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IPPS DRG Provider Summary

Average Discharges, Charges, and Medicare Payments

@kaggle.thedevastator_ipps_drg_provider_summary

About this Dataset

IPPS DRG Provider Summary


IPPS DRG Provider Summary

Average Discharges, Charges, and Medicare Payments

By Health [source]


About this dataset

This dataset is a valuable resource for gaining insight into Inpatient Prospective Payment System (IPPS) utilization, average charges and average Medicare payments across the top 100 Diagnosis-Related Groups (DRG). With column categories such as DRG Definition, Hospital Referral Region Description, Total Discharges, Average Covered Charges, Average Medicare Payments and Average Medicare Payments 2 this dataset enables researchers to discover and assess healthcare trends in areas such as provider payment comparsons by geographic location or compare service cost across hospital. Visualize the data using various methods to uncover unique information and drive further hospital research

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How to use the dataset

This dataset provides a provider level summary of Inpatient Prospective Payment System (IPPS) discharges, average charges and average Medicare payments for the Top 100 Diagnosis-Related Groups (DRG). This data can be used to analyze cost and utilization trends across hospital DRGs.

To make the most use of this dataset, here are some steps to consider:

  • Understand what each column means in the table: Each column provides different information from the DRG Definition to Hospital Referral Region Description and Average Medicare Payments.
  • Analyze the data by looking for patterns amongst the relevant columns: Compare different aspects such as total discharges or average Medicare payments by hospital referral region or DRG Definition. This can help identify any potential trends amongst different categories within your analysis.
  • Generate visualizations: Create charts, graphs, or maps that display your data in an easy-to-understand format using tools such as Microsoft Excel or Tableau. Such visuals may reveal more insights into patterns within your data than simply reading numerical values on a spreadsheet could provide alone.

Research Ideas

  • Identifying potential areas of cost savings by drilling down to particular DRGs and hospital regions with the highest average covered charges compared to average Medicare payments.
  • Establishing benchmarks for typical charges and payments across different DRGs and hospital regions to help providers set market-appropriate prices.
  • Analyzing trends in total discharges, charges and Medicare payments over time, allowing healthcare organizations to measure their performance against regional peers

Acknowledgements

If you use this dataset in your research, please credit the original authors.
Data Source

License

License: Open Database License (ODbL) v1.0

  • You are free to:
    • Share - copy and redistribute the material in any medium or format.
    • Adapt - remix, transform, and build upon the material for any purpose, even commercially.
  • You must:
    • Give appropriate credit - Provide a link to the license, and indicate if changes were made.
    • ShareAlike - You must distribute your contributions under the same license as the original.
    • Keep intact - all notices that refer to this license, including copyright notices.
    • No Derivatives - If you remix, transform, or build upon the material, you may not distribute the modified material.
    • No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Columns

File: 97k6-zzx3.csv

Column name Description
drg_definition Diagnosis-Related Group (DRG) definition. (String)
average_medicare_payments Average Medicare payments for each DRG. (Numeric)
hospital_referral_region_description Description of the hospital referral region. (String)
total_discharges Total number of discharges for each DRG. (Numeric)
average_covered_charges Average covered charges for each DRG. (Numeric)
average_medicare_payments_2 Average Medicare payments for each DRG. (Numeric)

File: Inpatient_Prospective_Payment_System__IPPS__Provider_Summary_for_the_Top_100_Diagnosis-Related_Groups__DRG__-_FY2011.csv

Column name Description
DRG Definition A description of the Diagnosis-Related Group (DRG). (String)
Hospital Referral Region Description A description of the hospital referral region. (String)
Average Medicare Payments The average amount paid by Medicare for the DRG. (Float)

Acknowledgements

If you use this dataset in your research, please credit the original authors.
If you use this dataset in your research, please credit Health.

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