Table 3 Provider-level part D features, descriptions copied from [21]
From: Data reduction techniques for highly imbalanced medicare Big Data
Feature | Description |
|---|---|
GE65_Tot_Clms | The number of Medicare Part D claims for beneficiaries age 65 and older |
GE65_Tot_30day_Fills | The number of Medicare Part D standardized 30-day fills for beneficiaries age 65 and older |
GE65_Tot_Drug_Cst | The aggregate total drug cost paid for all associated claims for beneficiaries age 65 and older |
GE65_Tot_Day_Suply | The aggregate number of day’s supply for which this drug was dispensed, for beneficiaries age 65 and older |
GE65_Tot_Benes | The total number of unique Medicare Part D beneficiaries age 65 and older with at least one claim for the drug |
Brnd_Tot_Clms | Total claims of brand-name drugs, including refills |
Brnd_Tot_Drug_Cst | Aggregate drug cost paid for brand-name drugs |
Gnrc_Tot_Clms | Total claims of generic drugs, including refills |
Gnrc_Tot_Drug_Cst | Aggregate cost paid for generic drugs |
Othr_Tot_Clms | Total claims of other drugs, including refills. A drug is classified as “other” using any FDA approval categories not included in the brand or generic definitions |
Othr_Tot_Drug_Cst | Aggregate cost paid for all other drugs not classified as brand or generic |
MAPD_Tot_Clms | The number of claims for beneficiaries covered by (Medicare Advantage plan that includes Medicare Part (MDAPD) |
MAPD_Tot_Drug_Cst | Aggregate cost paid for claims filled by beneficiaries in MAPD plans |
PDP_Tot_Clms | The number of claims for beneficiaries covered by standalone Prescription Drug Plans (PDPs) |
PDP_Tot_Drug_Cst | Aggregate drug cost paid for claims filled by beneficiaries in standalone PDPs |
LIS_Tot_Clms | Total number of claims from this prescriber, including refills, for beneficiaries with a Part D low-income subsidy (LIS) |
LIS_Drug_Cst | Aggregate drug cost paid for claims for beneficiaries with a Part D low-income subsidy |
NonLIS_Tot_Clms | Total number of claims from this prescriber, including refills, for beneficiaries without a Part D low-income subsidy |
NonLIS_Drug_Cst | Aggregate drug cost paid for claims for beneficiaries without a Part D low-income subsidy |
Opioid_Tot_Clms | Total claims of opioid drugs, including refills |
Opioid_Tot_Drug_Cst | Aggregate cost paid for opioid drugs |
Opioid_Tot_Suply | The aggregate number of day’s supply for opioid drugs |
Opioid_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one opioid claim |
Opioid_Prscrbr_Rate | The percent of the Tot_Clms represented by the Opioid_Tot_Clms |
Opioid_LA_Tot_Clms | The aggregate number of day’s supply for long-acting (LA) opioid drugs |
Opioid_LA_Tot_Drug_Cst | Aggregate cost paid for long-acting opioid drugs |
Opioid_LA_Tot_Suply | The aggregate number of day’s supply for long-acting opioid drugs |
Opioid_LA_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one long-acting opioid claim |
Opioid_LA_Prscrbr_Rate | The percent of the Opioid_Tot_Clms represented by the Opioid_LA_Tot_Clms |
Antbtc_Tot_Clms | Total claims of antibiotic drugs, including refills |
Antbtc_Tot_Drug_Cst | Aggregate cost paid for antibiotic drugs |
Antbtc_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one antibiotic claim |
Antpsyct_GE65_Tot_Clms | Total claims of antipsychotic drugs, including refills, for beneficiaries age 65 and older |
Antpsyct_GE65_Tot_Drug_Cst | Aggregate cost paid for antipsychotic drugs for beneficiaries age 65 and older |
Antpsyct_GE65_Bene_Suprsn_Flag | A flag indicating the reason the Antpsyct_GE65_Tot_Benes variable is suppressed |
Antpsyct_GE65_Tot_Benes | The total number of unique Medicare Part D beneficiaries age 65 and older with at least one antipsychotic claim |
Bene_Avg_Age | Average age of beneficiaries |
Bene_Age_LT_65_Cnt | Number of beneficiaries under the age of 65 |
Bene_Age_65_74_Cnt | Number of beneficiaries between the ages of 65 and 74 |
Bene_Age_75_84_Cnt | Number of beneficiaries between the ages of 75 and 84 |
Bene_Age_GT_84_Cnt | Number of beneficiaries over the age of 84 |
Bene_Feml_Cnt | Number of female beneficiaries |
Bene_Male_Cnt | Number of male beneficiaries |
Bene_Dual_Cnt | Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits |
Bene_Ndual_Cnt | Number of Medicare beneficiaries qualified to receive Medicare only benefits |
Bene_Avg_Risk_Scre | Average Hierarchical Condition Category (HCC) risk score of beneficiaries |