Medicare FFS Payment Amount — Total

SAS Name
MDCR_TOTAL_FFS_SPEND

This variable is the total Medicare payment amount for all Medicare fee-for-service (FFS) claims and Part D events (PDEs) for the beneficiary during the year. Note that only fee-for-service (FFS) claims for services and PDEs are included.

Comments

CCW calculates this variable as the sum of all CLM_PMT_AMT from the IP, SNF, HHA, Hospice, HOP, Carrier, and DME claims as well as the TOT_RX_CST_AMT for all PDEs for the beneficiary for the year.

Within MMLEADS, there are four variables that also sum to this MDCR_TOTAL_FFS_SPEND: MDCR_PTA_TOTAL_FFS_SPEND, MDCR_HOP_TOTAL_FFS_SPEND, MDCR_PTBNI_TOTAL_FFS_SPEND, and MDCR_PTD_TOTAL_SPEND.

Values: $

Source: Medicare Claims Files (derived)