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Referring Provider State - The state where the provider is located, as reported in NPPES. The values include the 50 United States, District of Columbia, U.S. territories, Armed Forces areas, Unknown and Foreign Country. HCPCS - HCPCS code for the specific DMEPOS products/services ordered by referring providers and rendered by suppliers. HCPCS Description - Description of the HCPCS code for the specific DMEPOS product/service ordered by referring providers and rendered by suppliers. BETOS Classification - Berenson-Eggers Type of Service (BETOS) classification code and description assigned to the HCPCS code. The BETOS coding system consists of readily understood clinical categories that permit objective assignment of HCPCS codes. BETOS Classification Group1 - High level grouping of the BETOS Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products. Supplier Rental Indicator - Identifies whether the DMEPOS products/services submitted on supplier claims are identified as rental. Number of Referring Providers - Number of referring providers ordering DMEPOS products/services. Number of Suppliers - Number of suppliers rendering DMEPOS products/services. Number of Supplier Beneficiaries - Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries. Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting services ordered by referring providers. Number of Supplier Services - Number of DMEPOS products/services rendered by suppliers; note that the metrics used to count the number provided can vary from service to service. Average Supplier Submitted Charges - Average of the charges that suppliers submitted for the DMEPOS product/service. Total supplier submitted charges can be calculated by multiplying the average supplier submitted charges by the number of supplier services. Average Supplier Medicare Allowed Amount - Average of the supplier Medicare allowed amounts for the DMEPOS product/service. Medicare allowed amounts include the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Total supplier Medicare allowed amounts can be calculated by multiplying the average supplier Medicare allowed amount by the number of supplier services. Average Supplier Medicare Payment Amount - Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service. Total supplier Medicare payment amounts can be calculated by multiplying the average supplier Medicare payment amount by the number of supplier services.
Historical versions of this dataset since 30 June 2015 are available.
The information about original data source is available only to premium users.