Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         14,778        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         14,778                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                         14,778                       2  Version 2                               
 
H_PTDAMT MONYFMT                       PTD Total Payment - Annual               
                          3,038                       .  Inapplicable/Missing                    
                         11,740        Range of values   Amount as $$$$$$.CC                     
 
H_MAPMT  MONYFMT                       Total MA A/B Payment - Annual            
                          3,038                       .  Inapplicable/Missing                    
                         11,740        Range of values   Amount as $$$$$$.CC                     
 
H_DUAL01 $DUALMON                      Dual eligibility code - Jan              
                            219        00                Not enrolled in Medicare for the month  
                            419        01                QMB-only                                
                          1,681        02                QMB & full Medicaid covrge, + Rx drugs  
                            303        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            175        06                Qualifying individuals                  
                            675        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,190        NA                Non-Medicaid                            
 
H_DUAL02 $DUALMON                      Dual eligibility code - Feb              
                            236        00                Not enrolled in Medicare for the month  
                            422        01                QMB-only                                
                          1,673        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            171        06                Qualifying individuals                  
                            688        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,176        NA                Non-Medicaid                            
 
H_DUAL03 $DUALMON                      Dual eligibility code - Mar              
                            257        00                Not enrolled in Medicare for the month  
                            422        01                QMB-only                                
                          1,687        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            165        06                Qualifying individuals                  
                            684        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,151        NA                Non-Medicaid                            
 
H_DUAL04 $DUALMON                      Dual eligibility code - Apr              
                            292        00                Not enrolled in Medicare for the month  
                            420        01                QMB-only                                
                          1,683        02                QMB & full Medicaid covrge, + Rx drugs  
                            284        03                SLMB-only                               
                            115        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            684        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,127        NA                Non-Medicaid                            
 
H_DUAL05 $DUALMON                      Dual eligibility code - May              
                            299        00                Not enrolled in Medicare for the month  
                            423        01                QMB-only                                
                          1,690        02                QMB & full Medicaid covrge, + Rx drugs  
                            293        03                SLMB-only                               
                            111        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            688        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,102        NA                Non-Medicaid                            
 
H_DUAL06 $DUALMON                      Dual eligibility code - Jun              
                            305        00                Not enrolled in Medicare for the month  
                            427        01                QMB-only                                
                          1,697        02                QMB & full Medicaid covrge, + Rx drugs  
                            283        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            167        06                Qualifying individuals                  
                            695        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         11,085        NA                Non-Medicaid                            
 
H_DUAL07 $DUALMON                      Dual eligibility code - Jul              
                            312        00                Not enrolled in Medicare for the month  
                            414        01                QMB-only                                
                          1,708        02                QMB & full Medicaid covrge, + Rx drugs  
                            291        03                SLMB-only                               
                            111        04                SLMB & full Medicaid covrge, + Rx drugs 
                            162        06                Qualifying individuals                  
                            687        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         11,088        NA                Non-Medicaid                            
 
H_DUAL08 $DUALMON                      Dual eligibility code - Aug              
                            327        00                Not enrolled in Medicare for the month  
                            414        01                QMB-only                                
                          1,718        02                QMB & full Medicaid covrge, + Rx drugs  
                            297        03                SLMB-only                               
                            110        04                SLMB & full Medicaid covrge, + Rx drugs 
                            165        06                Qualifying individuals                  
                            701        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              6        99                Unknown                                 
                         11,040        NA                Non-Medicaid                            
 
H_DUAL09 $DUALMON                      Dual eligibility code - Sep              
                            348        00                Not enrolled in Medicare for the month  
                            414        01                QMB-only                                
                          1,727        02                QMB & full Medicaid covrge, + Rx drugs  
                            289        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            162        06                Qualifying individuals                  
                            685        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         11,038        NA                Non-Medicaid                            
 
H_DUAL10 $DUALMON                      Dual eligibility code - Oct              
                            383        00                Not enrolled in Medicare for the month  
                            416        01                QMB-only                                
                          1,721        02                QMB & full Medicaid covrge, + Rx drugs  
                            285        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            160        06                Qualifying individuals                  
                            674        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,021        NA                Non-Medicaid                            
 
H_DUAL11 $DUALMON                      Dual eligibility code - Nov              
                            435        00                Not enrolled in Medicare for the month  
                            421        01                QMB-only                                
                          1,727        02                QMB & full Medicaid covrge, + Rx drugs  
                            284        03                SLMB-only                               
                            116        04                SLMB & full Medicaid covrge, + Rx drugs 
                            161        06                Qualifying individuals                  
                            664        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         10,967        NA                Non-Medicaid                            
 
H_DUAL12 $DUALMON                      Dual eligibility code - Dec              
                            488        00                Not enrolled in Medicare for the month  
                            421        01                QMB-only                                
                          1,724        02                QMB & full Medicaid covrge, + Rx drugs  
                            281        03                SLMB-only                               
                            119        04                SLMB & full Medicaid covrge, + Rx drugs 
                            161        06                Qualifying individuals                  
                            655        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         10,925        NA                Non-Medicaid                            
 
H_DOE    MMDDYYn8                      Medicare entitlement start date          
                         14,778        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT    MMDDYYn8                      Medicare entitlement end date            
                         14,218                       .  Inapplicable                            
                            560        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESRBEG MMDDYYn8                      Beginning date of ESRD period            
                         14,640                       .  Inapplicable                            
                            138        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND MMDDYYn8                      Ending date of ESRD period               
                         14,754                       .  Inapplicable                            
                             24        MMDDYYYY          Date as MMDDYYYY                        
 
H_GHPSW  GHPSW                         Some group health participation in year  
                          5,040                       1  Some enrollment                         
                          9,738                       2  No enrollment                           
 
H_MACY01                               Buy-in agency - Jan                      
                          2,815        Values/Codes      State Agency code                       
                         11,963        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                      
                          2,821        Values/Codes      State Agency code                       
                         11,957        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                      
                          2,832        Values/Codes      State Agency code                       
                         11,946        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                      
                          2,843        Values/Codes      State Agency code                       
                         11,935        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                      
                          2,865        Values/Codes      State Agency code                       
                         11,913        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                      
                          2,887        Values/Codes      State Agency code                       
                         11,891        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                      
                          2,903        Values/Codes      State Agency code                       
                         11,875        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                      
                          2,919        Values/Codes      State Agency code                       
                         11,859        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                      
                          2,927        Values/Codes      State Agency code                       
                         11,851        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                      
                          2,934        Values/Codes      State Agency code                       
                         11,844        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                      
                          2,936        Values/Codes      State Agency code                       
                         11,842        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                      
                          2,937        Values/Codes      State Agency code                       
                         11,841        N                 Unknown, or no buy-in                   
 
H_MCDE01 $MCDCFMT                      Medicaid eligibility - Jan               
                              1        A                 State Part A buy-in                     
                          1,103        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,963        N                 No buy-in this month                    
                          1,228        Q                 State Part B QMB buy-in                 
                            340        S                 State Part B SLMB buy-in                
 
H_MCDE02 $MCDCFMT                      Medicaid eligibility - Feb               
                              1        A                 State Part A buy-in                     
                          1,101        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,957        N                 No buy-in this month                    
                          1,234        Q                 State Part B QMB buy-in                 
                            342        S                 State Part B SLMB buy-in                
 
H_MCDE03 $MCDCFMT                      Medicaid eligibility - Mar               
                              1        A                 State Part A buy-in                     
                          1,100        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             96        D                 State Part A and B QMB buy-in           
                         11,946        N                 No buy-in this month                    
                          1,240        Q                 State Part B QMB buy-in                 
                            347        S                 State Part B SLMB buy-in                
 
H_MCDE04 $MCDCFMT                      Medicaid eligibility - Apr               
                              1        A                 State Part A buy-in                     
                          1,108        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             97        D                 State Part A and B QMB buy-in           
                         11,935        N                 No buy-in this month                    
                          1,245        Q                 State Part B QMB buy-in                 
                            344        S                 State Part B SLMB buy-in                
 
H_MCDE05 $MCDCFMT                      Medicaid eligibility - May               
                              1        A                 State Part A buy-in                     
                          1,116        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,913        N                 No buy-in this month                    
                          1,253        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE06 $MCDCFMT                      Medicaid eligibility - Jun               
                              1        A                 State Part A buy-in                     
                          1,124        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,891        N                 No buy-in this month                    
                          1,266        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE07 $MCDCFMT                      Medicaid eligibility - Jul               
                              1        A                 State Part A buy-in                     
                          1,128        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,875        N                 No buy-in this month                    
                          1,273        Q                 State Part B QMB buy-in                 
                            355        S                 State Part B SLMB buy-in                
 
H_MCDE08 $MCDCFMT                      Medicaid eligibility - Aug               
                          1,144        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,859        N                 No buy-in this month                    
                          1,269        Q                 State Part B QMB buy-in                 
                            359        S                 State Part B SLMB buy-in                
 
H_MCDE09 $MCDCFMT                      Medicaid eligibility - Sep               
                          1,148        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,851        N                 No buy-in this month                    
                          1,272        Q                 State Part B QMB buy-in                 
                            361        S                 State Part B SLMB buy-in                
 
H_MCDE10 $MCDCFMT                      Medicaid eligibility - Oct               
                          1,150        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,844        N                 No buy-in this month                    
                          1,275        Q                 State Part B QMB buy-in                 
                            362        S                 State Part B SLMB buy-in                
 
H_MCDE11 $MCDCFMT                      Medicaid eligibility - Nov               
                          1,149        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                             96        D                 State Part A and B QMB buy-in           
                         11,842        N                 No buy-in this month                    
                          1,282        Q                 State Part B QMB buy-in                 
                            361        S                 State Part B SLMB buy-in                
 
H_MCDE12 $MCDCFMT                      Medicaid eligibility - Dec               
                          1,145        B                 State Part B buy-in                     
                             47        C                 State Part A and B buy-in               
                             95        D                 State Part A and B QMB buy-in           
                         11,841        N                 No buy-in this month                    
                          1,287        Q                 State Part B QMB buy-in                 
                            363        S                 State Part B SLMB buy-in                
 
H_MCSW   SWFMT                         Some Medicaid eligibility for the year   
                          3,161                       1  Some participation                      
                         11,617                       2  No participation                        
 
H_MEDSTA $MSCFMT                       Medicare status code as of 12/31         
                         12,237        10                Aged, no ESRD                           
                             82        11                Aged, ESRD                              
                          2,405        20                Disabled, no ESRD                       
                             40        21                Disabled, ESRD                          
                             14        31                ESRD only                               
 
H_PDLS01 $DLSFMT                       LIS Indicator - Jan                      
                            225        00                Not Medicare enrolled for the month     
                          1,005        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,478        02                Pt A and/or B +D;elig LIS 100%,low copay
                            952        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            308        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             43        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             31        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             34        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,395        09                Pt A and/or B +D;no prem or cstshare sub
                            524        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,766        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS02 $DLSFMT                       LIS Indicator - Feb                      
                            237        00                Not Medicare enrolled for the month     
                          1,007        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,488        02                Pt A and/or B +D;elig LIS 100%,low copay
                            949        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            309        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             42        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             31        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             34        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,378        09                Pt A and/or B +D;no prem or cstshare sub
                            522        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,764        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS03 $DLSFMT                       LIS Indicator - Mar                      
                            258        00                Not Medicare enrolled for the month     
                          1,010        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,500        02                Pt A and/or B +D;elig LIS 100%,low copay
                            943        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            304        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             16        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             41        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             34        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,358        09                Pt A and/or B +D;no prem or cstshare sub
                            525        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,759        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS04 $DLSFMT                       LIS Indicator - Apr                      
                            294        00                Not Medicare enrolled for the month     
                          1,010        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,505        02                Pt A and/or B +D;elig LIS 100%,low copay
                            945        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            298        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             14        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             38        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
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,337        09                Pt A and/or B +D;no prem or cstshare sub
                            523        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,754        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS05 $DLSFMT                       LIS Indicator - May                      
                            301        00                Not Medicare enrolled for the month     
                          1,020        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,508        02                Pt A and/or B +D;elig LIS 100%,low copay
                            944        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
                             14        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        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
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,315        09                Pt A and/or B +D;no prem or cstshare sub
                            522        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,762        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS06 $DLSFMT                       LIS Indicator - Jun                      
                            306        00                Not Medicare enrolled for the month     
                          1,031        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,517        02                Pt A and/or B +D;elig LIS 100%,low copay
                            941        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
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        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
                             30        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,303        09                Pt A and/or B +D;no prem or cstshare sub
                            517        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,759        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS07 $DLSFMT                       LIS Indicator - Jul                      
                            313        00                Not Medicare enrolled for the month     
                          1,033        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,528        02                Pt A and/or B +D;elig LIS 100%,low copay
                            939        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            292        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             14        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             31        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,312        09                Pt A and/or B +D;no prem or cstshare sub
                            502        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,747        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS08 $DLSFMT                       LIS Indicator - Aug                      
                            327        00                Not Medicare enrolled for the month     
                          1,045        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,535        02                Pt A and/or B +D;elig LIS 100%,low copay
                            943        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            283        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             29        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,290        09                Pt A and/or B +D;no prem or cstshare sub
                            501        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,743        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS09 $DLSFMT                       LIS Indicator - Sep                      
                            348        00                Not Medicare enrolled for the month     
                          1,049        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,536        02                Pt A and/or B +D;elig LIS 100%,low copay
                            939        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            282        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             29        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,277        09                Pt A and/or B +D;no prem or cstshare sub
                            500        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,736        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS10 $DLSFMT                       LIS Indicator - Oct                      
                            383        00                Not Medicare enrolled for the month     
                          1,046        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,541        02                Pt A and/or B +D;elig LIS 100%,low copay
                            933        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            280        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             31        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,261        09                Pt A and/or B +D;no prem or cstshare sub
                            501        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,720        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS11 $DLSFMT                       LIS Indicator - Nov                      
                            435        00                Not Medicare enrolled for the month     
                          1,049        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,537        02                Pt A and/or B +D;elig LIS 100%,low copay
                            932        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            282        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             38        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             31        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             31        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,226        09                Pt A and/or B +D;no prem or cstshare sub
                            501        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,701        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS12 $DLSFMT                       LIS Indicator - Dec                      
                            488        00                Not Medicare enrolled for the month     
                          1,049        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,536        02                Pt A and/or B +D;elig LIS 100%,low copay
                            929        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            281        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             38        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             31        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,190        09                Pt A and/or B +D;no prem or cstshare sub
                            496        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,693        13                Pt A and/or B,no D;none of above cond   
 
H_PDPY01 MONYFMT                       Part D capitation payment - Jan          
                          3,343                       .  Inapplicable/Missing                    
                         11,435        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02 MONYFMT                       Part D capitation payment - Feb          
                          3,351                       .  Inapplicable/Missing                    
                         11,427        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03 MONYFMT                       Part D capitation payment - Mar          
                          3,371                       .  Inapplicable/Missing                    
                         11,407        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04 MONYFMT                       Part D capitation payment - Apr          
                          3,398                       .  Inapplicable/Missing                    
                         11,380        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05 MONYFMT                       Part D capitation payment - May          
                          3,411                       .  Inapplicable/Missing                    
                         11,367        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06 MONYFMT                       Part D capitation payment - Jun          
                          3,410                       .  Inapplicable/Missing                    
                         11,368        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07 MONYFMT                       Part D capitation payment - Jul          
                          3,397                       .  Inapplicable/Missing                    
                         11,381        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08 MONYFMT                       Part D capitation payment - Aug          
                          3,410                       .  Inapplicable/Missing                    
                         11,368        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09 MONYFMT                       Part D capitation payment - Sep          
                          3,422                       .  Inapplicable/Missing                    
                         11,356        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10 MONYFMT                       Part D capitation payment - Oct          
                          3,441                       .  Inapplicable/Missing                    
                         11,337        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11 MONYFMT                       Part D capitation payment - Nov          
                          3,475                       .  Inapplicable/Missing                    
                         11,303        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12 MONYFMT                       Part D capitation payment - Dec          
                          3,513                       .  Inapplicable/Missing                    
                         11,265        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY01 MONYFMT                       Medicare capitation payment -  Jan       
                          3,343                       .  Inapplicable/Missing                    
                         11,435        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02 MONYFMT                       Medicare capitation payment -  Feb       
                          3,351                       .  Inapplicable/Missing                    
                         11,427        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03 MONYFMT                       Medicare capitation payment - Mar        
                          3,371                       .  Inapplicable/Missing                    
                         11,407        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04 MONYFMT                       Medicare capitation payment - Apr        
                          3,398                       .  Inapplicable/Missing                    
                         11,380        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05 MONYFMT                       Medicare capitation payment - May        
                          3,411                       .  Inapplicable/Missing                    
                         11,367        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06 MONYFMT                       Medicare capitation payment - Jun        
                          3,410                       .  Inapplicable/Missing                    
                         11,368        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07 MONYFMT                       Medicare capitation payment - Jul        
                          3,397                       .  Inapplicable/Missing                    
                         11,381        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08 MONYFMT                       Medicare capitation payment - Aug        
                          3,410                       .  Inapplicable/Missing                    
                         11,368        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09 MONYFMT                       Medicare capitation payment - Sep        
                          3,422                       .  Inapplicable/Missing                    
                         11,356        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10 MONYFMT                       Medicare capitation payment - Oct        
                          3,441                       .  Inapplicable/Missing                    
                         11,337        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11 MONYFMT                       Medicare capitation payment - Nov        
                          3,475                       .  Inapplicable/Missing                    
                         11,303        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12 MONYFMT                       Medicare capitation payment - Dec        
                          3,513                       .  Inapplicable/Missing                    
                         11,265        Range of values   Amount as $$$$$$.CC                     
 
H_OPMDCD DUALFMT                       Medicare-Medicaid dual eligibility indic 
                          2,730                       1  FULL-Bene elig. full Medicaid benefits  
                         11,110                       2  NONDUAL-Bene not elig Medicaid benfits  
                            489                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            449                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PRPY01 $MSPCODE                      Primary Payer                            
                         14,329                          Medicare is Primary                     
                            145        A                 Working Aged                            
                              5        B                 ESRD                                    
                              6        C                 Condition/Reimbursement Anticipated     
                             16        D                 Automobile No Fault                     
                              6        E                 Workers’ comp                           
                              1        F                 Public Health/federal                   
                            107        G                 Working Disabled                        
                              1        H                 Black Lung                              
                              2        I                 VA                                      
                             22        L                 Any liability                           
                            138        M                 Override Code                           
 
H_PRPY02 $MSPCODE                      Primary Payer, 2nd code                  
                         14,702                          Medicare is Primary                     
                             15        A                 Working Aged                            
                              1        B                 ESRD                                    
                             23        C                 Condition/Reimbursement Anticipated     
                              6        D                 Automobile No Fault                     
                              3        E                 Workers’ comp                           
                              8        G                 Working Disabled                        
                              8        L                 Any liability                           
                             11        M                 Override Code                           
                              1        W                 WCMSA                                   
 
H_PRPY03 $MSPCODE                      Primary Payer, 3rd code                  
                         14,758                          Medicare is Primary                     
                             12        A                 Working Aged                            
                              3        C                 Condition/Reimbursement Anticipated     
                              1        D                 Automobile No Fault                     
                              1        E                 Workers’ comp                           
                              3        L                 Any liability                           
 
H_PRPY04 $MSPCODE                      Primary Payer, 4th code                  
                         14,777                          Medicare is Primary                     
                              1        M                 Override Code                           
 
H_CPRM01 MONYFMT                       Part C Premium - Jan                     
                         10,435                       .  Inapplicable/Missing                    
                          4,343        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02 MONYFMT                       Part C Premium - Feb                     
                         10,431                       .  Inapplicable/Missing                    
                          4,347        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03 MONYFMT                       Part C Premium - Mar                     
                         10,425                       .  Inapplicable/Missing                    
                          4,353        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04 MONYFMT                       Part C Premium - Apr                     
                         10,416                       .  Inapplicable/Missing                    
                          4,362        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05 MONYFMT                       Part C Premium - May                     
                         10,411                       .  Inapplicable/Missing                    
                          4,367        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06 MONYFMT                       Part C Premium - Jun                     
                         10,402                       .  Inapplicable/Missing                    
                          4,376        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07 MONYFMT                       Part C Premium - Jul                     
                         10,394                       .  Inapplicable/Missing                    
                          4,384        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08 MONYFMT                       Part C Premium - Aug                     
                         10,397                       .  Inapplicable/Missing                    
                          4,381        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09 MONYFMT                       Part C Premium - Sep                     
                         10,387                       .  Inapplicable/Missing                    
                          4,391        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10 MONYFMT                       Part C Premium - Oct                     
                         10,388                       .  Inapplicable/Missing                    
                          4,390        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11 MONYFMT                       Part C Premium - Nov                     
                         10,393                       .  Inapplicable/Missing                    
                          4,385        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12 MONYFMT                       Part C Premium - Dec                     
                         10,401                       .  Inapplicable/Missing                    
                          4,377        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                 
                              6                          Inapplicable/Missing                    
                         11,482        Values/Codes      Contract/Segment/Plan ID                
                          3,290        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                 
                              1                          Inapplicable/Missing                    
                         11,491        Values/Codes      Contract/Segment/Plan ID                
                          3,286        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                 
                              1                          Inapplicable/Missing                    
                         11,493        Values/Codes      Contract/Segment/Plan ID                
                          3,284        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                 
                              2                          Inapplicable/Missing                    
                         11,499        Values/Codes      Contract/Segment/Plan ID                
                          3,277        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                 
                              2                          Inapplicable/Missing                    
                         11,492        Values/Codes      Contract/Segment/Plan ID                
                          3,284        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                 
                              1                          Inapplicable/Missing                    
                         11,501        Values/Codes      Contract/Segment/Plan ID                
                          3,276        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                 
                              1                          Inapplicable/Missing                    
                         11,528        Values/Codes      Contract/Segment/Plan ID                
                          3,249        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                 
                         11,534        Values/Codes      Contract/Segment/Plan ID                
                          3,244        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                 
                         11,542        Values/Codes      Contract/Segment/Plan ID                
                          3,236        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                 
                         11,557        Values/Codes      Contract/Segment/Plan ID                
                          3,221        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                 
                         11,576        Values/Codes      Contract/Segment/Plan ID                
                          3,202        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                 
                         11,589        Values/Codes      Contract/Segment/Plan ID                
                          3,189        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan        
                          3,515                          Inapplicable/Missing                    
                         11,263        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb        
                          3,523                          Inapplicable/Missing                    
                         11,255        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar        
                          3,542                          Inapplicable/Missing                    
                         11,236        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr        
                          3,571                          Inapplicable/Missing                    
                         11,207        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May        
                          3,585                          Inapplicable/Missing                    
                         11,193        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun        
                          3,582                          Inapplicable/Missing                    
                         11,196        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul        
                          3,562                          Inapplicable/Missing                    
                         11,216        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug        
                          3,571                          Inapplicable/Missing                    
                         11,207        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep        
                          3,584                          Inapplicable/Missing                    
                         11,194        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct        
                          3,604                          Inapplicable/Missing                    
                         11,174        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov        
                          3,637                          Inapplicable/Missing                    
                         11,141        Values/Codes      Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec        
                          3,677                          Inapplicable/Missing                    
                         11,101        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: January               
                          3,515                          Inapplicable/Missing                    
                         11,263        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: February              
                          3,523                          Inapplicable/Missing                    
                         11,255        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: March                 
                          3,542                          Inapplicable/Missing                    
                         11,236        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: April                 
                          3,571                          Inapplicable/Missing                    
                         11,207        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                   
                          3,585                          Inapplicable/Missing                    
                         11,193        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: June                  
                          3,582                          Inapplicable/Missing                    
                         11,196        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: July                  
                          3,562                          Inapplicable/Missing                    
                         11,216        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: August                
                          3,571                          Inapplicable/Missing                    
                         11,207        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: September             
                          3,584                          Inapplicable/Missing                    
                         11,194        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: October               
                          3,604                          Inapplicable/Missing                    
                         11,174        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: November              
                          3,637                          Inapplicable/Missing                    
                         11,141        Values/Codes      Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: December              
                          3,677                          Inapplicable/Missing                    
                         11,101        Values/Codes      Contract/Segment/Plan ID                
 
H_PRTC01                               Part C Contract ID - Jan                 
                          5,005        Values/Codes      Contract/Segment/Plan ID                
                          9,773        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                 
                          5,024        Values/Codes      Contract/Segment/Plan ID                
                          9,754        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                 
                          5,048        Values/Codes      Contract/Segment/Plan ID                
                          9,730        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                 
                          5,090        Values/Codes      Contract/Segment/Plan ID                
                          9,688        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                 
                          5,105        Values/Codes      Contract/Segment/Plan ID                
                          9,673        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                 
                          5,117        Values/Codes      Contract/Segment/Plan ID                
                          9,661        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                 
                          5,127        Values/Codes      Contract/Segment/Plan ID                
                          9,651        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                 
                          5,134        Values/Codes      Contract/Segment/Plan ID                
                          9,644        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                 
                          5,167        Values/Codes      Contract/Segment/Plan ID                
                          9,611        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                 
                          5,202        Values/Codes      Contract/Segment/Plan ID                
                          9,576        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                 
                          5,253        Values/Codes      Contract/Segment/Plan ID                
                          9,525        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                 
                          5,300        Values/Codes      Contract/Segment/Plan ID                
                          9,478        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan        
                         10,001                          Inapplicable/Missing                    
                          4,777        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb        
                          9,999                          Inapplicable/Missing                    
                          4,779        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar        
                          9,996                          Inapplicable/Missing                    
                          4,782        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr        
                          9,990                          Inapplicable/Missing                    
                          4,788        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May        
                          9,982                          Inapplicable/Missing                    
                          4,796        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun        
                          9,976                          Inapplicable/Missing                    
                          4,802        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul        
                          9,973                          Inapplicable/Missing                    
                          4,805        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug        
                          9,982                          Inapplicable/Missing                    
                          4,796        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep        
                          9,970                          Inapplicable/Missing                    
                          4,808        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct        
                          9,970                          Inapplicable/Missing                    
                          4,808        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov        
                          9,975                          Inapplicable/Missing                    
                          4,803        Values/Codes      Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec        
                          9,981                          Inapplicable/Missing                    
                          4,797        Values/Codes      Contract/Segment/Plan ID                
 
H_DPRM01 MONYFMT                       Part D Premium - Jan                     
                          3,551                       .  Inapplicable/Missing                    
                         11,227        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02 MONYFMT                       Part D Premium - Feb                     
                          3,569                       .  Inapplicable/Missing                    
                         11,209        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03 MONYFMT                       Part D Premium - Mar                     
                          3,575                       .  Inapplicable/Missing                    
                         11,203        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04 MONYFMT                       Part D Premium - Apr                     
                          3,602                       .  Inapplicable/Missing                    
                         11,176        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05 MONYFMT                       Part D Premium - May                     
                          3,613                       .  Inapplicable/Missing                    
                         11,165        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06 MONYFMT                       Part D Premium - Jun                     
                          3,611                       .  Inapplicable/Missing                    
                         11,167        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07 MONYFMT                       Part D Premium - Jul                     
                          3,600                       .  Inapplicable/Missing                    
                         11,178        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08 MONYFMT                       Part D Premium - Aug                     
                          3,602                       .  Inapplicable/Missing                    
                         11,176        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09 MONYFMT                       Part D Premium - Sep                     
                          3,612                       .  Inapplicable/Missing                    
                         11,166        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10 MONYFMT                       Part D Premium - Oct                     
                          3,627                       .  Inapplicable/Missing                    
                         11,151        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11 MONYFMT                       Part D Premium - Nov                     
                          3,655                       .  Inapplicable/Missing                    
                         11,123        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12 MONYFMT                       Part D Premium - Dec                     
                          3,695                       .  Inapplicable/Missing                    
                         11,083        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01 MONYFMT                       Part D Deductible - Jan                  
                          5,378                       .  Inapplicable/Missing                    
                          9,400        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02 MONYFMT                       Part D Deductible - Feb                  
                          5,390                       .  Inapplicable/Missing                    
                          9,388        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03 MONYFMT                       Part D Deductible - Mar                  
                          5,391                       .  Inapplicable/Missing                    
                          9,387        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04 MONYFMT                       Part D Deductible - Apr                  
                          5,410                       .  Inapplicable/Missing                    
                          9,368        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05 MONYFMT                       Part D Deductible - May                  
                          5,415                       .  Inapplicable/Missing                    
                          9,363        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06 MONYFMT                       Part D Deductible - Jun                  
                          5,416                       .  Inapplicable/Missing                    
                          9,362        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07 MONYFMT                       Part D Deductible - Jul                  
                          5,425                       .  Inapplicable/Missing                    
                          9,353        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08 MONYFMT                       Part D Deductible - Aug                  
                          5,429                       .  Inapplicable/Missing                    
                          9,349        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09 MONYFMT                       Part D Deductible - Sep                  
                          5,437                       .  Inapplicable/Missing                    
                          9,341        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10 MONYFMT                       Part D Deductible - Oct                  
                          5,441                       .  Inapplicable/Missing                    
                          9,337        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11 MONYFMT                       Part D Deductible - Nov                  
                          5,450                       .  Inapplicable/Missing                    
                          9,328        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12 MONYFMT                       Part D Deductible - Dec                  
                          5,481                       .  Inapplicable/Missing                    
                          9,297        Range of values   Amount as $$$$$$.CC                     
 
H_MAFF01 $MA2FLAG                      MA flag - Jan                            
                          9,773        FF                Original Medicare/FFS                   
                          4,786        MA                MA/Other Medicare Capitated Paymnt Plans
                            219        NO                No Entitlement                          
 
H_MAFF02 $MA2FLAG                      MA flag - Feb                            
                          9,754        FF                Original Medicare/FFS                   
                          4,788        MA                MA/Other Medicare Capitated Paymnt Plans
                            236        NO                No Entitlement                          
 
H_MAFF03 $MA2FLAG                      MA flag - Mar                            
                          9,730        FF                Original Medicare/FFS                   
                          4,791        MA                MA/Other Medicare Capitated Paymnt Plans
                            257        NO                No Entitlement                          
 
H_MAFF04 $MA2FLAG                      MA flag - Apr                            
                          9,688        FF                Original Medicare/FFS                   
                          4,798        MA                MA/Other Medicare Capitated Paymnt Plans
                            292        NO                No Entitlement                          
 
H_MAFF05 $MA2FLAG                      MA flag - May                            
                          9,673        FF                Original Medicare/FFS                   
                          4,806        MA                MA/Other Medicare Capitated Paymnt Plans
                            299        NO                No Entitlement                          
 
H_MAFF06 $MA2FLAG                      MA flag - Jun                            
                          9,661        FF                Original Medicare/FFS                   
                          4,812        MA                MA/Other Medicare Capitated Paymnt Plans
                            305        NO                No Entitlement                          
 
H_MAFF07 $MA2FLAG                      MA flag - Jul                            
                          9,651        FF                Original Medicare/FFS                   
                          4,815        MA                MA/Other Medicare Capitated Paymnt Plans
                            312        NO                No Entitlement                          
 
H_MAFF08 $MA2FLAG                      MA flag - Aug                            
                          9,644        FF                Original Medicare/FFS                   
                          4,807        MA                MA/Other Medicare Capitated Paymnt Plans
                            327        NO                No Entitlement                          
 
H_MAFF09 $MA2FLAG                      MA flag - Sep                            
                          9,611        FF                Original Medicare/FFS                   
                          4,819        MA                MA/Other Medicare Capitated Paymnt Plans
                            348        NO                No Entitlement                          
 
H_MAFF10 $MA2FLAG                      MA flag - Oct                            
                          9,576        FF                Original Medicare/FFS                   
                          4,819        MA                MA/Other Medicare Capitated Paymnt Plans
                            383        NO                No Entitlement                          
 
H_MAFF11 $MA2FLAG                      MA flag - Nov                            
                          9,525        FF                Original Medicare/FFS                   
                          4,818        MA                MA/Other Medicare Capitated Paymnt Plans
                            435        NO                No Entitlement                          
 
H_MAFF12 $MA2FLAG                      MA flag - Dec                            
                          9,478        FF                Original Medicare/FFS                   
                          4,812        MA                MA/Other Medicare Capitated Paymnt Plans
                            488        NO                No Entitlement                          
 
H_PNUM                                 Number of GHPs in bene area              
                              2                       .  Inapplicable/Missing                    
                         14,776        LOW-HIGH          Range of Values                         
 
H_MANUM                                Number of MA plans in bene area          
                              2                       .  Inapplicable/Missing                    
                         14,776        LOW-HIGH          Range of Values                         
 
H_PFSNUM                               Number of PFFS plans in bene area        
                              2                       .  Inapplicable/Missing                    
                         14,776        LOW-HIGH          Range of Values                         
 
H_CREDSW YES8FMT                       Creditable Coverage Switch               
                          2,631                       1  Yes                                     
                         12,147                       2  No                                      
 
H_PDRS01 DRDSFMT                       RDS Indicator - Jan                      
                            225                       .  Unknown                                 
                            524                       1  Employer subsidized for the beneficiary 
                         14,029                       2  Employer not subsidized for the benefici
 
H_PDRS02 DRDSFMT                       RDS Indicator - Feb                      
                            237                       .  Unknown                                 
                            522                       1  Employer subsidized for the beneficiary 
                         14,019                       2  Employer not subsidized for the benefici
 
H_PDRS03 DRDSFMT                       RDS Indicator - Mar                      
                            258                       .  Unknown                                 
                            525                       1  Employer subsidized for the beneficiary 
                         13,995                       2  Employer not subsidized for the benefici
 
H_PDRS04 DRDSFMT                       RDS Indicator - Apr                      
                            294                       .  Unknown                                 
                            523                       1  Employer subsidized for the beneficiary 
                         13,961                       2  Employer not subsidized for the benefici
 
H_PDRS05 DRDSFMT                       RDS Indicator - May                      
                            301                       .  Unknown                                 
                            522                       1  Employer subsidized for the beneficiary 
                         13,955                       2  Employer not subsidized for the benefici
 
H_PDRS06 DRDSFMT                       RDS Indicator - Jun                      
                            306                       .  Unknown                                 
                            517                       1  Employer subsidized for the beneficiary 
                         13,955                       2  Employer not subsidized for the benefici
 
H_PDRS07 DRDSFMT                       RDS Indicator - Jul                      
                            313                       .  Unknown                                 
                            502                       1  Employer subsidized for the beneficiary 
                         13,963                       2  Employer not subsidized for the benefici
 
H_PDRS08 DRDSFMT                       RDS Indicator - Aug                      
                            327                       .  Unknown                                 
                            501                       1  Employer subsidized for the beneficiary 
                         13,950                       2  Employer not subsidized for the benefici
 
H_PDRS09 DRDSFMT                       RDS Indicator - Sep                      
                            348                       .  Unknown                                 
                            500                       1  Employer subsidized for the beneficiary 
                         13,930                       2  Employer not subsidized for the benefici
 
H_PDRS10 DRDSFMT                       RDS Indicator - Oct                      
                            383                       .  Unknown                                 
                            501                       1  Employer subsidized for the beneficiary 
                         13,894                       2  Employer not subsidized for the benefici
 
H_PDRS11 DRDSFMT                       RDS Indicator - Nov                      
                            435                       .  Unknown                                 
                            501                       1  Employer subsidized for the beneficiary 
                         13,842                       2  Employer not subsidized for the benefici
 
H_PDRS12 DRDSFMT                       RDS Indicator - Dec                      
                            488                       .  Unknown                                 
                            496                       1  Employer subsidized for the beneficiary 
                         13,794                       2  Employer not subsidized for the benefici
 
H_PTAPRM MONYFMT                       Total Part A Premium Paid in CY          
                         14,778        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM MONYFMT                       Total Part B Premium Paid in CY          
                         14,778        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM MONYFMT                       Estimate TotPrem: A+B+C+D+SurveyOnlyPlan 
                         14,778        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
                 First available in 2015
 
