Dialysis Units in the USA

Field

Size

Location

SIMS Table

SIMS Field

Remarks

1. Provider Master No.

6

6-Jan

facdir

Provnum/

Identification number of provider

Altprovnum

(If altprovnum is a 2300 series number, then use altprovnum, otherwise use provnum)

First 2 digits =Numeric State Code

(See Attachment A)

Next 4 digits = type of services

0001 - 0899 Short Stay Hospitals

2000 - 2299 Long Term Hospital

2300 - 2499 Hospital-Based

Chronic Renal Care Facilities 

2500 - 2899 Non-Hospital Renal Disease

Treatment Centers

2900 - 2999 Independent Special Purpose

Renal Dialysis Facilities 

3300 - 3399 Children’s Hospitals

3500 - 3699 Renal Disease Treatment 

Center (Hospital Satellites)

3700-3799 Hospital-based Special Purpose Renal        Dialysis Facilities

Rule: The first 5 characters of the provnum must be numeric.

2.  Provider Name

60

  7‑ 66

facdir

facname

Name of Facility (First 38 characters including blanks)

3. Address 1

80

67‑ 146

facdir

Mailaddr1/

First line of Facility address

Physaddr1

(38 Characters Including

(if mailaddr1 is not populated, then use physaddr1)

Blanks)

3a. Address 2

40

147-186

facdir

Mailaddr2/

Second line of Facility address

Physaddr2

(38 Characters Including

Blanks)

4.  City

20

187‑206

facdir

Mailcity/

City of Provider

physcity

5.  State

2

207‑208

facdir

Mailstate/

State Abbreviation (See Attachment A)

phystate

6.  Zip

5

209‑213

facdir

Mailzip/

5 Position Zip Code

physzip

7.  For Future Use

3

214‑216

Blank

8. Accepts Pediatrics

1

217

facservices

service

Indicates if the facility accepts pediatric patients

Y=Yes    N=No

9. Accepts Transients

1

218

Facservices

Service

Indicates if the facility accepts transient patients

Y=Yes    N=No

10. CAPD

1

219

Facservices

service

Indicates if the facility offers training and support for CAPD (Continuous Ambulatory Peritoneal Dialysis)

Y=Yes    N=No

11. CCPD

1

220

Facservices

service

Indicates if the facility offers training and support for CCPD (Continuous Cycle Peritoneal Dialysis)

Y=Yes    N=No

12. Frequent Dialysis at Home

1

221

Facservices

Service

Indicates if the facility offers frequent dialysis at home

Y=Yes    N=No

13. Frequent Dialysis In-Center

1

222

Facservices

Service

Indicates if the facility offers frequent dialysis in the unit

Y=Yes    N=No

14. Home Hemodialysis

1

223

Facservices

Service

Indicates if the facility offers home hemodialysis

Y=Yes    N=No

15. Home IPD

1

224

Facservices

Service

Indicates if the facility offers home IPD (Intermittent Peritoneal Dialysis)

Y=Yes    N=No

16. In-Center Hemodialysis

1

225

Facservices

Service

Indicates if the facility offers in-center hemodialysis

Y=Yes    N=No

17. In-Center Peritoneal Dialysis

1

226

Facservices

Service

Indicates if the facility offers in-center peritoneal dialysis

Y=Yes    N=No

18. Isolation Stations

1

227

Facservices

Service

Indicates if the facility offers isolation stations

19. Nocturnal Hemodialysis

1

228

Facservices

Service

Indicates if the facility offers nocturnal hemodialysis

20. Practices Dialyzer Reuse

1

229

Facservices

Service

Indicates if the facility practices dialyzer reuse

Y=Yes    N=No

21. Self-Care Training Certified

1

230

Facservices

Service

Indicates if the facility is self-care training certified

Y=Yes    N=No

22. Shift start after 5 pm

1

231

Facservices

Service

Indicates if the facility has a shift that starts after 5 pm

Y=Yes    N=No

23. Transplant

1

232

Facservices

Service

Indicates if the facility performs transplants

Y=Yes    N=No

24. Total HD Stations

4

233-236

Facdir

Hemostatns

Total Number of Hemodialysis Stations at Facility

25. Certification Date

8

237-244

Facdir

Datecert

CCYYMMDD‑ Date of Medicare certification to provide renal services

26. Certification Type

1

245

Facdir

Facility_code

Code Indicating Type of Facility

Certification

Certification type used for

Facility Survey Purposes

1=Transplant Center Only

2=Dialysis Center (usually a hospital

rendering full spectrum of dialysis services

including laboratory tests.)

3=Dialysis Facility Hospital (A unit separate from but located within the hospital.  Renders dialysis services but not full spectrum.)

4=Dialysis Facility (Not a hospital.

Renders dialysis services but not full spectrum.  Also referred to as independent facilities.)

5=Transplant and Dialysis Center (A hospital rendering transplants and full spectrum of dialysis services.)

6=Special Purpose Facility (There are no approved facilities in this category.  Therefore, definition has been omitted.)

7=Inpatient Care Only (Hospitals approved as a dialysis center but usually does 80% of dialysis on inpatient basis.)

This extract excludes providers with a NULL certification code.

27. Termination Date

8

246-253

Facdir

Dateclosed

CCYYMMDD Date Medicare certification terminated (blank if not terminated)

28. ESRD Current Network

2

254-255

Facdir

Networknum

Identifies ESRD Network to which provider is assigned (01‑18) (Attachment A)

29. Region

2

256-257

Facdir

region

CMS Regional Office Code

(01‑10) (Attachment A)

30. For Future use

2

258-259

Blank

31. SSA County Code

3

260-262

Blank

32. For Future Use

4

263-266

Blank

33. Cross Refer No.

6

267-272

Facdir

Altprovnum/

Provider number issued by MMACS for hospitals only

Provnum

(If altprovnum is a 2300 series number, then use provnum, otherwise use altprovnum)

Rules:

q       Altprovnum must be 6 characters, otherwise set the value to blank.

q       The first 5 characters of the altprovnum must be numeric, otherwise set the value to blank.

q       Provnum and altprovnum cannot be the same value. If so, then the altprovnum value is set to blank.

34. Telephone Number

10

273-282

Facdir

phone

Area Code plus phone number of facility

35. For Future Use

2

283-284

Blank

36. Type Ownership

20

285-304

Facdir

profitnon

Profit

NonProfit

37. Change Date

8

305-312

Facdir

Repldatemodified

CCYYMMYY of last change to record