-
hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.pdf
January 01, 2017 - Additionally, volume and cost statistics are presented by
primary expected payer. … Total stays and aggregate costs of potentially preventable adult inpatient stays, by
primary expected … payer, 2017
Primary expected
payer
Total stays,
N
Potentially
preventable
stays, %
All … Potentially preventable stays with a primary expected payer of Medicare accounted for 65.4 percent
of … ■ More than 15 percent of all adult inpatient stays with a primary expected payer of Medicare
-
hcup-us.ahrq.gov/reports/statbriefs/sb200-Procedures-Treat-Uterine-Fibroids.jsp
January 01, 2016 - The distribution of these four procedures by patient race/ethnicity and expected primary payer in each … Hispanic
9.8
5.8
Other b
9.7
6.8
Missing/Invalid c
6.3
8.2
Expected primary … d Other expected primary payer includes Medicare. … Private insurance was the expected primary payer for the majority of hospitalizations involving the four … payer, in 13 States, 2013
Note: Other expected primary payer includes Medicare.
-
hcup-us.ahrq.gov/reports/statbriefs/sb193-Neonatal-Maternal-Hospitalizations-Substance-Use.jsp
July 01, 2015 - In 2012, Medicaid was the expected primary payer for 79.9 percent of neonatal stays related to substance … In contrast, private insurance was the expected primary payer for 11.8 percent of neonatal stays involving … <20
7.9
8.0
20-24
32.1
23.0
25-34
50.6
53.6
35+
9.3
15.3
Primary … In contrast, private insurance was the expected primary payer for 13.7 percent of maternal stays involving … Payer
Payer is the expected primary payer for the hospital stay.
-
hcup-us.ahrq.gov/reports/statbriefs/sb257-ED-Costs-Mental-Substance-Use-Disorders-2017.pdf
January 01, 2017 - total ED visit costs for the five most costly MSUD
diagnoses is presented by patient age group and primary … Distribution of total ED visit costs for the five most costly MSUD diagnoses, by primary
expected payer … ED visits with a primary expected payer of Medicaid represented the largest share of ED visit costs … ED visits with a primary expected payer of private insurance represented the largest share of ED visit … Expected payer
To make coding uniform across all HCUP data sources, the primary expected payer for
-
hcup-us.ahrq.gov/reports/statbriefs/sb252-Invasive-Ambulatory-Surgeries-2016.pdf
January 01, 2016 - The 20 most common major ambulatory surgeries performed in hospital-owned facilities,
by primary expected … payer, 2016
Rank All-listed CCS
procedure group
Primary expected payer, %
Medicare Medicaid … However, Medicaid was the primary expected payer for 41.4 percent of myringotomy surgeries and
40.0 … Expected payer
To make coding uniform across all HCUP data sources, the primary expected payer for … For this Statistical Brief, when more than one payer is listed for a hospital discharge, the primary
-
hcup-us.ahrq.gov/db/state/sasddist/sasddistvarnote2016.jsp
May 01, 2020 - HOSPITAL_OWNED (SASD file only, beginning 2018), HOSPID, HFIPSSTCO) are available to data purchasers whose primary … DSHOSPID, FREESTANDING (SASD file only), HOSPID, HFIPSSTCO) are available to data purchasers whose primary … If your primary affiliation is not listed above, you may still be able to obtain hospital identifiers
-
hcup-us.ahrq.gov/reports/statbriefs/SB307-508.pdf
November 03, 2021 - ■ If the primary or secondary expected payer indicates Medicare, then the payer category is assigned … ■ If not Medicare, and the primary or secondary expected payer indicates Medicaid, then the payer … ■ If not Medicare or Medicaid, and the primary or secondary expected payer indicates private insurance … ■ If not Medicare, Medicaid, or private, and the primary expected payer indicates self-pay, no charge … PDF
Logical Reading Order Needs manual check Document structure provides a logical reading order
Primary
-
hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V21%20Weights%20Manual.pdf
January 06, 2025 - III.6
TABLE 1
APS-DRGs® (N=12) With No Observations In Data Used To Estimate Weights
00382 PRIMARY … With Fewer Than 50 Observations in 2001 NIS
00062 CARPAL TUNNEL RELEASE W MCC
00380 PRIMARY … 05132 PANCREAS TRANSPLANT W MCC
00062 CARPAL TUNNEL RELEASE W MCC
00380 PRIMARY … 05250 HEART ASSIST SYSTEM IMPLANT WO CC
00062 CARPAL TUNNEL RELEASE W MCC
00380 PRIMARY … IRIS PROCEDURES W/O CC
00381 PRIMARY IRIS PROCEDURES W CC
00392 LENS PROCS WITH
-
hcup-us.ahrq.gov/tech_assist/data_query/Methods_Community_Statistics20230207.pdf
December 01, 2022 - Hospital Selection
The HCUP SID are the primary data sources for Community-Level Statistics. … for the patient’s State and
DRG.21 Missing values for the patient’s age, sex, county, or expected primary … One exception was made for
expected primary payer if the payer was missing and the patient was aged … DRG_NoPOA was used to classify the patient.
11
in those cases, Medicare was assumed as the primary … https://hcupnet.ahrq.gov/#glossary
12
APPENDIX
Payer: The expected primary payer, based on the
-
hcup-us.ahrq.gov/reports/methods/2014-03.pdf
January 01, 2014 - In this study, discharges with a primary
payer of CHIP were considered as Medicaid. … When we compared the percentage of HCUP total discharges that
had a primary payer of private insurance … Based on our discussion above, discharges with expected primary payer codes for
the IHS, Hill-Burton … Individuals who had Medicare
identified as their primary expected payer on a discharge and Medicaid … In this study, discharges with a primary
payer of CHIP were considered as Medicaid.
-
hcup-us.ahrq.gov/reports/statbriefs/sb172-Conditions-Readmissions-Payer.pdf
November 01, 2013 - For this Statistical Brief, a hierarchy was used to assign the payer category based on the primary and … secondary expected payer:
If the primary or secondary expected payer indicates Medicare, then … If not Medicare and the primary or secondary expected payer indicates Medicaid, then the payer … If not Medicare or Medicaid and the primary or secondary expected payer indicates private
insurance … If not Medicare, Medicaid, or private and the primary expected payer indicates self-pay or no
charge
-
hcup-us.ahrq.gov/reports/statbriefs/sb157.pdf
March 01, 2013 - ■ Medicaid was the largest
primary expected payer for ED
visits for the youngest pediatric
age … Project (HCUP), Nationwide Emergency Department Sample (NEDS), 2010
Pediatric ED visits by expected primary … Medicaid was also the largest primary expected payer for ED
visits among children aged 1–4 and 5–9 years … Distribution of primary expected payer for all pediatric ED visits by age group, 2010
25
32
39
44 … Payer
Payer is the expected primary payer for the hospital stay.
-
hcup-us.ahrq.gov/reports/statbriefs/sb147.pdf
March 01, 2012 - Private insurance was the most common expected primary payer in 2008 (38.5 percent). … released 86.8 90.4
Admitted to the hospital 11.7 8.2
Died in ED 0.0 0.0
Other 0.5 0.6
Expected primary … Percentage died in hospital 2.3 2.4
Percentage routine discharge 72.0 84.2
Other 25.8 13.4
Expected primary … Emergency Department Sample, 2008–2009
5
In 2008, Medicare was the most common expected primary … Payer
Payer is the expected primary payer for the hospital stay.
-
hcup-us.ahrq.gov/reports/methods/2016-07.pdf
January 01, 2016 - Transfers by Expected Primary Payer and Patient Age of Transfer Out Record ..........18
Table 9. … Distribution of Primary Expected Payer and Patient Age Among Complete Inpatient
Transfer Records, % … For this report, no restrictions were implemented on the basis of expected primary payer. … Across expected primary payer?
e. Across medical conditions?
3. … Are Incomplete Transfer Records the Result of Variation Across Expected Primary Payer?
-
hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-User-Guide-v2025-1.pdf
June 01, 2025 - These codes should have the value 0 because they have the "List
separately in addition to code for primary … limited to, the following
description within the CPT label: “List separately in addition to code for primary … for “PTCA for each additional branch of a coronary artery (List
separately in addition to code for primary … procedure)” is coded as Neither because it must be
reported with the CPT code listing the primary procedure … These codes should have the value
0 because they have the "List
separately in addition to code for
primary
-
hcup-us.ahrq.gov/db/nation/nis/NIS_Sources_and_Restrictions_2000.pdf
January 01, 2000 - be set to missing:
• MDID_S, synthetic attending physician number and
• SURGID_S, synthetic primary … variables be set to missing:
• MDID_S, synthetic attending physician number and
• SURGID_S, synthetic primary … variables be set to missing:
• MDID_S, synthetic attending physician number and
• SURGID_S, synthetic primary
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm4.pdf
June 16, 2014 - 1 2 3 4 5
Adapted from Data Collection on the Race, Ethnicity and Primary
-
hcup-us.ahrq.gov/reports/statbriefs/sb266-Injuries-Causes-ED-Visits-2017.pdf
January 01, 2017 - Finally, the distribution of primary expected payer for ED
visits related to injuries is provided for … related to being cut or pierced by something.
6
Figure 3 presents the distribution of primary … Distribution of primary expected payer of ED visits related to injuries, by most common
specific injury … ED visits related to injuries across the five most common specific injury causes
differed for each primary … Expected payer
To make coding uniform across all HCUP data sources, the primary expected payer for
-
hcup-us.ahrq.gov/db/nation/kid/Availability_of_KID_Data_Elements_2012.pdf
January 01, 2012 - attending physician number in 1997 and 2000 KID Yes Yes -- -- -- -- MDID_S
MDNUM1_R Core Re-identified primary … room
procedure, (1) major operating room procedure -- -- -- -- Yes Yes ORPROC
PAY1 Core Expected primary … CHAMPUS,
CHAMPVA, (11) other government, (12) other
Yes -- -- -- -- -- PAY1_N
PAY1_X Core Expected primary … payer, as received from the data source -- Yes Yes Yes Yes -- PAY1_X
PAY2 Core Expected primary payer … including HMO, (4) self-pay, (5) no charge, (6) other Yes Yes Yes Yes Yes -- PAY2
PAY2_N Core
Expected primary
-
hcup-us.ahrq.gov/reports/statbriefs/sb204-Most-Expensive-Hospital-Conditions.pdf
November 01, 2015 - It describes the distribution of costs by
expected primary payer and illustrates the conditions accounting … The
primary payers examined are Medicare, Medicaid, private
insurance, and uninsured. … ■ The primary payer shares of
aggregate hospital costs were
63 percent for Medicare and
Medicaid … Patients with primary Medicare coverage accounted for 46 percent of the $381.4 billion in aggregate … Most expensive conditions by primary payer, 2013
Tables 2 through 5 list the 20 most expensive conditions