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This data set, which is part of CMS’s Medicare Provider Utilization and Payment Data sets, details information on services provided to Medicare beneficiaries by skilled nursing facilities.
As the map demonstrates, the states with the highest average standardized payment amounts per stay were Indiana (,406), Texas (,064), and California (,862), as well as several states in the Southeast.
The states with the lowest per stay payment amounts were in the upper Midwest (e.g., ,154 in North Dakota), Maine (,959), and Alaska (,854). Skilled Nursing Facility Average Standardized Payment per Stay, by State, 2013 The SNF PUF also includes information on two categories of RUGs for patients who receive a significant amount of therapy.
The RUG with the highest total Medicare payment at .77 billion was RUB (Ultra-High Rehab – ADL 6-10) Table 2 displays the patterns of utilization and average Medicare payment amounts for the top ten RUGs by highest number of days.
The RUG billed most frequently in 2013 was RUB (Ultra-High Rehab – ADL 6-10) with 15.8 million total days, an average Medicare payment amount per day of 2, and an average Medicare payment amount per beneficiary of ,239. Top Ten RUGs by Number of Days, 2013 The SNF data can be also used for geographic comparisons of costs and utilization of SNF services.
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The data set identifies individual SNFs using their six-digit identification number.