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Beneficiary Summary File

Source

https://www.resdac.org/cms-data/files/mbsf-base

Overview

The Master Beneficiary Summary File includes several segments.

Base (A/B/C/D) segment

This segment includes beneficiary enrollment information, such as the beneficiary unique identifier, state and county codes, zip code, date of birth, date of death, sex, race, age, monthly entitlement and enrollment information (A/B/C/D) and plan information for Medicare Advantage (Part C) and the Prescription Drug Program (Part D). Part C and Part D enrollment information is available beginning with the 2006 file year.

Chronic Conditions segment

This segment includes 27 chronic condition data warehouse flags called CCW Flags. This includes 6 new chronic conditions in addition to the 21 chronic conditions previously defined. For more information about the CCW Flags, please see the CCW User Guide.

Other Chronic or Potentially Disabling Conditions segment

The Other Chronic or Potentially Disabling Conditions segment of the MBSF contains 9 mental health and tobacco use conditions, 15 developmental disorder and disability-related conditions, and 9 other chronic physical and behavioral health conditions which were developed by CMS specifically to enhance research of the Medicare-Medicaid dually enrolled population.

Cost & Use segment

This segment includes summarized information about the service utilization and Medicare payment amounts by file type.

National Death Index (NDI) segment

This segment includes the National Death Index cause of death information. This is available for all Medicare beneficiaries from 1999-2008 and for Medicaid recipients from 1999-2007. There are no plans to update the NDI segment.

Availability

Base (A/B/C/D) Segment

Availability: CY 1999 - 2016

The Part D variables in the Base segment are available for years 2006 and forward only.

Chronic Conditions Segment

Availability: CY 1999 - 2016

Other Chronic or Potentially Disabling Conditions Segment

Availability: CY 1999 - 2016

Cost and Use Segment

Availability: CY 1999 - 2016

The mid-year Cost and Use segment, which is available in the Fall, will not include Part D claims information.

National Death Index Segment

Availability: CY 1999 - 2008

This is available for all Medicare beneficiaries from 1999-2008 and for Medicaid recipients from 1999-2007.

Data Documentation

Base (A/B/C/D) segment

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Encrypted CCW Beneficiary ID
2	RFRNC_YR	Reference Year
3	ENRL_SRC	Source of enrollment data		*
4	SAMPLE_GROUP	Medicare Sample Group Indicator		*
5	EFIVEPCT	Enhanced Medicare 5% Sample Indicator		*
6	CRNT_BIC	Current Beneficiary Identification Code		*
7	STATE_CD	State code for beneficiary (SSA code)		*
8	CNTY_CD	County Code for Beneficiary (SSA code)		*
9	ZIP_CD	5-digit ZIP code for beneficiary		*
10	STATE_CNTY_FIPS_CD_01	State and county FIPS code - January		*
11	STATE_CNTY_FIPS_CD_02	State and county FIPS code - February		*
12	STATE_CNTY_FIPS_CD_03	State and county FIPS code - March		*
13	STATE_CNTY_FIPS_CD_04	State and county FIPS code - April		*
14	STATE_CNTY_FIPS_CD_05	State and county FIPS code - May		*
15	STATE_CNTY_FIPS_CD_06	State and county FIPS code - June		*
16	STATE_CNTY_FIPS_CD_07	State and county FIPS code - July		*
17	STATE_CNTY_FIPS_CD_08	State and county FIPS code - August		*
18	STATE_CNTY_FIPS_CD_09	State and county FIPS code - September		*
19	STATE_CNTY_FIPS_CD_10	State and county FIPS code - October		*
20	STATE_CNTY_FIPS_CD_11	State and county FIPS code - November		*
21	STATE_CNTY_FIPS_CD_12	State and county FIPS code - December		*
22	AGE	Age of beneficiary at end of year		*
23	BENE_DOB	Beneficiary date of birth		*
24	V_DOD_SW	Valid Date of Death Switch		*
25	DEATH_DT	Date of Death		*
26	SEX	Sex		*
27	RACE	Beneficiary Race Code		*
28	RTI_RACE_CD	Research Triangle Institute (RTI) Race Code		*
29	COVSTART	Medicare Coverage Start Date		*
30	OREC	Original Reason for Entitlement Code		*
31	CREC	Current Reason for Entitlement Code		*
32	ESRD_IND	End-stage Renal Disease (ESRD) Indicator		*
33	MDCR_STUS_CD_01	Medicare Status Code - January		*
34	MDCR_STUS_CD_02	Medicare Status Code - February		*
35	MDCR_STUS_CD_03	Medicare Status Code - March		*
36	MDCR_STUS_CD_04	Medicare Status Code - April		*
37	MDCR_STUS_CD_05	Medicare Status Code - May		*
38	MDCR_STUS_CD_06	Medicare Status Code - June		*
39	MDCR_STUS_CD_07	Medicare Status Code - July		*
40	MDCR_STUS_CD_08	Medicare Status Code - August		*
41	MDCR_STUS_CD_09	Medicare Status Code - September		*
42	MDCR_STUS_CD_10	Medicare Status Code - October		*
43	MDCR_STUS_CD_11	Medicare Status Code - November		*
44	MDCR_STUS_CD_12	Medicare Status Code - December		*
45	A_TRM_CD	Part A Termination Code		*
46	B_TRM_CD	Part B Termination Code		*
47	A_MO_CNT	Part A Months Count		*
48	B_MO_CNT	Part B Months Count		*
49	BUYIN_MO	State Buy-In Coverage Count		*
50	HMO_MO	HMO Coverage Count		*
51	PTD_MO	Months of Part D Coverage		*
52	RDS_MO	Months of Retiree Drug Subsidy Coverage		*
53	DUAL_MO	Months of Dual Eligibility		*
54	BUYIN01	Medicare Entitlement/Buy-In Indicator - January		*
55	BUYIN02	Medicare Entitlement/Buy-In Indicator - February		*
56	BUYIN03	Medicare Entitlement/Buy-In Indicator - March		*
57	BUYIN04	Medicare Entitlement/Buy-In Indicator - April		*
58	BUYIN05	Medicare Entitlement/Buy-In Indicator - May		*
59	BUYIN06	Medicare Entitlement/Buy-In Indicator - June		*
60	BUYIN07	Medicare Entitlement/Buy-In Indicator - July		*
61	BUYIN08	Medicare Entitlement/Buy-In Indicator - August		*
62	BUYIN09	Medicare Entitlement/Buy-In Indicator - September		*
63	BUYIN10	Medicare Entitlement/Buy-In Indicator - October		*
64	BUYIN11	Medicare Entitlement/Buy-In Indicator - November		*
65	BUYIN12	Medicare Entitlement/Buy-In Indicator - December		*
66	HMOIND01	HMO Indicator - January		*
67	HMOIND02	HMO Indicator - February		*
68	HMOIND03	HMO Indicator - March		*
69	HMOIND04	HMO Indicator - April		*
70	HMOIND05	HMO Indicator - May		*
71	HMOIND06	HMO Indicator - June		*
72	HMOIND07	HMO Indicator - July		*
73	HMOIND08	HMO Indicator - August		*
74	HMOIND09	HMO Indicator - September		*
75	HMOIND10	HMO Indicator - October		*
76	HMOIND11	HMO Indicator - November		*
77	HMOIND12	HMO Indicator - December		*

Part C

Index	SAS Name	Variable Name	Limitation	Code Table
1	PTC_CNTRCT_ID_01	Part C Contract Number - January
2	PTC_CNTRCT_ID_02	Part C Contract Number - February
3	PTC_CNTRCT_ID_03	Part C Contract Number - March
4	PTC_CNTRCT_ID_04	Part C Contract Number - April
5	PTC_CNTRCT_ID_05	Part C Contract Number - May
6	PTC_CNTRCT_ID_06	Part C Contract Number - June
7	PTC_CNTRCT_ID_07	Part C Contract Number - July
8	PTC_CNTRCT_ID_08	Part C Contract Number - August
9	PTC_CNTRCT_ID_09	Part C Contract Number - September
10	PTC_CNTRCT_ID_10	Part C Contract Number - October
11	PTC_CNTRCT_ID_11	Part C Contract Number - November
12	PTC_CNTRCT_ID_12	Part C Contract Number - December
13	PTC_PBP_ID_01	Part C PBP Number - January		*
14	PTC_PBP_ID_02	Part C PBP Number - February		*
15	PTC_PBP_ID_03	Part C PBP Number - March		*
16	PTC_PBP_ID_04	Part C PBP Number - April		*
17	PTC_PBP_ID_05	Part C PBP Number - May		*
18	PTC_PBP_ID_06	Part C PBP Number - June		*
19	PTC_PBP_ID_07	Part C PBP Number - July		*
20	PTC_PBP_ID_08	Part C PBP Number - August		*
21	PTC_PBP_ID_09	Part C PBP Number - September		*
22	PTC_PBP_ID_10	Part C PBP Number - October		*
23	PTC_PBP_ID_11	Part C PBP Number - November		*
24	PTC_PBP_ID_12	Part C PBP Number - December		*
25	PTC_PLAN_TYPE_CD_01	Part C Plan Type Code - January		*
26	PTC_PLAN_TYPE_CD_02	Part C Plan Type Code - February		*
27	PTC_PLAN_TYPE_CD_03	Part C Plan Type Code - March		*
28	PTC_PLAN_TYPE_CD_04	Part C Plan Type Code - April		*
29	PTC_PLAN_TYPE_CD_05	Part C Plan Type Code - May		*
30	PTC_PLAN_TYPE_CD_06	Part C Plan Type Code - June		*
31	PTC_PLAN_TYPE_CD_07	Part C Plan Type Code - July		*
32	PTC_PLAN_TYPE_CD_08	Part C Plan Type Code - August		*
33	PTC_PLAN_TYPE_CD_09	Part C Plan Type Code - September		*
34	PTC_PLAN_TYPE_CD_10	Part C Plan Type Code - October		*
35	PTC_PLAN_TYPE_CD_11	Part C Plan Type Code - November		*
36	PTC_PLAN_TYPE_CD_12	Part C Plan Type Code - December		*

Part D

Index	SAS Name	Variable Name	Limitation	Code Table
1	PTDCNTRCT01	Part D Contract Number - January		*
2	PTDCNTRCT02	Part D Contract Number - February		*
4	PTDCNTRCT04	Part D Contract Number - April		*
5	PTDCNTRCT05	Part D Contract Number - May		*
6	PTDCNTRCT06	Part D Contract Number - June		*
7	PTDCNTRCT07	Part D Contract Number - July		*
8	PTDCNTRCT08	Part D Contract Number - August		*
9	PTDCNTRCT09	Part D Contract Number - September		*
10	PTDCNTRCT10	Part D Contract Number - October		*
11	PTDCNTRCT11	Part D Contract Number - November		*
12	PTDCNTRCT12	Part D Contract Number - December		*
13	PTDPBPID01	Part D PBP Number - January		*
14	PTDPBPID02	Part D PBP Number - February		*
15	PTDPBPID03	Part D PBP Number - March		*
16	PTDPBPID04	Part D PBP Number - April		*
17	PTDPBPID05	Part D PBP Number - May		*
18	PTDPBPID06	Part D PBP Number - June		*
19	PTDPBPID07	Part D PBP Number - July		*
20	PTDPBPID08	Part D PBP Number - August		*
21	PTDPBPID09	Part D PBP Number - September		*
22	PTDPBPID10	Part D PBP Number - October		*
23	PTDPBPID11	Part D PBP Number - November		*
24	PTDPBPID12	Part D PBP Number - December		*
25	SGMTID01	Part D Segment Number - January		*
26	SGMTID02	Part D Segment Number - February		*
27	SGMTID03	Part D Segment Number - March		*
28	SGMTID04	Part D Segment Number - April		*
29	SGMTID05	Part D Segment Number - May		*
30	SGMTID06	Part D Segment Number - June		*
31	SGMTID07	Part D Segment Number - July		*
32	SGMTID08	Part D Segment Number - August		*
33	SGMTID09	Part D Segment Number - September		*
34	SGMTID10	Part D Segment Number - October		*
35	SGMTID11	Part D Segment Number - November		*
36	SGMTID12	Part D Segment Number - December		*
37	RDSIND01	Part D Retiree Drug Subsidy Indicator - January		*
38	RDSIND02	Part D Retiree Drug Subsidy Indicator - February		*
39	RDSIND03	Part D Retiree Drug Subsidy Indicator - March		*
40	RDSIND04	Part D Retiree Drug Subsidy Indicator - April		*
41	RDSIND05	Part D Retiree Drug Subsidy Indicator - May		*
42	RDSIND06	Part D Retiree Drug Subsidy Indicator - June		*
43	RDSIND07	Part D Retiree Drug Subsidy Indicator - July		*
44	RDSIND08	Part D Retiree Drug Subsidy Indicator - August		*
45	RDSIND09	Part D Retiree Drug Subsidy Indicator - September		*
46	RDSIND10	Part D Retiree Drug Subsidy Indicator - October		*
47	RDSIND11	Part D Retiree Drug Subsidy Indicator - November		*
48	RDSIND12	Part D Retiree Drug Subsidy Indicator - December		*
49	DUAL_01	Medicare-Medicaid dual eligibility code - January		*
50	DUAL_02	Medicare-Medicaid dual eligibility code - February		*
51	DUAL_03	Medicare-Medicaid dual eligibility code - March		*
52	DUAL_04	Medicare-Medicaid dual eligibility code - April		*
53	DUAL_05	Medicare-Medicaid dual eligibility code - May		*
54	DUAL_06	Medicare-Medicaid dual eligibility code - June		*
55	DUAL_07	Medicare-Medicaid dual eligibility code - July		*
56	DUAL_08	Medicare-Medicaid dual eligibility code - August		*
57	DUAL_09	Medicare-Medicaid dual eligibility code - September		*
58	DUAL_10	Medicare-Medicaid dual eligibility code - October		*
59	DUAL_11	Medicare-Medicaid dual eligibility code - November		*
60	DUAL_12	Medicare-Medicaid dual eligibility code - December		*
61	CSTSHR01	Part D low-income cost share group code - January		*
62	CSTSHR02	Part D low-income cost share group code - February		*
63	CSTSHR03	Part D low-income cost share group code - March		*
64	CSTSHR04	Part D low-income cost share group code - April		*
65	CSTSHR05	Part D low-income cost share group code - May		*
66	CSTSHR06	Part D low-income cost share group code - June		*
67	CSTSHR07	Part D low-income cost share group code - July		*
68	CSTSHR08	Part D low-income cost share group code - August		*
69	CSTSHR09	Part D low-income cost share group code - September		*
70	CSTSHR10	Part D low-income cost share group code - October		*
71	CSTSHR11	Part D low-income cost share group code - November		*
72	CSTSHR12	Part D low-income cost share group code - December		*

National Death Index segment

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Encrypted CCW Beneficiary ID
2	RFRNC_YR	Reference Year
3	DEATH_CERT_NUM	NDI Death Certificate Number		*
4	NDI_DOD	NDI Date of Death		*
5	NDI_STATE_DEATH_CD	NDI State of Death		*
6	ICD_CODE	ICD-10 Code		*
7	ICD_TITLE	ICD-10 Title		*
8	ICD_CODE_358	358 ICD-10 Recodes		*
9	ICD_CODE_113	113 ICD-10 Recodes		*
10	ENTITY_COND_1 (through ENTITY_COND_8)	NDI Entity Axis Cause of Death - Condition		*
11	RECORD_COND_1 (through RECORD_COND_8)	NDI Record Axis Cause of Death - Condition		*

Chronic Conditions segment

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Encrypted CCW Beneficiary ID
2	RFRNC_YR	Reference Year
3	AMI	Acute Myocardial Infarction End-of-Year Flag		*
4	AMIM	Acute Myocardial Infarction Mid-Year Flag		*
5	AMIE	First Occurrence of Acute Myocardial Infarction
6	ALZH	Alzheimer's Disease End-of-Year Flag		*
7	ALZHM	Alzheimer's Disease Mid-Year Flag		*
8	ALZHE	First Occurrence of Alzheimer's Disease
9	ALZHDMTA	Alzheimer's Disease and Rltd Disorders or Senile Dementia EOY Flag		*
10	ALZHDMTM	Alzheimer's Disease and Rltd Disorders or Senile Dementia Mid-Year Flag		*
11	ALZHDMTE	1st Occrrnce of Alzheimer's Dsease and Rltd Disorders or Senile Dementia
12	ATRIALFB	Atrial Fibrillation End-of-Year Flag		*
13	ATRIALFM	Atrial Fibrillation Mid-Year Flag		*
14	ATRIALFE	First Occurrence of Atrial Fibrillation
15	CATARACT	Cataract End-of-Year Flag		*
16	CATARCTM	Cataract Mid-Year Flag		*
17	CATARCTE	First Occurrence of Cataract
18	CHRNKIDN	Chronic Kidney Disease End-of-Year Flag		*
19	CHRNKDNM	Chronic Kidney Disease Mid-Year Flag		*
20	CHRNKDNE	First Occurrence of Chronic Kidney Disease
21	COPD	Chronic Obstructive Pulmonary Disease End-of-Year Flag		*
22	COPDM	Chronic Obstructive Pulmonary Disease Mid-Year Flag		*
23	COPDE	First Occurrence of Chronic Obstructive Pulmonary Disease
24	CHF	Heart Failure End-of-Year Flag		*
25	CHFM	Heart Failure Mid-Year Flag		*
26	CHFE	First Occurrence of Heart Failure
27	DIABETES	Diabetes End-of-Year Flag		*
28	DIABTESM	Diabetes Mid-Year Flag		*
29	DIABTESE	First Occurrence of Diabetes
30	GLAUCOMA	Glaucoma End-of-Year Flag		*
31	GLAUCMAM	Glaucoma Mid-Year Flag		*
32	GLAUCMAE	First Occurrence of Glaucoma
33	HIPFRAC	Hip/Pelvic Fracture End-of-Year Flag		*
34	HIPFRACM	Hip/Pelvic Fracture Mid-Year Flag		*
35	HIPFRACE	First Occurrence of Hip/Pelvic Fracture
36	ISCHMCHT	Ischemic Heart Disease End-of-Year Flag		*
37	ISCHMCHM	Ischemic Heart Disease Mid-Year Flag		*
38	ISCHMCHE	First Occurrence of Ischemic Heart Disease
39	DEPRESSN	Depression End-of-Year Flag		*
40	DEPRSSNM	Depression Mid-Year Flag		*
41	DEPRSSNE	First Occurrence of Depression
42	OSTEOPRS	Osteoporosis End-of-Year Flag		*
43	OSTEOPRM	Osteoporosis Mid-Year Flag		*
44	OSTEOPRE	First Occurrence of Osteoporosis
45	RA_OA	Rheumatoid Arthritis / Osteoarthritis End-of-Year Flag		*
46	RA_OA_M	Rheumatoid Arthritis / Osteoarthritis Mid-Year Flag		*
47	RA_OA_E	First Occurrence of Rheumatoid Arthritis / Osteoarthritis		*
48	STRKETIA	Stroke / Transient Ischemic Attack End-of-Year Flag		*
49	STRKTIAM	Stroke / Transient Ischemic Attack Mid-Year Flag		*
50	STRKTIAE	First Occurrence of Stroke / Transient Ischemic Attack		*
51	CNCRBRST	Breast Cancer End-of-Year Flag		*
52	CNCRBRSM	Breast Cancer Mid-Year Flag		*
53	CNCRBRSE	First Occurrence of Breast Cancer		*
54	CNCRCLRC	Colorectal Cancer End-of-Year Flag		*
55	CNCRCLRM	Colorectal Cancer Mid-Year Flag		*
56	CNCRCLRE	First Occurrence of Colorectal Cancer		*
57	CNCRPRST	Prostate Cancer End-of-Year Flag		*
58	CNCRPRSM	Prostate Cancer Mid-Year Flag		*
59	CNCRPRSE	First Occurrence of Prostate Cancer
60	CNCRLUNG	Lung Cancer End-of-Year Flag		*
61	CNCRLNGM	Lung Cancer Mid-Year Flag		*
62	CNCRLNGE	First Occurrence of Lung Cancer		*
63	CNCRENDM	Endometrial Cancer End-of-Year Flag		*
64	CNCENDMM	Endometrial Cancer Mid-Year Flag		*
65	CNCENDME	First Occurrence of Endometrial Cancer		*
66	ANEMIA	Anemia End Year Flag		*
67	ANEMIA_MID	Anemia Mid Year Flag		*
68	ANEMIA_EVER	Anemia First Ever Occurrence Date		*
69	ASTHMA	Asthma End Year Flag		*
70	ASTHMA_MID	Asthma Mid Year Flag		*
71	ASTHMA_EVER	Asthma First Ever Occurrence Date		*
72	HYPERL	Hyperlipidemia End Year Flag		*
73	HYPERL_MID	Hyperlipidemia Mid Year Flag		*
74	HYPERL_EVER	Hyperlipidemia First Ever Occurrence Date
75	HYPERP	Benign Prostatic Hyperplasia End Year Flag		*
76	HYPERP_MID	Benign Prostatic Hyperplasia Mid Year Flag		*
77	HYPERP_EVER	Benign Prostatic Hyperplasia First Ever Occurrence Date		*
78	HYPERT	Hypertension End Year Flag		*
79	HYPERT_MID	Hypertension Mid Year Flag		*
80	HYPERT_EVER	Hypertension First Ever Occurrence Date		*
81	HYPOTH	Acquired Hypothyroidism End Year Flag		*
82	HYPOTH_MID	Acquired Hypothyroidism Mid Year Flag		*
83	HYPOTH_EVER	Acquired Hypothyroidism First Ever Occurrence Date		*

Other Chronic or Potentially Disabling Conditions

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Encrypted CCW Beneficiary ID
2	RFRNC_YR	Reference Year
3	ACP_MEDICARE	ADHD and Other Conduct Disorders - Medicare Only Claims		*
4	ACP_MEDICARE_EVER	ADHD and Other Conduct Disorders First Ever Occurrence Date - Medicare Only Claims		*
5	ANXI_MEDICARE	Anxiety Disorders - Medicare Only Claims		*
6	ANXI_MEDICARE_EVER	Anxiety Disorders First Ever Occurrence Date - Medicare Only Claims		*
7	AUTISM_MEDICARE	Autism Spectrum Disorders - Medicare Only Claims		*
8	AUTISM_MEDICARE_EVER	Autism Spectrum Disorders First Ever Occurrence Date - Medicare Only Claims		*
9	BIPL_MEDICARE	Bipolar Disorder - Medicare Only Claims		*
10	BIPL_MEDICARE_EVER	Bipolar Disorder First Ever Occurrence Date - Medicare Only Claims		*
11	BRAINJ_MEDICARE	Traumatic Brain Injury and Nonpsychotic Mental Disorders due to Brain Damage End-of-Year Indicator - Medicare Only Claims		*
12	BRAINJ_MEDICARE_EVER	Traumatic Brain Injury and Nonpsychotic Mental Disorders due to Brain Damage First Ever Occurrence Date - Medicare Only Claims		*
13	CERPAL_MEDICARE	Cerebral Palsy End-of-Year Indicator - Medicare Only Claims		*
14	CERPAL_MEDICARE_EVER	Cerebral Palsy First Ever Occurrence Date - Medicare Only Claims
15	CYSFIB_MEDICARE	Cystic Fibrosis and Other Metabolic Developmental Disorders End-of-Year Indicator - Medicare Only Claims		*
16	CYSFIB_MEDICARE_EVER	Cystic Fibrosis and Other Metabolic Developmental Disorders First Ever Occurrence Date - Medicare Only Claims
17	DEPSN_MEDICARE	Major Depressive Affective Disorder End-of-Year Indicator - Medicare Only Claims		*
18	DEPSN_MEDICARE_EVER	Major Depressive Affective Disorder First Ever Occurrence Date - Medicare Only Claims
19	EPILEP_MEDICARE	Epilepsy End-of-Year Indicator - Medicare Only Claims		*
20	EPILEP_MEDICARE_EVER	Epilepsy First Ever Occurrence Date - Medicare Only Claims
21	FIBRO_MEDICARE	Fibromyalgia, Chronic Pain and Fatigue End-of-Year Indicator - Medicare Only Claims		*
22	FIBRO_MEDICARE_EVER	Fibromyalgia, Chronic Pain and Fatigue First Ever Occurrence Date - Medicare Only Claims
23	HEARIM_MEDICARE	Sensory - Deafness and Hearing Impairment End-of-Year Indicator - Medicare Only Claims		*
24	HEARIM_MEDICARE_EVER	Sensory - Deafness and Hearing Impairment First Ever Occurrence Date - Medicare Only Claims
25	HEPVIRAL_MEDICARE	Viral Hepatitis (General) End-of-Year Indicator - Medicare Only Claims		*
26	HEPVIRAL_MEDICARE_EVER	Viral Hepatitis (General) First Ever Occurrence Date - Medicare Only Claims
27	HIVAIDS_MEDICARE	Human Immunodeficiency Virus and/or Acquired Immunodeficiency Syndrome (HIV/AIDS) End-of-Year Indicator - Medicare Only Claims		*
28	HIVAIDS_MEDICARE_EVER	Human Immunodeficiency Virus and/or Acquired Immunodeficiency Syndrome (HIV/AIDS) First Ever Occurrence Date - Medicare Only Claims
29	INTDIS_MEDICARE	Intellectual Disabilities and Related Conditions End-of-Year Indicator - Medicare Only Claims		*
30	INTDIS_MEDICARE_EVER	Intellectual Disabilities and Related Conditions First Ever Occurrence Date - Medicare Only Claims
31	LEADIS_MEDICARE	Learning Disabilities End-of-Year Indicator - Medicare Only Claims		*
32	LEADIS_MEDICARE_EVER	Learning Disabilities First Ever Occurrence Date - Medicare Only Claims
33	LEUKLYMPH_MEDICARE	Leukemias and Lymphomas End-of-Year Indicator - Medicare Only Claims		*
34	LEUKLYMPH_MEDICARE_EVER	Leukemias and Lymphomas First Ever Occurrence Date - Medicare Only Claims
35	LIVER_MEDICARE	Liver Disease Cirrhosis and Other Liver Conditions (excluding Hepatitis) End-of-Year Indicator - Medicare Only Claims		*
36	LIVER_MEDICARE_EVER	Liver Disease, Cirrhosis and Other Liver Conditions (excluding Hepatitis) First Ever Occurrence Date - Medicare Only Claims
37	MIGRAINE_MEDICARE	Migraine and other Chronic Headache End-of-Year Indicator - Medicare Only Claims		*
38	MIGRAINE_MEDICARE_EVER	Migraine and other Chronic Headache First Ever Occurrence Date - Medicare Only Claims
39	MOBIMP_MEDICARE	Mobility Impairments End-of-Year Indicator - Medicare Only Claims		*
40	MOBIMP_MEDICARE_EVER	Mobility Impairments First Ever Occurrence Date - Medicare Only Claims
41	MULSCL_MEDICARE	Multiple Sclerosis and Transverse Myelitis End-of-Year Indicator - Medicare Only Claims		*
42	MULSCL_MEDICARE_EVER	Multiple Sclerosis and Transverse Myelitis First Ever Occurrence Date - Medicare Only Claims
43	MUSDYS_MEDICARE	Muscular Dystrophy End-of-Year Indicator - Medicare Only Claims		*
44	MUSDYS_MEDICARE_EVER	Muscular Dystrophy First Ever Occurrence Date - Medicare Only Claims
45	OBESITY_MEDICARE	Obesity End-of-Year Indicator - Medicare Only Claims		*
46	OBESITY_MEDICARE_EVER	Obesity First Ever Occurrence Date - Medicare Only Claims
47	OTHDEL_MEDICARE	Other Developmental Delays End-of-Year Indicator - Medicare Only Claims		*
48	OTHDEL_MEDICARE_EVER	Other Developmental Delays First Ever Occurrence Date - Medicare Only Claims
49	PSDS_MEDICARE	Personality Disorders End-of-Year Indicator - Medicare Only Claims		*
50	PSDS_MEDICARE_EVER	Personality Disorders First Ever Occurrence Date - Medicare Only Claims
51	PTRA_MEDICARE	Post-Traumatic Stress Disorder End-of-Year Indicator - Medicare Only Claims		*
52	PTRA_MEDICARE_EVER	Post-Traumatic Stress Disorder First Ever Occurrence Date - Medicare Only Claims
53	PVD_MEDICARE	Peripheral Vascular Disease End-of-Year Indicator - Medicare Only Claims		*
54	PVD_MEDICARE_EVER	Peripheral Vascular Disease First Ever Occurrence Date - Medicare Only Claims
55	SCHI_MEDICARE	Schizophrenia End-of-Year Indicator - Medicare Only Claims		*
56	SCHI_MEDICARE_EVER	Schizophrenia First Ever Occurrence Date - Medicare Only Claims
57	SCHIOT_MEDICARE	Schizophrenia and Other Psychotic Disorders End-of-Year Indicator - Medicare Only Claims		*
58	SCHIOT_MEDICARE_EVER	Schizophrenia and Other Psychotic Disorders First Ever Occurrence Date - Medicare Only Claims
59	SPIBIF_MEDICARE	Spina Bifida and Other Congenital Anomalies of the Nervous System End-of-Year Indicator - Medicare Only Claims		*
60	SPIBIF_MEDICARE_EVER	Spina Bifida and Other Congenital Anomalies of the Nervous System First Ever Occurrence Date - Medicare Only Claims
61	SPIINJ_MEDICARE	Spinal Cord Injury End-of-Year Indicator - Medicare Only Claims		*
62	SPIINJ_MEDICARE_EVER	Spinal Cord Injury First Ever Occurrence Date - Medicare Only Claims
63	TOBA_MEDICARE	Tobacco Use Disorders End-of-Year Indicator - Medicare Only Claims		*
64	TOBA_MEDICARE_EVER	Tobacco Use Disorders First Ever Occurrence Date - Medicare Only Claims
65	ULCERS_MEDICARE	Pressure Ulcers and Chronic Ulcers End-of-Year Indicator - Medicare Only Claims		*
66	ULCERS_MEDICARE_EVER	Pressure Ulcers and Chronic Ulcers First Ever Occurrence Date - Medicare Only Claims
67	VISUAL_MEDICARE	Sensory - Blindness and Visual Impairment End-of-Year Indicator - Medicare Only Claims		*
68	VISUAL_MEDICARE_EVER	Sensory - Blindness and Visual Impairment First Ever Occurrence Date - Medicare Only Claims

Cost and Use segment

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Encrypted CCW Beneficiary ID
2	RFRNC_YR	Reference Year
3	HOP_MDCR_PMT	Hospital Outpatient Medicare Payments		*
4	HOP_BENE_PMT	Hospital Outpatient Beneficiary Payments		*
5	HOP_VISITS	Hospital Outpatient Visits		*
6	HOP_ER_VISITS	Hospital Outpatient Emergency Room Visits		*
7	ACUTE_MDCR_PMT	Acute Inpatient Medicare Payments		*
8	ACUTE_BENE_PMT	Acute Inpatient Beneficiary Payments		*
9	ACUTE_COV_DAYS	Acute Inpatient Covered Days		*
10	ACUTE_STAYS	Acute Inpatient Stays		*
11	IP_ER_VISITS	Inpatient Emergency Room Visits		*
12	READMISSIONS	Hospital Readmissions		*
13	OIP_MDCR_PMT	Other Inpatient Medicare Payments		*
14	OIP_BENE_PMT	Other Inpatient Beneficiary Payments		*
15	OIP_COV_DAYS	Other Inpatient Covered Days		*
16	OIP_STAYS	Other Inpatient Stays		*
17	SNF_MDCR_PMT	Skilled Nursing Facility Medicare Payments		*
18	SNF_BENE_PMT	Skilled Nursing Facility Beneficiary Payments		*
19	SNF_COV_DAYS	Skilled Nursing Facility Covered Days		*
20	SNF_STAYS	Skilled Nursing Facility Stays		*
21	HOS_MDCR_PMT	Hospice Medicare Payments		*
22	HOS_COV_DAYS	Hospice Covered Days		*
23	HOS_STAYS	Hospice Stays		*
24	HH_MDCR_PMT	Home Health Medicare Payments		*
25	HH_VISITS	Home Health Visits		*
26	ASC_MDCR_PMT	Ambulatory Surgery Center Medicare Payments		*
27	ASC_BENE_PMT	Ambulatory Surgery Center Beneficiary Payments		*
28	ASC_EVENTS	Ambulatory Surgery Center Events		*
29	PTB_DRUG_MDCR_PMT	Part B Drug Medicare Payments		*
30	PTB_DRUG_BENE_PMT	Part B Drug Beneficiary Payments		*
31	PTB_DRUG_EVENTS	Part B Drug Events		*
32	EM_MDCR_PMT	Evaluation and Management Medicare Payments		*
33	EM_BENE_PMT	Evaluation and Management Beneficiary Payments		*
34	EM_EVENTS	Evaluation and Management Events		*
35	ANES_MDCR_PMT	Anesthesia Medicare Payments		*
36	ANES_BENE_PMT	Anesthesia Beneficiary Payments		*
37	ANES_EVENTS	Anesthesia Events		*
38	DIALYS_MDCR_PMT	Dialysis Medicare Payments		*
39	DIALYS_BENE_PMT	Dialysis Beneficiary Payments		*
40	DIALYS_EVENTS	Dialysis Events		*
41	OPROC_MDCR_PMT	Other Procedures Medicare Payments		*
42	OPROC_BENE_PMT	Other Procedures Beneficiary Payments		*
43	OPROC_EVENTS	Other Procedures Events		*
44	IMG_MDCR_PMT	Imaging Medicare Payments		*
45	IMG_BENE_PMT	Imaging Beneficiary Payments		*
46	IMG_EVENTS	Imaging Events		*
47	TEST_MDCR_PMT	Tests Medicare Payments		*
48	TEST_BENE_PMT	Tests Beneficiary Payments		*
49	TEST_EVENTS	Tests Events		*
50	DME_MDCR_PMT	Durable Medical Equipment Medicare Payments		*
51	DME_BENE_PMT	Durable Medical Equipment Beneficiary Payments		*
52	DME_EVENTS	Durable Medical Equipment Events		*
53	OTHC_MDCR_PMT	Other Part B Carrier Medicare Payments		*
54	OTHC_BENE_PMT	Other Part B Carrier Beneficiary Payments		*
55	OTHC_EVENTS	Other Part B Carrier Events		*
56	PHYS_MDCR_PMT	Part B Physician Medicare Payments		*
57	PHYS_BENE_PMT	Part B Physician Beneficiary Payments		*
58	PHYS_EVENTS	Part B Physician Events		*
59	PTD_MDCR_PMT	Part D Medicare Payments		*
60	PTD_BENE_PMT	Part D Beneficiary Payments		*
61	PTD_EVENTS	Part D Events		*
62	PTD_FILL_CNT	Part D Fill Count		*
63	PTD_TOTAL_RX_CST	Part D Total Prescription Costs		*