CY 2023 AKI NPRM Provider Level Impact File																
																
Column	Title	Description														
A	Provider ID	Six character OSCAR Provider Number (CMS Certification Number). 														
B	Number of Dialysis Treatments	Hemo-equivalent treatments														
C	Total Payment for Step 1	This is the baseline result for comparison purposes- use 2021 data with the 2022 wage index.														
D	Total Payment for Step 2	This step updates the labor share from its 2022 value to its 2023 value.														
E	Total Payment for Step 3	This step applies a budget neutrality factor to account for the change in the labor share.														
F	Total Payment for Step 4	"This step updates the wage index from its 2022 value to its 2023 value, updates wage index floor from 0.5 to 0.6, and applies the 5 percent cap on wage index decreases."														
G	Total Payment for Step 5	This step applies a budget neutrality factor to account for the change in the wage index.														
H	Total Payment for Step 6	This step updates the base rate by the market basket update and the productivity adjustment.  														
I	Rural	Identifies urban or rural status based on geographic location														
		Yes=Rural														
		No=Urban														
J	Hospital Based	Yes=Hospital-based														
		No=Freestanding														
K	Census Region	Identifies location of facility by Census Region														
L	State	Identifies the facility's state														
M	Pediatric	Identifies percentage of pediatric patients														
		1=Less than 2%														
		2=From 2% to 19%														
		3=From 20% to 49%														
		4=50% or more														
N	Size	Identifies size of facility based on total number of hemo-equivalent treatments (including treatments for non-Medicare patients)														
		"1=Less than 4,000 treatments"														
		"2=4,000 to 9,999 treatments"														
		"3=More than 10,000 treatments"														
		4=Unkown														
O	Ownership	Identifies type of ownership by:														
		1=Large dialysis organization														
		2=Regional chain														
		3=Independent														
		4=Hospital-based														
		5=Unknown														
P	For Profit	Identifies facilities profit status														
		1) Yes														
		2) No														
Q	"2022 Wage Index, 0.5 Wage Floor"	Final Wage Index for 2022														
R	"2023 Wage Index, 0.6 Wage Floor, Uncapped"	Final Wage Index for 2023 with 0.6 wage index floor														
S	"2023 Wage Index, 0.6 Wage Floor, Capped"	Final Wage Index for 2023 with 0.6 wage index floor and 5 percent cap on wage index decreases														
