Medicare Provider Utilization and Payment Data - Inpatient

Metadata Updated: November 12, 2020

The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries. The Inpatient PUF includes information on utilization, payment (total payment and Medicare payment), and hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments. The PUF is organized by hospital and Medicare Severity Diagnosis Related Group (MS-DRG) and covers Fiscal Year (FY) 2011 through FY 2016. Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount. Inpatient PUF users will be able to make comparisons between individual hospital-level charges and payments within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.

Access & Use Information

Public: This dataset is intended for public access and use. License: No license information was provided. If this work was prepared by an officer or employee of the United States government as part of that person's official duties it is considered a U.S. Government Work.

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Dates

Metadata Created Date November 10, 2020
Metadata Updated Date November 12, 2020
Data Update Frequency R/P1Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date November 10, 2020
Metadata Updated Date November 12, 2020
Publisher Centers for Medicare & Medicaid Services
Unique Identifier Unknown
Maintainer
Identifier 630
Data First Published 2018-09-05
Data Last Modified 2018-09-05
Category Medicare
Public Access Level public
Data Update Frequency R/P1Y
Bureau Code 009:38
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Data Quality True
Homepage URL https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Inpatient.html
Program Code 009:000
Source Datajson Identifier True
Source Hash bb713ef14a1a725e74f6871db24e24ba2a0e9cd1
Source Schema Version 1.1

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