Others titles
- Medicare Chronic Conditions Claims PUF
- Medicare Covered Chronic Conditions Services Claims
- Medicare Reimbursment For Chronic Conditions
Keywords
- Chronic Conditions Claims
- Chronic Conditions Part A Enrollement Claims
- Chronic Conditions Part B Enrollement Claims
- Chronic Conditions Part C Enrollment Claims
- Chronic Conditions Part D Enrollment Claims
- Medicare Reimbursment for Chronic Conditions
- CMS Chronic Conditions PUF
- Chronic Conditions PUF
- Chronic Condition Benefits
Chronic Conditions Public Use File
The dataset Chronic Conditions Public Use Files has information from Medicare claims. The 100% Beneficiary Summary File is created annually and contains demographic, entitlement and enrollment data for beneficiaries who were: documented as being alive for some part of the reference year of the Beneficiary Summary File, are entitled to Medicare benefits during the reference year, and enrolled in Medicare Part A and/or Part B for at least one month in the reference year.
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Description
The CMS Chronic Conditions PUF provides various measures of utilization as averages for different groups of Medicare beneficiaries, or profiles. The 100% Beneficiary Summary File contains approximately 48 million beneficiaries, all of whom are represented in the PUF. As a result, the PUF provides utilization measures for Medicare beneficiaries who are enrolled in Fee-for-Service (FFS) plans. The averages are calculated for different types of Medicare beneficiaries by months of enrollment. Beneficiaries with 12 months of enrollment in FFS Part A or Part B are separated from beneficiaries with less than 12 months of enrollment.
Bellow are listed the chronic conditions included in this dataset:
– Alzheimer’s Disease and Related Disorders or Senile Dementia
– Cancer
– Heart Failure
– Chronic Kidney Disease
– Chronic Obstructive Pulmonary Disease
– Depression
– Diabetes
– Ischemic Heart Disease
– Osteoporosis
– Rheumatoid Arthritis/Osteoarthritis Arthritis
– Stroke / Transient Ischemic Attack
About this Dataset
Data Info
Date Created | 2011 |
---|---|
Last Modified | 2017-02-10 |
Version | 2017-02-10 |
Update Frequency |
Biennial |
Temporal Coverage |
2010 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Chronic Conditions Claims, Chronic Conditions Part A Enrollement Claims, Chronic Conditions Part B Enrollement Claims, Chronic Conditions Part C Enrollment Claims, Chronic Conditions Part D Enrollment Claims, Medicare Reimbursment for Chronic Conditions, CMS Chronic Conditions PUF, Chronic Conditions PUF, Chronic Condition Benefits |
Other Titles | Medicare Chronic Conditions Claims PUF, Medicare Covered Chronic Conditions Services Claims, Medicare Reimbursment For Chronic Conditions |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Gender | Beneficiary's gender | string | - |
Age | Beneficiary’s age reported in six categories | string | - |
Is_Alzheimers_Disease_And_Related_Disorders_Or_Senile_Dementia | Indicate if the condition exists | boolean | - |
Is_Cancer | Indicate if the condition exists | boolean | - |
Is_Heart_Failure | Indicate if the condition exists | boolean | - |
Is_Chronic_Kidney_Disease | Indicate if the condition exists | boolean | - |
Is_Chronic_Obstructive_Pulmonary_Disease | Indicate if the condition exists | boolean | - |
Is_Depression | Indicate if the condition exists | boolean | - |
Is_Diabetes | Indicate if the condition exists | boolean | - |
Is_Ischemic_Heart_Disease | Indicate if the condition exists | boolean | - |
Is_Osteoporosis | Indicate if the condition exists | boolean | - |
Is_Rheumatoid_Or_Osteoarthritis_Arthritis | Indicate if the condition exists | boolean | - |
Is_Stroke_Or_Transient_Ischemic_Attack | Indicate if the condition exists | boolean | - |
Is_Two_Or_More_Chronic_Conditions | Indicate if the total number of chronic conditions is two or more | boolean | - |
Is_Dual_Eligibile | Indicate if the beneficiary is dual eligible | boolean | - |
Count_Of_Beneficiaries_PartA_1To12_Months | The number of beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
Average_Months_Of_Enrollment_PartA_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Average_Payment_PartA_1To12_Months | Average Medicare payment per beneficiary for all Part A services for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Inpatient_1To12_Months | Average Medicare payment for inpatient services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Skilled_Nursing_Facility_1To12_Months | Average Medicare payment for skilled nursing facility services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Other_Services_PartA_1To12_Months | Average Medicare payment for the sum of home health agency and hospice services per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Inpatient_Admissions_1To12_Months | Average number of inpatient admissions per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Average_Skilled_Nursing_Facility_Covered_Days_1To12_Months | Average number of skilled nursing facility covered days per beneficiary for beneficiaries enrolled in Medicare Part A for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartA_12_Months | Count of beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | integer | level : Ratio |
Average_Payment_PartA_12_Months | Average Medicare payment per beneficiary for all Part A services for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
Average_Payment_Inpatient_12_Months | Average Medicare payment for inpatient services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
Average_Payment_Skilled_Nursing_Facility_12_Months | Average Medicare payment for skilled nursing facility services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
Average_Payment_Other_Services_PartA_12_Months | Average Medicare payment for the sum of home health agency and hospice services per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | - |
Average_Inpatient_Admissions_For_12_Months | Average number of inpatient admissions per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | level : Ratio |
Average_Skilled_Nursing_Facility_Covered_Days_12_Months | Average number of skilled nursing facility covered days per beneficiary for beneficiaries enrolled in Medicare Part A for 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartB_1To12_Months | Count of beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
Average_Months_Of_Enrollment_PartB_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Average_Payment_PartB_1To12_Months | Average Medicare payment per beneficiary for all Part B services for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Carrier_Physician_1To12_Months | Average Medicare payment for carrier/physician services per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Outpatient_1To12_Months | Average Medicare payment for outpatient services per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Payment_Other_Services_PartB_1To12_Months | Average Medicare payment for the sum of home health agency services and durable medical equipment per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Visits_Carrier_Physician_1To12_Months | Average number of carrier/physician visits per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Average_Outpatient_Visits_1To12_Months | Average number of outpatient visits per beneficiary for beneficiaries enrolled in Medicare Part B for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartB_12Months | Count of beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | integer | level : Ratio |
Average_Payment_PartB_12Months | Average Medicare payment per beneficiary for all Part B services for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
Average_Payment_Carrier_Physician_12Months | Average Medicare payment for carrier/physician services per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
Average_Payment_Outpatient_12Months | Average Medicare payment for outpatient services per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
Average_Payment_Other_Services_PartB_12Months | Average Medicare payment for the sum of home health agency services and durable medical equipment per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | - |
Average_Visits_Carrier_Physician_12Months | Average number of carrier/physician visits per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | level : Ratio |
Average_Visits_Outpatient_12Months | Average number of outpatient visits per beneficiary for beneficiaries enrolled in Medicare Part B for 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartC_1To12Months | Count of beneficiaries enrolled in Medicare Part C (HMO) for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
Average_Months_Of_Enrollment_PartC_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part C (HMO) for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartC_12Months | Count of beneficiaries enrolled in Medicare Part C (HMO) for than 12 months in the calendar year | integer | level : Ratio |
Count_Of_Beneficiaries_PartD_1To12_Months | Count of beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | integer | level : Ratio |
Average_Months_Of_Enrollment_PartD_1To12_Months | Average months of enrollment for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Average_Drug_Cost_1To12_Months | Average prescription drug cost per beneficiary for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | - |
Average_Prescriptions_1To12_Months | Average number of prescriptions per beneficiary for beneficiaries enrolled in Medicare Part D for at least 1 month but less than 12 months in the calendar year | number | level : Ratio |
Count_Of_Beneficiaries_PartD_12Months | Count of beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | integer | level : Ratio |
Average_Drug_Cost_12Months | Average prescription drug cost per beneficiary for beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | number | - |
Average_Prescriptions_12Months | Average number of prescriptions per beneficiary for beneficiaries enrolled in Medicare Part D for 12 months in the calendar year | number | level : Ratio |
Data Preview
Gender | Age | Is Alzheimers Disease And Related Disorders Or Senile Dementia | Is Cancer | Is Heart Failure | Is Chronic Kidney Disease | Is Chronic Obstructive Pulmonary Disease | Is Depression | Is Diabetes | Is Ischemic Heart Disease | Is Osteoporosis | Is Rheumatoid Or Osteoarthritis Arthritis | Is Stroke Or Transient Ischemic Attack | Is Two Or More Chronic Conditions | Is Dual Eligibile | Count Of Beneficiaries PartA 1To12 Months | Average Months Of Enrollment PartA 1To12 Months | Average Payment PartA 1To12 Months | Average Payment Inpatient 1To12 Months | Average Payment Skilled Nursing Facility 1To12 Months | Average Payment Other Services PartA 1To12 Months | Average Inpatient Admissions 1To12 Months | Average Skilled Nursing Facility Covered Days 1To12 Months | Count Of Beneficiaries PartA 12 Months | Average Payment PartA 12 Months | Average Payment Inpatient 12 Months | Average Payment Skilled Nursing Facility 12 Months | Average Payment Other Services PartA 12 Months | Average Inpatient Admissions For 12 Months | Average Skilled Nursing Facility Covered Days 12 Months | Count Of Beneficiaries PartB 1To12 Months | Average Months Of Enrollment PartB 1To12 Months | Average Payment PartB 1To12 Months | Average Payment Carrier Physician 1To12 Months | Average Payment Outpatient 1To12 Months | Average Payment Other Services PartB 1To12 Months | Average Visits Carrier Physician 1To12 Months | Average Outpatient Visits 1To12 Months | Count Of Beneficiaries PartB 12Months | Average Payment PartB 12Months | Average Payment Carrier Physician 12Months | Average Payment Outpatient 12Months | Average Payment Other Services PartB 12Months | Average Visits Carrier Physician 12Months | Average Visits Outpatient 12Months | Count Of Beneficiaries PartC 1To12Months | Average Months Of Enrollment PartC 1To12 Months | Count Of Beneficiaries PartC 12Months | Count Of Beneficiaries PartD 1To12 Months | Average Months Of Enrollment PartD 1To12 Months | Average Drug Cost 1To12 Months | Average Prescriptions 1To12 Months | Count Of Beneficiaries PartD 12Months | Average Drug Cost 12Months | Average Prescriptions 12Months |
Male | Under 65 years old | False | False | False | False | False | True | False | 41.0 | 7.1 | 20056.0 | 16444.0 | 1.51 | 168 | 15615 | 11590 | 2965.0 | 1060.0 | 1.1 | 6.73 | 42.0 | 6.95 | 13065.0 | 8808.0 | 2761.0 | 1496.0 | 8.91 | 7.55 | 162 | 10544 | 5492 | 3453 | 1599 | 11.5 | 7.01 | 65 | 7230 | 49.88 | ||||||||||||||||
Male | Under 65 years old | False | False | False | False | False | True | True | 43.0 | 7.88 | 26903.0 | 202 | 14787 | 9687 | 3405.0 | 1695.0 | 0.96 | 9.33 | 46.0 | 7.65 | 10375.0 | 6328.0 | 3118.0 | 929.0 | 7.76 | 7.8 | 199 | 10048 | 5652 | 3360 | 1036 | 10.17 | 10.56 | 42.0 | 5.95 | 2165.0 | 24.81 | 203 | 7163 | 73.4 | ||||||||||||||
Male | Under 65 years old | False | False | False | False | True | True | False | 215 | 13129 | 10330 | 1406.0 | 1393.0 | 0.97 | 3.09 | 213 | 10345 | 5639 | 3144 | 1562 | 14.39 | 7.55 | 104 | 4007 | 51.48 | |||||||||||||||||||||||||||||
Male | Under 65 years old | False | False | False | False | True | True | True | 216 | 17278 | 12279 | 3949.0 | 1050.0 | 1.31 | 10.12 | 212 | 11846 | 6859 | 3783 | 1204 | 12.57 | 10.28 | 209 | 9021 | 75.73 | |||||||||||||||||||||||||||||
Male | Under 65 years old | False | False | False | True | False | True | False | 33.0 | 7.61 | 23442.0 | 167 | 12819 | 10808 | 1.35 | 34.0 | 7.71 | 10568.0 | 7909.0 | 2174.0 | 485.0 | 8.79 | 4.65 | 164 | 12978 | 7553 | 4361 | 1064 | 15.58 | 8.87 | 66 | 5925 | 61.59 | |||||||||||||||||||||
Male | Under 65 years old | False | False | False | True | False | True | True | 70.0 | 8.36 | 37836.0 | 29511.0 | 5544.0 | 2781.0 | 2.29 | 14.24 | 261 | 18668 | 14929 | 2956.0 | 783.0 | 1.47 | 8.21 | 71.0 | 8.3 | 15866.0 | 9815.0 | 5290.0 | 761.0 | 8.72 | 8.54 | 260 | 14205 | 7720 | 4785 | 1700 | 11.75 | 12.14 | 66.0 | 7.2 | 3742.0 | 37.38 | 264 | 7985 | 84.55 | |||||||||
Male | Under 65 years old | False | False | False | True | True | True | False | 172 | 12398 | 10392 | 1385.0 | 621.0 | 1.44 | 2.81 | 170 | 13330 | 7490 | 3794 | 2046 | 17.27 | 8.54 | 70 | 6962 | 70.83 | |||||||||||||||||||||||||||||
Male | Under 65 years old | False | False | False | True | True | True | True | 182 | 19927 | 15025 | 4046.0 | 856.0 | 1.7 | 10.57 | 182 | 14246 | 8136 | 3464 | 2646 | 14.2 | 10.34 | 184 | 8433 | 89.84 | |||||||||||||||||||||||||||||
Male | Under 65 years old | False | False | True | False | False | True | False | 150 | 14162 | 10872 | 2230.0 | 1060.0 | 1.12 | 5.42 | 148 | 8165 | 5173 | 1662 | 1330 | 11.22 | 7.24 | 56 | 4571 | 51.02 | |||||||||||||||||||||||||||||
Male | Under 65 years old | False | False | True | False | False | True | True | 39.0 | 8.49 | 42121.0 | 31151.0 | 8545.0 | 2425.0 | 1.85 | 22.28 | 178 | 14443 | 9851 | 4130.0 | 462.0 | 0.98 | 13.29 | 41.0 | 8.27 | 11861.0 | 6743.0 | 4258.0 | 860.0 | 7.24 | 9.32 | 176 | 11142 | 5433 | 4033 | 1676 | 9.39 | 10.54 | 37.0 | 7.51 | 5914.0 | 52.54 | 178 | 9284 | 94.52 |