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)
Section 508 Labor Market Area if applicable
Contains the Reclassifed CBSA for Providers Reclassing
Reclassifying under Section 508
Outcommuting Adjustment Applied to the Wage Index of Eligible Providers per Sec
Section 505 eligible 'YES' = eligible to receive a wage index adjustment
Section 401 hospital - urban providers redesignated as rural
Wage Index for FY
Cost of Living Adjustment
Resident to Bed Ratio Resident to Bed Ratio. Used to determine IME factor for
SSA State County Code
82/87 Hospital Specific Rate updated to FY
Hospital Specific Payment (HSP) Rate for FY
Hospital Specific Rate 2006
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
Ratio of Medicare operating costs to Medicare covered charges
Ratio of Medicare capital costs to Medicare covered charges
Disproportionate Share Hospital Patient percent
Finalized Post Reclassification CBSA for FY
Puerto Rico Specific Wage Index for FY
Provider Type
Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act
Finalized Reclass Status for FY
Total number of Medicare cases for the provider from the FY N-2 MEDPAR
Case Mix Index under Grouper V22 for SCH/ former MDH providers
Trans Adj CMI Grouper V22 applies FY 2005 PAC policy
Trans Adj case count under Grouper V22 applies FY 2005 PAC policy
Transfer adjusted Case Mix Index under Grouper V22
Transfer Adjusted Cases under Grouper V22 and FY N-1 Post Acute Transfer Policy
Case Mix Index
DRG Grouper Version for cmiv
Case Mix Index under Grouper V23 for SCH/ former MDH providers
Transfer Adjusted Case Mix Index
DRG Grouper Version for tacmiv
Transfer adjusted Case Mix Index under Grouper V23
Transfer Adjusted Cases
DRG Grouper Version for caseta
Transfer Adjusted Cases under Grouper V23 and FY N-1 Post Acute Transfer Policy
Large Urban, Other Urban or Rural Designation of the Providers Geographic CBSA
Urban or Rural designation based on payment CBSA
IME adjustment factor for Operating PPS
IME adjustment factor for Captial PPS
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
Operating Disproportionate Share Hospital (DSH) adjustment
Capital Disproportionate Share (DSH) adjustment
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
Fiscal Year