Claims Data
Schema | Description | CDR Schema and CASLIB Name | CDR Table Layouts | Data Dictionaries and Supplemental Information |
---|---|---|---|---|
CSAT | The Healthcare Quality Analytics and Reporting (HCQAR) Complete Statistical Analysis Table (CSAT) is a monthly dataset that provides state and national level claims data variables derived from Medicare Part A / Part B / Part D claims data specifically for the national and state Quality Improvement Networks and Organizations (QIN-QIOs). | csat_yyyymm_baseline csat_yyyymm [monthly] QIN-specific Versions: | ||
DDPS Part D | The source data for Part D claims is the Drug Data Processing System. This schema contains all prescription drug claims covered under Medicare Part D. | ddps_part_d | ||
NCH Part A | The source data for Part A claims is the National Claims History (NCH) monthly extracts. Part A claims include the Inpatient (IP) and Skilled Nursing Facility (SNF), Home Health (HHA), Hospice, and Outpatient Extracts. | nch_part_a | ||
NCH Part B | The source data for Part B claims is the NCH monthly extracts. Part B claims include the Professional and the Durable Medical Equipment (DME) extracts. | nch_part_b |
Beneficiary and Provider Data
Schema | Description | CDR Schema and CASLIB Name | CDR Table Layouts | Data Dictionaries and Supplemental Information |
---|---|---|---|---|
NPPES | The National Plan and Provider Enumeration System contains provider NPIs, names, and location information. | nppes | NPPES dissemination information on CMS Website | |
SDDW | Contains Medicare Beneficiary and Provider enrollment data. (FAQ) | sddw_np_sdps | For information about beneficiary tables in SDDW: EDB_data_dictionary.doc |
Public Data
Schema | Description | CDR Schema and CASLIB Name | CDR Table Layouts | Data Dictionaries and Supplemental Information |
---|---|---|---|---|
ADI | The Area Deprivation Index (ADI) contains the GIS information for US neighborhoods. | public_data | Neighborhood Atlas Web Page | |
FDA | The FDA data contains packaging and product information for FDA approved drugs. | public_data | ||
Nursing Home Compare | This is the official data for the Nursing Home Compare website. | compare_nursing_home | ||
ZIP | This table contains the ZIP Codes and other information for cities and towns in the US. | public_data |
Important Notes
- The CDR follows NCH logic; as such, Part A claims are split into multiple records when the number of revenue center line items is greater than 45. In HAJI, these were merged into a single claim.
- The CDR includes claim types 61, 62, 63, 64, 80, and 81, which HAJI did not include.
- The CDR includes claim adjustments older than five years, which HAJI did not include.