> For the complete documentation index, see [llms.txt](https://docs.payerset.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.payerset.com/using-the-payerset-platform/data-dictionary/claims-data/medicare-inpatient-data.md).

# Medicare Inpatient Data

For Medicare inpatient rate calculations, see Medicare Inpatient Methodology.

### Inpatient Data

| Field Name                       | Friendly Name                 | Description / Sample Value                                                        |
| -------------------------------- | ----------------------------- | --------------------------------------------------------------------------------- |
| NPI                              | Provider NPI                  | Unique 10-digit National Provider Identifier. e.g. `1043270564` or `No NPI Found` |
| carrier\_number                  | CCN                           | CMS Certification Number (6-digit provider identifier). e.g. `110107`             |
| Rndrng\_Prvdr\_Org\_Name         | Provider Organization Name    | Name of the rendering provider's organization. e.g. `Atrium Health Navicent`      |
| Rndrng\_Prvdr\_City              | Provider City                 | City where the provider is located. e.g. `Macon`                                  |
| Rndrng\_Prvdr\_St                | Provider Street Address       | Street address of the provider. e.g. `777 Hemlock Street`                         |
| Rndrng\_Prvdr\_State\_FIPS       | State FIPS Code               | U.S. Census state FIPS code. e.g. `13`                                            |
| Rndrng\_Prvdr\_Zip5              | Provider ZIP Code             | 5-digit postal ZIP code. e.g. `31201`                                             |
| Rndrng\_Prvdr\_State\_Abrvtn     | State Abbreviation            | USPS two-letter state abbreviation. e.g. `GA`                                     |
| CBSA                             | CBSA Code                     | Core-Based Statistical Area code for geographic wage adjustment. e.g. `12060`     |
| drg\_code                        | DRG Code                      | Medicare Severity Diagnosis-Related Group code. e.g. `470`                        |
| operating\_base\_drg\_payment    | Operating Base DRG Payment    | Wage-adjusted base payment × DRG weight, before adjustments. e.g. `15234.56`      |
| operating\_dsh\_factor           | Operating DSH Factor          | Disproportionate Share Hospital adjustment factor. e.g. `0.0298`                  |
| operating\_dsh\_amount           | Operating DSH Amount          | Dollar amount of DSH add-on. e.g. `453.99`                                        |
| operating\_ime\_factor           | Operating IME Factor          | Indirect Medical Education adjustment factor. e.g. `0.0655`                       |
| operating\_ime\_amount           | Operating IME Amount          | Dollar amount of IME add-on. e.g. `997.86`                                        |
| vbp\_factor                      | VBP Adjustment Factor         | Hospital Value-Based Purchasing adjustment (typically 0.98–1.02). e.g. `0.99879`  |
| hrrp\_factor                     | HRRP Adjustment Factor        | Hospital Readmissions Reduction Program adjustment (min 0.97). e.g. `0.9975`      |
| fee\_schedule\_dollar\_amount    | Operating Fee Schedule Amount | Total operating IPPS payment. e.g. `18250.75`                                     |
| capital\_base\_payment           | Capital Base Payment          | Federal capital rate × DRG weight × GAF × COLA. e.g. `1245.67`                    |
| capital\_dsh\_factor             | Capital DSH Factor            | Capital Disproportionate Share adjustment factor. e.g. `0.05731`                  |
| capital\_dsh\_amount             | Capital DSH Amount            | Dollar amount of capital DSH. e.g. `71.39`                                        |
| capital\_ime\_factor             | Capital IME Factor            | Capital Indirect Medical Education factor. e.g. `0.05496`                         |
| capital\_ime\_amount             | Capital IME Amount            | Dollar amount of capital IME. e.g. `68.46`                                        |
| capital\_fee\_schedule\_amount   | Capital Fee Schedule Amount   | Total capital IPPS payment. e.g. `1385.52`                                        |
| total\_reimbursement\_amount     | Total Reimbursement Amount    | Combined operating + capital payment. e.g. `19636.27`                             |
| Total\_Discharges                | Total Discharges              | Total number of discharges reported. e.g. `250` (may be null)                     |
| Avg\_Submitted\_Covered\_Charges | Avg Covered Charges           | Average submitted covered charges per discharge. e.g. `32500.50`                  |
| Avg\_Total\_Payment\_Amount      | Avg Total Payment             | Average total payment amount per discharge. e.g. `19500.75`                       |
| Avg\_Medicare\_Payment\_Amount   | Avg Medicare Payment          | Average amount paid by Medicare per discharge. e.g. `18000.25`                    |
| Avg\_Medicare\_Payment\_Percent  | Medicare Payment %            | Ratio of avg Medicare payment to operating fee schedule. e.g. `0.99`              |
| latitude                         | Latitude                      | Geographic latitude of the provider location. e.g. `32.8095`                      |
| longitude                        | Geographic longitude          | Geographic longitude of the provider location. e.g. `-83.6168`                    |


---

# Agent Instructions
This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com.

## Querying This Documentation
If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question.

Perform an HTTP GET request on the current page URL with the `ask` query parameter:

```
GET https://docs.payerset.com/using-the-payerset-platform/data-dictionary/claims-data/medicare-inpatient-data.md?ask=<question>
```

The question should be specific, self-contained, and written in natural language.
The response will contain a direct answer to the question and relevant excerpts and sources from the documentation.

Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.