Medicare Inpatient Hospitals - by Service and Provider

Variable Name	Term Name	Definition
Rndrng_CCN	Provider CCN	The CMS Certification Number (CCN) of the provider billing for outpatient hospital services.
Rndrng_Prvdr_Org_Name	Provider Name	The name of the provider.
Rndrng_Prvdr_St	Street Address	The street address in which the provider is physically located.
Rndrng_Prvdr_City	City	The city in which the provider is physically located.
Rndrng_Prvdr_State_FIPS	State FIPS Code	The state FIPS code for the state in which the provider is physically located.
Rndrng_Prvdr_Zip5	Zip Code	The zip code in which the provider is physically located.
Rndrng_Prvdr_RUCA	RUCA	The Rural-Urban Commuting Area (RUCA) code for the zip code in which the provider is physically located. RUCA codes classify zip codes as rural/urban areas based on measures of population density, level of urbanization, and daily commuting patterns. These codes are developed by United States Department of Agriculture, Economic Research Service.
Rndrng_Prvdr_RUCA_Desc	RUCA Desc	The description of the RUCA code. RUCA codes classify zip codes as rural/urban areas based on measures of population density, level of urbanization, and daily commuting patterns. These codes are developed by United States Department of Agriculture, Economic Research Service.
DRG_Cd	DRG	The Diagnosis Related Group (DRG) is the classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay.
DRG_Desc	Procedure	Description of the Diagnosis Related Group classification system (DRG) that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay.
Tot_Dschrgs	Total Discharges	The number of discharges billed by all providers for inpatient hospital services.
Avg_Submtd_Cvrd_Chrg	Average Covered Charges	The average charge of all providers' services covered by Medicare for discharges in the DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Avg_Tot_Pymt_Amt	Average Total Payments	The average total payments to all providers for the DRG including the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Avg_Mdcr_Pymt_Amt	Average Medicare Payments	The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co- payments and deductible amounts nor any additional payments from third parties for coordination of benefits.

Medicare Inpatient Hospitals - by Service and Provider - 2021

The Medicare Inpatient Hospitals by Service and Provider dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital and Medicare Severity Diagnosis Related Group (DRG).

Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.

Data provided by the Centers for Medicare & Medicaid Services.