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Medicare Hospital Spending by Claim

Row numberHospital NameProvider Number StatePeriodClaim TypeAvg Spending Per Episode (Hospital)Avg Spending Per Episode (State)Avg Spending Per Episode (Nation)Percent of Spending (Hospital)Percent of Spending (State)Percent of Spending (Nation)Measure Start DateMeasure End Date
151DEKALB REGIONAL MEDICAL CENTER010012AL1 through 30 days After Discharge from Index Hospital AdmissionSkilled Nursing Facility$3059$2437$325119.02%13.10%16.23%01/01/201412/31/2014
152DEKALB REGIONAL MEDICAL CENTER010012AL1 through 30 days After Discharge from Index Hospital AdmissionDurable Medical Equipment$79$124$1010.49%0.67%0.50%01/01/201412/31/2014
153DEKALB REGIONAL MEDICAL CENTER010012AL1 through 30 days After Discharge from Index Hospital AdmissionCarrier$952$995$10835.92%5.35%5.41%01/01/201412/31/2014
154DEKALB REGIONAL MEDICAL CENTER010012ALComplete EpisodeTotal$16083$18597$20025100.00%100.00%100.00%01/01/201412/31/2014
155SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionHome Health Agency$18$14$130.09%0.07%0.07%01/01/201412/31/2014
156SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionHospice$0$1$10.00%0.01%0.00%01/01/201412/31/2014
157SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionInpatient$3$6$50.01%0.03%0.03%01/01/201412/31/2014
158SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionOutpatient$39$85$1170.20%0.46%0.58%01/01/201412/31/2014
159SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionSkilled Nursing Facility$5$2$20.02%0.01%0.01%01/01/201412/31/2014
160SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionDurable Medical Equipment$4$9$90.02%0.05%0.04%01/01/201412/31/2014
161SHELBY BAPTIST MEDICAL CENTER010016AL1 to 3 days Prior to Index Hospital AdmissionCarrier$567$492$5322.90%2.65%2.66%01/01/201412/31/2014
162SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionHome Health Agency$0$0$00.00%0.00%0.00%01/01/201412/31/2014
163SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionHospice$0$0$00.00%0.00%0.00%01/01/201412/31/2014
164SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionInpatient$8756$8723$910844.85%46.91%45.48%01/01/201412/31/2014
165SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionOutpatient$0$0$00.00%0.00%0.00%01/01/201412/31/2014
166SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionSkilled Nursing Facility$0$0$00.00%0.00%0.00%01/01/201412/31/2014
167SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionDurable Medical Equipment$35$32$240.18%0.17%0.12%01/01/201412/31/2014
168SHELBY BAPTIST MEDICAL CENTER010016ALDuring Index Hospital AdmissionCarrier$1546$1435$15147.92%7.71%7.56%01/01/201412/31/2014
169SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionHome Health Agency$1093$898$7715.60%4.83%3.85%01/01/201412/31/2014
170SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionHospice$168$141$1180.86%0.76%0.59%01/01/201412/31/2014
171SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionInpatient$2869$2607$266514.69%14.02%13.31%01/01/201412/31/2014
172SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionOutpatient$446$596$7102.28%3.20%3.54%01/01/201412/31/2014
173SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionSkilled Nursing Facility$2712$2437$325113.89%13.10%16.23%01/01/201412/31/2014
174SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionDurable Medical Equipment$104$124$1010.53%0.67%0.50%01/01/201412/31/2014
175SHELBY BAPTIST MEDICAL CENTER010016AL1 through 30 days After Discharge from Index Hospital AdmissionCarrier$1159$995$10835.94%5.35%5.41%01/01/201412/31/2014
176SHELBY BAPTIST MEDICAL CENTER010016ALComplete EpisodeTotal$19523$18597$20025100.00%100.00%100.00%01/01/201412/31/2014
177HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionHome Health Agency$23$14$130.12%0.07%0.07%01/01/201412/31/2014
178HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionHospice$1$1$10.01%0.01%0.00%01/01/201412/31/2014
179HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionInpatient$0$6$50.00%0.03%0.03%01/01/201412/31/2014
180HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionOutpatient$33$85$1170.18%0.46%0.58%01/01/201412/31/2014
181HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionSkilled Nursing Facility$0$2$20.00%0.01%0.01%01/01/201412/31/2014
182HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionDurable Medical Equipment$8$9$90.04%0.05%0.04%01/01/201412/31/2014
183HELEN KELLER HOSPITAL010019AL1 to 3 days Prior to Index Hospital AdmissionCarrier$476$492$5322.60%2.65%2.66%01/01/201412/31/2014
184HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionHome Health Agency$0$0$00.00%0.00%0.00%01/01/201412/31/2014
185HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionHospice$0$0$00.00%0.00%0.00%01/01/201412/31/2014
186HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionInpatient$7758$8723$910842.38%46.91%45.48%01/01/201412/31/2014
187HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionOutpatient$0$0$00.00%0.00%0.00%01/01/201412/31/2014
188HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionSkilled Nursing Facility$0$0$00.00%0.00%0.00%01/01/201412/31/2014
189HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionDurable Medical Equipment$18$32$240.10%0.17%0.12%01/01/201412/31/2014
190HELEN KELLER HOSPITAL010019ALDuring Index Hospital AdmissionCarrier$1124$1435$15146.14%7.71%7.56%01/01/201412/31/2014
191HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionHome Health Agency$987$898$7715.39%4.83%3.85%01/01/201412/31/2014
192HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionHospice$186$141$1181.02%0.76%0.59%01/01/201412/31/2014
193HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionInpatient$2665$2607$266514.56%14.02%13.31%01/01/201412/31/2014
194HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionOutpatient$448$596$7102.45%3.20%3.54%01/01/201412/31/2014
195HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionSkilled Nursing Facility$3532$2437$325119.29%13.10%16.23%01/01/201412/31/2014
196HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionDurable Medical Equipment$82$124$1010.45%0.67%0.50%01/01/201412/31/2014
197HELEN KELLER HOSPITAL010019AL1 through 30 days After Discharge from Index Hospital AdmissionCarrier$964$995$10835.27%5.35%5.41%01/01/201412/31/2014
198HELEN KELLER HOSPITAL010019ALComplete EpisodeTotal$18306$18597$20025100.00%100.00%100.00%01/01/201412/31/2014
199DALE MEDICAL CENTER010021AL1 to 3 days Prior to Index Hospital AdmissionHome Health Agency$8$14$130.05%0.07%0.07%01/01/201412/31/2014
200DALE MEDICAL CENTER010021AL1 to 3 days Prior to Index Hospital AdmissionHospice$0$1$10.00%0.01%0.00%01/01/201412/31/2014

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cms cms

created Jul 06, 2012

updated Oct 07, 2015

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Description

Also known as Medicare Spending per Beneficiary (MSPB) Spending Breakdowns by Claim Type file. The data displayed here show average spending levels during hospitals’ Medicare Spending per Beneficiary (MSPB) episodes. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to a hospital admission through 30 days after discharge. These average Medicare payment amounts have been price-standardized to remove the effect of geographic payment differences and add-on payments for indirect medical education (IME) and disproportionate share hospitals (DSH). CMS uses the information on this webpage to calculate a hospital’s MSPB Measure value, which is reported on Hospital Compare. Specifically, the MSPB Measure methodology risk-adjusts the values on this webpage to account for beneficiary age and severity of illness. This webpage provides the pre-risk-adjusted values to help the public understand the MSPB Measure and its composition.

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  • Total Comments: 6
  • Average Rating: 0.0

  • Rating: No rating
  • Author: deleted user
  • Posted: over 3 years ago

Is there a way I can access the old data from May 2010 - Feb 2011?

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  • Author: deleted user
  • Posted: over 3 years ago

Actually, the data (and dates) seem to have just been updated. Both websites (http://www.hospitalcompare.hhs.gov/Data/spending-per-hospital-patient.aspx and http://www.medicare.gov/HospitalCompare/Data/AboutData/Data-Updated.aspx) agree that it ius now for the May2011-Dec2011 period. Hope this helps.

  • Rating: No rating
  • Author: deleted user
  • Posted: over 3 years ago

Can I get an actual confirmation that its May 2010 - Feb 2011?

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  • Author: deleted user
  • Posted: almost 4 years ago

what time period is this data from?

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  • Author: deleted user
  • Posted: almost 4 years ago

test

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