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The Medicare Durable Medical Equipment (encounter) file includes Medicare Advantage plans paid records for medical supplies.

What does this file include? (variable highlights)

  • Part C Benefit Package and Contract number
  • diagnosis (ICD diagnosis)
  • HCPCS code
  • Organization NPI
  • NPI for line supplier
  • Date of service (line date)

Special considerations

  • Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g., vision, hearing, dental, and/or health and wellness programs). Encounter data will include records for these additional items and services provided under the plan.
Program
Medicare
Category
Privacy Level
Research Identifiable Files