Table 6 Description of features chosen from the Part B dataset
From: Big Data fraud detection using multiple medicare data sources
Feature | Description | Type |
|---|---|---|
Npi | Unique provider identification number | Categorical |
Provider_type | Medical provider’s specialty (or practice) | Categorical |
Nppes_provider_gender | Provider’s gender | Categorical |
Line_srvc_cnt | Number of procedures/services the provider performed | Numerical |
Bene_unique_cnt | Number of distinct Medicare beneficiaries receiving the service | Numerical |
Bene_day_srvc_cnt | Number of distinct Medicare beneficiary/per day services | Numerical |
Average_submitted_chrg_amt | Average of the charges that the provider submitted for the service | Numerical |
Average_medicare_payment_amt | Average payment made to a provider per claim for the service | Numerical |
Exclusion | Fraud labels from the LEIE dataset | Categorical |