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MedPAR RIF

Source

https://www.resdac.org/cms-data/files/medpar

Overview

The MedPAR File contains inpatient hospital and skilled nursing facility (SNF) final action stay records. Each MedPAR record represents a stay in an inpatient hospital or SNF. Each MedPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and the amount of services used throughout the stay.

This file includes:

• diagnosis (ICD-9 diagnosis),
• procedure (ICD-9 procedure code),
• Diagnosis Related Group (DRG),
• dates of service,
• reimbursement amount,
• hospital provider,
• beneficiary demographic information

Availability: CY 1999 - 2016

Data Documentation

MedPAR RIF

Index	SAS Name	Variable Name	Limitation	Code Table
1	BENE_ID	Beneficiary Identification Number
2	MEDPARID	MedPAR ID Number
3	MEDPAR_YR_NUM	MEDPAR Year of Record
4	CLM_TYPE	MEDPAR NCH Claim Type Code		*
5	EQ_BIC	Equated BIC		*
6	AGE_CNT	MEDPAR Beneficiary Age Count
7	SEX	MEDPAR Beneficiary Sex Code		*
8	RACE	MEDPAR Beneficiary Race Code		*
9	MS_CD	MEDPAR Beneficiary Medicare Status Code		*
10	STATE_CD	MEDPAR Beneficiary Residence SSA Standard State Code		*
11	CNTY_CD	MEDPAR Beneficiary Residence SSA Standard County Code
12	BENE_ZIP	MEDPAR Beneficiary Mailing Contact Zip Code
13	ADMSNDAY	MEDPAR Admission Day Code		*
14	DSCHRGCD	MEDPAR Beneficiary Discharge Status Code		*
15	GHOPDCD	MEDPAR GHO Paid Code		*
16	PPS_IND	MEDPAR PPS Indicator Code		*
17	ORGNPINM	Organization NPI Number
18	PRVDRNUM	MEDPAR Provider Number		*
19	SPCLUNIT	MEDPAR Provider Number Special Unit Code		*
20	SSLSSNF	MEDPAR Short Stay/Long Stay/SNF Indicator Code		*
21	ACTV_XREF_IND	MEDPAR Active Cross Reference Indicator		*
22	SLCT_RSN_CD	MEDPAR Case or Control Record
23	FACLMCNT	MEDPAR Stay Final Action Claims Count
24	ACRTNDT	MEDPAR Latest Claim Accretion Date
25	EXHST_DT	MEDPAR Beneficiary Medicare Benefit Exhausted Date
26	QLFYFROM	MEDPAR SNF Qualification From Date
27	QLFYTHRU	MEDPAR SNF Qualification Through Date
28	ADMSNDT	MEDPAR Admission Date
29	DSCHRGDT	MEDPAR Discharge Date
30	CVRLVLDT	MEDPAR Covered Level Care Thru Date
31	DEATHDT	MEDPAR Beneficiary Death Date	*
32	DEATHCD	MEDPAR Beneficiary Death Date Verified Code
33	SSICD	MEDPAR Internal Use SSI Indicator Code
34	SSIDAY	MEDPAR Internal Use SSI Day Count
35	INTRNL_USE_SSI_DATA	MEDPAR Internal Use SSI Data
36	LOSCNT	MEDPAR Length of Stay Day Count
37	OUTLRDAY	MEDPAR Outlier Day Count
38	UTIL_DAY	MEDPAR Utilization Day Count
39	COIN_DAY	MEDPAR Beneficiary Total Coinsurance Day Count
40	LRD_USE	MEDPAR Beneficiary LRD Used Count
41	COIN_AMT	MEDPAR Beneficiary Part A Coinsurance Liability Amount
42	DED_AMT	MEDPAR Beneficiary Inpatient Deductible Liability Amount
43	BLDDEDAM	MEDPAR Beneficiary Blood Deductible Liability Amount	*
44	PRPAYAMT	MEDPAR Beneficiary Primary Payer Amount
45	OUTLRAMT	MEDPAR DRG Outlier Approved Payment Amount
46	DISP_SHR	MEDPAR Inpatient Disproportionate Share Amount
47	IME_AMT	MEDPAR Indirect Medical Education (IME) Amount
48	DRGPRICE	MEDPAR DRG Price Amount	*
49	PASSTHRU	MEDPAR Total Pass Through Amount
50	PPS_CPTL	MEDPAR Total PPS Capital Amount
51	IP_LOW_VOL_PYMT_AMT	MEDPAR Inpatient Low Volume Payment Amount
52	TOTCHRG	MEDPAR Total Charge Amount
53	CVRCHRG	MEDPAR Total Covered Charge Amount
54	PMT_AMT	MEDPAR Medicare Payment Amount
55	ACMDTNS	MEDPAR All Accommodations Total Charge Amount
56	DPRTMNTL	MEDPAR Departmental Total Charge Amount
57	PRVTDAY	MEDPAR Private Room Day Count
58	SPRVTDAY	MEDPAR Semiprivate Room Day Count
59	WARDDAY	MEDPAR Ward Day Count
60	ICARECNT	MEDPAR Intensive Care Day Count	*
61	MCCCNT	MEDPAR Coronary Care Day Count	*
62	PRVTAMT	MEDPAR Private Room Charge Amount
63	SPRVTAMT	MEDPAR Semi-Private Room Charge Amount
64	WARDAMT	MEDPAR Ward Charge Amount
65	ICAREAMT	MEDPAR Intensive Care Charge Amount
66	CRNRYAMT	MEDPAR Coronary Care Charge Amount
67	OTHRAMT	MEDPAR Other Service Charge Amount
68	PHRMCAMT	MEDPAR Pharmacy Charge Amount
69	SUPLYAMT	MEDPAR Medical/Surgical Supplies Charge Amount
70	DME_AMT	MEDPAR DME Charge Amount
71	UDME_AMT	MEDPAR Used DME Charge Amount
72	PHYTHAMT	MEDPAR Physical Therapy Charge Amount
73	OCPTLAMT	MEDPAR Occupational Therapy Charge Amount
74	SPCH_AMT	MEDPAR Speech Pathology Charge Amount
75	INHLTAMT	MEDPAR Inhalation Therapy Charge Amount
76	BLOODAMT	MEDPAR Blood Charge Amount
77	BLDADMIN	MEDPAR Blood Administration Charge Amount
78	OROOMAMT	MEDPAR Operating Room Charge Amount
79	LTHTRPSY	MEDPAR Lithotripsy Charge Amount
80	CRDLGY	MEDPAR Cardiology Charge Amount
81	ANSTHSA	MEDPAR Anesthesia Charge Amount
82	LAB_AMT	MEDPAR Laboratory Charge Amount
83	RDLGYAMT	MEDPAR Radiology Charge Amount
84	MRI_AMT	MEDPAR MRI Charge Amount
85	OPSRVC	MEDPAR Outpatient Service Charge Amount
86	ER_AMT	MEDPAR Emergency Room Charge Amount
87	AMBLNC	MEDPAR Ambulance Charge Amount
88	PROFFEES	MEDPAR Professional Fees Charge Amount
89	ORGNAMT	MEDPAR Organ Acquisition Charge Amount
90	ESRDSETG	MEDPAR ESRD Revenue Setting Charge Amount
91	CLNC_AMT	MEDPAR Clinic Visit Charge Amount
92	ICUINDCD	MEDPAR Intensive Care Unit (ICU) Indicator Code	*	*
93	CRNRY_CD	MEDPAR Coronary Care Indicator Code	*	*
94	PHRMCYCD	MEDPAR Pharmacy Indicator Code		*
95	TRNSPLNT	MEDPAR Transplant Indicator Code		*
96	ONCLGYSW	MEDPAR Radiology Oncology Indicator Switch		*
97	DGNSTCSW	MEDPAR Radiology Diagnostic Indicator Switch		*
98	THRPTCSW	MEDPAR Radiology Therapeutic Indicator Switch		*
99	NUCLR_SW	MEDPAR Radiology Nuclear Medicine Indicator Switch		*
100	CTSCANSW	MEDPAR Radiology CT Scan Indicator Switch		*
101	IMGNG_SW	MEDPAR Radiology Other Imaging Indicator Switch		*
102	OPSRVCCD	MEDPAR Outpatient Services Indicator Code		*
103	ORGNCD	MEDPAR Organ Acquisition Indicator Code		*
104	ESRDSTG{x}	MEDPAR ESRD Setting Indicator Code		*
105	DGNSCNT	MEDPAR Diagnosis Code Count
106	DGNS_VRSN_CD_{x}	MEDPAR Diagnosis Version Code
107	DGNS_E_CD_CNT	MEDPAR Diagnosis E Code Count
108	DGNS_E_VRSN_CD_{x}	MEDPAR Diagnosis E Version Code
109	DGNSCD{x}	MEDPAR Diagnosis Code
110	DGNS_POA	MEDPAR Diagnosis Code POA Array
111	POA_DGNS_E_CD_CNT	MEDPAR Claim Present on Admission Diagnosis E Code Count
112	POA_DGNS_E_{x}_IND_CD	MEDPAR Diagnosis E Code Present on Admission Indicator		*
113	POA_DGNS_CD_CNT	MEDPAR Claim Present on Admission Diagnosis Code Count
114	POA_DGNS_{x}_IND_CD	MEDPAR Diagnosis Present on Admission Indicator Code		*
115	PRCDRSW	MEDPAR Surgical Procedure Indicator Switch		*
116	PRCDRCNT	MEDPAR Surgical Procedure Code Count
117	PRCDTCNT	MEDPAR Surgical Procedure Performed Date Count
118	SRGCL_PRCDR_VRSN_CD_{x}	MEDPAR Surgical Procedure Version Code
119	PRCDRCD{x}	MEDPAR Surgical Procedure Code
120	PRCDRDT{x}	MEDPAR Surgical Procedure Performed Date
121	BLDFRNSH	MEDPAR Blood Pints Furnished Quantity
122	BIC	MEDPAR Beneficiary Identification Code
123	DRG_CD	MEDPAR DRG Code
124	DSTNTNCD	MEDPAR Discharge Destination Code		*
125	OUTLR_CD	MEDPAR DRG/Outlier Stay Code		*
126	PRPAY_CD	MEDPAR Beneficiary Primary Payer Code		*
127	ESRD_CD	MEDPAR ESRD Condition Code
128	SRC_ADMS	MEDPAR Source Inpatient Admission Code		*
129	TYPE_ADM	MEDPAR Inpatient Admission Type Code		*
130	FICARR	MEDPAR Fiscal Intermediary/Carrier Identification Number
131	AD_DGNS	MEDPAR Admitting Diagnosis Code
132	ADMTG_DGNS_VRSN_CD	MEDPAR Admitting Diagnosis Version Code
133	DEATHDAY	MEDPAR Admission Death Day Count	*
134	IPSBCD	MEDPAR Internal Use (By IPSB) Code
135	FILDTCD	MEDPAR Internal Use File Date Code
136	SMPLSIZE	MEDPAR Internal Use Sample Size Code
137	WRNGCD	MEDPAR Warning Indicators Code		*
138	CLM_PTNT_RLTNSHP_CD	MEDPAR Claim Patient Relationship Code
139	CARE_IMPRVMT_MODEL_{x}_CD	MEDPAR Care Improvement Model Code
140	VBP_PRTCPNT_IND_CD	MEDPAR VBP Participant Indicator Code
141	HRR_PRTCPNT_IND_CD	MEDPAR HRR Participant Indicator Code
142	BNDLD_MODEL_DSCNT_PCT	MEDPAR Bundled Model Discount Percent
143	VBP_ADJSTMT_PCT	MEDPAR VBP Adjustment Percent
144	HRR_ADJSTMT_PCT	MEDPAR HRR Adjustment Percent
145	INFRMTL_ENCTR_IND_SW	MEDPAR Informational Encounter Indicator Switch
146	MA_TCHING_IND_SW	MEDPAR MA Teaching Indicator Switch
147	PROD_RPLCMT_LIFECYC_SW	MEDPAR Product Replacement within Product Lifecycle Switch
148	PROD_RPLCMT_RCLL_SW	MEDPAR Product Replacement for known Recall of Product Switch
149	CRED_RCVD_RPLCD_DVC_SW	MEDPAR Credit Received Replaced Device Switch
150	OBSRVTN_SW	MEDPAR Observation Switch
151	NEW_TCHNLGY_ADD_ON_AMT	MEDPAR New Technology Add On Amount
152	BASE_OPRTG_DRG_AMT	MEDPAR Base Operating DRG Amount
153	OPRTG_HSP_AMT	MEDPAR Operating Hospital Amount
154	MDCL_SRGCL_GNRL_AMT	MEDPAR Medical Surgical General Amount
155	MDCL_SRGCL_NSTRL_AMT	MEDPAR Medical Surgical Non-Sterile Supplies Amount
156	MDCL_SRGCL_STRL_AMT	MEDPAR Medical Surgical Sterile Supplies Amount
157	TAKE_HOME_AMT	MEDPAR Take Home Amount
158	PRSTHTC_ORTHTC_AMT	MEDPAR Prosthetic Orthotic Amount
159	MDCL_SRGCL_PCMKR_AMT	MEDPAR Medical Surgical Pacemaker Amount
160	INTRAOCULAR_LENS_AMT	MEDPAR Intraocular Lens Amount
161	OXYGN_TAKE_HOME_AMT	MEDPAR Oxygen Take Home Amount
162	OTHR_IMPLANTS_AMT	MEDPAR Other Implants Amount
163	OTHR_SUPLIES_DVC_AMT	MEDPAR Other Supplies Device Amount
164	INCDNT_RDLGY_AMT	MEDPAR Incident to Radiology Amount
165	INCDNT_DGNSTC_SRVCS_AMT	MEDPAR Incident to Other Diagnostic Services Amount
166	MDCL_SRGCL_DRSNG_AMT	MEDPAR Medical Surgical Dressing Amount
167	INVSTGTNL_DVC_AMT	MEDPAR Investigational Device Amount
168	MDCL_SRGCL_MISC_AMT	MEDPAR Medical Surgical Miscellaneous Amount
169	RDLGY_ONCOLOGY_AMT	MEDPAR Radiology Oncology Amount
170	RDLGY_DGNSTC_AMT	MEDPAR Radiology Diagnostic Amount
171	RDLGY_THRPTC_AMT	MEDPAR Radiology Therapeutic Amount
172	RDLGY_NUCLR_MDCN_AMT	MEDPAR Radiology Nuclear Medicine Amount
173	RDLGY_CT_SCAN_AMT	MEDPAR Radiology CT Scan Amount
174	RDLGY_OTHR_IMGNG_AMT	MEDPAR Radiology Other Imaging Amount
175	OPRTG_ROOM_AMT	MEDPAR Operating Room Amount
176	OR_LABOR_DLVRY_AMT	MEDPAR Operating Room Labor and Delivery Amount
177	CRDC_CATHRZTN_AMT	MEDPAR Cardiac Catheterization Amount