Table 2 Features of the Part B Dataset
From: Evaluating classifier performance with highly imbalanced Big Data
Feature name | Description |
|---|---|
Rndrng_Prvdr_Crdntls | The referring provider’s credentials [example: MD]; categorical, 23,672 distinct values |
Rndrng_Prvdr_Gndr | The referring provider’s gender; categorical, three distinct values |
Rndrng_Prvdr_Ent_Cd | Type of entity [individual or organization] reported in NPPES; categorical, 2 distinct values |
Rndrng_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 |
Rndrng_Prvdr_Mdcr_Prtcptg_Ind | Identifies whether the provider participates in Medicare and/or accepts assignment of Medicare allowed amounts; categorical two distinct values |
HCPCS_Cd | HCPCS code used to identify the specific medical service furnished by the provider; categorical 7,738 distinct values |
HCPCS_Desc | Description of the HCPCS code for the specific medical service furnished by the provider; categorical, 8,252 distinct values |
HCPCS_Drug_Ind | Identifies whether the HCPCS code for the specific service furnished by the provider is a HCPCS listed on the Medicare Part B Drug Average Sales Price (ASP) File; categorical, two distinct values |
Place_Of_Srvc | Identifies whether the place of service submitted on the claims is a facility (value of ‘F’) or non-facility (value of ‘O’); categorical two distinct values |
Tot_Benes | Number of distinct Medicare beneficiaries receiving the service for each Rndrng_NPI, HCPCS_Cd, and Place_Of_Srvc |
Tot_Srvcs | Number of services provided; note that the metrics used to count the number provided can vary from service to 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_Alowd_Amt | Average of the Medicare allowed amount 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 |
Avg_Mdcr_Stdzd_Amt | Average amount that Medicare paid after beneficiary deductible and coinsurance amounts have been deducted for the line item service and after standardization of the Medicare payment has been applied |