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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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- dfr (15)
- diagnosis-related grouping (5)
- dialysis (14)
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- modifier (4)
- mpup (135)
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- national (19)
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- non-physician (10)
- npi (18)
- opioid (4)
- opioidmap (4)
- order and referring (4)
- other (15)
- outpatient (19)
- part d (16)
- patient safety (5)
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- performance-based payment (24)
- physician (31)
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- rug (6)
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- ssp (10)
- state (32)
- summary (27)
- supplier (31)
- utilization (24)
- value-based purchasing (24)