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File Version: CCW Data Documentation version date 5/17/17

Cost and Use segment

SAS NameVariable Name
1BENE_IDEncrypted CCW Beneficiary ID
100ENRL_SRCEnrollment Source
8ACUTE_BENE_PMTAcute Inpatient Hospital Beneficiary Payments
7ACUTE_MDCR_PMT Acute Inpatient Medicare Payments
101ACUTE_PERDIEM_PMT Acute Inpatient Hospital Pass-thru Per Diem Payments
102ACUTE_PRMRY_PMTAcute Inpatient Hospital Primary Payer Amount
10ACUTE_STAYS Acute Inpatient Stays
103ACUTE_COV_DAYS Acute Inpatient Medicare Covered Days
12READMISSIONSAcute Inpatient Hospital Readmissions
11IP_ER_VISITS Inpatient Emergency Room Visits
14OIP_BENE_PMT Other Inpatient Hospital Beneficiary Payments
13OIP_MDCR_PMT Other Inpatient Hospital Medicare Payments
104OIP_PERDIEM_PMTOther Inpatient Hospital Pass-thru Per Diem Payments
105OIP_PRMRY_PMT Other Inpatient Hospital Primary Payer Amount
16OIP_STAYS Other Inpatient Stays
15OIP_COV_DAYS Other Inpatient Hospital Covered Days
18SNF_BENE_PMT Skilled Nursing Facility Beneficiary Payments
17SNF_MDCR_PMT Skilled Nursing Facility Medicare Payments
106SNF_PRMRY_PMTSkilled Nursing Facility Primary Payer Amount
20SNF_STAYSSkilled Nursing Facility Stays
19SNF_COV_DAYSSkilled Nursing Facility Medicare Covered Days
21HOS_MDCR_PMT Hospice Medicare Payments
107HOS_PRMRY_PMT Hospice Primary Payer Amount
23HOS_STAYSHospice Stays
22HOS_COV_DAYS Hospice Medicare Covered Days
24HH_MDCR_PMTHome Health Medicare Payments
108HH_PRMRY_PMTHome Health Primary Payer Amount
25HH_VISITS Home Health Visits
4HOP_BENE_PMT Hospital Outpatient Beneficiary Payments
3HOP_MDCR_PMTHospital Outpatient Medicare Payments
109HOP_PRMRY_PMT Hospital Outpatient Primary Payer Amount
5HOP_VISITSHospital Outpatient Visits
6HOP_ER_VISITS Hospital Outpatient Emergency Room Visits
27ASC_BENE_PMT Ambulatory Surgery Center Beneficiary Payments
26ASC_MDCR_PMT Ambulatory Surgery Center Medicare Payments
110ASC_PRMRY_PMT Ambulatory Surgery Center Primary Payer Amount
28ASC_EVENTS Ambulatory Surgery Center Events
36ANES_BENE_PMT Anesthesia Beneficiary Payments
35ANES_MDCR_PMTAnesthesia Medicare Payments
111ANES_PRMRY_PMT Anesthesia Primary Payer Amount
37ANES_EVENTS Anesthesia Events
30PTB_DRUG_BENE_PMT Part B Drug Beneficiary Payments
29PTB_DRUG_MDCR_PMT Part B Drug Medicare Payments
112PTB_DRUG_PRMRY_PMT Part B Drug Primary Payer Amount
31PTB_DRUG_EVENTSPart B Drug Events
113EM_BENE_PMTEvaluation and Management Beneficiary Payments
32EM_MDCR_PMTEvaluation and Management Medicare Payments
114EM_PRMRY_PMTEvaluation and Management Primary Payer Amount
34EM_EVENTS Evaluation and Management Events
57PHYS_BENE_PMTPart B Physician Beneficiary Payments
56PHYS_MDCR_PMTPart B Physician Medicare Payments
115PHYS_PRMRY_PMTPart B Physician Primary Payer Amount
58PHYS_EVENTSPart B Physician Events
39DIALYS_BENE_PMT Dialysis Beneficiary Payments
38DIALYS_MDCR_PMT Dialysis Medicare Payments
116DIALYS_PRMRY_PMTDialysis Primary Payer Amount
40DIALYS_EVENTSDialysis Events
42OPROC_BENE_PMTOther Procedures Beneficiary Payments
41OPROC_MDCR_PMTOther Procedures Medicare Payments
117OPROC_PRMRY_PMT Other Procedures Primary Payer Amount
43OPROC_EVENTS Other Procedures Events
45IMG_BENE_PMTImaging Beneficiary Payments
44IMG_MDCR_PMT Imaging Medicare Payments
118IMG_PRMRY_PMTImaging Primary Payer Amount
46IMG_EVENTSImaging Events
48TEST_BENE_PMT Tests Beneficiary Payments
47TEST_MDCR_PMT Tests Medicare Payments
119TEST_PRMRY_PMTTests Primary Payer Amount
49TEST_EVENTSTests Events
51DME_BENE_PMT Durable Medical Equipment Beneficiary Payments
50DME_MDCR_PMTDurable Medical Equipment Medicare Payments
120DME_PRMRY_PMT Durable Medical Equipment Primary Payer Amount
52DME_MDCR_PMT Durable Medical Equipment Events
54OTHC_BENE_PMT Other Part B Carrier Beneficiary Payments
53OTHC_MDCR_PMT Other Part B Carrier Medicare Payments
121OTHC_PRMRY_PMT Other Part B Carrier Primary Payer Amount
55OTHC_EVENTSOther Part B Carrier Events
60PTD_BENE_PMT Part D Beneficiary Payments
59PTD_MDCR_PMT Part D Medicare Payments
61PTD_EVENTS Part D Event Count
62PTD_FILL_CNT Part D Standardized Fill Count
63PTD_TOTAL_RX_CST Part D Total Prescription Costs