Imaging Primary Payer Amount

SAS Name
IMG_PRMRY_PMT

This variable indicates the total amount paid for imaging services (IMG) by a primary payer other than Medicare for a given year. This variable is the total Medicare payments for imaging services (IMG) for a given year. Claims for imaging procedures are a subset of the claims, and a subset of procedures in the Part B Carrier and DME data files.

These imaging claims are defined as those with a line BETOS code (BETOS_CD) where the first digit =I (except for 'I1E', or 'I1F' – which are considered Part B drugs). The total Primary Payer Payments are calculated as the sum of the LINE_BENE_PRMRY_PYR_PD_AMT.

Comments

There are 11 cost/use categories from the Carrier Part B and DME data files – the ASC, Anesthesia, Part B Drug, Physician, E &M, dialysis, imaging, tests, other procedures, DME and other carrier claims.