Profile Picture OEDA

created Aug 14 2019

updated Aug 28 2019

Description

The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 60 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2017 by hospital provider. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.

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Meta
Category
Medicare - Outpatient
Permissions
Public
Tags
mpup, 2017, outpatient
Row Label
Outpatient Facility/APC
SODA2 Only
Yes
Common Core
Contact Name
OEDA
Contact Email
MedicareProviderData@cms.hhs.gov
Bureau Code
009:38
Program Code
009:000
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