IPPS: Inpatient Prospective Payment System Provider Summary for the...

Description Usage Format Source

Description

Data are being released that show significant variation across the country and within communities in what providers charge for common services. These data include information comparing the charges for the 100 most common inpatient services and 30 common outpatient services. Providers determine what they will charge for items and services provided to patients and these charges are the amount the providers bills for an item or service. See http://www.data.gov/health/highlights for updates.

Usage

1

Format

data frame with 163,065 rows of 12 variables

DRG Definition

Code and description identifying the DRG. DRGs are a classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay.

Provider Id

Provider identifier billing for inpatient hospital services

Provider Name

Name of the provider.

Provider Street Address

Street address in which the provider is physically located.

Provider City

City in which the provider is physically located.

Provider State

State in which the provider is physically located.

Provider Zip Code

Zip code in which the provider is physically located.

Hospital Referral Region Description

HRR in which the provider is physically located.

Total Discharges

The number of discharges billed by the provider for inpatient hospital services.

Average Covered Charges

The provider's average charge for services covered by Medicare for all discharges in the DRG. These will vary from hospital to hospital vecause of differences in hospital charges structures.

Average Total Payments

The average of Medicare payments to the provider for the DRG including the DRG amount, teaching, disproportionate share, capital and outlier payments for all cases. Also included are co-payment and deductible amounts that the patient is responsible for.

Average Medicare Payments

Money

Source

http://www.data.gov/health/highlights


timtrice/IPPS documentation built on May 31, 2019, 2:43 p.m.