Medicare Provider Analysis and Review (MedPAR) File
(For reference purposes only)
Browse variable description, download data dictionary, view code tables, or file limitations.
Number shown on the matrix indicates the variable sequence printed in CMS data dictionary.
|
Variable Alias |
Variable Description |
|
|
BID |
BENEFICIARY IDENTIFIER |
1 |
|
CATEGORY Equatable Beneficiary Identification CODE |
3 |
|
|
BENEFICIARY AGE COUNT |
4 |
|
|
BENEFICIARY SEX CODE |
5 |
|
|
BENEFICIARY RACE CODE |
6 |
|
|
BENEFICIARY MEDICARE STATUS CODE |
7 |
|
|
BENEFICIARY RESIDENCE SSA STANDARD STATE CODE |
8 |
|
|
BENEFICIARY RESIDENCE SSA STANDARD COUNTY CODE |
9 |
|
|
BENEFICIARY MAILING CONTACT ZIP CODE |
10 |
|
|
ADMISSION DAY CODE |
12 |
|
|
BENEFICIARY DISCHARGE STATUS CODE |
13 |
|
|
GHO PAID CODE |
14 |
|
|
PPS INDICATOR CODE |
15 |
|
|
ORGANIZATION NPI NUMBER |
16 |
|
|
PROVIDER NUMBER |
18-20 |
|
|
PROVIDER NUMBER SPECIAL UNIT CODE |
21 |
|
|
SHORT STAY/LONG STAY/SNF INDICATOR CODE |
22 |
|
|
STAY FINAL ACTION CLAIMS COUNT |
23 |
|
|
LATEST CLAIM ACCRETION DATE |
24 |
|
|
BENEFICIARY MEDICARE BENEFIT EXHAUSTED DATE |
25 |
|
|
SNF QUALIFICATION FROM DATE |
26 |
|
|
SNF QUALIFICATION THROUGH DATE |
27 |
|
|
ADMISSION DATE |
28 |
|
|
DISCHARGE DATE |
29 |
|
|
COVERED LEVEL CARE THRU DATE |
30 |
|
|
BENEFICIARY DEATH DATE |
31 |
|
|
BENEFICIARY DEATH DATE VERIFIED CODE |
32 |
|
|
INTERNAL USE SSI INDICATOR CODE |
34 |
|
|
INTERNAL USE SSI DAY COUNT |
35 |
|
|
LENGTH OF STAY DAY COUNT |
37 |
|
|
OUTLIER DAY COUNT |
38 |
|
|
UTILIZATION DAY COUNT |
39 |
|
|
BENEFICIARY TOTAL COINSURANCE DAY COUNT |
40 |
|
|
BENEFICIARY LRD USED COUNT |
41 |
|
|
BENEFICIARY PART A COINSURANCE LIABILITY |
43 |
|
|
BENEFICIARY INPATIENT DEDUCTIBLE LIABILITY AMOUNT |
44 |
|
|
BENEFICIARY BLOOD DEDUCTIBLE LIABILITY AMOUNT |
45 |
|
|
BENEFICIARY PRIMARY PAYER AMOUNT |
46 |
|
|
DRG OUTLIER APPROVED PAYMENT AMOUNT |
47 |
|
|
INPATIENT DISPROPORTIONATE SHARE AMOUNT |
48 |
|
|
INDIRECT MEDICAL EDUCATION (IME) AMOUNT |
49 |
|
|
DRG PRICE AMOUNT |
50 |
|
|
TOTAL PASS THROUGH AMOUNT |
51 |
|
|
TOTAL PPS CAPITAL AMOUNT |
52 |
|
|
TOTAL CHARGE AMOUNT |
54 |
|
|
TOTAL COVERED CHARGE AMOUNT |
55 |
|
|
MEDICARE PAYMENT AMOUNT |
56 |
|
|
ALL ACCOMMODATIONS TOTAL CHARGE AMOUNT |
57 |
|
|
DEPARTMENTAL TOTAL CHARGE AMOUNT |
58 |
|
|
PRIVATE ROOM DAY COUNT |
60 |
|
|
SEMIPRIVATE ROOM DAY COUNT |
61 |
|
|
WARD DAY COUNT |
62 |
|
|
INTENSIVE CARE DAY COUNT |
63 |
|
|
CORONARY CARE DAY COUNT |
64 |
|
|
PRIVATE ROOM CHARGE AMOUNT |
66 |
|
|
SEMI-PRIVATE ROOM CHARGE AMOUNT |
67 |
|
|
WARD CHARGE AMOUNT |
68 |
|
|
INTENSIVE CARE CHARGE AMOUNT |
69 |
|
|
CORONARY CARE CHARGE AMOUNT |
70 |
|
|
OTHER SERVICE CHARGE AMOUNT |
72 |
|
|
PHARMACY CHARGE AMOUNT |
73 |
|
|
MEDICAL/SURGICAL SUPPLY CHARGE AMOUNT |
74 |
|
|
DME CHARGE AMOUNT |
75 |
|
|
USED DME CHARGE AMOUNT |
76 |
|
|
PHYSICAL THERAPY CHARGE AMOUNT |
77 |
|
|
OCCUPATIONAL THERAPY CHARGE AMOUNT |
78 |
|
|
SPEECH PATHOLOGY CHARGE AMOUNT |
79 |
|
|
INHALATION THERAPY CHARGE AMOUNT |
80 |
|
|
BLOOD CHARGE AMOUNT |
81 |
|
|
BLOOD ADMINISTRATION CHARGE AMOUNT |
82 |
|
|
OPERATING ROOM CHARGE AMOUNT |
83 |
|
|
LITHOTRIPSY CHARGE AMOUNT |
84 |
|
|
CARDIOLOGY CHARGE AMOUNT |
85 |
|
|
ANESTHESIA CHARGE AMOUNT |
86 |
|
|
LABORATORY CHARGE AMOUNT |
87 |
|
|
RADIOLOGY CHARGE AMOUNT |
88 |
|
|
MRI CHARGE AMOUNT |
89 |
|
|
OUTPATIENT SERVICE CHARGE AMOUNT |
90 |
|
|
EMERGENCY ROOM CHARGE AMOUNT |
91 |
|
|
AMBULANCE CHARGE AMOUNT |
92 |
|
|
PROFESSIONAL FEES CHARGE AMOUNT |
93 |
|
|
ORGAN ACQUISITION CHARGE AMOUNT |
94 |
|
|
ESRD REVENUE SETTING CHARGE AMOUNT |
95 |
|
|
CLINIC VISIT CHARGE AMOUNT |
96 |
|
|
INTENSIVE CARE UNIT (ICU) INDICATOR CODE |
98 |
|
|
CORONARY CARE INDICATOR CODE |
99 |
|
|
PHARMACY INDICATOR CODE |
100 |
|
|
TRANSPLANT INDICATOR CODE |
101 |
|
|
RADIOLOGY ONCOLOGY INDICATOR SWITCH |
103 |
|
|
RADIOLOGY DIAGNOSTIC INDICATOR SWITCH |
104 |
|
|
RADIOLOGY THERAPEUTIC INDICATOR SWITCH |
105 |
|
|
RADIOLOGY NUCLEAR MEDICINE INDICATOR SWITCH |
106 |
|
|
RADIOLOGY CT SCAN INDICATOR SWITCH |
107 |
|
|
RADIOLOGY OTHER IMAGING INDICATOR SWITCH |
108 |
|
|
OUTPATIENT SERVICES INDICATOR CODE |
109 |
|
|
ORGAN ACQUISITION INDICATOR CODE |
110 |
|
|
ESRD SETTING INDICATOR CODE 1 |
111 |
|
|
ESRD SETTING INDICATOR CODE 2 |
111 |
|
|
ESRD SETTING INDICATOR CODE 3 |
111 |
|
|
ESRD SETTING INDICATOR CODE 4 |
111 |
|
|
ESRD SETTING INDICATOR CODE 5 |
111 |
|
|
DIAGNOSIS CODE COUNT |
113 |
|
|
DIAGNOSIS CODE 1 |
114 |
|
|
DIAGNOSIS CODE 2 |
114 |
|
|
DIAGNOSIS CODE 3 |
114 |
|
|
DIAGNOSIS CODE 4 |
114 |
|
|
DIAGNOSIS CODE 5 |
114 |
|
|
DIAGNOSIS CODE 6 |
114 |
|
|
DIAGNOSIS CODE 7 |
114 |
|
|
DIAGNOSIS CODE 8 |
114 |
|
|
DIAGNOSIS CODE 9 |
114 |
|
|
DIAGNOSIS CODE 10 |
114 |
|
CLAIM PRESENT ON ADMISSION INDICATOR CODE |
115 |
|
|
SURGICAL PROCEDURE INDICATOR SWITCH |
116 |
|
|
SURGICAL PROCEDURE CODE COUNT |
118 |
|
|
SURGICAL PROCEDURE PERFORMED DATE COUNT |
119 |
|
|
SURGICAL PROCEDURE CODE 1 |
120 |
|
|
SURGICAL PROCEDURE CODE 2 |
120 |
|
|
SURGICAL PROCEDURE CODE 3 |
120 |
|
|
SURGICAL PROCEDURE CODE 4 |
120 |
|
|
SURGICAL PROCEDURE CODE 5 |
120 |
|
|
SURGICAL PROCEDURE CODE 6 |
120 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 1 |
122 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 2 |
122 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 3 |
122 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 4 |
122 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 5 |
122 |
|
|
SURGICAL PROCEDURE PERFORMED DATE 6 |
122 |
|
|
BLOOD PINTS FURNISHED QUANTITY |
123 |
|
|
BENEFICIARY IDENTIFICATION CODE |
124 |
|
|
DRG CODE |
125 |
|
|
DISCHARGE DESTINATION CODE |
126 |
|
|
DRG/OUTLIER STAY CODE |
127 |
|
|
BENEFICIARY PRIMARY PAYER CODE |
128 |
|
|
ESRD CONDITION CODE |
129 |
|
|
SOURCE INPATIENT ADMISSION CODE |
130 |
|
|
INPATIENT ADMISSION TYPE CODE |
131 |
|
|
FISCAL INTERMEDIARY/CARRIER |
132 |
|
|
ADMITTING DIAGNOSIS CODE |
133 |
|
|
ADMISSION DEATH DAY COUNT |
135 |
|
|
INTERNAL USE (BY IPSB) CODE |
137 |
|
|
INTERNAL USE FILE DATE CODE |
138 |
|
|
INTERNAL USE SAMPLE SIZE CODE |
139 |
|
|
WARNING INDICATORS CODE |
140 |
Common Codes Appendix
- Admission Day Code Table
- Beneficiary Discharge Status Table
- Beneficiary Identification Code (BIC) Table
- Beneficiary Medicare Status Table
- Beneficiary Primary Payer Code Table
- Beneficiary Race Table
- Beneficiary Sex Identification Table
- Category Equatable Beneficiary Identification Code (BIC) Table
- Claim Source Of Inpatient Admission Table
- Coronary Care Indicator Code Table
- ESRD Condition Code Table
- ESRD Setting Indicator Code Table
- GHO Paid Code Table
- Intensive Care Unit Indicator Code Table
- Organ Acquisition Indicator Code Table
- Outpatient Services Indicator Code Table
- Pharmacy Indicator Code Table
- Patient Discharge Status Table
- Present on Admission Code Table
- Provider Number Special Unit Code Table
- Provider Number
- Primary Payer Code Table
- (All) Indicator Switch Code Tables
- SSA State Table
- Short-stay/Long-stay/SNF stay Indicator Code Table
- Transplant Indicator Code Table
- Warning Indicators Code Table
File Limitations
- Admission Death Day Count Limitation
- Blood Deductible Amount Limitation
- Date of Death Limitation
- DRG Price Amount Limitation
- March Quarterly Updated Limitation
Other sources of information on codes used in the MedPAR file:
Last Modified October 16, 2009