Table 4 Provider level part B features, descriptions copied from [18]
From: Data reduction techniques for highly imbalanced medicare Big Data
Tot_HCPCS_Cds | Total number of unique HCPCS codes |
Tot_Benes | Total Medicare beneficiaries receiving services from the provider |
Tot_Srvcs | Total provider services |
Tot_Sbmtd_Chrg | The total charges that the provider submitted for all services |
Tot_Mdcr_Alowd_Amt | The Medicare allowed amount for all provider services |
Tot_Mdcr_Pymt_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider’s line item service |
Tot_Mdcr_Stdzd_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item service and after standardization of the Medicare payment has been applied |
Drug_Tot_HCPCS_Cds | Total number of HCPCS codes for drug services |
Drug_Tot_Benes | Total Medicare beneficiaries receiving drug services |
Drug_Tot_Srvcs | Total drug services |
Drug_Sbmtd_Chrg | The total charges that the provider submitted for drug services |
Drug_Mdcr_Alowd_Amt | The Medicare allowed amount for drug services |
Drug_Mdcr_Pymt_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider’s line item drug services |
Drug_Mdcr_Stdzd_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service |
Med_Tot_HCPCS_Cds | Total number of HCPCS codes associated with medical services |
Med_Tot_Benes | Total Medicare beneficiaries receiving medical services |
Med_Tot_Srvcs | Total medical services |
Med_Sbmtd_Chrg | The total charges that the provider submitted for medical services |
Med_Mdcr_Alowd_Amt | The Medicare allowed amount for medical services |
Med_Mdcr_Pymt_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all of the provider’s line item medical services |
Med_Mdcr_Stdzd_Amt | Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical service |
Bene_Avg_Age | Average age of beneficiaries. Beneficiary age is calculated at the end of the calendar year or at the time of death |
Bene_Age_LT_65_Cnt | Number of beneficiaries under the age of 65. Beneficiary age is calculated at the end of the calendar year or at the time of death |
Bene_Age_65_74_Cnt | Number of beneficiaries between the ages of 65 and 74. Beneficiary age is calculated at the end of the calendar year or at the time of death |
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. Beneficiary age is calculated at the end of the calendar year or at the time of death |
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_CC_AF_Pct | Percent of beneficiaries meeting the Chronic Conditions Data Warehouse chronic condition algorithm for atrial fibrillation |
Bene_CC_Alzhmr_Pct | Percent of beneficiaries meeting the Chronic Conditions Data Warehouse (CCW) chronic condition algorithm for Alzheimer’s, related disorders, or dementia |
Bene_CC_Asthma_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma |
Bene_CC_Cncr_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer |
Bene_CC_CHF_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure |
Bene_CC_CKD_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease |
Bene_CC_COPD_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease |
Bene_CC_Dprssn_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for depression |
Bene_CC_Dbts_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes |
Bene_CC_Hyplpdma_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia |
Bene_CC_Hyprtnsn_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension |
Bene_CC_IHD_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease |
Bene_CC_Opo_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis |
Bene_CC_RAOA_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis |
Bene_CC_Sz_Pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders |
Bene_cc_strok_pct | Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke |
Bene_Avg_Risk_Scre | Average Hierarchical Condition Category (HCC) risk score of beneficiaries |