Medicare Use (FFS Claim Count) — Part B Non-Institutional

SAS Name
MDCR_PTBNI_TOTAL_FFS_USE

This variable is the total count of Medicare Part B non-institutional claims for the beneficiary during the year. The Part B non-institutional claims include: Carrier and Durable Medical Equipment (DME). Note that only fee-for-service (FFS) claims are included.

Comments

CCW calculates this variable as the count of all claims from the Carrier and DME claims files.

The corresponding Medicare payment information for Part B non-institutional claims is in the MDCR_PTBNI_TOTAL_FFS_SPEND variable.

Source: Medicare Carrier and Durable Medical Equipment (DME) Claims files (derived)