Medicare Use (FFS Claim Count) — Total

SAS Name
MDCR_TOTAL_FFS_USE

This variable is the total count of claims for all Medicare fee-for-service (FFS) claims and Part D events (PDEs) for the beneficiary during the year. Note that only fee-for-service (FFS) claims for services and PDEs are included.

Comments

CCW calculates this variable as the count of all claims from the IP, SNF, HHA, Hospice, HOP, Carrier, and DME claims as well as the count of PDEs for the beneficiary for the year.

Within MMLEADS, there are four variables that also sum to this MDCR_TOTAL_FFS_USE: MDCR_PTA_TOTAL_FFS_ USE, MDCR_HOP_TOTAL_FFS_ USE, MDCR_PTBNI_TOTAL_FFS_ USE, and MDCR_PTD_TOTAL_USE.

Source: Medicare Claims files (derived)