Datasets / Physician-Supplier Procedure Summary Master File

Physician-Supplier Procedure Summary Master File

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Published By U.S. Department of Health & Human Services

Issued almost 10 years ago

US
beta

Summary

Type of release
a one-off release of a set of related datasets

Data Licence
Not Applicable

Content Licence
Creative Commons CCZero

Verification
automatically awarded

Description

This file is a 100 percent summary of all Part B Carrier and DMERC Claims processed through the Common Working File and stored in the National Claims History Repository. The file is arrayed by carrier, pricing locality, Healthcare Common Procedure Coding (HCPC), modifier 1, modifier 2, specialty, type of service and place of service. The summarized fields are total submitted services and charges, total allowed services and charges, total denied services and charges, and total payment amounts. This file is produced annually and is usually available in July.

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