{"identifier":"28724c0a-4b2e-4f6c-ad81-503684165ecd","data":{"title":"Medicare PAC Utilization - Hospice by Geography and Provider Data Dictionary","fields":[{"name":"YEAR","label":"Year","description":"The year of data."},{"name":"YEAR_TYPE","label":"Year Type","description":"Identifies if the data is for calendar year (CY) or fiscal year (FY)."},{"name":"SMRY_CTGRY","label":"Summary Category","description":"Identifies if the data is at the national, state, or provider level."},{"name":"SRVC_CTGRY","label":"Service Category","description":"Identifies the PAC setting: HH, hospice, SNFs, IRFs, or LTCHs."},{"name":"PRVDR_ID","label":"Provider ID","description":"The 6-digit CCN for the provider."},{"name":"PRVDR_NAME","label":"Provider Name","description":"The provider name, as reported in the Provider of Services file."},{"name":"PRVDR_CITY","label":"Provider City","description":"The city where the provider is located, as reported in the Provider of Services file."},{"name":"STATE","label":"Provider State","description":"The state where the provider is located, as reported in the Provider of Services file. The fifty U.S. states, the District of Columbia, and Puerto Rico are reported by their postal abbreviation. Note for national level, no state is reported."},{"name":"PRVDR_ZIP","label":"Provider ZIP","description":"The provider\u0027s ZIP code, as reported in the Provider of Services file. Note, for state and national levels, ZIP code is not reported."},{"name":"BENE_DSTNCT_CNT","label":"Distinct Beneficiaries","description":"Number of unique Medicare beneficiaries with at least one paid claim in the calendar or fiscal year."},{"name":"TOT_EPSD_STAY_CNT","label":"Episode or Stay Count","description":"For home health, this is the total count of 30-day episodes in the CY. For hospice, SNF, IRF, and LTCH this is the total count of stays provided in the fiscal year."},{"name":"TOT_SRVC_DAYS","label":"Days of Service","description":"Total count of covered days delivered by a provider in the calendar or fiscal year."},{"name":"TOT_CHRG_AMT","label":"Total Charge Amount","description":"Total charges submitted by the provider."},{"name":"TOT_ALOWD_AMT","label":"Total Allowed Amount","description":"Total of the Medicare allowed amount; this figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. This applies only to the SNF, IRF, and LTCH settings."},{"name":"TOT_MDCR_PYMT_AMT","label":"Total Medicare Payment Amount","description":"Total amount that Medicare paid after deductible and coinsurance amounts have been deducted."},{"name":"TOT_MDCR_STDZD_PYMT_AMT","label":"Total Medicare Standard Payment Amount","description":"Total amount that Medicare paid adjusted for geographic differences in payment rates."},{"name":"BENE_DUAL_PCT","label":"Percent (%) Dual Beneficiaries","description":"Percent of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, can also be referred to as dual eligibility. Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits"},{"name":"BENE_RRL_PCT","label":"Percent (%) Medicare Beneficiaries in a Rural ZIP","description":"Percent of Medicare beneficiaries who receive their Medicare correspondence in a rural area based on having a Core-Based Statistical Area (CBSA) designation equal to Non-CBSA."},{"name":"BENE_AVG_AGE","label":"Beneficiary Average Age","description":"The arithmetic mean age of beneficiaries. Beneficiary age is calculated at the end of the calendar year or at the time of validated death."},{"name":"BENE_MALE_PCT","label":"Percent (%) of Beneficiaries who are Male","description":"Percent of beneficiaries who are male."},{"name":"BENE_FEML_PCT","label":"Percent (%) of Beneficiaries who are  Female","description":"Percent of beneficiaries who are female."},{"name":"BENE_RACE_WHT_PCT","label":"Percent (%) of Beneficiaries who are White","description":"Percent of beneficiaries who are non-Hispanic white."},{"name":"BENE_RACE_BLACK_PCT","label":"Percent (%) of Beneficiaries who are Black","description":"Percent of beneficiaries who are a non-Hispanic black or African American."},{"name":"BENE_RACE_API_PCT","label":"Percent (%) of Beneficiaries who are Asian Pacific Islander","description":"Percent of beneficiaries are Asian Pacific Islander."},{"name":"BENE_RACE_HSPNC_PCT","label":"Percent (%) of Beneficiaries who are Hispanic","description":"Percent of beneficiaries who are Hispanic."},{"name":"BENE_RACE_NATIND_PCT","label":"Percent (%) of Beneficiaries who are American Indian or Alaska Native","description":"Percent of beneficiaries who are American Indian or Alaska Native."},{"name":"BENE_RACE_UNK_PCT","label":"Percent (%) of Beneficiaries who are Race Unknown","description":"Percent of beneficiaries with an unknown race."},{"name":"BENE_RACE_OTHR_PCT","label":"Percent (%) of Beneficiaries who are Other","description":"Percent of beneficiaries with are an other race."},{"name":"BENE_AVG_RISK_SCRE","label":"Average Risk Score","description":"The arithmetic mean Hierarchical Condition Category (HCC) risk score of beneficiaries."},{"name":"PRMRY_DX_INFCTN_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Infectious and Parasitic Diseases","description":"Percent of episodes with a primary diagnosis of Infections or Parasitic Disease. This includes diagnoses within an ICD-10 code range of A00-B99 or an ICD-9 code range of 001-039."},{"name":"PRMRY_DX_NEOBLD_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Neoplasms \u0026 Diseases of the Blood and Blood forming organs","description":"Percent of episodes with a primary diagnosis of Neoplasms \u0026amp; Diseases of the Blood and Blood forming organs or certain disorders involving the immune mechanism. This includes diagnoses within an ICD-10 code range of C00-D89 (ICD-10) or an ICD-9 code range of 140-239, 280-289."},{"name":"PRMRY_DX_ENDONUTRMET_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Endocrine, Nutritional and Metabolic Diseases","description":"Percent of episodes with a primary diagnosis of Endocrine, Nutritional or Metabolic diseases. This includes diagnoses within an ICD-10 code range of E00-E89 (ICD-10) or an ICD-9 code range of 240-279."},{"name":"PRMRY_DX_MNTBEHNEUDIS_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Mental, Behavioral and Neurodevelopmental disorders","description":"Percent of episodes with a primary diagnosis of Mental, Behavioral, or Neurodevelopmental Disorders. This includes diagnoses within an ICD-10 code range of F01-F99 or ICD-9 code range of 290-319."},{"name":"PRMRY_DX_NERVSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Nervous System","description":"Percent of episodes with a primary diagnosis of Diseases of the Nervous System. This includes diagnoses within an ICD-10 code range of G00-G99 or ICD-9 code range of 320-389."},{"name":"PRMRY_DX_ENTSYS_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Eye and Adnexa \u0026 Disease of the Ear and Mastoid process","description":"Percent of episodes with a primary diagnosis of Diseases of the Eye and Adnexa \u0026amp; Disease of the Ear and Mastoid process. This includes diagnoses within an ICD-10 code range of H00-H95 or an ICD-9 range of 360-379."},{"name":"PRMRY_DX_CIRCSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Circulatory System","description":"Percent of episodes with a primary diagnosis of Diseases of the Circulatory System. This includes diagnoses within an ICD-10 code range of I00-I99 or an ICD-9 code range of 390-459."},{"name":"PRMRY_DX_RSPSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Respiratory System","description":"Percent of episodes with a primary diagnosis of Diseases of the Respiratory System. This includes diagnoses within an ICD-10 code range of J00-J99 or an ICD-9 code range of 460-519."},{"name":"PRMRY_DX_DIGSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Digestive System","description":"Percent of episodes with a primary diagnosis of Diseases of the Digestive System. This includes diagnoses within an ICD-10 code range of K00-K95 or an ICD-9 code range of 520-579."},{"name":"PRMRY_DX_SKNMUSSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Skin and Subcutaneous Tissue \u0026 Diseases of the Musculoskeletal System and Connective Tissue","description":"Percent of episodes with a primary diagnosis of Diseases of the Skin and Subcutaneous Tissue \u0026amp; Diseases of the Musculoskeletal System and Connective Tissue This includes diagnoses within an ICD-10 code range of L00-M99 or an ICD-9 code range of 680-709, 710-739."},{"name":"PRMRY_DX_GUSYSTM_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Diseases of the Genitourinary System","description":"Percent of episodes with a primary diagnosis of Diseases of the Genitourinary System. This includes diagnoses within an ICD-10 code range of N00-N99 or an ICD-9 code range of 580-629."},{"name":"PRMRY_DX_PRGPERICONG_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Pregnancy, Childbirth and the Puerperium, certain conditions originating in the perinatal Period, \u0026 Congenital Malformations, Deformations and Chromosomal Abnormalities","description":"Percent of episodes with a primary diagnosis of Pregnancy, Childbirth and the Puerperium, certain conditions originating in the perinatal Period, \u0026amp; Congenital Malformations, Deformations and Chromosomal Abnormalities This includes diagnoses within an ICD-10 code range of O00-Q99 or an ICD-9 code range of 630-679, 740-759, or 760-779."},{"name":"PRMRY_DX_SXILLDEF_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Symptoms, Signs, and Ill-defined Conditions","description":"Percent of episodes with a primary diagnosis of Symptoms, Signs and Abnormal Clinical and Laboratory findings, not elsewhere classified. This includes diagnoses within an ICD-10 code range of R00-R99 or an ICD-9 code range of 780-799."},{"name":"PRMRY_DX_INJPOIS_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Injury, Poisoning and certain other consequences of external causes \u0026 external causes of Morbidity","description":"Percent of episodes with a primary diagnosis of Injury, Poisoning and certain other consequences of external causes \u0026amp; external causes of Morbidity. This includes diagnoses within an ICD-10 code range of S00-T88 or V00-Y99 or an ICD-9 code range of 800-999."},{"name":"PRMRY_DX_HLTHSRV_PCT","label":"Percent (%) of Episodes with a Primary Diagnosis of Factors influencing health status and contact with health services \u0026 codes for special purposes","description":"Percent of episodes with a primary diagnosis of Factors influencing health status and contact with health services \u0026amp; codes for special purposes. This includes diagnoses within an ICD-10 code range of Z00-Z99 or U00-U85 or an ICD-9 code range of E000-E999."},{"name":"NRSNG_VISITS_CNT","label":"Nursing Visit Count","description":"Number of skilled nursing visits provided by the home health agency or hospice; visits identified using revenue codes 0550 to 0559."},{"name":"MSW_VISITS_CNT","label":"Social Work Visit Count","description":"Number of social work visits provided by the home health agency or hospice; visits identified using revenue codes 0560 to 0569."},{"name":"AIDE_VISITS_CNT","label":"Home Health Aide Visit Count","description":"Number of home health aide visits provided by the home health agency or hospice; visits identified using revenue codes 0570 to 0579."},{"name":"TOT_NRSNG_MNTS","label":"Total Nursing Minutes","description":"Total minutes of skilled nursing in home health and hospice provided; minutes identified using revenue codes 0550 to 0559."},{"name":"HOSPC_RHC_DAYS_PCT","label":"Percent of Days in Hospice RHC","description":"Percent of total hospice days that were routine home care (RHC) days. RHC days were identified using revenue code 0651."}]}}