601        02                QMB & full Medicaid covrge, + Rx drugs  
                            259        03                SLMB-only                               
                            113        04                SLMB & full Medicaid covrge, + Rx drugs 
                            164        06                Qualifying individuals                  
                            629        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,472        NA                Non-Medicaid                            
 
H_DUAL11 $DUALMON                      Dual eligibity code - Nov                
                            495        00                Not enrolled in Medicare for the month  
                            373        01                QMB-only                                
                          1,594        02                QMB & full Medicaid covrge, + Rx drugs  
                            257        03                SLMB-only                               
                            110        04                SLMB & full Medicaid covrge, + Rx drugs 
                            165        06                Qualifying individuals                  
                            620        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         10,450        NA                Non-Medicaid                            
 
H_DUAL12 $DUALMON                      Dual eligibity code - Dec                
                            546        00                Not enrolled in Medicare for the month  
                            370        01                QMB-only                                
                          1,590        02                QMB & full Medicaid covrge, + Rx drugs  
                            265        03                SLMB-only                               
                            108        04                SLMB & full Medicaid covrge, + Rx drugs 
                            164        06                Qualifying individuals                  
                            614        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,409        NA                Non-Medicaid                            
 
H_DOE    MMDDYYn8                      Medicare entitlement start date          
                         14,068        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT    MMDDYYn8                      Medicare entitlement end date            
                         13,457                       .  Inapplicable                            
                            611        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESRBEG MMDDYYn8                      Beginning date of ESRD period            
                         13,923                       .  Inapplicable                            
                            145        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND MMDDYYn8                      Ending date of ESRD period               
                         14,048                       .  Inapplicable                            
                             20        MMDDYYYY          Date as MMDDYYYY                        
 
H_GHPSW  GHPSW                         Some group health participation in year  
                          4,598                       1  Some enrollment                         
                          9,470                       2  No enrollment                           
 
H_MACY01                               Buy-in agency - Jan                      
                          2,601        Values/Codes      State Agency code                       
                         11,467        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                      
                          2,604        Values/Codes      State Agency code                       
                         11,464        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                      
                          2,617        Values/Codes      State Agency code                       
                         11,451        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                      
                          2,623        Values/Codes      State Agency code                       
                         11,445        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                      
                          2,641        Values/Codes      State Agency code                       
                         11,427        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                      
                          2,659        Values/Codes      State Agency code                       
                         11,409        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                      
                          2,660        Values/Codes      State Agency code                       
                         11,408        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                      
                          2,664        Values/Codes      State Agency code                       
                         11,404        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                      
                          2,688        Values/Codes      State Agency code                       
                         11,380        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                      
                          2,703        Values/Codes      State Agency code                       
                         11,365        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                      
                          2,702        Values/Codes      State Agency code                       
                         11,366        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                      
                          2,714        Values/Codes      State Agency code                       
                         11,354        N                 Unknown, or no buy-in                   
 
H_MCDE01 $MCDCFMT                      Medicaid eligibility - Jan               
                              2        A                 State Part A buy-in                     
                          1,022        B                 State Part B buy-in                     
                             54        C                 State Part A and B buy-in               
                             92        D                 State Part A and B QMB buy-in           
                         11,467        N                 No buy-in this month                    
                          1,125        Q                 State Part B QMB buy-in                 
                            306        S                 State Part B SLMB buy-in                
 
H_MCDE02 $MCDCFMT                      Medicaid eligibility - Feb               
                              2        A                 State Part A buy-in                     
                          1,021        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                             93        D                 State Part A and B QMB buy-in           
                         11,464        N                 No buy-in this month                    
                          1,129        Q                 State Part B QMB buy-in                 
                            306        S                 State Part B SLMB buy-in                
 
H_MCDE03 $MCDCFMT                      Medicaid eligibility - Mar               
                              2        A                 State Part A buy-in                     
                          1,034        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                             94        D                 State Part A and B QMB buy-in           
                         11,451        N                 No buy-in this month                    
                          1,130        Q                 State Part B QMB buy-in                 
                            304        S                 State Part B SLMB buy-in                
 
H_MCDE04 $MCDCFMT                      Medicaid eligibility - Apr               
                              2        A                 State Part A buy-in                     
                          1,038        B                 State Part B buy-in                     
                             51        C                 State Part A and B buy-in               
                             94        D                 State Part A and B QMB buy-in           
                         11,443        N                 No buy-in this month                    
                          1,135        Q                 State Part B QMB buy-in                 
                            305        S                 State Part B SLMB buy-in                
 
H_MCDE05 $MCDCFMT                      Medicaid eligibility - May               
                              1        A                 State Part A buy-in                     
                          1,034        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             94        D                 State Part A and B QMB buy-in           
                         11,439        N                 No buy-in this month                    
                          1,143        Q                 State Part B QMB buy-in                 
                            305        S                 State Part B SLMB buy-in                
 
H_MCDE06 $MCDCFMT                      Medicaid eligibility - Jun               
                              1        A                 State Part A buy-in                     
                          1,037        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,431        N                 No buy-in this month                    
                          1,146        Q                 State Part B QMB buy-in                 
                            306        S                 State Part B SLMB buy-in                
 
H_MCDE07 $MCDCFMT                      Medicaid eligibility - Jul               
                              1        A                 State Part A buy-in                     
                          1,040        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             96        D                 State Part A and B QMB buy-in           
                         11,417        N                 No buy-in this month                    
                          1,153        Q                 State Part B QMB buy-in                 
                            309        S                 State Part B SLMB buy-in                
 
H_MCDE08 $MCDCFMT                      Medicaid eligibility - Aug               
                              1        A                 State Part A buy-in                     
                          1,043        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,408        N                 No buy-in this month                    
                          1,157        Q                 State Part B QMB buy-in                 
                            312        S                 State Part B SLMB buy-in                
 
H_MCDE09 $MCDCFMT                      Medicaid eligibility - Sep               
                              1        A                 State Part A buy-in                     
                          1,046        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             94        D                 State Part A and B QMB buy-in           
                         11,383        N                 No buy-in this month                    
                          1,174        Q                 State Part B QMB buy-in                 
                            318        S                 State Part B SLMB buy-in                
 
H_MCDE10 $MCDCFMT                      Medicaid eligibility - Oct               
                              1        A                 State Part A buy-in                     
                          1,054        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             94        D                 State Part A and B QMB buy-in           
                         11,369        N                 No buy-in this month                    
                          1,179        Q                 State Part B QMB buy-in                 
                            319        S                 State Part B SLMB buy-in                
 
H_MCDE11 $MCDCFMT                      Medicaid eligibility - Nov               
                              1        A                 State Part A buy-in                     
                          1,052        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,371        N                 No buy-in this month                    
                          1,180        Q                 State Part B QMB buy-in                 
                            317        S                 State Part B SLMB buy-in                
 
H_MCDE12 $MCDCFMT                      Medicaid eligibility - Dec               
                              1        A                 State Part A buy-in                     
                          1,052        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                             93        D                 State Part A and B QMB buy-in           
                         11,365        N                 No buy-in this month                    
                          1,184        Q                 State Part B QMB buy-in                 
                            321        S                 State Part B SLMB buy-in                
 
H_MCSW   SWFMT                         Some Medicaid eligibility for the year   
                          2,936                       1  Some participation                      
                         11,132                       2  No participation                        
 
H_MEDSTA $MSCFMT                       Medicare status code as of 12/31         
                         11,723        10                Aged, no ESRD                           
                             77        11                Aged, ESRD                              
                          2,204        20                Disabled, no ESRD                       
                             50        21                Disabled, ESRD                          
                             14        31                ESRD only                               
 
H_PDLS01 $DLSFMT                       LIS Indicator - Jan                      
                            215        00                Not Medicare enrolled for the month     
                            951        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,426        02                Pt A and/or B +D;elig LIS 100%,low copay
                            873        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            314        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             21        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,935        09                Pt A and/or B +D;no prem or cstshare sub
                            630        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,607        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS02 $DLSFMT                       LIS Indicator - Feb                      
                            245        00                Not Medicare enrolled for the month     
                            957        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,423        02                Pt A and/or B +D;elig LIS 100%,low copay
                            883        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            312        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             21        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             29        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             23        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,928        09                Pt A and/or B +D;no prem or cstshare sub
                            625        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,576        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS03 $DLSFMT                       LIS Indicator - Mar                      
                              2                                                                  
                            268        00                Not Medicare enrolled for the month     
                            960        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,425        02                Pt A and/or B +D;elig LIS 100%,low copay
                            883        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            307        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             21        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             29        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             23        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,911        09                Pt A and/or B +D;no prem or cstshare sub
                            620        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,573        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS04 $DLSFMT                       LIS Indicator - Apr                      
                              2                                                                  
                            303        00                Not Medicare enrolled for the month     
                            969        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,418        02                Pt A and/or B +D;elig LIS 100%,low copay
                            879        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            305        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             44        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             26        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,876        09                Pt A and/or B +D;no prem or cstshare sub
                            618        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,586        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS05 $DLSFMT                       LIS Indicator - May                      
                              2                                                                  
                            341        00                Not Medicare enrolled for the month     
                            976        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,421        02                Pt A and/or B +D;elig LIS 100%,low copay
                            872        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            305        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             44        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             26        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,834        09                Pt A and/or B +D;no prem or cstshare sub
                            618        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,587        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS06 $DLSFMT                       LIS Indicator - Jun                      
                            369        00                Not Medicare enrolled for the month     
                            978        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,427        02                Pt A and/or B +D;elig LIS 100%,low copay
                            873        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            300        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             26        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             23        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,820        09                Pt A and/or B +D;no prem or cstshare sub
                            615        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,571        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS07 $DLSFMT                       LIS Indicator - Jul                      
                            379        00                Not Medicare enrolled for the month     
                            983        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,431        02                Pt A and/or B +D;elig LIS 100%,low copay
                            873        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            294        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             45        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             27        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,825        09                Pt A and/or B +D;no prem or cstshare sub
                            612        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,557        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS08 $DLSFMT                       LIS Indicator - Aug                      
                            409        00                Not Medicare enrolled for the month     
                            984        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,426        02                Pt A and/or B +D;elig LIS 100%,low copay
                            872        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            293        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             44        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             27        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,808        09                Pt A and/or B +D;no prem or cstshare sub
                            613        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,550        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS09 $DLSFMT                       LIS Indicator - Sep                      
                            428        00                Not Medicare enrolled for the month     
                            988        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,427        02                Pt A and/or B +D;elig LIS 100%,low copay
                            875        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            288        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             44        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             26        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             21        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,815        09                Pt A and/or B +D;no prem or cstshare sub
                            610        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,526        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS10 $DLSFMT                       LIS Indicator - Oct                      
                            458        00                Not Medicare enrolled for the month     
                            989        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,424        02                Pt A and/or B +D;elig LIS 100%,low copay
                            876        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            285        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             47        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             25        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             21        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,799        09                Pt A and/or B +D;no prem or cstshare sub
                            604        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,520        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS11 $DLSFMT                       LIS Indicator - Nov                      
                            495        00                Not Medicare enrolled for the month     
                            984        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,424        02                Pt A and/or B +D;elig LIS 100%,low copay
                            873        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            287        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             25        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             21        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,785        09                Pt A and/or B +D;no prem or cstshare sub
                            598        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,510        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS12 $DLSFMT                       LIS Indicator - Dec                      
                            546        00                Not Medicare enrolled for the month     
                            987        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,423        02                Pt A and/or B +D;elig LIS 100%,low copay
                            877        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            284        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             46        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             25        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          6,747        09                Pt A and/or B +D;no prem or cstshare sub
                            595        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,496        13                Pt A and/or B,no D;none of above cond   
 
H_PDPY01 MONYFMT                       Part D capitation payment - Jan          
                          3,275                       .  Inapplicable/Missing                    
                         10,793        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02 MONYFMT                       Part D capitation payment - Feb          
                          3,275                       .  Inapplicable/Missing                    
                         10,793        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03 MONYFMT                       Part D capitation payment - Mar          
                          3,294                       .  Inapplicable/Missing                    
                         10,774        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04 MONYFMT                       Part D capitation payment - Apr          
                          3,339                       .  Inapplicable/Missing                    
                         10,729        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05 MONYFMT                       Part D capitation payment - May          
                          3,378                       .  Inapplicable/Missing                    
                         10,690        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06 MONYFMT                       Part D capitation payment - Jun          
                          3,386                       .  Inapplicable/Missing                    
                         10,682        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07 MONYFMT                       Part D capitation payment - Jul          
                          3,379                       .  Inapplicable/Missing                    
                         10,689        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08 MONYFMT                       Part D capitation payment - Aug          
                          3,403                       .  Inapplicable/Missing                    
                         10,665        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09 MONYFMT                       Part D capitation payment - Sep          
                          3,394                       .  Inapplicable/Missing                    
                         10,674        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10 MONYFMT                       Part D capitation payment - Oct          
                          3,413                       .  Inapplicable/Missing                    
                         10,655        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11 MONYFMT                       Part D capitation payment - Nov          
                          3,435                       .  Inapplicable/Missing                    
                         10,633        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12 MONYFMT                       Part D capitation payment - Dec          
                          3,466                       .  Inapplicable/Missing                    
                         10,602        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY01 MONYFMT                       Medicare capitation payment - Jan        
                          3,275                       .  Inapplicable/Missing                    
                         10,793        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02 MONYFMT                       Medicare capitation payment - Feb        
                          3,275                       .  Inapplicable/Missing                    
                         10,793        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03 MONYFMT                       Medicare capitation payment - Mar        
                          3,294                       .  Inapplicable/Missing                    
                         10,774        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04 MONYFMT                       Medicare capitation payment - Apr        
                          3,339                       .  Inapplicable/Missing                    
                         10,729        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05 MONYFMT                       Medicare capitation payment - May        
                          3,378                       .  Inapplicable/Missing                    
                         10,690        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06 MONYFMT                       Medicare capitation payment - Jun        
                          3,386                       .  Inapplicable/Missing                    
                         10,682        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07 MONYFMT                       Medicare capitation payment - Jul        
                          3,379                       .  Inapplicable/Missing                    
                         10,689        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08 MONYFMT                       Medicare capitation payment - Aug        
                          3,403                       .  Inapplicable/Missing                    
                         10,665        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09 MONYFMT                       Medicare capitation payment - Sep        
                          3,394                       .  Inapplicable/Missing                    
                         10,674        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10 MONYFMT                       Medicare capitation payment - Oct        
                          3,413                       .  Inapplicable/Missing                    
                         10,655        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11 MONYFMT                       Medicare capitation payment - Nov        
                          3,435                       .  Inapplicable/Missing                    
                         10,633        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12 MONYFMT                       Medicare capitation payment - Dec        
                          3,466                       .  Inapplicable/Missing                    
                         10,602        Range of values   Amount as $$$$$$.CC                     
 
H_OPMDCD DUALFMT                       Medicare-Medicaid dual eligibility indic 
                          2,547                       1  FULL-Bene elig. full Medicaid benefits  
                         10,617                       2  NONDUAL-Bene not elig Medicaid benfits  
                            493                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            411                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PRPY01 $MSPCODE                      Primary Payer                            
                         13,626                          Medicare is Primary                     
                            174        A                 Working Aged                            
                              2        B                 ESRD                                    
                             22        C                 Condition/Reimbursement Anticipated     
                             12        D                 Automobile No Fault                     
                              6        E                 Workers’ comp                           
                              2        F                 Public Health/federal                   
                             71        G                 Working Disabled                        
                              1        I                 VA                                      
                             13        L                 Any liability                           
                            137        M                 Override Code                           
                              2        W                 WCMSA                                   
 
H_PRPY02 $MSPCODE                      Primary Payer, 2nd code                  
                         13,976                          Medicare is Primary                     
                              3        B                 ESRD                                    
                             18        C                 Condition/Reimbursement Anticipated     
                              1        D                 Automobile No Fault                     
                              1        E                 Workers’ comp                           
                             26        G                 Working Disabled                        
                             16        L                 Any liability                           
                             27        M                 Override Code                           
 
H_PRPY03 $MSPCODE                      Primary Payer, 3rd code                  
                         14,049                          Medicare is Primary                     
                              7        G                 Working Disabled                        
                              1        H                 Black Lung                              
                              6        L                 Any liability                           
                              5        M                 Override Code                           
 
H_PRPY04 $MSPCODE                      Primary Payer, 4th code                  
                         14,066                          Medicare is Primary                     
                              2        M                 Override Code                           
 
H_CPRM01 MONYFMT                       Part C Premium - Jan                     
                         10,142                       .  Inapplicable/Missing                    
                          3,926        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02 MONYFMT                       Part C Premium - Feb                     
                         10,132                       .  Inapplicable/Missing                    
                          3,936        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03 MONYFMT                       Part C Premium - Mar                     
                         10,135                       .  Inapplicable/Missing                    
                          3,933        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04 MONYFMT                       Part C Premium - Apr                     
                         10,141                       .  Inapplicable/Missing                    
                          3,927        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05 MONYFMT                       Part C Premium - May                     
                         10,160                       .  Inapplicable/Missing                    
                          3,908        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06 MONYFMT                       Part C Premium - Jun                     
                         10,163                       .  Inapplicable/Missing                    
                          3,905        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07 MONYFMT                       Part C Premium - Jul                     
                         10,152                       .  Inapplicable/Missing                    
                          3,916        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08 MONYFMT                       Part C Premium - Aug                     
                         10,145                       .  Inapplicable/Missing                    
                          3,923        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09 MONYFMT                       Part C Premium - Sep                     
                         10,143                       .  Inapplicable/Missing                    
                          3,925        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10 MONYFMT                       Part C Premium - Oct                     
                         10,138                       .  Inapplicable/Missing                    
                          3,930        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11 MONYFMT                       Part C Premium - Nov                     
                         10,133                       .  Inapplicable/Missing                    
                          3,935        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12 MONYFMT                       Part C Premium - Dec                     
                         10,142                       .  Inapplicable/Missing                    
                          3,926        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                 
                         10,831        Values/Codes      Contract/Segment/Plan ID                
                          3,237        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                 
                         10,867        Values/Codes      Contract/Segment/Plan ID                
                          3,201        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                 
                              2                          Inapplicable/Missing                    
                         10,873        Values/Codes      Contract/Segment/Plan ID                
                          3,193        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                 
                              2                          Inapplicable/Missing                    
                         10,862        Values/Codes      Contract/Segment/Plan ID                
                          3,204        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                 
                              2                          Inapplicable/Missing                    
                         10,861        Values/Codes      Contract/Segment/Plan ID                
                          3,205        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                 
                         10,882        Values/Codes      Contract/Segment/Plan ID                
                          3,186        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                 
                         10,899        Values/Codes      Contract/Segment/Plan ID                
                          3,169        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                 
                         10,905        Values/Codes      Contract/Segment/Plan ID                
                          3,163        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                 
                         10,932        Values/Codes      Contract/Segment/Plan ID                
                          3,136        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                 
                         10,944        Values/Codes      Contract/Segment/Plan ID                
                          3,124        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                 
                         10,960        Values/Codes      Contract/Segment/Plan ID                
                          3,108        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                 
                         10,977        Values/Codes      Contract/Segment/Plan ID                
                          3,091        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan        
                          3,452                          Inapplicable/Missing                    
                         10,616        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb        
                          3,446                          Inapplicable/Missing                    
                         10,622        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar        
                          3,463                          Inapplicable/Missing                    
                         10,605        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr        
                          3,509                          Inapplicable/Missing                    
                         10,559        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May        
                          3,548                          Inapplicable/Missing                    
                         10,520        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun        
                          3,555                          Inapplicable/Missing                    
                         10,513        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul        
                          3,548                          Inapplicable/Missing                    
                         10,520        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug        
                          3,572                          Inapplicable/Missing                    
                         10,496        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep        
                          3,564                          Inapplicable/Missing                    
                         10,504        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct        
                          3,582                          Inapplicable/Missing                    
                         10,486        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov        
                          3,603                          Inapplicable/Missing                    
                         10,465        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec        
                          3,637                          Inapplicable/Missing                    
                         10,431        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: January               
                          3,452                          Inapplicable/Missing                    
                         10,616        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: February              
                          3,446                          Inapplicable/Missing                    
                         10,622        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: March                 
                          3,463                          Inapplicable/Missing                    
                         10,605        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: April                 
                          3,509                          Inapplicable/Missing                    
                         10,559        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                   
                          3,548                          Inapplicable/Missing                    
                         10,520        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: June                  
                          3,555                          Inapplicable/Missing                    
                         10,513        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: July                  
                          3,548                          Inapplicable/Missing                    
                         10,520        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: August                
                          3,572                          Inapplicable/Missing                    
                         10,496        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: September             
                          3,564                          Inapplicable/Missing                    
                         10,504        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: October               
                          3,582                          Inapplicable/Missing                    
                         10,486        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: November              
                          3,603                          Inapplicable/Missing                    
                         10,465        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: December              
                          3,637                          Inapplicable/Missing                    
                         10,431        Values/Codes      Contract/Segment/Plan ID                
 
H_PRTC01                               Part C Contract ID - Jan                 
                          4,553        Values/Codes      Contract/Segment/Plan ID                
                          9,515        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                 
                          4,591        Values/Codes      Contract/Segment/Plan ID                
                          9,477        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                 
                          4,609        Values/Codes      Contract/Segment/Plan ID                
                          9,459        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                 
                          4,639        Values/Codes      Contract/Segment/Plan ID                
                          9,429        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                 
                          4,663        Values/Codes      Contract/Segment/Plan ID                
                          9,405        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                 
                          4,690        Values/Codes      Contract/Segment/Plan ID                
                          9,378        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                 
                          4,724        Values/Codes      Contract/Segment/Plan ID                
                          9,344        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                 
                          4,754        Values/Codes      Contract/Segment/Plan ID                
                          9,314        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                 
                          4,776        Values/Codes      Contract/Segment/Plan ID                
                          9,292        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                 
                          4,811        Values/Codes      Contract/Segment/Plan ID                
                          9,257        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                 
                          4,852        Values/Codes      Contract/Segment/Plan ID                
                          9,216        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                 
                          4,891        Values/Codes      Contract/Segment/Plan ID                
                          9,177        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan        
                          9,740                          Inapplicable/Missing                    
                          4,328        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb        
                          9,732                          Inapplicable/Missing                    
                          4,336        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar        
                          9,737                          Inapplicable/Missing                    
                          4,331        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr        
                          9,741                          Inapplicable/Missing                    
                          4,327        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May        
                          9,755                          Inapplicable/Missing                    
                          4,313        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun        
                          9,756                          Inapplicable/Missing                    
                          4,312        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul        
                          9,732                          Inapplicable/Missing                    
                          4,336        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug        
                          9,732                          Inapplicable/Missing                    
                          4,336        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep        
                          9,729                          Inapplicable/Missing                    
                          4,339        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct        
                          9,723                          Inapplicable/Missing                    
                          4,345        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov        
                          9,719                          Inapplicable/Missing                    
                          4,349        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec        
                          9,731                          Inapplicable/Missing                    
                          4,337        Values/Codes      Contract/Segment/Plan ID                
 
H_DPRM01 MONYFMT                       Part D Premium - Jan                     
                          3,488                       .  Inapplicable/Missing                    
                         10,580        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02 MONYFMT                       Part D Premium - Feb                     
                          3,486                       .  Inapplicable/Missing                    
                         10,582        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03 MONYFMT                       Part D Premium - Mar                     
                          3,496                       .  Inapplicable/Missing                    
                         10,572        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04 MONYFMT                       Part D Premium - Apr                     
                          3,545                       .  Inapplicable/Missing                    
                         10,523        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05 MONYFMT                       Part D Premium - May                     
                          3,582                       .  Inapplicable/Missing                    
                         10,486        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06 MONYFMT                       Part D Premium - Jun                     
                          3,586                       .  Inapplicable/Missing                    
                         10,482        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07 MONYFMT                       Part D Premium - Jul                     
                          3,580                       .  Inapplicable/Missing                    
                         10,488        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08 MONYFMT                       Part D Premium - Aug                     
                          3,606                       .  Inapplicable/Missing                    
                         10,462        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09 MONYFMT                       Part D Premium - Sep                     
                          3,601                       .  Inapplicable/Missing                    
                         10,467        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10 MONYFMT                       Part D Premium - Oct                     
                          3,624                       .  Inapplicable/Missing                    
                         10,444        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11 MONYFMT                       Part D Premium - Nov                     
                          3,638                       .  Inapplicable/Missing                    
                         10,430        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12 MONYFMT                       Part D Premium - Dec                     
                          3,664                       .  Inapplicable/Missing                    
                         10,404        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01 MONYFMT                       Part D Deductible - Jan                  
                          5,325                       .  Inapplicable/Missing                    
                          8,743        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02 MONYFMT                       Part D Deductible - Feb                  
                          5,317                       .  Inapplicable/Missing                    
                          8,751        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03 MONYFMT                       Part D Deductible - Mar                  
                          5,327                       .  Inapplicable/Missing                    
                          8,741        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04 MONYFMT                       Part D Deductible - Apr                  
                          5,371                       .  Inapplicable/Missing                    
                          8,697        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05 MONYFMT                       Part D Deductible - May                  
                          5,398                       .  Inapplicable/Missing                    
                          8,670        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06 MONYFMT                       Part D Deductible - Jun                  
                          5,394                       .  Inapplicable/Missing                    
                          8,674        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07 MONYFMT                       Part D Deductible - Jul                  
                          5,384                       .  Inapplicable/Missing                    
                          8,684        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08 MONYFMT                       Part D Deductible - Aug                  
                          5,401                       .  Inapplicable/Missing                    
                          8,667        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09 MONYFMT                       Part D Deductible - Sep                  
                          5,396                       .  Inapplicable/Missing                    
                          8,672        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10 MONYFMT                       Part D Deductible - Oct                  
                          5,416                       .  Inapplicable/Missing                    
                          8,652        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11 MONYFMT                       Part D Deductible - Nov                  
                          5,430                       .  Inapplicable/Missing                    
                          8,638        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12 MONYFMT                       Part D Deductible - Dec                  
                          5,446                       .  Inapplicable/Missing                    
                          8,622        Range of values   Amount as $$$$$$.CC                     
 
H_MAFF01 $MA2FLAG                      MA flag - Jan                            
                          9,515        FF                Original Medicare/FFS                   
                          4,338        MA                MA/Other Medicare Capitated Paymnt Plans
                            215        NO                No Entitlement                          
 
H_MAFF02 $MA2FLAG                      MA flag - Feb                            
                          9,477        FF                Original Medicare/FFS                   
                          4,346        MA                MA/Other Medicare Capitated Paymnt Plans
                            245        NO                No Entitlement                          
 
H_MAFF03 $MA2FLAG                      MA flag - Mar                            
                          9,459        FF                Original Medicare/FFS                   
                          4,341        MA                MA/Other Medicare Capitated Paymnt Plans
                            268        NO                No Entitlement                          
 
H_MAFF04 $MA2FLAG                      MA flag - Apr                            
                          9,429        FF                Original Medicare/FFS                   
                          4,336        MA                MA/Other Medicare Capitated Paymnt Plans
                            303        NO                No Entitlement                          
 
H_MAFF05 $MA2FLAG                      MA flag - May                            
                          9,405        FF                Original Medicare/FFS                   
                          4,322        MA                MA/Other Medicare Capitated Paymnt Plans
                            341        NO                No Entitlement                          
 
H_MAFF06 $MA2FLAG                      MA flag - Jun                            
                          9,378        FF                Original Medicare/FFS                   
                          4,321        MA                MA/Other Medicare Capitated Paymnt Plans
                            369        NO                No Entitlement                          
 
H_MAFF07 $MA2FLAG                      MA flag - Jul                            
                          9,344        FF                Original Medicare/FFS                   
                          4,345        MA                MA/Other Medicare Capitated Paymnt Plans
                            379        NO                No Entitlement                          
 
H_MAFF08 $MA2FLAG                      MA flag - Aug                            
                          9,314        FF                Original Medicare/FFS                   
                          4,345        MA                MA/Other Medicare Capitated Paymnt Plans
                            409        NO                No Entitlement                          
 
H_MAFF09 $MA2FLAG                      MA flag - Sep                            
                          9,292        FF                Original Medicare/FFS                   
                          4,348        MA                MA/Other Medicare Capitated Paymnt Plans
                            428        NO                No Entitlement                          
 
H_MAFF10 $MA2FLAG                      MA flag - Oct                            
                          9,257        FF                Original Medicare/FFS                   
                          4,353        MA                MA/Other Medicare Capitated Paymnt Plans
                            458        NO                No Entitlement                          
 
H_MAFF11 $MA2FLAG                      MA flag - Nov                            
                          9,216        FF                Original Medicare/FFS                   
                          4,357        MA                MA/Other Medicare Capitated Paymnt Plans
                            495        NO                No Entitlement                          
 
H_MAFF12 $MA2FLAG                      MA flag - Dec                            
                          9,177        FF                Original Medicare/FFS                   
                          4,345        MA                MA/Other Medicare Capitated Paymnt Plans
                            546        NO                No Entitlement                          
 
H_PNUM                                 Number of GHPs in bene area              
                              4                       .  Inapplicable/Missing                    
                         14,064        LOW-HIGH          Range of Values                         
 
H_MANUM                                Number of MA plans in bene area          
                              4                       .  Inapplicable/Missing                    
                         14,064        LOW-HIGH          Range of Values                         
 
H_PFSNUM                               Number of PFFS plans in bene area        
                              4                       .  Inapplicable/Missing                    
                         14,064        LOW-HIGH          Range of Values                         
 
H_CREDSW YES8FMT                       Creditable Coverage Switch               
                          2,543                       1  Yes                                     
                         11,525                       2  No                                      
 
H_PDRS01 DRDSFMT                       RDS Indicator - Jan                      
                            215                       .  Unknown                                 
                            630                       1  Employer subsidized for the beneficiary 
                         13,223                       2  Employer not subsidized for the benefici
 
H_PDRS02 DRDSFMT                       RDS Indicator - Feb                      
                            245                       .  Unknown                                 
                            625                       1  Employer subsidized for the beneficiary 
                         13,198                       2  Employer not subsidized for the benefici
 
H_PDRS03 DRDSFMT                       RDS Indicator - Mar                      
                            270                       .  Unknown                                 
                            620                       1  Employer subsidized for the beneficiary 
                         13,178                       2  Employer not subsidized for the benefici
 
H_PDRS04 DRDSFMT                       RDS Indicator - Apr                      
                            305                       .  Unknown                                 
                            618                       1  Employer subsidized for the beneficiary 
                         13,145                       2  Employer not subsidized for the benefici
 
H_PDRS05 DRDSFMT                       RDS Indicator - May                      
                            343                       .  Unknown                                 
                            618                       1  Employer subsidized for the beneficiary 
                         13,107                       2  Employer not subsidized for the benefici
 
H_PDRS06 DRDSFMT                       RDS Indicator - Jun                      
                            369                       .  Unknown                                 
                            615                       1  Employer subsidized for the beneficiary 
                         13,084                       2  Employer not subsidized for the benefici
 
H_PDRS07 DRDSFMT                       RDS Indicator - Jul                      
                            379                       .  Unknown                                 
                            612                       1  Employer subsidized for the beneficiary 
                         13,077                       2  Employer not subsidized for the benefici
 
H_PDRS08 DRDSFMT                       RDS Indicator - Aug                      
                            409                       .  Unknown                                 
                            613                       1  Employer subsidized for the beneficiary 
                         13,046                       2  Employer not subsidized for the benefici
 
H_PDRS09 DRDSFMT                       RDS Indicator - Sep                      
                            428                       .  Unknown                                 
                            610                       1  Employer subsidized for the beneficiary 
                         13,030                       2  Employer not subsidized for the benefici
 
H_PDRS10 DRDSFMT                       RDS Indicator - Oct                      
                            458                       .  Unknown                                 
                            604                       1  Employer subsidized for the beneficiary 
                         13,006                       2  Employer not subsidized for the benefici
 
H_PDRS11 DRDSFMT                       RDS Indicator - Nov                      
                            495                       .  Unknown                                 
                            598                       1  Employer subsidized for the beneficiary 
                         12,975                       2  Employer not subsidized for the benefici
 
H_PDRS12 DRDSFMT                       RDS Indicator - Dec                      
                            546                       .  Unknown                                 
                            595                       1  Employer subsidized for the beneficiary 
                         12,927                       2  Employer not subsidized for the benefici
 
H_PTAPRM MONYFMT                       Total Part A Premium Paid in CY          
                         14,068        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM MONYFMT                       Total Part B Premium Paid in CY          
                         14,068        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM MONYFMT                       Estimate TotPrem: A+B+C+D+SurveyOnlyPlan 
                         14,068        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
                 First available in 2015
 
