Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 3 ---------------------------------------------------------------------------------------------------------------------------- |T1: Claims by | | HCFA SAF source of this bill | |year, ESRD | |-----------------------------------------------------------------------------------------------| |period, and | | | | |PMMIS inpat| | |PMMIS qtrly| | |source | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |--------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |ALL N | 49,037,742| 16,998,991| 2,821,332| 4,290,770| 1,573,834| 438,772| 20,033,058| 2,842,215| 38,770| |After | | | | | | | | | | |start | | | | | | | | | | |of | | | | | | | | | | |ESRD | | | | | | | | | | |No N | 7,059,355| .| 1,008,171| 1,042,833| 65,692| 66,392| 4,874,063| 24| 2,180| |Yes N | 41,978,387| 16,998,991| 1,813,161| 3,247,937| 1,508,142| 372,380| 15,158,995| 2,842,191| 36,590| |ALL | 49,037,742| 16,998,991| 2,821,332| 4,290,770| 1,573,834| 438,772| 20,033,058| 2,842,215| 38,770| |Servi- | | | | | | | | | | |ce | | | | | | | | | | |throu- | | | | | | | | | | |gh | | | | | | | | | | |date | | | | | | | | | | |1900 | 11| .| .| .| .| .| .| 11| .| |1973 | 1| .| .| .| .| .| .| 1| .| |1977 | 165,393| .| .| .| 53,561| .| .| 111,832| .| |1978 | 202,420| .| .| .| 65,869| .| .| 136,551| .| |1979 | 237,537| .| .| .| 78,726| .| .| 158,811| .| |1980 | 263,110| .| .| .| 93,102| .| .| 170,008| .| |1981 | 265,765| .| .| .| 103,748| .| .| 162,017| .| |1982 | 285,713| .| .| .| 110,155| .| .| 175,558| .| |1983 | 346,139| .| .| .| 126,141| .| .| 219,998| .| |1984 | 423,157| .| .| .| 147,749| .| .| 275,408| .| |1985 | 444,190| .| .| .| 156,428| .| .| 287,762| .| |1986 | 491,978| .| .| .| 170,951| .| .| 321,027| .| |1987 | 536,831| .| .| .| 185,991| .| .| 350,840| .| |1988 | 587,486| .| .| .| 201,550| .| .| 385,936| .| |1989 | 3,224,433| 1,279,941| 97,572| 355,456| 12,173| 19,158| 1,445,847| 13,485| 801| |1990 | 3,625,581| 1,360,647| 139,432| 391,985| 10,059| 22,169| 1,687,415| 12,957| 917| |1991 | 4,269,172| 1,618,419| 187,545| 428,201| 8,474| 25,376| 1,989,391| 10,100| 1,666| |1992 | 4,649,682| 1,763,442| 246,499| 463,140| 7,872| 33,542| 2,119,815| 12,565| 2,807| |1993 | 5,149,492| 1,938,464| 328,983| 495,383| 6,617| 42,682| 2,326,065| 7,091| 4,207| |1994 | 5,555,417| 2,076,175| 403,013| 525,375| 10,028| 55,701| 2,470,786| 8,696| 5,643| |1995 | 5,917,507| 2,192,657| 470,133| 542,631| 10,067| 69,061| 2,618,159| 8,396| 6,403| |1996 | 6,239,771| 2,346,174| 494,658| 552,047| 9,414| 83,205| 2,737,003| 9,838| 7,432| |1997 | 6,156,956| 2,423,072| 453,497| 536,552| 5,159| 87,878| 2,638,577| 3,327| 8,894| |From | | | | | | | | | | |date | | | | | | | | | | |of | | | | | | | | | | |servi- | | | | | | | | | | |ce | | | | | | | | | | |1977 | 166,914| .| .| .| 55,010| .| .| 111,904| .| |1978 | 202,830| .| .| .| 66,152| .| .| 136,678| .| |1979 | 237,900| .| .| .| 79,216| .| .| 158,684| .| |1980 | 263,501| .| .| .| 93,442| .| .| 170,059| .| |1981 | 265,839| .| .| .| 103,921| .| .| 161,918| .| |1982 | 285,803| .| .| .| 110,257| .| .| 175,546| .| |1983 | 346,585| .| .| 1| 126,586| .| .| 219,998| .| |1984 | 423,126| .| .| .| 147,718| .| .| 275,408| .| ---------------------------------------------------------------------------------------------------------------------------- (CONTINUED) Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 4 ---------------------------------------------------------------------------------------------------------------------------- |T1: Claims by | | HCFA SAF source of this bill | |year, ESRD | |-----------------------------------------------------------------------------------------------| |period, and | | | | |PMMIS inpat| | |PMMIS qtrly| | |source | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |--------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |From | | | | | | | | | | |date | | | | | | | | | | |of | | | | | | | | | | |servi- | | | | | | | | | | |ce | | | | | | | | | | |1985 | 444,988| .| .| .| 157,225| 1| .| 287,762| .| |1986 | 492,499| .| .| .| 171,471| 1| .| 321,027| .| |1987 | 537,108| .| .| 1| 186,258| 9| .| 350,840| .| |1988 | 590,457| .| 104| 7,456| 196,900| 59| .| 385,936| 2| |1989 | 3,226,199| 1,279,941| 97,633| 357,191| 12,134| 19,169| 1,445,847| 13,485| 799| |1990 | 3,625,563| 1,360,647| 139,540| 391,807| 10,016| 22,264| 1,687,415| 12,957| 917| |1991 | 4,270,588| 1,618,419| 187,637| 429,521| 8,465| 25,381| 1,989,391| 10,100| 1,674| |1992 | 4,649,759| 1,763,442| 246,575| 463,121| 7,857| 33,582| 2,119,815| 12,565| 2,802| |1993 | 5,150,164| 1,938,464| 329,112| 495,780| 6,620| 42,823| 2,326,065| 7,091| 4,209| |1994 | 5,554,968| 2,076,175| 403,204| 524,567| 10,101| 55,795| 2,470,786| 8,696| 5,644| |1995 | 5,917,295| 2,192,657| 470,015| 542,502| 10,042| 69,124| 2,618,159| 8,396| 6,400| |1996 | 6,240,085| 2,346,174| 494,496| 552,554| 9,375| 83,214| 2,737,003| 9,838| 7,431| |1997 | 6,145,571| 2,423,072| 453,016| 526,269| 5,068| 87,350| 2,638,577| 3,327| 8,892| ---------------------------------------------------------------------------------------------------------------------------- Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 5 -------------------------------------------------------------------------------------------------------------------------------------------- |T3: Claims by year showing | | HCFA SAF source of this bill | |yearend spanning | |-----------------------------------------------------------------------------------------------| | | | | | |PMMIS inpat| | |PMMIS qtrly| | | | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |------------------------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |ALL ALL | 49,037,742| 16,998,991| 2,821,332| 4,290,770| 1,573,834| 438,772| 20,033,058| 2,842,215| 38,770| | From date | | | | | | | | | | | 1977 | 166,914| .| .| .| 55,010| .| .| 111,904| .| | 1978 | 202,830| .| .| .| 66,152| .| .| 136,678| .| | 1979 | 237,900| .| .| .| 79,216| .| .| 158,684| .| | 1980 | 263,501| .| .| .| 93,442| .| .| 170,059| .| | 1981 | 265,839| .| .| .| 103,921| .| .| 161,918| .| | 1982 | 285,803| .| .| .| 110,257| .| .| 175,546| .| | 1983 | 346,585| .| .| 1| 126,586| .| .| 219,998| .| | 1984 | 423,126| .| .| .| 147,718| .| .| 275,408| .| | 1985 | 444,988| .| .| .| 157,225| 1| .| 287,762| .| | 1986 | 492,499| .| .| .| 171,471| 1| .| 321,027| .| | 1987 | 537,108| .| .| 1| 186,258| 9| .| 350,840| .| | 1988 | 590,457| .| 104| 7,456| 196,900| 59| .| 385,936| 2| | 1989 | 3,226,199| 1,279,941| 97,633| 357,191| 12,134| 19,169| 1,445,847| 13,485| 799| | 1990 | 3,625,563| 1,360,647| 139,540| 391,807| 10,016| 22,264| 1,687,415| 12,957| 917| | 1991 | 4,270,588| 1,618,419| 187,637| 429,521| 8,465| 25,381| 1,989,391| 10,100| 1,674| | 1992 | 4,649,759| 1,763,442| 246,575| 463,121| 7,857| 33,582| 2,119,815| 12,565| 2,802| | 1993 | 5,150,164| 1,938,464| 329,112| 495,780| 6,620| 42,823| 2,326,065| 7,091| 4,209| | 1994 | 5,554,968| 2,076,175| 403,204| 524,567| 10,101| 55,795| 2,470,786| 8,696| 5,644| | 1995 | 5,917,295| 2,192,657| 470,015| 542,502| 10,042| 69,124| 2,618,159| 8,396| 6,400| | 1996 | 6,240,085| 2,346,174| 494,496| 552,554| 9,375| 83,214| 2,737,003| 9,838| 7,431| | 1997 | 6,145,571| 2,423,072| 453,016| 526,269| 5,068| 87,350| 2,638,577| 3,327| 8,892| |Thru date ALL | 11| .| .| .| .| .| .| 11| .| |1900 From date | | | | | | | | | | | 1981 | 9| .| .| .| .| .| .| 9| .| | 1982 | 2| .| .| .| .| .| .| 2| .| |1973 ALL | 1| .| .| .| .| .| .| 1| .| | From date | | | | | | | | | | | 1979 | 1| .| .| .| .| .| .| 1| .| |1977 ALL | 165,393| .| .| .| 53,561| .| .| 111,832| .| | From date | | | | | | | | | | | 1977 | 165,391| .| .| .| 53,559| .| .| 111,832| .| | 1978 | 2| .| .| .| 2| .| .| .| .| |1978 ALL | 202,420| .| .| .| 65,869| .| .| 136,551| .| | From date | | | | | | | | | | | 1977 | 1,503| .| .| .| 1,449| .| .| 54| .| | 1978 | 200,917| .| .| .| 64,420| .| .| 136,497| .| |1979 ALL | 237,537| .| .| .| 78,726| .| .| 158,811| .| | From date | | | | | | | | | | | 1977 | 20| .| .| .| 2| .| .| 18| .| | 1978 | 1,905| .| .| .| 1,727| .| .| 178| .| | 1979 | 235,612| .| .| .| 76,997| .| .| 158,615| .| |1980 ALL | 263,110| .| .| .| 93,102| .| .| 170,008| .| | From date | | | | | | | | | | | 1978 | 3| .| .| .| 1| .| .| 2| .| | 1979 | 2,285| .| .| .| 2,217| .| .| 68| .| | 1980 | 260,820| .| .| .| 90,884| .| .| 169,936| .| | 1981 | 2| .| .| .| .| .| .| 2| .| -------------------------------------------------------------------------------------------------------------------------------------------- (CONTINUED) Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 6 -------------------------------------------------------------------------------------------------------------------------------------------- |T3: Claims by year showing | | HCFA SAF source of this bill | |yearend spanning | |-----------------------------------------------------------------------------------------------| | | | | | |PMMIS inpat| | |PMMIS qtrly| | | | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |------------------------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |Thru date ALL | 265,765| .| .| .| 103,748| .| .| 162,017| .| |1981 From date | | | | | | | | | | | 1978 | 3| .| .| .| 2| .| .| 1| .| | 1979 | 2| .| .| .| 2| .| .| .| .| | 1980 | 2,674| .| .| .| 2,553| .| .| 121| .| | 1981 | 263,083| .| .| .| 101,191| .| .| 161,892| .| | 1982 | 3| .| .| .| .| .| .| 3| .| |1982 ALL | 285,713| .| .| .| 110,155| .| .| 175,558| .| | From date | | | | | | | | | | | 1980 | 7| .| .| .| 5| .| .| 2| .| | 1981 | 2,743| .| .| .| 2,728| .| .| 15| .| | 1982 | 282,963| .| .| .| 107,422| .| .| 175,541| .| |1983 ALL | 346,139| .| .| .| 126,141| .| .| 219,998| .| | From date | | | | | | | | | | | 1981 | 1| .| .| .| 1| .| .| .| .| | 1982 | 2,834| .| .| .| 2,834| .| .| .| .| | 1983 | 343,304| .| .| .| 123,306| .| .| 219,998| .| |1984 ALL | 423,157| .| .| .| 147,749| .| .| 275,408| .| | From date | | | | | | | | | | | 1982 | 1| .| .| .| 1| .| .| .| .| | 1983 | 3,276| .| .| .| 3,276| .| .| .| .| | 1984 | 419,880| .| .| .| 144,472| .| .| 275,408| .| |1985 ALL | 444,190| .| .| .| 156,428| .| .| 287,762| .| | From date | | | | | | | | | | | 1983 | 3| .| .| .| 3| .| .| .| .| | 1984 | 3,244| .| .| .| 3,244| .| .| .| .| | 1985 | 440,943| .| .| .| 153,181| .| .| 287,762| .| |1986 ALL | 491,978| .| .| .| 170,951| .| .| 321,027| .| | From date | | | | | | | | | | | 1983 | 1| .| .| .| 1| .| .| .| .| | 1984 | 1| .| .| .| 1| .| .| .| .| | 1985 | 4,041| .| .| .| 4,041| .| .| .| .| | 1986 | 487,935| .| .| .| 166,908| .| .| 321,027| .| |1987 ALL | 536,831| .| .| .| 185,991| .| .| 350,840| .| | From date | | | | | | | | | | | 1984 | 1| .| .| .| 1| .| .| .| .| | 1985 | 3| .| .| .| 3| .| .| .| .| | 1986 | 4,558| .| .| .| 4,558| .| .| .| .| | 1987 | 532,269| .| .| .| 181,429| .| .| 350,840| .| |1988 ALL | 587,486| .| .| .| 201,550| .| .| 385,936| .| | From date | | | | | | | | | | | 1986 | 5| .| .| .| 5| .| .| .| .| | 1987 | 4,825| .| .| .| 4,825| .| .| .| .| | 1988 | 582,656| .| .| .| 196,720| .| .| 385,936| .| |1989 ALL | 3,224,433| 1,279,941| 97,572| 355,456| 12,173| 19,158| 1,445,847| 13,485| 801| | From date | | | | | | | | | | | 1981 | 1| .| .| .| 1| .| .| .| .| -------------------------------------------------------------------------------------------------------------------------------------------- (CONTINUED) Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 7 -------------------------------------------------------------------------------------------------------------------------------------------- |T3: Claims by year showing | | HCFA SAF source of this bill | |yearend spanning | |-----------------------------------------------------------------------------------------------| | | | | | |PMMIS inpat| | |PMMIS qtrly| | | | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |------------------------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |Thru date From date | | | | | | | | | | |1989 1983 | 1| .| .| 1| .| .| .| .| .| | 1985 | 1| .| .| .| .| 1| .| .| .| | 1986 | 1| .| .| .| .| 1| .| .| .| | 1987 | 13| .| .| 1| 4| 8| .| .| .| | 1988 | 7,794| .| 104| 7,454| 178| 56| .| .| 2| | 1989 | 3,216,622| 1,279,941| 97,468| 348,000| 11,990| 19,092| 1,445,847| 13,485| 799| |1990 ALL | 3,625,581| 1,360,647| 139,432| 391,985| 10,059| 22,169| 1,687,415| 12,957| 917| | From date | | | | | | | | | | | 1988 | 3| .| .| 1| 2| .| .| .| .| | 1989 | 9,566| .| 165| 9,186| 144| 71| .| .| .| | 1990 | 3,616,012| 1,360,647| 139,267| 382,798| 9,913| 22,098| 1,687,415| 12,957| 917| |1991 ALL | 4,269,172| 1,618,419| 187,545| 428,201| 8,474| 25,376| 1,989,391| 10,100| 1,666| | From date | | | | | | | | | | | 1987 | 1| .| .| .| .| 1| .| .| .| | 1988 | 3| .| .| 1| .| 2| .| .| .| | 1989 | 8| .| .| 4| .| 4| .| .| .| | 1990 | 9,521| .| 273| 9,000| 102| 146| .| .| .| | 1991 | 4,259,639| 1,618,419| 187,272| 419,196| 8,372| 25,223| 1,989,391| 10,100| 1,666| |1992 ALL | 4,649,682| 1,763,442| 246,499| 463,140| 7,872| 33,542| 2,119,815| 12,565| 2,807| | From date | | | | | | | | | | | 1989 | 1| .| .| .| .| 1| .| .| .| | 1990 | 22| .| .| 9| 1| 12| .| .| .| | 1991 | 10,934| .| 365| 10,324| 91| 146| .| .| 8| | 1992 | 4,638,725| 1,763,442| 246,134| 452,807| 7,780| 33,383| 2,119,815| 12,565| 2,799| |1993 ALL | 5,149,492| 1,938,464| 328,983| 495,383| 6,617| 42,682| 2,326,065| 7,091| 4,207| | From date | | | | | | | | | | | 1989 | 1| .| .| 1| .| .| .| .| .| | 1990 | 4| .| .| .| .| 4| .| .| .| | 1991 | 11| .| .| 1| 2| 8| .| .| .| | 1992 | 11,010| .| 441| 10,313| 77| 176| .| .| 3| | 1993 | 5,138,466| 1,938,464| 328,542| 485,068| 6,538| 42,494| 2,326,065| 7,091| 4,204| |1994 ALL | 5,555,417| 2,076,175| 403,013| 525,375| 10,028| 55,701| 2,470,786| 8,696| 5,643| | From date | | | | | | | | | | | 1988 | 1| .| .| .| .| 1| .| .| .| | 1990 | 1| .| .| .| .| 1| .| .| .| | 1991 | 3| .| .| .| .| 3| .| .| .| | 1992 | 16| .| .| 1| .| 15| .| .| .| | 1993 | 11,672| .| 570| 10,712| 82| 303| .| .| 5| | 1994 | 5,543,724| 2,076,175| 402,443| 514,662| 9,946| 55,378| 2,470,786| 8,696| 5,638| |1995 ALL | 5,917,507| 2,192,657| 470,133| 542,631| 10,067| 69,061| 2,618,159| 8,396| 6,403| | From date | | | | | | | | | | | 1989 | 1| .| .| .| .| 1| .| .| .| | 1990 | 1| .| .| .| .| 1| .| .| .| | 1992 | 4| .| .| .| .| 4| .| .| .| | 1993 | 24| .| .| .| .| 24| .| .| .| | 1994 | 11,216| .| 761| 9,903| 155| 391| .| .| 6| -------------------------------------------------------------------------------------------------------------------------------------------- (CONTINUED) Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 8 -------------------------------------------------------------------------------------------------------------------------------------------- |T3: Claims by year showing | | HCFA SAF source of this bill | |yearend spanning | |-----------------------------------------------------------------------------------------------| | | | | | |PMMIS inpat| | |PMMIS qtrly| | | | ALL | Dialysis | HHA | Inpatient | stay | SNF |Outpatient | dial | Hospice | |------------------------------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------+-----------| |Thru date From date | | | | | | | | | | |1995 1995 | 5,906,261| 2,192,657| 469,372| 532,728| 9,912| 68,640| 2,618,159| 8,396| 6,397| |1996 ALL | 6,239,771| 2,346,174| 494,658| 552,047| 9,414| 83,205| 2,737,003| 9,838| 7,432| | From date | | | | | | | | | | | 1990 | 1| .| .| .| .| 1| .| .| .| | 1991 | 1| .| .| .| .| 1| .| .| .| | 1992 | 2| .| .| .| .| 2| .| .| .| | 1993 | 2| .| .| .| .| 2| .| .| .| | 1994 | 23| .| .| 1| .| 22| .| .| .| | 1995 | 11,017| .| 643| 9,771| 130| 470| .| .| 3| | 1996 | 6,228,725| 2,346,174| 494,015| 542,275| 9,284| 82,707| 2,737,003| 9,838| 7,429| |1997 ALL | 6,156,956| 2,423,072| 453,497| 536,552| 5,159| 87,878| 2,638,577| 3,327| 8,894| | From date | | | | | | | | | | | 1990 | 1| .| .| .| .| 1| .| .| .| | 1992 | 2| .| .| .| .| 2| .| .| .| | 1994 | 5| .| .| 1| .| 4| .| .| .| | 1995 | 17| .| .| 3| .| 14| .| .| .| | 1996 | 11,360| .| 481| 10,279| 91| 507| .| .| 2| | 1997 | 6,145,571| 2,423,072| 453,016| 526,269| 5,068| 87,350| 2,638,577| 3,327| 8,892| -------------------------------------------------------------------------------------------------------------------------------------------- Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 9 ALL AND ALL ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 49,037,742| 16,998,991| 2,821,332| 4,290,770| 1,573,834| 438,772| 20,033,058| 2,842,215| 38,770| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 49,037,742| 16,998,991| 2,821,332| 4,290,770| 1,573,834| 438,772| 20,033,058| 2,842,215| 38,770| | Dollars | $116102916333|$31,216,951,935| $3,432,967,834|$68,851,465,359| .| $2,753,450,075| $9,791,253,040| .| $56,828,090| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 4,416,049| .| .| .| 1,573,834| .| .| 2,842,215| .| |Has value Claims | 43,833,360| 16,904,777| 2,807,275| 4,102,520| .| 414,595| 19,565,449| .| 38,744| |Value is zero Claims | 788,333| 94,214| 14,057| 188,250| .| 24,177| 467,609| .| 26| | Dollars |$58,679,391,833|$21,107,728,693| $2,396,412,074|$30,829,898,081| .| $1,181,166,947| $3,107,761,094| .| $56,424,944| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 44,308,200| 16,998,991| 2,821,332| .| 1,573,834| .| 20,033,058| 2,842,215| 38,770| |Value is zero Claims | 1,986,781| .| .| 1,554,882| .| 431,899| .| .| .| |Has value Claims | 2,742,761| .| .| 2,735,888| .| 6,873| .| .| .| | Dollars | $2,000,314,735| .| .| $1,981,992,455| .| $18,322,280| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ALL AND Year (service thru date) = 1989 - 1992 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 15,768,868| 6,022,449| 671,048| 1,638,782| 38,578| 100,245| 7,242,468| 49,107| 6,191| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 15,768,868| 6,022,449| 671,048| 1,638,782| 38,578| 100,245| 7,242,468| 49,107| 6,191| | Dollars |$34,724,804,258| $8,994,416,769| $587,929,768|$22,254,011,395| .| $388,161,535| $2,491,965,155| .| $8,319,636| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 87,685| .| .| .| 38,578| .| .| 49,107| .| |Has value Claims | 15,307,690| 5,978,279| 667,468| 1,568,068| .| 93,554| 6,994,138| .| 6,183| |Value is zero Claims | 373,493| 44,170| 3,580| 70,714| .| 6,691| 248,330| .| 8| | Dollars |$18,187,400,075| $6,475,426,913| $418,287,190|$10,123,502,304| .| $174,392,203| $987,370,163| .| $8,421,302| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 14,029,841| 6,022,449| 671,048| .| 38,578| .| 7,242,468| 49,107| 6,191| |Value is zero Claims | 686,709| .| .| 589,823| .| 96,886| .| .| .| |Has value Claims | 1,052,318| .| .| 1,048,959| .| 3,359| .| .| .| | Dollars | $1,068,164,727| .| .| $1,060,940,794| .| $7,223,933| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 10 ALL AND Year (service thru date) = 1993 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 5,149,492| 1,938,464| 328,983| 495,383| 6,617| 42,682| 2,326,065| 7,091| 4,207| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 5,149,492| 1,938,464| 328,983| 495,383| 6,617| 42,682| 2,326,065| 7,091| 4,207| | Dollars |$13,401,447,168| $3,469,771,170| $377,069,991| $8,229,517,069| .| $225,853,896| $1,092,838,799| .| $6,396,243| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 13,708| .| .| .| 6,617| .| .| 7,091| .| |Has value Claims | 5,043,957| 1,924,759| 327,256| 473,969| .| 40,544| 2,273,225| .| 4,204| |Value is zero Claims | 91,827| 13,705| 1,727| 21,414| .| 2,138| 52,840| .| 3| | Dollars | $6,616,100,097| $2,340,732,763| $260,648,467| $3,559,242,478| .| $95,427,657| $353,709,928| .| $6,338,804| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 4,611,427| 1,938,464| 328,983| .| 6,617| .| 2,326,065| 7,091| 4,207| |Value is zero Claims | 217,957| .| .| 177,192| .| 40,765| .| .| .| |Has value Claims | 320,108| .| .| 318,191| .| 1,917| .| .| .| | Dollars | $223,158,377| .| .| $217,322,827| .| $5,835,550| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ALL AND Year (service thru date) = 1994 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 5,555,417| 2,076,175| 403,013| 525,375| 10,028| 55,701| 2,470,786| 8,696| 5,643| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 5,555,417| 2,076,175| 403,013| 525,375| 10,028| 55,701| 2,470,786| 8,696| 5,643| | Dollars |$15,071,743,545| $3,977,309,681| $502,389,604| $8,965,242,710| .| $346,325,918| $1,271,779,162| .| $8,696,470| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 18,724| .| .| .| 10,028| .| .| 8,696| .| |Has value Claims | 5,448,641| 2,063,830| 401,331| 501,581| .| 52,653| 2,423,604| .| 5,642| |Value is zero Claims | 88,052| 12,345| 1,682| 23,794| .| 3,048| 47,182| .| 1| | Dollars | $7,357,973,349| $2,602,848,576| $349,841,334| $3,869,156,544| .| $143,239,581| $384,289,283| .| $8,598,031| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 4,974,341| 2,076,175| 403,013| .| 10,028| .| 2,470,786| 8,696| 5,643| |Value is zero Claims | 244,727| .| .| 190,621| .| 54,106| .| .| .| |Has value Claims | 336,349| .| .| 334,754| .| 1,595| .| .| .| | Dollars | $213,749,813| .| .| $208,488,162| .| $5,261,651| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 11 ALL AND Year (service thru date) = 1995 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 5,917,507| 2,192,657| 470,133| 542,631| 10,067| 69,061| 2,618,159| 8,396| 6,403| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 5,917,507| 2,192,657| 470,133| 542,631| 10,067| 69,061| 2,618,159| 8,396| 6,403| | Dollars |$16,499,300,338| $4,515,380,212| $626,463,606| $9,392,890,271| .| $475,109,423| $1,479,939,867| .| $9,516,959| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 18,463| .| .| .| 10,067| .| .| 8,396| .| |Has value Claims | 5,818,091| 2,183,217| 468,301| 518,722| .| 65,411| 2,576,046| .| 6,394| |Value is zero Claims | 80,953| 9,440| 1,832| 23,909| .| 3,650| 42,113| .| 9| | Dollars | $8,213,069,249| $2,940,618,826| $436,067,978| $4,196,693,880| .| $199,518,453| $430,686,753| .| $9,483,359| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 5,305,815| 2,192,657| 470,133| .| 10,067| .| 2,618,159| 8,396| 6,403| |Value is zero Claims | 270,611| .| .| 201,552| .| 69,059| .| .| .| |Has value Claims | 341,081| .| .| 341,079| .| 2| .| .| .| | Dollars | $169,275,488| .| .| $169,274,342| .| $1,146| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ALL AND Year (service thru date) = 1996 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 6,239,771| 2,346,174| 494,658| 552,047| 9,414| 83,205| 2,737,003| 9,838| 7,432| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 6,239,771| 2,346,174| 494,658| 552,047| 9,414| 83,205| 2,737,003| 9,838| 7,432| | Dollars |$17,830,407,748| $5,022,813,629| $685,428,534| $9,817,859,501| .| $618,553,881| $1,674,818,745| .| $10,933,458| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 19,252| .| .| .| 9,414| .| .| 9,838| .| |Has value Claims | 6,139,417| 2,338,261| 491,725| 527,366| .| 78,751| 2,695,886| .| 7,428| |Value is zero Claims | 81,102| 7,913| 2,933| 24,681| .| 4,454| 41,117| .| 4| | Dollars | $9,034,453,366| $3,298,052,062| $478,827,266| $4,509,733,047| .| $264,055,169| $472,935,436| .| $10,850,386| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 5,604,519| 2,346,174| 494,658| .| 9,414| .| 2,737,003| 9,838| 7,432| |Value is zero Claims | 293,927| .| .| 210,722| .| 83,205| .| .| .| |Has value Claims | 341,325| .| .| 341,325| .| .| .| .| .| | Dollars | $158,852,191| .| .| $158,852,191| .| $0| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 12 ALL AND Year (service thru date) = 1997 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 6,156,956| 2,423,072| 453,497| 536,552| 5,159| 87,878| 2,638,577| 3,327| 8,894| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 6,156,956| 2,423,072| 453,497| 536,552| 5,159| 87,878| 2,638,577| 3,327| 8,894| | Dollars |$18,575,213,276| $5,237,260,474| $653,686,331|$10,191,944,413| .| $699,445,422| $1,779,911,312| .| $12,965,324| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 8,486| .| .| .| 5,159| .| .| 3,327| .| |Has value Claims | 6,075,564| 2,416,431| 451,194| 512,814| .| 83,682| 2,602,550| .| 8,893| |Value is zero Claims | 72,906| 6,641| 2,303| 23,738| .| 4,196| 36,027| .| 1| | Dollars | $9,270,395,697| $3,450,049,553| $452,739,839| $4,571,569,828| .| $304,533,884| $478,769,531| .| $12,733,062| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 5,532,526| 2,423,072| 453,497| .| 5,159| .| 2,638,577| 3,327| 8,894| |Value is zero Claims | 272,850| .| .| 184,972| .| 87,878| .| .| .| |Has value Claims | 351,580| .| .| 351,580| .| .| .| .| .| | Dollars | $167,114,139| .| .| $167,114,139| .| $0| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ALL AND Year (service thru date) = zBefore 1989 ------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------| | | | PMMIS inpat | PMMIS qtrly | | | ALL | stay | dial | |----------------------------------------+---------------+---------------+---------------| |Total Claims | 4,249,731| 1,493,971| 2,755,760| |. | | | | |Amount billed | | | | |Value is missing Claims | 4,249,731| 1,493,971| 2,755,760| | Dollars | .| .| .| |. | | | | |Amount paid | | | | |Value is missing Claims | 4,249,731| 1,493,971| 2,755,760| | Dollars | .| .| .| |. | | | | |Hospital pass-thru | | | | |Value is missing Claims | 4,249,731| 1,493,971| 2,755,760| | Dollars | .| .| .| ------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 13 After start of ESRD = No AND ALL -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |---------------------------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 7,059,355| 1,008,171| 1,042,833| 65,692| 66,392| 4,874,063| 24| 2,180| |. | | | | | | | | | |Amount billed | | | | | | | | | |Value is missing Claims | 7,059,355| 1,008,171| 1,042,833| 65,692| 66,392| 4,874,063| 24| 2,180| | Dollars |$16,964,439,362| $1,096,595,954|$13,566,372,840| .| $426,124,071| $1,871,183,181| .| $4,163,316| |. | | | | | | | | | |Amount paid | | | | | | | | | |Value is missing Claims | 65,716| .| .| 65,692| .| .| 24| .| |Has value Claims | 6,790,116| 1,004,018| 996,198| .| 62,981| 4,724,739| .| 2,180| |Value is zero Claims | 203,523| 4,153| 46,635| .| 3,411| 149,324| .| .| | Dollars | $7,508,491,465| $764,509,098| $5,959,202,861| .| $179,063,183| $601,583,153| .| $4,133,170| |. | | | | | | | | | |Hospital pass-thru | | | | | | | | | |Value is missing Claims | 5,950,130| 1,008,171| .| 65,692| .| 4,874,063| 24| 2,180| |Value is zero Claims | 452,620| .| 387,524| .| 65,096| .| .| .| |Has value Claims | 656,605| .| 655,309| .| 1,296| .| .| .| | Dollars | $475,969,722| .| $472,366,954| .| $3,602,768| .| .| .| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- After start of ESRD = No AND Year (service thru date) = 1989 - 1992 ---------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-----------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 3,003,270| 328,958| 496,109| 3,985| 18,968| 2,154,821| 429| |. | | | | | | | | |Amount billed | | | | | | | | |Value is missing Claims | 3,003,270| 328,958| 496,109| 3,985| 18,968| 2,154,821| 429| | Dollars | $6,677,935,396| $269,393,140| $5,650,427,112| .| $82,924,111| $674,423,875| $767,158| |. | | | | | | | | |Amount paid | | | | | | | | |Value is missing Claims | 3,985| .| .| 3,985| .| .| .| |Has value Claims | 2,879,036| 327,352| 473,996| .| 17,813| 2,059,446| 429| |Value is zero Claims | 120,249| 1,606| 22,113| .| 1,155| 95,375| .| | Dollars | $2,999,457,321| $191,480,884| $2,516,249,669| .| $36,746,955| $254,214,618| $765,195| |. | | | | | | | | |Hospital pass-thru | | | | | | | | |Value is missing Claims | 2,488,193| 328,958| .| 3,985| .| 2,154,821| 429| |Value is zero Claims | 193,001| .| 174,631| .| 18,370| .| .| |Has value Claims | 322,076| .| 321,478| .| 598| .| .| | Dollars | $300,611,580| .| $299,143,396| .| $1,468,184| .| .| ---------------------------------------------------------------------------------------------------------------------------------------------------------- Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 14 After start of ESRD = No AND Year (service thru date) = 1993 ---------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-----------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 952,186| 143,093| 137,619| 837| 7,882| 662,373| 382| |. | | | | | | | | |Amount billed | | | | | | | | |Value is missing Claims | 952,186| 143,093| 137,619| 837| 7,882| 662,373| 382| | Dollars | $2,423,109,733| $154,295,834| $1,952,622,116| .| $47,498,518| $267,970,941| $722,324| |. | | | | | | | | |Amount paid | | | | | | | | |Value is missing Claims | 837| .| .| 837| .| .| .| |Has value Claims | 927,467| 142,524| 131,732| .| 7,552| 645,277| 382| |Value is zero Claims | 23,882| 569| 5,887| .| 330| 17,096| .| | Dollars | $1,040,784,471| $106,033,526| $830,779,943| .| $19,840,624| $83,410,388| $719,990| |. | | | | | | | | |Hospital pass-thru | | | | | | | | |Value is missing Claims | 806,685| 143,093| .| 837| .| 662,373| 382| |Value is zero Claims | 60,432| .| 52,923| .| 7,509| .| .| |Has value Claims | 85,069| .| 84,696| .| 373| .| .| | Dollars | $57,483,217| .| $56,325,885| .| $1,157,332| .| .| ---------------------------------------------------------------------------------------------------------------------------------------------------------- After start of ESRD = No AND Year (service thru date) = 1994 ---------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-----------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 951,625| 160,113| 133,165| 847| 9,793| 647,345| 362| |. | | | | | | | | |Amount billed | | | | | | | | |Value is missing Claims | 951,625| 160,113| 133,165| 847| 9,793| 647,345| 362| | Dollars | $2,449,525,308| $188,064,443| $1,919,776,288| .| $66,663,348| $274,318,105| $703,124| |. | | | | | | | | |Amount paid | | | | | | | | |Value is missing Claims | 847| .| .| 847| .| .| .| |Has value Claims | 930,073| 159,657| 127,382| .| 9,335| 633,337| 362| |Value is zero Claims | 20,705| 456| 5,783| .| 458| 14,008| .| | Dollars | $1,054,520,901| $130,560,962| $815,433,873| .| $27,268,099| $80,565,880| $692,087| |. | | | | | | | | |Hospital pass-thru | | | | | | | | |Value is missing Claims | 808,667| 160,113| .| 847| .| 647,345| 362| |Value is zero Claims | 61,824| .| 52,354| .| 9,470| .| .| |Has value Claims | 81,134| .| 80,811| .| 323| .| .| | Dollars | $49,355,887| .| $48,379,781| .| $976,106| .| .| ---------------------------------------------------------------------------------------------------------------------------------------------------------- Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 15 After start of ESRD = No AND Year (service thru date) = 1995 ---------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-----------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 897,233| 161,363| 117,233| 630| 10,926| 606,779| 302| |. | | | | | | | | |Amount billed | | | | | | | | |Value is missing Claims | 897,233| 161,363| 117,233| 630| 10,926| 606,779| 302| | Dollars | $2,222,409,695| $205,347,115| $1,667,483,763| .| $82,076,818| $266,869,528| $632,471| |. | | | | | | | | |Amount paid | | | | | | | | |Value is missing Claims | 630| .| .| 630| .| .| .| |Has value Claims | 880,003| 160,882| 112,160| .| 10,403| 596,256| 302| |Value is zero Claims | 16,600| 481| 5,073| .| 523| 10,523| .| | Dollars | $986,318,828| $141,752,483| $733,180,044| .| $33,981,674| $76,771,999| $632,628| |. | | | | | | | | |Hospital pass-thru | | | | | | | | |Value is missing Claims | 769,074| 161,363| .| 630| .| 606,779| 302| |Value is zero Claims | 57,412| .| 46,488| .| 10,924| .| .| |Has value Claims | 70,747| .| 70,745| .| 2| .| .| | Dollars | $29,669,398| .| $29,668,252| .| $1,146| .| .| ---------------------------------------------------------------------------------------------------------------------------------------------------------- After start of ESRD = No AND Year (service thru date) = 1996 ---------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-----------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 745,186| 136,672| 95,474| 358| 10,828| 501,483| 371| |. | | | | | | | | |Amount billed | | | | | | | | |Value is missing Claims | 745,186| 136,672| 95,474| 358| 10,828| 501,483| 371| | Dollars | $1,877,518,683| $178,380,175| $1,385,422,294| .| $82,291,383| $230,692,567| $732,264| |. | | | | | | | | |Amount paid | | | | | | | | |Value is missing Claims | 358| .| .| 358| .| .| .| |Has value Claims | 730,820| 135,939| 90,842| .| 10,243| 493,425| 371| |Value is zero Claims | 14,008| 733| 4,632| .| 585| 8,058| .| | Dollars | $850,912,974| $124,329,563| $626,671,921| .| $34,451,594| $64,733,223| $726,673| |. | | | | | | | | |Hospital pass-thru | | | | | | | | |Value is missing Claims | 638,884| 136,672| .| 358| .| 501,483| 371| |Value is zero Claims | 49,171| .| 38,343| .| 10,828| .| .| |Has value Claims | 57,131| .| 57,131| .| .| .| .| | Dollars | $22,476,779| .| $22,476,779| .| $0| .| .| ---------------------------------------------------------------------------------------------------------------------------------------------------------- Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 16 After start of ESRD = No AND Year (service thru date) = 1997 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |---------------------------------------------------------------------------------------------------------------| | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 450,925| 77,972| 63,233| 118| 7,995| 301,262| 11| 334| |. | | | | | | | | | |Amount billed | | | | | | | | | |Value is missing Claims | 450,925| 77,972| 63,233| 118| 7,995| 301,262| 11| 334| | Dollars | $1,313,940,547| $101,115,247| $990,641,267| .| $64,669,893| $156,908,165| .| $605,975| |. | | | | | | | | | |Amount paid | | | | | | | | | |Value is missing Claims | 129| .| .| 118| .| .| 11| .| |Has value Claims | 442,717| 77,664| 60,086| .| 7,635| 296,998| .| 334| |Value is zero Claims | 8,079| 308| 3,147| .| 360| 4,264| .| .| | Dollars | $576,496,970| $70,351,680| $436,887,411| .| $26,774,237| $41,887,045| .| $596,597| |. | | | | | | | | | |Hospital pass-thru | | | | | | | | | |Value is missing Claims | 379,697| 77,972| .| 118| .| 301,262| 11| 334| |Value is zero Claims | 30,780| .| 22,785| .| 7,995| .| .| .| |Has value Claims | 40,448| .| 40,448| .| .| .| .| .| | Dollars | $16,372,861| .| $16,372,861| .| $0| .| .| .| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- After start of ESRD = No AND Year (service thru date) = zBefore 1989 ------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------| | | | PMMIS inpat | PMMIS qtrly | | | ALL | stay | dial | |----------------------------------------+---------------+---------------+---------------| |Total Claims | 58,930| 58,917| 13| |. | | | | |Amount billed | | | | |Value is missing Claims | 58,930| 58,917| 13| | Dollars | .| .| .| |. | | | | |Amount paid | | | | |Value is missing Claims | 58,930| 58,917| 13| | Dollars | .| .| .| |. | | | | |Hospital pass-thru | | | | |Value is missing Claims | 58,930| 58,917| 13| | Dollars | .| .| .| ------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 17 After start of ESRD = Yes AND ALL ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 41,978,387| 16,998,991| 1,813,161| 3,247,937| 1,508,142| 372,380| 15,158,995| 2,842,191| 36,590| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 41,978,387| 16,998,991| 1,813,161| 3,247,937| 1,508,142| 372,380| 15,158,995| 2,842,191| 36,590| | Dollars |$99,138,476,971|$31,216,951,935| $2,336,371,880|$55,285,092,519| .| $2,327,326,004| $7,920,069,859| .| $52,664,774| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 4,350,333| .| .| .| 1,508,142| .| .| 2,842,191| .| |Has value Claims | 37,043,244| 16,904,777| 1,803,257| 3,106,322| .| 351,614| 14,840,710| .| 36,564| |Value is zero Claims | 584,810| 94,214| 9,904| 141,615| .| 20,766| 318,285| .| 26| | Dollars |$51,170,900,368|$21,107,728,693| $1,631,902,976|$24,870,695,220| .| $1,002,103,764| $2,506,177,941| .| $52,291,774| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 38,358,070| 16,998,991| 1,813,161| .| 1,508,142| .| 15,158,995| 2,842,191| 36,590| |Value is zero Claims | 1,534,161| .| .| 1,167,358| .| 366,803| .| .| .| |Has value Claims | 2,086,156| .| .| 2,080,579| .| 5,577| .| .| .| | Dollars | $1,524,345,013| .| .| $1,509,625,501| .| $14,719,512| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ After start of ESRD = Yes AND Year (service thru date) = 1989 - 1992 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 12,765,598| 6,022,449| 342,090| 1,142,673| 34,593| 81,277| 5,087,647| 49,107| 5,762| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 12,765,598| 6,022,449| 342,090| 1,142,673| 34,593| 81,277| 5,087,647| 49,107| 5,762| | Dollars |$28,046,868,862| $8,994,416,769| $318,536,628|$16,603,584,283| .| $305,237,424| $1,817,541,280| .| $7,552,478| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 83,700| .| .| .| 34,593| .| .| 49,107| .| |Has value Claims | 12,428,654| 5,978,279| 340,116| 1,094,072| .| 75,741| 4,934,692| .| 5,754| |Value is zero Claims | 253,244| 44,170| 1,974| 48,601| .| 5,536| 152,955| .| 8| | Dollars |$15,187,942,754| $6,475,426,913| $226,806,306| $7,607,252,635| .| $137,645,248| $733,155,545| .| $7,656,107| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 11,541,648| 6,022,449| 342,090| .| 34,593| .| 5,087,647| 49,107| 5,762| |Value is zero Claims | 493,708| .| .| 415,192| .| 78,516| .| .| .| |Has value Claims | 730,242| .| .| 727,481| .| 2,761| .| .| .| | Dollars | $767,553,147| .| .| $761,797,398| .| $5,755,749| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 18 After start of ESRD = Yes AND Year (service thru date) = 1993 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 4,197,306| 1,938,464| 185,890| 357,764| 5,780| 34,800| 1,663,692| 7,091| 3,825| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 4,197,306| 1,938,464| 185,890| 357,764| 5,780| 34,800| 1,663,692| 7,091| 3,825| | Dollars |$10,978,337,435| $3,469,771,170| $222,774,157| $6,276,894,953| .| $178,355,378| $824,867,858| .| $5,673,919| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 12,871| .| .| .| 5,780| .| .| 7,091| .| |Has value Claims | 4,116,490| 1,924,759| 184,732| 342,237| .| 32,992| 1,627,948| .| 3,822| |Value is zero Claims | 67,945| 13,705| 1,158| 15,527| .| 1,808| 35,744| .| 3| | Dollars | $5,575,315,626| $2,340,732,763| $154,614,941| $2,728,462,535| .| $75,587,033| $270,299,540| .| $5,618,814| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 3,804,742| 1,938,464| 185,890| .| 5,780| .| 1,663,692| 7,091| 3,825| |Value is zero Claims | 157,525| .| .| 124,269| .| 33,256| .| .| .| |Has value Claims | 235,039| .| .| 233,495| .| 1,544| .| .| .| | Dollars | $165,675,160| .| .| $160,996,942| .| $4,678,218| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ After start of ESRD = Yes AND Year (service thru date) = 1994 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 4,603,792| 2,076,175| 242,900| 392,210| 9,181| 45,908| 1,823,441| 8,696| 5,281| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 4,603,792| 2,076,175| 242,900| 392,210| 9,181| 45,908| 1,823,441| 8,696| 5,281| | Dollars |$12,622,218,237| $3,977,309,681| $314,325,161| $7,045,466,422| .| $279,662,570| $997,461,057| .| $7,993,346| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 17,877| .| .| .| 9,181| .| .| 8,696| .| |Has value Claims | 4,518,568| 2,063,830| 241,674| 374,199| .| 43,318| 1,790,267| .| 5,280| |Value is zero Claims | 67,347| 12,345| 1,226| 18,011| .| 2,590| 33,174| .| 1| | Dollars | $6,303,452,448| $2,602,848,576| $219,280,372| $3,053,722,671| .| $115,971,482| $303,723,403| .| $7,905,944| |. | | | | | | | | | | |Hospital pass-thru | | | | | | | | | | |Value is missing Claims | 4,165,674| 2,076,175| 242,900| .| 9,181| .| 1,823,441| 8,696| 5,281| |Value is zero Claims | 182,903| .| .| 138,267| .| 44,636| .| .| .| |Has value Claims | 255,215| .| .| 253,943| .| 1,272| .| .| .| | Dollars | $164,393,926| .| .| $160,108,381| .| $4,285,545| .| .| .| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institutional Claims: basic tabulations set A. Tables including pre-ESRD period. Years = all 16:56 Tuesday, April 27, 1999 19 After start of ESRD = Yes AND Year (service thru date) = 1995 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |T9b: Claims and dollars by year and | | HCFA SAF source of this bill | |source | |-------------------------------------------------------------------------------------------------------------------------------| | | | | | | PMMIS inpat | | | PMMIS qtrly | | | | ALL | Dialysis | HHA | Inpatient | stay | SNF | Outpatient | dial | Hospice | |----------------------------------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------+---------------| |Total Claims | 5,020,274| 2,192,657| 308,770| 425,398| 9,437| 58,135| 2,011,380| 8,396| 6,101| |. | | | | | | | | | | |Amount billed | | | | | | | | | | |Value is missing Claims | 5,020,274| 2,192,657| 308,770| 425,398| 9,437| 58,135| 2,011,380| 8,396| 6,101| | Dollars |$14,276,890,643| $4,515,380,212| $421,116,491| $7,725,406,508| .| $393,032,605| $1,213,070,339| .| $8,884,488| |. | | | | | | | | | | |Amount paid | | | | | | | | | | |Value is missing Claims | 17,833| .| .| .| 9,437| .| .| 8,396| .| |Has value Claims