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The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims. The file is organized by carrier, pricing locality, Healthcare Common Procedure Coding System (HCPCS) code, HCPCS modifier, provider specialty, type of service, and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. The record layout in the Downloads section below provides additional details on the file.
Updated
July 19 2018
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- 2010
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- aco (10)
- advanced primary care practice demonstration (5)
- affordable care act (21)
- agency for healthcare research and quality (7)
- apc (10)
- brand name (10)
- center for medicare & medicaid innovation (7)
- cert (9)
- claims (10)
- clia (10)
- clinical laboratory improvement amendments (18)
- cmmi (14)
- cms (9)
- comprehensive error rate testing (9)
- cost composite score (4)
- county (7)
- cpt (9)
- demonstration (14)
- dfr (15)
- diagnosis-related grouping (5)
- dialysis (14)
- dmepos (16)
- drg (17)
- drug (10)
- durable medical equipment (8)
- enrollment (5)
- esrd (15)
- federally qualified health center roster (5)
- fee for service (5)
- fee-for-service (10)
- fqhc (6)
- generic (10)
- hcpcs (28)
- health care (18)
- healthcare (17)
- healthcare professional (10)
- hha (8)
- hhapuf (16)
- hospice (6)
- hospital (10)
- hospital referral region (8)
- hrr (9)
- hsaf (8)
- improper payment (9)
- innovation (28)
- inpatient (20)
- ipps (6)
- june (4)
- marketplace (29)
- medicaid (26)
- medicare (35)
- medicare part d (5)
- modifier (4)
- mpup (139)
- mssp (24)
- national (20)
- national provider identifier (4)
- non-physician (10)
- npi (18)
- opioid (5)
- opioidmap (5)
- order and referring (4)
- other (16)
- outpatient (19)
- part d (20)
- patient safety (5)
- payment (24)
- performance-based payment (24)
- physician (31)
- pos (36)
- prescriber (15)
- prescription drug (10)
- primary care (15)
- provider (27)
- provider of services (10)
- provider summary (5)
- providers (23)
- psps (6)
- qhp (14)
- rug (6)
- shared savings program (8)
- snf (20)
- snfpuf (20)
- special initiatives (14)
- special program (14)
- ssp (10)
- state (33)
- summary (29)
- supplier (31)
- utilization (26)
- value-based purchasing (24)
- zip code (5)