inpatient: CMS Inpatient Claims DE-SynPUF

Description Usage Format Source

Description

Synthetic inpatient claim records

Usage

1

Format

A data frame with 225 rows and 35 variables:

DESYNPUF_ID

Beneficiary Code

CLM_ID

Claim ID

SEGMENT

Claim Line Segment

CLM_FROM_DT

Claims start date

CLM_THRU_DT

Claims end date

PRVDR_NUM

Provider Institution

CLM_PMT_AMT

Claim Payment Amount

NCH_PRMRY_PYR_CLM_PD_AMT

NCH Primary Payer Claim Paid Amount

AT_PHYSN_NPI

Attending Physician National Provider Identifier Number

OP_PHYSN_NPI

Operating Physician National Provider Identifier Number

OT_PHYSN_NPI

Other Physician National Provider Identifier Number

CLM_ADMSN_DT

Inpatient admission date

ADMTNG_ICD9_DGNS_CD

Claim Admitting Diagnosis Code

CLM_PASS_THRU_PER_DIEM_AMT

Claim Pass Thru Per Diem Amount

NCH_BENE_IP_DDCTBL_AMT

NCH Beneficiary Inpatient Deductible Amount

NCH_BENE_PTA_COINSRNC_LBLTY_AM

NCH Beneficiary Part A Coinsurance Liability Amount

NCH_BENE_BLOOD_DDCTBL_LBLTY_AM

NCH Beneficiary Blood Deductible Liability Amount

CLM_UTLZTN_DAY_CNT

Claim Utilization Day Count

NCH_BENE_DSCHRG_DT

Inpatient discharged date

CLM_DRG_CD

Claim Diagnosis Related Group Code

ICD9_DGNS_CD_1

Claim Diagnosis Code (1)

ICD9_DGNS_CD_2

Claim Diagnosis Code (2)

ICD9_DGNS_CD_3

Claim Diagnosis Code (3)

ICD9_DGNS_CD_4

Claim Diagnosis Code (4)

ICD9_DGNS_CD_5

Claim Diagnosis Code (5)

ICD9_PRCDR_CD_1

Claim Procedure Code (1)

ICD9_PRCDR_CD_2

Claim Procedure Code (2)

ICD9_PRCDR_CD_3

Claim Procedure Code (3)

ICD9_PRCDR_CD_4

Claim Procedure Code (4)

ICD9_PRCDR_CD_5

Claim Procedure Code (5)

HCPCS_CD_1

Revenue Center HCFA Common Procedure Coding System (1)

HCPCS_CD_2

Revenue Center HCFA Common Procedure Coding System (2)

HCPCS_CD_3

Revenue Center HCFA Common Procedure Coding System (3)

HCPCS_CD_4

Revenue Center HCFA Common Procedure Coding System (4)

HCPCS_CD_5

Revenue Center HCFA Common Procedure Coding System (5)

Source

https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/SynPUFs/DE_Syn_PUF


jfangmeier/claimsdb documentation built on Feb. 14, 2022, 6:01 a.m.