Table 4 Service-level Part B base features, descriptions copied from [26]
From: Explainable machine learning models for Medicare fraud detection
Rndrng_Prvdr_Type | Derived from the provider specialty code reported on the claim |
Place_Of_Srvc | Identifies whether the place of service submitted on the claims is a facility |
Rndrng_Prvdr_Gndr | The provider’s gender |
Tot_Srvcs | Number of services provided; note that the metrics used to count the number provided can vary from service to service |
Tot_Benes | Number of distinct Medicare beneficiaries receiving the service |
Tot_Bene_Day_Srvcs | Number of distinct Medicare beneficiary/per day services |
Avg_Sbmtd_Chrg | Average of the charges that the provider submitted for the service |
Avg_Mdcr_Pymt_Amt | Average amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item service |