CY 2024 ESRD PPS FR 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 - use 2022 data with the predicted 2023 outlier thresholds from the previous FR2023.  It uses 2022 prices and 2023 wage indices.		
D	Total Payment for Step 1 Non-Outlier	This is the baseline result without outlier payments - use 2022 data with the predicted 2023 outlier thresholds from the previous FR2023.  It uses 2022 prices and 2023 wage indices.		
E	Total Payment for Step 2	"This step updates the baseline result by enforcing the 1% outlier policy.  In this step, adult FDL is projected from the updated FDL methodology for CY 2023, using 2023 FR base rate."		
F	Total Payment for Step 2 Non-Outlier	This is the baseline result without outlier payments.  This is the same as Step 1 Non-Outlier.		
G	Total Payment for Step 3	This step applies the 30 percent Transitional Pediatric ESRD Add-on Payment Adjustment (TPEAPA).		
H	Total Payment for Step 3 Non-Outlier	"This step applies the 30 percent TPEAPA, without outlier payments."		
I	Total Payment for Step 4	This step applies a budget neutrality factor to account for the 30 percent TPEAPA.		
J	Total Payment for Step 4 Non-Outlier	"This step applies a budget neutrality factor to account for 30 percent TPEAPA, without outlier payments."		
K	Total Payment for Step 5	"This step includes the end of TDAPA payment, beginning in April, for drugs currently receiving the TDAPA, and applies the standardized post-TDAPA add-on payment adjustment calculated using 2023 prices to all treatments from April to December."		
L	Total Payment for Step 5 Non-Outlier	"This step includes the end of TDAPA payment, beginning in April, for drugs currently receiving the TDAPA, and applies the standardized post-TDAPA add-on payment adjustment calculated using 2023 prices to all treatments from April to December.  This step does not include outlier payments."		
M	Total Payment for Step 6	This step updates the wage index from its 2023 value to its 2024 value.		
N	Total Payment for Step 6 Non-Outlier	"This step updates the wage index from its 2023 value to its 2024 value, without outlier payments."		
O	Total Payment for Step 7	This step applies a budget neutrality factor to account for the change in the wage index.		
P	Total Payment for Step 7 Non-Outlier	"This step applies a budget neutrality factor to account for the change in the wage index, without outlier payments."		
Q	Total Payment for Step 8	"This step updates the base rate by the market basket update and the productivity adjustment, and updates the post-TDAPA add-on by the latest available forecast of annual growth in the ESRD bundled market basket composite price proxy for pharmaceuticals.  In addition, 2024 prices are used and the outlier payments are recalculated.  In this step, adult FDL is projected from the updated FDL methodology, using the market basket and productivity adjusted base rate for 2024."		
R	Total Payment for Step 8 Non-Outlier	"This step updates the base rate by the market basket update and the productivity adjustment, and updates the post-TDAPA add-on by the latest available forecast of annual growth in the ESRD bundled market basket composite price proxy for pharmaceuticals.  In addition, 2024 prices are used.  This step does not include outlier payments."		
S	Rural	Identifies urban or rural status based on geographic location		
		Yes=Rural		
		No=Urban		
T	Hospital Based	Yes=Hospital-based		
		No=Freestanding		
U	Low Volume	Identifies facilities that qualify for low-volume adjustment		
		Yes = Low Volume		
		No = Not low volume		
V	Census Region	Identifies location of facility by Census Region		
W	State	Identifies the facility's state		
X	Pediatric	Identifies percentage of pediatric patients		
		1=Less than 2%		
		2=From 2% to 19%		
		3=From 20% to 49%		
		4=50% or more		
Y	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		
Z	Ownership	Identifies type of ownership by:		
		1=Large dialysis organization		
		2=Regional chain		
		3=Independent		
		4=Hospital-based		
		5=Unknown		
AA	For Profit	Identifies facilities profit status		
		1) Yes		
		2) No		
AB	2023 Wage Index	Final Wage Index for 2023		
AC	2024 Wage Index	Final Wage Index for 2024		
