Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                        247,284        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                        247,284                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                        247,284                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,683                          Missing                                 
                        130,467        001-999           Survey-reported event                   
                        114,317        C001-C999         Event created from claim                
                            817        U001-U999         Event created from survey-reported event
 
EVNTTYPE $EVNTTYP                      Event type                               
                        130,731        MP                Medical provider                        
                         32,649        OM                Other medical expense                   
                         49,405        SD                Separately billing physician            
                         34,499        SL                Separately billing lab                  
 
OREVTYPE $EVNTTYP                      Original reported event type             
                        116,000                          Missing                                 
                            588        ER                Emergency Room                          
                            917        IP                Inpatient                               
                         91,111        MP                Medical provider                        
                         19,345        OM                Other medical expense                   
                          3,027        OP                Outpatient                              
                         13,237        SD                Separately billing physician            
                          3,059        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       Claim this survey event matched to       
                         75,198                       .  Missing                                 
                        172,086        Range of values   Claim ID                                
 
CLAIMTYP $CLAIMTP                      Claim type that event matched to         
                         73,515                          Missing                                 
                         11,333        D                 DME claim                               
                        160,753        P                 Physician claim                         
                          1,683        R                 PDE claim                               
 
EVBEGYY  EVYY                          Event begin year                         
                          6,485                       .  Inapplicable                            
                        240,799        Range of values   Year                                    
 
EVBEGMM  EVMM                          Event begin month                        
                            195                       D  Don't Know                              
                          6,485                       .  Inapplicable                            
                             16                       N  Not ascertained                         
                            622                       R  Refused                                 
                        239,966        01-12             Month                                   
 
EVBEGDD  EVDD                          Event begin day                          
                          4,661                       D  Don't Know                              
                         27,801                       .  Inapplicable                            
                             16                       N  Not ascertained                         
                          7,433                       R  Refused                                 
                        207,373        01-31             Day of month                            
 
SOURCE   $SOURCE                       Source of event: survey, claim, or both  
                         73,515        1                 Survey only                             
                        116,000        2                 Claims only                             
                         57,769        3                 Both survey & claims                    
 
SITCODE  $CODEFMT                      Community or facility setting            
                            116        B                 Both                                    
                        195,964        C                 Community                               
                          2,195        D                 Deemed Community                        
                         19,607        F                 Facility                                
                            343        G                 Deemed facility                         
                          1,524        H                 Hospice                                 
                         23,022        I                 Inpatient                               
                             88        IH                Inpatient Hospice                       
                          4,425        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  total payment          
                        155,110                       0  Not Imputed                             
                         92,174                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                        247,284                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: amt Medicare            
                        238,748                       0  Not Imputed                             
                          8,536                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                        228,653                       0  Not Imputed                             
                         18,631                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: amt Medicaid            
                        211,705                       0  Not Imputed                             
                         35,579                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                        228,021                       0  Not Imputed                             
                         19,263                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: amt Medicare MCO/HMO    
                        221,226                       0  Not Imputed                             
                         26,058                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                        239,483                       0  Not Imputed                             
                          7,801                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: amt Private MCO/HMO     
                        236,930                       0  Not Imputed                             
                         10,354                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by Priv ins (Employer Spon)  
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP Priv ins-Employer   
                        232,165                       0  Not Imputed                             
                         15,119                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: amt Priv ins-Employer   
                        226,546                       0  Not Imputed                             
                         20,738                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by Priv ins (Indiv Purch)    
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP Priv ins-Indiv Pur  
                        226,340                       0  Not Imputed                             
                         20,944                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: amt Priv ins-Indiv Pur  
                        220,840                       0  Not Imputed                             
                         26,444                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by Priv ins (Unknown Purch)  
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP Priv ins-Unknown    
                        244,544                       0  Not Imputed                             
                          2,740                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: amt Priv ins-Unknown    
                        244,544                       0  Not Imputed                             
                          2,740                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                        247,284        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                        199,282                       0  Not Imputed                             
                         48,002                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: amt paid by person      
                        172,831                       0  Not Imputed                             
                         74,453                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                        247,284        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                        132,542                       0  Not Imputed                             
                        114,742                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: amt of uncoll liab      
                         99,960                       0  Not Imputed                             
                        147,324                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                        247,284        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                        246,945                       0  Not Imputed                             
                            339                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: amt other sources       
                        244,867                       0  Not Imputed                             
                          2,417                       1  Imputed by hotdeck                      
 
PAMTMED  MONYFMT                       Total amount paid for medical services   
                         73,515                       .  Inapplicable/Missing                    
                        173,769        Range of values   Amount as $$$$$$.CC                     
 
PAMTSURG MONYFMT                       Total amount paid for surgical services  
                         73,515                       .  Inapplicable/Missing                    
                        173,769        Range of values   Amount as $$$$$$.CC                     
 
PAMTLABX MONYFMT                       Total amount paid for lab/x-ray          
                         73,515                       .  Inapplicable/Missing                    
                        173,769        Range of values   Amount as $$$$$$.CC                     
 
PAMTOM   MONYFMT                       Total amount paid for oth med services   
                         73,515                       .  Inapplicable/Missing                    
                        173,769        Range of values   Amount as $$$$$$.CC                     
 
PAMTPM   MONYFMT                       Total amount paid for pres. medicines    
                         73,515                       .  Inapplicable/Missing                    
                        173,769        Range of values   Amount as $$$$$$.CC                     
 
PROVSPEC PROVSPEC                      Medical provider speciality              
                             25                       D  Don't know                              
                        149,590                       .  Inapplicable/Missing                    
                             22                       N  Not ascertained                         
                            183                       R  Refused                                 
                            461                       1  Dentist or dental provider              
                         57,187                       2  Medical doctor                          
                            731                       3  Audiologist                             
                          5,793                       4  Chiropractor                            
                            258                       5  Clinical Social Worker                  
                             81                       6  Dietician or nutritionist               
                             15                       7  Hearing therapist                       
                          1,325                       8  Home health/health aide                 
                              7                       9  Homemaker                               
                             15                      10  Hospice worker                          
                            227                      11  I.V. Therapist                          
                            888                      12  Nurse (RN)                              
                          1,796                      13  Nurse Practitioner                      
                             68                      14  Nurse's aide                            
                            270                      15  Occupational Therapist (OT)             
                          2,263                      16  Optometrist                             
                            741                      17  Osteopath (DO)                          
                            108                      18  Paramedic                               
                          9,941                      19  Physical Therapist (PT)                 
                          1,377                      20  Physician's Assistant                   
                          2,460                      21  Podiatrist (foot doctor)                
                          1,936                      22  Psychologist                            
                            107                      23  Respiratory Therapist                   
                            468                      24  Social/case worker                      
                            118                      25  Speech Therapist                        
                            522                      26  Therapist (mental health)               
                            862                      27  X-Ray Technician                        
                             68                      28  Licensed Practical Nurse (LPN)          
                            387                      29  Acupuncturist                           
                             10                      30  Homeopath                               
                            956                      31  Massage therapist                       
                             42                      32  Naturopath                              
                            264                      33  Licensed Professional Counselor (LPC)   
                          1,148                      34  Lab Technician                          
                              2                      36  Dental Technician                       
                              3                      37  Dental/Oral Surgeon                     
                              3                      38  Orthodontist                            
                              1                      39  Endodontist                             
                              4                      41  Periodontist                            
                          4,551                      91  Other medical provider                  
 
OMETYPE  OMETYPE                       Type of OM event                         
                        217,358                       .  Inapplicable/Missing                    
                          2,158                       1  Eyeglasses                              
                            645                       2  Hearing or speech device                
                          2,190                       3  Orthopedic                              
                          6,201                       4  Diabetic                                
                          4,154                       5  Ambulance                               
                             76                       6  Prosthesis                              
                            420                       7  Alteration                              
                          3,576                       8  Oxygen                                  
                             55                       9  Kidney dialysis                         
                         10,451                      10  Other                                   
 
ORTHTYPE ORTHTYPE                      Type of orthopedic item                  
                        245,094                       .  Inapplicable/Missing                    
                            642                       1  Braces or supports                      
                            231                       2  Cane                                    
                            266                       3  Corrective shoes or inserts             
                             18                       4  Crutches                                
                            398                       5  Walker                                  
                            241                       6  Wheelchair                              
                            270                       7  Stockings                               
                            124                      91  Other                                   
 
ALTRTYPE ALTRTYPE                      Type of alteration                       
                        246,864                       .  Inapplicable/Missing                    
                             16                       1  Elevator or incline chair               
                            108                       2  Handrails (other than tub)              
                             64                       3  Ramps                                   
                             76                       4  Tub handrails                           
                             20                       5  Tub seat                                
                             23                       6  Any car alteration                      
                            113                      91  Other                                   
 
OTHRTYPE OTHRTYPE                      Type of other OME                        
                        236,833                       .  Inapplicable/Missing                    
                            175                       1  Portable or raised toilet               
                             84                       2  Portable tub seat                       
                             78                       3  Special chair or cushion                
                            333                       4  Hospital bed                            
                            206                       5  Ostomy supplies                         
                          5,723                       6  Depends (diapers)                       
                            711                       7  Bandages, dressings, tape supplies      
                            653                       8  Pulmonary equipment                     
                            197                       9  Blood pressure equipment                
                          2,291                      91  Other                                   
 
MCOHMO   HMO                           Event provided by MCO/HMO                
                        162,725                       0  Event not provided by MCO/HMO           
                         82,876                       1  Event provided by MCO/HMO               
                          1,683                       3  Event provided by PDP/MAPD              
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                         28,476                       .  Missing                                 
                        206,945                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                         11,863                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
