CY 2019 AKI NPRM Provider Level Impact File		
This file contains the data used to assess the impact of the ESRD PPS NPRM		
		
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 2017 data with the 2018 wage index, the 2018 0.4 wage floor, and the 2018 labor-related share."
D	Total Payment for Step 2	This step updates the wage index from its 2018 value (used in Step 1) to its 2019 value and enforces a new wage floor (0.4/0.5/0.6).
E	Total Payment for Step 3	This step updates the labor-related share from its 2018 value (used in Step 1 to Step 2) to its 2019 value.
F	Total Payment for Step 4	"This step applies a budget neutrality factor to account for the change in the wage index, the wage floor, and the labor-related share from their 2018 values (used in ESRD Impact Step 1 to ESRD Impact Step 3) to their 2019 values (ESRD Impact Step 4)."
G	Total Payment for Step 5	This step updates the base rate by the market basket update and the productivity adjustment.  
H	2018 FR Wage Index	Wage Index for 2018
I	2019 NPRM Wage Index	Proposed 2019 Wage Index with NEW CBSA Delineations
J	Rural	Identifies urban or rural status based on geographic location.
		Yes=Rural
		No=Urban
K	Hospital Based	Yes=Hospital-based
		No=Freestanding
L	Census Region	Identifies location of facility by Census Region
M	State	Identifies the facility's state
N	Pediatric	Identifies percentage of pediatric patients
		1=Less than 2%
		2=From 2% to 19%
		3=From 20% to 49%
		4=50% or more
O	Size	Identifies size of facility based on total number of hemo-equivalent treatments (including treatments for non-Medicare patients)
		"1=Less than 3,000 treatments"
		"2=3,000 to 9,999 treatments"
		"3=More than 10,000 treatments"
P	Ownership	Identifies type of ownership by:
		1=Large dialysis organization
		2=Regional chain
		3=Independent
		4=Hospital-based
		5=Unknown
Q	For Profit	Identifies facilities profit status
		1) Yes
		2) No
