Medicare Institutional Providers And Beneficiary Summary Data
Medicare Institutional Providers Hospital Referral Regions Data
Medicare Institutional Providers Services Utilization And Costs
Keywords
Medicare Institutional Provider
Medicare Beneficiaries
Hospital Referral Regions
HRR Utilization
HRR Medicare Costs
Institutional Providers Claims
Beneficiaries By Gender
Beneficiaries By Age
Beneficiaries By Race
Prevention Quality Indicators
Institutional Provider And Beneficiary Summary PUF
This dataset contains the Basic Stand Alone (BSA) Institutional Provider and Beneficiary Summary (IPBS) Public Use File (PUF) data. Each record summarizes information for a particular institutional provider which can be a hospital, a critical care facility, a skilled nursing facility, a home health agency or hospice or another similar institution providing services to Medicare beneficiaries.
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The dataset summarizes data from Medicare institutional claims paid to providers during the calendar year as well as summarizes beneficiary demographic data. There are three categories of measures included in the dataset: beneficiary measures, cost and utilization measures and prevention quality indicators (PQI).
Summarized beneficiary measures include beneficiary demographics (e.g., breakdown of beneficiaries number by gender, age, and race), health status information (e.g., breakdown of beneficiaries number by selected chronic conditions) and the top five hospital referral regions (HRRs) where that provider’s beneficiary population resides.
Summarized cost measures include actual and standardized Medicare payments, deductible and coinsurance payments, and pass-through costs.
Utilization measures are summarized in terms of days, stays, visits, episodes, and readmissions.
The PQI measures are based upon hospital inpatient data and include hospital admissions for specific conditions that are considered “ambulatory care sensitive conditions.”
About this Dataset
Data Info
Date Created
2011
Last Modified
2017-03-24
Version
2017-03-24
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
Medicare Institutional Provider, Medicare Beneficiaries, Hospital Referral Regions, HRR Utilization, HRR Medicare Costs, Institutional Providers Claims, Beneficiaries By Gender, Beneficiaries By Age, Beneficiaries By Race, Prevention Quality Indicators
Other Titles
Medicare Institutional Providers And Beneficiary Summary Data, Medicare Institutional Providers Hospital Referral Regions Data, Medicare Institutional Providers Services Utilization And Costs
Data Fields
Name
Description
Type
Constraints
Provider_ID
The unique ID for the institutional facility
string
-
State_Abbreviation
The abbreviated name of the state
string
-
Hospital_Referral_Region
The description of the hospital referral region
string
-
Facility_Type
The type of the institutional facility
string
-
Total_Beneficiaries
The number of beneficiaries utilizing the services of the provider
integer
level : Ratio
Deceased_Beneficiaries
The number of beneficiaries deceased within the year utilizing the services of the provider
integer
level : Ratio
Male_Beneficiaries
The number of male beneficiaries utilizing the services of the provider
integer
level : Ratio
Female_Beneficiaries
The number of female beneficiaries utilizing the services of the provider
integer
level : Ratio
Non_Hispanic_White_Beneficiaries
The number of non-Hispanic white beneficiaries utilizing the services of the provider
integer
level : Ratio
Non_Hispanic_Black_Beneficiaries
The number of non-Hispanic black beneficiaries utilizing the services of the provider
integer
level : Ratio
Hispanic_Beneficiaries
The number of Hispanic beneficiaries utilizing the services of the provider
integer
level : Ratio
Asian_Pacific_Islander_Beneficiaries
The number of Asian Pacific Islander beneficiaries utilizing the services of the provider
integer
level : Ratio
Alaskan_Native_American_Indian_Beneficiaries
The number of Alaskan Native/American Indian beneficiaries utilizing the services of the provider
integer
level : Ratio
Other_Race_Or_Ethnicity_Beneficiaries
The number of beneficiaries with all other race/ethnicity utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_Under_65
The number of beneficiaries under the age of 65 years utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_65_To_69
The number of beneficiaries between the ages of 65 and 69 utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_70_To_74
The number of beneficiaries between the ages of 70 and 74 utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_75_To_79
The number of beneficiaries between the ages of 75 and 79 utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_80_To_84
The number of beneficiaries between the ages of 80 and 84 utilizing the services of the provider
integer
level : Ratio
Beneficiaries_Age_Over_84
The number of beneficiaries over the age of 84 utilizing the services of the provider
integer
level : Ratio
Dual_Eligible_Beneficiaries
The number of dual eligible beneficiaries (entitled also to full or restricted Medicaid benefits) utilizing the services of the provider
integer
level : Ratio
Non_Dual_Eligible_Beneficiaries
The number of non-dual eligible beneficiaries utilizing the services of the provider
integer
level : Ratio
Different_HRR_Beneficiaries
The number of beneficiaries where the HRR based on the residence of the beneficiary utilizing the services of the provider is different from the HRR based on the provider
integer
level : Ratio
CCW_Atrial_Fibrillation_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for atrial fibrillation and utilizing the services of the provider
integer
level : Ratio
CCW_Alzheimers_Disease_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for Alzheimers’ disease and utilizing the services of the provider
integer
level : Ratio
CCW_Alzheimers_Dementia_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for Alzheimers’ broad classification including dementia and utilizing the services of the provider
integer
level : Ratio
CCW_Acute_Myocardial_Infarction_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for acute myocardial infarction (AMI) and utilizing the services of the provider
integer
level : Ratio
CCW_Anemia_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for anemia and utilizing the services of the provider
integer
level : Ratio
CCW_Asthma_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for asthma and utilizing the services of the provider
integer
level : Ratio
CCW_Breast_Cancer_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for breast cancer and utilizing the services of the provider
integer
level : Ratio
CCW_Cataracts_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for cataracts and utilizing the services of the provider
integer
level : Ratio
CCW_Congestive_Heart_Failure_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for congestive heart failure (CHF) and utilizing the services of the provider
integer
level : Ratio
CCW_Chronic_Kidney_Disease_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for chronic kidney disease and utilizing the services of the provider
integer
level : Ratio
CCW_COPD_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for chronic obstructive pulmonary disease (COPD) and utilizing the services of the provider
integer
level : Ratio
CCW_Colorectal_Cancer_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for colorectal cancer and utilizing the services of the provider
integer
level : Ratio
CCW_Depression_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for depression and utilizing the services of the provider
integer
level : Ratio
CCW_Diabetes_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for diabetes and utilizing the services of the provider
integer
level : Ratio
CCW_Endometrial_Cancer_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for endometrial cancer and utilizing the services of the provider
integer
level : Ratio
CCW_Glaucoma_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for glaucoma and utilizing the services of the provider
integer
level : Ratio
CCW_Hip_Fracture_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for hip fracture and utilizing the services of the provider
integer
level : Ratio
CCW_Hyperlipidemia_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for hyperlipidemia and utilizing the services of the provider
integer
level : Ratio
CCW_Benign_Prostatic_Hyperplasia_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for benign prostatic hyperplasia and utilizing the services of the provider
integer
level : Ratio
CCW_Hypertension_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for hypertension and utilizing the services of the provider
integer
level : Ratio
CCW_Hyperthyrodism_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for acquired hypothyroidism and utilizing the services of the provider
integer
level : Ratio
CCW_Ischemic_Heart_Disease_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for ischemic heart disease and utilizing the services of the provider
integer
level : Ratio
CCW_Lung_Cancer_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for lung cancer and utilizing the services of the provider
integer
level : Ratio
CCW_Osteoporosis_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for osteoporosis and utilizing the services of the provider
integer
level : Ratio
CCW_Prostate_Cancer_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for prostate cancer and utilizing the services of the provider
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for rheumatoid arthritis/osteoarthritis (RAOA) and utilizing the services of the provider
integer
level : Ratio
CCW_Stroke_Beneficiaries
The number of beneficiaries meeting the CCW (Chronic Condition Data Warehouse) algorithm for stroke/transient ischemic attack and utilizing the services of the provider
integer
level : Ratio
State_Abbreviation_For_HRR_Rank_1st
The abbreviated name of the state where is located the highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
HRR_Rank_1st
The description of the highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
State_Abbreviation_For_HRR_Rank_2nd
The abbreviated name of the state where is located the second highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
HRR_Rank_2nd
The description of the second highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
string
-
State_Abbreviation_For_HRR_Rank_3rd
The abbreviated name of the state where is located the third highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
HRR_Rank_3rd
The description of the third highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
string
-
State_Abbreviation_For_HRR_Rank_4th
The abbreviated name of the state where is located the fourth highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
HRR_Rank_4th
The description of the fourth highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
string
-
State_Abbreviation_For_HRR_Rank_5th
The abbreviated name of the state where is located the fifth highest ranked HRR based on the zip code of beneficiaries utilizing the services of the provider
string
-
HRR_Rank_5th
The description of the fifth highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
string
-
Number_Of_Beneficiaries_In_HHR_Rank_1st
The number of beneficiaries in the highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
integer
level : Ratio
Number_Of_Beneficiaries_In_HHR_Rank_2nd
The number of beneficiaries in the second highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
integer
level : Ratio
Number_Of_Beneficiaries_In_HHR_Rank_3rd
The number of beneficiaries in the third highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
integer
level : Ratio
Number_Of_Beneficiaries_In_HHR_Rank_4th
The number of beneficiaries in the fourth highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
integer
level : Ratio
Number_Of_Beneficiaries_In_HHR_Rank_5th
The number of beneficiaries in the fifth highest ranked HRR based on the residence of beneficiaries utilizing the services of the provider
integer
level : Ratio
Diabetes_Short_Term_Complications_Beneficiaries
The number of beneficiaries with hospital admissions for diabetes short term complications
integer
level : Ratio
Diabetes_Short_Term_Complications_Admissions
The number of hospital admissions for diabetes short term complications
integer
level : Ratio
Diabetes_Long_Term_Complications_Beneficiaries
The number of beneficiaries with hospital admissions for diabetes long term complications
integer
level : Ratio
Diabetes_Long_Term_Complications_Admissions
The number of hospital admissions for diabetes long term complications
integer
level : Ratio
COPD_Beneficiaries
The number of beneficiaries with hospital admissions for COPD
integer
level : Ratio
COPD_Admissions
The number of hospital admissions for COPD
integer
level : Ratio
Hypertension_Beneficiaries
The number of beneficiaries with hospital admissions for hypertension
integer
level : Ratio
Hypertension_Admissions
The number of hospital admissions for hypertension
integer
level : Ratio
Congestive_Heart_Failure_Beneficiaries
The number of beneficiaries with hospital admissions for congestive heart failure (CHF)
integer
level : Ratio
Congestive_Heart_Failure_Admissions
The number of hospital admissions for congestive heart failure (CHF)
integer
level : Ratio
Dehydration_Beneficiaries
The number of beneficiaries with hospital admissions for dehydration
integer
level : Ratio
Dehydration_Admissions
The number of hospital admissions for dehydration
integer
level : Ratio
Pneumonia_Beneficiaries
The number of beneficiaries with hospital admissions for pneumonia
integer
level : Ratio
Pneumonia_Admission
The number of hospital admissions for pneumonia
integer
level : Ratio
Urinary_Infection_Beneficiaries
The number of beneficiaries with hospital admissions for urinary infection
integer
level : Ratio
Urinary_Infection_Admissions
The number of hospital admissions for urinary infection
integer
level : Ratio
Angina_Beneficiaries
The number of beneficiaries with hospital admissions for angina
integer
level : Ratio
Angina_Admissions
The number of hospital admissions for angina
integer
level : Ratio
Diabetes_Uncontrolled_Beneficiaries
The number of beneficiaries with hospital admissions for diabetes uncontrolled
integer
level : Ratio
Diabetes_Uncontrolled_Admissions
The number of hospital admissions for diabetes uncontrolled
integer
level : Ratio
Asthma_Adult_Beneficiaries
The number of beneficiaries with hospital admissions for adult asthma
integer
level : Ratio
Asthma_Adult_Admissions
The number of hospital admissions for adult asthma
integer
level : Ratio
Lower_Extremity_Amputation_Beneficiaries
The number of beneficiaries with hospital admissions for lower extremity amputation
integer
level : Ratio
Lower_Extremity_Amputation_Admissions
The number of hospital admissions for lower extremity amputation
integer
level : Ratio
Outpatient_Emergency_Room_Beneficiaries
The number of beneficiaries with outpatient emergency room (OER) visits
integer
level : Ratio
Outpatient_Emergency_Room_Visits
The number of outpatient emergency room (OER) visits
integer
level : Ratio
Inpatient_Emergency_Room_Beneficiaries
The number of beneficiaries with inpatient emergency room (IER) visits
integer
level : Ratio
Inpatient_Emergency_Room_Visits
The number of emergency room (IER) visits
integer
level : Ratio
Beneficiaries_With_Covered_Days_Of_Care
The number of beneficiaries with covered days of care
integer
level : Ratio
Covered_Days_Of_Care
The number of covered days of care
integer
level : Ratio
Beneficiaries_With_Covered_Stays
The number of beneficiaries with covered days of care
Demos
