| Name |
Label |
Category |
| AIDPAYM
| Q8C SOURCE OF PAYMENT - MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| ALLEVNTS
| Q12 ALL OF THE MONTHS COVERED FOR 1996 |
|
| ANYCOPAY
| Q11B ANY CO-PAYMENT |
Person-level Charges & Expenditures, by Source of Payment |
| BADDEB
| Q10 BAD DEBT |
Person-level Charges & Expenditures, by Source of Payment |
| BETOS1
| BETOS CODE 1 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS2
| BETOS CODE 2 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS3
| BETOS CODE 3 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS4
| BETOS CODE 4 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS5
| BETOS CODE 5 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS6
| BETOS CODE 6 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS7
| BETOS CODE 7 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS8
| BETOS CODE 8 (CPT4 OR CODED BETOS) |
Conditions |
| BX1PEC
| BOX1 DO TOTAL PAYMENTS = TOTAL CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| CAREPAYM
| Q8B SOURCE OF PAYMENT - MEDICARE |
Person-level Charges & Expenditures, by Source of Payment |
| CCCNDPR
| PRINCIPAL COLLAPSED CCHPR (NK) CODE |
Conditions |
| CCHPRC1
| COLLAPSED CCHPR (NK) CODE #1 |
Conditions |
| CCHPRC2
| COLLAPSED CCHPR (NK) CODE #2 |
Conditions |
| CCHPRC3
| COLLAPSED CCHPR (NK) CODE #3 |
Conditions |
| CCHPRC4
| COLLAPSED CCHPR (NK) CODE #4 |
Conditions |
| CCHPRC5
| COLLAPSED CCHPR (NK) CODE #5 |
Conditions |
| CCHPRC6
| COLLAPSED CCHPR (NK) CODE #6 |
Conditions |
| CCHPRC7
| COLLAPSED CCHPR (NK) CODE #7 |
Conditions |
| CCHPRC8
| COLLAPSED CCHPR (NK) CODE #8 |
Conditions |
| CCNDPR
| PRINCIPAL CCHPR CONDITION CODE |
Conditions |
| CHAMPAYM
| Q8F SOURCE OF PAYMENT - CHAMPVA/CHAMPUS |
Insurance |
| CHKBX1
| Q2 CHECK BOX1 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX2
| Q2 CHECK BOX2 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX3
| Q2 CHECK BOX3 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX4
| Q2 CHECK BOX4 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX5
| Q2 CHECK BOX5 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX6
| Q2 CHECK BOX6 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX7
| Q2 CHECK BOX7 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHKBX8
| Q2 CHECK BOX8 FOR PRINCIPAL DIAG ICD9 |
Insurance |
| CHP1C1
| CCHPR CONDITION CODE #1 |
Insurance |
| CHP1C2
| CCHPR CONDITION CODE #2 |
Insurance |
| CHP1C3
| CCHPR CONDITION CODE #3 |
Insurance |
| CHP1C4
| CCHPR CONDITION CODE #4 |
Insurance |
| CHP1C5
| CCHPR CONDITION CODE #5 |
Insurance |
| CHP1C6
| CCHPR CONDITION CODE #6 |
Insurance |
| CHP1C7
| CCHPR CONDITION CODE #7 |
Insurance |
| CHP1C8
| CCHPR CONDITION CODE #8 |
Insurance |
| CODETYPE
| Q4 SERVICES CODE TYPE |
|
| COPAYAMT
| Q11C CO-PAYMENT AMOUNT |
Person-level Charges & Expenditures, by Source of Payment |
| COVAID
| Q11A INSURANCE PLAN - MEDICAID |
Insurance |
| COVCARE
| Q11A INSURANCE PLAN - MEDICARE |
Insurance |
| COVDK
| Q11A INSURANCE PLAN - DO NOT KNOW |
Insurance |
| COVNOINS
| Q11A INSURANCE PLAN - NO INSURANCE/NONE |
Insurance |
| COVOTHR
| Q11A INSURANCE PLAN - OTHER |
Insurance |
| COVOTOS
| Q11A INSURANCE PLAN - OTHER (SPECIFY) |
Insurance |
| COVPINS
| Q11A INSURANCE PLAN - PRIVATE INS |
Insurance |
| COVVACH
| Q11A INSURANCE PLAN - VA/CHAMPVA/CHAMPUS |
Insurance |
| CPAYAID
| Q11D CO-PAYMENT - MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYCARE
| Q11D CO-PAYMENT - MEDICARE |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYDK
| Q11D CO-PAYMENT - DO NOT KNOW |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYOTHR
| Q11D CO-PAYMENT - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYOTOS
| Q11D CO-PAYMENT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYPAT
| Q11D CO-PAYMENT - PATIENT |
Person-level Charges & Expenditures, by Source of Payment |
| CPAYPINS
| Q11D CO-PAYMENT - PRIVATE INS |
Person-level Charges & Expenditures, by Source of Payment |
| CPT4_1
| Q4 CPT4 CODE FOR SERVICE #1 |
Conditions |
| CPT4_2
| Q4 CPT4 CODE FOR SERVICE #2 |
Conditions |
| CPT4_3
| Q4 CPT4 CODE FOR SERVICE #3 |
Conditions |
| CPT4_4
| Q4 CPT4 CODE FOR SERVICE #4 |
Conditions |
| CPT4_5
| Q4 CPT4 CODE FOR SERVICE #5 |
Conditions |
| CPT4_6
| Q4 CPT4 CODE FOR SERVICE #6 |
Conditions |
| CPT4_7
| Q4 CPT4 CODE FOR SERVICE #7 |
Conditions |
| CPT4_8
| Q4 CPT4 CODE FOR SERVICE #8 |
Conditions |
| CPTDES1
| Q4 DESCRIPTION OF SERVICE #1 |
Conditions |
| CPTDES2
| Q4 DESCRIPTION OF SERVICE #2 |
Conditions |
| CPTDES3
| Q4 DESCRIPTION OF SERVICE #3 |
Conditions |
| CPTDES4
| Q4 DESCRIPTION OF SERVICE #4 |
Conditions |
| CPTDES5
| Q4 DESCRIPTION OF SERVICE #5 |
Conditions |
| CPTDES6
| Q4 DESCRIPTION OF SERVICE #6 |
Conditions |
| CPTDES7
| Q4 DESCRIPTION OF SERVICE #7 |
Conditions |
| CPTDES8
| Q4 DESCRIPTION OF SERVICE #8 |
Conditions |
| DISCNT
| Q10 ADJUST/DISCOUNT - CONTRACT AGREEMENT |
Person-level Charges & Expenditures, by Source of Payment |
| DISCRTS
| Q10 ADJUST/DISCOUNT - COURTESY DISCOUNT |
Person-level Charges & Expenditures, by Source of Payment |
| DISINSU
| Q10 ADJUST/DISCOUNT - INSURANCE WRITEOFF |
Person-level Charges & Expenditures, by Source of Payment |
| DISMED
| Q10 ADJUST/DISCOUNT - MEDICARE/MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| DISOTH
| Q10 ADJUST/DISCOUNT - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| DISOTOS
| Q10 ADJUST/DISCOUNT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| DUPERSID
| PUBLIC USE PERSON ID (DUID + PID) |
Identifiers |
| DURMEDEQ
| Q3 DURABLE MEDICAL EQUIPMENT ONLY |
|
| EPAYAID
| Q10 EXPECTS ADD PAYMENT - MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYCAR
| Q10 EXPECTS ADD PAYMENT - MEDICARE |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYCHAM
| Q10 EXPECTS ADD PAYMENT -CHAMPVA/CHAMPUS |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYOTH
| Q10 EXPECTS ADD PAYMENT - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYOTOS
| Q10 EXPECTS ADD PAYMENT - OTHER(SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYPAT
| Q10 EXPECTS ADD PAYMENT - PATIENT |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYPIN
| Q10 EXPECTS ADD PAYMENT - PRIVATE INS |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYVA
| Q10 EXPECTS ADD PAYMENT - VA |
Person-level Charges & Expenditures, by Source of Payment |
| EVNNUM
| EVENT NUMBER |
Survey Administration and Eligibility Status |
| EVNTDATM
| Q1 EVENT DATE - MONTH |
Survey Administration and Eligibility Status |
| EVNTDATY
| Q1 EVENT DATE - YEAR |
Survey Administration and Eligibility Status |
| EVNTTYPE
| EVENT TYPE |
Survey Administration and Eligibility Status |
| FEEORCAP
| Q7 FEE FOR SERVICE OR CAPITATED BASIS |
Person-level Charges & Expenditures, by Source of Payment |
| FORMNUM
| COVER SHEET - FORM NUMBER OF THE TOTAL |
Survey Administration and Eligibility Status |
| HCAREOS
| Q3 OTHER HOME CARE (SPECIFY) |
|
| HHAIDHR
| Q3 HOME HEALTH AIDE - HOURS |
Survey Administration and Eligibility Status |
| HHAIDMN
| Q3 HOME HEALTH AIDE - MINUTES |
Survey Administration and Eligibility Status |
| HHAIDVS
| Q3 HOME HEALTH AIDE - VISITS |
|
| HHRKUID
| COVER SHEET - PATIENT ID |
Survey Administration and Eligibility Status |
| HMAKEHR
| Q3 HOMEMAKER - HOURS |
|
| HMAKEMN
| Q3 HOMEMAKER - MINUTES |
|
| HMAKEVS
| Q3 HOMEMAKER - VISITS |
|
| ICD9PDES
| Q2A PRINCIPAL DIAGNOSIS DESCRIPTION |
Conditions |
| ICDDES1
| Q2 TEXT DESC FOR DIAGNOSIS #1 |
Conditions |
| ICDDES2
| Q2 TEXT DESC FOR DIAGNOSIS #2 |
Conditions |
| ICDDES3
| Q2 TEXT DESC FOR DIAGNOSIS #3 |
Conditions |
| ICDDES4
| Q2 TEXT DESC FOR DIAGNOSIS #4 |
Conditions |
| ICDDES5
| Q2 TEXT DESC FOR DIAGNOSIS #5 |
Conditions |
| ICDDES6
| Q2 TEXT DESC FOR DIAGNOSIS #6 |
Conditions |
| ICDDES7
| Q2 TEXT DESC FOR DIAGNOSIS #7 |
Conditions |
| ICDDES8
| Q2 TEXT DESC FOR DIAGNOSIS #8 |
Conditions |
| ICDPC1
| Q2 ICD9 CODE FOR DIAGNOSIS #1 |
Conditions |
| ICDPC2
| Q2 ICD9 CODE FOR DIAGNOSIS #2 |
Conditions |
| ICDPC3
| Q2 ICD9 CODE FOR DIAGNOSIS #3 |
Conditions |
| ICDPC4
| Q2 ICD9 CODE FOR DIAGNOSIS #4 |
Conditions |
| ICDPC5
| Q2 ICD9 CODE FOR DIAGNOSIS #5 |
Conditions |
| ICDPC6
| Q2 ICD9 CODE FOR DIAGNOSIS #6 |
Conditions |
| ICDPC7
| Q2 ICD9 CODE FOR DIAGNOSIS #7 |
Conditions |
| ICDPC8
| Q2 ICD9 CODE FOR DIAGNOSIS #8 |
Conditions |
| ICDPRIN
| Q2A PRINCIPAL DIAGNOSIS |
Conditions |
| IVTHERHR
| Q3 IV/INFUSION THERAPY - HOURS |
|
| IVTHERMN
| Q3 IV/INFUSION THERAPY - MINUTES |
|
| IVTHERVS
| Q3 IV/INFUSION THERAPY - VISITS |
|
| MPSID
| UNIQUE MPS IDENTIFIER |
Survey Administration and Eligibility Status |
| MREVDFOS
| Q13 WHY PROV RPT FEWER MONTHS (SPECIFY) |
|
| MREVDIFF
| Q13 NO DIFF OR MORE MONTHS FROM PROVIDER |
|
| NONPCHRG
| Q5B ALL OTHER CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| NURAIDHR
| Q3 NURSES AIDE - HOURS |
|
| NURAIDMN
| Q3 NURSES AIDE - MINUTES |
|
| NURAIDVS
| Q3 NURSES AIDE - VISITS |
|
| NURSEHR
| Q3 NURSE/NURSE PRACTITIONER - HOURS |
|
| NURSEMN
| Q3 NURSE/NURSE PRACTITIONER - MINUTES |
|
| NURSEVS
| Q3 NURSE/NURSE PRACTITIONER - VISITS |
|
| OCCTHHR
| Q3 OCCUPATIONAL THERAPIST - HOURS |
|
| OCCTHMN
| Q3 OCCUPATIONAL THERAPIST - MINUTES |
|
| OCCTHVS
| Q3 OCCUPATIONAL THERAPIST - VISITS |
|
| OTHHCRHR
| Q3 OTHER HOME CARE - HOURS |
Person-level Charges & Expenditures, by Source of Payment |
| OTHHCRMN
| Q3 OTHER HOME CARE - MINUTES |
Person-level Charges & Expenditures, by Source of Payment |
| OTHHCRVS
| Q3 OTHER HOME CARE - VISITS |
Person-level Charges & Expenditures, by Source of Payment |
| OTHRPAYM
| Q8G SOURCE OF PAYMENT - OTHER |
Income |
| OTPAYMOS
| Q8G SOURCE OF PAYMENT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| PATPAYM
| Q8A SOURCE OF PAYMENT - PATIENT |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMCRM
| Q10 PAYMENT>CHARGES - MEDICARE/MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMOTH
| Q10 PAYMENT>CHARGES - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMOTOS
| Q10 PAYMENT>CHARGES - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| PDDIRID
| COVER SHEET - PROVIDER DIRECTORY ID |
Survey Administration and Eligibility Status |
| PDGRPNAM
| COVER SHEET - PROVIDER NAME |
Survey Administration and Eligibility Status |
| PERCARHR
| Q3 PERSONAL CARE ATTENDANT - HOURS |
|
| PERCARMN
| Q3 PERSONAL CARE ATTENDANT - MINUTES |
|
| PERCARVS
| Q3 PERSONAL CARE ATTENDANT - VISITS |
|
| PERSCHRG
| Q5A PERSONNEL SERVICES FULL CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| PERSID
| CONFIDENTIAL INTERNAL USE ONLY PERSON ID |
Identifiers |
| PHYSTHHR
| Q3 PHYSICAL THERAPIST - HOURS |
|
| PHYSTHMN
| Q3 PHYSICAL THERAPIST - MINUTES |
|
| PHYSTHVS
| Q3 PHYSICAL THERAPIST - VISITS |
|
| PINSPAYM
| Q8D SOURCE OF PAYMENT - PRIVATE INS |
Person-level Charges & Expenditures, by Source of Payment |
| RESPTHHR
| Q3 RESPIRATORY THERAPIST - HOURS |
Survey Administration and Eligibility Status |
| RESPTHMN
| Q3 RESPIRATORY THERAPIST - MINUTES |
Survey Administration and Eligibility Status |
| RESPTHVS
| Q3 RESPIRATORY THERAPIST - VISITS |
Survey Administration and Eligibility Status |
| REVC1
| Q4 SERVICE REVENUE CENTER CODE #1 |
|
| REVC2
| Q4 SERVICE REVENUE CENTER CODE #2 |
|
| REVC3
| Q4 SERVICE REVENUE CENTER CODE #3 |
|
| REVC4
| Q4 SERVICE REVENUE CENTER CODE #4 |
|
| REVC5
| Q4 SERVICE REVENUE CENTER CODE #5 |
|
| REVC6
| Q4 SERVICE REVENUE CENTER CODE #6 |
|
| REVC7
| Q4 SERVICE REVENUE CENTER CODE #7 |
|
| REVC8
| Q4 SERVICE REVENUE CENTER CODE #8 |
|
| SLIDSCA
| Q10 CHARITY CARE OR SLIDING SCALE |
|
| SOCWRKHR
| Q3 SOCIAL WORKER - HOURS |
|
| SOCWRKMN
| Q3 SOCIAL WORKER - MINUTES |
|
| SOCWRKVS
| Q3 SOCIAL WORKER - VISITS |
|
| SPECTHHR
| Q3 SPEECH THERAPIST - HOURS |
|
| SPECTHMN
| Q3 SPEECH THERAPIST - MINUTES |
|
| SPECTHVS
| Q3 SPEECH THERAPIST - VISITS |
|
| TOTFORMS
| COVER SHEET - TOTAL NUMBER OF FORMS |
Person-level Charges & Expenditures, by Source of Payment |
| TOTLCHRG
| Q6 TOTAL CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| TOTLPAYM
| Q9 TOTAL PAYMENTS |
Person-level Charges & Expenditures, by Source of Payment |
| VAPAYM
| Q8E SOURCE OF PAYMENT - VA |
Person-level Charges & Expenditures, by Source of Payment |
540 Gaither Road Rockville, MD 20850