CY 2020 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 for comparison purposes- use 2018 data with the predicted 2019 outlier thresholds from the previous FR2019.  It uses 2019 prices and 2019 wage indices.
D	Total Payment for Step 2	This step updates the baseline result by enforcing the 1% outlier policy.
E	Total Payment for Step 2 Non-Outlier	This step updates the baseline result without outlier payments.
F	Total Payment for Step 3	This step updates the wage index from its 2019 value (used in Steps 1 and 2) to its 2020 value.
G	Total Payment for Step 3 Non-Outlier	This step updates the wage index from its 2019 value (used in Steps 1 and 2) to its 2020 value without outlier payments.
H	Total Payment for Step 4	This step applies a budget neutrality factor to account for the change in the wage index from their 2019 values (used in Step 1 to Step 2) to their 2020 values (Step 3).
I	Total Payment for Step 5	"This step updates the base rate by the market basket update and the productivity adjustment.  In addition, 2020 prices are used and the outlier payments are recalculated."
J	Total Payment for Step 6	This step removes 6% of ASP from TDAPA prices in 2020.
K	2019 FR Wage Index	Wage Index for 2019
L	2020 NPRM Wage Index	Proposed 2020 Wage Index
M	Rural	Identifies urban or rural status based on geographic location.
		Yes=Rural
		No=Urban
M	Hospital Based	Yes=Hospital-based
		No=Freestanding
O	Low Volume	Identifies facilities that qualify for low-volume adjustment
		Yes = Low Volume
		No = Not low volume
P	Census Region	Identifies location of facility by Census Region
Q	State	Identifies the facility's state
R	Pediatric	Identifies percentage of pediatric patients
		1=Less than 2%
		2=From 2% to 19%
		3=From 20% to 49%
		4=50% or more
S	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
T	Ownership	Identifies type of ownership by:
		1=Large dialysis organization
		2=Regional chain
		3=Independent
		4=Hospital-based
		5=Unknown
U	For Profit	Identifies facilities profit status
		1) Yes
		2) No
