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Table 1 Features of the DMEPOS Dataset

From: Evaluating classifier performance with highly imbalanced Big Data

Feature name

Description

Rfrg_Prvdr_Crdntls

The referring provider’s credentials [example: MD]; categorical, 7,315 distinct values

Rfrg_Prvdr_Gndr

The referring provider’s gender; categorical, three distinct values

Rfrg_Prvdr_Ent_Cd

Type of entity [individual or organization] reported in NPPES; categorical, 2 distinct values

Rfrg_Prvdr_Type

Derived from the Medicare provider/supplier specialty code reported on all of the NPI’s Part B non-institutional claims (DMEPOS and non-DMEPOS); categorical, 204 distinct values

Rfrg_Prvdr_Type_Flag

A flag variable that indicates the source of the Referring Provider Type; categorical two distinct values

BETOS_Lvl

High level grouping of the Berenson-Eggers Type of Service (Berenson-Eggers Type of Service) Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products; categorical three distinct values

BETOS_Cd

The BETOS classification code assigned to the HCPCS Healthcare Common Procedure Coding System code; categorical, 12 distinct values

BETOS_Desc

Description of the HCPCS code for the specific product or service furnished by the DMEPOS supplier; categorical, 12 distinct values

HCPCS_Cd

HCPCS code for the specific product or service furnished by the DMEPOS supplier; categorical, 1337 distinct values

HCPCS_Desc

Description of the HCPCS code for the specific product or service furnished by the DMEPOS supplier; categorical, 1,618 distinct values

Suplr_Rentl_Ind

Identifies whether the DMEPOS product/service submitted on the supplier’s claim is rental or non-rental; categorical 2 distinct values

Tot_Suplrs

Number of suppliers rendering DMEPOS products/services ordered by the referring provider

Tot_Suplr_Benes

Number of beneficiaries associated with the supplier DMEPOS products/services ordered by the referring provider

Tot_Suplr_Clms

Number of DMEPOS claims submitted by the supplier, reflecting products/services ordered by the referring provider

Tot_Suplr_Srvcs

Number of DMEPOS products/services rendered by the supplier

Avg_Suplr_Sbmtd_Chrg

Average of the charges that suppliers submit for DMEPOS products/services

Avg_Suplr_Mdcr_Alowd_Amt

Average Medicare allowed amounts for the DMEPOS product/service rendered by suppliers

Avg_Suplr_Mdcr_Pymt_Amt

Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service