CMS Data

Showing 1 to 20 of 25 results.
  1. Inpatient Psychiatric Facility Prospective Payment System

    This file contains stay level data for inpatient psychiatric stays and is derived from the MEDPAR data file and the latest available Provider Specific File. Note that the IPF PPS does not contain all variables found in either the MedPAR or the Provider ...

  2. Supplemental Date File LDS

    This supplemental file contains all date fields for the LDS Standard Analytical Files (SAFs). There are separate date files for each SAF claim type.  It was produced for Calendar Year 2009. Starting in 2010, the actual MM/DD/YY dates have been ...

  3. Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers & Systems LDS

    Please refer to the CMS website for more information on this LDS data file:  https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order... Short Name:  NAM CAHPS LDS Category:  Beneficiary Surveys Privacy Level:  Limited Data Sets Program:  ...

  4. Implantable Cardioverter Defibrillator (ICD) Implantation LDS

    This file contains data from a temporary registry CMS maintained from February 2005 to April 2006, for implantable cardioverter defibrillators (ICD), placed for specific clinical indications. Each of the 45,000 records records information about an ICD and ...

  5. Skilled Nursing Facility LDS

    The Skilled Nursing Facility (SNF) file contains final action, fee-for-service, claims data submitted by SNF providers. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or UPIN s are encrypted. This ...

  6. Outpatient LDS

    The Outpatient file contains final action, fee-for-service claims data submitted by institutional outpatient providers. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or UPIN s are encrypted. Examples ...

  7. Carrier LDS

    The Carrier file (also known as the Physician/Supplier Part B claims file) contains final action fee-for-service claims submitted on a CMS-1500 claim form. Most of the claims are from non-institutional providers, such as physicians, physician assistants, ...

  8. Ambulatory Surgical Center Payment System File

    This file contains a summary of service utilization by ASC suppliers. This file is summarized first at the supplier level and then at the HCPCS code level. The ASC LDS file will be available twice a year, once for the NPRM in late spring/early summer, and ...

  9. Durable Medical Equipment LDS

    The Durable Medical Equipment (DME) file contains final action, fee-for-service claims submitted by Durable Medical Equipment suppliers. This file includes: diagnosis, (ICD-9 diagnosis), services provided (CMS Common Procedure Coding System (HCPCS) codes) ...

  10. ESRD Prospective Payment System

    This file contains ESRD facility paid outpatient claims. The file contains selected variables from the claim for the purpose of evaluating payment changes. Short Name:  ESRD PPS Category:  Prospective Payment Systems Privacy Level:  Limited Data Sets ...

  11. Home Health Agency LDS

    The Home Health Agency (HHA) file contains final action, fee-for-service claims submitted by HHA providers. This file includes: the number of visits, type of visit (skilled-nursing care, home health aides, physical therapy, speech therapy, occupational ...

  12. Hospice LDS

    The Hospice file contains final action claims submitted by Hospice providers. Once a beneficiary elects Hospice, all Hospice related claims will be found in this file, regardless if the beneficiary is in Medicare fee-for-service or in a Medicare managed ...

  13. Inpatient LDS

    The Inpatient file contains final action fee-for-service claims data submitted by inpatient hospital providers for reimbursement of facility costs. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or ...

  14. MedPAR Hospital National LDS

    The MedPAR File contains inpatient hospital final action stay records. Each MedPAR record represents a stay in an inpatient hospital. Each MedPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and ...

  15. MedPAR Longterm Care Hospital PPS Expanded Modified

    The Medicare Provider Analysis and Review (MEDPAR) LTCH file contains records for 100% of Medicare beneficiaries who received hospital inpatient services at a LTCH as defined in Sections 1886(d)(1)(B)(iv) and 1861(ccc) of the Social Security Act. The file ...

  16. MedPAR Skilled Nursing Facility LDS

    The Skilled Nursing Facility LDS MedPAR File contains skilled nursing facility (SNF) final action stay records. Each MedPAR record represents a stay in an SNF. Each MedPAR record may represent one claim or multiple claims, depending on the length of a ...

  17. OPPS Partial Hospitalization Program

    This file contains select claim level data and is derived from claims for partial hospitalization program (PHP) services.  The year of the file represents the year of the prospective payment system that is under review.  For example, the Final Rule 2012 ...

  18. Outpatient Prospective Payment System

    This file contains select claim level data and is derived from hospital outpatient PPS claims.  The year of the file represents the year of the prospective payment system that is under review.  For example, the Final Rule 2012 OPPS file contains claims ...

  19. Master Beneficiary Summary File LDS

    The Master Beneficiary Summary File (MBSF) LDS contains data on all Medicare beneficiaries enrolled or entitled to Medicare within a given calendar year. The MBSF contains: Beneficiary characteristics: age gender race Enrollment information: monthly ...

  20. Denominator LDS

    The Denominator LDS File combines Medicare beneficiary entitlement status information from administrative enrollment records with third-party payer information and GHP enrollment information. The Denominator File contains data on all Medicare ...

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