CY 2020 AKI NFRM ESRD Facility 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 2018 data with the 2019 wage index.
D	Total Payment for Step 2	This step updates the wage index from its 2019 value (used in Step 1) to its 2020 value.
E	Total Payment for Step 3	This step applies a budget neutrality factor to account for the change in the wage index from their 2019 values (used in ESRD Impact Step 1 to ESRD Impact Step 2) to their 2020 values (ESRD Impact Step 3).
F	Total Payment for Step 4	This step updates the base rate by the market basket update and the productivity adjustment.  
G	2019 FR Wage Index	Wage Index for 2019
H	2020 NPRM Wage Index	Final 2020 Wage Index
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 3,000 treatments"
		"2=3,000 to 9,999 treatments"
		"3=More than 10,000 treatments"
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
