CY 2023 ESRD PPS 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 - use 2021 data with the predicted 2022 outlier thresholds from the previous FR2022.  It uses 2022 prices, 2022 wage indices, and a 0.5 wage floor."		
D	Total Payment for Step 1 Non-Outlier	"This is the baseline result without outlier payments - use 2021 data with the predicted 2022 outlier thresholds from the previous FR2022.  It uses 2022 prices, 2022 wage indices, and a 0.5 wage floor."		
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 proposed change to the FDL methodology for CY 2023, using 2022 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 updates the labor share from its 2022 value (used in Steps 1 and 2) to its 2023 value.		
H	Total Payment for Step 3 Non-Outlier	"This step updates the labor share from its 2022 value (used in Steps 1 and 2) to its 2023 value, without outlier payments."		
I	Total Payment for Step 4	This step applies a budget neutrality factor to account for the change in the labor share.		
J	Total Payment for Step 4 Non-Outlier	"This step applies a budget neutrality factor to account for the change in the labor share, without outlier payments."		
K	Total Payment for Step 5	"This step updates the wage index from its 2022 value (used in Steps 1 and 2) to its 2023 value, updates wage index floor from 0.5 to 0.6, and applies the proposed 5 percent cap on wage index decreases."		
L	Total Payment for Step 5 Non-Outlier	"This step updates the wage index from its 2022 value (used in Steps 1 and 2) to its 2023 value, updates wage index floor from 0.5 to 0.6, and applies the proposed 5 percent cap on wage index decreases, without outlier payments."		
M	Total Payment for Step 6	This step applies a budget neutrality factor to account for the change in the wage index.		
N	Total Payment for Step 6 Non-Outlier	"This step applies a budget neutrality factor to account for the change in the wage index, without outlier payments."		
O	Total Payment for Step 7	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2023 prices are used and the outlier payments are recalculated.  In this step, adult FDL is projected from the proposed change to the FDL methodology, using the market basket and productivity adjusted base rate for 2023."		
P	Total Payment for Step 7 Non-Outlier	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2023 prices are used.  This step does not include outlier payments."		
Q	Rural	Identifies urban or rural status based on geographic location		
		Yes=Rural		
		No=Urban		
R	Hospital Based	Yes=Hospital-based		
		No=Freestanding		
S	Low Volume	Identifies facilities that qualify for low-volume adjustment		
		Yes = Low Volume		
		No = Not low volume		
T	Census Region	Identifies location of facility by Census Region		
U	State	Identifies the facility's state		
V	Pediatric	Identifies percentage of pediatric patients		
		1=Less than 2%		
		2=From 2% to 19%		
		3=From 20% to 49%		
		4=50% or more		
W	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		
X	Ownership	Identifies type of ownership by:		
		1=Large dialysis organization		
		2=Regional chain		
		3=Independent		
		4=Hospital-based		
		5=Unknown		
Y	For Profit	Identifies facilities profit status		
		1) Yes		
		2) No		
Z	"2022 Wage Index, 0.5 Wage Floor"	Final Wage Index for 2022		
AA	"2023 Wage Index, 0.6 Wage Floor, Uncapped"	Proposed Wage Index for 2023 with 0.6 wage index floor		
AB	"2023 Wage Index, 0.6 Wage Floor, Capped"	Proposed Wage Index for 2023 with 0.6 wage index floor and proposed 5 percent cap on wage index decreases		
