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Table 4 Description of features chosen from the Part B data set [26]

From: Medicare fraud detection using neural networks

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

Numeric

Bene_unique_cnt

Number of distinct Medicare beneficiaries receiving the service

Numeric

Bene_day_srvc_cnt

Number of distinct Medicare beneficiary/per day services

Numeric

Average_submitted_chrg_amt

Average of the charges that the provider submitted for the service

Numeric

Average_medicare_payment_amt

Average payment made to a provider per claim for the service

Numeric

Exclusion

Fraud labels from the LEIE data set

Categorical