Provider Number
Provider Name
Geographic Labor Market Area
Pre Reclass Labor Market Area - CBSA
Payment Labor Market Area CBSA (for purposes of Capital and DSH)
SSA State County Code
Region
Large Urban, Other Urban or Rural Designation of the Providers Geographic CBSA
Urban or Rural designation based on payment CBSA
Finalized Reclass Status for FY
Finalized Post Reclassification CBSA for FY
Wage Index for FY
Puerto Rico Specific Wage Index for FY
Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act
Section 401 hospital - urban providers redesignated as rural
Section 505 eligible 'YES' = eligible to receive a wage index adjustment
Wage adjustment for providers who are eligible
Cost of Living Adjustment
Resident to Bed Ratio   Resident to Bed Ratio. Used to determine IME factor for
Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adj...
The number of total beds obtained from cost report data-'zero' may mean missing
Average Daily Census - A 'zero' value may indicate unavailable or incomplete dat
IME adjustment factor for Operating PPS
IME adjustment factor for Captial PPS
Disproportionate Share Hospital Patient percent
Operating Disproportionate Share Hospital (DSH) adjustment
Uncompensated Care Payment (UCP) Factor
Capital Disproportionate Share (DSH) adjustment
Ratio of Medicare operating costs to Medicare covered charges
Ratio of Medicare capital costs to Medicare covered charges
Provider Type
Hospital Specific Payment (HSP) Rate for FY
Hospital Specific Rate 2006
Total number of Medicare cases for the provider from the FY N-2 MEDPAR
Transfer adjusted Case Mix Index under  Grouper V30
Case Mix Index under Grouper V30 for SCH providers paid under their Hospital Spe
Transfer adjusted Case Mix under Grouper V30 for Medicare Advantage cases submit
Transfer adjusted  cases under Grouper V30 for Medicare Advantage cases submitte
Transfer Adjusted Case Mix Index
DRG Grouper Version for tacmiv
Transfer adjusted Case Mix Index under  Grouper V31
Transfer Adjusted Cases
DRG Grouper Version for caseta
Case Mix Index under Grouper V31 for SCH providers paid under their Hospital Spe
Case Mix Index
DRG Grouper Version for cmiv
Transfer adjusted Case Mix for Medicare Advantage cases submitted by teaching ho
DRG Grouper Version for ime_tacmiv
Transfer adjusted Case Mix under Grouper V31 for Medicare Advantage cases submit
DRG Grouper Version for ime_caseta
Transfer adjusted  cases under Grouper V31 for Medicare Advantage cases submitte
Post Reclass Geographic adjustment factor (GAF) for Capital FY
Post Reclass GAF for Capital for Puerto Rico Providers FY
Capital COLA factor for hospitals located in Alaska and Hawaii
Estimated operating outlier payments as a percentage of the provider's Federal o
Estimated capital outlier payments as a percentage of the provider's Federal cap
Medicare days as a percent of total inpatient days (not available for all provid
Hospital Value Based Purchasing (VBP) Adjustment Factor (Section 3001 of Afforda
Final Readmission Adjustment Factor- Updated September 2013
Fiscal Year