outpatient: CMS Outpatient Claims DE-SynPUF

In jfangmeier/claimsdb: Relational Data from the CMS Data Entrepreneurs Synthetic PUF for Learning and Teaching

Description

Synthetic outpatient claim records

Usage

outpatient

Format

A data frame with 2,827 rows and 30 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

NCH_BENE_BLOOD_DDCTBL_LBLTY_AM

NCH Beneficiary Blood Deductible Liability Amount

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)

NCH_BENE_PTB_DDCTBL_AMT

NCH Beneficiary Part B Deductible Amount

NCH_BENE_PTB_COINSRNC_AMT

NCH Beneficiary Part B Coinsurance Amount

ADMTNG_ICD9_DGNS_CD

Claim Admitting Diagnosis Code

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.