HCISMod Report,,,,,,,,,,,,,,
MEDICARE,,,,,,,,,,,,,,
15.1.3 National - Summary by Hipps for Medicare Payments-per-episode(claim)-averages - PPS,,,,,,,,,,,,,,
Year: 2009,,,,,,,,,,,,,,
( Denials Excluded / SCIC Included ),,,,,,,,,,,,,,
"Tuesday, March 08, 2011",,,,,,,,,,,,,,
Paid HIPPS,Paid HHRG, Prorated Non-RAP Episodes (Claims) , Non-RAP Days , Non-RAP Patients , Prorated Non-RAP Episodes per Patient , HIPPS Payment , Outlier , PPS Subtotal , Passthru DME , Passthru Orthotics & Prosthetics , Primary Payer Payment Amt , Other , Episode (claim) Subtotal , RAP 
1AFK,C1F1S1,"134,547.00","7,921,416.00","127,892.00",1.05,"1,503.00",11,"1,514.00", -   , -   ,*, -   ,"1,514.00",763
1AFL,C1F1S2,"12,459.00","734,268.00","12,385.00",1.01,"2,094.00",2,"2,096.00", -   , -   ,*, -   ,"2,096.00","1,171.00"
1AFM,C1F1S3,"27,244.00","1,609,529.00","26,972.00",1.01,"2,528.00",2,"2,530.00", -   , -   ,*, -   ,"2,530.00","1,415.00"
1AGK,C1F2S1,"143,426.00","8,398,686.00","138,690.00",1.03,"1,865.00",7,"1,872.00", -   , -   ,*, -   ,"1,872.00",909
1AGL,C1F2S2,"20,931.00","1,229,156.00","20,791.00",1.01,"2,350.00",2,"2,352.00", -   , -   ,*, -   ,"2,352.00","1,331.00"
1AGM,C1F2S3,"51,069.00","3,010,268.00","50,533.00",1.01,"2,770.00",2,"2,772.00", -   , -   ,*, -   ,"2,772.00","1,571.00"
1AHK,C1F3S1,"22,333.00","1,299,974.00","21,513.00",1.04,"2,001.00",14,"2,015.00", -   , -   ,*, -   ,"2,015.00","1,002.00"
1AHL,C1F3S2,"3,003.00","174,447.00","2,987.00",1.01,"2,576.00",4,"2,581.00", -   , -   ,*, -   ,"2,581.00","1,499.00"
1AHM,C1F3S3,"7,965.00","466,846.00","7,892.00",1.01,"2,956.00",6,"2,961.00", -   , -   ,*, -   ,"2,961.00","1,715.00"
1BFK,C2F1S1,"235,933.00","13,894,409.00","218,552.00",1.08,"1,746.00",18,"1,764.00", -   , -   ,*, -   ,"1,764.00",947
1BFL,C2F1S2,"13,864.00","815,657.00","13,782.00",1.01,"2,425.00",6,"2,431.00", -   , -   ,*, -   ,"2,431.00","1,357.00"
1BFM,C2F1S3,"31,017.00","1,834,164.00","30,707.00",1.01,"2,821.00",5,"2,826.00", -   , -   ,*, -   ,"2,826.00","1,598.00"
1BGK,C2F1S1,"334,085.00","19,583,358.00","312,829.00",1.07,"2,072.00",14,"2,086.00", -   , -   ,*, -   ,"2,086.00","1,087.00"
1BGL,C2F1S2,"34,791.00","2,038,995.00","34,558.00",1.01,"2,678.00",3,"2,681.00", -   , -   ,*, -   ,"2,681.00","1,536.00"
1BGM,C2F1S3,"85,273.00","5,028,873.00","84,099.00",1.01,"3,080.00",4,"3,084.00", -   , -   ,*, -   ,"3,084.00","1,777.00"
1BHK,C2F3S1,"72,986.00","4,259,367.00","68,530.00",1.07,"2,246.00",17,"2,263.00", -   , -   ,*, -   ,"2,264.00","1,192.00"
1BHL,C2F3S2,"7,457.00","434,498.00","7,415.00",1.01,"2,879.00",6,"2,885.00", -   , -   ,*, -   ,"2,885.00","1,652.00"
1BHM,C2F3S3,"19,238.00","1,130,070.00","19,035.00",1.01,"3,268.00",7,"3,275.00", -   , -   ,*, -   ,"3,275.00","1,872.00"
1CFK,C3F1S1,"300,365.00","17,667,792.00","264,573.00",1.14,"2,094.00",122,"2,216.00", -   , -   ,*, -   ,"2,216.00","1,181.00"
1CFL,C3F1S2,"9,325.00","549,071.00","9,273.00",1.01,"2,815.00",45,"2,860.00", -   , -   ,*, -   ,"2,860.00","1,601.00"
1CFM,C3F1S3,"20,519.00","1,215,041.00","20,345.00",1.01,"3,197.00",46,"3,243.00", -   , -   ,*, -   ,"3,243.00","1,831.00"
1CGK,C3F2S1,"503,508.00","29,527,640.00","442,124.00",1.14,"2,364.00",133,"2,497.00", -   , -   ,*, -   ,"2,497.00","1,297.00"
1CGL,C3F2S2,"32,091.00","1,884,419.00","31,795.00",1.01,"3,072.00",33,"3,106.00", -   , -   ,*, -   ,"3,106.00","1,764.00"
1CGM,C3F2S3,"78,800.00","4,649,992.00","77,505.00",1.02,"3,443.00",38,"3,482.00", -   , -   ,*, -   ,"3,482.00","2,005.00"
1CHK,C3F3S1,"197,507.00","11,528,343.00","169,247.00",1.17,"2,574.00",98,"2,672.00", -   , -   ,*, -   ,"2,672.00","1,425.00"
1CHL,C3F3S2,"12,944.00","756,463.00","12,820.00",1.01,"3,269.00",48,"3,317.00", -   , -   ,*, -   ,"3,317.00","1,926.00"
1CHM,C3F3S3,"32,968.00","1,937,164.00","32,392.00",1.02,"3,631.00",49,"3,680.00", -   , -   ,*, -   ,"3,680.00","2,164.00"
2AFK,C1F1S1,"9,534.00","567,959.00","9,380.00",1.02,"3,456.00",3,"3,460.00", -   , -   ,*, -   ,"3,460.00","2,085.00"
2AFL,C1F1S2,"6,569.00","392,007.00","6,431.00",1.02,"3,752.00",2,"3,754.00", -   , -   ,*, -   ,"3,754.00","2,306.00"
2AFM,C1F1S3,"3,963.00","236,261.00","3,903.00",1.02,"3,944.00",2,"3,945.00", -   , -   ,*, -   ,"3,945.00","2,468.00"
2AGK,C1F2S1,"20,758.00","1,235,611.00","20,362.00",1.02,"3,726.00",5,"3,732.00", -   , -   ,*, -   ,"3,732.00","2,274.00"
2AGL,C1F2S2,"14,087.00","839,475.00","13,837.00",1.02,"4,019.00",3,"4,022.00", -   , -   ,*, -   ,"4,022.00","2,444.00"
2AGM,C1F2S3,"8,924.00","532,206.00","8,817.00",1.01,"4,270.00",4,"4,274.00", -   , -   ,*, -   ,"4,274.00","2,642.00"
2AHK,C1F3S1,"8,355.00","496,339.00","8,208.00",1.02,"3,896.00",5,"3,901.00", -   , -   ,*, -   ,"3,901.00","2,353.00"
2AHL,C1F3S2,"5,934.00","353,232.00","5,832.00",1.02,"4,181.00",5,"4,186.00", -   , -   ,*, -   ,"4,186.00","2,545.00"
2AHM,C1F3S3,"4,146.00","246,816.00","4,102.00",1.01,"4,449.00",4,"4,454.00", -   , -   ,*, -   ,"4,454.00","2,680.00"
2BFK,C2F1S1,"28,631.00","1,706,516.00","27,924.00",1.03,"3,930.00",6,"3,936.00", -   , -   ,*, -   ,"3,936.00","2,428.00"
2BFL,C2F1S2,"18,690.00","1,115,928.00","18,253.00",1.02,"4,233.00",3,"4,236.00", -   , -   ,*, -   ,"4,236.00","2,623.00"
2BFM,C2F1S3,"10,412.00","621,064.00","10,284.00",1.01,"4,437.00",5,"4,442.00", -   , -   ,*, -   ,"4,442.00","2,761.00"
2BGK,C2F2S1,"74,629.00","4,441,377.00","72,625.00",1.03,"4,201.00",6,"4,207.00", -   , -   ,*, -   ,"4,207.00","2,592.00"
2BGL,C2F2S2,"48,168.00","2,872,346.00","47,176.00",1.02,"4,501.00",5,"4,506.00", -   , -   ,*, -   ,"4,506.00","2,777.00"
2BGM,C2F2S3,"29,723.00","1,770,443.00","29,370.00",1.01,"4,760.00",4,"4,763.00", -   , -   ,*, -   ,"4,763.00","2,981.00"
2BHK,C2F3S1,"30,100.00","1,789,991.00","29,510.00",1.02,"4,357.00",6,"4,363.00", -   , -   ,*, -   ,"4,363.00","2,677.00"
2BHL,C2F3S2,"21,030.00","1,252,916.00","20,640.00",1.02,"4,659.00",5,"4,664.00", -   , -   ,*, -   ,"4,664.00","2,849.00"
2BHM,C2F3S3,"14,037.00","836,272.00","13,869.00",1.01,"4,932.00",4,"4,936.00", -   , -   ,*, -   ,"4,936.00","3,050.00"
2CFK,C3F1S1,"15,456.00","921,716.00","15,134.00",1.02,"4,470.00",67,"4,538.00", -   , -   ,*, -   ,"4,538.00","2,816.00"
2CFL,C3F1S2,"9,383.00","560,270.00","9,183.00",1.02,"4,783.00",56,"4,839.00", -   , -   ,*, -   ,"4,839.00","2,988.00"
2CFM,C3F1S3,"5,285.00","315,150.00","5,206.00",1.02,"4,977.00",62,"5,039.00", -   , -   ,*, -   ,"5,039.00","3,122.00"
2CGK,C3F2S1,"65,124.00","3,879,311.00","63,273.00",1.03,"4,737.00",69,"4,806.00", -   , -   ,*, -   ,"4,806.00","2,960.00"
2CGL,C3F2S2,"40,957.00","2,442,846.00","39,997.00",1.02,"5,055.00",39,"5,094.00", -   , -   ,*, -   ,"5,094.00","3,141.00"
2CGM,C3F2S3,"24,722.00","1,473,566.00","24,415.00",1.01,"5,334.00",43,"5,377.00", -   , -   ,*, -   ,"5,377.00","3,296.00"
2CHK,C3F3S1,"43,925.00","2,611,174.00","42,447.00",1.03,"4,926.00",54,"4,980.00", -   , -   ,*, -   ,"4,980.00","3,032.00"
2CHL,C3F3S2,"29,868.00","1,778,441.00","29,176.00",1.02,"5,244.00",48,"5,293.00", -   , -   ,*, -   ,"5,293.00","3,184.00"
2CHM,C3F3S3,"19,770.00","1,177,293.00","19,474.00",1.02,"5,543.00",39,"5,582.00", -   , -   ,*, -   ,"5,582.00","3,366.00"
3AFK,C1F1S1,"132,945.00","7,914,798.00","73,678.00",1.8,"1,428.00",22,"1,449.00", -   , -   , -   , -   ,"1,449.00",726
3AFL,C1F1S2,"2,593.00","150,109.00","2,551.00",1.02,"2,267.00",9,"2,276.00", -   , -   , -   , -   ,"2,276.00","1,159.00"
3AFM,C1F1S3,"6,604.00","386,688.00","6,350.00",1.04,"2,659.00",12,"2,671.00", -   , -   , -   , -   ,"2,671.00","1,383.00"
3AGK,C1F2S1,"180,866.00","10,733,673.00","104,066.00",1.74,"1,735.00",26,"1,761.00", -   , -   , -   , -   ,"1,761.00",883
3AGL,C1F2S2,"5,179.00","299,541.00","5,083.00",1.02,"2,566.00",13,"2,579.00", -   , -   , -   , -   ,"2,579.00","1,301.00"
3AGM,C1F2S3,"14,006.00","819,746.00","13,348.00",1.05,"2,957.00",14,"2,971.00", -   , -   , -   , -   ,"2,971.00","1,568.00"
3AHK,C1F3S1,"60,767.00","3,604,161.00","36,620.00",1.66,"2,025.00",30,"2,054.00", -   , -   , -   , -   ,"2,055.00","1,034.00"
3AHL,C1F3S2,"1,642.00","94,959.00","1,609.00",1.02,"2,836.00",22,"2,858.00", -   , -   , -   , -   ,"2,858.00","1,519.00"
3AHM,C1F3S3,"4,767.00","280,295.00","4,583.00",1.04,"3,243.00",11,"3,254.00", -   , -   ,1, -   ,"3,254.00","1,658.00"
3BFK,C2F1S1,"180,823.00","10,750,242.00","99,886.00",1.81,"1,551.00",650,"2,201.00", -   , -   , -   , -   ,"2,201.00",795
3BFL,C2F1S2,"2,601.00","152,045.00","2,564.00",1.01,"2,388.00",172,"2,560.00", -   , -   , -   , -   ,"2,560.00","1,303.00"
3BFM,C2F1S3,"6,608.00","389,505.00","6,379.00",1.04,"2,778.00",206,"2,983.00", -   , -   , -   , -   ,"2,983.00","1,422.00"
3BGK,C2F2S1,"331,570.00","19,663,735.00","175,640.00",1.89,"1,854.00",805,"2,659.00", -   , -   , -   , -   ,"2,659.00",939
3BGL,C2F2S2,"7,535.00","441,987.00","7,364.00",1.02,"2,697.00",191,"2,888.00", -   , -   , -   , -   ,"2,888.00","1,376.00"
3BGM,C2F2S3,"20,276.00","1,193,875.00","19,317.00",1.05,"3,062.00",216,"3,278.00", -   , -   , -   , -   ,"3,278.00","1,604.00"
3BHK,C2F3S1,"125,286.00","7,429,962.00","72,113.00",1.74,"2,138.00",393,"2,531.00", -   , -   , -   , -   ,"2,531.00","1,094.00"
3BHL,C2F3S2,"3,251.00","188,988.00","3,183.00",1.02,"2,946.00",132,"3,078.00", -   , -   , -   , -   ,"3,078.00","1,603.00"
3BHM,C2F3S3,"8,746.00","513,339.00","8,355.00",1.05,"3,326.00",142,"3,468.00", -   , -   , -   , -   ,"3,468.00","1,744.00"
3CFK,C3F1S1,"156,461.00","9,268,742.00","87,347.00",1.79,"2,119.00",668,"2,786.00", -   , -   ,*, -   ,"2,786.00","1,098.00"
3CFL,C3F1S2,"1,883.00","110,862.00","1,847.00",1.02,"2,957.00",291,"3,248.00", -   , -   ,*, -   ,"3,248.00","1,515.00"
3CFM,C3F1S3,"4,445.00","262,543.00","4,280.00",1.04,"3,315.00",267,"3,582.00", -   , -   ,*, -   ,"3,582.00","1,739.00"
3CGK,C3F2S1,"346,922.00","20,528,237.00","175,838.00",1.97,"2,366.00",851,"3,217.00", -   , -   , -   , -   ,"3,217.00","1,224.00"
3CGL,C3F2S2,"7,083.00","415,478.00","6,895.00",1.03,"3,222.00",239,"3,461.00", -   , -   ,*, -   ,"3,461.00","1,789.00"
3CGM,C3F2S3,"19,065.00","1,125,156.00","17,995.00",1.06,"3,588.00",261,"3,849.00", -   , -   , -   , -   ,"3,849.00","1,926.00"
3CHK,C3F3S1,"286,810.00","16,978,185.00","126,659.00",2.26,"2,726.00",373,"3,099.00", -   , -   ,*, -   ,"3,099.00","1,409.00"
3CHL,C3F3S2,"6,133.00","359,829.00","5,956.00",1.03,"3,553.00",151,"3,704.00", -   , -   ,*, -   ,"3,704.00","1,889.00"
3CHM,C3F3S3,"15,646.00","921,024.00","14,526.00",1.08,"3,904.00",204,"4,109.00", -   , -   ,*, -   ,"4,109.00","2,048.00"
4AFK,C1F1S1,"4,048.00","241,307.00","3,720.00",1.09,"3,746.00",7,"3,753.00", -   , -   , -   , -   ,"3,753.00","2,077.00"
4AFL,C1F1S2,"3,516.00","210,314.00","3,183.00",1.1,"3,980.00",5,"3,984.00", -   , -   , -   , -   ,"3,984.00","2,232.00"
4AFM,C1F1S3,"1,495.00","89,276.00","1,418.00",1.05,"4,215.00",2,"4,217.00", -   , -   , -   , -   ,"4,217.00","2,516.00"
4AGK,C1F2S1,"10,302.00","613,583.00","9,258.00",1.11,"4,009.00",18,"4,027.00", -   , -   , -   , -   ,"4,027.00","2,254.00"
4AGL,C1F2S2,"8,181.00","488,764.00","7,306.00",1.12,"4,222.00",10,"4,232.00", -   , -   ,*, -   ,"4,232.00","2,399.00"
4AGM,C1F2S3,"3,809.00","227,383.00","3,619.00",1.05,"4,523.00",12,"4,535.00", -   , -   ,*, -   ,"4,535.00","2,595.00"
4AHK,C1F3S1,"1,574.00","93,902.00","1,448.00",1.09,"4,414.00",23,"4,437.00", -   , -   ,*, -   ,"4,437.00","2,346.00"
4AHL,C1F3S2,"1,323.00","79,036.00","1,218.00",1.09,"4,632.00",12,"4,643.00", -   , -   , -   , -   ,"4,643.00","2,495.00"
4AHM,C1F3S3,672,"40,184.00",651,1.03,"4,915.00",10,"4,925.00", -   , -   , -   , -   ,"4,925.00","2,808.00"
4BFK,C2F1S1,"7,488.00","446,377.00","6,695.00",1.12,"4,252.00",71,"4,323.00", -   , -   ,*, -   ,"4,323.00","2,421.00"
4BFL,C2F1S2,"5,343.00","319,393.00","4,763.00",1.12,"4,473.00",59,"4,532.00", -   , -   , -   , -   ,"4,532.00","2,583.00"
4BFM,C2F1S3,"2,486.00","148,551.00","2,295.00",1.08,"4,668.00",59,"4,727.00", -   , -   , -   , -   ,"4,727.00","2,646.00"
4BGK,C2F2S1,"30,847.00","1,842,010.00","26,402.00",1.17,"4,490.00",92,"4,583.00", -   , -   , -   , -   ,"4,583.00","2,522.00"
4BGL,C2F2S2,"21,340.00","1,276,088.00","18,484.00",1.15,"4,705.00",51,"4,756.00", -   , -   , -   , -   ,"4,756.00","2,666.00"
4BGM,C2F2S3,"9,769.00","583,603.00","9,016.00",1.08,"4,988.00",55,"5,043.00", -   , -   , -   , -   ,"5,043.00","2,869.00"
4BHK,C2F3S1,"4,468.00","266,330.00","4,049.00",1.1,"4,914.00",73,"4,987.00", -   , -   , -   , -   ,"4,987.00","2,747.00"
4BHL,C2F3S2,"3,329.00","198,981.00","3,067.00",1.09,"5,128.00",65,"5,193.00", -   , -   ,*, -   ,"5,193.00","2,829.00"
4BHM,C2F3S3,"1,722.00","102,637.00","1,639.00",1.05,"5,431.00",61,"5,492.00", -   , -   ,*, -   ,"5,492.00","2,956.00"
4CFK,C3F1S1,"6,955.00","415,446.00","6,240.00",1.11,"4,862.00",587,"5,449.00", -   , -   ,*, -   ,"5,449.00","2,782.00"
Totals:,,,,,,,,,,,,,,
,Non-LUPA,"5,637,399.00","333,195,239.00","3,018,054.00",1.87,"2,907.00",214,"3,120.00", -   , -   ,2,-3,"3,117.00","1,736.00"
,LUPA,"607,886.00","33,457,091.00","502,953.00",1.21,640, -   ,640, -   , -   ,1,-314,326, -   
,Grid,"6,245,285.00","366,652,330.00","3,263,424.00",1.91,"2,686.00",193,"2,879.00", -   , -   ,2,-33,"2,846.00","1,736.00"