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Centers for Medicare and Medicaid Services

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and health insurance portability standards.

Todos los conjuntos de datos:  A C D E H M N O P S U V
  • A
  • C
    • mayo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 09 mayo, 2018
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    • mayo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 09 mayo, 2018
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      Complications - national data. This data set includes national-level data the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
    • octubre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 26 octubre, 2018
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      Complications and Deaths - provider data. This data set includes provider data for 30-day death and readmission measures.
  • D
  • E
    • diciembre 2013
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 04 marzo, 2016
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      The Environmental Scanning and Program Characteristics (ESPC) Database, is intended to facilitate cross-State analyses. Information from the ESPC database can be linked to the Medicaid Analytic eXtract (MAX) files and other Medicaid data to support program and comparative effectiveness research (CER), policy studies, and program evaluations. The ESPC database and companion User Guide can serve as a stand-alone tool to facilitate intra–and inter–state analysis stemming from the implementation of health reform.
  • H
    • noviembre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 13 diciembre, 2018
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    • octubre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 27 diciembre, 2018
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      The Healthcare-Associated Infection (HAI) measures - provider data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • abril 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 03 mayo, 2018
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      The Healthcare-Associated Infections (HAI) measures - national data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • julio 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 01 agosto, 2018
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      The Healthcare-Associated Infections (HAI) measures - state data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • marzo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 09 abril, 2018
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      In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured by a ratio, by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack, heart failure, and pneumonia by the number that would be “expected,” based on an average hospital with similar patients. A ratio greater than 1 indicates excess readmissions.
    • julio 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 27 agosto, 2018
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      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Care measures.
    • marzo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 12 abril, 2018
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      Hospital Value-Based Purchasing (HVBP) – Efficiency Scores
    • enero 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 02 febrero, 2018
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      A list of hospitals participating in the Hospital VBP Program and their scores for the Patient Experience of Care HCAHPS dimensions.
    • marzo 2016
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 21 marzo, 2016
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      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Process of Care Pneumonia measures.
    • diciembre 2016
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 27 junio, 2017
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      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Preventive Care measure.
    • marzo 2016
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 21 marzo, 2016
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      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Process of Care SCIP measures.
    • septiembre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 27 noviembre, 2018
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      A list of hospitals participating in the Hospital VBP Program and their Clinical Process of Care domain scores, Patient Experience of Care dimension scores, and Total Performance Scores.
    • julio 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 09 agosto, 2018
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      Hospital-Acquired Condition Reduction Program
  • M
    • marzo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 09 abril, 2018
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      The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare patient treated in a specific hospital, compared to how much Medicare spends per patient nationally. This measure includes any Medicare Part A and Part B payments made for services provided to a patient during the 3 days prior to the hospital stay, during the stay, and during the 30 days after discharge from the hospital.
    • febrero 2019
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 19 marzo, 2019
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    • agosto 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 22 mayo, 2019
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    • agosto 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 13 marzo, 2019
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      Medicare Provider Utilization and Payment Data: Home Health Agencies The Home Health Agency Utilization and Payment Public Use File (herein referred to as “Home Health Agency PUF”) presents information on services provided to Medicare beneficiaries by home health agencies. The Home Health Agency PUF contains information on utilization, payment (Medicare payment and standard payment), submitted charges, and demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Home Health Resource Group (HHRG), and state of service.  Short NameDescriptionProvider IDThe 6-digit identification number for the home health agency on the claim.Agency NameThe home health agency name, as reported in the POS file.Street AddressThe home health agency address, as reported in the POS file.CityThe city where the home health agency is located, as reported in the POS file.StateThe state where the home health agency is located, as reported in POS file. The fifty U.S. states and the District of Columbia are reported by the state postal abbreviation.  Zip CodeThe home health agency’s zip code, as reported in the POS file.Total Episodes (non-LUPA)Total count of non-LUPA episodes provided by a specific home health agency or in a unique HHRG category in the calendar year.Distinct Beneficiaries (non-LUPA)Number of distinct Medicare beneficiaries receiving at least one non-LUPA home health episode in the calendar year.  Beneficiaries may receive multiple home health episodes per year but are only counted once in this field.Average Number of Total Visits Per Episode (non-LUPA)Average number of total visits provided by the HHA during a non-LUPA episode.Average Number of Skilled Nursing Visits Per Episode (non-LUPA)Average number of skilled nursing visits provided by the HHA during a non-LUPA episode.Average Number of PT Visits Per Episode (non-LUPA)Average number of physical therapy visits provided by the HHA during a non-LUPA episode.Average Number of OT Visits Per Episode (non-LUPA)Average number of occupational therapy visits provided by the HHA during a non-LUPA episode.Average Number of  ST Visits Per Episode (non-LUPA)Average number of speech therapy visits provided by the HHA during a non-LUPA episode.Average Number of Home Health Aide Visits Per Episode (non-LUPA)Average number of home health aide visits provided by the HHA during a non-LUPA episode.Average Number of Medical-Social Visits Per Episode (non-LUPA)Average number of medical-social visits provided by the HHA during a non-LUPA episode.Total HHA Charge Amount (non-LUPA)Total charges that the home health agency submitted for non-LUPA episodes.Total HHA Medicare Payment Amount (non-LUPA)Total amount that Medicare paid for non-LUPA episodes.  Home health services do not have any cost-sharing requirements and the Medicare payment amount will equal the allowed amount.Total HHA Medicare Standard Payment Amount (non-LUPA)Total amount that Medicare paid for non-LUPA episodes adjusted for geographic differences in payment rates.Outlier Payments as a Percent of Medicare Payment Amount (non-LUPA)The percent of total Medicare payments for non-LUPA episodes paid to an HHA for outlier episodes.Total LUPA EpisodesTotal count of low utilization payment amount episodes provided by a specific HHA in the calendar year.Total HHA Medicare Payment Amount for LUPAsTotal amount that Medicare paid for LUPA episodes provided by a specific HHA in the calendar year.Average AgeAverage age of beneficiaries. Beneficiary age is calculated at the end of the calendar year or at the time of death.Male BeneficiariesNumber of male beneficiaries.Female BeneficiariesNumber of female beneficiaries.Nondual BeneficiariesNumber of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year.Dual BeneficiariesNumber of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits.White BeneficiariesNumber of non-Hispanic white beneficiaries.Black BeneficiariesNumber of non-Hispanic black or African American beneficiaries.Asian Pacific Islander BeneficiariesNumber of Asian Pacific Islander beneficiaries.Hispanic BeneficiariesNumber of Hispanic beneficiaries.American Indian or Alaska Native BeneficiariesNumber of American Indian or Alaska Native beneficiaries.Other/ Unknown BeneficiariesNumber of beneficiaries with race not elsewhere classified.Average HCC ScoreAverage Hierarchical Condition Category (HCC) risk score of beneficiaries. Please refer to the “Additional Information” section of the Methodology document for more details on HCC risk scores.Percent of Beneficiaries with Atrial FibrillationPercent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation.Percent of Beneficiaries with Alzheimer'sPercent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia.Percent of Beneficiaries with AsthmaPercent of beneficiaries meeting the CCW chronic condition algorithm for Asthma.Percent of Beneficiaries with CancerPercent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer.Percent of Beneficiaries with CHFPercent of beneficiaries meeting the CCW chronic condition algorithm for heart failure.Percent of Beneficiaries with Chronic Kidney DiseasePercent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease.Percent of Beneficiaries with COPDPercent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease.Percent of Beneficiaries with DepressionPercent of beneficiaries meeting the CCW chronic condition algorithm for depression.Percent of Beneficiaries with DiabetesPercent of beneficiaries meeting the CCW chronic condition algorithm for diabetes.Percent of Beneficiaries with HyperlipidemiaPercent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia.Percent of Beneficiaries with HypertensionPercent of beneficiaries meeting the CCW chronic condition algorithm for hypertension.Percent of Beneficiaries with IHDPercent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease.Percent of Beneficiaries with OsteoporosisPercent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis.Percent of Beneficiaries with RA/OAPercent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis.Percent of Beneficiaries with SchizophreniaPercent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders.Percent of Beneficiaries with StrokePercent of beneficiaries meeting the CCW chronic condition algorithm for stroke.
    • agosto 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 12 marzo, 2019
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    • febrero 2019
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 15 mayo, 2019
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      The Part D Prescriber PUF is based on information from CMS’s Prescription Drug Event Standard Analytic File, which has final-action claims that are submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP).
  • N
    • mayo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 22 enero, 2019
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      HCPCS - HCPCS code for the specific DMEPOS products/services ordered by referring providers and rendered by suppliers. HCPCS Description - Description of the HCPCS code for the specific DMEPOS product/service ordered by referring providers and rendered by suppliers. BETOS Classification - Berenson-Eggers Type of Service (BETOS) classification code and description assigned to the HCPCS code. The BETOS coding system consists of readily understood clinical categories that permit objective assignment of HCPCS codes. BETOS Classification Group - High level grouping of the BETOS Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products. Supplier Rental - Indicator Identifies whether the DMEPOS products/services submitted on supplier claims are identified as rental. Number of Referring - Providers Number of referring providers ordering DMEPOS products/services. Number of Suppliers - Number of suppliers rendering DMEPOS products/services. Number of Supplier - Beneficiaries Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting services ordered by referring providers. Number of Supplier Services - Number of DMEPOS products/services rendered by suppliers; note that the metrics used to count the number provided can vary from service to service. Average Supplier Submitted Charges - Average of the charges that suppliers submitted for the DMEPOS product/service. Total supplier submitted charges can be calculated by multiplying the average supplier submitted charges by the number of supplier services. Average Supplier Medicare Allowed Amount - Average of the supplier Medicare allowed amounts for the DMEPOS product/service. Medicare allowed amounts include the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Total supplier Medicare allowed amounts can be calculated by multiplying the average supplier Medicare allowed amount by the number of supplier services. Average Supplier Medicare Payment Amount - Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service. Total supplier Medicare payment amounts can be calculated by multiplying the average supplier Medicare payment amount by the number of supplier services.
    • mayo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 07 enero, 2019
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      Referring Provider Last Name / Organization Name - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s last name. When the referring provider is registered as an organization (entity type code = ‘O’), this is the organization name. Referring Provider First Name - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s first name. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank. Referring Provider Middle Initial - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s middle initial. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank. Referring Provider Credentials - When the referring provider is registered in NPPES as an individual (entity type code=’I’), these are the referring provider’s credentials. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank. Referring Provider Gender - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s gender. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank. Referring Provider Entity Code - Type of entity reported in NPPES. An entity code of ‘I’ identifies referring providers registered as individuals and an entity type code of ‘O’ identifies referring providers registered as organizations. Referring Provider Street 1 - The first line of the referring provider’s street address, as reported in NPPES. Referring Provider Street 2 - The second line of the referring provider’s street address, as reported in NPPES. Referring Provider City - The city where the referring provider is located, as reported in NPPES. "Referring Provider State - The state where the referring provider is located, as reported in NPPES. The fifty U.S. states and the District of Columbia are reported by the state postal abbreviation. The following values are used for other areas: 'XX' = 'Unknown' 'AA' = 'Armed Forces Central/South America' 'AE' = 'Armed Forces Europe' 'AP' = 'Armed Forces Pacific' 'AS' = 'American Samoa' 'GU' = 'Guam' 'MP' = 'North Mariana Islands' 'PR' = 'Puerto Rico' 'VI' = 'Virgin Islands' 'ZZ' = 'Foreign Country' " Referring Provider Zip - The referring provider’s zip code, as reported in NPPES. "Referring Provider Country - The country where the referring provider is located, as reported in NPPES. The country code will be ‘US’ for any state or U.S. possession. For foreign countries (i.e., state values of ‘ZZ’), the provider country values include the following: ‘AE’ = ‘United Arab Emirates’; ‘IL’= Israel’; ‘AR’= ‘Argentina’; ‘IN’= India’; ‘AU’= ‘Australia’; ‘IS’= Iceland; ‘BR’= ‘Brazil’; ‘IT’= Italy’; ‘CA’= ‘Canada’; ‘JP’= Japan’; ‘CH’= Switzerland’; ‘KR’= ‘Korea’; ‘CN’= China’; ‘NL’= ‘Netherlands’; ‘CO’= Colombia’; ‘PK’= ‘Pakistan’; ‘DE’= ‘Germany’; ‘SA’= ‘Saudi Arabia’; ‘ES’= ‘Spain’; ‘SY’= ‘Syria’; ‘FR’= France’; ‘TR’= ‘Turkey’; ‘GB’= Great Britain’; ‘VE’= ‘Venezuela’; ‘HU’= Hungary’ " Referring Provider Type - Derived from the Medicare provider/supplier specialty code reported on all of the NPI's Part B non-institutional claims (DMEPOS & non-DMEPOS). For referring providers that have more than one Medicare specialty code reported on their claims, the Medicare specialty code associated with the largest number of services was used. Where a prescriber's NPI did not have associated Part B claims, the taxonomy code associated with the NPI in NPPES was mapped to a Medicare specialty code using an external crosswalk published here: http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Taxonomy.html. For any taxonomy codes that could not be mapped to a Medicare specialty code, the taxonomy classification description was used. Referring Provider Type Flag - A flag variable that indicates the source of the Referring Provider Type: "S" = Medicare Specialty Code description "T" = Taxonomy Code Classification description Number of Suppliers - Number of suppliers rendering products/services billed through DMEPOS MACs. Number of Supplier HCPCS - Total number of unique DMEPOS product/service hcpcs codes billed by suppliers and ordered by the referring provider. Number of Supplier Beneficiaries - Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting products/services ordered by the referring provider. Number of Supplier Services - Total DMEPOS products/services rendered by suppliers and ordered by the referring provider. Supplier Submitted Charges - The total charges that suppliers submitted for all DMEPOS products/services ordered by the referring provider. Supplier Medicare Allowed Amount - The Medicare allowed amount for all DMEPOS products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Supplier Medicare Payment Amount - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's DMEPOS line item products/services ordered by the referring provider. Durable Medical Equipment Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with durable medical equipment HCPCS codes. A value of '*' means the suppressed information is based on a dme-specific claim count of 1 through 10. A value of '#' means the dme-specific information has been counter-suppressed. Counter-suppression is needed when the display of dme-specific data could be used to recalculate suppressed values in non-dme-specific columns. Number of Durable Medical Equipment Suppliers1 - Number of suppliers rendering durable medical equipment products/services. Number of Durable Medical Equipment Beneficiaries1 - Total number of unique beneficiaries associated with durable medical equipment claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Durable Medical Equipment HCPCS1 - Total number of unique durable medical equipment hcpcs codes billed by suppliers and ordered by the referring provider. Number of Durable Medical Equipment Claims1 - Total number of durable medical equipment claims submitted by suppliers, reflecting services ordered by the referring provider. Number of Durable Medical Equipment Services1 - Total durable medical equipment products/services rendered by suppliers and ordered by the referring provider. Durable Medical Equipment Submitted Charges1 - The total charges that suppliers submitted for all durable medical equipment products/services ordered by the referring provider. Durable Medical Equipment Medicare Allowed Amount1 - The Medicare allowed amount for all durable medical equipment products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Durable Medical Equipment Medicare Payment Amount1 - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's durable medical equipment line item products/services ordered by the referring provider. Prosthetic and Orthotic Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with prosthetic and orthotic HCPCS codes. A value of '*' means the suppressed information is based on a prosthetic and orthotic-specific claim count of 1 through 10. A value of '#' means the prosthetic and orthotic-specific information has been counter-suppressed. Counter-suppression is needed when the display of prosthetic and orthotic-specific data could be used to recalculate suppressed values in non-prosthetic and orthotic-specific columns. Number of Prosthetic and Orthotic Suppliers1 - Number of suppliers rendering prosthetic and orthotic products/services. Number of Prosthetic and Orthotic HCPCS1 - Total number of unique prosthetic and orthotic hcpcs codes billed by suppliers and ordered by the referring provider. Number of Prosthetic and Orthotic Beneficiaries1 - Total number of unique beneficiaries associated with prosthetic and orthotic claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Prosthetic and Orthotic Claims1 - Total number of prosthetic and orthotic claims submitted by suppliers, reflecting products/services ordered by the referring provider. Number of Prosthetic and Orthotic Services1 - Total prosthetic and orthotic products/services rendered by suppliers and ordered by the referring provider. Prosthetic and Orthotic Submitted Charges1 - The total charges that suppliers submitted for all prosthetic and orthotic products/services ordered by the referring provider. Prosthetic and Orthotic Medicare Allowed Amount1 - The Medicare allowed amount for all prosthetic and orthotic products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Prosthetic and Orthotic Medicare Payment Amount1 - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's prosthetic and orthotic line item products/services ordered by the referring provider. Drug and Nutritional Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with drug and nutritional HCPCS codes. A value of '*' means the suppressed information is based on a drug and nutritional-specific claim count of 1 through 10. A value of '#' means the drug and nutritional-specific information has been counter-suppressed. Counter-suppression is needed when the display of drug and nutritional-specific data could be used to recalculate suppressed values in non-drug and nutritional-specific columns. Number of Drug and Nutritional Product Suppliers1 - Number of suppliers rendering drug and nutritional products/services. Number of Drug and Nutritional Product HCPCS1 - Total number of unique drug and nutritional product hcpcs codes billed by suppliers and ordered by the referring provider. Number of Drug and Nutritional Product Beneficiaries1 - Total number of unique beneficiaries associated with drug and nutritional product claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Drug and Nutritional Product Claims1 - Total number of drug and nutritional product claims submitted by suppliers, reflecting services ordered by the referring provider. Number of Drug and Nutritional Product Services1 - Total drug and nutritional products/services rendered by suppliers and ordered by the referring provider. Drug and Nutritional Product Submitted Charges - The total charges that suppliers submitted for drug and nutritional products/services ordered by the referring provider. Drug and Nutritional Product Medicare Allowed Amount - The Medicare allowed amount for drug and nutritional products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Drug and Nutritional Product Medicare Payment Amount - Amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for drug and nutritional line item products/services ordered by the referring provider.
    • febrero 2019
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 14 marzo, 2019
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    • febrero 2019
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 14 marzo, 2019
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      Percent Change in Medicare Payments
  • O
  • P
    • abril 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 03 mayo, 2018
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      Payment measures – national data. This data set includes national-level data for the payment measures associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
    • abril 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 03 mayo, 2018
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      Payment measures – state data. This data set includes state-level data for the payment measures associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
    • julio 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 16 agosto, 2018
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      Payment measures and value of care displays – provider data. This data set includes provider data for the payment measures and value of care displays.
  • S
    • abril 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 19 abril, 2018
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      The data displayed here describes average spending levels during hospitals’ Medicare Spending per Beneficiary (MSPB) episodes. The data presented on the Hospital Compare webpages provide price-standardized, non-risk-adjusted values for two reasons: first, so that the public can evaluate service costs based on non-risk-adjusted amounts and determine appropriate next steps; and second, because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.
    • mayo 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 25 abril, 2019
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      Referring Provider State - The state where the provider is located, as reported in NPPES. The values include the 50 United States, District of Columbia, U.S. territories, Armed Forces areas, Unknown and Foreign Country. HCPCS - HCPCS code for the specific DMEPOS products/services ordered by referring providers and rendered by suppliers. HCPCS Description - Description of the HCPCS code for the specific DMEPOS product/service ordered by referring providers and rendered by suppliers. BETOS Classification - Berenson-Eggers Type of Service (BETOS) classification code and description assigned to the HCPCS code. The BETOS coding system consists of readily understood clinical categories that permit objective assignment of HCPCS codes. BETOS Classification Group1 - High level grouping of the BETOS Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products. Supplier Rental Indicator - Identifies whether the DMEPOS products/services submitted on supplier claims are identified as rental. Number of Referring Providers - Number of referring providers ordering DMEPOS products/services. Number of Suppliers - Number of suppliers rendering DMEPOS products/services. Number of Supplier Beneficiaries - Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting services ordered by referring providers. Number of Supplier Services - Number of DMEPOS products/services rendered by suppliers; note that the metrics used to count the number provided can vary from service to service. Average Supplier Submitted Charges - Average of the charges that suppliers submitted for the DMEPOS product/service. Total supplier submitted charges can be calculated by multiplying the average supplier submitted charges by the number of supplier services. Average Supplier Medicare Allowed Amount - Average of the supplier Medicare allowed amounts for the DMEPOS product/service. Medicare allowed amounts include the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Total supplier Medicare allowed amounts can be calculated by multiplying the average supplier Medicare allowed amount by the number of supplier services. Average Supplier Medicare Payment Amount - Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service. Total supplier Medicare payment amounts can be calculated by multiplying the average supplier Medicare payment amount by the number of supplier services.
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    • agosto 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 30 agosto, 2018
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      The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries. The Inpatient PUF includes information on utilization, payment (total payment and Medicare payment), and hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments. The PUF is organized by hospital and Medicare Severity Diagnosis Related Group (MS-DRG) and covers Fiscal Year (FY) 2011 through FY 2015.
    • abril 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 03 mayo, 2018
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      The Complications measures - state data. This data set includes state-level data for the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
    • enero 2019
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 08 julio, 2019
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      Enrolled-Number of beneficiaries enrolled by contract in the state/county United States: Enrollment Data for Medicare Advantage.
    • diciembre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 31 diciembre, 2018
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      Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT Scans, MRIs, and mammograms.
    • noviembre 2017
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Pallavi S
      Acceso el: 24 octubre, 2018
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      Per Capita Health Care and Health Insurance Spendings in United States
    • diciembre 2018
      Fuente: Centers for Medicare and Medicaid Services
      Subido por: Knoema
      Acceso el: 31 diciembre, 2018
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      Timely and Effective Care measures - provider data. This data set includes provider-level data for measures of heart attack care, heart failure care, pneumonia care, surgical care, emergency department care, preventive care, children’s asthma care, stroke care, blood clot prevention and treatment, and pregnancy and delivery care.
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