CMS Data

Showing 1 to 20 of 51 results.
  1. Vital Status File with Name and Address

    The Vital Status File with Name and Address contains demographic information about each beneficiary ever entitled to Medicare. This file includes: the beneficiary unique identifier mailing contact address date of birth date of death sex, race, and age ...

  2. UPIN Member File

    The UPIN Member File provides information about physicians who are members of a group practice. The file provides information about the group practice and the individual physicians that are members of the group. Short Name:  UPIN Member Category:  ...

  3. MPIER File

    The Medicare Physician Identification and Eligibility Records (MPIER) file contains one record for each practice setting for a physician. Thus, a physician will have multiple records in this file depending on the number of practice locations, specialties ...

  4. Long Term Care Minimum Data Set 2.0

    The Long Term Care Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  5. Beneficiary Summary File

    The Beneficiary Summary File includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, age, monthly entitlement indicators (A/B/C/D), reasons for entitlement, and monthly managed care indicators ...

  6. Health and Retirement Survey- Medicare Linked Data

    One of the main goals of the Health and Retirement Study (HRS) is to understand the relationship between medical history and financial status, and how use of health care may change as people age. To assist in this effort, the HRS endeavors to obtain ...

  7. Beneficiary Annual Summary File

    The Beneficiary Annual Summary File is a beneficiary level file that contains enrollment, eligibility, vital statistics, summarized service utilization and payment, and CCW chronic condition flags. The last year of this file is calendar year 2010. This ...

  8. Chronic Condition Summary File

    This file is a beneficiary level file that contains a flag to indicate if a beneficiary has had any one of the 21 predefined chronic conditions by year. This file has been incorporated into the Beneficiary Annual Summary file, and most recently, is part ...

  9. Part D Denominator

    The Part D Denominator File contains demographic and enrollment information about each Medicare beneficiary enrolled in the Part D program during a calendar year. This file is not available after March of 2010. This file was incorporated into the ...

  10. Denominator RIF

    The Denominator File contains demographic and enrollment information about each Medicare beneficiary during a calendar year. The information in the Denominator File is 'frozen' in March of the following calendar year. This file is not available ...

  11. Mini MAX

    Mini- MAX is a five percent cross-sectional national sample of the MAX files.  The sample is stratified by 51 jurisdictions and by basis of eligibility (aged, disabled, children, and adults) among full beneficiaries and separately for restricted ...

  12. Consumer Assessment of Healthcare Providers & Systems RIF

    The Centers for Medicare & Medicaid Services (CMS) develop, implement and administer several different patient experience surveys.  These surveys ask patients (or in some cases their families) about their experiences with, and ratings of, their health ...

  13. Part D Medication Therapy Management Data File

    This is a Part D Characteristics file. This file includes beneficiary-level information for participants in the Part D Medication Therapy Management (MTM) program, provided by the CMS Part D plan sponsors. Eligibles include those with multiple chronic ...

  14. Medicaid Enrollee Supplemental File

     The Medicaid Enrollee Supplemental File is composed of two file segments, the Chronic Conditions Segment and the National Death Index (NDI) segment for Medicaid. Each segment must be requested and justified separately. Chronic Conditions segment: This ...

  15. Swing-Bed Assessments 2.0

    Swing-Bed providers are hospitals that can use its beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  16. MAX Inpatient File

    The Inpatient File contains complete stay records for enrollees who used inpatient services including diagnoses, procedures, discharge status, length of stay, and payment amount. The MAX Inpatient File contains 10 diagnostic fields and 7 procedure fields. ...

  17. MAX Long Term Care File

    The Long Term Care File contains claims for institutional long term care services provided by Nursing Facilities, Intermediate Care Facilities (ICFs), and independent psychiatric facilities. Fields include facility type, dates of service, and discharge ...

  18. MAX Other Therapy File

    The Other Therapy File contains claim records for a variety of Medicaid services, including physician services, lab/X-ray, clinic services, home health, hospice and premium payments.  Outpatient hospital institutional claims are also included in this file ...

  19. MAX Personal Summary File

    The Personal Summary File contains one record for every individual enrolled for at least one day during the year. The file contains demographic data (e.g. date of birth, gender, race), basis of eligibility, maintenance assistance status, monthly ...

  20. MAX Prescription Drug File

    The Prescription Drug File contains final action, paid drug claims.  Since 1996, the dispensed drug has been identified by an NDC. Drugs or supplies identified by HCPCS (CMS Health Care Common Proceedure Codes) or any state-specific codes, are included in ...

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